HomeMy WebLinkAbout2024_08_15_Packet-AmendedOpioid Funds: Pharmacies Settlements
Jefferson County, WA
August 15, 2024; Board of Health
Heidi Eisenhour, Commissioner/BHAC ChairAnna McEnery, BH CoordinatorApple Martine, PH Director
Acknowledgements:Addressing the Opioid Epidemic
•Opioids have taken a dangerous hold in the US.•The Opioid Epidemic has claimed countless lives and impacted
each of us, directly or indirectly.•The people of WA and its communities have been harmed by entities within the Pharmaceutical Supply Chain who manufacture, distribute, and dispense prescription opioids.•Holding these entities accountable for damages has been sought
through litigation and resulting settlements. •Opioid Settlement funds and strategies to abate and alleviate the impacts of harms caused by these entities are outlined in the One WA MOU Between WA Municipalities.•Equity and equitable service delivery are factors considered in the
allocation of the funds at the local level.
Opioid Abatement Council: Salish Region
Settlement Funds Distribution:Jefferson County
•Distributor Settlement to BHC; received 2022 & 2023 payments as of May 2024
•Pharmacy & Manufacturer Settlements to BHAC; no funds allocated in 2022, receiving funds for 2023 now at adjusted amounts; 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
Current Allocation to BHAC for payment year 1 & 2
Opioid Abatement Council -Salish BH-ASO
Actual Annual Pharmacies/Manufacturers Payments for 2022 & 2023 (yrs 1 and 2)
Walmart Initial Pmt 1 $45,261.40 Pharmacy
Walmart Second Pmt 2 $72,386.70 Pharmacy
Allergan Pmt 1 $13,427.61 Manufacturer
Teva Pmt 1 $12,117.07 Manufacturer
Walgreens Pmt 1 $17,298.22 Pharmacy
Walgreens Pmt 2 $11,636.69 Pharmacy
CVS Pmt 1 $14,952.60 Pharmacy
Total $187,080.29
10% Admin Withhold $18,708.03
Funds available for RFP $168,372.26
One-time Payment to Jefferson County:
Funds available $243,258.89
Janssen (J&J)
Updated as of today
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 & FamiliesPart II –Prevention•F. Prevent Over Prescribing and Ensure Appropriate Use of Opioids•G. Prevent Misuse of Opioids•H. Prevent Overdose Deaths and other HarmsPart III –Other Strategies•I. First Responders•J. Leadership, Planning and Coordination•K. Training•L. Leadership
BHAC Special Meeting:
May 30, 2024 in-person gathering to discuss the strategic use of opioid settlement funds in Jefferson County.
•Approx. 50 people attended including BHAC members, community partners,
invited guests, and the public.
•Remarks and presentations were provided by the event’s facilitator, County
Commissioner, Jefferson & Clallam Health Officer, Public Health Director, Salish
BH-ASO Administrator, and JCPH’s Assessment Team who set the stage for this
conversation.
•A large-scale exercise and inclusive discussion occurred for determining systemic
gaps and improving the support and services for those affected by substance
use disorders.
•With the One WA MOU’s Abatement Strategies in hand, the group centered the
following areas of emphasis for these funds specific to Jefferson County:
Develop/Implement Harm Reduction Resource Center Expand Existing Service
Enhance Transportation Services Provide Supportive Services in Housing Locations
Increase Wellness Education Enhance Peer Support Programs
Develop Systems Navigation Recruit More Mental Health Professionals
Expand Housing and Supportive Housing Options Address Shelter NeedsImplement Contingency Management Strategies Develop Mobile Response Programs
Increase Training for First Responders and Employers Provide Wrap-Around Services
Improve Employment and Transitional Housing Services Address Stigma and Discrimination
Improve Mental Health Crisis Response and Long-Term Options on and Prevention Efforts
Foster Collaboration Between Behavioral health Committees across Jefferson
Next Steps:
•Subcommittee of the BHAC has been formed and includes
members representing law enforcement, public health,
behavioral health administrative services, mental health, and
county government. Subcommittee is meeting every two
weeks as settlement funds start flowing into Jefferson County.
•Feedback from the BHAC Special Meeting has been
reviewed and considered by the subcommittee.
•A targeted Opioid Abatement RFP process will be created
for Opioid Settlement Funds through the BHAC –overarching
theme is connecting people who need help with the help
that they need through expanding services and prioritizing
transportation and housing.
•A parallel track for Opioid Settlement Funds will be created
within the BHAC, to coincide with the provisioning of 1/10th of
1% Sales Tax Funds that already exists.
•An Opioid Abatement RFP amount threshold is being
considered by the subcommittee given the variable nature
of the settlements, their length in duration and amounts.
Thank you
Questions? Please contact:
Anna McEnery –AMcEnery@co.jefferson.wa.usHeidi Eisenhour –HEisenhour@co.jefferson.wa.usApple Martine –AMartine@co.jefferson.wa.us