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1 <br /> ORD-2026-003 <br /> ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: January 20, 2026 <br /> Action Agenda <br /> Item No. 8-i <br /> SUBJECT: Revised Opioid Settlement Fund Spending Authorization Resolution and <br /> Approval of Budget Amendment #6-A <br /> DEPARTMENT: Board of County <br /> Commissioners <br /> ATTACHMENT(S): INFORMATION CONTACT: <br /> Quintana Stewart, Orange County <br /> MOA Spending Authorization Resolution Health Director, 919-245-2412 <br /> PURPOSE: To approve a resolution for the final opioid settlement fund spending authorization <br /> for FY 2026, and approve Budget Amendment #6-A. <br /> BACKGROUND: In July 2021, a bipartisan coalition of state attorneys general announced the <br /> National Opioid Settlement — a historic agreement that will help bring 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 million 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 approved Option A for the use of the settlement funds per the NC Memorandum <br /> of Agreement Opioid Settlement. County-hosted programs approved for Opioid Settlement <br /> Funding for Fiscal Year 2026 (July 1, 2025 — June 30, 2026) include the following: <br /> • Lantern Project: $201,747 <br /> • NC FIT Program: $74,724 <br /> • County Vending Machines: $25,000 <br /> • PORT Team: $338,350 <br /> • Harm Reduction Coordinator: $110,861 <br /> • CJRD Clinical Coordinator: $108,191 <br />