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Maryland’s Opioid Restitution Fund

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].

Promotional graphic for the "2026 Virtual Regional Opioid Restitution Fund Town Hall Series," featuring bold text overlaid on a faded image of a community town hall meeting. A yellow banner reads, "Share your ideas for using Rx Opioid Settlement Funds in Maryland!"

Maryland’s Office of Overdose Response is hosting a virtual town hall series on using prescription opioid settlement funds in Maryland between August 4–6, 2026. The series will include five regional town halls to give Marylanders from across the state an opportunity to share their ideas for using these funds to meet unmet needs in their communities.

These events are open to the public and free to attend. No registration is necessary! The town hall schedule is provided below. 

  • Written Testimony: You may also provide written comments if you do not wish to speak at the event or cannot attend. Use our Public Feedback Survey to provide your comments.

Central Maryland: August 4, 2026 (5:30–6:30 pm)
Baltimore City, Baltimore County, Anne Arundel County, Howard County, Harford County, Carroll County
Meeting Link

Capital Region: August 5, 2026  (5:30–6:30 pm)
Montgomery County, Prince George’s County, Frederick County 
Meeting Link

Southern Maryland: August 5, 2026 (7–8 pm)
Calvert County, Charles County, St. Mary’s County 
Meeting Link

Western Maryland: August 6, 2026  (5:30–6:30 pm)
Washington County, Allegany County, Garrett County 
Meeting Link

Eastern Shore: August 6, 2026 (7–8 pm)
Cecil County, Kent County, Queen Anne’s County, Talbot County, Caroline County, Dorchester County, Wicomico County, Somerset County, Worcester County
Meeting Link

An image introducing Maryland's Prescription Opioid Settlement Dashboard, featuring a computer monitor displaying the dashboard with a map of Maryland. The header text reads "Introducing Maryland's Rx Opioid Settlement Dashboard!"

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.

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.

Maryland’s Opioid Restitution Fund. Webinar: Introduction to the ORF. Thursday, November 20, 2025. 1–2 pm.

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).

Webinar Recording | Slides

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