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State Opioid Settlement Spending Decisions: Massachusetts

This information was compiled based on information from publicly available legislation, state memorandums or executive orders, state websites, and press releases, as well as supplemental interviews with state officials with a role in administering opioid settlement funding.

It offers a snapshot of settlement spending and priorities at the state level (e.g., funding administered by state agencies or designated statewide abatement funds) as well as laws, agreements, and processes that the state has established for allocating funds. NASHP does not track spending at the local or county level, but includes any relevant state-level reports or dashboards that capture local spending within a state. For details on the definitions used here, check out the definitions at the bottom of this page. You can also get an overview of opioid settlement decisions in all states.

Settlement Spending Status

Background

The Massachusetts Opioid Recovery and Remediation Fund Advisory Council publishes yearly reports on expenditures made by the Executive Office of Health and Human Services from the State’s Opioid Recovery and Remediation Fund. 
 

Has the state awarded settlement funds?

Yes. The 2024 Annual Report highlights the $23.8 million expended during the council’s fourth year of operation. Commitments span multiple target areas, including equity ($4.38 million), service expansion and enhancement ($10.5 million), workforce ($2 million), family supports ($500,000), social determinants of health ($6.65 million), data collection and analysis ($500,000), and municipal capacity-building and support ($1.1 million). The report includes more details on specific grant programs and initiatives funded within each of these target areas. 

Has the state announced priorities or recommendations for spending?

Yes. in late 2023, the Advisory Council identified four priority areas to address using funding from the Opioid Recovery and Remediation Fund. These categories, listed from highest to lowest priority, are equity, service expansion and enhancement, supporting families, and data collection and analysis.

Previous spending details

The Opioid Recovery and Remediation Fund Advisory Council’s website houses yearly annual reports that detail allocations from the Opioid Recovery and Remediation Fund starting in 2021.

Statewide reporting of local spending

The Municipal Opioid Abatement Funds Data Dashboard reveals spending data from municipalities that signed on to the Massachusetts State-Subdivision Agreement for Statewide Opioid Settlements municipalities receive 40 percent of total settlement funds coming to the state. 

State Settlement Website or Dashboard

Process for Settlement Disbursement

Legislation gives the Executive Office of Health and Human Services (EOHHS) the authority to make expenditures from the statewide Opioid Recovery and Remediation Trust Fund and creates an Opioid Recovery and Remediation Trust Fund Advisory Council to provide spending recommendations to EOHHS.

State and Political Subdivision Split

Structure

Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)

Allocation Formula

60 percent statewide Opioid Recovery and Remediation Fund, 40 percent subdivisions

Role of Advisory Committee

The Opioid Recovery and Remediation Trust Fund Advisory Council makes recommendations to the Executive Office of Health and Human Services.

State Overviews

Explore each state's settlement spending progress and priorities, as well as available information on settlement-related laws, agreements, reports, and spending dashboards. Use the dropdown below to see details for each state. You can also see an overview of opioid settlement decisions in all states.

Awarded settlement funds: A designated state agency or statewide opioid abatement fund has published its intention to allocate a dollar amount to a specific abatement program, activity, strategy, service, or support OR an appropriation of settlement funds has been made through a legislative process. Due to the nature of budgeting and procurement processes, this funding could be in the process of being budgeted, obligated, expended, or disbursed.

Published general priorities or recommendations to guide spending: A state agency, abatement council, or advisory council has published priority areas of focus or recommended strategies to address the opioid crisis with settlement dollars but may or may not have allocated settlement funding yet.

Statewide reporting of local spending: NASHP will not be tracking every spending example at the local level, but this category includes states that have published dashboards or reports that include local expenditures.

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