Opioid Settlement Fund Grants is sponsored by North Dakota Health and Human Services. Supports efforts across North Dakota to prevent opioid misuse, expand access to treatment and recovery services, and enhance the behavioral health workforce.

North Dakota Opioid Settlement | Health and Human Services North Dakota North Dakota Opioid Settlement The State of North Dakota, through its Attorney General, has reached court-approved settlements with opioid manufacturers and distributors. Of the funding received through the settlements, 85% goes to the State Opioid Settlement Fund and 15% goes directly to local political subdivisions.

During the 69 th Legislative Assembly, $8,000,000 from the State Opioid Settlement Fund was appropriated to the Department of Health and Human Services for the 2025-2027 biennium. 2025-2027 Opioid Settlement Fund (OSF) Grant Utilizing the funds allocated to the Department for the 2025-2027 Biennium, the Department announced the 2025-2027 OSF Grant Notice of Funding Opportunity on April 3, 2025.

The Funding Opportunity closed April 28, 2025. The following agencies received funding for their proposed projects: Heartview Foundation , $128,890 – Develop and implement a plan to establish an Opioid Treatment Program and a peer support specialist program in Dickinson.

ND Training Academy for Addiction Professionals (TAAP) , $2,496,562 – Enhance North Dakota’s behavioral health workforce by expanding addiction counselor training, providing college scholarships and offering paid internships. North Dakota State University ONE Program $140,691 – Establish two Opioid Treatment Program Medication Units in North Dakota rural community pharmacies.

$247,545 – Establish opioid prevention programs in four additional correctional facilities in North Dakota. $165,639 – Develop and implement a culturally responsive medication safety, harm reduction and overdose prevention education content for K-12 persons in Native American Communities.

Goldfinch Health , $382,829 – Partner with hospitals and medical professionals to implement post-surgery prescribing practices to prevent opioid misuse. USpireND Healthy Families North Dakota , $212,388 – Provide a home visiting program for parents of children who have been prenatally exposed to substances, parents who are incarcerated or newly released, parents in recovery and parents who have not yet entered recovery.

Southwest Multi-County Correction Center , $829,848 – Expand substance use treatment and recovery services in the community and within the correctional facility in western North Dakota.

South Central Judicial District Drug Court (Department of Corrections and Rehabilitation) , $48,000 – Provide substance use disorder treatment services and coordination of care to individuals involved in the South Central Judicial District Drug Court in Bismarck.

Northeast Central Judicial District Drug Court (Department of Corrections and Rehabilitation) , $72,000 – Provide substance use disorder treatment services and coordination of care to individuals involved in the Northeast Central Judicial District Drug Court in Grand Forks.

North Central Judicial District Drug Court (Department of Corrections and Rehabilitation) , $48,000 – Provide substance use disorder treatment services and coordination of care to individuals involved in the North Central Judicial District Drug Court in Minot.

First District Health Unit , $162,882 – Expand Syringe Service Program services to help individuals with a substance use disorder connect to treatment and recovery services in Minot. Rolette County Public Health District , $223,868 – Implement a K–9 evidence-based substance use prevention curriculum and a media campaign to raise awareness, promote prevention and link individuals to local resources.

Ward County Detention Center , $224,655 – Implement a Medication for Opioid Use Disorder treatment program at Ward County Detention Center, including screening, treatment referral, peer support and harm reduction education. MHA Sober Living Program , $264,129 – Establish a dedicated, trauma-informed sober living facility for women on the Fort Berthold Indian Reservation who are working to regain custody of their children.

Providence House Minot LLC , $390,000 – Provide residential substance use disorder treatment services specifically serving pregnant and parenting women. Community Medical Services , $294,500 – Expand access to peer-based recovery support to further strengthen engagement and retention in outpatient opioid treatment services across the North Dakota clinic locations.

2025-2027 Opioid Settlement Fund (OSF) Grant Funding Opportunity (closed 4/28/2025) Notice of Funding Opportunity Attachment A - Opioid Remediation Uses Attachment B - Committee Priority Recommendations Attachment C - Evaluation Tool Attachment D - Sample Grant Agreement OSF Grant Questions & Answers Previous Opioid Settlement Fund (OSF) Grant The following agencies received funding for their proposed projects: Central Valley Health District ($37,409): Develop a Syringe Service Program in Jamestown, N.

D. , to help individuals with a substance use disorder connect to treatment and recovery services. Community Connect Providers ($3.

9 million): Expand access to the community-based behavioral health program designed to provide behavioral health support services to individuals through the provision of care coordination and peer support in their North Dakota community. Community Medical Services ($452,389): Support the Opioid Treatment Program in Grand Forks by connecting individuals in need of opioid use disorder to evidence-based treatment services.

Endeavor Sober Living ($535,000): Establish a recovery house in Minot, N. D. , specifically serving pregnant and parenting women.

First District Health Unit ($66,681): Expand the Syringe Service Program in Minot, N. D. , to help individuals with a substance use disorder connect to treatment and recovery services.

Heartview Foundation ($426,527): Establish medications for opioid use disorder services in southwest North Dakota. Nelson-Griggs District Health Unit ($21,600): Implement a system to standardize patient screenings for opioid use disorder within local hospitals to increase access to treatment and recovery services.

North Dakota State University Opioid and Naloxone Education (ONE) Program ($82,537): Work hand-in-hand with tribal leaders to implement opioid harm prevention in tribal communities.

Northeast Central Judicial District Drug Court in Grand Forks/Department of Corrections and Rehabilitation ($51,000): Provide substance use disorder treatment services and coordination of care to individuals involved in the Northeast Central Judicial District Drug Court in Grand Forks.

Richland County Treatment Court ($134,000): Provide substance use disorder treatment services and coordination of care to individuals involved in the Richland County Treatment Court.

Sanford Medical Center Fargo ($397,430): Provide medications for opioid use disorder education and awareness training to health care providers, expand Screening, Brief Intervention, and Referral to Treatment (SBIRT) and increase distribution of naloxone to uninsured patients.

Training Academy of Addiction Professionals /Heartview Foundation ($613,002): Support development of behavioral health workforce in North Dakota through increased addiction counselor training opportunities, college scholarships and paid internships.

USpireND – Healthy Families North Dakota ($130,075): Provide home visiting program for parents who are incarcerated and pregnant, parents who are incarcerated and have given birth within the last year, and parents in recovery and parents who have not yet entered recovery. Valley City Public School ($160,000): Implement an evidence-based prevention curriculum in the Valley City Junior/Senior High School.

Notice of Funding Opportunity Documents (closed 1/19/2024) Notice of Funding Opportunity - Amended 1/10/2024 Attachment A - Opioid Remediation Uses Attachment B - Committee Priority Recommendations Attachment C - Evaluation Tool Attachment D - Sample Grant Agreement Opioid Settlement Advisory Committee A requirement to receiving and spending settlement funds is the creation of an advisory committee.

The Opioid Settlement Advisory Committee has been established through North Dakota Century Code 50-36 . The Opioid Settlement Advisory Committee will provide input and recommendations to the North Dakota Department of Health and Human Services Behavioral Health Division regarding the spending of funds received by the settlement.

The usage of settlement funds must be used for opioid remediation and align with approved usages as identified in the settlement document Exhibit E . Committee members are listed under the Opioid Settlement Advisory Committee here .

Opioid Settlement Advisory Committee Meetings: Special Meeting Notice & Agenda Behavioral Health Division Updates Special Meeting Notice & Agenda First District Good Neighbor SSP Behavioral Health Division Updates Special Meeting Notice & Agenda Behavioral Health Division Updates Special Meeting Notice & Agenda Special Meeting Notice & Agenda Behavioral Health Division Updates Special Meeting Notice & Agenda Behavioral Health Division Updates Behavioral Health Division Updates Fargo-Cass Public Health SSP Meeting Notice & Agenda (Meeting Canceled) Behavioral Health Division Updates Advisory Committee Listening Session Summary Meeting Notice and Agenda Behavioral Health Division Updates September 26, 2023 - Listening Session Meeting Notice and Agenda Meeting Notice and Agenda Behavioral Health Division Updates Presentation: Behavioral Health Division PowerPoint August 22, 2023 - Listening Session Meeting Notice and Agenda Meeting Notice and Agenda - (Meeting Canceled) June 29, 2023 - Listening Session Political Subdivision Annual Reports As required by North Dakota Century Code 50-36-04 , annually, each political subdivision that recovers and retains moneys as a result of opioid litigation shall submit to the department a report detailing the decisions of the governing body of the political subdivision regarding use of the moneys.

Submitted 2025 Annual Reports Burke, Renville, Sheridan, Ward Counties & Minot Cass County, Fargo & West Fargo Mandan & Mercer, Grant, Morton & Oliver Counties Williams County & Williston Political Subdivision Allocation Plans As required by North Dakota Century Code 50-36-06 , a political subdivision that recovers and retains moneys as a result of opioid litigation shall collaborate with a public health unit on the use of the moneys for local programs for remediating and abating the opioid crisis.

All political subdivisions shall provide an allocation plan to the behavioral health division prior to expenditure.

Submitted Subdivision Allocation Plans Cass County, Fargo & West Fargo Grand Forks City & Grand Forks County Benson, Eddy, Pierce, & Ramsey Counties & Devil’s Lake Adams, Billings, Golden Valley, Hettinger, Slope, & Stark Counties & Dickinson City Stutsman & Logan Counties Grant, Mercer, Morton, Oliver, & Sioux Counties & Mandan City Williams County & Williston Submit Plans & Reports Here Subdivision Opioid Payments as of 12/2025 Subdivision Opioid Payment Contacts 2025 Annual Opioid Settlement Fund Budget Report 2024 Annual Opioid Settlement Fund Budget Report 2023 Annual Opioid Settlement Fund Budget Report North Dakota Century Code 50-36 2023 Legislative Session bills: Exhibit E: Opioid Remediation Uses NDSU ONE Program Policy Scan - 2023