HomeMy WebLinkAboutRES-2025-034-Resolution to Direct the Expenditure of Opioid Settlement Funds RES- 2025 -034 Attachment 4
A RESOLUTION BY THE COUNTY OF ORANGE , NORTH CAROLINA
TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS
WHEREAS Orange County , North Carolina has joined national settlement agreements
with companies engaged in the manufacturing , distribution, and dispensing of opioids, including
settlements with drug distributors Cardinal , McKesson, and AmerisourceBergen, and the drug
maker Johnson & Johnson and its subsidiary Janssen Pharmaceuticals ;
WHEREAS the allocation, use , and reporting of funds stemming from these national
settlement agreements and certain bankruptcy resolutions ("Opioid Settlement Funds") are
governed by the Memorandum of Agreement Between the State of North Carolina and Local
Governments on Proceeds Relating to the Settlement of Opioid Litigation ("MOA") ;
WHEREAS Orange County has received Opioid Settlement Funds pursuant to these
national settlement agreements and deposited the Opioid Settlement Funds in a separate special
revenue fund as required by section D of the MOA ;
WHEREAS section E . 6 of the MOA states :
E . 6 . Process for drawingfrom om special revenue funds .
a . Budget item or resolution required . Opioid Settlement Funds can be used for a purpose
when the Governing Body includes in its budget or passes a separate resolution
authorizing the expenditure of a stated amount of Opioid Settlement Funds for that
purpose or those purposes during a specified period of time .
b . Budget item or resolution details . The budget or resolution should (1) indicate that it is an
authorization for expenditure of opioid settlement funds ; (ii) state the specific strategy or
strategies the county or municipality intends to fund pursuant to Option A or Option B ,
using the item letter and/or number in Exhibit A or Exhibit B to identify each funded
strategy , and (iii) state the amount dedicated to each strategy for a stated period of time .
NOW, THEREFORE BE IT RESOLVED , in alignment with the NC MOA, Orange County ,
authorizes the expenditure of opioid settlement funds as follows :
1 . First strategy authorized
a. Name of strategy : Recovery Support Services
b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B )
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : _Exhibit A
Strategy 3
d . Amounted authorized for this strategy : $ $ 201 747 . 00
e . Period of time during which expenditure may take place :
Start date Jul 1 2025 through End date _June 30 , 2026
f. Description of the program, project, or activity :
The Lantern Project is a collaboration between the Criminal Justice Resource Department
and subcontractor Freedom House Recovery Center . The mission is to support justice-
impacted individuals with substance use disorder through evidence-based strategies,
interventions and programming designed to reduce their vulnerability to overdose, death, and
recidivism . The mission is to light the path to recovery through harm reduction, diversion,
reentry support and treatment .
g . Provider : Criminal Justice Resource Department
2 . Second strategy authorized
a. Name of strategy : Reentry Pro ram
b . Strategy is included in Exhibit Exhibit A Exhibit A, Exhibit B )
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 12
d . Amounted authorized for this strategy : $ 74 724 . 00
e . Period of time during which expenditure may take place :
Start date Jul 1 2025 through End date _June 30 , 2026
f. Description of the program, project, or activity .
The NC FIT Program is a comprehensive reentry program that focuses on unmet health needs
for people released from incarceration . NC FIT provides connections to primary care,
behavioral health and substance use disorder treatment . All NC FIT Community Health
Workers have personal histories of incarceration. The NC FIT Program is based on the
Transitions Clinic Network Model which is an evidence-based program that complies with
Strategy A in the settlement MOU .
Funding will support 1 FTE Community Health Worker that has been hired by the OC Health
Department. CHW position will focus on assisting people being released from the Detention
center with a diagnosis of Opioid Use Disorder. This FIT CHW position will work closely
with efforts supported by the Lantern Project run through the CJRD .
The NC FIT Program will continue to provide regular support and technical assistance to
Orange County supporting the Orange County FIT Program, Jail-based MAT at the
Detention center, collaboration with the CJRD and linkages to Piedmont Health Services .
g . Provider : NC FIT
3 . Third authorized strategy
a. Name of strategy : Naloxone Distribution
b . Strategy is included in Exhibit Exhibit A Exhibit A, Exhibit B)
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA , _ Strategy 7
d. Amounted authorized for this strategy : $ 25 000 . 00
e . Period of time during which expenditure may take place :
Start date July 1 2025 through End date June 30 , 2026
f. Description of the program, project, or activity , _
Funds will be used to purchase Naloxone for Community Vending Machines in the
County .
g . Provider : Criminal Justice Resource Department
4 . Fourth authorized strategy
a. Name of strategy : Post-Overdose Response Team
b . Strategy is included in Exhibit Exhibit A (Exhibit A, Exhibit B)
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy
d . Amounted authorized for this strategy : $_338 , 350 . 00
e . Period of time during which expenditure may take place :
Start date Jul 1 2025 through End date _June 30 , 2026
f. Description of the program , project, or activity :
Development and implementation of a PORT within the geographic constraints of
Orange County , NC ; funds will support staff salary , supplies and needed software .
PORTS are specialized teams that respond to opioid overdoses in real time or within
24 - 72 hours of the overdose event . Upon implementation, the OC -EMS PORT will
meet individuals where they are at in their addiction by providing harm reduction
resources , linkage to treatment services , and medication-assisted treatment (MAT)
induction and administration .
This service will be available to all eligible individuals that OC -EMS interfaces with
during EMS incidents and will be provided as a referral for collaborating
departments , emergency departments , organizations and the community at- large .
PORTs have become the standard of care in post- overdose services nationally and
locally , with 41 North Carolina counties currently having an active PORT in place .
g . Provider : _Orange County Emergency Services
5 . Fifth authorized strategy
a. Name of strategy : Collaborative Strategic Planning_
b . Strategy is included in Exhibit Exhibit A (Exhibit A , Exhibit B )
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 1
d . Amounted authorized for this strategy : $ 110 , 861 . 00
e . Period of time during which expenditure may take place :
Start date July 1 , 2025 through End date June 30 , 2026
f. Description of the program, project, or activity . _
The Orange County Opioid Program Manager (Harm Reduction Coordinator) will be
responsible for overseeing the development, administration, budget, grant
management, and reporting for Orange County ' s Opioid Settlement Program . This
position will work with closely with Orange County staff and community partners
involved in community overdose prevention, education, harm reduction, treatment
opportunities and recovery support . They will ensure all reporting requirements are
met for the Opioid Settlement Fund and pursue additional resources to advance this
work .
g . Provider : _Orange County Health Department
6 . Sixth authorized strategy
a. Name of strategy : Criminal Justice Diversion Program_
b . Strategy is included in Exhibit Exhibit A (Exhibit A , Exhibit B )
c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : _Strateg 10
d . Amounted authorized for this strategy : $_ 108 , 191 . 00
e . Period of time during which expenditure may take place :
Start date Jul 1 2025 through End date June 30 , 2026
f. Description of the program , project, or activity :
Funds for clinical coordinator position that supports pre -trial service programs that
connect individuals involved or at risk of becoming involved in criminal justice system
to addiction treatment, recovery support, harm reduction services , primary healthcare ,
prevention , or other services or supports they need , or that provide any of these services or
supports .
g . Provider : Criminal Justice Resource Department
The total dollar amount of Opioid Settlement Funds appropriated across the above named and
authorized strategies is $ 858 , 873 . 00 .
Adopted this the 17 'h day of June 2025 .
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Jameretta Budoid , Chair
Orange County Board of C issioners
ATTEST :
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Laura JensenCoerk to the Board
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