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HomeMy WebLinkAboutWORKSHOP Opioid Settlement Fund Workshop PresentationJefferson County Board of County Commissioners Opioid Settlement Funds Workshop Monday, July 7th, 2025 Settlement Funds Distribution: Washington State Opioid Settlement within a series of national settlement cases (One Washington MOU; 50% to state and 50% to local governments) SBH-ASO: Designated Regional Opioid Abatement Council (OAC) (10% administrative fee for oversight) Jefferson County BoCC (opted for local administration) Pharmaceutical Behavioral Health Advisory Committee (BHAC - RFP Process) Distributors Behavioral Health Consortium (BHC) Admin: Discovery Behavioral Healthcare Manufacturers (undecided) $0.00 $100,000.00 $200,000.00 $300,000.00 $400,000.00 $500,000.00 $600,000.00 Distributors Pharmaceuticals Manufacturers Amounts Received to date (as of July 3, 2025) Amount Received to date (as of July 3, 2025) Fund Source Amount Received Distributors (BHC)$149,007.56 Pharmaceuticals (BHAC/RFP)$506,776.68 Manufacturers (undecided)$35,185.54 Total Received $690,969.78 Distributed (BHC)$149,007.56 Spent (BHC)$119,130.49 Total Distributor Funds Remaining $29,877.07 Total Funds Remaining $571,839.29 HOW MUCH SO FAR? Behavioral Health Consortium Behavioral Health Advisory Cmte RFP Process Undecided A “Yes” indicates the state participated in the National Settlement for that defendant. A “No” indicates the state has not settled with that defendant. “Not applicable” indicates the state settled with that defendant outside of the National Settlements. Source: https://nationalopioidsettlement.com/state-participation-status/ Distributors: McKesson AmerisourceBergen Cardinal Health Walmart Johnson & Johnson Walgreens Teva (Purdue Pharma – Not WA?) Pharmaceuticals: Janssen Pharmaceuticals Walmart Walgreens Teva (Purdue Pharma – Not WA?) (Mallinckrodt – Not WA?) (Publicis – Not WA?) Manufacturers: Johnson & Johnson Walgreens Allergan Teva (Purdue Pharma – Not WA) Participants or Consulting Firms (?) CVS Kroger McKinsey & Company www.opioidsettlementtracker.com/globalsettlementtracker/ #statuses •Distributor Settlement to BHC; received 2022 & 2023 payments as of May 2024 •Pharmacy Settlements to BHAC; no funds allocated in 2022, funds for 2023 arrived at adjusted amounts in late 2024; each settlement is variable in length; one-time settlements are being added as litigation ensues. Settlement Estimates as of 2022 Payment Year Distributor Janssen Walmart Allergan Teva CVS Walgreens Annual Total 2022 $70,766.72 $0.00 2023 $36,262.38 $71,485.24 $13,265.27 $11,989.61 $14,744.11 $28,716.20 $140,200.43 2024 $45,387.50 $27,013.38 $13,265.27 $11,989.61 $11,754.75 $64,023.01 2025 $45,387.50 $28,043.55 $14,145.35 $11,989.61 $23,490.87 $11,417.98 $89,087.36 2026 $45,387.50 $1,030.17 $15,606.21 $11,989.61 $23,490.87 $11,417.98 $63,534.84 2027 $45,387.50 $1,030.17 $15,606.21 $12,257.83 $26,946.61 $11,417.98 $67,258.80 2028 $60,295.72 $1,030.17 $15,606.21 $14,105.43 $27,636.32 $11,417.98 $69,796.11 2029 $62,801.38 $15,606.21 $14,105.43 $26,255.60 $11,729.39 $67,696.63 2030 $62,801.38 $14,105.43 $24,874.88 $20,350.85 $59,331.16 2031 $52,790.90 $14,105.43 $24,852.97 $20,350.85 $59,309.25 2032 $52,790.90 $14,105.43 $24,852.97 $20,350.85 $59,309.25 2033 $52,790.90 $14,105.43 $20,350.85 $34,456.28 2034 $52,790.90 $14,105.43 $20,350.85 $34,456.28 2035 $52,790.90 $14,105.43 $20,350.85 $34,456.28 2036 $52,790.90 $40,701.69 $40,701.69 2037 $52,790.90 $0.00 2038 $52,790.90 $0.00 Totals:$896,804.78 $129,632.68 $103,100.73 $173,059.71 $228,899.95 $248,924.30 $883,617.37 Apendix A: Opioid Pharmacies Settlements: Estimated Annual Payments as of 2022 - Jefferson County Estimated Annual Abatement Payments 17 years 13 years10 years13 years7 years6 years PHARMACEUTICALS Funds to date: $506,776.68 MANUFACTURERS Funds to date: $35,185.54 DISTRIBUTORS Funds to date: $149,007.56 2024:BoCC directed to Fund 131 for community RFPs 2025:BHAC to issue RFPs aligned with the One WA MOU 2025: BoCC has not yet decided how to allocate 2025 Survey: Most BHC members support continuing collaboration 2024: BoCC directed to support Beh. Health Consortium 2025:BoCC workshop to discuss options Behavioral Health Consortium – Membership Survey Response Summary One WA MOU Appendix A: Allowed Uses Part 1- Treatment •A. Treat Opioid Use Disorder •B. Support people in Treatment & Recovery •C. Connections to Care •D. Address the needs of Criminal Justice Involved Persons •E. Address the needs of Pregnant or Parenting Women & Families Part II – Prevention •F. Prevent Over Prescribing and Ensure Appropriate Use of Opioids •G. Prevent Misuse of Opioids •H. Prevent Overdose Deaths and other Harms Part III – Other Strategies •I. First Responders •J. Leadership, Planning and Coordination •K. Training •L. Leadership •Over 50 people attended, representing many service sectors across Jefferson County and people with lived experience. •Remarks and presentations were provided by the event’s facilitator, County Commissioner, Jefferson & Clallam Health Officer, JCPH Director, Salish BH-ASO Administrator, and JCPH’s Assessment Team. •A large-scale exercise and inclusive discussion occurred, discussing gaps in the behavioral health network, with emphasis on improving the support and services for those directly impacted by Substance Use Disorders. BHAC Special Meeting: May 30, 2024 Committee members, community partners, invited guests, and the public gathered to discuss the strategic use of opioid settlement funds in Jefferson County. •Identified gaps were cross-referenced with the Abatement Strategies listed in the One WA MOU. •The group prioritized the following areas of emphasis for these funds in Jefferson County: Additional Considerations: Manufacturer Fund and Pharmaceutical Fund RFP Process 1. Evaluate Day Center/mobile unit project idea, including and analysis of % impact on OUD/SUD population. 2. Mental Health Navigator and Jail Medical programs need General Fund support in 2026 and beyond. (MHN: $30K/yr ; Jail Med: $260K/yr?) •% OUD/SUD population served? How do we assess and track impact? 3. Existing Drug Court and youth/family support program expansions may be beneficial to the OUD/SUD population. Assess need and cost. How do we best encourage data-driven programs in high-impact areas of service? Additional Considerations: Manufacturer Fund and Pharmaceutical Fund RFP Process 4. All of these programs can apply for RFP – should we add Manufacturer $ to that larger “pot”? 5. Or during budget process, should we consider direct appropriations to existing programs as long as they can demonstrate direct benefit to OUD/SUD affected population, per the One WA MOU guidance? Or continue to consider them along with other programs per the RFP process? 6. Jefferson County is in the Olympic Community of Health Region (Clallam, Jefferson, and Kitsap Counties) – could OCH assist with any collaborative approaches?Are there OUD/SUD experts to consult to maximize effectiveness of programs (i.e., Nat’t Overdose Prevention Network)? 7. All the funds are unpredictable: varying lengths and amounts – cannot be considered reliable as an ongoing funding source. How do we best encourage data-driven programs in high-impact areas of service? Recommendations and Next Steps 1. 4. 2. 3. Decide Manufacturer fund use by March 23, 2026—OR integrate into RFP process Evaluate 4 programs/projects for measurable impact to IMPROVE THE LIVES OF PEOPLE SUFFERING FROM OUD/SUD and their families: 1. Mental Health Navigator (existing) 2. Jail Medical program (existing) 3. Drug Court program (existing + growth) 4. Urban Rest Stop/Day Center (future) Transfer Pharmaceutical funds to Fund 131 and request Treasurer investment BHC to recommend any changes to Distributor fund allocation by Nov 3, 2025