Maryland’s Opioid Restitution Fund (ORF) was established in 2019 to receive all monies awarded to the State of Maryland through prescription opioid-related legal action. In 2022, Maryland established the ORF Advisory Council to provide recommendations regarding the use of those funds.
For all inquiries, email [email protected].
We are pleased to announce the launch of Maryland’s Prescription Opioid Settlement Dashboard! This new, interactive dashboard provides an overview of the funds Maryland has received and expects to receive from legal settlements with prescription opioid manufacturers, distributors, and retail pharmacies. It also shows how funds have been distributed at the state and local level, including detailed lists of supported programs.
It also gives Marylanders easy access to local plans showing how counties and municipalities intend to put these funds to work in their communities. Visit our ORF Dashboard Reports page to see the most recent expenditure reporting from each participating local subdivision in Maryland, which includes performance metrics and full-length program descriptions, as well as their Local Abatement Plans.
Please note that the dashboard has not been optimized for mobile viewing at this time.
ORF Resources
Visit our new ORF Resources page to find a list of helpful documents, including general information about Maryland’s settlement agreements and allowable uses for settlement funds, guidance for local subdivisions, and more.
Opioid Restitution Fund Advisory Council
Maryland’s Opioid Restitution Fund (ORF) Advisory Council was established in 2022 to provide recommendations regarding the use of prescription opioid-related legal settlement funds. As specified by state statute (Maryland Health General Article §7.5–903), the council consists of 12 members who serve for two years.
Visit our ORF Advisory Council main page to learn more.
Prescription Opioid Settlement Information
As of the 2024 fiscal year (July 1, 2023 – June 30, 2024), Maryland has received distributions through seven prescription opioid-related legal settlements.
Visit our Settlement Overview page for more information.
Introduction to Maryland’s Opioid Restitution Fund
Maryland’s Office of Overdose Response held this webinar on Thursday, November 20, 2025, to provide a high-level and comprehensive overview of Maryland’s Opioid Restitution Fund (ORF). This webinar addressed the prescription opioid settlement landscape in Maryland, with information about finalized settlements and estimates, allowable spending, the distribution of funds to local partners, and much more (as outlined in our new ORF Primer document).
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