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HomeMy WebLinkAbout065839 - General - Contract - City of Fort Worth Fire Department65839 CSC No. Page 1 of 2 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, 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); and the City has continued to receive opioid settlement payments, including a second payment of $129,518.88 received April 16, 2024, and a third payment of $631,860.97 received April 10, 2025, all deposited into City Project No. 104782; WHEREAS, on April 28, 2026, City Council approved M&C 26-0318, authorizing the allocation of Texas Opioid Settlement Funds in the amount of $410,204.00 to the Fire Department to support peer support services, expanded medication -assisted treatment access on advanced life support ambulances, overdose response, and community outreach to improve recovery and reduce opioid-related harm; 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 Abuse 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 April 28, 2026 and will remain in effect through April 28, 2028, or until all allocated funds have been expended, whichever occurs first, unless amended by mutual written agreement of the Parties. 2. This MOU includes the following attached Exhibits: OFFICIAL RECORD CITY SECRETARY EXHIBIT "B" — Program Summary FT. WORTH, TX EXHIBIT "C" — Budget EXHIBIT "D" — Reimbursement Forms 3. NSD will provide up to $410,204.00 of OPIOID Funds ("Funds") to Fire under the terms and conditions of this MOU, as authorized by M&C 26-0318 (April 28, 2026). 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. Neighborhood Services Department and Fire Department MOU — Interventions of Opioid Use CSC No. 65839 Page 2 of 2 4. The Funds will be utilized by Fire for eligible opioid mitigation activities as authorized under M&C 26-0318 (April 28, 2026), including peer support services, expanded medication -assisted treatment on advanced life support ambulances, and community outreach to improve recovery and reduce opioid-related harm. In the event the Texas Attorney General makes material changes to the applicable settlement requirements, Fire agrees to abide by those changes to ensure continued compliance. 5. Fire agrees to provide NSD with the following on a monthly basis: (a) monthly expenditure reports including account numbers used; (b) updates on remaining allocation balance and projected spending pace; (c) a description of how funds were used during the reporting period; and (d) the number of individuals served or program outputs for the period. 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 account 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 reallocate Funds, or a portion of the Funds that is at -risk of not being expended, and to reallocate such Funds in accordance with applicable requirements and City policies. If spending significantly slows or stalls, NSD may request a written justification from Fire prior to determining whether reallocation is necessary. ACCEPTED AND AGREED: Kacey Thomas 18, 2026 08:21:25 CDT) Kacey Thomas Director, Neighborhood Services Department Ja s Horton (Sep 17, 2026 16:45:52 CDT) James Horton Fire Chief, Fire Department TTEST BY: A .:+dk Q�}p��� .1GW4.11P.XXR. z.LY ate Goodall Secretary cc: Keisha Light, Assistant Director, Neighborhood Services Department cc: Kacey Thomas, Director, Neighborhood Services Department OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Neighborhood Services Department and Fire Department MOU — Interventions of Opioid Use City of Fort Worth Fire Department EXHIBIT "B" Peer Support, Expanded Treatment Access and PROGRAM SUMMARY Community Engagement PROGRAM SUMMARY (Texas Opioid Abatement Fund Council TOAFC) 2 -Year PERIOD $410,204.00 AMOUNT Capitalized terms not defined herein shall have the meanings assigned to them elsewhere in this Memorandum of Understanding. PROGRAM: The Overdose Response Enhancement Program aims to reduce opioid-related overdoses and improve long-term recovery outcomes through a comprehensive approach that combines peer support, treatment access, emergency response, and community engagement. The program will support the continued operation of the Overdose Response Team (ORT) by funding a Peer Support Specialist and Mobile Health Paramedic who provide outreach, follow-up services, recovery navigation, and connections to treatment for individuals impacted by opioid use disorder. In addition, the program will expand access to medication -assisted treatment (MAT) by increasing the administration and induction of buprenorphine on all Advanced Life Support (ALS) ambulances, allowing individuals experiencing opioid-related emergencies to receive timely treatment and referrals to ongoing care. The program will also organize community outreach and educational events designed to increase awareness of opioid misuse, reduce stigma associated with substance use disorders, and promote available prevention, treatment, and recovery resources. Through these coordinated efforts, the program seeks to strengthen overdose response capabilities, improve access to evidence -based treatment, and support recovery within the Fort Worth community. PROGRAM GOALS: • Enhance overdose response and recovery support services for individuals affected by opioid use disorder. • Increase access to medication -assisted treatment through expanded buprenorphine administration and induction capabilities. • Provide peer -based recovery support and navigation services through the Overdose Response Team. • Improve community awareness of opioid misuse prevention, treatment, and recovery resources. • Reduce stigma surrounding substance use disorders through education and community engagement. INTERVENTIONS OF OPIOID USE EXHIBIT "B" — PROGRAM SUMMARY Page 1 Strengthen connections between emergency response, treatment providers, and recovery support services. Reduce opioid overdose incidents and improve long-term recovery outcomes for Fort Worth residents. INTERVENTIONS OF OPIOID USE EXHIBIT "B" — PROGRAM SUMMARY Page 2 CITY OF FORT WORTH Oploid Settlement Fund Allooatton— M8C 2603181 Fire Oeparhnent Opiold Response Program Purpose This ExMbd is share Fit&EMS documents the reporting stnrctum for World settlement-tmMed activities underthe Pere Support, Ended Treshnent Access, and Community Engagement program, consistentwilh what your team shared with us. WM1at we're looking for Based on your responses, please control Nereporting shurlure on the gartering Structure 'tab (ImageTrentl system, Enrollment ID/de-identified bpcatle-level reporting, and your pracessleutcomemeasures). old adds sheet to this workbook wlN the actual lernplale or Bala egret(your teem will use antl submk monthly. Outstanding Item Ws still need to codfinn how opi,d soMement funds will be dlstinguished/segregated from other funding sources, Sloth that Fire dunenlly receives no reimbursemard under this program. Well tOltow upon this separately. Reference M&C 26-0318 (Taws Spied SMllemenl Fund allocations). Program I Department: Fort Worth Fire Department — Peer Support, Expanded Treatment Access, and Community Engagement Legend: Yellow cells = please confirm or complete Reporting System Used Please confirm: Image Trend. CONFIRMED Client/Patient Identifier Please confirm: Enrollment ID; de -identified, reported at zip -code Method (level. CONFIRMED Outcome/Process Measures Please confirm: referred, engaged, refusals, unable to locate, ineligible, naloxone kits distributed; overdose 9-1-1 calls 1 year before/after referral. CONFIRMED Reporting Frequency Please confirm your standard reporting cadence. Process measures: Monthly Outcome Measures: Quarterly Reimbursement Structure To be confirmed Fire currently receives no reimbursement under this program. CONFIRMED Please add an additional sheet to this workbook (tab at the bottom) containing the actual template/report format your team will complete and submit each month, consistent with what you described above. .�.,.,. W .,.,e,e�,,.. r Mg M&C Review Page 1 of 3 r_I CITY COUNCIL AGEND Create New From This M&C Official site of the City of Fort Worth, Texas FORT WORTH REFERENCE **M&C 26- 19INTERVENTIONS OF OPIOID DATE: 4/28/2026 NO.: 0318 LOG NAME: USE FUNDING ALLOCATIONS 2026 CODE: G TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL) Approve the Allocation of Texas Opioid Settlement Funds in the Amount Up to $648,136.56 to the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division, and the City of Fort Worth Neighborhood Services Department; Authorize the Use of Interest Earnings in an Amount Up to $75,000.00, and Adopt Appropriation Ordinance RECOMMENDATION: It is recommended that the City Council: 1. Approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department in the amount of $410,204.00; the City of Fort Worth Homeless Strategies Division to increase the High ImpACT services contract with My Health, My Resources of Tarrant County in the amount of $236,625.00; and to the City of Fort Worth Neighborhood Services Department in the amount of $1,307.56 for administrative costs, 2. Authorize the use of interest earnings in an amount up to $75,000.00, all subject to receipt of interest earned from the award, 3. Authorize execution of an amendment to City Secretary Contract 64551 with My Health, My Resources of Tarrant County to increase funding by $236,625.00, to be spread over the remainder of Fiscal Year 2026, Fiscal Year 2027, and a portion of Fiscal Year 2028; 4. Adopt the attached appropriation ordinance increasing receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project in an amount up to $75,000.00 (City Project No. 104782); and 5. Authorize the City Manager or his designee to administer and allocate the funds to the departments for eligible opioid mitigation activities in accordance with the Texas Opioid Settlement requirements and City policies. DISCUSSION: The purpose of the Mayor and Council Communication (M&C) is to approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division and to the City of Fort Worth Neighborhood Services Department. Through the adoption of Resolution 5499-11-2021 on November 9, 2021, the City Council approved the City of Fort Worth (City) joining the opioid settlement negotiated by the Texas Attorney General, affirmed its support for the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet, and recognized the need for resources to address opioid-related harms in the City of Fort Worth. On March 1, 2023, the City received its first opioid settlement payment from the Texas Opioid Abatement Fund Council in the amount of $665,760.73. On April 11, 2023, M&C 23-0255 approved the use of these funds and designated the Neighborhood Services Department as the lead department to oversee the allocation and administration of the opioid settlement funds. The settlement program is expected to last approximately 18 years, and the City anticipates receiving an http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026 M&C Review Page 2 of 3 estimated total of nearly $2.6 million from the initial settlement and nearly $2 million from a subsequent settlement. On April 16, 2024, the City received its second settlement payment in the amount of $129,518.88. On April 10, 2025, the City received its third settlement payment in the amount of $631,860.97. These funds were deposited into the Grants Operating Other Fund for allowable expenses related to opioid remediation activities as defined by the Texas Opioid Abatement Fund Council for the Texas Opioid Abatement Fund project (City Project No. 104782). Staff recommends allocating these funds to support opioid mitigation activities administered by City departments as outlined below: RECOMMENDED DEPARTMENT PROGRAM PROGRAM DESCRIPTION FUNDING AMOUNT Supports overdose response through peer support Peer Support, services, expanded Expanded medication -assisted treatment Treatment Access, on advanced life support and Community ambulances, and community Engagement outreach to improve recovery and reduce opioid related harm. CITY MANAGER'S OFFICE - HOMELESS STRATEGIES NEIGHBORHOOD SERVICES High ImpACT Admin Expenses Supports the High ImpACT program by providing substance abuse counseling and medications for individuals experiencing opioid addiction who are High ImpACT clients. Supports administrative expenses for the Neighborhood Services Department to oversee and manage opioid settlement - funded programs and activities. I TOTAL II $648,136.56 The High ImpACT program addresses the intersection of severe mental illness and unsheltered homelessness by providing mobile psychiatric services and housing assistance and is managed by My Health, My Resources of Tarrant County (MHMR). On March 19, 2024, City Council approved M&C 24-0200 to fund the first five months of the 17 -month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, City Council approved M&C 24-1032 allocating $2,178,304.00 to fund the remaining 12 months of the pilot program. On August 12, 2025, City Council approved M&C 25-0658 authorizing the execution of a $1,269,005.00 contract with MHMR, along with contracts with Acclaim Health and Partnership Home, to continue the program in Fiscal Year 2026 with options to renew through Fiscal Years 2027, 2028, and 2029. The City Manager's Office Homeless Strategies Division will utilize the opioid settlement funds allocated through this M&C to increase the MHMR contract through a two-year agreement spanning three fiscal years to provide substance use counseling and medication services for individuals experiencing opioid addiction who are enrolled in the High ImpACT program. http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026 M&C Review Page 3 of 3 In addition, interest earnings associated with the Texas Opioid Abatement Fund project have accrued and continue to accrue. Currently, $15,240.10 in interest earnings have been recorded, with additional estimated interest earnings expected to be received. This M&C authorizes the use of interest earnings in an amount up to $75,000.00, subject to receipt of interest earned, and adopts an appropriation ordinance to increase receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project (City Project No. 104782). The departments will implement eligible opioid remediation activities and establish program timelines necessary to carry out program goals in accordance with the Texas Opioid Settlement requirements and City policies. Awarded funds should be spent within a 24 -month timeframe. The City was notified that a fourth distribution from the Texas Opioid Abatement Fund is forthcoming; however, the amount and timing of the distribution have not been confirmed. Staff will monitor the receipt of these funds and will return to City Council with a future M&C to appropriate and allocate the funds in accordance with applicable requirements. The programs will be available in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget in the Grants Operating Other Fund and 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 opioid mitigation activities and execute the contract. Prior to any expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds. TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) OM Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for City Manager's Office by: Dana Burghdoff (8018) Originating Department Head: Kacey Thomas (8187) Additional Information Contact: Keisha Light (5749) ATTACHMENTS 19INTERVENTIONS OF OPIOID USE FUNDING ALLOCATIONS 2026 funds avail.docx (CFW Internal) FID TABLE -Opioid 104782R.xlsx (CFW Internal) ORD.APP 19INTERVENTIONS OF OPIOID USE FUNDING ALLOCATIONS 2026 AO26(R5) (1).docx (Public) RESOLUTION 5499-11-2021.PDF (Public) http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026 FORT WORTH,) City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: City of Fort Worth Fire Department Subject of the Agreement: MOU for the Texas Opio d Settlement Funds, Fire Department Peer Support Program M&C Approved by the Council? * Yes Q'No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No a If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes El No a If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No a If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: April 28, 2026 If different from the approval date. Expiration Date: April 28, 2028 If applicable. Is a 1295 Form required? * Yes O No Q' *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes Cl'No ❑ Contracts need to be routed for CSO processing in the following order: 1. Christian Chavez (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.