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10 <br /> 1 • Five local government representatives including one county commissioner, one county <br /> 2 manager, one county attorney, one local health director, and one municipal manager; <br /> 3 • Four appointees of the Secretary of the Department of Health and Human Services; <br /> 4 • One appointee of the Attorney General; <br /> 5 • Two appointees of the legislature including one from the UNC School of Government <br /> 6 and one from the North Carolina Institute of Medicine. <br /> 7 <br /> 8 The MOA requires local governments to deposit opioid settlement funds received in a special <br /> 9 restricted revenue fund to account separately for the monies. The local government must <br /> 10 include in its budget or pass a resolution authorizing the expenditure of opioid settlement funds, <br /> 11 indicating the specific strategy it chose from one of the two options outlined in the MOA. <br /> 12 <br /> 13 Under Option A, a local government may fund one or more strategies from a shorter list of <br /> 14 evidence-based, high-impact strategies to address the epidemic, including many strategies <br /> 15 already deployed at the county level. The Option A strategies include: <br /> 16 • evidence-based addiction treatment <br /> 17 • recovery support services <br /> 18 • recovery housing <br /> 19 • employment-related services <br /> 20 • early intervention programs <br /> 21 • naloxone distribution <br /> 22 • post-overdose response teams <br /> 23 • syringe service programs <br /> 24 • criminal justice diversion programs <br /> 25 • addiction treatment for incarcerated persons <br /> 26 • reentry programs <br /> 27 <br /> 28 Under Option B, a local government may fund one or more strategies from a longer list of <br /> 29 strategies after engaging in a collaborative strategic planning process involving a diverse array <br /> 30 of stakeholders at the local level (as detailed in Exhibit C to the MOA). The longer list of Option <br /> 31 B strategies—the full range of strategies that will be allowed under a national settlement or <br /> 32 bankruptcy resolution — involve multiple strategies failing into these broad categories: <br /> 33 Provide treatment for Opioid Use Disorder (OUD) <br /> 34 Support people in treatment and recovery and provide connections to care <br /> 35 Address the needs of criminal-justice-involved persons with OUD <br /> 36 Address the needs of pregnant or parenting women and their families <br /> 37 Prevent over-prescribing of opioids and misuse of opioids <br /> 38 Prevent overdose deaths and other harms (harm reduction) <br /> 39 <br /> 40 Local governments have annual financial and impact reporting and audit requirements under the <br /> 41 MOA to ensure opioid settlement funds are spent consistent with permissible purposes: <br /> 42 <br /> 43 Certain reports and resolutions from the local government's governing body will be <br /> 44 available for public access on a statewide opioid settlement dashboard. <br /> 45 For every fiscal year in which a local government receives, holds, or spends opioid <br /> 46 settlement funds, the local government must submit annual financial and impact reports <br /> 47 specifying the activities and amounts it has funded. <br /> 48 The local government must maintain records of opioid settlement fund expenditures and <br /> 49 related documents for at least five years. <br />