HomeMy WebLinkAboutContract 62349CSC No. 62349
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CITY OF FORT WORTH
Memorandum of Understanding
This Memorandum of Understanding (MOU) is agreed and entered into by the Neighborhood
Services Department of the City of Fort Worth (hereinafter "NSD") and the Fire Department of the
City of Fort Worth ("Fire"), herein referred to collectively as the "Parties."
RECITALS
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, the Fire Department of the City of Fort Worth 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 and agrees to cooperate with the Neighborhood Services Department to ensure compliance
with the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet.
NOW, THEREFORE, the Parties understand and agree as follows:
GENERAL PROVISIONS
1. This MOU will become effective on March 1, 2024 ("Effective Date") and will remain in
effect for one year ("Expiration Date"). This MOU may be extended by written, mutual agreement of
the parties.
2. No amendment, modification, or alteration of the terms of this MOU shall be binding unless
the same is in writing, dated subsequent to the date hereof, and duly executed by the parties hereto.
OFFICIAL RECORD
Neighborhood Services Department and Fire Department MOU - CITY SECRETARY
Interventions of Opioid Use FT. WORTH, Tx
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3. This MOU includes the following attached Exhibits:
EXHIBIT "A" — Texas Opioid Abatement Fund Council and Settlement Allocation Term
Sheet
EXHIBIT "B" — Program Summary
EXHIBIT "C" — Budget
EXHIBIT "D" — Reimbursement Forms
EXHIBIT "E" — Texas Opioid Abatement Fund Council and Settlement Allocation: List of
Opioid Remediation Uses
EXHIBIT "F" — Standards for Complete Documentation
4. NSD will provide up to $157,505.64 of OPIOID Funds ("Funds") to Fire under the terms
and conditions of this MOU. Payment of Funds will be on a reimbursement basis. Reimbursement
Requests will be submitted monthly to NSD and must be received by the 15th day of the month
following the month expenses were paid by Fire.
5. The Funds will be utilized by Fire's HOPE team. The proposed program within the HOPE
initiative aims to address the critical issue of opioid-related incidents within our community, and is
specifically tailored for individuals struggling with opioid addiction among the homeless population
and high utilizers of emergency services. The program will provide access to resources such as
addiction counseling, harm reduction strategies, and connections to rehabilitation services. The
services that will be provided by the HOPE program are further described in Exhibit `B."
6. Fire agrees that its use of Funds must be in compliance with the Texas Opioid Abatement
Fund Council and Settlement Allocation Term Sheet and List of Opioid Remediation Uses, supplied
by the Texas Attorney General, attached as Exhibit "A and E." In the event there are material changes
made to the Term Sheet and or List of Opioid Remediation Uses by the Texas Attorney General, Fire
agrees to abide by those changes in order to ensure compliance.
7. Fire agrees that it will keep a proper accounting of how all Funds are spent. Fire agrees to
supply NSD with proper reimbursement forms and documentation, including Exhibits "B" — "D."
8. NSD reserves the right to deobligate Funds, or a portion of the Funds 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.
ACCEPTED AND AGREED: ATTEST BY:
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Amy Connolly
Acting Neighborhood Services Director
J s Davis 15, 2024 09:40 EDT)
James Davis
Fire Chief
Neighborhood Services Department and Fire Department MOU —
Interventions of Opioid Use
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
EXHIBIT
TEXAS OPIOID ABATEMENT FUND COUNCIL AND A
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
completing formal documents effectuating the Parties' agreements, enter into this
State of Texas and Texas Political Subdivisions' 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:
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1. "The State" shall mean the State of Texas acting through its Attorney
General.
2. "Political Subdivision(s)" shall mean any Texas municipality and county.
3. "The Parties" shall mean the State of Texas, the Political Subdivisions, and
the Plaintiffs' 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. "Litigating Political Subdivision" means 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. "National Fund" shall mean any national 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. "Negotiating Committee" shall mean a three -member group comprising
four representatives for each of (1) the State; (2) the PSC; and (3) Texas'
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Political Subdivisions (collectively, "Members"). The State shall be
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. Texas' Political Subdivisions shall be
represented by Clay Jenkins (Dallas County Judge), Terrence O'Rourke
(Special Assistant County Attorney, Harris County), Nelson Wolff (Bexar
County Judge), and Nathaniel Moran (Smith County Judge) or their
designees.
7. "Settlement" shall mean the negotiated resolution of legal or equitable
claims against a Pharmaceutical Supply Chain Participant that includes the
State and Political Subdivisions.
8. "Opioid Funds" shall mean monetary amounts obtained through a
Settlement as defined in this Texas Term Sheet.
8. "Approved Purpose(s)" shall mean those uses identified in Exhibit A
hereto.
9. "Pharmaceutical Supply Chain" shall mean the process and channels
through which opioids or opioids products are manufactured, marketed,
promoted, distributed, or dispensed.
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10. "Pharmaceutical Supply Chain Participant" shall mean any entity that
engages in or has engaged in the manufacture, marketing, promotion,
distribution, or dispensing of an opioid analgesic.
11. "Texas Opioid Council" shall mean the Council described in Exhibit A
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 Share"), 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 ("State Share"). 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
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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
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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's
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
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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 Subdivision fees and expenses to the "Texas
Opioid Fee and Expense Fund," which shall be allocated and distributed
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
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
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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.
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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
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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. Rather, while the State's and Negotiation
Committee's efforts to achieve worthwhile settlements are to be
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
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from coordinated Settlement discussions detailed in this Section upon 10
business days' written notice to the remaining Committee Members and
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. The obligations in this Section shall not affect any Party's right to proceed
with trial or, within 30 days of the date upon which a trial involving that
Party's claims against a specific Pharmaceutical Supply Chain Participant
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
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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 SUBDIVISIONS' 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.
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Executed this 13 day of May, 2020.
FOR THE STATE OF TEXAS:
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KENNETH PAXTON, JR.
ATTORNEY GENERAL
FOR THE SUBDIVISIONS
AND TEXAS MDL PSC:
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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 state's 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's members must be appointed
within sixty (60) days of the date the order is entered.
A. Membersh in
The Council shall be comprised of the following thirteen (13) members:
1. Statewide Members.
Six members appointed by the Governor and Attorney General to represent the State's
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 State's political subdivisions to represent their
designated Texas Health and Human Services Commission "HHSC" Regional Healthcare
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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).
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);
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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/1330 under the State Auditor's State
Classification. The Comptroller will pay the salaries of the Council employees from the
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 parry 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.
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
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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 Council's initial meeting. 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
upon all Regions' 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
Regions' funding needs.
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.
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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. Attorneys' fees and costs are not recoverable in these appeals.
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.
0
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. Minimum distribution 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
Lamesa
$3,196
Lampasas
$180
Lampasas 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
$602
Lincoln Park
$677
Annona
$738
Lindale
$24,202
Anson
$5,134
Linden
$3,661
Anthony
$4,514
Lindsay
$1,228
Anton
$444
Lipan
$44
Appleby
$1,551
Lipscomb County
$10,132
Aquilla
$208
Little Elm
$69,326
Aransas County
$266,512
Little River -Academy
$798
Aransas Pass
$57,813
Littlefield
$7,678
Archer City
$10,554
Live Oak
$32,740
Archer County
$45,534
Live Oak County
$39,716
Arcola
$7,290
Liverpool
$1,435
Argyle
$11,406
Livingston
$73,165
Arlington
$735,803
Llano
$23,121
Armstrong County
$974
Llano County
$115,647
Arp
$2,009
Lockhart
$49,050
Asherton
$112
Lockney
$3,301
Aspermont
$9
Log Cabin
$1,960
Atascosa County
$176,903
Lometa
$1,176
Athens
$105,942
Lone Oak
$1,705
Atlanta
$30,995
Lone Star
$8,283
Aubrey
$15,141
Longview
$482,254
Aurora
$1,849
Loraine
$188
Austin County
$76,030
Lorena
$3,390
Austin
$4,877,716
Lorenzo
$11,358
Austwell
$109
Los Fresnos
$11,185
Avery
$138
Los Indios
$159
Avinger
$1,115
Los Ybanez
$0
Azle
$32,213
Lott
$1,516
Bailey
$950
Lovelady
$249
Bailey County
$15,377
Loving County
$1,000
Bailey's Prairie
$5,604
Lowry Crossing
$783
Baird
$2,802
Lubbock
$319,867
Balch Springs
$27,358
Lubbock County
$1,379,719
Balcones Heights
$23,811
Lucas
$5,266
Ballinger
$9,172
Lueders
$508
Balmorhea
$63
Lufkin
$281,592
Bandera
$2,893
Luling
$29,421
Bandera County
$86,815
Lumberton
$36,609
Bangs
$3,050
Lyford
$3,071
Page 2
Bardwell
$362
Lynn County
$6,275
Barry
$200
Lytle
$7,223
Barstow
$61
Mabank
$19,443
Bartlett
$3,374
Madison County
$49,492
Bartonville
$8,887
Madisonville
$11,458
Bastrop
$46,320
Magnolia
$26,031
Bastrop County
$343,960
Malakoff
$12,614
Bay City
$57,912
Malone
$439
Baylor County
$29,832
Manor
$12,499
Bayou Vista
$6,240
Mansfield
$150,788
Bayside
$242
Manvel
$12,305
Baytown
$216,066
Marble Falls
$37,039
Bayview
$41
Marfa
$65
Beach City
$12,505
Marietta
$338
Bear Creek
$906
Marion
$275
Beasley
$130
Marion County
$54,728
Beaumont
$683,010
Marlin
$21,634
Beckville
$1,247
Marquez
$1,322
Bedford
$94,314
Marshall
$108,371
Bedias
$3,475
Mart
$928
Bee Cave
$12,863
Martin County
$10,862
Bee County
$97,844
Martindale
$2,437
Beeville
$24,027
Mason
$777
Bell County
$650,748
Mason County
$3,134
Bellaire
$41,264
Matador
$1,203
Bellevue
$56
Matagorda County
$135,239
Bellmead
$14,487
Mathis
$15,720
Bells
$1,891
Maud
$423
Bellville
$7,488
Maverick County
$115,919
Belton
$72,680
Maypearl
$986
Benavides
$152
McAllen
$364,424
Benbrook
$43,919
McCamey
$542
Benjamin
$951
McGregor
$9,155
Berryville
$14,379
McKinney
$450,383
Bertram
$182
McLean
$14
Beverly Hills
$4,336
McLendon -Chisholm
$411
Bevil Oaks
$549
Mcculloch County
$20,021
Bexar County
$7,007,152
Mclennan County
$529,641
Big Lake
$547
Mcmullen County
$1,000
Big Sandy
$4,579
Meadow
$1,121
Page 3
Big Spring
$189,928
Meadowlakes
$905
Big Wells
$236
Meadows Place
$18,148
Bishop
$8,213
Medina County
$48,355
Bishop Hills
$323
Megargel
$611
Blackwell
$31
Melissa
$15,381
Blanco
$6,191
Melvin
$345
Blanco County
$49,223
Memphis
$7,203
Blanket
$147
Menard
$991
Bloomburg
$1,010
Menard County
$14,717
Blooming Grove
$352
Mercedes
$21,441
Blossom
$198
Meridian
$3,546
Blue Mound
$2,888
Merkel
$10,117
Blue Ridge
$1,345
Mertens
$239
Blum
$1,622
Mertzon
$29
Boerne
$45,576
Mesquite
$310,709
Bogata
$3,649
Mexia
$21,096
Bonham
$100,909
Miami
$455
Bonney
$2,510
Midland County
$279,927
Booker
$1,036
Midland
$521,849
Borden County
$1,000
Midlothian
$95,799
Borger
$69,680
Midway
$78
Bosque County
$71,073
Milam County
$97,386
Bovina
$173
Milano
$904
Bowie
$83,620
Mildred
$286
Bowie County
$233,190
Miles
$93
Boyd
$6,953
Milford
$6,177
Brackettville
$8
Miller's Cove
$97
Brady
$27,480
Millican
$417
Brazoria
$11,537
Mills County
$19,931
Brazoria County
$1,021,090
Millsap
$34
Brazos Bend
$462
Mineola
$48,719
Brazos Country
$902
Mineral Wells
$92,061
Brazos County
$342,087
Mingus
$189
Breckenridge
$23,976
Mission
$124,768
Bremond
$5,554
Missouri City
$209,633
Brenham
$54,750
Mitchell County
$20,850
Brewster County
$60,087
Mobeetie
$52
Briarcliff
$572
Mobile City
$2,034
Briaroaks
$57
Monahan
$5,849
Bridge City
$80,756
Mont Belvieu
$19,669
Page 4
Bridgeport
$33,301
Montague County
$94,796
Briscoe County
$977
Montgomery
$1,884
Broaddus
$31
Montgomery County
$2,700,911
Bronte
$99
Moody
$828
Brooks County
$20,710
Moore County
$40,627
Brookshire
$6,406
Moore Station
$772
Brookside Village
$1,110
Moran
$50
Brown County
$193,417
Morgan
$605
Browndell
$152
Morgan's Point
$3,105
Brownfield
$14,452
Morgan's Point Resort
$8,024
Brownsboro
$3,176
Morris County
$53,328
Brownsville
$425,057
Morton
$167
Brownwood
$166,572
Motley County
$3,344
Bruceville-Eddy
$1,692
Moulton
$999
Bryan
$246,897
Mount Calm
$605
Bryson
$1,228
Mount Enterprise
$1,832
Buckholts
$1,113
Mount Pleasant
$65,684
Buda
$10,784
Mount Vernon
$6,049
Buffalo
$11,866
Mountain City
$1,548
Buffalo Gap
$88
Muenster
$4,656
Buffalo Springs
$188
Muleshoe
$4,910
Bullard
$7,487
Mullin
$384
Bulverde
$14,436
Munday
$2,047
Bunker Hill Village
$472
Murchison
$2,302
Burkburnett
$37,844
Murphy
$51,893
Burke
$1,114
Mustang
$7
Burleson County
$70,244
Mustang Ridge
$2,462
Burleson
$151,779
Nacogdoches
$205,992
Burnet
$33,345
Nacogdoches County
$198,583
Burnet County
$189,829
Naples
$4,224
Burton
$937
Nash
$7,999
Byers
$77
Nassau Bay
$11,247
Bynum
$380
Natalia
$625
Cactus
$4,779
Navarro
$334
Caddo Mills
$43
Navarro County
$103,513
Caldwell
$18,245
Navasota
$37,676
Caldwell County
$86,413
Nazareth
$124
Calhoun County
$127,926
Nederland
$44,585
Callahan County
$12,894
Needville
$10,341
Callisburg
$101
Nevada
$237
Page 5
Calvert
$772
New Berlin
$4
Cameron
$11,091
New Boston
$6,953
Cameron County
$537,026
New Braunfels
$307,313
Camp County
$28,851
New Chapel Hill
$288
Camp Wood
$422
New Deal
$338
Campbell
$1,116
New Fairview
$2,334
Canadian
$1,090
New Home
$9
Caney City
$2,005
New Hope
$1,024
Canton
$56,734
New London
$4,129
Canyon
$26,251
New Summerfield
$442
Carbon
$620
New Waverly
$2,562
Carl's Corner
$48
Newark
$520
Carmine
$385
Newcastle
$914
Carrizo Springs
$1,671
Newton
$6,102
Carrollton
$310,255
Newton County
$158,006
Carson County
$29,493
Neylandville
$163
Carthage
$18,927
Niederwald
$16
Cashion Community
$322
Nixon
$2,283
Cass County
$93,155
Nocona
$16,536
Castle Hills
$12,780
Nolan County
$50,262
Castro County
$4,420
Nolanville
$4,247
Castroville
$4,525
Nome
$391
Cedar Hill
$70,127
Noonday
$226
Cedar Park
$185,567
Nordheim
$697
Celeste
$1,280
Normangee
$6,192
Celina
$18,283
North Cleveland
$105
Center
$58,838
North Richland Hills
$146,419
Centerville
$385
Northlake
$8,905
Chambers County
$153,188
Novice
$76
Chandler
$17,364
Nueces County
$1,367,932
Channing
$2
O'Brien
$76
Charlotte
$4,257
O'Donnell
$27
Cherokee County
$156,612
Oak Grove
$2,769
Chester
$1,174
Oak Leaf
$612
Chico
$2,928
Oak Point
$9,011
Childress
$37,916
Oak Ridge
$358
Childress County
$50,582
Oak Ridge North
$33,512
Chillicothe
$172
Oak Valley
$7
China
$522
Oakwood
$148
China Grove
$598
Ochiltree County
$15,476
Page 6
Chireno
$1,568
Odem
$7,420
Christine
$354
Odessa
$559,163
Cibolo
$13,690
Oglesby
$29
Cisco
$7,218
Old River-Winfree
$21,653
Clarendon
$114
Oldham County
$10,318
Clarksville
$20,891
Olmos Park
$9,801
Clarksville City
$54
Olney
$6,088
Claude
$26
Olton
$1,197
Clay County
$72,050
Omaha
$4,185
Clear Lake Shores
$6,682
Onalaska
$31,654
Cleburne
$228,184
Opdyke West
$479
Cleveland
$96,897
Orange
$311,339
Clifton
$9,939
Orange County
$689,818
Clint
$375
Orange Grove
$1,677
Clute
$51,350
Orchard
$867
Clyde
$17,287
Ore City
$6,806
Coahoma
$2,291
Overton
$7,900
Cochran County
$3,389
Ovilla
$13,391
Cockrell Hill
$512
Oyster Creek
$9,633
Coffee City
$1,087
Paducah
$125
Coke County
$5,522
Paint Rock
$141
Coldspring
$447
Palacios
$14,036
Coleman
$5,442
Palestine
$178,009
Coleman County
$4,164
Palisades
$240
College Station
$258,147
Palm Valley
$1,918
Colleyville
$46,049
Palmer
$12,666
Collin County
$1,266,721
Palmhurst
$4,660
Collingsworth County
$19,234
Palmview
$7,577
Collinsville
$1,831
Palo Pinto County
$124,621
Colmesneil
$2,211
Pampa
$67,227
Colorado City
$8,405
Panhandle
$9,536
Colorado County
$49,084
Panola County
$80,699
Columbus
$6,867
Panorama Village
$1,292
Comal County
$396,142
Pantego
$12,898
Comanche
$16,503
Paradise
$52
Comanche County
$50,964
Paris
$201,180
Combes
$1,710
Parker
$10,307
Combine
$1,892
Parker County
$476,254
Commerce
$33,869
Parmer County
$15,866
Como
$415
Pasadena
$356,536
Page 7
Concho County
$3,859
Pattison
$1,148
Conroe
$466,671
Patton Village
$9,268
Converse
$27,693
Payne Springs
$1,770
Cooke County
$200,451
Pearland
$333,752
Cool
$731
Pearsall
$11,570
Coolidge
$243
Pecan Gap
$719
Cooper
$362
Pecan Hill
$229
Coppell
$86,593
Pecos
$7,622
Copper Canyon
$489
Pecos County
$46,997
Copperas Cove
$133,492
Pelican Bay
$1,199
Corinth
$75,298
Penelope
$415
Corpus Christi
$1,812,707
Penitas
$312
Corral City
$143
Perryton
$23,364
Corrigan
$21,318
Petersburg
$1,691
Corsicana
$87,310
Petrolia
$17
Coryell County
$123,659
Petronila
$5
Cottle County
$875
Pflugerville
$86,408
Cottonwood
$289
Pharr
$144,721
Cottonwood Shores
$1,203
Pilot Point
$11,613
Cotulla
$1,251
Pine Forest
$3,894
Coupland
$266
Pine Island
$3,141
Cove
$387
Pinehurst
$32,671
Covington
$519
Pineland
$4,138
Coyote Flats
$1,472
Piney Point Village
$15,738
Crandall
$12,094
Pittsburg
$20,526
Crane
$10,599
Plains
$129
Crane County
$26,146
Plainview
$60,298
Cranfills Gap
$128
Plano
$1,151,608
Crawford
$383
Pleak
$270
Creedmoor
$16
Pleasant Valley
$308
Cresson
$1,086
Pleasanton
$29,011
Crockett
$23,403
Plum Grove
$258
Crockett County
$18,210
Point
$1,519
Crosby County
$18,388
Point Blank
$355
Crosbyton
$1,498
Point Comfort
$447
Cross Plains
$4,877
Point Venture
$588
Cross Roads
$244
Polk County
$370,831
Cross Timber
$542
Ponder
$1,282
Crowell
$6,335
Port Aransas
$31,022
Crowley
$22,345
Port Arthur
$367,945
Page 8
Crystal City
$19,412
Port Isabel
$9,802
Cuero
$24,689
Port Lavaca
$11,752
Culberson County
$789
Port Neches
$38,849
Cumby
$5,320
Portland
$76,517
Cuney
$606
Post
$2,332
Cushing
$1,120
Post Oak Bend City
$1,034
Cut and Shoot
$2,141
Poteet
$6,767
DISH
$19
Poth
$3,974
Daingerfield
$12,476
Potter County
$371,701
Daisetta
$5,370
Pottsboro
$12,302
Dalhart
$11,609
Powell
$110
Dallam County
$21,686
Poynor
$1,180
Dallas County
$8,538,291
Prairie View
$7,600
Dallas
$2,999,902
Premont
$3,321
Dalworthington Gardens
$6,060
Presidio
$148
Danbury
$4,231
Presidio County
$787
Darrouzett
$101
Primera
$2,958
Dawson
$600
Princeton
$19,245
Dawson County
$46,911
Progreso
$8,072
Dayton
$47,122
Progreso Lakes
$39
Dayton Lakes
$38
Prosper
$22,770
De Kalb
$1,035
Providence Village
$508
De Leon
$8,218
Putnam
$14
De Witt County
$68,895
Pyote
$22
DeCordova
$13,778
Quanah
$207
DeSoto
$72,400
Queen City
$4,837
Deaf Smith County
$34,532
Quinlan
$7,304
Dean
$141
Quintana
$492
Decatur
$56,669
Quitaque
$8
Deer Park
$49,388
Quitman
$15,619
Del Rio
$59,056
Rains County
$53,190
Dell City
$15
Ralls
$3,967
Delta County
$30,584
Rancho Viejo
$3,836
Denison
$210,426
Randall County
$278,126
Denton
$458,334
Ranger
$12,186
Denton County
$1,132,298
Rankin
$1,613
Denver City
$2,104
Ransom Canyon
$930
Deport
$42
Ravenna
$685
Detroit
$965
Raymondville
$7,466
Devers
$191
Reagan County
$25,215
Page 9
Devine
$4,354
Real County
$5,073
Diboll
$25,533
Red Lick
$23
Dickens
$71
Red Oak
$26,843
Dickens County
$1,873
Red River County
$29,306
Dickinson
$83,683
Redwater
$1,058
Dilley
$2,633
Reeves County
$103,350
Dimmit County
$33,294
Refugio
$8,839
Dimmitt
$1,012
Refugio County
$46,216
Dodd City
$1,211
Reklaw
$1,136
Dodson
$447
Reno
$3,791
Domino
$196
Reno
$11,164
Donley County
$22,370
Retreat
$52
Donna
$13,798
Rhome
$12,285
Dorchester
$231
Rice
$1,972
Double Oak
$4,765
Richardson
$260,315
Douglassville
$574
Richland
$210
Dripping Springs
$811
Richland Hills
$24,438
Driscoll
$39
Richland Springs
$2,234
Dublin
$14,478
Richmond
$77,606
Dumas
$26,229
Richwood
$12,112
Duncanville
$58,328
Riesel
$1,118
Duval County
$49,109
Rio Bravo
$8,548
Eagle Lake
$4,882
Rio Grande City
$25,947
Eagle Pass
$56,005
Rio Hondo
$3,550
Early
$14,838
Rio Vista
$4,419
Earth
$242
Rising Star
$1,933
East Bernard
$5,554
River Oaks
$11,917
East Mountain
$2,494
Riverside
$858
East Tawakoni
$2,723
Roanoke
$275
Eastland
$15,896
Roaring Springs
$461
Eastland County
$52,275
Robert Lee
$85
Easton
$329
Roberts County
$547
Ector
$1,108
Robertson County
$44,642
Ector County
$480,000
Robinson
$18,002
Edcouch
$4,101
Robstown
$40,154
Eden
$497
Roby
$428
Edgecliff Village
$2,232
Rochester
$674
Edgewood
$13,154
Rockdale
$20,973
Edinburg
$120,884
Rockport
$54,253
Edmonson
$136
Rocksprings
$25
Page 16
Edna
$18,194
Rockwall
$114,308
Edom
$2,149
Rockwall County
$168,820
Edwards County
$975
Rocky Mound
$280
El Campo
$31,700
Rogers
$3,818
El Cenizo
$621
Rollingwood
$4,754
El Lago
$5,604
Roma
$16,629
El Paso
$1,224,371
Roman Forest
$8,610
El Paso County
$2,592,121
Ropesville
$2,122
Eldorado
$50
Roscoe
$778
Electra
$15,716
Rose City
$4,012
Elgin
$26,284
Rose Hill Acres
$2,311
Elkhart
$301
Rosebud
$1,489
Ellis County
$315,372
Rosenberg
$126,593
Elmendorf
$746
Ross
$147
Elsa
$7,720
Rosser
$549
Emhouse
$83
Rotan
$1,493
Emory
$3,878
Round Mountain
$454
Enchanted Oaks
$1,299
Round Rock
$475,992
Encinal
$1,515
Round Top
$140
Ennis
$81,839
Rowlett
$99,963
Erath County
$102,616
Roxton
$47
Escobares
$40
Royse City
$23,494
Estelline
$909
Rule
$800
Euless
$92,824
Runaway Bay
$6,931
Eureka
$334
Runge
$255
Eustace
$2,089
Runnels County
$33,831
Evant
$2,068
Rusk
$17,991
Everman
$7,692
Rusk County
$151,390
Fair Oaks Ranch
$8,077
Sabinal
$1,811
Fairchilds
$81
Sabine County
$46,479
Fairfield
$1,245
Sachse
$23,400
Fairview
$32,245
Sadler
$925
Falfurrias
$2,221
Saginaw
$31,973
Falls City
$41
Salado
$3,210
Falls County
$34,522
San Angelo
$536,509
Fannin County
$131,653
San Antonio
$4,365,416
Farmers Branch
$94,532
San Augustine
$25,182
Farmersville
$10,532
San Augustine County
$37,854
Farwell
$343
San Benito
$40,015
Fate
$3,473
San Diego
$11,771
Page 11
Fayette County
$92,440
San Elizario
$7,831
Fayetteville
$391
San Felipe
$1,498
Ferris
$13,873
San Jacinto County
$197,398
Fisher County
$5,518
San Juan
$28,845
Flatonia
$5,661
San Leanna
$36
Florence
$3,949
San Marcos
$325,688
Floresville
$21,699
San Patricio
$4,213
Flower Mound
$215,256
San Patricio County
$271,916
Floyd County
$9,049
San Perlita
$2,219
Floydada
$6,357
San Saba
$10,057
Foard County
$5,764
San Saba County
$17,562
Follett
$212
Sanctuary
$17
Forest Hill
$26,132
Sandy Oaks
$9,863
Forney
$80,112
Sandy Point
$1,637
Forsan
$576
Sanford
$308
Fort Bend County
$1,506,719
Sanger
$22,237
Fort Stockton
$4,411
Sansom Park
$223
Fort Worth
$2,120,790
Santa Anna
$329
Franklin
$3,931
Santa Clara
$87
Franklin County
$25,783
Santa Fe
$33,272
Frankston
$274
Santa Rosa
$2,138
Fredericksburg
$56,486
Savoy
$2,349
Freeport
$72,973
Schertz
$60,110
Freer
$3,271
Schleicher County
$5,695
Freestone County
$50,495
Schulenburg
$2,560
Friendswood
$140,330
Scotland
$148
Frio County
$19,954
Scottsville
$708
Friona
$2,848
Scurry
$1,110
Frisco
$405,309
Scurry County
$73,116
Fritch
$4,548
Seabrook
$30,270
Frost
$321
Seadrift
$991
Fruitvale
$2,344
Seagoville
$17,106
Fulshear
$5,272
Seagraves
$7,531
Fulton
$1,602
Sealy
$20,637
Gaines County
$54,347
Seguin
$376,538
Gainesville
$153,980
Selma
$22,429
Galena Park
$13,093
Seminole
$16,092
Gallatin
$1,253
Seven Oaks
$3,917
Galveston
$488,187
Seven Points
$7,452
Galveston County
$1,124,093
Seymour
$14,218
Page 12
Ganado
$5,510
Shackelford County
$1,288
Garden Ridge
$11,351
Shady Shores
$594
Garland
$420,244
Shallowater
$1,907
Garrett
$2,510
Shamrock
$4,328
Garrison
$3,555
Shavano Park
$3,178
Gary City
$450
Shelby County
$109,925
Garza County
$8,944
Shenandoah
$47,122
Gatesville
$26,994
Shepherd
$147
George West
$6,207
Sherman
$330,585
Georgetown
$225,896
Sherman County
$7,930
Gholson
$1,505
Shiner
$4,042
Giddings
$12,674
Shoreacres
$958
Gillespie County
$63,191
Silsbee
$66,442
Gilmer
$33,951
Silverton
$14
Gladewater
$24,638
Simonton
$1,906
Glasscock County
$1,000
Sinton
$23,658
Glen Rose
$540
Skellytown
$400
Glenn Heights
$16,593
Slaton
$154
Godley
$3,115
Smiley
$655
Goldsmith
$677
Smith County
$758,961
Goldthwaite
$1,225
Smithville
$17,009
Goliad
$3,563
Smyer
$300
Goliad County
$34,660
Snook
$1,422
Golinda
$100
Snyder
$9,018
Gonzales
$14,882
Socorro
$11,125
Gonzales County
$33,230
Somerset
$1,527
Goodlow
$221
Somervell County
$57,076
Goodrich
$9,643
Somerville
$3,806
Gordon
$365
Sonora
$7,337
Goree
$749
Sour Lake
$17,856
Gorman
$3,107
South Houston
$25,620
Graford
$23
South Mountain
$154
Graham
$235,428
South Padre Island
$30,629
Granbury
$71,735
Southlake
$70,846
Grand Prairie
$445,439
Southmayd
$7,096
Grand Saline
$36,413
Southside Place
$885
Grandfalls
$65
Spearman
$14,000
Grandview
$6,600
Splendora
$7,756
Granger
$2,741
Spofford
$7
Granite Shoals
$11,834
Spring Valley Village
$16,404
Page 13
Granjeno
$43
Springlake
$3
Grapeland
$7,287
Springtown
$14,244
Grapevine
$129,195
Spur
$427
Gray County
$65,884
St. Hedwig
$111
Grays Prairie
$17
St. Jo
$7,360
Grayson County
$539,083
St. Paul
$21
Greenville
$203,112
Stafford
$75,145
Gregg County
$243,744
Stagecoach
$3,036
Gregory
$4,697
Stamford
$398
Grey Forest
$474
Stanton
$3,838
Grimes County
$94,878
Staples
$19
Groesbeck
$5,745
Star Harbor
$151
Groom
$965
Starr County
$99,896
Groves
$40,752
Stephens County
$35,244
Groveton
$8,827
Stephenville
$83,472
Gruver
$1,166
Sterling City
$62
Guadalupe County
$146,824
Sterling County
$939
Gun Barrel City
$36,302
Stinnett
$4,097
Gunter
$4,609
Stockdale
$741
Gustine
$34
Stonewall County
$1,822
Hackberry
$94
Stratford
$8,378
Hale Center
$6,042
Strawn
$987
Hale County
$79,150
Streetman
$5
Hall County
$8,933
Sudan
$32
Hallettsville
$6,895
Sugar Land
$321,561
Hallsburg
$272
Sullivan City
$6,121
Hallsville
$10,239
Sulphur Springs
$124,603
Haltom City
$71,800
Sun Valley
$4
Hamilton
$3,581
Sundown
$2,592
Hamilton County
$66,357
Sunnyvale
$3,248
Hamlin
$4,656
Sunray
$2,571
Hansford County
$16,416
Sunrise Beach Village
$2,083
Happy
$327
Sunset Valley
$9,425
Hardeman County
$15,219
Surfside Beach
$6,530
Hardin
$100
Sutton County
$6,541
Hardin County
$379,800
Sweeny
$4,503
Harker Heights
$113,681
Sweetwater
$68,248
Harlingen
$165,429
Swisher County
$7,251
Harris County
$14,966,202
Taft
$5,861
Harrison County
$185,910
Tahoka
$430
Page 14
Hart
$86
Talco
$372
Hartley County
$786
Talty
$9,124
Haskell
$10,829
Tarrant County
$6,171,159
Haskell County
$22,011
Tatum
$972
Haslet
$1,908
Taylor
$57,945
Hawk Cove
$674
Taylor County
$351,078
Hawkins
$7,932
Taylor Lake Village
$412
Hawley
$931
Taylor Landing
$153
Hays
$506
Teague
$1,714
Hays County
$529,489
Tehuacana
$12
Hearne
$16,824
Temple
$280,747
Heath
$28,751
Tenaha
$4,718
Hebron
$687
Terrell
$148,706
Hedley
$70
Terrell County
$5,737
Hedwig Village
$13,067
Terrell Hills
$9,858
Helotes
$15,790
Terry County
$25,423
Hemphill
$8,035
Texarkana
$192,094
Hemphill County
$14,394
Texas City
$298,702
Hempstead
$21,240
Texhoma
$156
Henderson
$59,966
Texline
$865
Henderson County
$327,965
The Colony
$114,297
Henrietta
$2,720
The Hills
$1,004
Hereford
$20,423
Thompsons
$1,897
Hewitt
$19,776
Thorndale
$1,595
Hickory Creek
$16,510
Thornton
$270
Hico
$5,534
Thorntonville
$87
Hidalgo
$26,621
Thrall
$825
Hidalgo County
$1,253,103
Three Rivers
$4,669
Hideaway
$922
Throckmorton
$29
Higgins
$43
Throckmorton County
$5,695
Highland Haven
$320
Tiki Island
$2,178
Highland Park
$43,383
Timbercreek Canyon
$369
Highland Village
$50,315
Timpson
$12,642
Hill Country Village
$6,485
Tioga
$2,390
Hill County
$127,477
Tira
$185
Hillcrest
$5,345
Titus County
$70,611
Hillsboro
$46,609
Toco
$4
Hilshire Village
$859
Todd Mission
$1,680
Hitchcock
$28,796
Tolar
$2,369
Hockley County
$46,407
Tom Bean
$2,293
Page 15
Holiday Lakes
$1,795
Tom Green County
$282,427
Holland
$77
Tomball
$34,620
Holliday
$5,910
Tool
$14,787
Hollywood Park
$9,424
Toyah
$40
Hondo
$115,288
Travis County
$4,703,473
Honey Grove
$7,196
Trent
$63
Hood County
$292,105
Trenton
$3,089
Hooks
$2,702
Trinidad
$5,859
Hopkins County
$149,518
Trinity
$23,652
Horizon City
$7,520
Trinity County
$105,766
Horseshoe Bay
$48,173
Trophy Club
$29,370
Houston County
$78,648
Troup
$7,918
Houston
$7,021,793
Troy
$5,320
Howard County
$89,330
Tulia
$8,911
Howardwick
$84
Turkey
$737
Howe
$9,177
Tuscola
$138
Hubbard
$3,635
Tye
$1,766
Hudson
$6,840
Tyler
$723,829
Hudson Oaks
$15,637
Tyler County
$131,743
Hudspeth County
$985
Uhland
$1,545
Hughes Springs
$4,442
Uncertain
$185
Humble
$73,952
Union Grove
$994
Hunt County
$309,851
Union Valley
$666
Hunters Creek Village
$14,708
Universal City
$28,428
Huntington
$8,792
University Park
$50,833
Huntsville
$80,373
Upshur County
$128,300
Hurst
$99,187
Upton County
$8,499
Hutchins
$9,551
Uvalde
$18,439
Hutchinson County
$74,630
Uvalde County
$36,244
Hutto
$38,346
Val Verde County
$117,815
Huxley
$738
Valentine
$207
Idalou
$1,999
Valley Mills
$2,228
Impact
$8
Valley View
$1,824
Indian Lake
$473
Van
$6,206
Industry
$604
Van Alstyne
$43,749
Ingleside on the Bay
$142
Van Horn
$211
Ingleside
$40,487
Van Zandt County
$248,747
Ingram
$5,243
Vega
$974
Iola
$3,164
Venus
$9,792
Iowa Colony
$4,090
Vernon
$81,337
Page 16
Iowa Park
$23,487
Victoria
$84,598
Iraan
$56
Victoria County
$520,886
Iredell
$216
Vidor
$95,620
Irion County
$9,105
Vinton
$622
Irving
$427,818
Volente
$333
Italy
$5,349
Von Ormy
$513
Itasca
$8,694
Waco
$512,007
Ivanhoe
$26
Waelder
$3,427
Jacinto City
$14,141
Wake Village
$174
Jack County
$14,799
Walker County
$184,624
Jacksboro
$23,254
Waller County
$126,206
Jackson County
$37,984
Waller
$11,295
Jacksonville
$80,179
Wallis
$2,698
Jamaica Beach
$4,913
Walnut Springs
$183
Jarrell
$2,423
Ward County
$67,920
Jasper
$78,422
Warren City
$66
Jasper County
$248,855
Washington County
$83,727
Jayton
$63
Waskom
$5,346
Jeff Davis County
$8,500
Watauga
$33,216
Jefferson
$11,194
Waxahachie
$152,094
Jefferson County
$756,614
Weatherford
$207,872
Jersey Village
$36,347
Webb County
$505,304
Jewett
$9,338
Webberville
$1,280
Jim Hogg County
$12,718
Webster
$53,202
Jim Wells County
$166,539
Weimar
$5,830
Joaquin
$810
Weinert
$234
Johnson City
$3,581
Weir
$443
Johnson County
$408,692
Wellington
$9,111
Jolly
$26
Wellman
$383
Jones County
$22,001
Wells
$1,357
Jones Creek
$5,078
Weslaco
$73,949
Jonestown
$6,419
West
$3,522
Josephine
$881
West Columbia
$17,958
Joshua
$20,619
West Lake Hills
$17,056
Jourdanton
$9,600
West Orange
$42,452
Junction
$4,825
West Tawakoni
$6,995
Justin
$8,575
West University Place
$34,672
Karnes City
$11,632
Westbrook
$43
Karnes County
$35,249
Westlake
$41,540
Katy
$52,467
Weston
$266
Page 1
Kaufman
$27,607
Weston Lakes
$189
Kaufman County
$353,047
Westover Hills
$4,509
Keene
$38,296
Westworth Village
$7,842
Keller
$79,189
Wharton
$31,700
Kemah
$28,325
Wharton County
$72,887
Kemp
$6,419
Wheeler
$447
Kempner
$330
Wheeler County
$26,273
Kendall County
$100,643
White Deer
$1,273
Kendleton
$13
White Oak
$15,305
Kenedy
$676
White Settlement
$23,304
Kenedy County
$1,000
Whiteface
$155
Kenefick
$416
Whitehouse
$29,017
Kennard
$132
Whitesboro
$18,932
Kennedale
$21,024
Whitewright
$7,098
Kent County
$939
Whitney
$73
Kerens
$1,924
Wichita County
$552,371
Kermit
$5,652
Wichita Falls
$832,574
Kerr County
$218,452
Wickett
$87
Kerrville
$190,357
Wilbarger County
$55,124
Kilgore
$105,583
Willacy County
$24,581
Killeen
$535,650
Williamson County
$1,195,987
Kimble County
$20,480
Willis
$24,384
King County
$1,000
Willow Park
$26,737
Kingsville
$20,083
Wills Point
$43,765
Kinney County
$2,142
Wilmer
$426
Kirby
$8,752
Wilson
$12
Kirbyville
$10,690
Wilson County
$121,034
Kirvin
$2
Wimberley
$724
Kleberg County
$124,109
Windcrest
$12,908
Knollwood
$1,160
Windom
$1,087
Knox City
$1,962
Windthorst
$3,385
Knox County
$11,730
Winfield
$290
Kosse
$2,468
Wink
$120
Kountze
$19,716
Winkler County
$61,163
Kress
$186
Winnsboro
$28,791
Krugerville
$1,508
Winona
$319
Krum
$9,661
Winters
$6,229
Kurten
$686
Wise County
$289,074
Kyle
$51,835
Wixon Valley
$441
La Feria
$10,381
Wolfe City
$5,466
Page 16
La Grange
$9,623
La Grulla
$1,708
La Joya
$8,457
La Marque
$98,930
La Porte
$91,532
La Salle County
$14,975
La Vernia
$3,217
La Villa
$572
La Ward
$321
LaCoste
$159
Lacy -Lakeview
$ 11,599
Ladonia
$2,011
Lago Vista
$13,768
Laguna Vista
$3,689
Lake Bridgeport
$232
Lake City
$2,918
Lake Dallas
$25,314
Lake Jackson
$75,781
Lake Tanglewood
$613
Lake Worth
$20,051
Wolfforth
Wood County
Woodbranch
Woodcreek
Woodloch
Woodsboro
Woodson
Woodville
Woodway
Wortham
Wylie
Yantis
Yoakum County
Yoakum
Yorktown
Young County
Zapata County
Zavala County
Zavalla
$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
Page 19
Exhibit C: TX Opioid Council & Health Care Region Allocations plus Administrative Costs
70% of Total ($700 million)
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
6
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, Mills, 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, Taylor
$9,509,818
Armstrong, Bailey, Borden, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth,
Cottle, Crosby, 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, Scurry, Sherman, Swisher, Terry, Wheeler, Yoakum
$23,498,027
13
Coke, Coleman, Concho, Crockett, Irion, Kimble, Mason, McCulloch, Menard, Pecos,
Reagan, Runnels, Schleicher, Sterling, Sutton, Terrell, Tom Green
$5,195,605
14
Andrews, Brewster, Crane, Culberson, Ector, Glasscock, Howard, Jeff Davis, Loving,
Martin, Midland, Presidio, Reeves, Upton, Ward, Winkler
$12,124,354
15
El Paso, Hudspeth
$17,994,285
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 Archer, Baylor, Clay, Cooke, Foard, Hardeman, Jack, Montague, Throckmorton, Wichita,
Wilbarger, Young $12,665,268
20 Jim Hogg, Maverick, Webb, Zapata $6,755,656
Administrative Costs $7,000,000
* Each Region shall reserve 25% of its allocation for Targeted Funds under the guidelines of Exhibit A.
City of Fort Worth Fire Department EXHIBIT "B"
Home, Outreach, Prevention, and Education (HOPE) team PROGRAM SUMMARY
PROGRAM SUMMARY
(Texas Opioid Abatement Fund Council TOAFC)
March 1, 2024 to February 28, 2025 $157,505.64
PERIOD AMOUNT
Capitalized terms not defined herein shall have meanings assigned them in the Contract.
PROGRAM:
The Program with the HOPE initiative aims to address the critical issue of opioid-related
incidents within our community. This 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. Our
paramedics will play a crucial role in delivering medical assistance, including naloxone
administration and overdose response training. The goal is not only to prevent overdoses from
occurring but to also prevent them by offering education and support.
The Response vehicle is pivotal to enhance the mobility and reach of the HOPE team. The
vehicle 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 our opioid
clients. The funds will cover the purchase, customization, and outfitting of the vehicle 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.
Funds will also be used to purchase and distribute harm reduction, Naloxone, and Overdose
prevention kits to those in need.
It is pivotal that staff are educated on the ongoing changes in the medical field as it relates to the
Opioid crisis that Citizens of Fort Worth are faced with. Staff will attend trainings to help
increase their knowledge on these changes as well as provide trainings to others. Trainings
provided to others will be measured by pre and post-test to ensure objectives are met.
The HOPE Team services are provided to over 350 scattered homeless sites within Fort Worth
city limits. These services are offered Monday -Friday, from lam to 4pm.
These funds will be used to cover Response vehicle, overdose prevention kits, harm reduction
kits, and training.
INTERVENTIONS OF OPIOID USE GRANT 2023-2024 — EXHIBIT `B" — PROGRAM SUMMARY
Page 1
PROGRAM GOALS:
Minimum Number of Fort Worth Clients to be Served: The Program must serve a minimum
of 1,327 Unduplicated Clients from Fort Worth as shown by the monthly reports on Attachment
III.
Schedule B section B.1 and B7
Schedule B Part Two Section F
Schedule B Part Two Section H Particularly H.11 regarding mobile units
INTERVENTIONS OF OPIOID USE GRANT 2023-2024 — EXHIBIT `B" — PROGRAM SUMMARY
Page 2
EXHIBIT "C" - BUDGET
Grant Budget
Total
PROGRAM PERSONNEL
Staff Training
$ 9,485.00
$ 9,485.00
SUPPLIES AND SERVICES
Naloxone Kits
$
59,715.00
$
59,715.00
Harm Reduction Kits
$
26,650.00
$
26,650.00
Overdose prevention kits
$
16,650.00
$
16,650.00
EQUIPMENT
Response Vehicle
$
45,000.00
$
45,000.00
BUDGET TOTAL $ 157,500.00 $ 157,500.00
Page 1
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 "C" — 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 "C" — Budget is.
PROGRAM PERSONNEL- STAFF TRAINING
Administartion and Training
Request for Two (2) to attend the EMS World
Expo held in Las Vegas, NV, September 9-
13 2024. Cost includes registartion fee, per
diem, lodging, airfare and other allowable
travel expenses. Estimated amount per person
will $1400x2.
Request for Two (2) to attend the FDIC
International Conference held in Indianpolis,
IN, April 15-20 2024. Cost includes
registartion fee, per diem, lodging, airfare and
other allowable travel expenses. Estimated
amount per person will $1400x2.
Request for Five (5) to attend the Layperson
Naloxone (NARCAN) training course (Train
the Trainer) held locally at the Bob Bolen
Training Center. Date TBD. Cost includes
registartion fee ONLY. Estimated amount per
person will $225x5.
Est. Percent to Amount to
Cost Grant Grant
$ 2,800.00 100 $ 2,800.00
$ 2,800.00 100 $ 2,800.00
$ 1,125.00 100 $ 19125.00
Request for Two (2) to attend the 20th Annual
International Street Medicine Symposium held
in Kanasas City, MI , September 15-18 2024.
Cost includes registartion fee, per diem, $ 2,760.00 100.0% $ 2,760.00
lodging, airfare and other allowable travel
expenses. Estimated amount per person will
$1380x2.
TOTAL $ 9,485.00
Est. Percent to Amount to
Amount I Grant I Grant
Request for One (1) Response Vehicles. The
acquisition of the response vehicles is pivotal
to enhance the mobility and reach of the
HOPE team. This vehicle 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 our opioid clients.
The allocated funds will cover the purchase,
customization, and outfitting of this vehicle
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.
TOTAL $
45,000.00 100.0% $ 45,000.00
000.00
SUPPLIES AND SERVICES
Est. Percent to
Amount to
Total Budget
Grant
Grant
Harm Reduction Kits @$13/kit
$ 26,650.00
100
$ 26,650.00
Naloxone Kits @$45/kit
$ 59,715.00
100
$ 59,715.00
Overdose Prevention Kits @$10/kit
$ 16,650.00
100
$ 16,650.00
TOTAL
$ 103,015.00
Contract Labor
Food Supplies
Teaching Aids
Craft Supplies
Field Trip Expenses
Mileage
TOTAL
ADMINISTRATION AND TRAINING
Est. Percent to Amount to
Total Budget Grant Grant
#DIV/0!
$ - #DIV/0! $
FACILITY AND UTILITIES
Est. Percent to
Total Budget Grant
#REF!
#REF!
#REF!
#REF!
#REF!
Rent
Cleaning Supplies
Repairs
Custodial Services
Utilities, Transportation, PP & E
TOTAL $ -
LEGAL, FINANCIAL AND INSURANCE
Est. Percent to
Total Budget Grant
Fidelity Bond or Equivalent
Directors and Officers
General Commercial Liability
Prof Fees
TOTAL $ -
DIRECT ASSISTANCE
Est. Percent to
Total Budget Grant
Audit/IT/Legal Volunteer Recruitment, Misc.
TOTAL $ -
Amount to
Grant
Amount to
Grant
Amount to
Grant
Exhibit D
Attachment I- Request Summary
Agency:
Address:
City, State, Zip:
Program:
Month of Service:
Tax ID Number:
Contract Number:
Case ID:
P.O. Number:
FID Number:
IDIS Number:
FICA
$
$
$
Mileage
$
$
$
Training
$
- $
- $ -
Indirect Cost
$ $
$
$
Naloxone Kits
$ - $
- $
- $ -
Small Deterra Drug Pouches
$ $
$
$
Recruitment and Engagement
$ - $
- $
- $ -
Community Website
$ $
$
$
Harm Reduction Kits
$ - $
- $
- $ -
Overdose Prevention Kits
$ $
$
$
Response Vehicle
$ $
$
$
TOTAL
$ $
$
$
Request Summary
Budget
Ex enditure
Percentage Spent
Table Total
$ -
$ -
#DIV/0!
$
Jan-24
Feb-24
Mar-24
Apr-24
May-24
Jun-24
Jul-24 Aug-24 Sep-24 Oct-24 Nov-24 Dec-24
$ - $ - $ - $ - $ - $ -
Client Goals
Goal Amount
Cumulative Total
Goal Met %
Table Total
#DIV/0!
0
Jan-24
Feb-24
Mar-24
Apr-24
May-24
Jun-24
0
0
0
0 0
Jul-24
Aug-24
Sep-24
Oct-24
Nov-24 Dec-24
0
0
0
0
0 0
Agency:
Program:
ATTACHMENT II
City of Fort Worth
Neighborhood Services Depart
Expenditure Worksheet
Please gr
Line
No.
Check No.
Date
Payee
Description/Job Title*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
Total
*For Salaries, state employee's title under Description/Job Title.
;ment
•oup like account codes.
Account Code
(See Key to
Right) Amount
Only highlighted codes can be reimbursed
Expense Line Item
Account
Personnel
Salaries
1001
FICA
1002
Mileage
1003
Training
1004
Indirect Cost 1005
Supplies
Naloxone Kits 2001
Small Deterra Drug Pouches 2002
Harm Reduction Kits 2003
Overdose Prevention Kits 2004
Medication -Assisted Treatment 2005
Marketing
Recruitment and Engagement 3001
Community Website 3002
Response Vehicle 3003
Instructions:
Agency:
Program:
Month:
This report is
service. Cliem
columns 1 thri
1
2A
3
5
DATE
SERVICE
CLIENT
NAME(CLIENT
LOCATION (IF
RECEIVED
IDENTIFIER)
APPLICABLE)
SERVICE
AGE
2
4
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
meant to list all unduplicated clients served during the Contract term (January 1,2024 to December 32, 2024). Ea
is that continue to receive Program services for multiple months only need to be listed one time. Put an "X" in eacl
a 12.
Undup Clts for CURRENT MONTH
CUMULATIVE Unduplicated Clients
*Proposed Client Goal Per Contract
% of Milestone Met
*Do not revise the client goal unless the contract is amended, accordingly.
* Please big
6
7
GENDER
ETHNICITY
(Indicate One)
(Indicate One)
NON -
MALE
FEMALE
HISPANIC
HISPANIC
ATTACHMENT I
CLIENT DATA REP
ch month, please report the information of clients not previously reported. You are required to complete this
i appropriate box regarding the client's sex, ethnicity, race, etc. Please note that reimbursement for salaries v
Might new clients for the month.
NATIVE
AMERICAN
AMERICAN
HAWAIIAN OR
INDIAN OR
BLACK OR
INDIAN OR
BLACK OR
OTHER
ALASKAN
AFRICAN
ALASKAN
AFRICAN
PACIFIC
NATIVE AND
ASIAN AND
AMERICAN
NATIVE
ASIAN
AMERICAN
ISLANDER
WHITE
WHITE
WHITE
AND WHITE
II
ORT
report for all clients. New unduplicated clients should be listed below any previously reported clients so that t]
vill require that the agency report to the City all the clients that were served by that particular staff person in 1
9
11
DISABLED
(Indicate One)
HH INCOl
(Indicate One 8C
AMERICAN
INDIAN OR
ALASKA
NATIVE AND
BLACK OR
AFRICAN
AMERICAN
OTHER
MULTIPLE
RACE
COMBINAT-
IONS*
YES
NO
1>$53,600
2>$61,250
3>$68,900
4>$76,550
5>92,700
his sheet will act as a rolling tally. Please only list clients one time during the first month that they receive
;hat program. Information for each client listed below must have the demographic information reflected in
12
VlVIE
AMI)
INSURED (Indicate One)
6>$88,880
7>$94,950
8>$101,050
UNKNOWN
YES
NO
Instructions:
Agency:
Program:
Month:
This report is
should be liste
in each approl
the demograp]
1
2A
3
5
DATE
SERVICE
CLIENT
NAME(CLIENT
LOCATION (IF
RECEIVED
IDENTIFIER)
APPLICABLE)
SERVICE
AGE
2
4
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
meant to list all unduplicated clients served during the Contract term (January 1,2024 to December 32, 2024). Ea
d below any previously reported clients so that this sheet will act as a rolling tally. Please only list clients one time 4
)riate box regarding the client's sex, ethnicity, race, etc. Please note that reimbursement for salaries will require th
hic information reflected in columns 1 thru 12.
Undup Clts for CURRENT MONTH
CUMULATIVE Unduplicated Clients
*Proposed Client Goal Per Contract
% of Milestone Metl #DIV/0!
*Do not revise the client goal unless the contract is amended, accordingly.
* Please hig
6
7
GENDER
ETHNICITY
(Indicate One)
(Indicate One)
NON -
MALE
FEMALE
HISPANIC
HISPANIC
ATTACHMENT III
CLIENT DATA REPORT
ch month, please report the information of clients not previously reported. You are required to complete this
luring the first month that they receive service. Clients that continue to receive Program services for multiph
at the agency report to the City all the clients that were served by that particular staff person in that progran
Might new clients for the month.
NATIVE
AMERICAN
AMERICAN
HAWAIIAN OR
INDIAN OR
BLACK OR
INDIAN OR
BLACK OR
OTHER
ALASKAN
AFRICAN
ALASKAN
AFRICAN
PACIFIC
NATIVE AND
ASIAN AND
AMERICAN
NATIVE
ASIAN
AMERICAN
ISLANDER
WHITE
WHITE
WHITE
AND WHITE
report for all clients. New unduplicated clients
months only need to be listed one time. Put an "X"
i. Information for each client listed below must have
AMERICAN
INDIAN OR
ALASKA
OTHER
NATIVE AND
MULTIPLE
BLACK OR
RACE
AFRICAN
COMBINAT-
AMERICAN
IONS*
This tab is to capture marketing methods and locations. For example, Agency printed 100 flyers and provided them at various
each location and service address of where flyers were provides
NAME of LOCATION THE
MARKETING TOOL WAS
TOOL PROVIDED
QUANTITY AMOUNT
locations. We want to know how many flyers were provided to
EXHIBIT E
List of Ovioid Remediation Uses
Schedule A
Core Strategies
States and Qualifying Block Grantees shall choose from among the abatement strategies listed in
Schedule B. However, priority shall be given to the following core abatement strategies ("Core
Strategies" ).14
A. NALOXONE OR OTHER FDA -APPROVED DRUG TO
REVERSE OPIOID OVERDOSES
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 -ASSISTED TREATMENT ("MA7')
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 As used in this Schedule A, words like "expand," "fund," "provide" or the like shall not indicate a preference for
new or existing programs.
E-1
C. PREGNANT & POSTPARTUM WOMEN
Expand Screening, Brief Intervention, and Referral to
Treatment ("SBIRT°') services to non -Medicaid eligible or
uninsured pregnant women;
2. Expand comprehensive evidence -based treatment and
recovery services, including MAT, for women with co-
occurring Opioid Use Disorder ("OUD") and other
Substance Use Disorder ("SUD")/Mental Health disorders
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
ABSTINENCE SYNDROME ("NAS")
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
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-2
F. TREATMENT FOR INCARCERATED POPULATION
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
Funding for media campaigns to prevent opioid use (similar
to the FDA's "Real Cost" campaign to prevent youth from
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
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-3
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)
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, those that:ls
1. Expand availability of treatment for OUD and any co-occurring SUD/MH
conditions, including all forms of Medication -Assisted Treatment ("MAT")
approved by the U.S. Food and Drug Administration.
2. Support and reimburse evidence -based services that adhere to the American
Society of Addiction Medicine ("ASAM") continuum of care for OUD and any co-
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. Improve oversight of Opioid Treatment Programs ("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 As used in this Schedule B, words like "expand," "fund," "provide" or the like shall not indicate a preference for
new or existing programs.
E-4
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 Act of 2000 ("DATA 2000") to prescribe MAT for
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 Psychiatry's Provider Clinical Support Service—Opioids web -based
training curriculum and motivational interviewing.
14. Develop and disseminate new curricula, such as the American Academy of
Addiction Psychiatry's Provider Clinical Support Service for Medication —
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-5
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-6
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.
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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
Addiction Recovery Initiative ("PAARI");
2. Active outreach strategies such as the Drug Abuse Response Team
("DART") model;
3. "Naloxone Plus" strategies, which work to ensure that individuals who
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
Diversion ("LEAD") model;
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.
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. Support critical time interventions ("CTI" ), particularly for individuals living with
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
abstinence syndrome ("NAY'), through evidence -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.
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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. Provide support for Children's Services —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
Programs ("PDMPs"), including, but not limited to, improvements that:
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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,
including the United States Department of Transportation's Emergency Medical
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
Mental Health Services Administration ("SAMHSA").
7. Engaging non -profits and faith -based communities as systems to support
prevention.
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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.
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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
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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.
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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
Abuse Monitoring ("ADAM') system.
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.
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2024 Documentation Standards for
IOU Contract Expenses
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 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 priovide 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 maybe 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 January invoice.
Salaries X x*
Reimbursement requests must include a timesheet and work log that reflects the hours worked by the employee(s) working directly on
the IOU Program. For employees who are paid with multiple funding sources, timesheets must reflect all funding sources. If separate
timesheets are kept for each funding source, all such timesheets must be submitted to City. Timesheets must be signed by employee
and supervisor. Agency must show a calculation and documentation of how the employee's salary was calculated and invoiced to 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
Life Insurance x x x
Health x x x
If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the
Insurance
employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and
Disability
must provide documentation showing payment. Invoice and proof of payment are only required with the first reimbursement request and
x x x
Insurance
at any time there are changes to amounts, enrollments, disenrollments, etc.
Unemployment x x x
Insurance
If the City pays gross salary, this is already included. If the City pays the employer portion, the Agency must provide proof that the
Retirement x x x
employee is enrolled in the benefit plan, must show a calculation and documentation of how the invoiced amount was calculated, and
must provide documentation showing payment. 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.
Naloxone Kits X X
Small Deterra X X
Drug Pouches
Harm X X
Reduction Kits
Overdose
X X
Prevention Kits
Medication -
Assisted X X
Treatment
Response X X
Vehicle
Proof Effective
on March 1, Payments or Expenses must be documented in the following manner:
J2024 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.
IOU Contract Exhibit "F" -- STANDARDS FOR COMPLETE DOCUMENTATION
City of Fort Worth, Texas
Mayor and Council Communication
DATE: 12/12/23 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 RECOMMENDED
AGENCY NAME NAME PROGRAM DESCRIPTION FUNDING
AMOUNT
UNIVERSITY OF
Community -based intervention operating the SaferCare Texas with
NORTH TEXAS
clinical executives comprised of nurses and nurse practitioners to
HEALTH SCIENCE
SaferCare
distribute 600 naloxone kits and 1,500 drug disposal bags including 25 $310,339.00
CENTER AT FORT
Texas
organizational readiness kits accompanied by educational training of
WORTH HEALTH
trainers among students within HSC and Fort Worth based organizations
SYSTEMS (HSC)
and groups responding to this opportunity
Office-
Office -Based Opioid Treatment (OBOT) provides services to alleviate the
MY HEALTH MY
Based
adverse physiological effects of withdrawal from the use of opioids as
RESOURCES OF
Opioid
required to meet the individualized needs of the patient. Patients will also $197,100.00
TARRANT COUNTY
Treatment
receive wraparound group, individualized counseling, and peer
(OBOT)
supportive services in this extended program.
ITOTAL I $507,439.00
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 Citv Manaaer's Office bv: Fernando Costa 6122
Oriainatina Business Unit Head: Victor Turner 8187
Additional Information Contact: Sharon Burkley 5785
Terrance Jones 7563