Agenda - 06-01-2021; 6-a - Opioid Litigation Memorandum of Agreement

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3 Under Option B, a local government may fund one or more strategies from a longer list of strategies after engaging in a collaborative strategic planning process involving a diverse array of stakeholders at the local level (as detailed in Exhibit C to the MOA). The longer list of Option B strategies — the full range of strategies that will be allowed under a national settlement or bankruptcy resolution — involve multiple strategies falling into these broad categories: Provide treatment for Opioid Use Disorder (OUD) Support people in treatment and recovery and provide connections to care Address the needs of criminal-justice-involved persons with OUD Address the needs of pregnant or parenting women and their families Prevent over-prescribing of opioids and misuse of opioids Prevent overdose deaths and other harms (harm reduction) Local governments have annual financial and impact reporting and audit requirements under the MOA to ensure opioid settlement funds are spent consistent with permissible purposes: Certain reports and resolutions from the local government's governing body will be available for public access on a statewide opioid settlement dashboard. For every fiscal year in which a local government receives, holds, or spends opioid settlement funds, the local government must submit annual financial and impact reports specifying the activities and amounts it has funded. The local government must maintain records of opioid settlement fund expenditures and related documents for at least five years. The State Auditor and Department of Justice shall have access to persons and records related to the MOA and expenditures of Opioid Settlement Fund to verify accounts and data affecting fees for performance. The Local Government manager is the point of contact for questions that arise under the MOA. The County may secure additional funds from the 5% county incentive fund if each municipality in Orange County also adopts the MOA. FINANCIAL IMPACT: The financial impact associated with this action is unknown. A national settlement could result in up to $850 million dollars coming to the State of North Carolina of which, under the MOA, 80% would go directly to counties pursuant to the National MDL Opioid Allocation Class Model as discussed above. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to this item: • 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.