Agenda 03-17-2026; 8-f - Revised Opioid Settlement Fund Spending Authorization Resolutions

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ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: March 17, 2026 Action Agenda Item No. 8-f SUBJECT: Revised Opioid Settlement Fund Spending Authorization Resolutions DEPARTMENT: Board of County Commissioners ATTACHMENT(S): INFORMATION CONTACT: Tonya Stancil, Orange County Harm Amended Opioid Spending Authorization Reduction Coordinator, 919-245- Resolutions (SP-6 and SP-8) 2429 PURPOSE: To approve amended resolutions for the final opioid settlement fund spending authorization for FY 2026. BACKGROUND: In July 2021, a bipartisan coalition of state attorneys general announced the National Opioid Settlement — a historic agreement that is helping to bring desperately needed help to communities harmed by the opioid epidemic. The State of North Carolina and all 100 counties, including Orange County, joined the agreement. North Carolina is receiving $1,420,932,713 in opioid settlement funds from 2022 through 2038. Orange County is expected to receive $12,748,445 million over an 18-year period. In September 2022, the BOCC approved the appointment of the Orange County Opioid Advisory Committee with the following charge: • Discuss opioid-related health concerns and issues impacting the residents of Orange County. • Advise the Board of Commissioners on options to expend funds to prevent opioid abuse 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. There are two attached resolutions for Board approval amending the final opioid settlement fund spending authorization for FY 2026. The first resolution amends SP-6 and fixes the error of authorizing funds for Freedom House that were indirect costs (Item 3 on the resolution). There is no budget action needed since that action occurred through a previous amendment.