Massachusetts
‘It’s inexcusable’: As overdose deaths mount, millions in opioid settlement funds go unspent in Massachusetts – The Boston Globe
“I was dumbfounded,” said Jesi, a retired executive. “How do you let this money sit there in a bank while people are dying?”
The Middleton example is hardly an anomaly. Less than 5 percent of the $50 million that Massachusetts communities received from the opioid settlements so far has been spent on addiction-related services and overdose prevention efforts, according to a Globe analysis of municipal spending reports.
More than 90 percent of the 247 communities that submitted financial reports to the state hadn’t spent a single penny in the fiscal year that ended June 30, 2023. That includes most of the largest cities, all hard hit by the overdose crisis: Boston, Cambridge, Springfield, and New Bedford, which each received more than $1 million in settlement funds.
The money has sat unused while the decades-long opioid epidemic has entered a perilous new phase — marked by the rapid spread of fentanyl and other toxic substances throughout the illicit drug supply. More than 3,500 people in Massachusetts have died from drug overdoses since municipalities began receiving payouts in July 2022 — the first of about $400 million that drug companies will pay to cities and towns in the state over the next 18 years.
(Another 98 cities and towns were not required to submit reports because they received payments of less than $35,000 a year.)
“It’s inexcusable,” said Senator John Velis, a Westfield Democrat and chair of the Senate’s Mental Health, Substance Use and Recovery committee. “This should be an ‘all-hands-on-deck’ moment. This is a public health crisis . . . and we need every dollar out there to minimize harm and save lives.”
Municipal officials and groups that monitor opioid settlements say the money is being held up by local disputes over competing priorities, accounting red tape, and protracted efforts to collect community input. While the legal settlements came with clear spending guidelines, some town and city officials said they were still unsure of how to spend the money effectively and equitably, given the complexity and persistence of addiction. Others said they were moving cautiously to gather ideas from residents, including treatment specialists and those with experience living with addiction, to make sure they are making the best decisions on their behalf.
Boston, which received $6 million as of December, announced plans late last month to use some of the money for supportive housing and for financial aid for residents who have lost loved ones to overdoses.
Dr. Bisola Ojikutu, executive director of the Boston Public Health Commission, said the city preferred a “very thoughtful, deliberative, and inclusive” approach that included a public survey and listening sessions in communities particularly hard hit by the opioid epidemic. The city expects to receive more than $1 million annually in settlement money through 2038.
“We will move as quickly as possible, but we’ll also be deliberative and make sure that we’re doing the right things with the money,” Ojikutu said.
The influx of opioid settlement money has been described by some public health experts as a once-in-a-generation opportunity to change how local governments address substance abuse and possibly even reverse the scourge of overdose deaths.
Yet the sluggish pace of spending is frustrating some lawmakers and families who have lost loved ones to overdoses and are demanding faster action. Some of the grieving families played a pivotal role in the legal cases that led to the multibillion-dollar settlements, and they have emerged as the most outspoken voices for dispersing the money more quickly.
“Those of us serving a life sentence of grief over the loss of our loved ones do not want that money sitting in a bank account,” said Cheryl Juaire, who lost two sons to fatal overdoses and lives in Marlborough, which has yet to spend more than $160,000 in settlement money.
Marc McGovern, a city councilor and vice mayor of Cambridge, said administrators have only themselves to blame for why his city has failed to spend $1.9 million in settlement funds. They spent too much time, he said, deliberating over whether to fund existing harm-reduction programs or to tackle broader issues such as the shortage of supportive housing for people with substance use disorder.
“There are a lot of ideas,” he said. “What we need is a sense of urgency.”
Cambridge so far has decided to use some of the money to buy a medical outreach van.
New Bedford’s Health Department has been meeting with public health officials across the state and is still working on “detailed, long-term action plans” for using the settlement funds to address the opioid crisis and its root causes, the city said. Lynn organized public focus groups and gave away gift cards to encourage residents to attend.
Not every city has been slow to act.
Worcester is among nearly a dozen that spent all their settlement money. Its initiatives include $500,000 on mobile crisis teams to respond to emergency calls involving substance use and mental health. Teams of purple-shirted social workers are dispatched in vans to crisis calls to help steer people to treatment programs and other services.
Other programs in Worcester include a new office of maternal health, which will provide support to pregnant or postpartum mothers struggling with substance use, and recovery counseling for people who are homeless or incarcerated. “It’s an awful epidemic . . . and we need programs in place that can be long-lasting and self-sustaining,” said Dr. Matilde “Mattie” Castiel, Worcester’s commissioner of health and human services.
Policy makers are determined to avoid the mistakes of the Big Tobacco settlement of 25 years ago, when much of the billions in payments to states plugged budget holes and funded public infrastructure projects instead of nicotine-prevention programs. Under the statewide opioid settlements, cities and towns must use the dollars on substance abuse prevention, treatment, and recovery programs, as well as harm-reduction strategies that seek to mitigate the deadly risk of using drugs.
Massachusetts expects to receive almost $1 billion over 18 years from settlements with opioid manufacturers and distributors. Of that, 40 percent is going to municipalities based on such factors as the number of opioid-related overdose deaths and US Drug Enforcement Agency data on the amount of opioids shipped into local communities. The remaining 60 percent goes into the state’s Opioid Recovery and Remediation Fund.
The payments do not include the settlement with Purdue Pharma, producer of OxyContin, which is undergoing court review.
The state has been far more decisive with its share, about $100 million thus far, funding three mobile programs for delivering methadone and addiction teams to consult at 15 hospitals, among other efforts.
The state Department of Public Health said it plans to sponsor a conference this spring to help municipalities better understand how to use the funds, including whether to team up with neighboring communities..
Jessica Rinaldi/Globe Staff
“Town government is picturesque and nice, but many towns are not large enough to have a public health function,” said David Rosenbloom, a professor of public health at Boston University and a member of a state advisory council on the Opioid Recovery and Remediation Fund. “Something like this [opioid epidemic] comes along and they don’t know how to respond.”
As for Jesi, the Middleton retiree turned his frustration over the unused settlement money into action. Since his visit to Town Hall, the retired executive organized a series of monthly meetings that involved the local Fire Department, public health nurses, and addiction treatment specialists. The town has since tapped about $8,000 of its settlement money to install opioid overdose “rescue kits” equipped with free Narcan in dozens of local restaurants, Dunkin’ shops, and public buildings throughout Middleton.
“Every parent who’s lost a child . . . wants to see that money out there saving lives,” said Jesi, after stopping at Middleton’s public library to check on one of the kits. “If we can save one life, then it’s worth every cent.”
Chris Serres can be reached at chris.serres@globe.com. Follow him @ChrisSerres.
Massachusetts
UMass Lowell seeks solutions to housing crisis through Massachusetts TechHubs Program
LOWELL — UMass Lowell, in partnership with local government, developers and community organizations, is looking to tackle one of Massachusetts’ biggest challenges: housing availability.
The Healey-Driscoll administration and the Innovation Institute at the Massachusetts Technology Collaborative announced Nov. 6 that Greater Lowell has been designated a Housing Innovation TechHub through the Massachusetts TechHubs Program, an initiative intended to strengthen regional innovation ecosystems across the state. The designation is part of the program’s first cohort of 14 TechHubs recognized statewide.
“These TechHubs reflect the best of what happens when local leaders, institutions and businesses work together to build on their region’s unique strengths,” said Lt. Gov. Kim Driscoll. “Our administration believes that innovation doesn’t just happen in one ZIP code, it happens in every community when we provide the tools and investment to help it thrive.”
Led by UMass Lowell and funded by a $100,000 Strategy Development Grant, the Housing Innovation TechHub aims to address the commonwealth’s housing crisis through innovation in design and sustainability, zoning and policy, and manufacturing and construction. The TechHub will serve as a living laboratory for testing and scaling new approaches to affordable and sustainable housing.
“The TechHubs program represents a long-term commitment to building the next generation of innovation ecosystems in Massachusetts,” said Innovation Institute Director Pat Larkin.
“By leveraging the experiences of the different regional initiatives, we’re laying the foundation for sustained regional transformation and economic competitiveness,” Larkin added.
According to the Healey-Driscoll administration’s “A Home for Everyone: A Comprehensive Housing Plan for Massachusetts,” Massachusetts needs to increase its year-round housing supply by at least 222,000 homes over the next decade to meet demand and lower costs, the report found. The MassInc Policy Center has found the housing need is pronounced in Gateway Cities such as Lowell, which will need 83,000 new units over the next decade.
To address this challenge, the team behind the Housing Innovation TechHub, including officials from UMass Lowell, the city of Lowell, the Cambridge Innovation Center, Massachusetts Competitive Partnership and Bequall, will develop a strategic plan that delivers scalable housing solutions through the integration of cutting-edge technology, transformative policy frameworks and community-driven approaches.
“The Strategy Development Grant allows us to convene the right partners and create an actionable roadmap for housing innovation,” said Kim Holloway, associate vice chancellor for research and innovation acceleration at UMass Lowell. “Our goal is to turn research and ideas into real projects that can transform how housing is built and financed across Massachusetts.”
Centered in Greater Lowell, the TechHub will test and refine new approaches that can be replicated statewide, positioning the area as a proving ground for housing innovation across Massachusetts.
“Lowell has always been a city that leads through innovation,” said Lowell City Manager Tom Golden. “This effort builds on that legacy and makes Lowell the launchpad for the future of housing across the state, creating solutions that are affordable, sustainable and scalable for communities everywhere.”
The Housing Innovation TechHub builds on the momentum of the Lowell Innovation Network Corridor, a partnership between the university, industry and government focused on a 1.2-million-square-foot mixed-use development that will include offices, research labs, housing, retail businesses and entertainment destinations. Together, the TechHub and LINC will make the Greater Lowell region a national model for housing innovation and economic opportunity.
“The Housing Innovation TechHub represents exactly the kind of forward-looking collaboration that defines UMass Lowell,” said Chancellor Julie Chen. “Along with transformational projects like LINC, the TechHub reflects how we’re bringing research and partnerships to life to strengthen communities and expand opportunities across the region.”
Massachusetts
Mass. weather: Slippery Monday morning commute to follow freezing rain Sunday night
Massachusetts residents returning to work on Monday should watch out for slick roads following a bout of freezing rain Sunday night, according to the National Weather Service.
A winter weather advisory is set to go into effect in all of Massachusetts aside from the South Coast, South Shore, Cape and Islands from 7 p.m. Sunday night to 6 a.m. Monday morning.
Freezing rain, then rain is expected during this time, and as much as two-tenths of an inch of ice could accumulate in communities north of I-90, according to the weather service. Drivers should prepare for slippery roads, but sidewalks, driveways and outdoor stairs and steps could also be dangerous.
Freezing rain is predicted to begin around 7 p.m. in Western Massachusetts and spread eastward, reaching the opposite end of the state by 10 p.m., according to the weather service. Overnight lows in the high 20s and low 30s are expected.
The freezing rain is predicted to switch over to a mix of rain and freezing rain and then to just rain between midnight and 6 a.m., according to the weather service. Communities in the southern parts of Massachusetts are expected to experience the shift earlier in the night, and the South Coast, South Shore, Cape and Islands are predicted to see only rain.
Monday is expected to be rainy and windy with some patchy fog, according to the weather service. Daily high temperatures are predicted to reach the high 40s and low 50s.
The rain is expected to cease between 3 p.m. and 5 p.m. on Monday in most Massachusetts communities, according to the weather service. The latter half of Monday is predicted to be windy, with gusts up to 40 mph.
Overnight lows in the low to mid 20s are expected Monday night, according to the weather service. Partly sunny skies and strong winds with gusts up to 40 mph are predicted for Tuesday.
Daily high temperatures are expected to reach the mid to high 20s in most of Massachusetts, according to the weather service. Overnight lows in the high teens and low 20s are predicted for Tuesday night.
Massachusetts
Getting to yes on housing in Massachusetts – The Boston Globe
Over the next decade, state housing officials estimate that Massachusetts will need another 222,000 homes. These homes are necessary to attract young professionals, to prevent families with young children from leaving, to empty the homeless shelters, and to let seniors age in their communities.
More housing is also needed to mitigate climbing prices that are hurting not only lower-income residents, but even those who are solidly middle class. The median price of a single-family home in Massachusetts this year, as of November, was an astonishing $640,000, according to The Warren Group.
Zillow ranked Greater Boston as the fifth most expensive rental market in the country, with average rent hovering just under $3,000 a month, according to the Boston Foundation’s 2025 Housing Report Card.
But if Massachusetts is to build the housing our residents need, it will take a conscious effort to simplify the building process.
In editorials this year, the Globe has focused on specific deregulatory steps that would help cut red tape and make it easier for the state to build its way out of the housing shortage.
One aspect of this is being open to changing rules that may have made perfect sense at one point, but haven’t kept up with changing circumstances. For example, advances in fire safety technology made some of the rules regarding stairwell requirements and building height obsolete. Changing these rules to account for modern technology could make it financially feasible to build bigger buildings.
There are also well-intended rules that have had unintended consequences — like disability accessibility codes that apply more stringently in communities with lower property values than in wealthier towns.
But the biggest thing that needs to change is harder to write into law. Communities need to move from a default “no” on housing to a default “yes.”
That problem is especially hard to tackle because, officially, it doesn’t exist. There is no specific regulation saying that certain Massachusetts towns don’t want housing. But actions speak louder, and more honestly, than words.
The presumption that new housing is bad — and the burden is on developers to prove it isn’t — is implicit in many of regulations adopted across the region and in the way developers are frequently treated like unwelcome interlopers. Communities too often use approval processes to impose unreasonable requirements or arduous review processes on builders who want to create the multifamily housing the state needs.
One solution is for the state to set clear ground rules for what authority cities and towns have — and don’t have — when it comes to housing approval.
For example, the state has its own environmental standards for septic systems, but they are a minimum, not a maximum. If policy makers were to forbid towns from imposing stricter standards without proving they are environmentally necessary, it would prevent municipal officials from using overly strict rules to block denser housing. Similarly, the Legislature could impose guardrails on what municipal planning officials can consider as part of the site plan review process and how long reviews can take.
When a planning or zoning board rejects or reduces the size of an apartment project, or imposes unreasonable and costly conditions, that directly undermines the public good. They should be expected to explain why their actions were truly necessary.
After all, no housing decision occurs in a vacuum. Even allowing high-end development serves the public: If people who can afford million-dollar condos have plenty to choose from, they won’t outbid less-wealthy families for more modest housing.
Many individual regulations came from a noble instinct. Shoddy construction is dangerous; communities should make sure it’s safe. Fire safety is important. New buildings can disturb animal habitats and degrade the environment. Ensuring that people with disabilities can access housing units and public spaces is vital. There is value in soliciting public input.
But these regulations have proven too easy to co-opt as tools to stop development, rather than improve it. Often, communities have a fear of change.
Regulations that pose obstacles to housing must be expected to pass a stringent test to prove that they are actually necessary and not just convenient pretexts for NIMBYism. Policy makers must fully consider the trade-offs, because while each new housing regulation may seem minor, they add up.
Massachusetts is a great place to live. We should be seeking ways to let more people live here, not closing the gate behind us.
Editorials represent the views of the Boston Globe Editorial Board. Follow us @GlobeOpinion.
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