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2 <br /> Pursuant to the terms of the MOA, opioid settlement funds received in North Carolina from the <br /> national settlement will be allocated as follows: <br /> • 80% will go to Local Governments listed in the MOA to address the opioid epidemic, <br /> • 15% will go to the State of North Carolina, <br /> • 5% will be used for a County Incentive Fund for any county (and any municipality in that <br /> county slated to receive settlement funds) in which the county itself and every <br /> municipality of a certain size signs the MOA. <br /> These funds may only be used for opioid remediation activities. <br /> The MOA prescribes collaborative strategic planning and stakeholder involvement required for <br /> certain activities. Counties are required to hold annual meetings with municipalities within their <br /> borders to encourage collaboration and plan for permissible expenditures in the upcoming year. <br /> Local governments are also encouraged to engage in a strategic planning process to access <br /> additional expenditure options. <br /> The MOA also establishes a Coordination Group composed of local government <br /> representatives, state government representatives, and others with relevant expertise that will <br /> meet periodically to help coordinate and guide Local Governments with their work under the <br /> MOA. The Coordination Group includes twelve total representatives as follows: <br /> • Five local government representatives including one county commissioner, one county <br /> manager, one county attorney, one local health director, and one municipal manager; <br /> • Four appointees of the Secretary of the Department of Health and Human Services; <br /> • One appointee of the Attorney General; <br /> • Two appointees of the legislature including one from the UNC School of Government and <br /> one from the North Carolina Institute of Medicine. <br /> The MOA requires local governments to deposit opioid settlement funds received in a special <br /> restricted revenue fund to account separately for the monies. The local government must <br /> include in its budget or pass a resolution authorizing the expenditure of opioid settlement funds, <br /> indicating the specific strategy it chose from one of the two options outlined in the MOA. <br /> Under Option A, a local government may fund one or more strategies from a shorter list of <br /> evidence-based, high-impact strategies to address the epidemic, including many strategies <br /> already deployed at the county level. The Option A strategies include: <br /> evidence-based addiction treatment <br /> recovery support services <br /> recovery housing <br /> employment-related services <br /> early intervention programs <br /> naloxone distribution <br /> post-overdose response teams <br /> syringe service programs <br /> criminal justice diversion programs <br /> addiction treatment for incarcerated persons <br /> reentry programs <br />