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Home My WebLink AboutORD-2023-045-Opioid Advisory Committee Settlement Use Recommendations and Approval of Budget Amendment #4-B I` ORD-202M45 l ORANGE COUNTY BOARD OF COMMISSIONERS 4< ACTION AGENDA ITEM ABSTRACT Meeting Date : December 12 , 2023 ' Action Agenda Item No . 6 - a SUBJECT : Opioid Advisory Committee Settlement Use Recommendations and Approval of Budget Amendment #4 - 13 I` DEPARTMENT : County Commissioners ATTACHMENT ( S ) : INFORMATION CONTACT . Reintegration Support Network Proposal Quintana Stewart , Orange County OC - EMS PORT Proposal Health Director , 919 -245 -2412 Grow Your World Proposal Transition Support Network Proposal Harm Reduction Coordinator Proposal PowerPoint Presentation MOA Spending Authorization Resolution Year to Date Budget Summary PURPOSE : To : 1 ) receive an update on the Opioid Advisory Committee and recommendations from the Committee regarding the use of Opioid Settlement Funds that support Option A of the Memorandum of Agreement ( MOA) on the Allocation and Use of Opioid Settlement Funds in North Carolina ; 2 ) approve the attached resolution regarding the expenditure of Opioid Settlement Funds ; and 3 ) approve Budget Amendment #4 - 13 . BACKGROUND : In July 2021 , a bipartisan coalition of state attorneys general announced the National Opioid Settlement — a historic $ 26 billion agreement that will help bring desperately needed help to communities harmed by the opioid epidemic . The State of North Carolina and all 100 counties , including Orange County , joined the agreement . Orange County is expected to receive $ 6 , 799 , 780 over an 18 -year period . In September 2022 , the BOCC approved the appointment of the Orange County Opioid Advisory Committee with the following charge : • Discuss opioid - related health concerns and issues impacting the residents of Orange County ; • Advise the Board of Commissioners on options to expend funds to prevent opioid abuse and remedy opioid impacts ; • Plan and host an annual meeting open to the public to receive input on proposed uses of the settlement funds and to encourage collaboration between local governments . The Board also voted on Option A for the use of the settlement funds per the NC Memorandum of Agreement Opioid Settlement . In January 2023 , Orange County received an additional payment of $44 , 629 from the National Opioid Abatement Trust II ( NOAT II ) . NOAT II is separate and distinct from the National Distributors/Janssen settlements . As of August 2 , 2023 , Orange County has received six (6 ) deposits for the Opioid Special Revenue Account in the amount of $ 1 , 337 , 170 . 67 . The total allocation for Fiscal Year 2023 -24 is $435 , 750 . 00 . Fiscal Year 2024 -25 allocations (Year 2 of Lantern Project , Freedom House and NC FIT) equal $ 374 , 902 . A total of $ 526 , 518 . 67 remains for new opioid mitigation strategies . The Opioid Advisory Committee met on August 14 , 2023 , and September 11 , 2023 , and received and discussed a total of five proposals for use of Opioid Settlement Funds in Orange County . New funding requests include : Reintegration Support Network ( RSN ) ► $ 265 , 316 for a 2 -Year Period ( $ 132 , 658 . 00/year) OC - EMS Post-Overdose Response Team ( PORT) ► Option 1 - $ 1 , 060 , 132 . 75 ( 3 -Year Period ) ► Option 2 - $ 846 , 047 . 13 ( 3 -Year Period ) ► Option 3 - $ 582 , 378 . 50 ( 3 -Year Period ) Grow Your World ► $ 186 , 770 . 64 (Year 1 ) ; $ 192 , 170 . 64 (Year 2 ) ► $ 378 , 941 . 28 for a 2 -Year Period Transition Support & Recovery ► $ 165 , 170 (Year 1 ) ; $ 165 , 630 (Year 2 ) Harm Reduction Coordinator ► $ 108 , 025/year for a 2 -Year Period The Opioid Advisory Committee created a Funding Subcommittee to review each proposal in detail using the following criteria : • Must address one of the 12 mitigation strategies listed in Option A of the Settlement MOA ► 1 . Collaborative strategic planning ► 2 . Evidence - based addiction treatment ► 3 . Recovery support services ► 4 . Recovery housing support ► 5 . Employment- related services ► 6 . Early intervention ► 7 . Naloxone distribution ► 8 . Post- overdose response team ► 9 . Syringe Service Program ► 10 . Criminal justice diversion programs ► 11 . Addiction treatment for incarcerated persons ► 12 . Reentry programs • Program serves Orange County residents ; population served • Government entity , 501 c3 , Non - profit Community Partner • Equity Impact • Evidence - Based Practices • Project Need ( Orange County Data Supported ) • Experience & Organizational Capacity 0 Budget & Budget Narrative The AdvisoryCommittee recommends the following use of O ioid Settlement Funds : g p Reintegration Support Network ( RSN ) ► $ 20 , 000 . 00 — 1 Year OC - EMS Post-Overdose Response Team ( PORT ) ► Option 2 - $ 846 , 047 . 13 ( 3 -Year Period ) ► $ 244 , 020 . 00 / 1st year Grow Your World ► $ 20 , 000 . 00 — 1 Year Transition Support & Recovery ► $ 201000 . 00 — 1 Year Harm Reduction Coordinator ► $ 108 , 025/year for a 2 -Year Period The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized strategies is $ 412 , 045 . FINANCIAL IMPACT : Budget Amendment #4 - B recognizes $455 , 617 in new revenue for the Opioid Settlement Fund and authorizes projects for each of the named and authorized strategies . It also creates four (4 ) new time limited positions — three ( 3 ) Emergency Medical Services ( EMS ) Post- Overdose Response Team Members through December 31 , 2026 , and one new Harm Reduction Coordinator in the Health Department through December 31 , 2025 . Oploid Settlement Fund ($64, 200) - Fund #27 Revenues for this project : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Opioid Settlement Funds $ 881 , 554 $ 4551617 $ 1 , 337 , 171 Total Project Funding $ 881 , 554 $455 , 617 $ 1 , 337 , 171 Appropriated for this project : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Evidence - based Addiction Treatment ( Lantern Project) $ 1641862 $ 173 , 105 $ 337 , 967 Recovery Support Services ( Freedom House) $ 122 , 188 $ 128 , 297 $2507485 Reentry Program ( NC FIT) $ 70 , 000 $ 737500 $ 143 , 500 Naloxone Distribution $ 141500 $ 0 $ 141500 Student Health Action Coalition ( SHAC ) Syringe Service $ 64 , 200 $ 0 $ 641200 Program Reintegration Support Network ( RSN ) $ 0 $207000 $20 , 000 Post- Overdose Response Team ( PORT) $ 0 $ 2441020 $ 244 , 020 Grow Your World $ 0 $ 20 , 000 $20 , 000 Transition Support & Recovery $ 0 $201000 $ 207000 Harm Reduction Coordinator $ 0 $ 1081025 $ 1081025 Unallocated $445 , 804 ( $ 331 , 330 ) $ 1141474 Total Costs $ 881 , 554 $ 4551617 $ 1 , 3371171 SOCIAL JUSTICE IMPACT : The following Orange County Social Justice Goals are applicable to this item : • GOAL : ENSURE ECONOMIC SELF -SUFFICIENCY The creation and preservation of infrastructure , policies , programs and funding necessary for residents to provide shelter , food , clothing and medical care for themselves and their dependents . • GOAL : CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents , childhood and senior injuries , gang activity , substance abuse and domestic violence . Efforts to address opioid abuse will create a safe community and ensure a community network of basic human services and infrastructure that maintains , protects and promotes the well - being of all residents in Orange County . ENVIRONMENTAL IMPACT : There is no Orange County Environmental Responsibility Goal impact associated with this item . RECOMMENDATION ( S ) : The Manager recommends the Board : 1 ) receive an update on the Opioid Advisory Committee and recommendations from the Committee regarding the use of Opioid Settlement Funds that support Option A of the MOA on the Allocation and Use of Opioid Settlement Funds in North Carolina ; 2 ) approve the attached resolution regarding the expenditure of Opioid Settlement Funds ; and 3 ) approve Budget Amendment #4 - 13 .