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1 <br /> ORD-2025-014 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: May 20, 2025 <br /> Action Agenda <br /> Item No. 8-c <br /> SUBJECT: Opioid Settlement Fund Spending Authorization Resolution and Approval of <br /> Budget Amendment #9-A <br /> DEPARTMENT: County Commissioners <br /> ATTACHMENT(S): INFORMATION CONTACT: <br /> Quintana Stewart, Orange County <br /> Spending Authorization Resolution Health Director, 919-245-2412 <br /> PURPOSE: To approve the formal required resolution providing final opioid settlement fund <br /> spending authorization for FY 2026 and approve Budget Amendment #9-A. <br /> BACKGROUND: In July 2021, a bipartisan coalition of state attorneys general announced the <br /> National Opioid Settlement — a historic agreement that provides desperately needed help to <br /> communities harmed by the opioid epidemic. The State of North Carolina and all 100 counties, <br /> including Orange County, joined the agreement. North Carolina is receiving $1,420,932,713 in <br /> opioid settlement funds from 2022 through 2038. Orange County is expected to receive <br /> $12,748,445 over an 18-year period. <br /> In September 2022, the BOCC approved the appointment of the Orange County Opioid Advisory <br /> Committee with the following charge: <br /> • Discuss opioid-related health concerns and issues impacting the residents of Orange <br /> County. <br /> • Advise the Board of Commissioners on options to expend funds to prevent opioid abuse <br /> and remedy opioid impacts. <br /> • Plan and host an annual meeting open to the public to receive input on proposed uses of <br /> the settlement funds and to encourage collaboration between local governments. <br /> The Board also voted to follow Option A for the use of the settlement funds per the NC <br /> Memorandum of Agreement Opioid Settlement. <br /> At the Board's Business meeting on May 6, 2025, the Board discussed and unanimously agreed <br /> on funding allocations for the five (5) community partners listed below, totaling $230,000 for <br /> Fiscal Year 2026 (July 1, 2025 — June 30, 2026). <br />