North Dakota’s Opioid Settlements

This Community Guide will describe how North Dakota is spending its opioid settlements and whether North Dakota is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.

Total Funds

$48.4 million[1]

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[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.

Allocation

85% to the Opioid Settlement Fund and 15% to local governments

Mechanism

Legislation (N.D. Cent. Code Secs. 50-36-01 through 50-36-06)

	85% Opioid Settlement Fund Share	15% Local Share
Ultimate Decisionmaker	North Dakota Department of Health and Human Services	Local officials for cities and counties, in collaboration with local public health units
Decision-making Process	North Dakota Department of Health and Human Services decides how to spend legislatively appropriated funds after considering recommendations from the Opioid Settlement Advisory Committee.	Local officials for cities and counties decide in collaboration with their local public health units. Localities must also submit a plan to the Department of Health and Human Services Behavioral Health Division prior to spend.
Supplantation	Generally, not prohibited	Not prohibited
Grant Funding	Yes. See any current funding opportunities here.	Up to each locality (availability and processes will vary)
Public Input	Yes (Advisory Committee is required to develop a process for receiving public input and includes a public comment period at its meetings)	Up to each locality (not required)
Advisory Body	Yes (required). See the North Dakota Opioid Settlement Advisory Committee. The Advisory Committee is not required to include member(s) with lived and/or living experience.	Up to each locality (not required)
Expenditures	No public reporting required (only intrastate)	No public reporting required (only intrastate)
Updates	For updates on the Opioid Settlement Fund share, visit the North Dakota Opioid Settlement website, which includes information about the Opioid Settlement Advisory Committee’s current members and past and upcoming meetings, in addition to summaries of past listening sessions and grant opportunities.	For updates on the local share, visit the North Dakota Opioid Settlement website’s Political Subdivision Allocation Plans section and check the websites for your board of county commissioners, city council, or local public health unit. The Opioid Settlement Advisory Committee’s website also hosts a list of Subdivision Opioid Payment Contacts.