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State Opioid Settlement Spending Decisions: Montana

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 Montana Opioid Abatement Trust houses the majority of the state’s settlement funding. The trust’s advisory committee, responsible for making disbursements from this share, meets quarterly to review grant applications and award funding from the trust. Awards are sorted into which region of the state they serve or operate out of. 

Has the state awarded settlement funds?

Yes. Disbursements made from the trust are outlined in meeting minutes from the advisory committee’s quarterly convenings. Example projects approved during a meeting in July 2025 include fentanyl prevention and education, an adult treatment court, and prevention in mentoring programs, among others. 

Has the state announced priorities or recommendations for spending?

Yes. The trust’s Framework for Awarding Opioid Abatement Dollars outlines steps to establish local settlement distribution processes, such as understanding unique community needs and taking inventory of current resources and programs, and calls out potential opioid abatement strategies to be funded, which are supported with additional information and resources 

Previous spending details

Not applicable.

Statewide reporting of local spending

Not applicable.

State Settlement Website or Dashboard

Legislation

Not applicable.

Process for Settlement Disbursement

The state’s memorandum of understanding requires an advisory committee to approve disbursements from the 70 percent Abatement Trust and requires that the 15 percent State of Montana Fund be controlled by a separate committee that will include representatives from the Attorney General’s Office and the Department of Health and Human Services.

State and Political Subdivision Split

Structure

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

Allocation Formula

15 percent State of Montana Fund, 70 percent Abatement Trust, 15 percent Local Government Fund

Role of Advisory Committee

The Abatement Trust Advisory Committee has authority to approve disbursements from the Abatement Trust.

State Annual Report

Not applicable.

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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