MD HB1131

Establishes the Buprenorphine Training Grant Program within the Department of Health to provide grants to counties for training paramedics to administer buprenorphine, with a required annual appropriation of at least $50,000 from the Opioid Restitution Fund

Adds the grant program as an authorized use of the Opioid Restitution Fund, which receives revenues from opioid industry settlements and judgments

Requires the Maryland Office of Overdose Response to convene a workgroup to study buprenorphine access, including service gaps, provider capacity, and strategies for expanding a hub-and-spoke delivery model

Workgroup must include legislators, representatives from MIEMSS, Behavioral Health Administration, hospitals, local behavioral health agencies, and the Maryland Association of Counties, with a report due by December 31, 2025

Grant program provisions take effect October 1, 2025 and sunset after 5 years on September 30, 2030; workgroup provisions take effect July 1, 2025 and expire June 30, 2026