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Home My WebLink AboutORD-2024-020-Approval of Budget Amendment #11-C to Provide Supplemental Grant Funding for the Emergency Services’ Post-Overdose Response Team (PORT) ORD -2024 - 020 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date : June 18 , 2024 Action Agenda Item No . 8 -x SUBJECT : Approval of Budget Amendment # 11 - C to Provide Supplemental Grant Funding for the Emergency Services ' Post- Overdose Response Team ( PORT) DEPARTMENT : Emergency Services ATTACHMENT ( S ) : INFORMATION CONTACT : Kirby Saunders , 919 -245 - 6123 Attachment 1 . Draft Alliance Healthcare Kim Woodward , 919 - 245 - 6133 Funding Agreement Attachment 2 . Year-to - Date Budget Summary PURPOSE : To approve Budget Amendment # 1 1 - C to provide supplemental grant funding for the Emergency Services ' Post- Overdose Response Team ( PORT) to support operational expenses not previously funded by the Opioid Settlement Funds , in collaboration with Alliance Healthcare . r BACKGROUND : The Orange County Emergency Services Department previously received $ 244 , 021 in Opioid Settlement Funding to create and implement a Post- Overdose Response Team ( PORT) . This funding provided the funding necessary to initialize the PORT program , i including base salaries for ( 2 ) PORT Paramedics and ( 1 ) Peer Support Specialist , medication expenses , and some software expenses . The primary mission of the PORT team is to respond to overdoses , provide follow- up care , initiate medication assisted treatment ( MAT) when warranted , and provide referral to recovery support services . F In January 2024 , Alliance Healthcare submitted a survey issued by North Carolina Department of Health and Human Services , Division of Mental Health , Developmental Disabilities , and Substance Use Services ( NC DHHS DMH / DD/SUS ) for crisis services projects in the LME - MCO catchment areas . NC DHHS was seeking information about crisis service projects that already existed , were in the design phase or planned future projects to help inform them of budget funding I priorities . In collaboration with Orange County , Alliance Healthcare submitted a lengthy survey regarding the PORT Team proposal . On May 15 , 2024 Emergency Services received notification that Alliance Healthcare would fund $ 201 , 484 from its existing funds . The purpose of this grant is to assist the County in fully funding the Post Overdose Response Team through June 30 , 2025 . The funding allows Emergency k'c Services to purchase additional equipment , additional harm - reduction supplies , and a software bridge between the emergency medical services ( EMS ) electronic patient care reporting and case management software . Additionally , this grant provides funding to cover personnel base salaries from May 2025 until June 2025 and all overtime expenses through FY 2024 -25 , thus expanding the availability of the PORT Paramedics to 12 hours a day , 7 seven days a week . This expanded availability will improve the delivery of medication assisted treatment and harm reduction efforts . The Post- Overdose Response Team is expected to be fully operational by July 1 , 2025 . Below is a break- down of the annual funding ( by source ) and start- up cost needed to support the program . Post- Overdose Response Team ( PORT) Expenses EXPENSES AMOUNT TOTAL OPIOID FUNDS GRANT FUNDS Personnel PORT Paramedics (2) $ 1951 987 $ 177 , 128 $ 187 859 Peer Support Specialist (1) $ 597186 $ 50 , 388 $ 8798 Overtime PORT Paramedics $ 257500 $ 0 $ 251500 Holiday Pay PORT Paramedics $ 9 , 390 $ 0 $ 9 , 390 Equipment/Supplies $ 921937 $ 0 $ 927937 Software $ 327020 $ 77020 $ 257000 Medication $ 30 , 000 $ 9 , 000 $ 21 , 000 TOTAL $ 466 , 020 $ 243 , 536 $ 2013484 FY 2023 -24 : Start- up costs of $ 96 , 161 to support the acquisition of supplies and equipment not funded by the Opioid Settlement Funds . FY 2024 -25 : Ongoing operational costs of $ 105 , 3237 including the following not supported by Opioid Settlement Funds : • Salary and benefits gap funding $ 27 , 657 • Holiday and Overtime Pay $ 34 , 890 • Software bridge $ 25 , 000 • Additional medication , Narcan , and other harm reduction supplies $ 211000 Budget Amendment # 11 - C creates the following grant ordinance in the Multi -year Grant Fund : ALLIANCE HEALTHCARE PORT GRANT ($222, 484) — Project # 71502 Revenues for this ro ' ect : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Grant Revenue $ 0 $2017484 $2013484 Total Project Funding $ 0 $ 201 , 484 $2017484 A ro riated for this ro ' ect : Current FY 2023 -24 FY 2023 -24 FY 2023 -24 Amendment Revised Expenditures $ 0 $ 2017484 $2011484 Total Project Funding $ 0 $ 2013484 $ 2011484 FINANCIAL IMPACT : This amendment increases the authorization in the multi -year grant fund by $ 201 , 484 . SOCIAL JUSTICE IMPACT : The following Orange County Social Justice Goals are applicable to this item : • GOAL : CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents , childhood and senior injuries , gang activity , substance abuse and domestic violence . • GOAL : FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color ; religious or philosophical beliefs ; sex , gender or sexual orientation ; national origin or ethnic background ; age ; military service ; disability ; and familial , residential or economic status . • 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 . ENVIRONMENTAL IMPACT : There are no known Orange County Environmental Responsibility Goal impacts associated with this item at this time . RECOMMENDATION ( S ) : The Manager recommends that the Board approve Budget Amendment # 11 - C to include $ 201 , 484 in a Multi -Year Grant Fund to support the start- up , operational and sustainment funding for the EMS Post- Overdose Response Team for expenses not supported by the Opioid Settlement Funds . The Manager also recommends that the Board approve the Draft Agreement for the Manager' s signature subject to any modifications made by the County Attorney . I (4 4 I f t E f (FF I{: C. (I' it I[I is I !d IP i