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Home My WebLink AboutRES-2026-042-A Resolution by the County of Orange, North Carolina to Direct the Expenditure of Opioid Settlement Funds RES -2026- 0421 (p Q � ( 11 (01 a(p 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 ( i ) 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 A (Exhibit A , Exhibit B ) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 3 d . Amounted authorized for this strategy : $209Q. . 859 e . Period of time during which expenditure may take place : Start date July 1 . 2026 through End date June 30 , 2028 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 . [Type here] [Type here] [Type here] g . Provider : Criminal Justice Resource Department 2 . Second authorized strategy a . Name of strategy : Post- Overdose Response Team b . Strategy is included in Exhibit A (Exhibit A, Exhibit B) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 8 d . Amounted authorized for this strategy : $ 369 , 185 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 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 . 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 OGEMS interfaces with during EMS incidents and will be provided as a referral for collaborating departments , emergency departments , organizations , and the community at4arge . 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 3 . Third authorized strategy a . Name of strategy : Collaborative Strategic Planning b . Strategy is included in Exhibit A (Exhibit A, Exhibit Bl c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 1 d . Amounted authorized for this strategy : $ 68 ,425 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 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 4 . Fourth Authorized Strategy a . Name of strategy : Reentry Programs �ams b . Strategy is included in Exhibit A (Exhibit A, Exhibit B) [Type here] [Type here] [Type here] c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 12 d . Amounted authorized for this strategy : $ 37 ,059 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 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 . 5 FTE of a 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 5 . Fifth Authorized Strategy a . Name of strategy : Criminal Justice Diversion Pro rg ams b . Strategy is included in Exhibit A (Exhibit A, Exhibit Bl c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 10 d . Amounted authorized for this strategy : $ 114, 861 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 f. Description of the program , project, or activity : Funds for a 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 6 . Sixth Authorized Strategy a. Name of strategy : Collaborative Strategic Plannin b . Strategy is included in Exhibit A (Exhibit A , Exhibit Bl c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 1 d . Amounted authorized for this strategy : $ 39 , 964 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 f. Description of the program, project, or activity . [Type here] [Type here] [Type here] Initial funding for a Behavioral Health Director position for Orange County . Responsibilities include operational oversight of the Crisis Diversion Facility , integration of services and partners for the CDF , management of the Opioid Settlement funds , quality assurance, contract management and close oversight for all county behavioral health funding including MOE and outside agencies , data collection, strengthening the crisis continuum of care and ensuring gaps and needs addressed, enhancing communication, and collaboration with community and provider stakeholders to improve equitable access to behavioral health resources . g . Provider : County Manager ' s Office 7 . Seventh Authorized Strategy a . Name of strategy : ReentryPrograms b . Strategy is included in Exhibit A (Exhibit A . Exhibit B) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategv 12 d . Amounted authorized for this strategy : $ 85 , 907 e . Period of time during which expenditure may take place : Start date July 1 . 2026 through End date June 30 , 2028 f. Description of the program , project , or activity . s Freedom House connects with individuals screened in the Orange County Detention Center who have a history of Opioid Use Disorder. The Peer Support Specialist assists individuals with getting to treatment, court appearances , linkage to community resources and other needs to curb recidivism . Funds would cover salary/benefits , cell phone service , mileage and training for a Peer Support Specialist . g . Provider : Freedom House Recovery Center 8 . Eiyht Authorized Strategy F a . Name of strategy : Early Intervention b . Strategy is included in Exhibit A (Exhibit A . Exhibit B) c . Item letter and/or number in Exhibit A or Exhibit B to the MOA : Strategy 6 d . Amounted authorized for this strategy : $ 66310 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 f. Description of the program , project, or activity . El Futuro will build upon last year ' s programming preventing and addressing substance use disorders ( SUD) , including opioid use disorder (OUD) and co - j occurring mental health conditions among economically disadvantaged youth and I young adults among historically marginalized Latino individuals in Orange County . Strengthening early intervention efforts , reducing stigma, and strengthening community coordination will improve outcomes for Latino youth, young adults , and their caregivers . This initiative will train CMHWs in Screening , Brief Intervention and Referral to Treatment ( SBIRT) and Motivational Interviewing (MI) to strengthen early intervention efforts and expand access to culturally and linguistically appropriate services . g . Provider : El Futuro I i i [Type here] [Type here] [Type here] 9 . Ninth Authorized Strategy a . Name of strategy : Naloxone Distribution b . Strategy is included in 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 : $ 10 ,000 e . Period of time during which expenditure may take place : Start date July 1 , 2026 through End date June 30 , 2028 f. Description of the program, project, or activity : UNC — Student Wellness aims to increase the availability of naloxone to expand their campus -wide opioid overdose prevention education and naloxone distribution program . This program aims to increase the availability of naloxone in high-traffic areas on campus . Funding would provide naloxone supply for use in distribution . g . Provider : UNC — Student Wellness The total dollar amount of Opioid Settlement Funds appropriated across the above named and authorized strategies is $ 1 , 001 , 570 . 00 . Originally adopted the 16th day of June 2026 , Hamilton , Chair Orange County Board of Commissioners ATTEST : 91AXL&� JA AoCd�% aura Jensen , e k to the Board COUNTY 17 sz i i I i� e 3E 6 s i i I j �� ppp�