HomeMy WebLinkAboutContract 61388INTERVENTIONS OF OPIOID USE CONTRACT Page 1
University of North Texas Health Science Center at Fort Worth
STATE OF TEXAS §
§
COUNTY OF TARRANT §
This contract (“Contract”) is made and entered into by and between the City of Fort Worth
(hereafter “City”) and The University of North Texas Health Science Center at Fort Worth
(hereafter “Agency”). City and Agency may be referred to individually as a “Party” and jointly as
“the Parties”.
WHEREAS, the State of Texas and certain political subdivisions, through their elected
representatives and counsel, seek to hold entities responsible for the opioid use and distribution
within the State of Texas and share a common desire to abate and alleviate the impacts of the
opioid epidemic throughout the state;
WHEREAS, through the adoption of Resolution 5499-11-2021 on November 9, 2021, City
Council joined the opioid settlement negotiated by the Texas Attorney General, affirmed its
support for the adoption and approval of the Texas Opioid Abatement Fund Council and
Settlement Allocation Term Sheet, and found that there is a substantial need for repayment of
opioid-related expenditures and payment to abate opioid-related harms in and about Fort Worth;
WHEREAS, in March 2023, the City received the first settlement payment from the Opioid
Abatement Fund Council in the amount of $665,760.73 and approved use of the funds in April
2023 (Mayor & Council Communication (M&C) 23-0255);
WHEREAS, the City’s Neighborhood Services Department has been designated as the lead
department to oversee allocation and use of these funds and issued a Request for Proposals from
nonprofit and social service agencies offering direct social services for the intervention,
prevention, and treatment of opioid use disorder (OUD) and any co-occurring Substance Use
Disorder or Mental Health (SUD/MH) conditions;
WHEREAS, Agency has been selected by City to provide these services in an attempt to
help alleviate the impacts of opioid use in the City of Fort Worth.
NOW, THEREFORE, the Parties understand and agree as follows:
1. INCORPORATION OF RECITALS.
City and Agency hereby agree that the recitals set forth above are true and correct and form
the basis upon which the Parties have entered into this Contract.
2. DEFINITIONS.
In addition to terms defined in the body of this Contract, the terms set forth below shall
have the definitions ascribed to them as follows:
Complete Documentation means Exhibit “D” Reimbursements Forms, with the following
documents included to substantiate eligible reimbursement expenses:
INTERVENTIONS OF OPIOID USE CONTRACT Page 2
University of North Texas Health Science Center at Fort Worth
Cover Page signed by Agency’s authorized signatory
General Ledger Reports (monthly, generated from Agency’s accounting system);
Payroll Reports (monthly, generated from Agency’s payroll system) if
reimbursement request includes personnel
Effort Certification (bi-annually)
Expense Report
Invoice
Proof of Payment
Client Data Report
Any other document reasonably necessary to verify eligible expenses .
Complete Documentation shall meet the standards described in the attached EXHIBIT
“F” - Standards for Complete Documentation.
Director means the Director of the Neighborhood Services Department.
Effective Date means March 1, 2024.
IOU means Interventions of Opioid Use.
Neighborhood Services Department means the City’s Neighborhood Services Department.
Neighborly Software means the online database for Agency to submit quarterly reimbursement
requests.
OPIOID FUNDS mean those funds provided to City as part of a settlement from the Opioid
Abatement Fund Council that have been allocated by City Council to help alleviate the impacts of
opioid use in the City of Fort Worth.
Program means the services described in EXHIBIT “B” – Program Summary.
Reimbursement Request means all reports and other documentation required under Section 9.
Unduplicated Clients means a count of all clients served by the Program at least once in the
Contract Term. Clients served by the Program more than once in the Contract Term will only be
counted the first time they are served when determining the total count of Unduplicated Clients.
3. TERM.
The term of this Contract begins on the Effective Date and terminates on February 28,
2025, unless earlier terminated as provided in this Contract. This Contract may be extended by
mutual agreement of the Parties in writing if such extension is necessary for completion of the
program, or to amend the contracts if necessary to achieve program goals provided any amendment
is within the scope of the program and in compliance with City policies and all applicable laws
and regulations. The Contract term shall include any extension, if exercised, as provided herein.
INTERVENTIONS OF OPIOID USE CONTRACT Page 3
University of North Texas Health Science Center at Fort Worth
4. DUTIES AND RESPONSIBILITIES OF CITY.
4.1 Provide OPIOID Funds.
City shall provide up to $310,336.00 of OPIOID-Funds under the terms and conditions of
this Contract.
4.2 Monitor.
City will monitor the activities and performance of Agency and any of its contractors,
subcontractors or vendors as necessary, but no less than annually. Monitoring by City will include
determining whether Agency is utilizing funds in compliance with the “Texas Opioid
Abatement Fund Council and Settlement Allocation Term Sheet” and “List of Opioid
Remediation Uses” approved by the Texas Attorney General, attached as Exhibit “A” and
Exhibit “E.”
5. DUTIES AND RESPONSIBILITIES OF AGENCY.
5.1 Required Services.
Agency shall perform the services described in EXHIBIT “B” – Program Summary in
accordance with the terms and conditions of this Contract.
5.2 Use of OPIOID Funds.
5.2.1.Compliance with OPIOID Term Sheet and Contract.
Agency shall be reimbursed for eligible Program costs with OPIOID Funds only if:
5.2.1.1 Costs are eligible expenditures in accordance with Texas Opioid
Abatement Fund Council and Settlement Allocation Term Sheet
(hereinafter, “OPIOID Term Sheet”), attached as Exhibit “A,” and in
particular the “List of Opioid Remediation Uses,” attached as Exhibit
“E.”
5.2.1.2 Costs are in compliance with this Contract and are reasonable.
5.2.1.3 Complete Documentation, as applicable, is submitted to City by
Agency.
5.2.2 Budget.
5.2.2.1 TheOPIOID Funds will be paid on a reimbursement basis in accordance
with EXHIBIT “C” - Budget.
5.2.2.2 During the term of this Contract, Agency may submit written requests
to increase or decrease line-item amounts in the Budget, including an
INTERVENTIONS OF OPIOID USE CONTRACT Page 4
University of North Texas Health Science Center at Fort Worth
explanation of why such increases or decreases are necessary. All
requests shall be approved by Director or Director’s designee in writing,
with such approval being in the City’s sole discretion. If the Agency’s
proposed Budget amendment is approved (as approved, the “Amended
Budget”), then the Amended Budget shall be memorialized in a written
amendment to this Contract. The Amended Budget will take effect on
the first day of the month following the month in which the Contract
amendment is executed, unless otherwise specified in the amendment.
5.2.3 Change in Program Budget.
5.2.3.1 Agency will notify City promptly of any additional funds it receives for
operation of the Program, and City reserves the right to amend this
Contract in such instances to ensure compliance with The Texas Opioid
Abatement Fund Council and Settlement Allocation Term Sheet
governing cost allocation.
5.2.3.2 Agency agrees to utilize the OPIOID Funds to supplement rather than
supplant funds otherwise available for the Program.
5.2.4 Payment of OPIOID Funds to Agency.
OPIOID Funds will be disbursed to Agency upon City’s approval of
Reimbursement Requests including submission of Complete Documentation to City in compliance
with Section 9. It is expressly agreed by the Parties that any OPIOID Funds not spent or approved
for reimbursement to Agency shall remain with City.
5.3 Program Performance Milestones, Review and Corrective Action Plans
5.3.1 Agency represents that the Program will achieve the following milestones in
accordance with EXHIBIT “B” – Program Summary and the table below:
Month Expenditures
Unduplicated Clients as
specified in EXHIBIT
“B” – Program
Summary
3 25% 25%
6 50% 50%
9 75% 75%
12 100% 100%
5.3.2 Failure of Agency to meet these milestones or a material deviation from them as
outlined in this Section 5.3 may result in corrective action, provided that City has notified Agency
of such failure or material deviation in writing and provided fifteen (15) days for Agency to cure
the failure or material deviation. For the purpose of this Section, “material deviation” shall mean
more than 10% lower than the specified goal. In the event of such failure or material deviation,
INTERVENTIONS OF OPIOID USE CONTRACT Page 5
University of North Texas Health Science Center at Fort Worth
City reserves the right in its sole option to (i) institute a Corrective Action Plan (“CAP”) as
described below, (ii) reduce Agency’s allocation of OPIOID Funds, (iii) terminate this Contract,
or any combination of the above options.
5.3.2.1 Policy.
To ensure the Program meets the client goals provided by Agency and included herein,
City will periodically review Program performance to ensure the expenditure of the funds is
roughly proportional to the number of eligible, unduplicated clients being served, as described
above in 5.3.1. City expects that most programs will expend funds in a proportional amount to
clients served, but City reserves the ability to take into account unique program characteristics that
may impact the ratio between expenditures and clients served. As such, City will require Agency
to provide written documentation related to: (1) marketing efforts provided by Agency, (2) the
number of clients that were provided training, (3) the number of clients that received opioid kits
from Agency, and (4) the number of clients who were provided drug counseling.
5.3.2.2 Review.
At the end of each quarter, City will review the information in the required reports provided
to City by Agency- including the attachments in Exhibit “D” and Exhibit “F” and any supporting
documentation as listed in Exhibit “F.” City will review the amount of funds expended compared
to the percentage of eligible, unduplicated clients served. If City believes in its sole discretion that
Agency is (i) in danger of not spending the full amount of the funds allocated, (ii) in danger of
expending all funds prior to serving 100% of the unduplicated client goal (meaning the percentage
of funds expended relative to the overall funding allocated is not within 10% of the percentage of
eligible, unduplicated clients served relative to the overall client goal), or is (iii) in danger of not
otherwise meeting the performance goals within this Contract, City will notify Agency and set up
a Program Review Meeting (“Review Meeting”). Failure by Agency to attend the Review Meeting
is considered a breach of this contract and City may invoke any and all remedies included herein.
During the Review Meeting, City and Agency will review the information provided, the Program,
and discuss any concerns. If the City believes that no additional action is needed to ensure
Agency’s performance, no additional requirements will be put in place; however, if the City, in its
sole discretion, believes that additional requirements are needed to ensure Agency’s performance,
City may take corrective action as outlined above.
5.3.2.3 Corrective Action Plans.
A CAP will be unique to the Agency and the Program and will be designed to ensure that
the Agency (i) expends the funds allocated to it by the City, and (ii) serves the required number of
unduplicated clients through the Program. A CAP may require additional outreach or marketing,
additional reporting, additional monitoring, or any other mechanism that will reasonably ensure
the Program goals are met and that expenditures are roughly proportional to the number of eligible,
unduplicated clients served.
5.3.2.4 Deobligation of Funds
If after a quarterly review the City determines that a CAP will not be sufficient to ensure
that the Agency (i) expends the funds allocated to it by the City, and (ii) serves the required number
of unduplicated clients through the Program, City shall be able to deobligate a portion of the funds
provided to Agency that is at-risk of not being expended or that is the proportional amount of funds
compared to the number of eligible, unduplicated clients that are anticipated to not be served. Any
INTERVENTIONS OF OPIOID USE CONTRACT Page 6
University of North Texas Health Science Center at Fort Worth
deobligation shall be in the form of a contract amendment. By way of example, if an agency was
allocated $100,000 and was required to serve 100 unduplicated clients, and that agency was
expected to only be able to serve 75% of its client goal, then City would allow agency to keep 75%
of the allocated funding and deobligate 25% of the funds to correspond with the 25% of clients
that are anticipated to not be served.
5.3.3 Failure to comply with the Corrective Action Plan (CAP), meet milestones listed
under Section 5.3.1, or otherwise comply with serving the number of unduplicated clients stated
in Exhibit “B” may, in City’s sole discretion, disqualify Agency for consideration under the City’s
Request for Proposals for the 2024-2025 Program Year for OPIOID funds. In the event Agency
successfully completes the requirements and goals under the Corrective Action Plan, and submits
all required documentation, it will be reimbursed for all eligible expenses and will still be
considered for future Program Years.
5.3.4 Amendments to performance milestones regarding OPIOID Funds must be
approved by the Director in writing, with such approval being in the Director’s sole discretion. If
Director approves the Agency’s proposed amended performance milestones (as approved, the
“Amended Performance Milestones”), then the Amended Performance Milestones shall be
memorialized in a written amendment to this Contract. The Amended Performance Milestones
will take effect on the first day of the month following the month in which the Contract
Amendment is executed unless otherwise specified in the amendment. Notwithstanding the above,
any amendments to this Contract shall not reduce the number of Unduplicated Clients stated in
EXHIBIT “B.”
5.4 Identify Program Expenses Paid with OPIOID Funds.
Agency will keep accounts and records in such a manner that City may readily identify and
account for Program expenses reimbursed with OPIOID Funds. These records shall be made
available to City for audit purposes and shall be retained as required hereunder.
5.5 Program Subcontracts.
Agency shall not enter into a subcontract with another agency, contractor, or vendor to
provide a service to clients for any part of the Program that will be paid with OPIOID Funds
without City’s written consent.
6. AGENCY CLIENTS.
By entering into this Agreement, Agency promises to document and provide the following
statistics and demographic data related to the clients it serves under the Agreement on a quarterly
basis: date of service, service location, name or identifier number, age, gender, ethnicity and race.
This information will be submitted utilizing the client data report provided by the Agency, found
attached in Exhibit “D.”
Agency must maintain copies of all documentation required by this Section for 5 years
following the expiration of the Contract term. This Section shall survive the earlier termination or
expiration of this Contract.
INTERVENTIONS OF OPIOID USE CONTRACT Page 7
University of North Texas Health Science Center at Fort Worth
7. ADDITIONAL REQUIREMENTS
7.1 Agency Procurement Standards.
Agency shall comply with all applicable federal, state and local laws, regulations, and
ordinances for making procurements under this Contract.
Agency shall not make any contract with parties listed on the government wide System for
Award Management, www.sam.gov (“SAM”). Agency must confirm by search of SAM that all
contractors paid with OPIOID Funds are not listed by SAM as being debarred, both prior to hiring
and prior to submitting a Reimbursement Request which includes invoices from any such
contractor. Failure to submit such proofs of search shall be an event of default.
7.2 Terms Applicable to Contractors, Subcontractors and Vendors.
Agency understands and agrees that all terms of this Contract, whether regulatory or
otherwise, shall apply to any and all contractors, subcontractors and vendors of Agency which are
in any way paid with OPIOID Funds or who perform any work in connection with the Program.
Agency shall cause all applicable provisions of this Contract to be included in and made a part of
any contract or subcontract executed in the performance of its obligations hereunder including its
obligations regarding the OPIOID Regulations. Agency shall monitor the services and work
performed by its contractors, subcontractors and vendors on a regular basis for compliance with
the OPIOID Term Sheet and Contract provisions. Agency must cure all violations of the OPIOID
Term Sheet committed by its contractors, subcontractors or vendors. City maintains the right to
insist on Agency’s full compliance with the terms of this Contract and the OPIOID Term Sheet
and Agency is responsible for such compliance regardless of whether actions taken to fulfill the
requirements of this Contract are taken by Agency or by Agency’s contractors, subcontractors or
vendors. Agency acknowledges that the provisions of this Section shall survive the earlier
termination or expiration of this Contract.
7.3 Conflict of Interest Disclosure.
Agency shall disclose to City in writing any potential conflict of interest.
7.4 Internal Controls.
In compliance with the requirements of Opioid Term Sheet, Agency shall:
7.4.1 Establish and maintain effective internal control over the OPIOID Funds that
provides reasonable assurance that Agency is managing the OPIOID Funds in compliance with
state and local statutes, regulations, and the terms and conditions of this Contract.
7.4.2 Take prompt action when instances of noncompliance are identified including
noncompliance identified in audit findings; and
INTERVENTIONS OF OPIOID USE CONTRACT Page 8
University of North Texas Health Science Center at Fort Worth
7.4.3 Take reasonable measures to safeguard protected personally identifiable
information and other information that City designates as sensitive or Agency considers sensitive
consistent with applicable federal, state, local and tribal laws regarding privacy and obligations of
confidentiality.
8. RECORD KEEPING; REPORTING AND DOCUMENTATION
REQUIREMENTS; AUDIT.
8.1 Record Keeping.
Agency shall maintain a record-keeping system as part of its performance of this Contract
and shall promptly provide City with copies of any document City deems necessary for the
effective fulfillment of City’s monitoring and evaluation responsibilities. Specifically, Agency
will keep or cause to be kept an accurate record of all actions taken and all funds spent, with
supporting and back-up documentation. Agency will maintain all records and documentation
related to this Contract for 5 years after the Contract term ends. If any claim, litigation, or audit is
initiated before the expiration of the 5 year period, the relevant records and documentation must
be retained until all such claims, litigation or audits have been resolved.
8.2 Access to Records.
Representatives of City will have full access to, and the right to examine, audit, copy,
excerpt and/or transcribe any of Agency’s records pertaining to all matters covered by this Contract
for 5 years after the Contract term ends. Such access shall be during regular business hours and
upon at least 5 business days prior notice.
8.3 Change in Reporting Requirements and Forms.
Any material changes to reporting requirements and forms under this Agreement shall be
made effective through a bilateral amendment reflecting such change. City will notify Agency in
writing at least thirty (30) days prior to the proposed effective date of any such change.
8.4 City Reserves the Right to Audit.
City reserves the right to perform an audit of Agency’s Program operations and finances at
any time during the term of this Contract and for 5 years after the Contract term ends if City
determines that such audit is necessary for City’s compliance with the OPIOID Term Sheet or
other City policies. Agency agrees to allow access to all pertinent materials as described herein
for such audit. If such audit reveals a questioned practice or expenditure, such questions must be
resolved within 15 business days after notice to Agency of such questioned practiceor expenditure.
If questions are not resolved within this period, City reserves the right to withhold further funding
under this Contract and/or any other contracts with Agency. IF AS A RESULT OF ANY AUDIT
IT IS DETERMINED THAT AGENCY HAS FALSIFIED ANY DOCUMENTATION OR
MISUSED, MISAPPLIED OR MISAPPROPRIATED OPIOID FUNDS, OR SPENT
OPIOID FUNDS ON ANY INELIGIBLE ACTIVITIES, AGENCY AGREES TO
REIMBURSE CITY THE AMOUNT OF SUCH MONIES PLUS THE AMOUNT OF ANY
INTERVENTIONS OF OPIOID USE CONTRACT Page 9
University of North Texas Health Science Center at Fort Worth
SANCTIONS, PENALTY OR OTHER CHARGE LEVIED AGAINST CITY BECAUSE
OF SUCH ACTIONS TO THE EXTENT ALLOWED UNDER LAW.
9. REIMBURSEMENT REQUIREMENTS.
9.1 Deadline for Submitting Reimbursement Requests.
Reimbursement Requests will be submitted quarterly to the City and must be received by
the City on or before the 30th day of the month following the final month of the quarter in which
expenses were paid by Agency. For example, the Reimbursement Request for the First Quarter
(March 2024- May 2024) must be received by June 30, 2024. In the event the 30th falls on a
weekend or City holiday, Reimbursement Requests will be due the next day that the City is open
for business. Failure to submit a Reimbursement Request in a timely fashion will result in City
taking the actions outlined in Section 10.1.
1st Quarter (due on
June 30, 2024)
2nd Quarter (due on
September 30, 2024)
3rd Quarter (due on
December 30, 2024)
4th Quarter (due on
March 30, 2025)
March 2024 June 2024 September 2024 December 2024
April 2024 July 2024 October 2024 January 2025
May 2024 August 2024 November 2024 February 2025
9.2 Submission of Reimbursement Requests.
Agency shall provide City with Complete Documentation and the following reports as
attached in EXHIBIT “D” –Reimbursement Forms with each Reimbursement Request:
9.2.1 Attachment I – Request Summary (University of North Texas Health Science
Center at Fort Worth) Reimbursement Request Form).
This report shall contain the amount requested for reimbursement each month of
the quarter, as well as the cumulative reimbursement requested to date (inclusive of that
quarter’s request).
9.2.2 Attachment II – Expenditure Worksheet University of North Texas Health
Science Center at Fort Worth Payroll Report and Invoice).
This report shall itemize each expense requested for reimbursement by Agency and shall
include the Account corresponding the expense to a Budget line item .In order for this report to
be complete the following must be submitted:
9.2.2.1 For payroll expenses, a Payroll Report (monthly, generated from
Agency’s payroll system). Copies of effort reports generated from
Agency’s effort reporting system will be submitted bi-annually, within
30 days of the close of Agency’s effort reporting cycle.
9.2.2.2 For non-payroll expenses, invoices for each expense listed with an
explanation as to how the invoiced expense pertains to the Program.
INTERVENTIONS OF OPIOID USE CONTRACT Page 10
University of North Texas Health Science Center at Fort Worth
Agency may not submit invoices dated 60 calendar days prior to the date
of the Reimbursement Request.
9.2.2.3 Proof that each expense was paid by Agency, by a General Ledger report
(monthly, generated from Agency’s accounting system), invoices, and
receipts for each expense listed, or EFT reports for expenses paid
electronically.
9.2.3 Attachment III- Client Data Report (University of North Texas Health
Science Center at Fort Worth Registration Data and Pre-posttest Survey).
This report shall list each Unduplicated Client served during the month along with his or
her demographic information, as described under Section 6. The Client Data Report must maintain
a cumulative list of all clients served during the Contract term.
9.2.4 Delivery of Reimbursement Request.
Reimbursement Requests must be submitted through Neighborly Software or other
reporting software approved by the City by the deadline in Section 9.1.
10. DEFAULT AND TERMINATION.
10.1 Failure to Submit Reimbursement Request or Required Documentation.
10.1.1 To ensure compliance with the Opioid Term Sheet and city procedures, Agency
will not be reimbursed for the quarter until it submits the required Reimbursement Requests and
all supporting documentation described in Section 9 above. If Agency fails to submit a
Reimbursement Request in accordance with Section 9, Agency is at risk of default and forfeiting
payments for that quarter.
10.1.2 City will notify Agency by e-mail if a Reimbursement Request is lacking
Complete Documentation or if corrections are needed. Agency will have fifteen (15) calendar days
from the date of the email to submit documentation to cure the default. If proper documentation is
received, Agency will receive payment for the quarter for all eligible expenses. If proper
documentation is not received within fifteen (15) calendar days, City will issue a formal default
notice and provide Agency with a 30-day cure period.
10.1.3 If Agency fails to submit requested information or missing documentation as
set forth in Section 10.1.2, the failure to submit shall be considered an event of uncured default.
10.1.4 In the event of an uncured default under this Section, City reserves the right to
terminate this Contract effective immediately upon written notice of such intent with no penalty
or liability to City.
10.1.5 In the event of termination under this Section, all OPIOID Funds awarded but
unpaid to Agency pursuant to this Contract shall be immediately forfeited and Agency shall have
INTERVENTIONS OF OPIOID USE CONTRACT Page 11
University of North Texas Health Science Center at Fort Worth
no further right to such funds. Agency will still receive payment for all eligible expenses that were
properly requested under Section 9 prior to termination under this Section.
10.2 Failure to Maintain Records or Submit Reports and Documentation.
If Agency fails to maintain all records and documentation as required in Section 8, or if the
maintained or submitted report or documentation is not in compliance with this Contract or the
OPIOID Term Sheet, City will notify Agency in writing and Agency will have 30 calendar days
from the date of the written request to obtain or recreate the missing records and documentation or
submit or resubmit any such report or documentation to City. If Agency fails to maintain the
required reports or documentation, or fails to submit or resubmit any such report or documentation
within such time, City shall have the right to terminate this Contract effective immediately upon
written notice of such intent with no penalty or liability to City.
10.3 In General.
10.3.1 Subject to Section 10.2, and unless specifically provided otherwise in this
Contract, Agency shall be in default under this Contract if Agency breaches any term or condition
of this Contract. In the event that such a breach remains uncured after 30 calendar days following
written notice by City (or such other notice period as may be specified herein) or, if Agency has
diligently and continuously attempted to cure following receipt of such written notice but
reasonably requires more than 30 calendar days to cure, as determined by both Parties mutually
and in good faith, City shall have the right to elect in City’s sole discretion to (i) extend Agency’s
time to cure, (ii) terminate this Contract effective immediately upon written notice of such intent
to Agency, or (iii) pursue any other legal remedies available to City under this Contract.
10.3.2 City’s remedies may include:
10.3.2.1 Direct Agency to prepare and follow a schedule of actions for
carrying out the affected activities, consisting of schedules,
timetables and milestones necessary to implement the affected
activities.
10.3.2.2 Direct Agency to establish and follow a management plan that
assigns responsibilities for carrying out the remedial activities.
10.3.2.3 Reprogram OPIOID Funds that have not yet been expended from
affected activities to other eligible activities or withhold OPIOID
Funds.
10.3.2.4 Any other appropriate action allowable by law.
10.4 No Compensation After Date of Termination.
Agency shall not receive any compensation for work undertaken after the date of the
INTERVENTIONS OF OPIOID USE CONTRACT Page 12
University of North Texas Health Science Center at Fort Worth
termination.
10.5 Rights of City Not Affected.
Termination shall not affect or terminate any of the existing rights of City against Agency,
or which may thereafter accrue because of Agency’s default and this provision shall be in addition
to any and all other rights and remedies available to City under the law. Such termination does
not terminate any provisions of this Contract that have been expressly noted as surviving the term
or termination of the Contract. No delay or omission by City in exercising any right or remedy
available to it under this Contract shall impair any such right or remedy or constitute a waiver or
acquiescence in any Agency default.
10.6 Waiver of Breach Not Waiver of Subsequent Breach.
The waiver of a default or breach of any term, covenant, or condition of this Contract shall
not operate as a waiver of any subsequent default or breach of the same or any other term, covenant
or condition hereof.
10.7 Termination for Cause.
10.7.1 City may terminate this Contract in the event of Agency’s default, inability, or
failure to perform subject to notice, grace and cure periods. In the event City terminates this
Contract for cause, all OPIOID Funds awarded but unpaid to Agency pursuant to this Contract
shall be immediately rescinded and Agency shall have no further right to such funds. AGENCY
ACKNOWLEDGES AND AGREES THAT IF CITY TERMINATES THIS CONTRACT
FOR CAUSE, AGENCY OR ANY AFFILIATES OF AGENCY SHALL NOT BE
CONSIDERED FOR ANY OTHER CITY CONTRACT FOR OPIOID FUNDS FOR A
MINIMUM OF 5 YEARS FROM THE DATE OF TERMINATION.
10.7.2 Agency may terminate this Contract if City does not provide the OPIOID Funds
substantially in accordance with this Contract.
10.8 Termination for Convenience.
10.8.1 This Contract may be terminated by City with the consent of Agency in which
case the Parties shall agree upon the termination conditions, including the effective date and in the
case of partial termination, the portion to be terminated; or
10.8.2 This Contract may be terminated by Agency upon at least 30 days written
notification to City, the effective date, and in the case of partial termination, the portion to be
terminated. In the case of a partial termination, City may terminate the Contract in its entirety if
City determines in its sole discretion that the remaining portion of the Contract to be performed or
OPIOID Funds to be spent will not accomplish the purposes for which the Contract was made.
10.9 Non-appropriation of Funds.
INTERVENTIONS OF OPIOID USE CONTRACT Page 13
University of North Texas Health Science Center at Fort Worth
In the event no funds or insufficient funds are appropriated by City in any fiscal period for
any payments due hereunder, City will notify Agencyof such occurrence and this Agreement shall
terminate on the last day of the fiscal period for which appropriations were received without
penalty or expense to City of any kind whatsoever, except as to the portions of the payments herein
agreed upon for which funds have been appropriated.
11. REPAYMENT OF OPIOID FUNDS.
If Agency takes any action that results in the City being required to repay all or any
portion of the OPIOID Funds to the Texas Attorney General or Texas Opioid Abatement
Fund Council, Agency agrees it will reimburse City within thirty days of notice from the City
for such repayment.
12. SURVIVAL.
Any provision of this Contract that pertains to auditing, monitoring, indemnity obligations,
client income eligibility, record keeping and reports, City ordinances, or applicable OPIOID
requirements, and any default and enforcement provisions necessary to enforce such provisions,
shall survive the termination of this Contract for 5 years after the Contract term ends and shall be
enforceable by City against Agency.
13. GENERAL PROVISIONS.
13.1 Agency an Independent Contractor.
Agency shall operate hereunder as an independent contractor and not as an officer, agent,
servant or employee of City. Agency shall have exclusive control of, and the exclusive right to
control, the details of the work and services performed hereunder, and all persons performing
same, and shall be solely responsible for the acts and omissions of its officers, members, agents,
servants, employees, contractors, subcontractors, vendors, clients, licensees or invitees.
13.2 Doctrine of Respondeat Superior.
The doctrine of respondeat superior shall not apply as between City and Agency, or its
officers, members, agents, servants, employees, contractors, subcontractors, vendors, clients,
licensees or invitees, and nothing herein shall be construed as creating a partnership or joint
enterprise between City and Agency. City does not have the legal right to control the details of
the tasks performed hereunder by Agency, its officers, members, agents, employees, contractors,
subcontractors, vendors, clients, licensees or invitees.
13.3 Agency Property.
City shall under no circumstances be responsible for any property belonging to Agency, or
its officers, members, agents, employees, contractors, subcontractors, vendors, clients, licensees
or invitees that may be lost, stolen or destroyed or in any way damaged. and AGENCY, TO THE
EXTENT ALLOWED UNDER LAW, HEREBY INDEMNIFIES AND HOLDS
INTERVENTIONS OF OPIOID USE CONTRACT Page 14
University of North Texas Health Science Center at Fort Worth
HARMLESS CITY AND ITS OFFICERS, AGENTS, AND EMPLOYEES FROM ANY
AND ALL CLAIMS OR SUITS PERTAINING TO OR CONNECTED WITH SUCH
PROPERTY.
13.4 Venue.
Venue shall lie in state courts in Tarrant County, Texas or the United States District Court
for the Northern District of Texas, Fort Worth Division for any action, whether real or asserted, at
law or in equity, arising out of the execution, performance, attempted performance or
non-performance of this Contract.
13.5 Governing Law.
This Contract shall be governed by and construed in accordance with the laws of the State
of Texas. If any action, whether real or asserted, at law or in equity, arises out of the execution,
performance or non-performance of this Contract or on the basis of any provision herein, for any
issue not governed by federal law, the choice of law shall be the laws of the State of Texas.
13.6 Severability.
The provisions of this Contract are severable, and if for any reason a clause, sentence,
paragraph or other part of this Contract shall be determined to be invalid by a court or federal or
state agency, board or commission having jurisdiction over the subject matter thereof, such
invalidity shall not affect other provisions which can be given effect without the invalid provision.
13.7 Written Agreement Entire Contract.
This written instrument and the Exhibits, Attachments, and Addendums attached hereto,
which are incorporated by reference and made a part of this Contract for all purposes, constitute
the entire agreement by the Parties concerning the work and services to be performed under this
Contract. Any prior or contemporaneous oral or written agreement which purports to vary the
terms of this Contract shall be void. Any amendments to the terms of this Contract must be in
writing and executed by the Parties.
13.8 Paragraph Headings for Reference Only, No Legal Significance; Number
and Gender.
The paragraph headings contained herein are for convenience in reference to this Contract
and are not intended to define or to limit the scope of any provision of this Contract. When context
requires, singular nouns and pronouns include the plural and the masculine gender shall be deemed
to include the feminine or neuter and the neuter gender to include the masculine and feminine.
The words “include” and “including” whenever used herein shall be deemed to be followed by the
words “without limitation”.
13.9 Compliance With All Applicable Laws and Regulations.
Agency agrees to comply fully with all applicable laws and regulations that are currently
INTERVENTIONS OF OPIOID USE CONTRACT Page 15
University of North Texas Health Science Center at Fort Worth
in effect or that are hereafter amended during the performance of this Contract. Those laws
include, but are not limited to:
Title VI of Civil Rights Act of 1964 (42 USC 2000d et seq.)
Title VIII of Civil Rights Act of 1968 (42 USC 3601 et seq.)
The Age Discrimination inEmployment Act of 1967 (29 USC et seq.).
The Age Discrimination Act of 1975 (42 USC 6101 et seq.).
Uniform Grant and Contract Management Act of 1981
Health Insurance Portability and Accountability Act of 1996 (HIPPA)
34 Texas Administrative Code Chapter 16, Subchapter C
13.10 Prohibition Against Discrimination.
13.10.1 General Statement.
Agency may not discriminate against any person because of race, color, sex, gender,
religion, national origin, familial status, disability or perceived disability, sexual orientation,
gender identity, gender expression, or transgender, nor will Agency permit its officers, members,
agents, employees, or clients to engage in such discrimination.
13.10.2 Agency’s Contractors and the ADA.
In accordance with the provisions of the Americans With Disabilities Act of 1990
(“ADA”), Agency certifies that it and any of its contractors will not unlawfully discriminate on
the basis of disability in the provision of services to the general public, nor in the availability, terms
and/or conditions of employment for applicants for employment with, or employees of, Agency or
any of its contractors. AGENCY CERTIFIES IT WILL FULLY COMPLY WITH THE
ADA’S PROVISIONS AND ANY OTHER APPLICABLE FEDERAL, STATE AND
LOCAL LAWS CONCERNING DISABILITY AND, TO THE EXTENT ALLOWED
UNDER LAW, WILL DEFEND, INDEMNIFY AND HOLD CITY HARMLESS AGAINST
ANY CLAIMS OR ALLEGATIONS ASSERTED BY THIRD PARTIES, CONTRACTORS
SUBCONTRACTORS, VENDORS OR AGENTS AGAINST CITY ARISING OUT OF
AGENCY’S AND/OR ITS CONTRACTORS’, SUBCONTRACTORS’, VENDORS’ OR
AGENTS’ OR THEIR RESPECTIVE EMPLOYEES’ ALLEGED FAILURE TO COMPLY
WITH THE ABOVE-REFERENCED LAWS CONCERNING DISABILITY
DISCRIMINATION IN THE PERFORMANCE OF THIS CONTRACT.
13.11 Agency Safeguards.
Agency shall establish safeguards to prohibit its employees, board members, advisors and
agents from using positions for a purpose that is or gives the appearance of being motivated by a
desire for private gain for themselves or others, particularly those with whom they have family,
business or other ties. Agency shall disclose to City any such conflict of interest or potential
conflict of interest, immediately upon discovery of such.
13.12 General Prohibitions Against Conflicts of Interest.
INTERVENTIONS OF OPIOID USE CONTRACT Page 16
University of North Texas Health Science Center at Fort Worth
No employees, agents, consultants, officers or elected officials or appointed officials of
City or of Agency who exercise or have exercised any functions or responsibilities with respect to
activities assisted with OPIOID funds or who are in a position to participate in a decision-making
process or gain inside information with regard to these activities may utilize OPIOID services,
may obtain a financial interest or benefit from a OPIOID-assisted activity, or have an interest in
any contract, subcontract or agreement with respect thereto, or the proceeds thereunder, either for
themselves or those with whom they have family or business ties, during their tenure or for 1 year
thereafter.
Agency shall establish conflict of interest policies for state awards including the OPIOID
Funds and shall disclose in writing potential conflicts of interest to City.
13.13 Other Laws.
The failure to list any federal, state or City ordinance, law or regulation that is applicable
to Agency does not excuse or relieve Agency from the requirements or responsibilities in regard
to following the law, nor from the consequences or penalties for Agency’s failure to follow the
law, if applicable.
13.14 Assignment.
Agency shall not assign all or any part of its rights, privileges, or duties under this Contract
without the prior written approval of City. Any attempted assignment of same without approval
shall be void, and shall constitute a breach of this Contract.
13.15.Right to Inspect Agency Contracts.
It is agreed that City has the right to inspect and approve in writing any proposed contracts
between Agency and any contractor or vendor engaged in activity directly related with this
OPIOID-funded Program prior to any charges being incurred.
13.16 Force Majeure.
If Agency becomes unable, either in whole or part, to fulfill its obligations under this
Contract due to acts of God, strikes, lockouts, or other industrial disturbances, acts of public
enemies, wars, blockades, insurrections, riots, epidemics, pandemics, earthquakes, fires, floods,
restraints or prohibitions by any court, board, department, commission or agency of the United
States or of any States, civil disturbances, or explosions, or some other reason beyond Agency’s
control (collectively, “Force Majeure Event”), the obligations so affected by such Force Majeure
Event will be suspended only during the continuance of such event. Agency will give City written
notice of the existence, extent and nature of the Force Majeure Event as soon as reasonably
possible after the occurrence of the event. Failure to give notice will result in the continuance of
Agency’s obligation regardless of the extent of any existing Force Majeure Event. Agency will
use commercially reasonable efforts to remedy its inability to perform as soon as possible.
13.17 IMMIGRATION NATIONALITY ACT.
INTERVENTIONS OF OPIOID USE CONTRACT Page 17
University of North Texas Health Science Center at Fort Worth
Agency shall verify the identity and employment eligibility of its employees who perform
work under this Contract, including completing the Employment Eligibility Verification Form (I-
9). Upon request by City, Agency shall provide City with copies of all I-9 forms and supporting
eligibility documentation for each employee who performs work under this Contract. Agency
shall adhere to all Federal and State laws as well as establish appropriate procedures and controls
so that no services will be performed by any Agency employee who is not legally eligible to
perform such services. TO THE EXTENT ALLOWED UNDER LAW, AGENCY SHALL
INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES,
LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY
AGENCY, AGENCY’S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR
LICENSEES. City, upon written notice to Agency, shall have the right to immediately terminate
this Contract for violations of this provision by Agency.
14. INDEMNIFICATION AND RELEASE.
Agency shall, to the extent authorized under the Constitution and laws of the State of
Texas, indemnify and hold City harmless from liability resulting from the negligent acts or
omissions of Agency, its agents, contractors, subcontractors, or employees pertaining to the
activities to be carried out pursuant to the obligations of this Agreement; provided, however,
that Agency shall not hold City harmless from claims arising out of the gross negligence or
willful malfeasance of City, its officers, agents, or employees..
15. IMMUNITY BY AGENCY.
The parties acknowledge that Agency is an agency of the State of Texas and under the
Constitution and laws of the State of Texas possesses certain rights and privileges, is subject to
certain limitations and restrictions, and only has such authority as is granted under the Constitution
and laws of the State of Texas. Notwithstanding any provision hereof, nothing in this Agreement
is intended to be, nor will it be construed to be, a waiver of the sovereign immunity of the State of
Texas or a prospective waiver or restriction of any of the rights, remedies, claims, and privileges
of the State of Texas. The parties acknowledge that this Agreement does not constitute consent by
the State of Texas to be sued in any lawsuit, but does reflect its intent to be bound by the terms of
this Agreement to the full extent authorized by the Constitution and laws of the State of Texas.
Moreover, notwithstanding the generality or specificity of any provision hereof, the provisions of
this agreement as they pertain to Agency are enforceable to the full extent authorized by the
Constitution and laws of the State of Texas; accordingly, to the extent any provision hereof
conflicts with the Constitution or laws of the State of Texas or exceeds the right, power or authority
of Agency to agree to such, such provision will not be enforceable against Agency or the State of
Texas.
16. INSURANCE AND BONDING.
Agency is an agency of the State of Texas and is self-insured for general liability. Limits
of liability are governed by the Texas Tort Claims Act, Tex. Civ. Prac. & Rem. Code § 101 and
State Liability for Conduct of Public Servants, Tex. Civ. Prac. & Rem. Code § 104. Agency will
maintain Workers Compensation insurance in the amounts required by state and federal law .
INTERVENTIONS OF OPIOID USE CONTRACT Page 18
University of North Texas Health Science Center at Fort Worth
17. LITIGATION AND CLAIMS.
Agency shall give City prompt notice in writing of any action, including any proceeding
before an administrative agency, filed against Agency in conjunction with this Contract or the
Program. Agency shall furnish promptlyto City copies of all pertinent papers received by Agency
with respect to such action or claim. Agency shall provide a notice to City within 30 days upon
filing under any bankruptcy or financial insolvency provision of law.
18. NOTICE.
All notices required or permitted by this Contract must be in writing and are deemed
delivered on the earlier date of the date actually received or the third day following deposit in a
United States Postal Service post office or receptacle; with proper postage, certified mail return
receipt requested; and addressed to the other Party at the address set out below or at such other
address as the receiving Party designates by proper notice to the sending Party.
City:
City Attorney’s Office
200 Texas Street
Fort Worth, TX 76102
Telephone: 817-392-7600
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Kacey Bess
Telephone: 817-392-7540
Copy to:
Neighborhood Services Department
200 Texas Street
Fort Worth, TX 76102
Attention: Mary Tenorio
Telephone: 817-392-6432
Agency:
Agency Name: University of North Texas Health Science Center at Fort Worth
Contact: Office of Sponsored Programs
Address: 3500 Camp Bowie Blvd.
Fort Worth, TX 76107
Telephone: 817-735-5073
19. AGENCY HAS LEGAL AUTHORITY TO ENTER INTO CONTRACT.
Agency represents that it possesses the legal authority, pursuant to any proper, appropriate
and official motion, resolution or action passed or taken, to enter into this Contract and to perform
the responsibilities herein required.
INTERVENTIONS OF OPIOID USE CONTRACT Page 19
University of North Texas Health Science Center at Fort Worth
20. COUNTERPARTS.
This Contract may be executed in multiple counterparts, each of which shall be considered
an original, but all of which shall constitute one instrument which may be sufficiently evidenced
by one counterpart.
21.PROHIBITION ON CONTRACTING WITH COMPANIES THAT BOYCOTT
ISRAEL
If Agency has less than ten employees, this contract is for less than $100,000, or Agency
does not meet the definition of a “company” under the applicable section of the Texas Government
Code, this provision shall not apply. Agency acknowledges that in accordance with Chapter 2270
of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it:
(1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The
terms “boycott Israel” and “company” shall have the meanings ascribed to those terms in Section
808.001 of the Texas Government Code. By signing this contract, Agency certifies that Agency’s
signature provides written verification to the City that Agency: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the contract.
22. PROHIBITION ON BOYCOTTING ENERGY COMPANIES
Agency acknowledges that in accordance with Chapter 2276 of the Texas Government
Code, City is prohibited from entering into a contract for goods or services that has a value of
$100,000 or more that is to be paid wholly or partly from public funds of the City with a company
with 10 or more full-time employees unless the contract contains a written verification from the
company that it: (1) does not boycott energy companies; and (2) will not boycott energy companies
during the term of the contract. To the extent that Chapter 2276 of the Government Code is
applicable to this Agreement, by signing this Agreement, Agency certifies that Agency’s
signature provides written verification to the City that Agency: (1) does not boycott energy
companies; and (2) will not boycott energy companies during the term of this Agreement.
23. PROHIBITION ON DISCRIMINATION AGAINST FIREARM AND
AMMUNITION INDUSTRIES
Agency acknowledges that except as otherwise provided by Chapter 2274 of the Texas
Government Code, City is prohibited from entering into a contract for goods or services that has a
value of $100,000 or more that is to be paid wholly or partly from public funds of the City with a
company with 10 or more full-time employees unless the contract contains a written verification
from the company that it: (1) does not have a practice, policy, guidance, or directive that
discriminates against a firearm entity or firearm trade association; and (2) will not discriminate
during the term of the contract against a firearm entity or firearm trade association. To the extent
that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this
Agreement, Agency certifies that Agency’s signature provides written verification to the City
that Agency: (1) does not have a practice, policy, guidance, or directive that discriminates
INTERVENTIONS OF OPIOID USE CONTRACT Page 20
University of North Texas Health Science Center at Fort Worth
against a firearm entity or firearm trade association; and (2) will not discriminate against a
firearm entity or firearm trade association during the term of this Agreement.
[SIGNATURES APPEAR ON NEXT PAGE]
INTERVENTIONS OF OPIOID USE CONTRACT Page 21
University of North Texas Health Science Center at Fort Worth
IN WITNESS WHEREOF, the Parties hereto have executed this Contract:
ATTEST: CITY OF FORT WORTH:
_________________________________ _____________________________________
Jannette Goodall Fernando Costa
City Secretary Assistant City Manager
M&C: 23-1051
Date: December 12, 2023
1295 Certification No. 2023-1093220
RECOMMENDED BY:
Kacey Bess
Interim Neighborhood Services Director
APPROVED AS TO FORM AND LEGALITY :
_________________________________
Jessika Williams
Assistant City Attorney
CONTRACT COMPLIANCE ADMINISTRATOR:
By signing, I acknowledge that I am the person
responsible for the monitoring and
administration of this contract,
including ensuring all performance
and reporting requirements.
By:
Name: Mary Tenorio
Title: Neighborhood Development Specialist
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Authorized Official:
By signing, I acknowledge that I am the duly authorized representative.
INTERVENTIONS OF OPIOID USE CONTRACT Page 22
University of North Texas Health Science Center at Fort Worth
_________________________________________
Myriah Roberts, J.D., Associate Director, Research Contract Management
Read and Understood:
_________________________________
Teresa Wagner, DrPH, MS, CPH, RD/LD, CPPS, CHWI, DipACLM, CHWC
INTERVENTIONS OF OPIOID USE CONTRACT Page 23
University of North Texas Health Science Center at Fort Worth
EXHIBIT LIST
EXHIBIT “A”-Texas Opioid Abatement Fund Council and Settlement Allocation Term
Sheet
EXHIBIT “B” –Program Summary
EXHIBIT “C” – Budget
EXHIBIT “D” – Reimbursement Forms (UNTHSC Forms for Reimbursement Request)
EXHIBIT “E” – Texas Opioid Abatement Fund Council and Settlement Allocation: List of
Opioid Remediation Uses
EXHIBIT “F” – Standards for Complete Documentation
1
TEXAS OPIOID ABATEMENT FUND COUNCIL AND
SETTLEMENT ALLOCATION TERM SHEET
WHEREAS, the people of the State of Texas and its communities have been harmed
through the National and Statewide epidemic caused by licit and illicit opioid use
and distribution within the State of Texas; and now,
WHEREAS, the State of Texas, though its elected representatives and counsel,
including the Honorable Ken Paxton, Attorney General of the State of Texas, and
certain Political Subdivisions, through their elected representatives and counsel, are
separately engaged in litigation seeking to hold those entities in the supply chain
accountable for the damage caused; and now,
WHEREAS, the State of Texas, through its Attorney General and its Political
Subdivisions, share a common desire to abate and alleviate the impacts of the
epidemic throughout the State of Texas; and now,
THEREFORE, the State of Texas and its Political Subdivisions, subject to
Opioid Abatement Fund Council
and Settlement Allocation Term Sheet (Texas Term Sheet) relating to the allocation
and use of the proceeds of any Settlements as described.
A. Definitions
As used in this Texas Term Sheet:
2
1. Texas acting through its Attorney
General.
2. Political Subdivision mean any Texas municipality and county.
3. Texas, the Political Subdivisions, and
Steering Committee and Liaison Counsel (PSC) in the Texas
Opioid MDL, In Re: Texas Opioid Litigation , MDL No. 2018-63587, in
the 152d District Court of Harris County, Texas.
4. a Political Subdivision that filed
suit in the state courts of the State of Texas prior to the Execution Date of
this Agreement, whether or not such case was transferred to Texas Opioid
MDL, or removed to federal court.
5. onal fund established for the benefit
of the Texas Political Subdivisions. In no event shall any National Fund
be used to create federal jurisdiction, equitable or otherwise, over the
Texas Political Subdivisions or those similarly situated state-court litigants
who are included in the state coalition, nor shall the National Fund require
participating in a class action or signing a participation agreement as part
of the criteria for participating in the National Fund.
6. three-member group comprising
four representatives for each of (1) the State; (2) the PSC; and (3)
3
Political Subdivisions
represented by the Texas Attorney General or his designees. The PSC shall
be represented by attorneys Mikal Watts, Jeffrey Simon, Dara Hegar, Dan
Downey, or their designees. shall be
represented by Clay Jenkins (Dallas County Judge)
(Special Assistant County Attorney, Harris County), Nelson Wolff (Bexar
County Judge), and Nathaniel Moran (Smith County Judge) or their
designees.
7.
claims against a Pharmaceutical Supply Chain Participant that includes the
State and Political Subdivisions.
8.
Settlement as defined in this Texas Term Sheet.
8. those uses identified in Exhibit A
hereto.
9.
through which opioids or opioids products are manufactured, marketed,
promoted, distributed, or dispensed.
4
10. ean any entity that
engages in or has engaged in the manufacture, marketing, promotion,
distribution, or dispensing of an opioid analgesic.
11.
hereto, which has the purpose of ensuring the funds recovered by Texas
(through the joint actions of the Attorney General and the Texas Political
Subdivisions) are allocated fairly and spent to remediate the opioid crisis
in Texas, using efficient and cost-effective methods that are directed to the
hardest hit regions in Texas while also ensuring that all Texans benefit
from prevention and recovery efforts.
B. Allocation of Settlement Proceeds
1. All Opioid Funds distributed in Texas shall be divided with 15% going to
Political Subdivisions Subdivision 70% to the Texas Opioid
Abatement Fund through the Texas Opioid Council (Texas Abatement
Fund Share) identified and described on Exhibits A and C hereto, and 15%
to the Office of the Texas Attorney General as Counsel for the State of
Texas Out of the Texas Opioid Abatement Fund,
reasonable expenses up to 1% shall be paid to the Texas Comptroller for
the administration of the Texas Opioid Council pursuant to the Opioid
5
Abatement Fund (Texas Settlement) Opioid Council Agreement, Exhibit
A hereto.
2. The Subdivisions Share shall be allocated in accordance with the division
of proceeds on Exhibit B hereto.
3. The Texas Abatement Fund Share shall be allocated to the Opioid Council
to be apportioned in accordance with the guidelines of Exhibit A, and
Exhibit C hereto.
4. In the event a Subdivision merges, dissolves, or ceases to exist, the
allocation percentage for that Subdivision shall be redistributed as directed
by the settlement document, and if not specified, equitably based on the
composition of the successor Subdivision. If a Subdivision for any reason
is excluded from a specific settlement, the allocation percentage for that
Subdivision shall be redistributed as directed by the settlement document,
and if not specified, equitably among the participating Subdivisions.
5. Funds obtained from parties unrelated to the Litigation, via grant, bequest,
gift or the like, separate and distinct from the Litigation, may be directed
to the Texas Opioid Council and disbursed as set forth below.
6. The Subdivision share shall be initially deposited and paid in cash directly
to the Subdivision under the authority and guidance of the Texas MDL
Court, who shall direct any Settlement funds to be held in trust in a
6
segregated account to benefit the Subdivisions and to be promptly
distributed as set forth herein and in accordance with Exhibit B.
7. Nothing in this Texas Term Sheet should alter or change any Subdivision
rights to pursue its own claim. Rather, the intent of this Texas Term Sheet
is to join all parties to disburse settlement proceeds from one or more
defendants to all parties participating in that settlement within Texas.
8. Opioid Funds from the Texas Abatement Fund Share shall be directed to
the Texas Opioid Council and used in accordance with the guidelines as
set out on Exhibit A hereto, and the Texas Abatement Fund Share shall be
distributed to the Texas Opioid Council under the authority and guidance
of the Texas MDL Court, consistent with Exhibits A and C, and the by-
laws of the Texas Opioid Council documents and disbursed as set forth
therein, including without limitation all abatement funds and the 1%
holdback for expenses.
9. The State of Texas and the Political Subdivisions understand and
acknowledge that additional steps may need to be undertaken to assist the
Texas Opioid Council in its mission, at a predictable level of funding,
regardless of external factors.
C. Payment of Counsel and Litigation Expenses
7
1.Any Master Settlement Agreement settlement will govern the payment of
fees and litigation expenses to the Parties. The Parties agree to direct
control of any Texas Political
by the Texas MDL Court, In re: Texas Opioid Litigation, MDL No. 2018-
63587, in the 152nd District Court of Harris County, Texas, and with the
intent to compensate all counsel for Texas Political Subdivisions who have
not chosen to otherwise seek compensation for fees and expenses from any
federal MDL common benefit fund.
2.The Parties agree that no portion of the State of Texas 15% allocation
share from any settlement shall be administered through the National
Fund, the Texas MDL Court, or Texas Opioid Fee and Expense Fund,
but shall be directed for payment to the State of Texas by the State of
Texas.
3. The State of Texas and the Texas Political Subdivisions, and their
respective attorneys, agree that all fees whether contingent, hourly,
fixed or otherwise owed by the Texas Political Subdivisions shall be
paid out of the National Fund or as otherwise provided for herein to the
Texas Opioid Fee and Expense Fund to be distributed by the 152nd
8
District Court of Harris County, Texas pursuant to its past and future
orders.
4.From any opioid-related settlements with McKesson, Cardinal Health,
ABDC, and Johnson & Johnson, and for any future opioid-related
settlements negotiated, in whole or in part, by the Negotiating
Committee with any other Pharmaceutical Supply Chain Participant,
the funds to be deposited in the Texas Opioid Fee and Expense Fund
shall be 9.3925% of the combined Texas Political Subdivision and
Texas Abatement Fund portions of each payment (annual or otherwise)
to the State of Texas for that settlement, plus expenses from the
National Fund, and shall be sought by Texas Political Subdivision
Counsel initially through the National Fund. The Texas Political
Subdivisions percentage share of fees and expenses from the National
Fund shall be directed to the Texas Opioid Fee and Expense Fund in
the Texas MDL, as soon as is practical, for allocation and distribution
in accordance with the guidelines herein.
5.If the National Fund share to the Texas Political Subdivisions is
insufficient to cover the guaranteed 9.3925%, plus expenses from the
National Fund, per subsection 4, immediately supra, or if payment from
the National Fund is not received within 12 months after the date the
9
first payment is made by the Defendants pursuant to the settlement, then
the Texas Political Subdivisions shall recover up to 12.5% of the Texas
Political Subdivision Share to make up any difference.
6.If the National Fund and the Texas Political Subdivision share are
insufficient to cover the guaranteed 9.3925%, plus expenses from the
National Fund, or if payment from the National Fund is not received
within 12 months after the date the first payment is made by the
Defendants pursuant to the settlement, then the Texas Political
Subdivisions shall recover up to 8.75% of the Abatement Fund Share
to make up any difference. In no event shall the Texas Political
Subdivision share exceed 9.3925% of the combined Texas Political
Subdivision and Texas Abatement Fund portions of any settlement,
plus expenses from the National Fund. In the event that any payment
is received from the National Fund such that the total amount in fees
and expenses exceeds 9.3925%, the Texas Political Subdivisions shall
return any amounts received greater than 9.3925% of the combined
Texas Political Subdivision and Texas Abatement Fund portions to
those respective Funds.
10
7.For each settlement utilizing a National Fund, the Texas Political
Subdivisions need only make one attempt at seeking fees and expenses
there.
8.The total amount of the Texas Opioid Fee and Expense Fund shall be
reduced proportionally, according to the agreed upon allocation of the
Texas Subdivision Fund, for any Texas litigating Political Subdivision
that (1) fails to enter the settlement; and (2) was filed in Texas state
court, and was transferred to the Texas MDL (or removed before or
during transfer to the Texas MDL) as of the execution date of this
Agreement.
D. The Texas Opioid Council and Texas Abatement Fund
The Texas Opioid Council and Texas Abatement Fund is described in detail
at Exhibit A, incorporated herein by reference.
E. Settlement Negotiations
1. The State and Negotiating Committee agree to inform each other in
advance of any negotiations relating to a Texas-only settlement with a
Pharmaceutical Supply Chain Participant that includes both the State and
its Political Subdivisions and shall provide each other the opportunity to
participate in all such negotiations. Any Texas-only Settlement agreed to
with the State and Negotiating Committee shall be subject to the approval
11
of a majority of litigating Political Subdivisions. The Parties further agree
to keep each other reasonably informed of all other global settlement
negotiations with Pharmaceutical Supply Chain Participants and to include
the Negotiating Committee or designees. Neither this provision, nor any
other, shall be construed to state or imply that either the State or the
Negotiating Committee is unauthorized to engage in settlement
negotiations with Pharmaceutical Supply Chain Participants without prior
consent or contemporaneous participation of the other, or that either party
is entitled to participate as an active or direct participant in settlement
negotiations with the other.
collaborative, incremental stages need not be so.
2. Any Master Settlement Agreement (MSA) shall be subject to the approval
and jurisdiction of the Texas MDL Court.
3. As this is a Texas-specific effort, the Committee shall be Chaired by the
Attorney General. However, the Attorney General, or his designees, shall
endeavor to coordinate any publicity or other efforts to speak publicly with
the other Committee Members.
4. The State of Texas, the Texas MDL Plaintiff s Steering Committee
representatives, or the Political Subdivision representatives may withdraw
12
from coordinated Settlement discussions detailed in this Section upon 10
business
counsel for any affected Pharmaceutical Supply Chain Participant. The
withdrawal of any Member releases the remaining Committee Members
from the restrictions and obligations in this Section.
5.
with trial or, within 30 days of the date upon which a trial involving that
Pa
is scheduled to begin, reach a case specific resolution with that particular
Pharmaceutical Supply Chain Participant.
F. Amendments
The Parties agree to make such amendments as necessary to implement the
intent of this agreement.
Acknowledgment of Agreement
We, the undersigned, have participated in the drafting of the above Texas
Term Sheet, including consideration based on comments solicited from Political
Subdivisions. This document has been collaboratively drafted to maintain all
individual claims while allowing the State and its Political Subdivisions to cooperate
in exploring all possible means of resolution. Nothing in this agreement binds any
party to any specific outcome. Any resolution under this document will require
13
acceptance by the State of Texas and a majority of the Litigating Political
Subdivisions.
We, the undersigned, hereby accept the STATE OF TEXAS AND TEXAS
POLITICAL SUBDIVISION OPIOID ABATEMENT FUND COUNCIL AND
SETTLEMENT ALLOCATION TERM SHEET. We understand that the purpose of
this Texas Term Sheet is to permit collaboration between the State of Texas and
Political Subdivisions to explore and potentially effectuate earlier resolution of the
Opioid Litigation against Pharmaceutical Supply Chain Participants. We also
understand that an additional purpose is to create an effective means of distributing
any potential settlement funds obtained under this Texas Term Sheet between the
State of Texas and Political Subdivisions in a manner and means that would promote
an effective and meaningful use of the funds in abating the opioid epidemic
throughout Texas.
Executed this 13 day of May, 2020.
FOR THE STATE OF TEXAS:
����,�,�.
KENNETH PAXTON, JR.
ATTORNEY GENERAL
FOR THE SUBDIVISIONS
AND TEXAS MDL PSC:
j%���f�i
MIKAL WATTS
WATTS GUERRA LLP
YS N
SIMON G ENSTONE PANATIER, PC
I i *•'ii
DARA HEGAR
LAI�TlE�AW , PC
�`; ��' �' -_ .
�D Y
DAN OWNEY, PC
:sas
1
Opioid Abatement Fund (Texas) Settlement
Opioid Council
As part of the settlement agreement and upon its execution, the parties will form the Texas Opioid
Council (Council) to establish the framework that ensures the funds recovered by Texas (through
the joint actions of the Attorney General and the political subdivisions) are allocated fairly
and spent to remediate the opioid crisis in Texas, using efficient and cost-effective methods that
are directed to the hardest hit regions in Texas while also ensuring that all Texans benefit from
prevention and recovery efforts.
I. Structure
The Council will be responsible for the processes and procedures governing the spending of the
funds held in the Texas Abatement Fund, which will be approximately 70% of all funds obtained
through settlement and/or litigation of the claims asserted by the State and its subdivisions in the
investigations and litigation related to the manufacturing, marketing, distribution, and sale of
opioids and related pharmaceuticals.
Money paid into the abatement fund will be held by an independent administrator, who shall be
responsible for the ministerial task of releasing funds solely as authorized below by the Council,
and accounting for all payments to and from the fund.
The Council will be formed when a court of competent jurisdiction enters an order settling the
matter, including any order of a bankruptcy court. The Council members must be appointed
within sixty (60) days of the date the order is entered.
A. Membership
The Council shall be comprised of the following thirteen (13) members:
1. Statewide Members.
Six members appointed by the Governor and Attorney General
interest in opioid abatement. The statewide members are appointed as follows:
a. The Governor shall appoint three (3) members who are licensed health
professionals with significant experience in opioid interventions;
b. The Attorney General shall appoint three (3) members who are licensed
professionals with significant experience in opioid incidences; and
c. The Governor will appoint the Chair of the Council as a non-voting member.
The Chair may only cast a vote in the event there is a tie of the membership.
2. Regional Members.
Six (6) members appointed by the S subdivisions to represent their
designated HHSC Regional Healthcare
2
Partnership (Regions) to ensure dedicated regional, urban, and rural representation on the
Council. The regional appointees must be from either academia or the medical profession
with significant experience in opioid interventions. The regional members are appointed as
follows:
a. One member representing Regions 9 and 10 (Dallas Ft-Worth);
b. One member representing Region 3 (Houston);
c. One member representing Regions 11, 12, 13, 14, 15, 19 (West Texas);
d. One member representing Regions 6, 7, 8, 16 (Austin-San Antonio);
e. One member representing Regions 1, 2, 17, 18 (East Texas); and
f. One member representing Regions 4, 5, 20 (South Texas).
B. Terms
All members of the Council are appointed to serve staggered two-year terms, with the terms of
members expiring February 1 of each year. A member may serve no more than two consecutive
terms, for a total of four consecutive years. For the first term, four (4) members (two (2) statewide
and two (2) for the subdivisions) will serve a three-year term. A vacancy on the Council shall be
filled for the unexpired term in the same manner as the original appointment. The Governor will
appoint the Chair of the Council who will not vote on Council business unless there is a tie vote,
and the subdivisions will appoint a Vice-Chair voting member from one of the regional members.
C. Governance
1. Administration
The Council is attached administratively to the Comptroller. The Council is an
independent, quasi-governmental agency because it is responsible for the statewide
distribution of the abatement settlement funds. The Council is exempt from the following
statutes:
a. Chapter 316 of the Government Code (Appropriations);
b. Chapter 322 of the Government Code (Legislative Budget Board);
c. Chapter 325 of the Government Code (Sunset);
d. Chapter 783 of the Government Code (Uniform Grants and Contract
Management);
e. Chapter 2001 of the Government Code (Administrative Procedure);
f. Chapter 2052 of the Government Code (State Agency Reports and Publications);
g. Chapter 2261 of the Government Code (State Contracting Standards and
Oversight);
h. Chapter 2262 of the Government Code (Statewide Contract Management);
3
i. Chapter 262 of the Local Government Code (Purchasing and Contracting
Authority of Counties); and
j. Chapter 271 of the Local Government Code (Purchasing and Contracting
Authority of Municipalities, Counties, and Certain Other Local Governments).
2. Transparency
The Council will abide by state laws relating to open meetings and public information,
including Chapters 551 and 552 of the Texas Government Code.
i. The Council shall hold at least four regular meetings each year. The Council may
hold additional meetings on the request of the Chair or on the written request of
three members of the council. All meetings shall be open to the public, and public
notice of meetings shall be given as required by state law.
ii. The Council may convene in a closed, non-public meeting:
a. If the Commission must discuss:
1. Negotiation of contract awards; and
2. Matters specifically exempted from disclosure by federal and
state statutes.
b. All minutes and documents of a closed meeting shall remain under seal,
subject to release only order of a court of competent jurisdiction.
3. Authority
The Council does not have rulemaking authority. The terms of each Judgment, Master
Settlement Agreement, or any Bankruptcy Settlement for Texas control the authority of
the Council and the Council may not stray outside the bounds of the authority and power
vested by such settlements. Should the Council require legal assistance in determining
their authority, the Council may direct the executive director to seek legal advice from the
Attorney General to clarify the issue.
D. Operation and Expenses
The independent administrator will set aside up to one (1) percent of the settlement funds for the
administration of the Council for reasonable costs and expenses of operating the foregoing duties,
including educational activities.
1. Executive Director
The Comptroller will employ the executive director of the Council and other personnel as
necessary to administer the duties of the Council and carry out the functions of the Council.
The executive director must have at least 10 years of experience in government or public
administration and is classified as a Director V/B30
Classification. The Comptroller will pay the salaries of the Council employees from the
4
one (1) percent of the settlement funds set aside for the administration of the Council. The
Comptroller will request funds from the Texas Abatement Fund Point of Contact.
2. Travel Reimbursement
A person appointed to the Council is entitled to reimbursement for the travel expenses
incurred in attending Council duties. A member of the Council may be reimbursed for
actual expenses for meals, lodging, transportation, and incidental expenses in accordance
with travel rates set by the federal General Services Administration.
II. Duties/Roles
It is the duty of the Council to determine and approve the opioid abatement strategies and funding
awards.
A. Approved Abatement Strategies
The Council will develop the approved Texas list of abatement strategies based on but not limited
to the existing national list of opioid abatement strategies (see attached Appendix A) for
implementing the Texas Abatement Fund.
1. The Council shall only approve strategies which are evidence-informed strategies.
2. The Texas list of abatement strategies must be approved by majority vote. The majority
vote must include a majority from both sides of the statewide members and regional
members in order to be approved, e.g., at least four (4) of six (6) members on each side.
B. Texas Abatement Fund Point of Contact
The Council will determine a single point of contact called the Abatement Fund Point of Contact
(POC) to be established as the sole entity authorized to receive requests for funds and approve
expenditures in Texas and order the release of funds from the Texas Abatement Fund by the
independent administrator. The POC may be an independent third party selected by the Council
with expertise in banking or financial management. The POC will manage the Opioid Council
Bank Account (Account). Upon a vote, the Council will direct the POC to contact the independent
administrator to release funds to the Account. The Account is outside the State Treasury and not
managed by any state or local officials. The POC is responsible for payments to the qualified
entities selected by the Council for abatement fund awards. The POC will submit a monthly
financial statement on the Account to the Council.
C. Auditor
An independent auditor appointed by the Council will perform an audit on the Account on an
annual basis and report its findings, if any, to the Council.
D. Funding Allocation
5
The Council is the sole decision-maker on the funding allocation process of the abatement funds.
The Council will develop the application and award process based on the parameters outlined
below. An entity seeking funds from the Council must apply for funds; no funds will be awarded
without an application. The executive director and personnel may assist the Council in gathering
and compiling the applications for consideration; however, the Council members are the sole
decision-makers of awards and funding determination. The Council will use the following
processes to award funds:
1. Statewide Funds. The Council will consider, adopt and approve the allocation
methodology attached as Exhibit C, based upon population health data and prevalence
of opioid incidences, at the Coun . Adoption of such methodology
will allow each Region to customize the approved abatement strategies to fit its
communities needs. The statewide regional funds will account for seventy-five (75)
percent of the total overall funds, less the one (1) percent administrative expense
described herein.
2. Targeted Funds. Each Region shall reserve twenty-five (25) percent of the overall
funds, for targeted interventions in the specific Region as identified by opioid incidence
data. The Council must approve on an annual basis the uses for the targeted abatement
strategies and applications available to every Region, including education and outreach
programs. Each Region without approved uses for the targeted funds from the Council,
based upon a greater percentage of opioid incidents compared to its population, is
subject to transfer of all or a portion of the targeted funds for that Region for uses based
targeted funding needs as approved by the Council on an annual basis.
3. Annual Allocation. Statewide regional funds and targeted funds will be allocated on an
annual basis. If a Region lapses its funds, the funds will be reallocated based on all
R
E. Appeal Process
The Council will establish an appeal process to permit the applicants for funding (state or
subdivisions) to challenge decisions by the Council-designated point of contact on requests for
funds or expenditures.
1. To challenge a decision by the designated point of contact, the State or a subdivision
must file an appeal with the Council within thirty (30) days of the decision. The Council
then has thirty (30) days to consider and rule on the appeal.
2. If the Council denies the appeal, the party may file an appeal with the state district court
of record where the final opioid judgment or Master Settlement Agreement is filed. The
Texas Rules of Civil Procedure and Rules of Evidence will govern these proceedings.
The Council may request representation from the Attorney General in these proceedings.
6
In making its determination, the state district court shall apply the same clear error
standards contained herein that the Council must follow when rendering its decision.
3. The state district court will make the final decision and the decision is not appealable.
4. Challenges will be limited and subject to penalty if abused.
5. and costs are not recoverable in these appeals.
F. Education
The Council may determine that a percentage of the funds in the Abatement Fund from the targeted
funds be used to develop an education and outreach program to provide materials on the
consequences of opioid drug use, prevention and interventions. Any material developed will
include online resources and toolkits for communities.
Exhibit B: Municipal Area Allocations: 15% of Total (�150 million�
(County numbers refer to distribution to the county governments after payment to cities within
county borders has been made. Nlinimum disti�ibution to each county is �1000.)
Municipal Area Allocation Municipal Area Allocation
Abbott
Abernathy
Abilene
Ackerly
Addison
Adrian
Agua Dulce
Alamo
Alamo Heights
Alba
Albany
Aledo
Alice
Allen
Alma
Alpine
Alto
Alton
Alvarado
Alvin
Alvord
Amarillo
Ames
Amherst
Anahuac
Anderson
Anderson County
Andrews
Andrews County
Angelina County
Angleton
Angus
Anna
Annetta
Annetta North
$688 Lakeport
�110 Lakeside
�563,818 Lakeside City
�21 Lakeview
�58,094 Lakeway
�181 Lakewood Village
�43 Lamar County
�22,121 Lamb County
�28,198 Larriesa
�3,196 Lampasas
$180 Larripasas County
�331 Lancaster
�71,291 Laredo
�315,081 Latexo
�1,107 Lavaca County
�29,686 Lavon
�3,767 Lawn
�11,540 League City
�29,029 Leakey
$113,962 Leander
$358 Leary
�987,661 Lee County
�5,571 Lefors
�22 Leon County
�542 Leon Valley
�19 Leona
�268,763 Leonard
�18,983 Leroy
�37,606 Levelland
�229,956 Lewisville
�62,791 Lexington
�331 Liberty
�9,075 Liberty County
�5,956 Liberty Hill
�34 Limestone County
(Table continues on multiple pages below)
�463
�4,474
�222
�427
�31;657
$557
�141,598
�50,681
�29,656
�28,211
�42,818
�90,653
�763,174
$124
�45,973
�7,435
�58
�302,418
$256
�88,641
�797
�30,457
�159
�67,393
�23,258
�883
�8,505
�176
�46,848
�382,094
�2,318
�72,343
�531,212
�2,780
�135,684
Annetta South
Annona
Anson
Anthony
Anton
Appleby
Aquilla
Aransas County
Aransas Pass
Archer City
Archer County
Arcola
Argyle
Arlington
Armstrong County
Arp
Asherton
Aspermont
Atascosa County
Athens
Atlanta
Aubrey
Aurora
Austin County
Austin
Austwell
Avery
Avinger
Azle
Bailey
Bailey County
Bailey's Prairie
Baird
Balch Springs
Balcones Heights
Ballinger
Balmorhea
Bandera
Bandera County
Bangs
�602
$738
�5,134
�4,514
�444
�1,551
�208
$266,512
�57,813
� 10,554
�45,534
�7,290
�11,406
�735,803
�974
�2,009
�112
$9
�176,903
�105,942
�30,995
� 15,141
�1,849
�76,030
�4,877,716
�109
�138
�1,115
�32,213
�950
�15,377
�5,604
�2,802
�27,358
�23,811
�9,172
�63
�2,893
�86,815
�3,050
Lincoln Park
Lindale
Linden
Lindsay
Lipan
Lipscomb County
Little Elm
Little River-Academy
Littlefield
Live Oak
Live Oak County
Liverpool
Livingston
Llano
Llano County
Lockhart
Lockney
Log Cabin
Lometa
Lone Oak
Lone Star
Longview
Loraine
Lorena
Lorenzo
Los Fresnos
Los Indios
Los Ybanez
Lott
Lovelady
Loving County
Lowry Ci�ossing
Lubbock
Lubbock County
Lucas
Lueders
Lufkin
Luling
Lumberton
Lyford
Pa.qe 2
�677
�24,202
$3,661
�1,228
�44
�10,132
�69,326
�798
�7,678
�32,740
�39,716
�1,435
�73,165
�23,121
�115,647
�49,050
�3,301
� 1,960
�1,176
�1,705
�8,283
�482,254
�188
�3,390
�11,358
�11,185
�159
�0
$1,516
�249
� 1,000
�783
�319,867
�1,379,719
�5,266
�508
�281,592
�29,421
�36,609
�3,071
Bardwell
Barry
Barstow
Bartlett
Bartonville
Bastrop
Bastrop County
Bay City
Baylor County
Bayou Vista
Bayside
Baytown
Bayview
Beach City
Bear Ci�eek
Beasley
Beaumont
Beckville
Bedford
Bedias
Bee Cave
Bee County
Beeville
Bell County
Bellaire
Bellevue
Bellmead
Bells
Bellville
Belton
Benavides
Benbrook
Benjamin
Berryville
Bertram
Beverly Hills
Bevil Oaks
Bexar County
Big Lake
Big Sandy
�362
�200
�61
�3,374
�8,887
�46,320
�343,960
�57,912
�29,832
�6,240
�242
$216,066
�41
�12,505
�906
�130
�683,010
�1,247
�94,314
�3,475
�12,863
�97,844
�24,027
�650,748
�41,264
�56
�14,487
�1,891
�7,488
�72,680
�152
�43,919
�951
�14,379
�182
�4,336
�549
�7,007,152
�547
�4,579
Lynn County
Lytle
Mabank
Madison County
A-Tadisonville
A�Zagnolia
l��Zalakoff
Malone
l�Zanoi�
Mansfield
l��Zanvel
Marble Falls
Marfa
Nlai�ietta
Nlarion
Marion County
Nlarlin
1�Zarquez
Marshall
A-Tart
A�Zartin County
A�Zartindale
l�Zason
Mason County
Matador
Matagorda County
NTathis
Maud
Maverick County
l��Zaypearl
McAllen
�TcCamey
NlcGregor
1�ZcKinney
1�ZcLean
McLendon-Chisholm
Mcculloch County
Mclennan County
Mcmullen County
A�Zeadow
Pa.ge 3
�6,275
�7,223
� 19,443
�49,492
�11,458
�26,031
� 12,614
�439
� 12,499
�150,788
�12,305
�37,039
�65
�338
�275
�54,728
�21;634
�1,322
�108,371
�928
�10,862
�2,437
�777
�3,134
� 1,203
� 135,239
�15,720
�423
�115,919
�986
�364,424
�542
�9,155
�450,383
�14
�411
�20,021
�529,641
� 1,000
�1,121
Big Spring
Big Wells
Bishop
Bishop Hills
Blackwell
Blanco
Blanco County
Blanket
Bloomburg
Blooming Grove
Blossom
Blue Mound
Blue Ridge
Blum
Boerne
Bogata
Bonham
Bonney
Booker
Borden County
Borger
Bosque County
Bovina
Bowie
Bowie County
Boyd
Brackettville
Brady
Brazoria
Brazoria County
Brazos Bend
Brazos Country
Brazos County
Breckenridge
Bremond
Brenham
Brewster County
Briarcliff
Briaroaks
Bridge City
�189,928
�236
�8,213
�323
�31
�6,191
�49,223
�147
�1,010
�352
�198
�2,888
�1,345
�1,622
�45,576
�3,649
�100,909
�2,510
� 1,036
� 1,000
�69,680
�71,073
�173
�83,620
�233,190
�6,953
�8
�27,480
�11,537
�1,021,090
�462
�902
�342,087
�23,976
�5,554
�54,750
�60,087
�572
�57
�80,756
�'Ieadowlakes
Meadows Place
Medina County
�Iegargel
Melissa
Melvin
Memphis
A�Zenard
Menard County
�'Iei�cedes
Meridian
Nlerkel
A-7ertens
Mertzon
�Tesquite
A�Zexia
A-liami
A�Zidland County
A�Zidland
Midlothian
l��Zidway
A-7ilam County
Milano
A�Zildred
Miles
A-lilford
Miller's Cove
Millican
Mills County
A�Zillsap
Mineola
Mineral Wells
Mingus
�Iission
�Tissouri City
Mitchell County
Mobeetie
1�Zobile City
Monahans
1�Zont Belvieu
Pa.9P 4
�905
�18,148
�48,355
�611
� 15,381
�345
�7,203
�991
�14,717
�21,441
�3,546
� 10,117
�239
�29
�310,709
�21,096
�455
�279,927
�521,849
�95,799
�78
�97,386
�904
�286
�93
�6,177
�97
�417
� 19,931
�34
$48,719
�92,061
�189
� 124, 768
�209,633
�20,850
�52
�2,034
�5,849
� 19,669
Bridgeport
Briscoe County
Broaddus
Bronte
Brooks County
Brookshire
Brookside Village
Brown County
Browndell
Brownfield
Brownsboro
Brownsville
Brownwood
Bruceville-Eddy
Bryan
Bryson
Buckholts
Buda
Buffalo
Buffalo Gap
Buffalo Springs
Bullard
Bulverde
Bunker Hill Village
Burkburnett
Burke
Burleson County
Burleson
Burnet
Burnet County
Burton
Byers
Bynum
Cactus
Caddo A�Zills
Caldwell
Caldwell County
Calhoun County
Callahan County
Callisburg
�33,301
�977
�31
�99
�20,710
�6,406
�1,110
�193,417
�152
�14,452
�3,176
�425,057
�166,572
�1,692
$246,897
�1,228
�1,113
�10,784
�11,866
�88
�188
�7,487
�14,436
�472
�37,844
�1,114
� 70, 244
�151,779
�33,345
�189,829
�937
�77
�380
�4,779
�43
�18,245
�86,413
�127,926
� 12,894
�101
Montague County
�'Iontgomery
Montgomery County
A-loody
�Ioore County
1�Zooi�e Station
�Toran
A-lorgan
Morgan's Point
Morgan's Point Resort
Morris County
A-lorton
Motley County
A-Toulton
Mount Calm
Mount Enterprise
Mount Pleasant
A�Iount Vernon
Mountain City
�Iuenster
1�Zuleshoe
A�Zullin
�Tunday
1�Zurchison
Murphy
Mustang
Mustang Ridge
Nacogdoches
Nacogdoches County
Naples
Nash
Nassau Bay
Natalia
Navarro
Navarro County
Navasota
Nazareth
Nederland
Needville
Nevada
Pa.qe 5
�94,796
�1,884
�2,700,911
�828
�40,627
�772
�50
�605
�3,105
$8,024
�53,328
�167
�3,344
�999
�605
�1,832
�65,684
�6,049
�1,548
�4,656
�4,910
�384
�2,047
�2,302
�51,893
�7
�2,462
�205,992
� 198,583
�4,224
�7,999
�11,247
�625
$334
�103,513
$37,676
�124
�44,585
�10,341
�237
Calvert
Cameron
Cameron County
Camp County
Camp Wood
Campbell
Canadian
Caney City
Canton
Canyon
Carbon
Carl's Corner
Carmine
Carrizo Springs
Carrollton
Carson County
Carthage
Cashion Community
Cass County
Castle Hills
Castro County
Castroville
Cedar Hill
Cedar Park
Celeste
Celina
Center
Centerville
Chambers County
Chandler
Channing
Charlotte
Cherokee County
Chester
Chico
Childress
Childress County
Chillicothe
China
China Grove
�772
�11,091
�537,026
�28,851
$422
�1,116
�1,090
�2,005
�56,734
�26,251
$620
�48
�385
$1,671
�310,255
�29,493
�18,927
�322
�93,155
�12,780
�4,420
�4,525
�70,127
�185,567
� 1,280
�18,283
�58,838
�385
�153,188
�17,364
�2
�4,257
�156,612
�1,174
�2,928
�37,916
�50,582
�172
�522
�598
New Bei�lin
New Boston
New Braunfels
New Chapel Hill
New Deal
New Fairview
New Home
New Hope
New London
New Summerfield
New Waverly
Newark
Newcastle
Newton
Newton County
Neylandville
Niederwald
Nixon
Nocona
Nolan County
Nolanville
Nome
Noonday
Nordheim
Normangee
North Cleveland
North Richland Hills
Northlake
Novice
Nueces County
O'Brien
O'Donnell
Oak Grove
Oak Leaf
Oak Point
Oak Ridge
Oak Ridge North
Oak Valley
Oakwood
Ochiltree County
Pa.qe 6
�4
�6,953
�307,313
�288
�338
�2,334
�9
� 1,024
�4,129
�442
�2,562
�520
�914
�6,102
�158,006
�163
�16
�2,283
�16,536
�50,262
�4,247
�391
�226
�697
�6,192
�105
�146,419
�8,905
�76
�1,367,932
�76
�27
�2,769
�612
�9,011
�358
$33,512
�7
�148
� 15,476
Chireno
Christine
Cibolo
Cisco
Clarendon
Clarksville
Clarksville City
Claude
Clay County
Clear Lake Shores
Cleburne
Cleveland
Clifton
Clint
Clute
Clyde
Coahoma
Cochran County
Cockrell Hill
Coffee City
Coke County
Coldspring
Coleman
Coleman County
College Station
Colleyville
Collin County
Collingsworth County
Collinsville
Colmesneil
Colorado City
Colorado County
Columbus
Comal County
Comanche
Comanche County
Combes
Combine
Commerce
Como
�1,568
�354
�13,690
�7,218
�114
�20,891
�54
�26
�72,050
�6,682
� 228,184
�96,897
�9,939
$375
�51,350
�17,287
�2,291
�3,389
�512
�1,087
�5,522
$447
�5,442
�4,164
$258,147
�46,049
�1,266,721
�19,234
�1,831
�2,211
�8,405
�49,084
�6,867
�396,142
�16,503
�50,964
�1,710
�1,892
$33,869
$415
Odem
Odessa
Oglesby
Old River-Winfree
Oldham County
Olmos Park
Olney
Olton
Omaha
Onalaska
Opdyke West
Orange
Orange County
Orange Grove
Orchard
Ore City
Overton
Ovilla
Oyster Creek
Paducah
Paint Rock
Palacios
Palestine
Palisades
Palrri Valley
Palmer
Palmhurst
Palmview
Palo Pinto County
Pampa
Panhandle
Panola County
Panorama Village
Pantego
Paradise
Paris
Parker
Parker County
Parmer County
Pasadena
Pa.qe �
�7,420
�559,163
�29
�21,653
�10,318
�9,801
�6,088
�1,197
�4,185
�31,654
�479
�311,339
�689,818
�1,677
�867
�6,806
�7,900
� 13,391
�9,633
�125
�141
�14,036
�178,009
�240
�1,918
�12,666
�4,660
�7,577
�124,621
�67,227
�9,536
�80,699
�1,292
�12,898
�52
�201,180
�10,307
�476,254
�15,866
�356,536
Concho County
Conroe
Converse
Cooke County
Cool
Coolidge
Cooper
Coppell
Copper Canyon
Copperas Cove
Corinth
Corpus Christi
Corral City
Corrigan
Corsicana
Coryell County
Cottle County
Cottonwood
Cottonwood Shores
Cotulla
Coupland
Cove
Covington
Coyote Flats
Crandall
Crane
Crane County
Cranfills Gap
Crawford
Creedmoor
Cresson
Crockett
Crockett County
Crosby County
Crosbyton
Cross Plains
Cross Roads
Cross Timber
Crowell
Crowley
$3,859
$466,671
�27,693
�200,451
$731
�243
�362
�86,593
�489
�133,492
�75,298
�1,812,707
�143
�21,318
�87,310
�123,659
�875
�289
�1,203
�1,251
$266
$387
$519
�1,472
� 12,094
�10,599
�26,146
�128
�383
�16
� 1,086
�23,403
�18,210
�18,388
� 1,498
�4,877
�244
�542
�6,335
�22,345
Pattison
Patton Village
Payne Springs
Pearland
Pearsall
Pecan Gap
Pecan Hill
Pecos
Pecos County
Pelican Bay
Penelope
Penitas
Perryton
Petersburg
Petrolia
Petronila
Pflugerville
Pharr
Pilot Point
Pine Forest
Pine Island
Pinehurst
Pineland
Piney Point Village
Pittsburg
Plains
Plainview
Plano
Pleak
Pleasant Valley
Pleasanton
Plum Grove
Point
Point Blank
Point Comfort
Point Venture
Polk County
Ponder
Port Aransas
Port Arthur
Pa.qe 8
�1,148
�9,268
�1,770
�333,752
�11,570
�719
�229
�7,622
�46,997
�1,199
�415
�312
�23,364
�1,691
�17
�5
�86,408
�144,721
�11,613
�3,894
�3,141
�32,671
�4,138
�15,738
�20,526
�129
�60,298
�1,151,608
�270
�308
�29;011
�258
�1,519
�355
�447
�588
�370,831
�1,282
�31,022
�367,945
Crystal City
Cuero
Culberson County
Cumby
Cuney
Cushing
Cut and Shoot
DISH
Daingerfield
Daisetta
Dalhart
Dallam County
Dallas County
Dallas
Dalworthington Gardens
Danbury
Darrouzett
Dawson
Dawson County
Dayton
Dayton Lakes
De Kalb
De Leon
De Witt County
DeCordova
DeSoto
Deaf Smith County
Dean
Decatur
Deer Park
Del Rio
Dell City
Delta County
Denison
Denton
Denton County
Denver City
Deport
Detroit
Devers
�19;412
�24,689
�789
�5,320
�606
�1,120
�2,141
�19
�12,476
�5,370
�11,609
�21,686
�8,538,291
�2,999,902
�6,060
�4,231
�101
$600
�46,911
�47,122
�38
�1,035
�8,218
�68,895
�13,778
�72,400
�34,532
�141
�56,669
�49,388
�59,056
�15
�30,584
�210,426
�458,334
�1,132,298
�2,104
�42
�965
�191
Port Isabel
Port Lavaca
Port Neches
Portland
Post
Post Oak Bend City
Poteet
Poth
Potter County
Pottsboro
Powell
Poynoi�
Pi�airie View
Pi�er�iont
Presidio
Presidio County
Primera
Princeton
Progreso
Progreso Lakes
Prosper
Providence Village
Putnam
Pyote
Quanah
Queen City
Quinlan
Quintana
Quitaque
Quitman
Rains County
Ralls
Rancho Viejo
Randall County
Ranger
Rankin
Ransom Canyon
Ravenna
Raymondville
Reagan County
Pa.qe 9
�9,802
�11,752
�38,849
�76,517
�2,332
�1,034
�6,767
�3,974
�371,701
�12,302
�110
�1,180
� 7, 600
�3,321
�148
�787
�2,958
�19,245
�8,072
�39
�22,770
�508
�14
�22
�207
�4,837
�7,304
�492
�8
�15,619
�53,190
�3,967
�3,836
� 278,126
�12,186
�1,613
�930
�685
�7,466
�25,215
Devine
Diboll
Dickens
Dickens County
Dickinson
Dilley
Dimmit County
Dimmitt
Dodd City
Dodson
Domino
Donley County
Donna
Dorchester
Double Oak
Douglassville
Dripping Springs
Driscoll
Dublin
Dumas
Duncanville
Duval County
Eagle Lake
Eagle Pass
Early
Earth
East Bernard
East Mountain
East Tawakoni
Eastland
Eastland County
Easton
Ector
Ector County
Edcouch
Eden
Edgecliff Village
Edgewood
Edinburg
Edmonson
�4,354
�25,533
�71
�1,873
�83,683
�2,633
�33,294
�1,012
�1,211
$447
$196
�22,370
�13,798
�231
�4,765
$574
�811
�39
�14,478
�26,229
�58,328
�49,109
�4,882
�56,005
�14,838
�242
�5,554
$2,494
�2,723
�15,896
�52,275
�329
�1,108
�480,000
�4,101
�497
�2, 232
�13,154
�120,884
�136
Real County
Red Lick
Red Oak
Red River County
Redwater
Reeves County
Refugio
Refugio County
Reklaw
Reno
Reno
Retreat
Rhome
Rice
Richardson
Richland
Richland Hills
Richland Springs
Richmond
Richwood
Riesel
Rio Bravo
Rio Grande City
Rio Hondo
Rio Vista
Rising Star
River Oaks
Riverside
Roanoke
Roaring Springs
Robert Lee
Roberts County
Robertson County
Robinson
Robstown
Roby
Rochester
Rockdale
Rockpoi�t
Rocksprings
Pa.ge 1 G
�5,073
�23
�26,843
$29,306
�1,058
�103,350
�8,839
�46,216
�1,136
$3,791
$11,164
�52
�12,285
�1,972
�260,315
$210
�24,438
� 2,234
�77,606
�12,112
�1,118
�8,548
�25,947
�3,550
�4,419
� 1,933
�11;917
�858
�275
�461
�85
�547
�44,642
�18,002
�40,154
�428
�674
�20,973
�54,253
�25
Edna
Edom
Edwards County
El Campo
El Cenizo
El Lago
El Paso
El Paso County
Eldorado
Electra
Elgin
Elkhart
Ellis County
Elmendorf
Elsa
Emhouse
Emory
Enchanted Oaks
Encinal
Ennis
Erath County
Escobares
Estelline
Euless
Eureka
Eustace
Evant
Everman
Fair Oaks Ranch
Fairchilds
Fairfield
Fairview
Falfurrias
Falls City
Falls County
Fannin County
Farmers Branch
Farmersville
Farwell
Fate
�18,194
$2,149
�975
�31,700
�621
$5,604
�1,224,371
�2,592,121
�50
�15,716
�26,284
�301
�315,372
�746
�7,720
�83
$3,878
�1,299
�1;515
�81,839
�102,616
�40
�909
�92,824
�334
�2,089
$2,068
�7,692
�8,077
�81
�1,245
�32,245
�2,221
�41
�34,522
$131,653
�94,532
�10,532
�343
�3,473
Rockwall
Rockwall County
Rocky Nlound
Rogers
Rollingwood
Roma
Roman Forest
Ropesville
Roscoe
Rose City
Rose Hill Acres
Rosebud
Rosenberg
Ross
Rosser
Rotan
Round Mountain
Round Rock
Round Top
Rowlett
Roxton
Royse City
Rule
Runaway Bay
Runge
Runnels County
Rusk
Rusk County
Sabinal
Sabine County
Sachse
Sadler
Saginaw
Salado
San Angelo
San Antonio
San Augustine
San Augustine County
San Benito
San Diego
Pa.ge 11
�114,308
�168,820
�280
�3,818
�4,754
�16,629
�8,610
�2,122
�778
�4,012
�2,311
� 1,489
� 126,593
�147
�549
�1,493
�454
�475,992
�140
�99,963
�47
�23,494
�800
�6,931
�255
�33,831
�17,991
�151,390
�1,811
�46,479
�23,400
�925
�31,973
�3,210
�536,509
�4,365,416
�25,182
$37,854
�40,015
�11,771
Fayette County
Fayetteville
Ferris
Fisher County
Flatonia
Florence
Floresville
Flower Mound
Floyd County
Floydada
Foard County
Follett
Forest Hill
Forney
Forsan
Fort Bend County
Fort Stockton
Fort Worth
Franklin
Franklin County
Frankston
Fredericksburg
Freeport
Freer
Freestone County
Friendswood
Frio County
Friona
Frisco
Fritch
Frost
Fruitvale
Fulshear
Fulton
Gaines County
Gainesville
Galena Park
Gallatin
Galveston
Galveston County
�92,440
�391
� 13,873
�5,518
�5,661
�3,949
�21,699
�215,256
�9,049
$6,357
�5,764
�212
�26,132
�80,112
$576
�1,506,719
�4,411
�2,120,790
�3,931
�25,783
$274
�56,486
�72,973
�3,271
�50,495
�140,330
$19,954
�2,848
�405,309
�4,548
$321
�2,344
�5,272
�1,602
�54,347
�153,980
� 13,093
�1,253
�488,187
�1,124,093
San Elizario
San Felipe
San Jacinto County
San Juan
San Leanna
San Marcos
San Pati�icio
San Pati�icio County
San Perlita
San Saba
San Saba County
Sanctuary
Sandy Oaks
Sandy Point
Sanford
Sanger
Sansom Park
Santa Anna
Santa Clara
Santa Fe
Santa Rosa
Savoy
Schertz
Schleicher County
Schulenburg
Scotland
Scottsville
Scurry
Scurry County
Seabrook
Seadrift
Seagoville
Seagraves
Sealy
Seguin
Selma
Seminole
Seven Oaks
Seven Points
Seymour
Pa.qe 12
�7,831
� 1,498
�197,398
�28,845
�36
�325,688
�4,213
�271,916
�2,219
�10,057
�17,562
�17
�9,863
�1,637
�308
�22,237
�223
�329
�87
�33,272
�2,138
�2,349
�60,110
�5,695
�2,560
�148
�708
�1,110
�73,116
�30,270
�991
�17,106
�7,531
�20,637
�376,538
�22,429
� 16,092
�3,917
� 7, 452
�14,218
Ganado
Garden Ridge
Garland
Garrett
Garrison
Gary City
Garza County
Gatesville
George West
Georgetown
Gholson
Giddings
Gillespie County
Gilmer
Gladewater
Glasscock County
Glen R.ose
Glenn Heights
Godley
Goldsmith
Goldthwaite
Goliad
Goliad County
Golinda
Gonzales
Gonzales County
Goodlow
Goodrich
Gordon
Goree
Gorman
Graford
Graham
Granbury
Grand Pi�airie
Grand Saline
Grandfalls
Grandview
Granger
Granite Shoals
�5,510
�11,351
$420,244
�2,510
�3,555
�450
�8,944
�26,994
�6,207
�225,896
�1,505
�12,674
�63,191
�33,951
�24,638
� 1,000
�540
�16,593
�3,115
�677
�1,225
�3,563
�34,660
�100
$14,882
�33,230
$221
�9,643
$365
�749
�3,107
�23
$235,428
�71,735
�445,439
$36,413
�65
�6,600
�2,741
�11,834
Shackelford County
Shady Shores
Shallowater
Shamrock
Shavano Pai�k
Shelby County
Shenandoah
Shepherd
Sherman
Sherman County
Shiner
Shoreacres
Silsbee
Silverton
Simonton
Sinton
Skellytown
Slaton
Smiley
Smith County
Smithville
Smyer
Snook
Snyder
Socorro
Somerset
Somervell County
Somerville
Sonora
Sour Lake
South Houston
South 1��Iountain
South Padre Island
Southlake
Southmayd
Southside Place
Spearman
Splendora
Spofford
Spring Valley Village
Pa.qe l;s
�1,288
�594
�1,907
�4,328
�3,178
�109,925
�47,122
�147
�330,585
�7,930
�4,042
�958
�66,442
�14
� 1,906
�23,658
�400
�154
�655
�758,961
�17,009
�300
�1,422
�9,018
�11,125
�1,527
�57,076
�3,806
�7,337
�17,856
�25,620
�154
�30,629
�70,846
�7,096
�885
�14,000
� 7, 756
�7
�16,404
Granjeno
Grapeland
Grapevine
Gray County
Grays Prairie
Grayson County
Greenville
Gregg County
Gregory
Grey Forest
Grimes County
Groesbeck
Groom
Groves
Groveton
Gruver
Guadalupe County
Gun Barrel City
Gunter
Gustine
Hackberry
Hale Center
Hale County
Hall County
Hallettsville
Hallsburg
Hallsville
Haltom City
Hamilton
Hamilton County
Hamlin
Hansford County
Happy
Hardeman County
Hardin
Hardin County
Harker Heights
Harlingen
Harris County
Harrison County
�43
�7,287
�129,195
�65,884
�17
�539,083
�203,112
$243,744
�4,697
�474
�94,878
�5,745
$965
�40,752
�8,827
�1,166
�146,824
�36,302
�4,609
�34
�94
�6,042
�79,150
�8,933
�6,895
�272
� 10,239
�71,800
�3,581
�66,357
�4,656
�16,416
�327
�15,219
�100
�379,800
�113,681
�165,429
�14,966,202
�185,910
Springlake
Springtown
Spur
St. Hedwig
St. Jo
St. Paul
Stafford
Stagecoach
Stamford
Stanton
Staples
Star Harbor
Starr County
Stephens County
Stephenville
Sterling City
Sterling County
Stinnett
Stockdale
Stonewall County
Stratford
Strawn
Streetman
Sudan
Sugar Land
Sullivan City
Sulphur Springs
Sun Valley
Sundown
Sunnyvale
Sunray
Sunrise Beach Village
Sunset Valley
Surfside Beach
Sutton County
Sweeny
Sweetwater
Swisher County
Taft
Tahoka
Pa.ge 14
�3
�14,244
�427
�111
�7,360
�21
�75,145
�3,036
�398
�3,838
�19
�151
�99,896
�35,244
�83,472
�62
�939
�4,097
�741
�1,822
�8,378
�987
�5
�32
�321,561
�6,121
�124,603
�4
�2,592
�3,248
�2,571
�2,083
�9,425
�6,530
�6,541
�4,503
�68,248
�7,251
�5,861
�430
Hart
Hartley County
Haskell
Haskell County
Haslet
Hawk Cove
Hawkins
Hawley
Hays
Hays County
Hearne
Heath
Hebron
Hedley
Hedwig Village
Helotes
Hemphill
Hemphill County
Hempstead
Henderson
Henderson County
Henrietta
Hereford
Hewitt
Hickory Ci�eek
Hico
Hidalgo
Hidalgo County
Hideaway
Higgins
Highland Haven
Highland Park
Highland Village
Hill Country Village
Hill County
Hillcrest
Hillsboro
Hilshire Village
Hitchcock
Hockley County
�86
�786
�10,829
�22,011
� 1,908
�674
�7,932
�931
$506
$529,489
�16,824
�28,751
�687
�70
�13,067
�15,790
�8,035
� 14,394
�21,240
�59,966
�327,965
�2,720
�20,423
�19,776
�16,510
�5,534
�26,621
�1,253,103
�922
�43
�320
�43,383
�50,315
�6,485
�127,477
$5,345
�46,609
�859
�28,796
�46,407
Talco
Talty
Tarrant County
Tatum
Taylor
Taylor County
Taylor Lake Village
Taylor Landing
Teague
Tehuacana
Temple
Tenaha
Terrell
Terrell County
Terrell Hills
Terry County
Texarkana
Texas City
Texhoma
Texline
The Colony
The Hills
Thompsons
Thorndale
Thornton
Thorntonville
Thrall
Three Rivers
Throckmorton
Throckmorton County
Tiki Island
Timbercreek Canyon
Timpson
Tioga
Tira
Titus County
Toco
Todd Mission
Tolar
Tom Bean
Pa.qe 15
�372
�9,124
�6,171,159
�972
�57,945
�351,078
�412
�153
�1,714
�12
�280,747
�4,718
�148,706
�5,737
$9,858
�25,423
�192,094
�298,702
�156
�865
� 114,297
�1,004
� 1,897
�1,595
�270
�87
�825
�4,669
�29
�5,695
�2,178
�369
�12,642
�2,390
�185
�70,611
�4
� 1,680
�2,369
�2,293
Holiday Lakes
Holland
Holliday
Hollywood Park
Hondo
Honey Grove
Hood County
Hooks
Hopkins County
Horizon City
Horseshoe Bay
Houston County
Houston
Howard County
Howardwick
Howe
Hubbard
Hudson
Hudson Oaks
Hudspeth County
Hughes Springs
Hur�ible
Hunt County
Hunters Creek Village
Huntington
Huntsville
Hurst
Hutchins
Hutchinson County
Hutto
Huxley
Idalou
Impact
Indian Lake
Industry
Ingleside on the Bay
Ingleside
Ingram
Iola
Iowa Colony
�1,795
�77
�5,910
�9,424
�115,288
�7,196
�292,105
�2,702
�149,518
� 7, 520
�48,173
�78,648
�7,021,793
�89,330
�84
�9,177
�3,635
�6,840
�15,637
�985
�4,442
�73,952
$309,851
�14,708
�8,792
�80,373
�99,187
�9,551
�74,630
�38,346
�738
�1,999
$8
$473
�604
�142
�40,487
�5,243
�3,164
�4,090
Torn Green County
Tor�iball
Tool
Toyah
Travis County
Trent
Trenton
Trinidad
Trinity
Trinity County
Trophy Club
Troup
Tr�oy
Tulia
Turkey
Tuscola
Tye
Tyler
Tyler County
Uhland
Uncei�tain
Union Grove
Union Valley
Universal City
University Park
Upshur County
Upton County
Uvalde
Uvalde County
Val Verde County
Valentine
Valley Niills
Valley View
Van
Van Alstyne
Van Horn
Van Zandt County
Vega
Venus
Vernon
Pa.qe 16
$282,427
�34,620
$14,787
�40
�4,703,473
�63
�3,089
�5,859
�23,652
�105,766
�29,370
�7,918
�5,320
�8,911
�737
�138
�1,766
�723,829
�131,743
�1,545
�185
�994
�666
�28,428
�50,833
�128,300
�8,499
�18,439
�36,244
�117,815
�207
�2,228
�1,824
�6,206
�43,749
�211
�248,747
�974
�9,792
�81,337
Iowa Park
Iraan
Iredell
Irion County
Irving
Italy
Itasca
Ivanhoe
Jacinto City
Jack County
Jacksboro
Jackson County
Jacksonville
Jamaica Beach
Jarrell
Jasper
Jasper County
Jayton
Jeff Davis County
Jefferson
Jefferson County
Jersey Village
Jewett
Jim Hogg County
Jim Wells County
Joaquin
Johnson City
Johnson County
Jolly
Jones County
Jones Creek
Jonestown
Josephine
Joshua
Jourdanton
Junction
Justin
Karnes City
Karnes County
Katy
�23,487
�56
�216
�9,105
�427,818
�5,349
�8,694
�26
�14,141
�14,799
�23,254
�37,984
�80,179
�4,913
�2,423
�78,422
�248,855
�63
�8,500
�11,194
�756,614
�36,347
�9,338
�12,718
�166,539
$810
�3,581
�408,692
�26
�22,001
�5,078
�6,419
�881
�20,619
�9,600
�4,825
�8,575
�11,632
�35,249
�52,467
Victoria
Victoria County
Vidor
Vinton
Volente
Von Ormy
Waco
Waelder
Wake Village
Walker County
Waller County
Waller
Wallis
Walnut Springs
Ward County
Warren City
Washington County
Waskom
Watauga
Waxahachie
Weatherfoi�d
Webb County
Webberville
Webster
Weimar
Weinert
Weir
Wellington
Wellman
Wells
Weslaco
West
West Columbia
West Lake Hills
West Orange
West Tawakoni
West University Place
Westbrook
Westlake
Weston
Pa.qe 1 i
�84,598
�520,886
�95,620
�622
�333
�513
�512,007
�3,427
�174
�184,624
� 126,206
�11,295
�2,698
�183
�67,920
�66
�83,727
�5,346
�33,216
� 152,094
�207,872
�505,304
�1,280
�53,202
�5,830
�234
�443
�9,111
�383
�1,357
�73,949
�3,522
�17,958
�17,056
�42,452
�6,995
�34,672
�43
�41,540
$266
Kaufman
Kaufman County
Keene
Keller
Kemah
Kemp
Kempner
Kendall County
Kendleton
Kenedy
Kenedy County
Kenefick
Kennard
Kennedale
Kent County
Kerens
Kermit
Kerr County
Kerrville
Kilgore
Killeen
Kimble County
King County
Kingsville
Kinney County
Kirby
Kirbyville
Kirvin
Kleberg County
Knollwood
Knox City
Knox County
Kosse
Kountze
Kress
Krugerville
Krum
Kurten
Kyle
La Feria
�27,607
�353,047
�38,296
�79,189
�28,325
�6,419
�330
�100,643
�13
�676
�1,000
�416
�132
�21,024
�939
�1,924
�5,652
�218,452
�190,357
�105,583
�535,650
�20,480
� 1,000
�20,083
�2,142
�8,752
�10,690
�2
�124,109
�1,160
� 1,962
�11,730
$2,468
�19,716
�186
�1,508
�9,661
�686
�51,835
�10,381
Weston Lakes
Westover Hills
Westworth Village
Wharton
Wharton County
Wheeler
Wheeler County
White Deer
White Oak
White Settlement
Whiteface
Whitehouse
Whitesboro
Whitewright
Whitney
Wichita County
Wichita Falls
Wickett
Wilbarger County
Willacy County
Williamson County
Willis
Willow Pai�k
Wills Point
Wilmer
Wilson
Wilson County
Wimberley
Windcrest
Windom
Windthorst
Winfield
Wink
Winkler County
Winnsboro
Winona
Winters
Wise County
Wixon Valley
Wolfe City
Pa.qe 1 &
�189
�4,509
$ 7,842
�31,700
�72,887
�447
�26,273
�1,273
�15,305
�23,304
�155
�29,017
�18,932
� 7, 098
$73
�552,371
�832,574
$87
$ 55,124
�24,581
�1,195,987
�24,384
�26,737
�43,765
�426
�12
�121,034
�724
�12,908
�1,087
�3,385
�290
�120
�61,163
�28,791
�319
�6,229
�289,074
�441
�5,466
La Grange
La Grulla
La Joya
La A�Zarque
La Porte
La Salle County
La Vernia
La Villa
La Ward
LaCoste
Lacy-Lakeview
Ladonia
Lago Vista
Laguna Vista
Lake Bridgeport
Lake City
Lake Dallas
Lake Jackson
Lake Tanglewood
Lake Worth
�9,623
�1,708
$8,457
�98,930
�91,532
�14,975
�3,217
�572
�321
�159
�11,599
�2,011
�13,768
$3,689
�232
�2,918
�25,314
�75,781
�613
�20,051
Wolfforth
Wood County
Woodbranch
Woodcreek
Woodloch
Woodsboro
Woodson
Woodville
Woodway
Wortham
Wylie
Yantis
Yoakum County
Yoakum
Yoi�ktown
Young County
Zapata County
Zavala County
Zavalla
Pa.ge 19
�4,022
�267,048
�9,617
�358
�1,012
�1,130
�122
�20,340
�25,713
�376
�114,708
�2,072
�34,924
�20,210
�5,447
�44,120
�56,480
�38,147
� 1,088
Exhibit C: TX Opioid Council & Health Care Region Allocations plus Administrative Costs
70% of Total (�700 millionl
Health Care Region Allocation*: �693 million; Administrative Costs: $7 million
Region
Counties in Health Care Region
Allocation
Anderson, Bowie, Camp, Cass, Cherokee, Delta, Fannin, Franklin, Freestone, Gregg,
1 Harrison, Henderson, Hopkins, Houston, Hunt; Lamar, Marion, Morris, Panola, Rains,
Red, River, Rusk, Smith, Titus, Trinity, Upshur, Van, Zandt, Wood $38,223,336
2 Angelina, Brazoria, Galveston; Hardin, Jasper, Jefferson, Liberty, Nacogdoches, Newton,
Orange, Polk, Sabine, San Augustine, San Jacinto, Shelby, Tyler $54,149,215
3 Austin, Calhoun, Chambers, Colorado; Fort Bend, Harris, Matagorda, Waller, Wharton $120,965,680
4 Aransas, Bee, Brooks, De Witt, Duval, Goliad, Gonzales, Jackson, Jim Wells, Karnes,
Kenedy, Kleberg, Lavaca, Live Oak, Nueces, Refugio, San Patricio, Victoria �27,047,477
5 Cameron, Hidalgo, Starr, Willacy �17,619,875
� Atascosa, Bandera, Bexar, Comal, Dimmit, Edwards, Frio; Gillespie, Guadalupe, Kendall,
Kerr, Kinney, La Salle, McMullen, Medina, Real, Uvalde, Val Verde, Wilson, Zavala �68,228,047
7 Bastrop, Caldwell, Fayette, Hays, Lee, Travis $50,489,691
8 Bell, Blanco, Burnet, Lampasas, Llano, Milam, MiIls, San Saba, Williamson $24,220,521
9 Dallas, Kaufman �66,492,094
10 Ellis, Erath, Hood, Johnson, Navarro, Parker, Somervell, Tarrant, Wise $65,538,414
Brown, Callahan, Comanche, Eastland, Fisher, Haskell, Jones, Knox, Mitchell, Nolan,
11 palo Pinto, Shackelford, Stephens, Stonewall, Ta,ylor �9,509,818
Armstrong, Bailey, Borden, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth,
Cottle, Ci�osby; Dallam, Dawson, Deaf Smith, Dickens, Donley, Floyd, Gaines, Garza,
12 Gray, Hale, Hall, Hansford, Hartley, Hemphill, Hockley, Hutchinson, Kent, King, Lamb,
Lipscomb, Lubbock; Lynn; Moore, Motley, Ochiltree, Oldham, Parmer, Potter, Randall,
Roberts, Scurr,y, Sherman, Swisher, Terr,y, Wheeler, Yoakum �23,498
13
14
Coke, Coleman, Concho, Crockett, Irion, Kimble, Mason, McCulloch, Menard, Pecos,
Reagan, Runnels, Schleicher, Sterlin�, Sutton, Terrell, Tom Green
Andrews, Brewster, Crane, Culberson, Ector, Glasscock, Howard, JefF Davis, Loving,
Martin, Midland, Presidio, Reeves, Upton, Ward, Winkler
15 El Paso, H
$5,195,605
$12,124
�17,994
16 Bosque, Coryell, Falls, Hamilton, Hill, Limestone, McLennan $9,452,018
17 Brazos, Burleson, Grimes, Leon, Madison, Montgomery, Robertson, Walker, Washington $23,042,947
18 Collin, Denton, Grayson, Rockwall �39,787,684
19
20
Archer, Baylor, Clay, Cooke, Foard, Hardeman, Jack, Montague, Throckmorton, Wichita,
Wilbarger, Young
Jim Ho��, �Iaverick, Webb, ZaX>ata
�12,665,268
�6,755,656
Adr�iinistrative Costs $7,000,000
* Each Region shall i�eserve 25% of its allocation foi� Targeted Funds under the guidelines of Exhibit A.
GRANT 2023-2024 EXHIBIT B PROGRAM SUMMARY
Page 1
University of North Texas Health Science Center EXHIBIT B
SaferCare Texas PROGRAM SUMMARY
PROGRAM SUMMARY
(Texas Opioid Abatement Fund Council TOAFC)
March 1, 2024 to Februrary 28, 2025 $310,339.00
PERIOD AMOUNT
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
This Program would be an extension of current relationships and interventions with two key
coalitions and one CHW association within Fort Worth proposing to hold 25 train-the-trainer
trainings led by SaferCare Texas. These train-the-trainer sessions will empower students in a
variety of health professions programs at HSC, Fort Worth centric community-based
organization staff and volunteers, community health workers and first responders. All trained
trainers will provide outreach executing trainings within the community, schools, and home-
based care settings to magnify and promote sustainability of the HSC efforts. Student outreach
will be supervised by the clinical executives. One-hour trainings will be provided and include a
Toolkit containing an informational PowerPoint and Video. In addition, healthcare providers
will be exposed to in-kind VR training to assist them in incorporating a holistic approach and
prevention model that empowers them with the tools necessary to incorporate addiction
prevention measures. (Exhibit E List of Opioid Remediation Uses Schedule B Part 2: H3)
The Program will provide Community-based interventions with clinical executives comprised
of nurses and nurse practitioners to distribute 600 naloxone kits and 1,500 drug disposal bags
including 25 organizational readiness kits accompanied by education training of trainers among
students within HSC and Fort Worth-based organizations and groups responding to this
opportunity. (LIST of OPIOID REMEDIATION USES SCHEDULE A CORE STRATEGIES
Part A)
In an effort to market and implement this program, a media campaign called One Pill Kills
have been created via webpage where organizations hosting the trainings and participants can
seek additional information. This webpage will be used to develop a community landing page
co-branded with the City of Fort Worth including a link to request community kits and
trainings, database of evidence-based community education materials, and free referral services
for wellness needs/substance abuse disorder assistance. (LIST of OPIOID REMEDIATION
USES SCEHDULE A CORE STRATEGIES G.)
HSC facilities are located at 3500 Camp Bowie, Blvd. and will be the base site for the planning
and development of the train-the-trainer sessions as well as delivery to students and community
health workers empowering a variety of health professional students in programs at HSC, Fort
GRANT 2023-2024 EXHIBIT B PROGRAM SUMMARY
Page 2
Worth-centric community-based organization staff and volunteers, community health workers
and first responders. Training sessions will take place in scattered sites across the City of Fort
Worth
PROGRAM GOALS:
Minimum Number of Fort Worth Clients to be Served: The Program must serve a minimum
of 600 Unduplicated Clients for the primary trainings with exponentially more expected by the
trained trainers (which we will also track) from Fort Worth as shown by the monthly reports on
Attachment III.
Grant Budget Total
PROGRAM PERSONNEL
Salaries $65,052.00 $65,052.00
Fringe $13,919.00 $13,919.00
SUPPLIES AND SERVICES
Mileage $3,125.00 $3,125.00
Training Expenditures $37,500.00 $37,500.00
Naloxone Kits 75,000.00$ 75,000.00$
Small deterra drug activation
pouches $12,000.00 $12,000.00
Recruitment and Engagement $3,000.00 $3,000.00
Co-branded community landing
website $22,000.00 $22,000.00
Facility and Utilities
F&A rate (34% based on direct
cost of $231,596)$78,743.00 $78,743.00
BUDGET TOTAL $310,339.00 310,339.00$
EXHIBIT "" - BUDGET
Page 1
Annual Salary
Est. Percent to
Grant
Amount to
Grant
143,136.00$ 20.0% 28,627$
184,092.00$ 7.0% 12,886$
233,868.00$ 1.8% 4,210$
216,372.00$ 1.8% 3,895$
258,000.00$ 1.8% 4,644$
195,000.00$ 1.8% 3,510$
52,000.00$ 14.0% 7,280$
-$
1,282,468.00$ 65,052$
Percent of
Payroll Amount
Est. Percent to
Grant
Amount to
Grant
FICA
Life/Disability Insurance
Health/Dental Insurance
Unemployment-State
Worker's Compensation
Retirement
Staff Training
TOTAL -$ 13,919.00$
The following tables were created for the purpose of preparing, negotiating, and determining the cost
reasonableness and cost allocation method used by the Agency for the line item budget represented on
the first page of this EXHIBIT “” – Budget. The information reflected in the tables is to be
considered part of the terms and conditions of the Contract. Agency must have prior written approval
by the City to make changes to any line item in the Budget as outlined in Section 5.2.2 in the
Contract. The deadline to make changes to EXHIBIT “” – Budget is .
TOTAL
FRINGE DETAIL-PROGRAM PERSONNEL
SALARY DETAIL-PROGRAM PERSONNEL
Position Title
Project Lead (PI); Wagner, Teresa
Co-Investigator (Co-I); Spence, Emily
Student worker, TBD
Advisory Panelists; Burns, Rebecca
Advisory Panelists; Wells-Beede, Elizabeth
Adivosry Panelists; Lewis, Melissa
Adivosry Panelists; Walters, Scott
The HSC fringe benefit rate is 23% for faculty, 33% for staff and 8.65% for student and part-time
employees. Pooled average fringe benefit rates are used at the proposal stage. Actuals rates are
charged at the time of award.
SUPPLIES AND SERVICES
Total Budget
Est. Percent to
Grant
Amount to
Grant
-$
Total Budget
Est. Percent to
Grant
Amount to
Grant
#DIV/0!
3,125.00$ 3,125$
37,500.00$ 37,500$
75,000.00$ 75,000$
12,000.00$ 12,000$
3,000.00$ 3,000$
22,000.00$ 22,000$
152,625.00$ 152,625$
Total Budget
Est. Percent to
Grant
Amount to
Grant
78,743.00$ 78,743$
78,743.00$ 78,743$
Total Budget
Est. Percent to
Grant
Amount to
Grant
Cleaning Supplies
Postage
Printing
Contract Labor
Food Supplies
TOTAL
MISCELLANEOUS
Teaching Aids
Craft Supplies
Adv/Media, Dues/Pub, Printing, Bank Fees
TOTAL
FACILITY AND UTILITIES
Rent
F&A rate (34% based on direct cost of
$231,596)
Repairs
LEGAL, FINANCIAL AND INSURANCE
TOTAL
Utilities, Transportation, PP & E
Custodial Services
Mileage
Co-branded community landing website
Recruitment and engagement
Training expenditures
Naloxone units
Small deterra drug deactivation pouches
Field Trip Expenses
Office/Program Supplies
-$
Total Budget
Est. Percent to
Grant
Amount to
Grant
-$
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL
Fidelity Bond or Equivalent
Directors and Officers
Prof Fees
TOTAL
DIRECT ASSISTANCE
General Commercial Liability
Project RF40080
Function 200
Sum of Amount Year Period
2023
Account Description 5 6 7
50141 Salaries-Professional Admin
50143 Salaries-Staff
50401 Longevity Pay
50501 Payroll Tax Expense
50505 Retirement Expense-ORP
50507 Retirement Expense-TRS
50511 Employee Group Insurance
50519 TRS New Members
50525 Other Payroll Related Costs
51633 Food Svc-Catering-Exp
52505 TIS Mileage
52509 TIS Incidental Exp
52531 TOS Non-Airfare-Public Trans
52533 TOS Airfare
52535 TOS Mileage
52537 TOS Meals-Overnight Travel
52539 TOS Lodging-Ovrnt Travel
52541 TOS Incidental Exp
53001 Supplies-Office
53103 Computer Equipment-NonCap
53104 Computer Equipment-Controlled
55261 Conference Registration
55351 Business Meals
55405 Testing, Grading, Exam Svcs
55999 General Other Expense
56000 F&A Expense
Grand Total
2024
8 9 10 11 12 1 2 3
Grand Total
4 5
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- -
Unit Year Period Date Journal ID Account Description
Amount Line Descr Fund Cat
-
Fund Descr Function Dept Project Ref Line #
SourceLong Descr PC Status Deptid
Fund Cat Descr Function Desc Program
Program Fund Fund Desc Site
Site Desc Purpose Purpose PC Bus Unit
Proj Activity An TypeSource
Descr
Account Project
Employee Name Job Title Actuals
Total Fringe -
Total Salary & Fringe -
Payroll End Date Check Date Journal ID Paycheck Number
Journal Date
Due Date: Certifier Name: Location:Title: Appointment:Department: Effort Coordinator:Email: Certification Period:Status:To certify your effort for the period shown above, write the percent of effort that you spent on each award in the space provided below. Effort percentages must be entered as whole numbers. Theemployee or another person with suitable means of verifying the effort must certify this statement.Accounts Activity End Date Committed Effort Total Payroll $ Payroll UNTHSC PaidEffortComputed Effort Certified EffortSponsored$0.00 0% 0% 0% 0% RF$0.00 0% 0% 0% 0% RF 0%Sponsored Total: $% 0%%%Non Sponsored0%% 0%%%Non Sponsored Total: 0%% 0%%%Grand Total:% $.00% 0% 0% 0%_________________________________________________________________________________________________________________________________________________________________I certify the salary charged, salary transfers processed and effort certified this period reasonably reflect the work performed in the designated period, and that I have sufficient technical knowledge and/or Iam in a position that provides me with suitable means of verification that the work was performed.
PRINT NAME: _______________________________________________________ SIGNATURE: ________________________________________________________ DATE: ___________________
Reimbursement Request Form
Subrecipient: Unique Entity Identifier:
Reporting Period: SAM.gov expiration:
Preparer's Email:
Preparer's Phone:
EXPENSE CATEGORY Approved Budget Reimbursement
Request
YTD
Expense Budget Balance
PERSONNEL
Salaries $ $ $ $
Subtotal $ $ $ $
FRINGE
Payroll Taxes $ $ $ $
Health Insurance/Retirement $ $ $
Subtotal $ $ $ $
TRAVEL
Airfare, Hotel, Mileage Reimbursement $ $ $
Subtotal $ -$ $ $
EQUIPMENT
-$ -$ -$
-$
-$
Subtotal -$ -$ -$ -$
SUPPLIES -$ -$
$ $ $
-$ -$
-$
Subtotal $ -$ $ $
CONTRACTUAL -$ -$ -$
$ $ $ $
-$
-$
Subtotal $ $ $ $
OTHER
$ $ $
-$
-$
-$
-$
Subtotal $ -$ $ $
Total Direct $ $ $ $
Indirect
10% MDTC $ $ $ $
Subtotal $ $ $ $
TOTAL $
Total Request for Reimbursement: $
Signature Date
I certify to the best of my knowledge that the information provided herein is true and complete and that reimbursement for these expenses has not been request from any other source.
Summary - Supplier Invoice No. (Doc. No. )
Invoice Summary - Supplier Invoice No. (Doc. No. )
Supplier Invoice No.
Supplier Name
General
Invoice Information
Business Unit
Addresses
External
N ote
Internal
Note &
Approval
Justification
Note/Attachments
Invoice Type
Invoice Number
Supplier Invoice No.
Supplier No.
Supplier Name
� Status
Dates Information
Create Date
Invoice Receipt Date
(m m/dd/yyyy)
Invoice Date
Due Date
Invoice Received Date
Seroice Receipt Date no vafue
(mm/dd/yyyy)
Accounting Date
Discount Date
General Information
Is Supplier a Foreign
Vendor?
Terms
Invoiced Bv
Invoice Source
Match Status
Purchase Order Information
Invoice Owner
Procurement Method RFP
Invoice Name
Invoiced bv user
department
Buyer_ID
Delivery Location
Previous PO
Is this a exclusive
acquisition request?
Contains substituted
item(s),
Terms Discount
Accounting Codes Values vary by line.
LINE
Remit To
RemitTo Location edit
List
Bill To
Payment Information
Returned Payment Information
Payment Method
Payment Record No.
Payment Record Date
Codes
External Attachments
Internal Attachments
Discount, Tax, Shipping & Handling
Discount, tax, shipping & handling
Allocation Sum of All
Header-level Sum of lines
Terms Discount0.00 USD
Discount 0.00 USD 0.00 USD
Tax 1 0.00 USD 0.00 USD
Tax 2 0.00 USD 0.00 USD
Shipping 0.00 USD 0.00 USD
Handling 0.00 USD 0.00 USD
Total USD
1/2
Business_Unit Speedchart Account Department Fund Fund Function Project PC Activity Program Purpose Site
Category Business
Unit
no vafue no vafue no vafue no va(ue no vafue no vafue no value no vafue no vafue no vafue no vafue no value no vafue
Accounting Codes Values vary by line.
Line Item Details
P� Product Description
Line
1✓ 1 Service Total Amount
Catalog No SiZe � Unit Price Quantity Ext. Price
Packaging
Accounting Codes values
Business_Unit Speedchart Account Department Fund Fund Function Project PC Activity Program Purpose Site
Category Business
Unit
no vafue no no
Other Sponsored Research- Health Project_activity vplUe vp(Ue
Federal Restricted- Sponsored Science
Flow Projeds Center
Svcs Throughs
Service Start Date PO Number
Service End Date PO Department
Substitute Item
Taxable
Capital Expense
Line Match Status
Matching Summary
Ordered Received Net Invoiced
Quantity: --
Ext. Price: USD -- USD
Related Documents
Invoices: 13 / Credits: 0/ Receipts: 0 show list
Contract No.
Business Unit
External Note no note
Internal Note no note
External Line Attachments
Internal Line Attachments
Discount, tax, shipping & handling,
Line-level
Discount 0.00 USD
Tax 1 0.00 USD
Tax 2 0.00 USD
Shipping 0.00 USD
Handling 0.00 USD
Subtotal
Discount 0.00
Tax1 0.00
Tax2 0.00
Shipping 0.00
Handling 0.00
Total USD
Executive Summary
I. Dates, Details, and Locations ofTrainings Held
A. Number of Organizations Trained
B. Attendance Numbers
1. Race/Ethnicity
2. Gender
C. Outline of Types of Organizations
D. Number of Narcan and Drug Disposal Bags Distributed
II. Types of Employees Trained and their Zip Code
A. Number that the Organization Serves and Zip Codes typically Served.
B. Populations Typically Served
III. SubsequentTrainings Held
A. Number of Organizations Trained
B. Outline of Types of Organizations
IV. Learner Outcomes as Measured by Pre- and Post-tests
3/27/24, 4:25 PM
Demographics
Qualtrics Survey Software
Thank you for considering the UNTHSC School of Public Health/SaferCare
Texas Narcan Training!
Please complete this short survey to request training or to register for training.
Your survey results will allow us to determine how many people participated
and help us offer future training to other members of the community.
Full Name
Are you requesting a training or will you be attending a training?
Q Requesting
Q Will be Attending
Please type your contact information.
l
https://unthsayul l .qualtrics.com/Q/EditSection/Blocks/Aj�/GetSurveyPrintPreview?ContextSurveyID=SV_eyzNvGRPIK2AjKC&ContextLibraryID=UR_cApF9V ... 1 /5
3/27/24, 4:25 PM
What is the name of your organization?
Qualtrics Survey Software
What dates would you be interested in receiving Narcan Training?
What is the name of the event or the location where you are receiving this
training?
Date of the training
�
l
l
�
� �
What is your zipcode?
https://unthsayul l .qualtrics.com/Q/EditSection/Blocks/Aj�/GetSurveyPrintPreview?ContextSurveyID=SV_eyzNvGRPIK2AjKC&ContextLibraryID=UR_cApF9V ... 2/5
3/27/24, 4:25 PM
Qualtrics Survey Software
I
Which of the following best represents you or your institution? Select all that
apply
❑ Police Department
❑ Fire Department
❑ Emergency Services
❑ Elementary/ Middle/ High School
❑ Public or Private University
❑ Community Care Clinic
❑ Public Health
❑ Primary Care Practice
❑ Recovery/ Treatment Center Provider
❑ Counseling Service Provider
❑ Medication Assisted Treatment Center
❑ Hospital
❑ City/ County/ State Representative
❑ Social Services
❑ Family or Child Protective Services
❑ Community Outreach
❑ Other
Are you receiving this training as part of an organization?
Q Yes
Q No
What areas do you or your organization commonly serve? (Example: Hemphill
https://unthsayul l .qualtrics.com/Q/EditSection/Blocks/Aj�/GetSurveyPrintPreview?ContextSurveyID=SV_eyzNvGRPIK2AjKC&ContextLibraryID=UR_cApF9V ... 3/5
3/27/24, 4:25 PM
Qualtrics Survey Software
neighborhood, areas northeast of I-30 and I-35, Como neighborhood)
l
Approximately how many people does you or your organization serve?
�
To which of these groups might you be supplying Narcan to? Select all that
apply.
❑ Youth/ Young adults
❑ Elderly
❑ Rural/ Remote
❑ People in Substance Use Treatment Programs
❑ Pregnant/ Postpartum
❑ Native American/ Tribal
❑ Criminal justice-involved
❑ LGBTQIA
❑ Veterans
❑ Low-income
❑ Other
https://unthsayul l .qualtrics.com/Q/EditSection/Blocks/Aj�/GetSurveyPrintPreview?ContextSurveyID=SV_eyzNvGRPIK2AjKC&ContextLibraryID=UR_cApF9V ... 4/5
3/27/24, 4:25 PM
How did you hear about this event?
❑ Friend/Family
Qualtrics Survey Software
❑ SaferCare Texas YouTube Training Video
❑ Website
❑ Newsletter
❑ Social media
❑ Workplace
❑ Community Organization
❑ Colleague/ Professional Network
U
Other
Is there another event/ organization or group of people you believe we should
provide this training for? If so, please include that person or group's contact
information below.
/.
Powered by Qualtrics
https://unthsayul l .qualtrics.com/Q/EditSection/Blocks/Aj�/GetSurveyPrintPreview?ContextSurveyID=SV_eyzNvGRPIK2AjKC&ContextLibraryID=UR_cApF9V ... 5/5
Page 1 of 6
Narcan Training Post Survey
Start of Block: Default Question Block
Q25 Study:
UNT Health Science Center Opioid Abatement Program
Community Training
Thank you for participating in our training session. Your completion of this post-training
survey will help us evaluate our training program!
________________________________________________________________
Q5 Which of these below are NOT true about opioids in the United States.
o Opioid prescriptions are increasing (1)
o The majority of drug overdose deaths involve an opioid (2)
o Heroin is the cause of most opioid related deaths (3)
o Synthetic opioid deaths began to increase in 2013 (4)
Q6 ________ is a synthetic opioid, approved for treating severe pain. It is prescribed in the form
of patches placed on the skin, pills or lozenges.
o Naloxone (1)
o Narcan (2)
o Heroin (3)
o Fentanyl (4)
Page 2 of 6
Q7 Which of these is a sign of opioid overdose?
o Small constricted pinpoint pupils (1)
o Hyperactivity (2)
o Racing heart rate (3)
o Darkened, red or hot skin (4)
Q8 Narcan, a nasal spray that can be used for an opioid overdose is known as:
o Naloxone (1)
o Heroin (2)
o Hydrocodone (3)
o Fentanyl (4)
Q9 When administering Narcan, which of the choices below is NOT advised?
o Call 911 (1)
o Tilt head and lift chin (2)
o Test the plunger by depressing it before putting it in the nose (3)
o Insert fully into one nostril (4)
Page 3 of 6
Q10 Which of these is the recovery position?
o Seated upright in a chair (1)
o On their left side with hand under head (2)
o On their back with hands on chest (3)
o On their stomach with their head placed sideways (4)
Q11 You should call 911 if you administer Narcan.
o True (1)
o False (2)
Q12 Expired Narcan should be:
o Flushed down the toilet (1)
o Placed in a water bottle and put in the trash (2)
o Given to a drug-take back location or disposed of using FDA guidelines (3)
o Donated to Goodwill (4)
Page 4 of 6
Q27 I am confident that I can successfully administer Narcan
o Very true (1)
o Somewhat true (2)
o Neither true or false (3)
o Somewhat false (4)
o Very false (5)
Q28 I am confident I can safely dispose of unused medicine.
o Very true (1)
o Somewhat true (2)
o Neither true or false (3)
o Somewhat false (4)
o Very false (5)
Page 5 of 6
Q31 What is your level of satisfaction with this training?
o Extremely dissatisfied (1)
o Moderately dissatisfied (2)
o Slightly dissatisfied (3)
o Neither satisfied nor dissatisfied (4)
o Slightly satisfied (5)
o Moderately satisfied (6)
o Extremely satisfied (7)
Q26 To assess the usefulness of this training, we ask participants to complete this survey
before and after the training. Although we do not collect any identifying information during this
surveys, we would like to be able to match your pre and post responses for review. Therefore,
the question below is for matching purposes only.
o Write the first letter of your LAST name. For example, if your last name is Smart, put an
"S" in this box. (1) __________________________________________________
o Write the number corresponding to your birth month. For example, if you were born in
October, write "10" in this box. (2)
__________________________________________________
o Write the last two digits of your birth year. For example, if you were born in 1979, write
"79" in this box. (3) __________________________________________________
Q29 What are your suggestions to improve this training?
________________________________________________________________
Page 6 of 6
Q30 Is there an organization you believe we should offer this training to? If so, please identify
them below:
o Name of the organization (1)
__________________________________________________
o Name of a contact person if available (2)
__________________________________________________
End of Block: Default Question Block
E-1
EXHIBIT E
List of Opioid Remediation Uses
Schedule A
Core Strategies
States and Qualifying Block Grantees shall choose from among the abatement strategies listed in
Core
Strategies 14
A. NALOXONE OR OTHER FDA-APPROVED DRUG TO
REVERSE OPIOID OVERDOSES
1. Expand training for first responders, schools, community
support groups and families; and
2. Increase distribution to individuals who are uninsured or
whose insurance does not cover the needed service.
B. MEDICATION-MAT
DISTRIBUTION AND OTHER OPIOID-RELATED
TREATMENT
1. Increase distribution of MAT to individuals who are
uninsured or whose insurance does not cover the needed
service;
2. Provide education to school-based and youth-focused
programs that discourage or prevent misuse;
3. Provide MAT education and awareness training to
healthcare providers, EMTs, law enforcement, and other
first responders; and
4. Provide treatment and recovery support services such as
residential and inpatient treatment, intensive outpatient
treatment, outpatient therapy or counseling, and recovery
housing that allow or integrate medication and with other
support services.
14 rence for
new or existing programs.
E-2
C. PREGNANT & POSTPARTUM WOMEN
1. Expand Screening, Brief Intervention, and Referral to
SBIRT -Medicaid eligible or
uninsured pregnant women;
2. Expand comprehensive evidence-based treatment and
recovery services, including MAT, for women with co-
OUD
SUD
for uninsured individuals for up to 12 months postpartum;
and
3. Provide comprehensive wrap-around services to individuals
with OUD, including housing, transportation, job
placement/training, and childcare.
D. EXPANDING TREATMENT FOR NEONATAL
NAS
1. Expand comprehensive evidence-based and recovery
support for NAS babies;
2. Expand services for better continuum of care with infant-
need dyad; and
3. Expand long-term treatment and services for medical
monitoring of NAS babies and their families.
E. EXPANSION OF WARM HAND-OFF PROGRAMS AND
RECOVERY SERVICES
1. Expand services such as navigators and on-call teams to
begin MAT in hospital emergency departments;
2. Expand warm hand-off services to transition to recovery
services;
3. Broaden scope of recovery services to include co-occurring
SUD or mental health conditions;
4. Provide comprehensive wrap-around services to individuals
in recovery, including housing, transportation, job
placement/training, and childcare; and
5. Hire additional social workers or other behavioral health
workers to facilitate expansions above.
E-3
F. TREATMENT FOR INCARCERATED POPULATION
1. Provide evidence-based treatment and recovery support,
including MAT for persons with OUD and co-occurring
SUD/MH disorders within and transitioning out of the
criminal justice system; and
2. Increase funding for jails to provide treatment to inmates
with OUD.
G. PREVENTION PROGRAMS
1. Funding for media campaigns to prevent opioid use (similar
misusing tobacco);
2. Funding for evidence-based prevention programs in
schools;
3. Funding for medical provider education and outreach
regarding best prescribing practices for opioids consistent
with the 2016 CDC guidelines, including providers at
hospitals (academic detailing);
4. Funding for community drug disposal programs; and
5. Funding and training for first responders to participate in
pre-arrest diversion programs, post-overdose response
teams, or similar strategies that connect at-risk individuals
to behavioral health services and supports.
H. EXPANDING SYRINGE SERVICE PROGRAMS
1. Provide comprehensive syringe services programs with
more wrap-around services, including linkage to OUD
treatment, access to sterile syringes and linkage to care and
treatment of infectious diseases.
I. EVIDENCE-BASED DATA COLLECTION AND
RESEARCH ANALYZING THE EFFECTIVENESS OF THE
ABATEMENT STRATEGIES WITHIN THE STATE
E-4
Schedule B
Approved Uses
Support treatment of Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder
or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs
or strategies that may include, but are not limited to, the following:
PART ONE: TREATMENT
A. TREAT OPIOID USE DISORDER (OUD)
OUD -occurring Substance Use
SUD/MH itions through evidence-based or evidence-
informed programs or strategies that may include, but are not limited to, those that:15
1. Expand availability of treatment for OUD and any co-occurring SUD/MH
conditions, including all forms of Medication-Assisted MAT
approved by the U.S. Food and Drug Administration.
2. Support and reimburse evidence-based services that adhere to the American
ASAM -
occurring SUD/MH conditions.
3. Expand telehealth to increase access to treatment for OUD and any co-occurring
SUD/MH conditions, including MAT, as well as counseling, psychiatric support,
and other treatment and recovery support services.
4. OTPs to assure evidence-
based or evidence-informed practices such as adequate methadone dosing and low
threshold approaches to treatment.
5. Support mobile intervention, treatment, and recovery services, offered by
qualified professionals and service providers, such as peer recovery coaches, for
persons with OUD and any co-occurring SUD/MH conditions and for persons
who have experienced an opioid overdose.
6. Provide treatment of trauma for individuals with OUD (e.g., violence, sexual
assault, human trafficking, or adverse childhood experiences) and family
members (e.g., surviving family members after an overdose or overdose fatality),
and training of health care personnel to identify and address such trauma.
7. Support evidence-based withdrawal management services for people with OUD
and any co-occurring mental health conditions.
15
new or existing programs.
E-5
8. Provide training on MAT for health care providers, first responders, students, or
other supporting professionals, such as peer recovery coaches or recovery
outreach specialists, including telementoring to assist community-based providers
in rural or underserved areas.
9. Support workforce development for addiction professionals who work with
persons with OUD and any co-occurring SUD/MH conditions.
10. Offer fellowships for addiction medicine specialists for direct patient care,
instructors, and clinical research for treatments.
11. Offer scholarships and supports for behavioral health practitioners or workers
involved in addressing OUD and any co-occurring SUD/MH or mental health
conditions, including, but not limited to, training, scholarships, fellowships, loan
repayment programs, or other incentives for providers to work in rural or
underserved areas.
12. Provide funding and training for clinicians to obtain a waiver under the federal
Drug Addiction Treatment DATA 2000
OUD, and provide technical assistance and professional support to clinicians who
have obtained a DATA 2000 waiver.
13. Disseminate of web-based training curricula, such as the American Academy of
Addiction Psychia Opioids web-based
training curriculum and motivational interviewing.
14. Develop and disseminate new curricula, such as the American Academy of
Assisted Treatment.
B. SUPPORT PEOPLE IN TREATMENT AND RECOVERY
Support people in recovery from OUD and any co-occurring SUD/MH conditions
through evidence-based or evidence-informed programs or strategies that may include,
but are not limited to, the programs or strategies that:
1. Provide comprehensive wrap-around services to individuals with OUD and any
co-occurring SUD/MH conditions, including housing, transportation, education,
job placement, job training, or childcare.
2. Provide the full continuum of care of treatment and recovery services for OUD
and any co-occurring SUD/MH conditions, including supportive housing, peer
support services and counseling, community navigators, case management, and
connections to community-based services.
3. Provide counseling, peer-support, recovery case management and residential
treatment with access to medications for those who need it to persons with OUD
and any co-occurring SUD/MH conditions.
E-6
4. Provide access to housing for people with OUD and any co-occurring SUD/MH
conditions, including supportive housing, recovery housing, housing assistance
programs, training for housing providers, or recovery housing programs that allow
or integrate FDA-approved mediation with other support services.
5. Provide community support services, including social and legal services, to assist
in deinstitutionalizing persons with OUD and any co-occurring SUD/MH
conditions.
6. Support or expand peer-recovery centers, which may include support groups,
social events, computer access, or other services for persons with OUD and any
co-occurring SUD/MH conditions.
7. Provide or support transportation to treatment or recovery programs or services
for persons with OUD and any co-occurring SUD/MH conditions.
8. Provide employment training or educational services for persons in treatment for
or recovery from OUD and any co-occurring SUD/MH conditions.
9. Identify successful recovery programs such as physician, pilot, and college
recovery programs, and provide support and technical assistance to increase the
number and capacity of high-quality programs to help those in recovery.
10. Engage non-profits, faith-based communities, and community coalitions to
support people in treatment and recovery and to support family members in their
efforts to support the person with OUD in the family.
11. Provide training and development of procedures for government staff to
appropriately interact and provide social and other services to individuals with or
in recovery from OUD, including reducing stigma.
12. Support stigma reduction efforts regarding treatment and support for persons with
OUD, including reducing the stigma on effective treatment.
13. Create or support culturally appropriate services and programs for persons with
OUD and any co-occurring SUD/MH conditions, including new Americans.
14. Create and/or support recovery high schools.
15. Hire or train behavioral health workers to provide or expand any of the services or
supports listed above.
C. CONNECT PEOPLE WHO NEED HELP TO THE HELP THEY NEED
(CONNECTIONS TO CARE)
Provide connections to care for people who have or are at risk of developing OUD
and any co-occurring SUD/MH conditions through evidence-based or evidence-informed
programs or strategies that may include, but are not limited to, those that:
E-7
1. Ensure that health care providers are screening for OUD and other risk factors and
know how to appropriately counsel and treat (or refer if necessary) a patient for
OUD treatment.
2. Fund SBIRT programs to reduce the transition from use to disorders, including
SBIRT services to pregnant women who are uninsured or not eligible for
Medicaid.
3. Provide training and long-term implementation of SBIRT in key systems (health,
schools, colleges, criminal justice, and probation), with a focus on youth and
young adults when transition from misuse to opioid disorder is common.
4. Purchase automated versions of SBIRT and support ongoing costs of the
technology.
5. Expand services such as navigators and on-call teams to begin MAT in hospital
emergency departments.
6. Provide training for emergency room personnel treating opioid overdose patients
on post-discharge planning, including community referrals for MAT, recovery
case management or support services.
7. Support hospital programs that transition persons with OUD and any co-occurring
SUD/MH conditions, or persons who have experienced an opioid overdose, into
clinically appropriate follow-up care through a bridge clinic or similar approach.
8. Support crisis stabilization centers that serve as an alternative to hospital
emergency departments for persons with OUD and any co-occurring SUD/MH
conditions or persons that have experienced an opioid overdose.
9. Support the work of Emergency Medical Systems, including peer support
specialists, to connect individuals to treatment or other appropriate services
following an opioid overdose or other opioid-related adverse event.
10. Provide funding for peer support specialists or recovery coaches in emergency
departments, detox facilities, recovery centers, recovery housing, or similar
settings; offer services, supports, or connections to care to persons with OUD and
any co-occurring SUD/MH conditions or to persons who have experienced an
opioid overdose.
11. Expand warm hand-off services to transition to recovery services.
12. Create or support school-based contacts that parents can engage with to seek
immediate treatment services for their child; and support prevention, intervention,
treatment, and recovery programs focused on young people.
13. Develop and support best practices on addressing OUD in the workplace.
E-8
14. Support assistance programs for health care providers with OUD.
15. Engage non-profits and the faith community as a system to support outreach for
treatment.
16. Support centralized call centers that provide information and connections to
appropriate services and supports for persons with OUD and any co-occurring
SUD/MH conditions.
D. ADDRESS THE NEEDS OF CRIMINAL JUSTICE-INVOLVED PERSONS
Address the needs of persons with OUD and any co-occurring SUD/MH conditions who
are involved in, are at risk of becoming involved in, or are transitioning out of the
criminal justice system through evidence-based or evidence-informed programs or
strategies that may include, but are not limited to, those that:
1. Support pre-arrest or pre-arraignment diversion and deflection strategies for
persons with OUD and any co-occurring SUD/MH conditions, including
established strategies such as:
1. Self-referral strategies such as the Angel Programs or the Police Assisted
PAARI
2. Active outreach strategies such as the Drug Abuse Response Team
DART
3.
have received naloxone to reverse the effects of an overdose are then
linked to treatment programs or other appropriate services;
4. Officer prevention strategies, such as the Law Enforcement Assisted
LEAD
5. Officer intervention strategies such as the Leon County, Florida Adult
Civil Citation Network or the Chicago Westside Narcotics Diversion to
Treatment Initiative; or
6. Co-responder and/or alternative responder models to address OUD-related
911 calls with greater SUD expertise.
2. Support pre-trial services that connect individuals with OUD and any co-
occurring SUD/MH conditions to evidence-informed treatment, including MAT,
and related services.
3. Support treatment and recovery courts that provide evidence-based options for
persons with OUD and any co-occurring SUD/MH conditions.
E-9
4. Provide evidence-informed treatment, including MAT, recovery support, harm
reduction, or other appropriate services to individuals with OUD and any co-
occurring SUD/MH conditions who are incarcerated in jail or prison.
5. Provide evidence-informed treatment, including MAT, recovery support, harm
reduction, or other appropriate services to individuals with OUD and any co-
occurring SUD/MH conditions who are leaving jail or prison or have recently left
jail or prison, are on probation or parole, are under community corrections
supervision, or are in re-entry programs or facilities.
6. CTI
dual-diagnosis OUD/serious mental illness, and services for individuals who face
immediate risks and service needs and risks upon release from correctional
settings.
7. Provide training on best practices for addressing the needs of criminal justice-
involved persons with OUD and any co-occurring SUD/MH conditions to law
enforcement, correctional, or judicial personnel or to providers of treatment,
recovery, harm reduction, case management, or other services offered in
connection with any of the strategies described in this section.
E. ADDRESS THE NEEDS OF PREGNANT OR PARENTING WOMEN AND
THEIR FAMILIES, INCLUDING BABIES WITH NEONATAL ABSTINENCE
SYNDROME
Address the needs of pregnant or parenting women with OUD and any co-occurring
SUD/MH conditions, and the needs of their families, including babies with neonatal
NAS -based or evidence-informed programs
or strategies that may include, but are not limited to, those that:
1. Support evidence-based or evidence-informed treatment, including MAT,
recovery services and supports, and prevention services for pregnant women or
women who could become pregnant who have OUD and any co-occurring
SUD/MH conditions, and other measures to educate and provide support to
families affected by Neonatal Abstinence Syndrome.
2. Expand comprehensive evidence-based treatment and recovery services, including
MAT, for uninsured women with OUD and any co-occurring SUD/MH
conditions for up to 12 months postpartum.
3. Provide training for obstetricians or other healthcare personnel who work with
pregnant women and their families regarding treatment of OUD and any co-
occurring SUD/MH conditions.
4. Expand comprehensive evidence-based treatment and recovery support for NAS
babies; expand services for better continuum of care with infant-need dyad; and
expand long-term treatment and services for medical monitoring of NAS babies
and their families.
E-10
5. Provide training to health care providers who work with pregnant or parenting
women on best practices for compliance with federal requirements that children
born with NAS get referred to appropriate services and receive a plan of safe care.
6. Provide child and family supports for parenting women with OUD and any co-
occurring SUD/MH conditions.
7. Provide enhanced family support and child care services for parents with OUD
and any co-occurring SUD/MH conditions.
8. Provide enhanced support for children and family members suffering trauma as a
result of addiction in the family; and offer trauma-informed behavioral health
treatment for adverse childhood events.
9. Offer home-based wrap-around services to persons with OUD and any co-
occurring SUD/MH conditions, including, but not limited to, parent skills
training.
10. Fund additional positions and services,
including supportive housing and other residential services, relating to children
being removed from the home and/or placed in foster care due to custodial opioid
use.
PART TWO: PREVENTION
F.PREVENT OVER-PRESCRIBING AND ENSURE APPROPRIATE
PRESCRIBING AND DISPENSING OF OPIOIDS
Support efforts to prevent over-prescribing and ensure appropriate prescribing and
dispensing of opioids through evidence-based or evidence-informed programs or
strategies that may include, but are not limited to, the following:
1. Funding medical provider education and outreach regarding best prescribing
practices for opioids consistent with the Guidelines for Prescribing Opioids for
Chronic Pain from the U.S. Centers for Disease Control and Prevention, including
providers at hospitals (academic detailing).
2. Training for health care providers regarding safe and responsible opioid
prescribing, dosing, and tapering patients off opioids.
3. Continuing Medical Education (CME) on appropriate prescribing of opioids.
4. Providing Support for non-opioid pain treatment alternatives, including training
providers to offer or refer to multi-modal, evidence-informed treatment of pain.
5. Supporting enhancements or improvements to Prescription Drug Monitoring
PDMPs , but not limited to, improvements that:
E-11
1. Increase the number of prescribers using PDMPs;
2. Improve point-of-care decision-making by increasing the quantity, quality,
or format of data available to prescribers using PDMPs, by improving the
interface that prescribers use to access PDMP data, or both; or
3. Enable states to use PDMP data in support of surveillance or intervention
strategies, including MAT referrals and follow-up for individuals
identified within PDMP data as likely to experience OUD in a manner that
complies with all relevant privacy and security laws and rules.
6. Ensuring PDMPs incorporate available overdose/naloxone deployment data,
Technician overdose database in a manner that complies with all relevant privacy
and security laws and rules.
7. Increasing electronic prescribing to prevent diversion or forgery.
8. Educating dispensers on appropriate opioid dispensing.
G.PREVENT MISUSE OF OPIOIDS
Support efforts to discourage or prevent misuse of opioids through evidence-based or
evidence-informed programs or strategies that may include, but are not limited to, the
following:
1. Funding media campaigns to prevent opioid misuse.
2. Corrective advertising or affirmative public education campaigns based on
evidence.
3. Public education relating to drug disposal.
4. Drug take-back disposal or destruction programs.
5. Funding community anti-drug coalitions that engage in drug prevention efforts.
6. Supporting community coalitions in implementing evidence-informed prevention,
such as reduced social access and physical access, stigma reduction including
staffing, educational campaigns, support for people in treatment or recovery, or
training of coalitions in evidence-informed implementation, including the
Strategic Prevention Framework developed by the U.S. Substance Abuse and
SAMHSA
7. Engaging non-profits and faith-based communities as systems to support
prevention.
E-12
8. Funding evidence-based prevention programs in schools or evidence-informed
school and community education programs and campaigns for students, families,
school employees, school athletic programs, parent-teacher and student
associations, and others.
9. School-based or youth-focused programs or strategies that have demonstrated
effectiveness in preventing drug misuse and seem likely to be effective in
preventing the uptake and use of opioids.
10. Create or support community-based education or intervention services for
families, youth, and adolescents at risk for OUD and any co-occurring SUD/MH
conditions.
11. Support evidence-informed programs or curricula to address mental health needs
of young people who may be at risk of misusing opioids or other drugs, including
emotional modulation and resilience skills.
12. Support greater access to mental health services and supports for young people,
including services and supports provided by school nurses, behavioral health
workers or other school staff, to address mental health needs in young people that
(when not properly addressed) increase the risk of opioid or another drug misuse.
H.PREVENT OVERDOSE DEATHS AND OTHER HARMS (HARM REDUCTION)
Support efforts to prevent or reduce overdose deaths or other opioid-related harms
through evidence-based or evidence-informed programs or strategies that may include,
but are not limited to, the following:
1. Increased availability and distribution of naloxone and other drugs that treat
overdoses for first responders, overdose patients, individuals with OUD and their
friends and family members, schools, community navigators and outreach
workers, persons being released from jail or prison, or other members of the
general public.
2. Public health entities providing free naloxone to anyone in the community.
3. Training and education regarding naloxone and other drugs that treat overdoses
for first responders, overdose patients, patients taking opioids, families, schools,
community support groups, and other members of the general public.
4. Enabling school nurses and other school staff to respond to opioid overdoses, and
provide them with naloxone, training, and support.
5. Expanding, improving, or developing data tracking software and applications for
overdoses/naloxone revivals.
6. Public education relating to emergency responses to overdoses.
E-13
7. Public education relating to immunity and Good Samaritan laws.
8. Educating first responders regarding the existence and operation of immunity and
Good Samaritan laws.
9. Syringe service programs and other evidence-informed programs to reduce harms
associated with intravenous drug use, including supplies, staffing, space, peer
support services, referrals to treatment, fentanyl checking, connections to care,
and the full range of harm reduction and treatment services provided by these
programs.
10. Expanding access to testing and treatment for infectious diseases such as HIV and
Hepatitis C resulting from intravenous opioid use.
11. Supporting mobile units that offer or provide referrals to harm reduction services,
treatment, recovery supports, health care, or other appropriate services to persons
that use opioids or persons with OUD and any co-occurring SUD/MH conditions.
12. Providing training in harm reduction strategies to health care providers, students,
peer recovery coaches, recovery outreach specialists, or other professionals that
provide care to persons who use opioids or persons with OUD and any co-
occurring SUD/MH conditions.
13. Supporting screening for fentanyl in routine clinical toxicology testing.
PART THREE: OTHER STRATEGIES
I.FIRST RESPONDERS
In addition to items in section C, D and H relating to first responders, support the
following:
1. Education of law enforcement or other first responders regarding appropriate
practices and precautions when dealing with fentanyl or other drugs.
2. Provision of wellness and support services for first responders and others who
experience secondary trauma associated with opioid-related emergency events.
J.LEADERSHIP, PLANNING AND COORDINATION
Support efforts to provide leadership, planning, coordination, facilitations, training and
technical assistance to abate the opioid epidemic through activities, programs, or
strategies that may include, but are not limited to, the following:
1. Statewide, regional, local or community regional planning to identify root causes
of addiction and overdose, goals for reducing harms related to the opioid
epidemic, and areas and populations with the greatest needs for treatment
E-14
intervention services, and to support training and technical assistance and other
strategies to abate the opioid epidemic described in this opioid abatement strategy
list.
2. A dashboard to (a) share reports, recommendations, or plans to spend opioid
settlement funds; (b) to show how opioid settlement funds have been spent; (c) to
report program or strategy outcomes; or (d) to track, share or visualize key opioid-
or health-related indicators and supports as identified through collaborative
statewide, regional, local or community processes.
3. Invest in infrastructure or staffing at government or not-for-profit agencies to
support collaborative, cross-system coordination with the purpose of preventing
overprescribing, opioid misuse, or opioid overdoses, treating those with OUD and
any co-occurring SUD/MH conditions, supporting them in treatment or recovery,
connecting them to care, or implementing other strategies to abate the opioid
epidemic described in this opioid abatement strategy list.
4. Provide resources to staff government oversight and management of opioid
abatement programs.
K.TRAINING
In addition to the training referred to throughout this document, support training to abate
the opioid epidemic through activities, programs, or strategies that may include, but are
not limited to, those that:
1. Provide funding for staff training or networking programs and services to improve
the capability of government, community, and not-for-profit entities to abate the
opioid crisis.
2. Support infrastructure and staffing for collaborative cross-system coordination to
prevent opioid misuse, prevent overdoses, and treat those with OUD and any co-
occurring SUD/MH conditions, or implement other strategies to abate the opioid
epidemic described in this opioid abatement strategy list (e.g., health care,
primary care, pharmacies, PDMPs, etc.).
L. RESEARCH
Support opioid abatement research that may include, but is not limited to, the following:
1. Monitoring, surveillance, data collection and evaluation of programs and
strategies described in this opioid abatement strategy list.
2. Research non-opioid treatment of chronic pain.
3. Research on improved service delivery for modalities such as SBIRT that
demonstrate promising but mixed results in populations vulnerable to
opioid use disorders.
E-15
4. Research on novel harm reduction and prevention efforts such as the
provision of fentanyl test strips.
5. Research on innovative supply-side enforcement efforts such as improved
detection of mail-based delivery of synthetic opioids.
6. Expanded research on swift/certain/fair models to reduce and deter opioid
misuse within criminal justice populations that build upon promising
approaches used to address other substances (e.g., Hawaii HOPE and
Dakota 24/7).
7. Epidemiological surveillance of OUD-related behaviors in critical
populations, including individuals entering the criminal justice system,
including, but not limited to approaches modeled on the Arrestee Drug
ADAM
8. Qualitative and quantitative research regarding public health risks and
harm reduction opportunities within illicit drug markets, including surveys
of market participants who sell or distribute illicit opioids.
9. Geospatial analysis of access barriers to MAT and their association with
treatment engagement and treatment outcomes.
InvoiceProof of Payment*Effort of CertificationContract/AgreementExplanation of how expense is related to ProgramNotes/Other
Salaries X
X *
If an employee works on both a IOU eligible and non-IOU eligible program(s), the City will only reimburse for a reasonable portion of the
employee's salary. Prior to the execution of the IOU Contract, the Agency will provide the City with a written statement on how each
employee's time will be allocated. If an employee works 100% of their time directly with the IOU Program, then 100% of the employee's
salary may be eligible for reimbursement. Agency must submit a written statement that 100% of the employee's time is spent working
directly with the IOU Program. Statements must be signed by a person authorized to sign on behalf of the Agency and will be submitted
with the March invoice.
Reimbursement requests must include General ledger and payroll reports that reflect the amount paid to the employee for work on the IOU
Program. Bi-Annual Effort Reports must be submiited as they are certified, and must reflect the percent of effort worked by the employee(s)
working directly on the IOU Program. For employees who are paid with multiple funding sources, Effort of Certification must reflect all
funding sources. If seperate Effort of Certification are kept for each funding source, all such Effort of Certification must be submitted to City,
Effort of Certification must be signed by Principal Investigator (PI). Agency must show a calculation and documentation of how the
employee's salary was calculated and invoiced to City. In the event that bi-annual effort reports reflect overpayment by the City, an amount
equal to the overpayment will, at the option of the City, be deducted from the next invoice or returned to the City.
*If employees are paid by direct deposit rather than check, then the agency must submit both the direct deposit payment company's report
(such as an ADT report) and a bank statement or check showing payment to the direct deposit company.
FICA/Medicare X X X
Employee
Insurance X X X
Unemployment
Insurance X X X
Retirement X X X
Naloxone Kits X X
Small Deterra
Drug Pouches X X
Harm Reduction
Kits X X
Overdose
Prevention Kits X X
Medication-
Assisted
Treatment
X X
Response Vehicle X X
Proof Effetive on
March 1, 2024
Payments or Expenses must be documented in the following manner:
A) Image of the check AND bank statement showing the check cleared the bank; OR,
B) Image of the cancelled check (ex. At end of bank statement); OR,
C) Payroll Check Stub, "Advice", or Statement AND Bank Statement indicating payroll; OR,
D) For wire or e-transfers: Reciept or statement from payee/vendor OR bank statement, OR
E) Invoice and Proof of payment.
2024 Documentation Standards for
IOU Contract Expenses
Budget Line Items
Employee Salaries and Benefits - City will only reimburse a percentage of any employee's salary and benefits who work directly with the IOU-funded Program. Percentages
will be cost allocated and determined prior to the execution of the IOU Contract. Agencies requesting the reimbursement of 100% of any Agency employee will require prior
City approval. Agencies must show calculation on how the IOU portion of employee salaries and benefits were calculated consistently with the IOU Contract.
If the City pays gross salary, this is already included. Invoice and proof of payment are only required with the first reimbursement request
and at any time there are changes to amounts, enrollments, disenrollments, etc.
Materials, Equipment, Goods and Supplies - City will only reimburse for the cost allocated percent or amount spent in support of the IOU-funded Program. Agencies
requesting reimbursement for these items will require prior City approval. Agencies must show calculation on how the IOU portion of these expenses were calculated
consistently with the IOU Contract.
IOU Contract Exhibit "F" -- STANDARDS FOR COMPLETE DOCUMENTATION 1
IOU Contract Exhibit "F" -- STANDARDS FOR COMPLETE DOCUMENTATION 1
City of Fort Worth,
Mayor and
DATE: 12/12/23
Texas
Council Communication
M&C FILE NUMBER: M&C 23-1051
LOG NAME: 191NTERVENTIONS OF OPIOID USE PROGRAM FUNDING ALLOCATIONS
SUBJECT
(ALL) Approve the Allocation of Texas Opioid Settlement Funds in the Amount Up to $664,944.64 for the Purpose of Mitigating Harms Caused by
Opioid Distribution and Use and Authorize Execution of Contracts with the University of North Texas Health Science Center at Fort Worth Health
Systems in the Amount of $310,339.00 and My Health My Resources of Tarrant County in the Amount of $197,100.00
RECOMMENDATION:
It is recommended that the City Council:
1. Approve the allocation of Texas Opioid Settlement Funds in the amount of $664,944.64 for the purpose of mitigating harms caused by opioid
distribution and use;
2. Authorize the City Manager or his designee to execute contracts for a one-year term with the University of North Texas Health Science Center
at Fort Worth Health Systems in the amount of $310,339.00 and My Health My Resources of Tarrant County in the amount of $197,100.00;
and
3. Authorize the City Manager or his designee to extend the contracts for up to one year if an agency or department requests an extension and
such extension is necessary for completion of the program, or to amend the contracts if necessary to achieve program goals provided any
amendment is within the scope of the program and in compliance with City policies and all applicable laws and regulations governing the use
of these funds.
DISCUSSION:
The State of Texas and certain Political Subdivisions, through their elected representatives and counsel, seek to hold the entities responsible for
the opioid use and distribution within the State of Texas accountable for damage caused and share a common desire to abate and alleviate the
impacts of the opioid epidemic throughout the State of Texas.
Through the adoption of Resolution 5499-11-2021 adopted November 9, 2021, City Council joined the opioid settlement negotiated by the Texas
Attorney General, affirmed its support for the adoption and approval of the Texas Opioid Abatement Fund Council and Settlement Allocation
Term Sheet (Term Sheet) in its entirety, and found that there is a substantial need for repayment of opioid-related expenditures and payment to
abate opioid-related harms in and about Fort Worth.
On March 1, 2023, the City received the first settlement payment from the Opioid Abatement Fund Council in the amount of $665,760.73 and
approved use of the funds with Mayor & Council Communication (M&C) 23-0255 on April 11, 2023. The Neighborhood Services Department has
been designated as the lead department to oversee allocation and use of these funds.
A Request for Proposals (RFP) from nonprofit and social service agencies and City departments offering similar direct social services to respond
for the intervention, prevention, and treatment of opioid use disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health
(SUD/MH) conditions through evidence-based or evidence-informed programs or activities was published on October 19, 2023. A Public Notice
was published in the Fort Worth Star-Telegram on October 11, 2023, notifying potential applicants of the RFP, which resulted in an expense of
$816.09 charged to this account. The remaining available balance to allocate is $664,944.64 (City Project No. 104782).
This program is named Interventions Of Opioid Use (IOU). All proposals were received by November 15, 2023. Staff reviewed three (3) proposals
and developed recommendations for allocation of funding based on the capacity of applicant organizations.
Eligible Activities under this RFP included but were not limited to:
• Intervention
• Prevention
• Treatment
• Anything listed as eligible in Exhibit E-List of Opioid Remediation Uses (attached)
FUNDING RECOMMENDATIONS
Neighborhood Services Department staff recommends that funding be allocated as shown in the below table and contracts be executed with the
following organizations:
PROGRAM IRECOMMENDE
AGENCY NAME NAME PROGRAM DESCRIPTION FUNDING
AMOUNT
INIVERSITY OF
IORTH TEXAS
IEALTH SCIENCE
;ENTER AT FORT
VORTH HEALTH
�YSTEMS (HSC)
�Y HEALTH MY
;ESOURCES OF
'ARRANT COUNTY
'OTAL
�Community-based intervention operating the SaferCare Texas with
clinical executives comprised of nurses and nurse practitioners to
SaferCare distribute 600 naloxone kits and 1,500 drug disposal bags including 25 $310,339.
Texas organizational readiness kits accompanied by educational training of
trainers among students within HSC and Fort Worth based organizations
and aroups respondina to this opportunitv
Office-
Based
Opioid
(OBOT)
Office-Based Opioid Treatment (OBOT) provides services to alleviate the
adverse physiological effects of withdrawal from the use of opioids as
required to meet the individualized needs of the patient. Patients will also $197,100.
receive wraparound group, individualized counseling, and peer
supportive services in this extended program.
$507,439.
Fort Worth Fire Department - Home, Outreach, Prevention and Education (HOPE) Team
In addition to the above recommendations, the Neighborhood Services Department also recommends allocating $157,505.64 to the Fort Worth
Fire Department for the Fort Worth Fire Department HOPE Team. The proposed program within the HOPE initiative aims to address the critical
issue of opioid-related incidents within our community. Leveraging the expertise of the HOPE team, the Fire Department will implement a
comprehensive outreach and support service specifically tailored for individuals struggling with opioid addiction among the homeless population
and high utilizers of emergency services. The program will involve proactive engagement with individuals affected by opioid addiction, providing
them with access to resources such as addiction counseling, harm reduction strategies, and connections to rehabilitation services.
The Fire Department submitted a$230,000.00 budget request for the following:
• Response Vehicles (2 vehicles -$90,000.00): The acquisition of two response vehicles is pivotal to enhance the mobility and reach of the
HOPE team. These vehicles will serve as a mobile base for paramedics during outreach, allowing swift response to emergency situations
along with the ability to do follow-ups and continued care of opioid clients. The cost of the vehicles will cover the purchase, customization,
and outfitting of the vehicles with essential medical equipment such as overdose prevention kits, harm reduction kits, ensuring they meet the
unique needs of homeless and high-utilizer populations with opioid-related emergencies.
• Overdose Prevention Kits (OPK -$70,000.00): Addressing the opioid crisis is a priority for the HOPE team. The budget for overdose
prevention kits includes the procurement of naloxone, training materials, and community outreach initiatives. These kits will be distributed to
team members, enabling them to respond effectively after opioid-related emergencies where the team can give the client a kit and provide
training to at-risk individuals and community partners.
• Harm Reduction Kits ($50,000.00): The harm reduction kits are designed to minimize the risks associated with high-risk behaviors. The
budget will be utilized to procure harm reduction supplies, educational materials, and resources. These kits will be distributed during opioid
outreach activities, promoting safer practices and providing valuable information on reducing health risks.
• Administration and Training ($20,000.00): Efficient program administration and continuous training are essential for the success of the
HOPE team. The budget will support administrative costs, including staff training, community engagement events, and program evaluation.
This ensures that the team remains well-equipped, informed, and capable of delivering high-quality services.
The Neighborhood Services staff recommended an allocation amount to the Fire Department that is less than the requested amount. The Fire
Department has the discretion to determine which of the above requested line items will be funded based on the recommended allocation.
Since no City salaries will be charged, indirect cost recovery does not apply.
These programs are available in ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as previously appropriated, in the Grants Operating Other
Fund for the TX Opioid Abatement Fund project to support the approval of the above recommendations and execution of contracts. Prior to any
expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds.
Submitted for City Manager's Office bk Fernando Costa 6122
Originating Business Unit Head: Victor Turner 8187
Additional Information Contact: Sharon Burkley 5785
Terrance Jones 7563