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].
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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