Final Minutes of November 16, 2022

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MINUTES ORANGE COUNTY BOARD OF HEALTH November 16, 2022 o Allows the state to inspect for responsible retail practices; o Provides a more effective mechanism for enforcing the law when violations are detected; and o Provides a funding mechanism for inspections, retailer education and enforcement. The BOH members had questions and comments that were addressed by Ms. Herndon. The Board opted not to make a decision on adopting the T21 Resolution at this time and to have further discussion on its contents later. B. Opioid Advisory Committee Update Health Director, Quintana Stewart, provided an update on the BOCC's final decision on which opioid remediation activities Orange County (OC) will address. She also shared the BOCC's membership composition for the Opioid Advisory Committee. Below are highlights. • Of the $26 billion National Opioid Settlement, OC is expected to receive $6,799,780 over an 18-year period with the payments declining after the first year. OC has received the initial payment. • Local governments must comply with the NC Memorandum of Agreement (MOA)which entails: ➢ Establishing a fund — o Chief Financial Officer, Gary Donaldson has been tasked with ensuring that a separate and secure account has been set up for the purpose of these funds not combining with other funds. ➢ Authorizing spending o Before the spending of opioid settlement funds can commence, authorization of the expenditure of such funds must be obtained. ➢ Understanding and following the options o Opioid settlement funds must be spent on the opioid remediation activities authorized under Option A or B as stated in the MOA. ➢ Report spending and impact o An annual financial report must be filed within 90 days of the end of the fiscal. ➢ Hold an annual meeting o At least one annual meeting open to the public, with the purpose of receiving feedback, must be held. • Prior to the national opioid settlement, OCHD and UNC Health started an Opioid Task Force. Three priorities were identified: 1) education, 2) reduce oversupply of prescription opioids, and 3) expand treatment and recovery oriented systems of care. These priorities were in alignment with the State Opioid Action Plan. Due to the arrival of COVID in March 2020, the Task Force did not meet again until January 2022. • An OC Opioid Advisory Committee (OAC) has been established by the BOCC. Ms. Stewart thanked Commissioner Hamilton for her assistance in fine-tuning the charge for the OAC. The charge adopted during the BOCC September 6, 2022 was: ➢ Discuss opioid-related health concerns and issues impacting the residents of OC; ➢ Advise the BOCC on options to expend funds to prevent opioid and remedy opioid impacts; ➢ Plan and host an annual meeting open to the public to receive input on proposed uses of the settlement funds and to encourage collaboration between local governments. S:\Managers Working Files\BOH\Agenda&Abstracts\2022 Agenda &Abstracts/ November Page 3