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File #: 23-0374    Version: 1
Type: Resolution Status: Returned to Author
File created: 9/25/2023 In control: Administration, Operations and Budget Committee
On agenda: 9/26/2023 Final action: 9/26/2023
Title: Authorize the County Administrator to negotiate and execute amendments to agreements with providers to support the Hennepin County Opioid Framework; Amd 18 Agmts addressing opioid treatment and prevention, incr NTE by $2,351,841 and ext end date to 12/31/23

Item Description:

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Authorize the County Administrator to negotiate and execute amendments to agreements with providers to support the Hennepin County Opioid Framework; Amd 18 Agmts addressing opioid treatment and prevention, incr NTE by $2,351,841 and ext end date to 12/31/23

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Resolution:

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BE IT RESOLVED, that the County Administrator be authorized to negotiate and execute amendments to agreements with providers for eligible services and programs to prevent, treat, and use other strategies to support the Hennepin County Opioid Framework using Opioid Settlement Funds; that following review and approval by the County Attorney’s Office, the County Administrator be authorized to sign the agreements; and the Controller be authorized to transfer or disburse funds as directed; and

BE IT FURTHER RESOLVED, that the 18 Agreements authorized by Board Resolution 22-0404 R1 addressing opioid treatment and prevention, have their collective not to exceed amount increased by $2,351,841 for a new total collective not to exceed amount of $3,956,326 in Opioid Settlement Funds; and that their end dates be extended from September 30, 2023 to December 31, 2023. 

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Background:

Board Resolution 22-0404 R1 authorized the expenditure of $1,604,485 for 18 contract renewals addressing opioid treatment and prevention from the first funds allocated directly to Hennepin County from the National Settlement Agreements with Johnson & Johnson, AmerisourceBergen, Cardinal Health, and McKesson and expected bankruptcy resolutions with Purdue Pharma L.P. and Mallinckrodt plc. (“Opioid Settlement Funds”).

It also authorized the County Administrator to negotiate agreements with providers for eligible services and programs to prevent, treat, and use other strategies to support the Hennepin County Opioid Framework. These agreements comply with the Minnesota Opioids State-Subdivision Memorandum of Agreement in sections:  A01, A05, A08, A11, B02, B03, B06, B10, B13, C11, D05, E01, E06, G01, G06, G10, H01, H03, H09, H10, H11, L01, J03.

This Board Action Request seeks authority to allow the County Administer to negotiate and execute amendments to agreements with providers for eligible services and programs to prevent, treat, and use other strategies in support of the Hennepin County Opioid Framework. 

Opioid Settlement Funds allocated to Hennepin County over 18 years (currently estimated to exceed $42.3 million original amount) are being deposited in a Special Revenue Fund and will be expended yearly. Annual expenditure may include up to a 10% allotment for administrative expenses.

In compliance with the opioid settlement terms, Minnesota Opioids State-Subdivision Memorandum of Agreement, the Opioid Settlement Funds will be used to enhance current and new strategies that will support the Hennepin County Opioid Framework, which calls for prevention, response, and treatment with a strong focus on disparity reduction. This will incorporate lived experience, new themes, and communities affected disproportionately.

The Minnesota Opioids State-Subdivision Memorandum of Agreement, which all counties in Minnesota signed on to, requires a variety of reporting and evaluation criteria, such as an annual public meeting regarding the use of the Opioid Settlement Funds, as well as collaboration with the State, cities, and community stakeholders. The Opioid Settlement Funds must be used and designated for future opioid remediation activities in public health, human services, and public safety, which includes:

PREVENTION
              Prevent over prescribing and ensure appropriate prescribing and dispensing opioids
              Prevent misuse of Opioids
              Prevent overdose deaths and other harm reduction
TREATMENT
              Treat Opioid use disorder
              Support people in treatment and recovery
              Connect people who need help to the help they need
              Address the needs of criminal justice involved persons
              Address the needs of the prenatal population, caregivers, and families
OTHER STRATEGIES
              First Responders
              Leadership, planning, and coordination
              Training
              Research
              Post-Mortem

 

recommendation

Recommendation from County Administrator: Recommend Approval