Resolution No. 2021-041RCLE CITY OF CLERMONT
RESOLUTION NO.2021-041R
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
CLERMONT, FLORIDA; AUTHORIZING THE CITY TO JOIN WITH
THE STATE OF FLORIDA AND OTHER LOCAL GOVERNMENTAL
UNITS AS A PARTICIPANT IN THE FLORIDA MEMORANDUM OF
UNDERSTANDING AND FORMAL AGREEMENTS IMPLEMENTING A
UNIFIED PLAN REGARDING OPIOID LITIGATION; PROVIDING FOR
TRANSMITTAL; RECORDING; THE ADMINISTRATIVE
CORRECTION OF SCRIVENERS ERROR; AND, FOR AN EFFECTIVE
DATE.
WHEREAS, the City of Clermont, Florida has suffered harm from the opioid epidemic;
and
WHEREAS, the City recognizes that the entire State of Florida has suffered harm as a
result of the opioid epidemic; and
WHEREAS, the State of Florida has filed an action pending in Pasco County, Florida, and
a number of Florida cities and counties have also filed an action In re: National Prescription
Opiate Litigation, MDL No. 2804 (N.D. Ohio) (the "Opioid Litigation") and the City of Clermont,
Florida is not a litigating participant in that action; and
WHEREAS, the State of Florida and lawyers representing certain various local
governments involved in the Opioid Litigation have proposed a unified plan for the allocation and
use of prospective settlement dollars from opioid related litigation; and
WHEREAS, the Florida Memorandum of Understanding (the "Florida Plan") sets forth a
framework of a unified plan for the proposed allocation and use of settlement proceeds and it is
anticipated that formal agreements implementing the Florida Plan will be entered into at a future
date; and
WHEREAS, participation in the Florida Plan by a large majority of Florida cities and
counties will materially increase the amount of funds to Florida and should improve Florida's
relative bargaining position during additional settlement negotiations; and
WHEREAS, failure to participate in the Florida Plan will reduce funds available to the
State, the City of Clermont, and every other Florida city and county.
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Clermont,
Florida as follows:
SECTION 1:
The foregoing recitals are to be accepted as fact and are thus incorporated herein.
Page I 1 of 23
d�
CLEn' PVT CITY OF CLERMONT
RESOLUTION NO.2021-041R
SECTION 2:
The City Council of the City of Clermont finds that participation in the Florida Plan would be in
the best interest of the City of Clermont and its citizens in that such a plan ensures that almost all
of the settlement funds go to abate and resolve the opioid epidemic and each and every city and
county receives funds for the harm it has suffered.
SECTION 3:
The City Council of the City of Clermont hereby expresses its support of a unified plan for the
allocation and use of opioid settlement proceeds as generally described in the Florida Plan,
attached hereto as Exhibit "A".
SECTION 4:
The City Manager, or their designee, is expressly authorized to execute the Florida Plan in
substantially the form contained in Exhibit "A".
SECTION 5:
The City Manager, or their designee, is hereby empowered by the City Council to execute any
formal agreements implementing a unified plan for the allocation and use of opioid settlement
proceeds that is not substantially inconsistent with the Florida Plan and this Resolution.
SECTION 6: TRANSMITTAL
The City Clerk is directed to furnish a fully executed copy of this Resolution to the Florida
Attorney General:
Attorney General Ashley Moody
c/o John M. Guard
The Capitol
PL-01
Tallahassee, FL 32399-1050
SECTION 7: RECORDING
This Resolution shall be recorded in the Public Records of Lake County, Florida.
SECTION 8: ADMINISTRATIVE CORRECTION
This Resolution may be re -numbered or re -lettered, and/or corrected for typographical and/or
scrivener's errors which do not affect the intent of said resolution, as authorized by the City
Manager or designee, without need of public hearing, by filing a corrected copy of same with the
City Clerk.
SECTION 9: EFFECTIVE DATE
This Resolution shall become effective immediately upon passage.
Page 1 2'of 23
CLECITY OF CLERMONT
RESOLUTION NO.2021-041R
DONE AND RESOLVED by the Mayor of the City Council of the City of Clermont, Lake
County, Florida, this 13th day of July, 2021.
CITY OF CLERMONT
Tim Murry, ayor
Tracy Ackroyd Howe, MMC
City Clerk
Approved as to Form and Legality:
Daniel F. Mantzaris, City Attorney
Page 13 of 23
6�
aulwLo ' CITY OF CLERMONT
— RESOLUTION NO.2021-041R
EXHIBIT A
riMOSAL
M MORA DL'M O- UNDERSTA"ING
Whereas, the people of the State of Florida and its cammuanaF-s have been harmed by
misfeasance, nonfeasance and malfeasance committed by cert»mn entities with the
Pharmaceutical Supply Chain,
Whmvas5 the State of Florida, through its Attorney Cal, and certain Loral
+Govemmentsy through their elected representatim and counsel, are separately engaged in
L~;ation seeking to hold Pharmaceutical Supply Chain Participants accountable firs the damage
caused by their misfeasance, nonfeasance and malfeasance;
Whereas, the State of Florida and its Local' Governments share a common desire to abate
and alleviate the impacts of that nisf-Asance, nonAw ee and maMasance fimghout the State
ofF xik-
Wherear, it is the intent of the State of Florida and its Local Govemnents to use the
proceeds fiom Settlements with Pharmaceutical Supply Chain Participants to increase the amormt
of finding presently spent on opioid and substance abuse education, treatment and other related
programs and services, such as those identified in Exhibits A and B, and to ensure that the fiords
are atpended in compliance with evolving evidence -based `crest practices",
Whereas, the State of Florida and its Local Governments, subject to the completion of
formal docaments that will effectuate the Parties' agreements, end into this Memoran&= of
Understanding ("MOO') relating to the aitoration and use of the proceeds of Settlements described
herein; and
Vlheeeas, this MOU is a preliminary non -binding agreement bed the Parties. is not
legally enforceable, and a dy provides a basis to draft formal docurnents which will effects ate the:
P?.a'.ies' ate_
A. Definitions
As used in this MOU:
1. "Approved Pmpose(sr shall mean forwar&looking strategies, Programming and
services used to expand the availability of treatment for individuals impacted by substance use
disorders, to: (a) develop, promote, and pr nuk evidence -based substance use prevention
strategies; (b) prone substance use avoidance and awareness education; (c) decrease the
oversupply of licit and illicit o*ids; and (d) support recovery from addiction_ Approved Proposes
shall include, but are not limited to, the opioid abatement strategies listed on Exhibits A and B
which are incorporated herein by reference.
I "Local Goverunments" shall mean all comhM cities, townie and villages located
within the geographic boundaries of the State.
3. "Managing Entities' shall mean the corporations selected by and gender contract
with the Florida Department of Children and Families or its successor ("DM to manage the.
6WMnWAM21k.1
Page 14 of 23
dli-
CITY OF CLERMONT
C dam. RESOLUTION NO.2021-041R
daily opentronal ddnwy of behavioral health servicm through a coordinated system of cue_ The
singular "Managing Erdrty" shall refer to a singular of the Managing Eft es_
4. "County" shall mean a political won of the state established pcursuant to s.
1, Art.. VM of the State Constitution.
5. "Municipalities" shall mean cities, towns, or villages of a County within the State
with a Populaticm greater than 10,000 individuals and shall also include cities, towns or villages
within the. State with a Population equal to or less than 10,000 individuals which filed a Complaint
in this litigation against f armacmtical Supply Chain Participants_ The singular "Mmucipality"
shall refer to a singular of the Municipalities.
ti_ "Negotiating Committee" shall mean a three -member group compnsed by
representathms of the following: (1) the State; and (2) two representatives of Local Governments
of which one representative will be from a Municipality and one shall be from a Coemty
(coRectively, "Members") within the State. The State shall be representedby the Attonrey Ceaeaal
or her designee.
7. "Negotiation Class Metrics" shall rear those county and city settlement allocations
which come from the oTxW website of the Negotiation Class of counties and cities cmbfied on
September 11, 2019 by the U.S. Distract for the Northern District of Ohio in In re Nadonal
,P'resmphon Opiate Lifrgafron, MIDI. No. 2W (N_D. Ohio). The webate is located at
Mips:/Iallocationmap.iclaimson ne.conL
8. `5Opioid Funds" shall mean monetary amounts obtained thmigh a Settlement as
defined in this MOU.
9. `5 3pioid Related" shall have the same meaning and breadth as m the agreed Opwid
Abatenen t Strategies attached hereto as Eahtbits A orB.
10_ "Patties" shall anon the State and Local Governments. The singular wind "Party"
s}zall mein either the State or Local Governments.
11. "PEC" shall mean the Plaintifr's' Executive Committee of the National Prescription
Opiate Mnitidistrict Litigation Mmling in the United States District Court for the Northern District
of Olio _
12. "Pharmaceutical Supply Chain" shall mean the process and chattels through which
Controlled Substances are manufactured, madceted promoted distributedc>rdispensed.
11 "Phaffiacetifical Supply Chain Participa ' shall mean any entity that engages in.
or has engaged in the matmfactune, mounting, promotion, distribution or dispensing of an opioid
analgesic.
14. "Population" shall refer to published U S. Census Bureau population estimates as
of July 1, 2019,.released March 2020, and shall reinoain unchanged during the term of this MOU.
These estimates can curt+ently be found at https:fhvww.census.gov
Page 15 of 23
ALE CITY OF CLERMONT
�,. RESOLUTION NO.2021-041R
15_ "Qualified Comity„ shall mean a charter or non -chattered county within the State
that has a Population of at lust 300,000 individuals and (a) has an opioid tasicforce ofwhich is is
a member or operates in connection with its municipalities or others on a local or regiional basis;
(b) has an abatement plan that has been either adopted or is being utilized to respond to the opmd
epidemic; (c) is currently either providing or is contracting with others to provide substance abuse
preue n hon, recovery, and treatment services to its citizens; and (di) has or enters into an agreement
with a majority of Municipalities Odajority is moire than 505% of the Mumcipatities' total
population) related to the eagendihtr+e of Opioid Fends. The Opioid Funds to bepaid to a QisaliSeri
County will only include 01ioid Finds for Municipalities whose claims are released by the
Mm ucgWrty or Opioid Funds for 14um g alit ws whose claims aree otherwise barred.
16. "SAMHSA7 sball mean the U.S. Department of Health & Human Services,
Substance Abuse and Mental Health. Services Administration.
17. "Settlemmt _ shall 'mean the negotiated resolution of legal or equitable claims
against a Pharmaceutical Supply Chain Pa tic4nnt when that resolution has been jointly entered
into by the State and Local Governments or a settlement class as described i (BX1) below.
1$. "State" shall mean the State of Florida..
B. Teams
1. only Abatement- other than fiords used for the Administrative Coos and Expense
Fund as heremafter described in paragraph 6 and paragraph i, respectively), all Opwid Fmtds shall
be utilized f arApproved Purposes_ To accomplish this purpose, the State will either file a new action
with Local Governments as Parties or add local Governmetits to its existing action, seven settling
defendants, and seek entry of a consent order or other order binding both the State; Local
Governments, and Pharmaceutical Supply iChain Participants) ("flrder'). The Order may be part
of a class action settlement or sunilff device. The Order shall provide for continuing jurisdiction of
a state court to address non-performance by any party under the Order. Any Local Government that
objects to or refuses to be included under the Order or entry of documents necessary to effectuate a
Settlement shall not be entitled to any Opioad Funds and its portion of Opwid Funds shall be
distributed to, and for the benefit o f the other Local Goverrmients.
2. Amid Claw Bach and Recompme't - Both the State and Local Governments wish
to maudimize any Settlement and Opicid Funds. In addition to committing to only usng funds for
the Expense Funds, Administrative Costs and Approved Purposes, both Parties will agree to utilize
a percentage of fords for the core strategies highlighted in Eshubmt A_ F,rhrbrt A contains the
programs and strategies prioritized by the U.S. Department of Justice andlor the U.S. Department
of Health & Human Services t Core Strategies). The State is trying to obtain the United States'
agreement to limit or reduce the United States' ability to recover or recoup mDmetns from the State
and Local Governineof in exchange for prioritization of finds to c amain projects. If no agreement
is reached with the United States, tLen there will be no requzzimFnt that a percentage be utilized
for Core Strategies.
Page 16 of 23
6C
' CITY OF CLERMONT
C ��.,�. RESOLUTION NO.2021-041R
3_ Distrilation Scheme - All Opioid Funds wrll initially go to the Statae, and then be
distributed according to the following distriNihon scheme_ The Opioid Funds will be divided mto
three fimds after deducting costs of the Expense, Fund detailed in paragraph p below
(a) City/Couaty Furnd- The citylcoeinty fiord will receive ? 5% of all Opioid Funds to
directly benefit all Counties and Municipalities. The amounts to be distri-buted to
each County andbludicipality &hall be &-wmdned bytheNegotiaatimClass Metrics
or othermetrics agreed upon, in writing, by a County and a Muuicigality. For Local
Governments that are not within fire definition of County or Municipality, those
Local Governments may receive that government's shame of the City/County Fund
cinder the Negotiation Class Metrics, if that government executes a release as hart
of a Settlement Any Local Govern end that is not withinthe definition of County
or Municipality and that does not execute a release as part of a Settlement shall
have its share of the CitytCounty Fund go to the County in which it is located.
(b) Regional Feind The regional fimd will be subdivided into two parts.
(i) The State will annually calculate the share ofeach County within the State
of the regional fund utilizing the sliding scale in section 4 of the allocation
contained in theNegotiatiom Glass Metrics or others that the Parties
agree upon.
(i) For Qualified Counties, the Qualified Coun ty's share will be paid to the
Qualified Comfy and expended on Approved Purposes, mChdling the
Core Strategies identified in Exhibit A, if applicable-
(m) For all other Counties, the regional sham for each County will be paid to
the Managing Entities providing service for that County. The Managing
Entities will be regmred to expend the monies on Approved Purposes,
including the Core Strategies. The Managing Entities shall endeavor to
the greatest extent possible to expend these momes on counties within
the State that are non -Qualified Counties and to owe that there are
services in every County.
(c) State Fred - The remainder of Opioid Funds after deductmg the costs of the
Expense Fund detailed in paragraph 9, the CitylCoumtyFmrd and the Regional Fund
will be agmmded by the State on Approved Purposes, including the provisions
related to Core Strategies, if applicable.
(d) To the extent that Opkad Funds are not appropriated and expended in a year by the
State, the State shall identify the investments where settlement fiends will be
deposited. Any gains, profits, or interest accrued from the deposit of the Opioid
Fluids to the extent that any fumds are not appropriated and expended within a
calendar year, shall be the sole property of the Party that was entitled to the initial
Page 17 of 23
CITY OF CLERMONT
RESOLUTION NO.2021-041R
4, Regional Fimd Sliding Scale- The Regional Fund shall be calculated by utilizing
the following sliding scak of the Opioid Funds available in any year
A. `Veers 14 40 %
B. Years 7-9: 35'J.
C. Years 10-12: 34%
D. Yews 13-15: 3P/o
E. Years 16-18: 3(r/o
5. Gpioid Abatement Ta- ome cr Council - The State will create an Opioid
Abatement Tasl-force or Council (sometimes hereinafter ` raskforce or "Council") to advise the
Governor, the Legislature, Florida's Department of Children and Famine$ (DCF"), and Local
Cmvernments on the priorities that should be addressed as part of the opioid epidemic anal to review
how monies. haw been spent and the results that have been achieved vrith Opked Funds.
(a) Sipe - The Taskforce or Council shall have ten Members equally balanced between
the State and the Local Governments.
(b) &W2Mft]g t Local Govemmeuts - TwD Municipality representatives vnH be
appointed by or through Florida League of Cities. Two sty apresentatiires, one
from s qualified County and one from a county wither the State that is not a
Qualified County, will be appointed by or through the Florida Association of
Comita. The final representative will alternate every ery two years between being a
county representative (appointed by or through Florida Association of Counties) or
a Municipality representative (appointed by or through the Florida gigue of
Cities). One Municipality representative mast be from a city of less than 50,000
people. One county represendxtiw must be from a county less than 200,000 people
and the other county representative must be from a county whose population
exceeds 200,000 people.
(c) Avnoigknmts State -
(i) The Govemo.:.H:ill Vpoint two Members.
(a) The Speaker of the House shall appoint one Member.
(in) The Senate President shall appoint cane Member.
(iv) The Attorney General or her designee shall be a Member.
(d) Chair - The Attorney General afar dengnoee shall be the chair of the Taakforce or
Council.
(e) Term - Mwibers will be appointed to serve a two-year team.
Page 18 of 23
LE CITY OF CLEP-MONT
C .rRESOLUTION NO. 2021-041R
'Ch.i.c-vo.
(1) SMLoq DCF shall support the Taskftce or Council mid the TasHurce or Council
shall be- administratively housed in DCF.
Yeethigi The Taskforce or Council shall meet quartedy in person or -virtually
using commumications media technology as defined in section 120-54(5)(b)(2),
Florida Statutes.
(h) Rqmrting The TaWorce or Council shall provide and publish a report mmially
no later than November 30th or the first busmess day after November 30k if
November 30th falls on a weekend or is otherwise not a business day. The report
shall confam information on how monies were spent the prevww fiscal year by the
State, each of the Qualified Counties, each of the Managing Entities, and each of
the Local Governments. It shall also contain recommendations to the Governor,
L-mslar;mp, end Local, Govemment, EDE pnionties in-unnie the kpproved
r-,.,r li-yv ln=es sh-wid In spent the cornips to the
aptoid Tpiienuic.
(i) AccgmnjjWjM-,- Prior to July lst of each year, the State and each of the Local
Govrernments shall provide information to DCF about bow they intend to expend
Opund Funds in the upcoming fiscal yru The State and each of the Local
Government shall report its expenditures to DCF no later than August 3 Ist for the
previous fiscal year. The Taskfinw or Council will set other data sets that need to
be reported to DCF to demonstrate the effectiveness of Approved Purposes. All
programs and expenditures shall be audited annually in a similar fashion to
SAMOA programs. Local Guvernatents shall respond and provide documents to
any reasonable requests from the Stata for data or information about programs
receiving Opioid Funds.
(D Conflict of Interest - All Members shall adhere to the rules, regulations and Imn of
Florida including, but not limited to, Florida Statute §112.311, concerning the
disclosure of conflicts of interest and recusaI fioni discussions or votes on
conflicted matters.
Costs- The StaTe miv take w more than a 51i adminnuanve f6,
from the Sw.t :`find C-Admimv-rs';-'e Costs-7--d am, Re-ziowl Fund xhm it ad----5?en for
cumaa-,vr, thr a:,-, not Qualified &—=-e: Zich Q-,uhLed C".2aatv may take no mare Than g 5")
R's sure Of -_7e T.,!z0aal
7. Negotiation of Nos Multistate Settlements - If the State begins negotiations with
a Pharmaceutical Supply Chain Participant that is separate and apart from.& matti-state negotiation,
the State shall include Local Gavermnents that are a part of the Negotiating Committee in such
negotiations. No Settlement shaL to recommended or accepted without The affimative votes of
both the State and LDC21 Government --epresentafives of the Ne0Dt13tkZ Committee.
S. Negotiation of hishbtate or Local Governinnat Settlements - To the extent
pnxiii-,it)ie and allowed by other parties to a negotiation, both Parties agree to communicate with
Page 19 of 23
CITY OF CLERMONT
C ,, RESOLUTION NO.2021-041R
members of the Negotiation Committee regarding the terms of any otber Pharmaceutical Supply
Chain Participant Settlement.
9. Expense Fund - The Parties agree that in any negotiation every effort shall be made
to cause Pharmaceutical Supply Chain Participants to pay costs of litigation, including attorneys'
fees, in addition to any agreed to Opmd Funds in the Settlement To the extent that a fiord
sufficient to pay the entirety of all contingency fee conhwb for Local Governments in the State
of Florida is not created as part of a Settlement by a Pharmaceutical Supply Chain Participant, the
Parties agree that an additional expense fiord for attorneys who represent Local Govermnents
(herein ` fie Fund') shall be created out of the CitylCounty fimd for the propose of paying
tlxe hard costs of a litigating Local Government and then paying attorneys' fees.
(a) The Source of Funds for the Expense. Fund- Money for the Expense Fund shall be
sown-d-rinsiwely from the CityCannty Fund.
(b) n,e ; - -;• e : •. d- a , —he State re-,--: ' ize- r0 '. a! S i i-za !i+m Local
Go-., of ilonda .r. .7r Le SeEtlement
becau:? '= a ::matron increases the amount Incentive Payments due from each
ply Chain Pit In recognition of that vahre, the amount
of fimds th=.- _ -dl be deposited into the Expense fimd shall be contingent up= on
the percentage of litigating Local Govemment participation in the Settlement;
according to the f )Uov&g table -
Litigating IArAl Govemment
Participation in the
Settlement (by percentage of
the ova)
am4tmt Sir shah be poid
min �11; =xpk--Se F+rod
from (arid as a percentage
of) the Ci IC fiord
96 to I0(r•
1(r/.
91 to 95 /.
7.5%
86 to 9Qg:
5%
95%
2.5%
Less than 85%
V/.
If fewer than 95'/. percent of the litigating Local Cmuemmmts (by population)
parti-gmde, then the Expense Frnrd shall not be fimdA andthis Sectionef the MOU
shall be mill and void.
(c) The Trmmg of ft ments into the Expense Fmrd- Although the amount of the
Expense Fund shall be calculated based on the entirety of payments dine to the
CitylCounty fined over a ten to eighteen year period, the Expense Fund shall be
funded entirely from payments made by Pharmaceutical Supply Chain Participants
dmiug the first two years of the Settlement. Accordingly, to offset the amounts
being paid from the City/County to the Expense Fund in the first two years,
Counties or Municipalities may borrow from the Regional Fund dnzmg the first two
years and pay the borrowed amounts back to the Regional Fund during Sears three,
four, and five.
Page 110 of 23
Can^
CITY OF CLERMONT
RESOLUTION NO.2021-041R
For the avoidance of doubt, the following provides an 3-1hutratite eat% regarding the
calculation of payments and amounts that may be borrowed under the terms of this MOU,
consistent with the provisions of this Section:
Opioid Funds due to State of Florida and Local Governments (over 10 to 13 years): $1,000
Litigating Local Government Participation: 100.1.
City/County Find (over 10 to 18 years)- $150
Expense Fund (paid over 2 years)- $15
Amount Paid to Expeme.Fund in 1 st year $75
Amount Paid to Expense Fund in 2nd year $75
Amoarst `:t t m- y ere borrowed $om Regional Fund in 1st year $75
Amour' !hm m3y he borrowed from Regional Fund in 2nd year $75
Amount that must be paid back to Regional Fund in 3rd year_ $5
Amount that must be paid back to Regional Fund is 4th year-_ $5
Amount tht mint be paid back to Regional Farad in 5th year: $5
(d) Creation of and Jurisdiction over the Expewe Farad The Expense Fund shall be
established, consistent with the provisions of this Section of the MOU, by order of
the Circuit Cant of the Sixth hxbcial Circuit in and for Pasco Canty, West Pasco
Division New Port Richey, Florida, in the matter of Thv.S1ataqfF7orfik Office of
theAttomey General DquitwentofLegdAffairs v Pxr&s PharmaLP, ataL,
Case No_ 2018-CA-00438 (the "Coact")_ The Coot shall have jurisdiction over
the Expense Fund, including authority to allocate and dislmre amounts from the
Expense Fund and to resoh-e any disputes concerning the Erse Fund-
(e) Allocation of Payments to Counsel fig the Expertise Fiord- As part of the order
establishing the Expense FuuA counsel for the litigating Local Governmeais shall
seek to have the Court um-3 t a third -neutral to serve as a special master for
purposes of allocating the. -Expense Fund_ Within 30 days of entry of the order
appointing it sp--aal master for the Expense Fund, any counsel who intend to seek
an sward from `:ter Expense Fred shall provide the copies of their cortir - racy fee
cortracts to the special master. The special master sh&U then build a mathematical
model, which shall be based on each litigating Local Go%vrnmenfs share under the
Negotiation Chuss Metrics and the rate set forth in their contingency contracts to
calculate a proposed award for each litigating Local Government who timely
provided a copy of its costinguncy contract.
10. Dispute re,; Aution- An), one or more of the Local Governments or the State: may
object to an-iL:cition or expenditure ofOpioid Funds solely on the basis that the allocation or
vgxndi;r_%e -it issm (a) is incousi --it with the Approved Purposes; (b) is inconsistent with the
distributact wheme as provides m g ph 3, or (c) violates the limitations set iibrfh herein with
respect to administrative costs r. 3e Ex. mse Find.. There shall be no other basis for bringing an
objection to the approval of an err expenditure of Opioid Funds.
Pagel 11 of 23
LE CITY OF CLERMONT
RESOLUTION NO. 2021-04IR
St: ht-duleA
Care Strategies
States and Qualifying Bkvck QmAees shall choose fim among the abatement strategies listed in
Schedde B- However, priority shall be given to the Mowing core abatement strategies ( `Core
Strategies')[, sucli that a minimum of */.of the [aggregate] state -level abatement distributions shall
be spent on [one or more of] them amLkll
A- Nalmorie, or other FDA -approved drug to reverse opioid overdoses
1. Ex7azl liairring for first responders, schools, connutmih, Rq)port groups and families-, and
2. :a-rease distribution to individuals who are unirmired orwhose insurance does not cover ffie needed
service.
P. Medication -Assisted Treatment (-MAT") Distribution and -flier opioidreltifed treahnent
: :3apeasedistribution of MAT to nm-Medicaid eligible or uninsured. individuals;
2. Provide education to school -based and youth-foemied programs that discourage or prevent rinsutse;
3. Provide MAT education and awaremess training to healthcare providers, EMM, law enforcement
and other fat responders; and
4- Treatment and Recovery Support Services such as residential and inpatient treatment intensive
outpatient fteatmevoutpatient therapy or counseling, and recorvery housing that A oia or integrate
niedication with other support services-
C Pregnant & Postpartum. Women
1. Expand Screening, Brief Intervention, and Referral to Treatment CSBIRT") 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 Opirad Use Disorder CYDUD") and atim Substance Use Disorder CSUD-Wental
Health disorders for uninsured individuals for up to 12 months postpartum; and
3. Provide comprehensive wrap -around services to individuals with Optoid Use Disorder (OLID)
including housing, ftanWrtations job placementlWanin& and childcare.
D_ Expanding Treatment for Neonatal Abstinence Syndrome
1. Expand compre:xmdve evidence -based and reongery aqTort for NAS babies-,
I Expand services for better cool umum of care with infant -need dyad, and
Expand long-term treatment and services for medical monitoring of NAS babies and fficir families.
---chs&de X wank ble "-xpzDJ,1`!iW1*avW as the bU dol rot bffi:zte a wemmcq for MW c.-
Priorities win be esu-AnjEd !:roqft ibe mKhnnimw desaftdia the Tenn S.
I
Page 112 of 23
CITY OF CLERMONT
C� �,,,- RESOLUTION NO.2021-041R
E. .-,:.: Acn of Warm. Hand-off Programs and Recovery Services
_.:L_--Ma`sen:Laiaucha S :gaqor5indoa-cahteam tobegin MAT tmhospitalemergency
2_ Eapana wam hand-off services to t ransitum to recovery services
3_ Broaden scope of recovery -,ervices to include co-occurring SUD or mental heafth conditions.
4_ Provide comprehensive vrrap-arL- and services to individuals in recover including housing,
transportation, job placementltzaining, 3nd childcare; and
5_ Him ad6vo&11 sac a I worl,m or otl+e- aahav orul LP-,yrrh lai<}El-m. to facilitate expansions above.
F. Treatment for Incarcerated Population
1. Provide evidence -based treahnent and recovery s q4 net including MAT for persons vrith OUD and
co-occurring SIiI)IA+ H di orders within and ftmationing out of the crinnaal justice system; and
2_ Increase finding for j ails to provide trwanent to inmates with 01AD.
G_ Prevention Programs
1. Funding for media campaigns to prevent optoid use l;smpaa ar to the FDA's 'Real Cost" campaign to
prevent youth frommvsusmg tobacco);
2. Funding for evidence based prevention x+! 9 ins in scltaols_;
3. Funding for m echcal provider education and outreach regarding best prescritang practices for yap io-as
consisk mt with the 2016 CDC guidelines, including providers at hospitals (academic detailing);
4_ Funding for com::mmity drug disposal pro?,, n- ; and
5. F mxhng and training for fast responders to pm"We e in pre -arrest diversion programs, post -
overdose response teams, or similes strategies that connect at -risk individuals to behavioral health
services and supports-
T-7 E�andmi 5i-nnse SS£'r4ve. Prqums
1- Provide comp.e-bensive syringe services progrmffi with mwe wrap-arcun3 services mchading linkage
to OUD treatment, access to sterile syringes, and hmka 7,e to are and treatment if inktious diseases.
L Evidence -based data collection and res�h-aa3t-.�= the effectiveness; of the? a`,z mnt srr w:.
within the State.
Page 113 of 23
CITY OF CLERMONT
C dam. RESOLUTION NO.2021-041R
S-thedale R
Approved Uses
PART ONE: TREATM M
A. TREAT OPIOID USE DISORDER (OUD)
Support treatment of Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or
Mental Health (SUDS conditions through evidence -based or evidence -informed programs or
strategies that may incinde, bat are not limited to, the folloWmg:2
I. Expand availability of treatment for OUD and any co-occurring SUD'1w1Ii conditions, and uding all
forms of Medication -Assisted Treatment MAT) approved by ire U.S. Food and Drug boa
2. Support and reimburse evidence -based services that adhere to the American Society of Addiction.
Medicine (ASAla1) coatirnuum of care for OUD and any coo -occurring SUD1Ml£ conditions
3. Expand telehealth to increase access to treatment for OUD mad any co-oecumng SUDtMH
conditions, including MAT, as well as counseling, psychiatric support, and other treatment and
recovery support services.
4. Improve oversight ofOpund Treatment Programs (OTPs) to asmrne evidence -based or evidence-
infnnmad practices such as adequate me1hadone dosing and low threshold approaches to treatment.
5_ Support mobile fiftvention, treatment, and recovery services, offered by qualified professionals and
service providers, such as peer recovery coaches, for persons with OLD and any co-occurring
SUDIMH conditions and for persons who have mgxnenced an opioid overdose-
6- Treatment of trauma for individuals with OUD (e.g., violence, sexual assault, human trafficking, or
adverse childhood experiences) and hardly members (e.g , survrvrg family members after an overdose
or overdose fatality), and training of health cue personnel to identify and address such trminia.
7_ Support evidence. -based withdrawal management services for people with OUD and any co-
occurring mental health conditions.
S_ Training on MAT far health care providers, first responders, students, or other supporting
professionals, such as peer recovery coaches or recmvery outreach specialists, including telerentarmg
to assist commum"ased providers in rural or underserved areas.
9_ Support workforce development for addiction professionals who work with persons with OUD and
any co-occurring SUDWH conditions.
It}. Fellowships for addiction medicine specialists for direct patient care, instructors, and clinical
research for treatments.
I I_ Scholarships and supports for behavioral health practitioners or workers involved in addressing
OUD and any co-occurring SUD or mental health conditions, including but not limited to training,
'As used m slits Scbeaile 8, wards ripe -M: "fund," "peroxide or the like Aafl nor mdkze s prefmwe fw new or
eamw* programs. Pnontm ws'II be a wbrisbed ftan& The nechmmm descsbed m she Tee Sheer.
Page 114 of 23
CITY OF CLERMONT
C o, RESOLUTION NO.2021-041R
s6olarships, fellowships, loan repayment programs, or other incentives for prvv3ders to work in rural
or undetserved.areas=
12. Untentionally Blank — to be cleaned up later far numbering]
13. Provide funding and training for clinicians to obtain a waiver under the federal Drug Adds coon
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
14. Dissemmatian of web -based framing curricula, such as the American. Academy of Addiction
Psychiafry's Provider Clinical Support Service-Opioids web -based training cur ic-uhn n and
motivational interviewing-
15. Development and dissemination of new curricula, such as the American Academy of Addiction
Psychiatry's Provider Clinical Support Service for Medication -Assisted Treatment-
B. SUPPORT PEOPLE IN TREATI VT AND RECOVERY
Support people is treatment for or recovery from OUD and any co-occturing SUDIMH conditions
through evidence -based or eviden -inf rimed programs or strategies that may monde but are not
limited to, the following.
1. Provide comprud ve wrap -around services to indiiv duals wr& OUD and any co -Ming
SUDfMH conditions, including hosing, transportation, education, job placement j ob training, or
childcare.
2. Provide the frill continuum of care of treatment and recovery services for OUD and any co-occurring
SUDAH condition, inducting supportive housing peer surgport services and counseling, community
navigators, case management, and caamections to community -based services.
3. Provide counseling, peer -support, recovery case management and ruesidential treatment with access to
medications for those who need it to persons with OUD and any Ong SUDAAH conditions.
4. Provide access to housing:forpeople with OUD and any co-occurring SUDWH conditwns,
including supportive housing, recovery housing housing assistance programs, training for housing
providers, or recovery housing programs that allow or integrate FDA. -approved medication with other
support services.
5. Provide community support services, including social and legal services, to assist iu
demstitufioaliizing persons with OUD and any co-occurring SUDlt M conditions-
(. Suapport or expand peer -recovery ceatas, which may include support ,groups, social events, computer
access, or other senesces for persons with OUD and any co-occurring SUDIMH cosuddions.
7. Provide: or support transposrtation to treatment or recovery programs or services for persons with
OUD and any co-occurring SUDW conditions.
S. Provide employment training or educational services for persons w 'searalent for or re -rover.' from
OUD and any co-occurring SUD(MH conditions.
Page 115 of 23
CLE CITY OF CLERMONT
RESOLUTION NO.2021-041R
9- Identify successful recovery programs such as pk sidan, pilot- and eolkge recovery programs, and
provide support and technical assistance to increase the number and capacity of high-qoa # programs
to help those in recovery_
10. Engage non -profits, faith -based communities, and commtmity 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. 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 effectrve treatment.
13. Create or support culturally appropriate services and programs for persons with OUD and any co-
occurring SUDIMH conditions, inchidmg new Americans.
14. Create and/or m}sport recovery high schtoois.
15. Hire or 1--im behavioral health wohdcers 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 CUtE)
Provide connections to cane for people who have— or at risk of developing — OUD and any co-
occurring SUD N01 conditions through evidence -based or evidence-in%rrned programs or strategies
that may include, but are not limited to, the following:
1. Ensure that health caree provides are screening for OUD and other risk factors and know how to
appropriately comsel and treat (or refer if necessary) a patient for OUD treatment.
2. Fund Screening, Brieflntervention and Referral to Treatment (SKIRT) programs to reduce the
transition} from use to disorders, inchu ng SKIRT smaces to pregnant women who are uninsured or not
eligible far Medicaid.
3. Provide thaimng 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. tr uisrh n from m ntse to
*oid disorder is common.
4. Purchase automated versions of SHIRT and support ongoing costs of the technology_
5. Expand services such as navigators and on -call teams to begin MAT in hospital emergency
dqaiimlents-
6. Training for emergency room pesormel treating opioid overdose patients on post -discharge ph nning,
including community ty re%rals for MAT, recovery case management or support services-
7 _ Support hospital programs that transition persons with OUD and any co-occurring SUDMH
conditions, or persons who have experienced an opioid -ovrrrdose, into cluuEca4 appropriate follow-up
care through a bridge chino or similar approach.
Page 116 of 23
CITY OF CLERMONT
C , RESOLUTION NO.2021-041R
S. Support crisis stabilization ce tus that serve as an alternative to hospital emergency departments for
persons with OUD and any ca-ocxa r ing SUDfMH conditions or persons that have experienced an
opioid overdose.
9. Support the work of Emergency Medical Symms, inchading pee support specialists- to connect
individuals to treatment or other appropriate services following an opioid overdose or other opioid-
related adverse event.
10. Provide frm ling for peer support specialists or recovery coaches in emergency its, dew
f8cilities, recovery centers., recovery housing, or similar settings; offer services, supports, or
connections to care to persons with OUD and any cG4Kxurnng SUD.IMH conditions or to persons who
have experienced an opioid overdose.
I E= ind narm hand-off services to transition to recovery services.
12. Create or support school -based cow that parents can engage with to seek immediate treatment
services for tip child; and support prevention, intervention, treatment; and recovery programs focused
im yama.s penzIe.
13. Develop and support best: practices on addressing OUD in the workplace.
14. Support assistat&oe programs for health care providers with OUD.
1` En, gage non -profits and the faith community as a system *-w nwW outreach for treatment
zahmd Call cemze;s-bat proude i if_ r •,--:n to appropriate services
f}; pers+ans witar 0UD and anv cn-ocr-. - _ - • --- :: �_ _as.
D. ADDRESS THE NEEDS OF CMII4ONAL-JU'STICE-I1"TOLVED PERSONS
Address the needs of persons with OUD and any co-occumng SUD/Nffl conditions who are mvelved
in, are at risk of becoming involved in, or are transitioning out of the criminal justice system Hough
evidence based or evidence -informed programs or strategies that may include, but are not limited to,
the following-
1- Support pre -arrest or pre -arraignment diversion and deflection strategies for persons with OUD and
any co-occurring SUDr`MH con6tions, imccl rdmg established strategies such as
a- Self -referral strategies such as the Angel Programs or the Police Assisted Addiction Recovery
Initiative (PAARI);
b_ Active outreach strategies such as the Drug Abuse Response Team (DARI) model;
c. "Naloxone Plus" strategies, which wort to ensure that individuals who have received
naloa m to reverse the effects of an overdose arethen linked too treatment programs or other
appropriator -e vices;
d• Officer prevention strategies, such as the Law Enforcement Assisted Diversion (LEAD)
model;
e. Officer intervention st ategim such as the Leon County, Florida Adult Civil Citation Netwaak
or the Chicago Westside Narcotics Divnsion to Treatment Initiative; or
Page 117 of 23
CITY OF CLERMONT
CLE as . RESOLUTION N0.2021-041R
Ch*e
f Co-respander for alive:—Axmdea models to address OUD-related 911 calls with
greater SUD expertise
2. Support pre-trial services that connect individuals with ODD and any co-oecning SLT)Ihffl
conditions to evidewe-inforined treatment, including MAT, andrelated services.
3. Sr-pW treatment and recovery courts that provide evidence-ba'-A options for perm. ns with OUD
and 3ny co-occu nng SUDAM conditions
4. Provide evidence -informed treatment, including MAT, recovery support, harm reduction, or other
appropriate services to individuals with OUD and any co-occurring SUDfMH conditions who are
incarcerated in j ahl or prison_
5. Provide etiidence-informed treatment, including MAT, recovery support, harm reduction, or o#dser
appropriate services to individuals with OUD and any co-occurring S1JDl.M H conditions who are
ieavinglail or prison have recently left jail or prison, are on probation or parole, are umdler cm ununity
corrections supervision, or are in re-entry programs or facilities-
6. Support critical time time—. mhtions (G Tfj, particularly for individuals living with dual-d ognosis
OUDlsenoas mental illness, and services for ndivultals who face immediate risks and service needs
and risks upon rela:ae from correctional settings-
7. Provide training on best practices for addressing the needs of crinund justice -involved persons with
OUD and arty co-occmrirrg SUDINM conditions to law enforcement, correctional, orindreml personnel
or to providers of treatwent, recovery, ham reduction, ease managenm* or other services offered in
connection with any of the strategies described in this section-
E. ADDRESS THE NEEDS OF PREGNANT OR PARENTING `OMEN AND THEIR.
I <�14IL.IF_, INCLUDING BABIES "TTH NEONATAL ABSTINENCE SltlriDROME
Address the needs of pregnant or parenting women with OUD and any co-occurring SUD/MIi
conditions, and the needs of their families, mdudmg babies with neonatal abstinence syndrome (NAS),
through evidemebased or evidence -informed programs or strategies that may inchrdc, but are not
limited to, the following:
1. Support evidence -based or evidence -informed treatmenr , including MAT, reemwy services and
supports, and prevention services for pregnant women — or women who could become pregnant — who
have OUD and any cu-occurring SUDaffi 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 eo-occurrring SUD.(MH d: auditions for up to 12 months
3. Training for obstetricians or other healthcare personnel that wdxlr with pregnant women and their
families regarding} treatment of OUD and any co-occurring SiJMM conditions.
u r :Ruit 44L'3'J:L'Ya�•�S[�? a-i,i=11 a-}.�.i.� 's ° a 'i ? �w ie::civ en support, t'oi VAS bab e- - eX aMd
,ser1,es forte wco tzri.%am o I r=a32 ti;4Ti: inian- r-rie,?oi dhad expi d long-term rmitment and 3envt=y--i
for medical monitoring ofNAS babies and b • - es
Page 118 of 23
CITY OF CLERMONT
Ccl�m dd,�,, ,. RESOLUTION NO.2021-041R
5_ Provide training to health care providers who wort: with pregnant or parenting women on best
practices for compliance with federal requirements that children boar with Neonatal Abstmence
Syndrome get referred to appropriate services and receive a plan of safe care.
b. C dd and :-.,d,. ,-mppert, f^or parenting women iffi OUD and am- co-omzham= Si,'DAM
conditions_
7. Enhanret family supports and c +=l d care services for parents with OUD and any co -or_ o .-ia,-
SUDIMH cormlitions.
8. Provide enhanced support for children and family members suffering trauma as a result of addiction
in the famr4y, and offer trauma -informed behavioral health treatment for adverse childhood everits_
9- Offer home -based vmpznmmd services to persons with OUD and any co-occurring SUD& H
conditions, including but not limited to parent skills training,
10. Support for Ch-H&en's Services -Fund additional positions and services, including supportive
housing and other residential services, relating to chrldrum being reHroved from the home andlor placed
in foster care tine to custodial opioid use.
PART TWO: PREVENTION
F. PRE'4'ENT ON'ER-PRESC'RISING ND ENSUREAPPROPRIATE PRESCRIBING AND
DISPENSING OF OPIOIDS
:•report efforts to PMWent over-prescri and eusotce appropriate piescnbmg and dispensing of
opioids through evidence -based or evidence -informed programs or strategies that may include, but am
not limited to, the following
1. Fund medical provider education and outreach regarding best prewnbing practices for opioieds
consistent with Crmdelines for Prescribing Opioids for Chronic Pain from the U.S. Centers for Disease
Control. and Prevention, mdudmg providers at hospitals (academic detailing)-
2. Training for health care providers regarding safe and responsible apioid prescribing, dosing, and
tapering patients off opioids.
3. Ctrnhnuing Medical Education (CME) on appropriate prescribing of opioids.
4. Support for non-opioid pant treatment alternatives, including training providers to offer or refer to
multi -modal, evidence -informed treattneat of pain
5. Support enhancements or imprm m>ents to Prescription Drag Monitoring Programs (PDMPs),
including but not limited to improvements that:
:w—ma the rum8er of prescribers using PDMPs;
b. Improve point -of -care decision -making by increasing the quantity, quality, or feat of data
available to prescnbers using PDMPs, by improving the interface that prescnlx" use to .access
PDMP data, or both; or
Page 119 of 23
6-
CLE�N-r CITY OF CLERMONT
RESOLUTION NO.2021-041R
c.- Enable states to use PDMr' data is support of surveillance or iateiventian strategies, imiudiag
MAT =e - als and fDllow-up for uxhviduals identified within PI>MF data as likely to
experience OUD in a mamff that complies with all relevant privacy and security laws and rules-
G. Ensuring PDMPs incorporate available overdoselualoxow deployment data, inch the United
States Department of Transportation's Emergency Medical Technician overdose database in a manner
that complies wig all relevant privacy and security laws and rules.
Increase electronic prescnbmg to prevent diversion or forgery.
8. Educste Di ;m3user on ap.mopna;e m- wid di-suensing
G. PM ENr MISUSE OF OPIOIDS
Support efforts to discourage or prevent misuse of opwids through evidence -based or evidence -
informed programs or strategies that may include, but are not limited to, the following:
1. Fund meth campaigns to prevent opioid misuse.
2. Corrective advertising or affirmative public edr _ 3!37n campaigns based on evidence.
3. Public education relating to drug disposal.
4. Dry take -bard disposal or destraction.programs-
5. Fund conrmmnity anti -drag coalitions that engage in drug prevention efforts.
ti_ Support community coalitions in implemeotmg evidence- nfaamed prevention. such as reduced
social access and physical access. stigma reduction— including staffing, educational egos, support
for people in tieatnent or recovery, or training of coalitions in evidence -intoned implementation,
including the Strategic Pre%rention Framework developed by the U.S. Substance Abase and Mental
Health. Services Administration (SAMHSA).
%r?.g2pe aon-pnErs :and Ifti142--ni c+;+t"3�. w?�ei is 5yne s 1,0 wpprt Prevention.
8_ Fund evidence -based prevention programs m schools or evidence -informed school and comfy
education programs and campaigns for stndeuts, families, school employees, sdrool athletic programs,
parent teacbw and student associations, and others.
9. School -based or you& focused programs or strategies that have demonstrated effectiveness in
preventing drug min and seem likely to be effective in preventing the uptake and use of opwids.
10. Create of support commnnity4msed education or intervention services for families, youth, and
adolescents at risk for OUD and any co-occarring SUDNM wnditions.
11. Support evidence -informed programs or curricula to address mental health needs of yang people
who may be at risk of misusing opioids or other drugsy including emotional modulation and resilience
skills-
12. Support greater access to nun#al health services and supports for yang people, including services
and supports provided by school noses, behavioral health workers or other school stoup to, address
Page 120 of 23
CITY OF CLERMONT
C dam. RESOLUTION NO.2021-041R
mental health needs m young people that (when not properly addressed) increase the risk of opund or
od-be drug misliie.
H- PREXENTT 0-%TRWSE DEATHS AND OTHER HARMS (HA1Rl4f REDUCTION)
Support efforts to prevent or reduce overdose deaths or other opioid-related haffis dffough evidmcie—
based or evidence -informed programs or strategies that may include, but are not 5mi%d to, the
followiing_
1. Increase availability and distribution of naloxone and other drugs that treat overdoses for fast
responders, overdose patients, individuals with OUD and theme friends and family members, individualS
at high risk of overdose, schools, eDu mrmity navigators .and outreach workers, persons being released
from jail or prison, or other members of the general public.
2. Public health entities provide free udoxone to anyone in the comniumty
3_ Traming and education regarding nakurone and other drugs that treat overdoses for first responders:
overdose patients, patients taking opwhds, fhanlies, schools, community support groups, and other
members of the general. public.
4_ Enable school nurses and other school staff to respond to opioid overdoses, and provide them with
naloxone; training, and support.
5_ Expand, improve, or develop data tracking software: and applications for oveerdoseshtaioxone.
revivals.
6. Public education relating to emergency responses to overdoses.
7. Public education relating to immunity and Good Samaritan caws.
S. Educate fast responders regarding the existence and operation of immunity and Good Samaritan
laws.
9. S}tinge samce, programs and other evidence -informed programs to reduce harms associated with
intravenous drag use. including supphes, sWfing, space, pees support services, referrals to treatment,
fentanyl checking, connections to care, and the frill range of harm redaction and treatment services
provided by these programs.
10. Expand access to testing and treatment for infectious diseases such as HIV and Hepatitis C resulting
from intravenous opioid use.
11. Support 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 S1JDlMH conditions.
12. Provide, training in harm redaction strategies to health care providers, students, peer recovery
coachesy recovery outreach specialists, or otherprofessiouals that provide tare to persons who use
opioids or persons with OUD and any co-occurring SUDIMH conditions.
13. Support screening for feutanyl an rout ne clip-, cal iox ic ol ogy tes mq-
10
Page 121 of 23
CITY OF CLERMONT
0 .f0-V!- • RESOLUTION NO.2021-041R
PART THREE: OTHER STRATEGIES
I FIRST RESPONDERS
In addition to items in sections C, D, and H relating to first responders, snppmxt the ;oll own&
1. Educate law enfareement 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 expe :nee secondary
tramna associated wifh opund-related emergency events.
J. LE.kDERSHIi', PEANNING AND COORDINATION
Support efforts to provide leadership, planning, coordination. Adlitatic% training and techzical
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 comnamity regional planning to identify root causes of addiction and
overdose, goals for reducing hates related to the opioid epidemic, and areas and populations with the
greatest needs for treatment intervention services; to support training and technical assistance; or to
support other strategies to abate the opioid epidemic described in this opund abatement strategy list
2. A dashboard to share reports, recoor plans to spend *plaid settlement fiords; to shorty
how opimd settlement funds have been spent; to report program or strategy outoom rs; or to track, share:,
or visualize key opioid-related or health4elated indicators and supports as identified through
collaborative statewide, regional, local, or community processes.
3. Invest in infrastructure or sb ffmg at government or not-for�rofrt agencies to support collaborative,
cross -system coordination with the purpose of preventing overprescaibmg, opioid misuse, or optoid
overdoses, treating those with OUD and any co-occurring SUDAM conditions, supporting them in
treatment or recovery, onmectlng them to cffie, or implementing ,other strategies to abate the opioid
epidemic described in this opioid abatement strategy list.
4. Provide resmrm to staff government oversight and management of opioid abatement programs.
. TR EMNG
In addition to the training referred to throughout this document, support taming to abate the opaoid
epidemic through activities, programs, or strategies that may include, but are not limited to, the
following
1. Provide fimdin=- for staff training or networking programs and services to improve the capability of
gone mne it, cominimity, and not -for -profit entities to abate the opioid crisis_
2. Support infrastructure and staffing for collaborative cross -system cromdimation to pweot opioid
misuse, prevent overdoses, and treat those with OUD and any co-accunrmg SUDIMH conditions, or
implement other straw to abate the opioid epidemic described in this opwid abatement straten last
(e.g., health care, primary care, pharmacies, PDMPs, etc.).
L. RESEARCH
11
Page 122 of 23
c�
CITY OF CLERMONT
C� dam. RESOLUTION NO.2021-041R
Suomi opiaid abatement research that may include, but is not limited to, the following:
1. Monitotmgr au vedla ce, data collection, and evaluation of programs and strategies described in this
opioid abaum=t stra•agy list.
2. Research non-opiaid treatment of chronic pain-
3_ Research an tmFr3': ed service delivery for modalities such as SBiRT that demonstrate promising but
mixed results in populations vuhrerab a to opioid use disorders_
4. Research on novel harm redaction and prevention efforts such as the provision of iel test strips_
5. Research on mnGvative supply-side enforcement efforts such as mrproved defection of mail -based
delivery of synthetic opioids-
6. Expanded research on swdUcectainffau models to redwe 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. Epidemiological surveillance of OUD-related behaviors in critical populations including individuals
entering the criminal justice systain, hwhidmg but not limited to approaches modeled on the Amestee
Drag Abuse Monitoring (ADAM) system -
It. Qualitative and gtaamitative research regarding public health risks and harm reduction opportunities
within illicit drug markets, mchuiing surveys of market participants Who sell or distrrbute illicit opioids.
9. Geoapatiat analysts of acam bauaers to MAT and their association With treatment engagement and
12
Page 123 of 23
INSTRUMENT#: 2021140431 OR BK 5812 PG 2000 PAGES: 23 10/11/2021 11:53:53 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $197.00
,�_
cLE '��VT CITY OF CLERMONT
��'.��,'�-� RESOLUTION NO.2021-041R
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
CLERMONT, FLORIDA; AUTHORIZING THE CITY TO JOIN WITH
THE STATE OF FLORIDA AND OTHER LOCAL GOVERNMENTAL
UNITS AS A PARTICIPANT IN THE FLORIDA MEMORANDUM OF
UNDERSTANDING AND FORMAL AGREEMENTS IMPLEMENTING A
UNIFIED PLAN REGARDING OPIOID LITIGATION; PROVIDING FOR
TRANSMITTAL; RECORDING; THE ADMINISTRATIVE
CORRECTION OF SCRIVENERS ERROR; AND, FOR AN EFFECTIVE
DATE.
WHEREAS, the City of Clermont, Florida has suffered harm from the opioid epidemic;
and
WHEREAS, the City recognizes that the entire State of Florida has suffered harm as a
result of the opioid epidemic; and
WHEREAS, the State of Florida has filed an action pending in Pasco County, Florida, and
a number of Florida cities and counties have also filed an action In re: National Prescription
Opiate Litigation, MDL No. 2804 (N.D. Ohio) (the "opioid Litigation") and the City of Clermont,
Florida is not a litigating participant in that action; and
WHEREAS, the State of Florida and lawyers representing certain various local
governments involved in the Opioid Litigation have proposed a unified plan for the allocation and
use of prospective settlement dollars from opioid related litigation; and
WHEREAS, the Florida Memorandum of Understanding (the "Florida Plan") sets forth a
framework of a unified plan for the proposed allocation and use of settlement proceeds and it is
anticipated that formal agreements implementing the Florida Plan will be entered into at a future
date; and
WHEREAS, participation in the Florida Plan by a large majority of Florida cities and
counties will materially increase the amount of funds to Florida and should improve Florida's
relative bargaining position during additional settlement negotiations; and
WHEREAS, failure to participate in the Florida Plan will reduce funds available to the
State, the City of Clermont, and every other Florida city and county.
NOW THEREFORE, BE IT RESOLVED by the City Council of the City of Clermont,
Florida as follows:
SECTION 1:
The foregoing recitals are to be accepted as fact and are thus incorporated herein.
Page I 1 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2001 PAGE 2 of 23
cue
CITY OF CLERMONT
CI dam»= RESOLUTION NO.2021-041R
SECTION 2:
The City Council of the City of Clermont finds that participation in the Florida Plan would be in
the best interest of the City of Clermont and its citizens in that such a plan ensures that almost all
of the settlement funds go to abate and resolve the opioid epidemic and each and every city and
county receives funds for the harm it has suffered.
SECTION 3:
The City Council of the City of Clermont hereby expresses its support of a unified plan for the
allocation and use of opioid settlement proceeds as generally described in the Florida Plan,
attached hereto as Exhibit "A".
SECTION 4:
The City Manager, or their designee, is expressly authorized to execute the Florida Plan in
substantially the form contained in Exhibit "A".
SECTION 5:
The City Manager, or their designee, is hereby empowered by the City Council to execute any
formal agreements implementing a unified plan for the allocation and use of opioid settlement
proceeds that is not substantially inconsistent with the Florida Plan and this Resolution.
SECTION 6: TRANSMITTAL
The City Clerk is directed to furnish a fully executed copy of this Resolution to the Florida
Attorney General:
Attorney General Ashley Moody
c/o John M. Guard
The Capitol
PL-01
Tallahassee, FL 32399-1050
SECTION 7: RECORDING
This Resolution shall be recorded in the Public Records of Lake County, Florida.
SECTION 8: ADMINISTRATIVE CORRECTION
This Resolution may be re -numbered or re -lettered, and/or corrected for typographical and/or
scrivener's errors which do not affect the intent of said resolution, as authorized by the City
Manager or designee, without need of public hearing, by filing a corrected copy of same with the
City Clerk.
SECTION 9: EFFECTIVE DATE
This Resolution shall become effective immediately upon passage.
Page 12 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2002 PAGE 3 of 23
CLE
CITY OF CLERMONT
RESOLUTION NO.2021-041R
DONE AND RESOLVED by the Mayor of the City Council of the City of Clermont, Lake
County, Florida, this 13th day of July, 2021.
,.
-4 w
Tracy Ackroyd Howe, MMC
City Clerk
Approved as to Form and Legality:
Daniel F. Mantzaris, City Attorney
Page 13 of 23
CITY OF CLERMONT
Tim Murry,Wayor
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2003 PAGE 4 of 23
CLE_.R
CITY OF CLERMONT
RESOLUTION NO.2021-041R
EXHIBIT A
FROPID AL
5lE-NI9RANW-M r}F E-'DE'R T NDEyr
WheT- r the }-rec+o, a of *e Swe of -T-bm i aai it-, comanmities have bow !vnrnml by
mt_f-a.: xle, non5ea; ance =! mat: m.: m - committed to c =--ties w0in the
'°Umweotical Stnplg C'ba a;
-Vjmr-� , ie Smi of -rlwnh, tl mzh k3 Attorney 6-3eml, wa cwtzm L3-,,d
f]JRn*1�� hough tale r !k:''�d ': 'cT1;-:3 101 c3mr-e!,, 3r! -aPgged in
L'_33ti -n 3e-Am3 ti h-ill M -3 D +pm`.� a:^cun_& fs f the d�a
CiJ+ed b'r their mi3:ems:?iDCP, C74'1�3:.31•,`.? ?D..'.']-31±8�aJT.C?;
t4bal-as., t5~ :i'a±� �r r:e::3a 3a� to Lcc�.l �ns�3 ahaa � ^:moles d°tas to ahgte
ani all%1-05, tht MMa&.S of t33t 30.fs3'-3r e, n»i ^3n s?nd m l e a'hro > Ir3nt the 3bts
o'_ !Dada,
Whazt-3s tt is the ir'...t f It 3t le x F cri3:i acd iti Lxal '27o7--3a to w! de
pacs:-e'_, om 5e'tl t-lr' n,=tlT?wklrma^+xT'_+^ 31 Sayply UumPewwants to iocim- the amount
3f imdmz pi-iently :pen~ an opi>d aird a331mce bust education, t�-i!mgt 4Tid 7'hAT ml3fei
�H'7:33ID.', Znd-rtil:-a, au:D 3"')r6.,e len'ified i3 FahibiL :� an3 3, 3n . b *hat the dmds
are myen&l in :3moh3nM w-.di --yking evidenc-a b33r1 "be -A Cr3 s e3';
Rher-s3 6-3 ]fate : F ,orid< and to Lx31 C-o,,-- n mnt3, subject to the c3mpletton of
faam3l iammteot %-,* n3.1 e!eni3te the P-jtke a,peemeat3, iat3 !1j I&>Ta P-nsS= of
Unjer"&:n3rebtm.*3;be3llccmcnandmeoftalemwebofSew'emrat dembe3
'.c a s;, M
t�ba.e.,3 :hia pmhwuaar, n b din.; a3re t be~ v ' as is not
la..a.Tlly -af-or: a�bia, :ad x1t pr• ; ti1de'u a �,ix; *a or--ift for na ixumerts ,— V!U q1.i r—ww%!.3ta the
:,,=
"g mput_ .
A. De5attlois
is r3ei is thi tloul
_. ApprweI Pt mwa(5)" shall mean forwa d-looking +sate7im, pmgrammmlt Md
ep:%d. 4ae 31t:eatne t' for la-Arnittal3 mo.3cJtad by ?UbVanze rae,
.I-; =-;nor, a-cmot>, ,nd mn 3e r dewe-baml -3^tames we PTe'le=an
r`3t.P?'e 7rS:^.i ;t'3stan a we iRvoidax? qw'td 3'Aae —aw dac3ti-x4 (8} iet»imt the
,;!wlppl�r 33d lli;,-i`_ c3iai6 imi (d upport r-co :- y fr3m a33ictiaz V7rr• P� pG3°"+
mat a13e, a:A art ,tat t-d W 1p— rid tbWpmen€ &Je4gie3 listed on adub ss it and D
:X-3: cry;enxnen&v 9 mean ai -.mites. cities, 4towns and "ill3g-3 ::c-*-d
Enhhr" :aaL mega the 73-=ahcns 4-lectsd iy ad wniet Zy1'3w
a 171 da D-,rinmeut cf mil and ?+.mid a w its ,3nc::ws3r CDCF7 to w-nin the
Page 14 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2004 PAGE 5 of 23
CITY OF CLERMONT
RESOLUTION NO.2021-041R
daily operational de nwy ofbehaviondbeatth senwes through a coordinated system of case. The
singular "Managing Entity" shall refer to a singular of the Managing Fafities.
"County shalt mean a political subdivision of the state established pcmlumi to s
1, Art. VM of the State Constitution.
`m»cipaliftes" shall rem cities, towns, or villages of a County within the State
with a Population greater than 10,000 individuals and shall also include cities, towns or villages
within the. State with a Population equal to or less than 10,000 individuals which filed a Complaint
9a this litigation against Phceuhcd Supply Chain Putopauats- The singular"Municipality"
shall refer to a singular of the Municipalities.
6. "Negotiating Committee" shall mean a three member groin comprised by
representatives of the follcm ing. (1) the State; and (2) two representatives of Local Governments
of which one representative will be from a Mmricipality and one shall be from a County
(collectively, ` Members") withnthe State. The State shall be representedbythe Attom y C u sal
or her designee.
7. "Negotiation Class Metrics" shall mean ffiose county and city settlement allocations
which come from the official webso of the Negotiation Class of counties and cities eatif M on
September 11, 2019 by the U.S. Distrid for the Nor&ern District of Ohio in In rye National
Prarcr"on Opiate DhgaWm, MDL No. 2904 (MD. Ohio). The websile is located at
https://allmtionmap.irb imwnline coax
8. '%)Ooid Funds" shall mean monetary amounts obtained tl-r=ouTh a Settlement as
defined in this MOU.
9. 'St)pioid Related" shall have the ssune meaning and bmadth as m the agreed Opmid
Abatement Strategies attached hereto as Eahrbils A orB.
"Parties" shall mesa the State and Local Governments. The singular ward "Party"
shah -mean either the State or Local Governments.
`TEC" shall men the Pl &tM' Paecutive Committee of the National Prescaption
Opiate Molt ulistrid i itigation pending m theUnited states District Court for the NorthernDistrict
of Ohio.
12."PlmrmaceaicalSupplyChaWshallmeanthepmcessandchamnelsthroaghwlrich
Controlled Substances are ma mActured, madceted, promoted, distributed or dispensed
13. "Phannaceafical Supply Chain Participant" shall mean any entity that engages in,
or has engaged in the mamfscf are, madceetiq& promotion, distribution or dispe mg of an op toid
anslgesrc.
14. "Population shall rein to published 'U.S. Census Bwean population estimates as
of lily 1, 2019, released March 2020, and shall remain unchanged dining the term of this MOU.
These estimates can cammdy be found at https:/fwww.census.gov
Page 15 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2005 PAGE 6 of 23
CITY OF CLERMONT
RESOLUTION NO.2021-041R
`5(1�ualiSed County' shall mean a charter or non -chattered county within the State
that has a Population of at least 300,000 individuals and (a) has an opioid taskforce ofwhich it is
a member or operates in connection with its municipalities or otters on a local or regional basis-
(b) has an abatement plan that has been either adopted ar is being utilized to respond to the epidd
epidemic; (c) is ctmrntlq either providing or is contacting with others to provide substance abuse
prevention, recovery, and t eatment services to its cdoms; and (d) has or enters into an agreement
with a majority of Municipalities "jority is more than 501% of the Municipalities' total
population) related to the expenditure of Opioid Finds. The Opioid Funds to be paid to a Qualified
County will only include Opioid Funds for MnncWahtmes whose claims are released by the
Municipality or Opioid Funds for Mtmicipalities whose claims aree otherwim barred..
16. "SAMHSA shall mean the. U.S. Department of Health & Human Services,
Substance Abuse and Mental Health Services Administration.
17. "Settleameof shalt mean the negotiated resolution of legal or equitable claims
against a Pharmaceutical Supply Chain Participant when that resolution has been jon dy entered.
into by the State and Local Governments at a settlement class as descubed is (BXI) below.
IS- "State" shall mean the State of Florida.
B. Terms
Only Abatement - Other than fiords and for the Administrative Cimm and Expense
Fund as bereinafter described in paragraph 6 and paragraph 9, respectively), all Opioid Funds shall
beutilizedforApproved Proposes. To accomplish this purpose, the State will either file anew action
with Local Governments as Parties or add Local Govenments; to its existing action, sever settling
defendants, and seek entry y of a consent order or other order binding both the State; Local
Governow ts, and Pharmaceutical Supply Chain Participant(s) f `Order')- The Order may be part
of a class action settlement err similar device. The Order shag provide for contminzig jurisdiction of
a state court to address non paArmenee by any party under the Order. Any Local Govermrent that
objects to or refuses to be included under the Order or entry of documents necessary to effectuate a
Settlement shall not be entitled to any Opioid Funds and its portion of Opioid Funds shall be
didnImted to, and for the benefit oA the other Local Governments.
2. Arold Claw Back and Recorpment - Both the State and Local+ Governments wish
to mwmiDe any Settlement and Opioid Funds. In addition to commdtnmg to only using fiords for
the Expense Rends, Administrative Costs and Approved Purposes, both Parties will agreeto utilize
a percentage of fords for the core strategies highlighted in Eshrbit A. Ezhrbit A cantaios the
programs and strategies prioritized by the U.S. Department o0ustfce andlar the U-S. Department
of Hesitlu der Haman Services CCore Strategies") The State is trying to obtain the United States'
agreement to limit or reduce the United States' ability to recover or recoup monies $om the State
ad Local Government in exchange for prioritization of fiords to entain projects. If no agreement
is reached with the United States, then, there will be no requuemenx that a percentage be utilized
for Core Strategies -
Page 16 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2006 PAGE 7 of 23
CITY OF CLERMONT
RESOLUTION NO.2021-041R
3. Diatribation Scheme - All Opioid Funds will initially go to the Slate, and then be
dwributed according to the following distribution scheme. The Opioid Funds willbe divided into
Three funds after deducting costs of the Expense Fund detailed in paragraph 9 below;
City/C ounty Fund The city/county hind will receive I5% of all Opund Finds to
directly benefit all Counties and Municipalities. The amot to be distnbnted to
each County andMuoicipaiity shall be determined by theNegotiatiostClass Metrics
or othermetrics agneedupon, in writing, by a County and a Municipality. For Local
Governments that are not within The definition of County or Mimicipaliiy: thecae
Local Governments may receive that gove niment's share of the City/Comity Fins
render the Negotiation Class Metrics, if that government exeuules a release as part
of a Settlement Any Local Government that is not withinthe definition of County
or Municipality and that does not execute a release as part of a Settlement shall
have its share of the City/Comtty Fund go to the County in Which it is located.
Regional Find The regional fund will be subdivided into two parts.
The State Will annually calculate the share of each Canty Within the Slate
ofthe regional fimdutnlizing the sliding scale insertion 4 of1he allocation
captained in The NephatimClass Metricsoralhermetricsthatthe Partma
agree upon.
For Qualified Comes, the Qualified Count' s share will be paid to the
Qualified Canty and expended on Approved Purposes, including the
Core Strategies uketified m Exhibit A, if applicable.
(ni) For all other Counties, the regional share for each Canty will be paid to
the Managrog Entittesproviding service for that County. TheManaging
Entities will be required to expend the monies on Approved Purposes,
ineinding the Core Strategies. The Managing Entities shall endeavor to
the greatest extent possible to expend these monies on comes within
The State that are. non -Qualified Counties and to enstue that there are
services in every County.
State Fun- The remainder of Opioid Fmrds after deg the costs of the
EapenseFund detailedinparagraph 9, the City/CountyFmdand theRepondFund
wilt be expended by the State on Approved Purposes, including the provisions
related to Core Strategies, if applicable.
To the es that Opwid Funds are not appropriated and expended in a year by the
y State, the State shall identify the investments where settlement fsmds will be
deposited_ Any gams, profits, or interest accrued from the deposit of the Opiotd
Funds to the extent that any €cods are not aplaoptiated and expended within a
calendar year, shall be the sole property of the Patty that was entitled to the initial
depo i+.
Page 17 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2007 PAGE 8 of 23
CLERNOW
CITY OF CLERMONT
RESOLUTION NO. 2021-041R
ReExW Fimd S;An Scale- Tht ?zgion?,] Find sW be cAmbW by ablimn
*he f o I kw m g : i i ycak ts f % e 0 r m o i d % m d: v v -2 d -.tb I e is i z t) -1--
A. 1-6: 401/s
B. Ytus 74 351/w
C. Yeas 10-12: W/41
D. Yews 13-15: 330/9
E. Yews 16-19: 30*/4,
S. CMOH X37"DP3t TMI-10M Or ---imcit - The State wAl create in Gjicid
Jib -k'wce ar -TwUmcem, 'Sooneff") ba&Ase the
. -1-ememll, I
Grne.mx, the :xpA-4ius Irk-Aes Depztment of ChL]±en and Farodies -'l*,DCF-)'. and :.x--A
m ll�nm7rities a -it Lhotddbe 3-idremed m. pat of the omoidep&w-.midta.--.n-m
how m6e- the re;, 41W bave beem whievedwith Ovioid Fm&-,
!he Slveani thelac31 r3waTum-ew-
A
locil Govm-=--u" - 7wo Vmncipalety repnentatrves will -a--
ippointibyorthe wZb'-�im:khLnzneo`Citio-s- Two cxmty it?r-went3fivea, ane
=an: -! Qua M-e-1 Countyml me fimm 3 c" nithm the SlAs th:d s oat a
C.u*!Ie-i Cowtv, vrJl be sopom-A by -r :hrnvh '3e Flonda Asswiman Df
- mt!z, -le f3a: rtimAdAv4di n -k-.a-ate --very lw: 4m, latm em. bemg 3
nm�, -epmen-lb-le -`voided by x t:m3ughFon3aA3✓am, -jon of Comliet, ar
---Ft=wftv-. tau . pamted by or %rm;:i the I-cnda Lempe xf
Y-mk-p-,llty.--We-sezt3hve- m1w. be from a -.r"y, of less thin 50.03
reo .a Oat zora+-?
ml to :dtr- cymo.y I be from a zormt) wba3e ppdilau
m--di _'):Du W-1:le
(d) The Sp,--nk-.r of the Hyweianlmrw=e'lle-mber.
(iii) The 3e=a!e?t---dent
60 The Amer I-p-camlerlier 3eji2llee -ha:i-M 3YeMber
W is -7teAdy—ney-Genenlor i ball be. he ;fir of the Ta*fogc--or
(e) Tam -M--mber-, townv a
Page 18 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2008 PAGE 9 of 23
tc
C:LEFkW
CITY OF CLERMONT
RESOLUTION NO.2021-041R
Sit - DCF shalt sop ox the Tasiftoe or Council and the TsWorce or Council
shall be adaunistrativety horsed in DCF
"_K Mew' s The Tasldoree or Council shall meat quarterly in person or virtually
taming communication media technology as defraud in section. 12054{ AX2),
Florida Statutes
Repeating - The TaWorce or Council shall provide and publish a report annually
no later than November 30th or the fast business day after November 301h, if
November 30th falls on a weekend or is otherwise not a business day. The report
shall cantain mformshan on how monies were sperm the previous fiscal year by the
State, each of the Qualified Counties, each of the Managing Entities, and each of
the Local Governments. It shall also contain recommendations to the Governor,
+fie Lenslcrtre, —nd Local. ao ernments for gnentie3 =Lar the Appro,red
o5es :r: how move -should In 1pelg the cominv fix -al _•ear'0 respond To dh6
apio:d evideraic
Accoumtahrility - Prior to Jaiy 1st of each year, the State and each of the Local
Governments shall provide, information to DCF about how they intend to expend
Opund Funds in the upcoming fiscal year The State and each of the Local
Gcmerm oeent shall report its expenditures to DCF no later than August 31st for the
previous fiscal year. The Taddbroe or Council will set other data sets that need to
be reported to DCF to demonstrate the effectiveness of Approved Purposes. All
programs and expenditures dhall be audited annually in a similar fashion to
SAMFISA programs. Local Govemmients shall respond and provide documents to
any reasonable requests from. the State for data or information about programs
receiving Opioid Funds.
Conflict of Interest - All Members shall adhere to the rules, regulations and laws of
Florida including, but not limited to, Florida Statute §112.311, oanccuing the
disclosure of conflicts of interest and recosal from discussions or votes on
conflicted matters.
6. Adrruinistrats C Cosh The State moav tal- r_ no more +-'^.a~ a a';t ;dmaw u-.nve fee
frour the State Fund i *AdLI::P.FSua a Co ta"9 ens ary Pe?onal Fund .hai it a amsi- s for
couar.on thAt we not flu11 Led (.3Rmnes Sash Qub—, fk I County ma-Y t-A-e no Mort than a :'�-a
adsrit st: a fee him its rht a poi the Reenonzl funn
7. Negotiation ofNoaMnldstateSettlements -Ifthe State begins negotiations with
aPharmaceutical Supply Chain Participantthat is separate and apart fromamulti-statenegotiatiow
The State shall hwhrde Local Governments that are a part of the Negotiating Committee in such
negotiations. No Settlement shalt be recommended or accepted without the afiamative votes of
both the State and Local Government representatives of the Negotiating Committee.
S. Negotiation of hisldstate or Local Governmest Settlements - To the extent
pr tLt c able and allowed by otber parties to a negotiatiam, both Parties agree to communicate with
Page 19 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2009 PAGE 10 of 23
CIER%!V C
"vx.au.npa?
CITY OF CLERMONT
RESOLUTION NO.2021-041R
members of the Negotiation Committee regarding the trams of any other Pharmaceutical Suppl:
Chain Participant Settlement.
9. EWase Fund - The Parties agree that in any negotiationevery effort shall be made
to cause Pharmaceutical Supply Chain Participants to pay costs of litigation: including attomeye
fees, in addition to any agreed to Opioid Finds in the Setdement. To the extent that a find
sufficient to pay the entirety of all confingency fee contracts for Local Governments in the State
of Florida is not created as part of a Settlement by a Pharmaceutical Supply Chain Participant. the
Parties agree that an additional expense fitnd for attomeys who ream- Local Governments
(herein "Expense Fund') shall be created out of the CityfCourty fiord for the purpose of paying
the hard costs of a litigating Local Goverment and then paying attorneys' fees.
The Source of Funds for the Ease. Fund- Money for the Expense FiwJ llta D be
sourced exclusively from the City/Cotmty Fund
Tate Am ,art of the ExpeaseF .The 5vile recognize ,44 .-ails litigating a--K V-1
Go-vernmeots bring to trh& Slate of 37ionda m connecin.13 with the Settilement
beanw iheirparficipshoummmes the amount beentive Payne n s due from each
Pharmacentical Supply Chain Participant. k recognition of that value, the amormt
of fimds that shall be deposited into the Expense fimd shalt be cnntimgent upon on
the percentage of litigating Local Goverment panccipabon in the Settlement;
according to the foIIowing table.
Litigating Local Govetniamt
Participation in the
dement (by percentage of
the lation)
s;har .hall hg pans
mn, the Zlpew-- FkMd
tiom (and as a percentage
4 the Cirv* County• fiord
96 to i w o
10'/.
91 to 95%
7.5%
36 to 9t1''o
5%
85Y.
? 5%
Less than 85%
V/.
H fewer than SY1. percent of the litigating Local Gov®mmtx (by population)
particip,ate, thenthe ExpenmFund shall notbefunded,andthis Swkonof the MOU
shall be nall and void.
The Timing of PaMMA into the Expense Fond- tthbongh the amount of the
Expense Fund shall be calculated based on the entirety of payments due to the
City/County fifimd over a ten to eighteen year period, the Expense Fiord shall be
finxkd entirely from payments made by Pharmaceutical Supply Cham Participants
during the first two years of the Settlement. Accordingly, to offset the amounts
being pod from the CgfiCotmty to the Expense Fund in the first two years,
CotmtinorMumcipalhiesmayboerowfrom %eRegio=dFtmdduringthefasttwo
years andpsy the borrowed amounts back to the Regional Fund duringyew three,
fag and five..
Page 110 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2010 PAGE 11 of 23
C�
CITY OF CLERMONT
RESOLUTION NO.2021-041R
For the avoidance of dmbL the fallowing provides an D usltraa a effip% regarding the
calculation of payments nod amounts that may be bommed under the terms of this MOU,
consistent withthe provisions of this Section:
Opioid.Funds due to State: of Florida and Local Governments (ova 10 to 18 years):
$1,000
L tigating i ocal Government Participation:
1001%
CiWCoumty Fund (ova 10 to 18 years).
S L 0
Expense Fund (paid over 2 years):
$15
Amount Paid to Expense Fund in l it year.
$73
Amount Paid to Expense Find in 2u d year
$7.5
Amount that may be borrowed from Regional Fund in 1st year.
$7.5
Amount that may be borrowed $rum Regional Fund in 2nd year:
$73
Amount thatmast be pad back to Regional Fund in 3rd year
$5
Amount that mast be paid back to Regional Fund in 41h year.
$5
Amount that must be paid bark to Regional Fund in 51h year:
$5
Creation of and Jurisdiction over the Ex sa a Fund- The Expense Fund shall be
established, cormsbmt with the provisions of this Section of the MOU, by order of
the Circuit Coat of the Sixth Judicial CkLmit in and far Pasco Canty; West Paco
Division New Pori Richey, Florida, in the matte of The State ofFtorfi* Office of
the Attorney Gorerat ,Department of Legal Affairs v. Pwdue Phanna LP., at al.,
Case No. 2018-CA-001438 (the "Court"). The Court shall have jurisdiction over
the Expense Fund, including authority to allocate and disburse amounts from the
Expense Fund and to resolve any disputes concerning the Expense Fund -
Allocation of Payments to, Counsel from the L%2W Fund- As part of the order
establishing the EVense Fug co®sel for the litigating Local Governments shall
seek to have the Coat appoint a find->aeuhal to serve as a special master for
purposes of allocating the Expense Fund_ Within 30 days of entry of the older
appointing a special master for the Expense Fund, any counsel who intend to seek
an award from the Expense Fund shall provide the copies of their contingency fee
contracts to the special master. The special master shall then build a msthen elical
model, which" be based on each litigating Local Ckmm nmesifs shame unrder be
Negotiation Class Metrics and the rate set forth in their contingency contracts, to
calculate a proposed award for each litigating Local Government who timely
provided a copy of its contingency contract.
10. Dispute resolution- Any one or more of the Local Governments or the State may
object to an allocation or expenditure of Opioid Funds solely on the basis that the allocation or
espenditure at issue (a) is inconsistent with the Approved Purposes; (b) is inconsistent with the
distribution scheme as provided in paragraph 3, or (c)violates the limitations set forth herein with
respect to administrative costs or the Expam Fiend There sball be no other basis far bringing an
objection to the approval of an allocation or expenditure of 0pioid Funds.
Pagel 11 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2011 PAGE 12 of 23
CITY OF CLERMONT
RESOLUTION NO.2021-041R
Schedule A
Core Strategies
States and Qnafifymg Black C imees shall choose fimun among the abatement strategies listed in
Schedule B. However, priority shall be given to the following core abatement strategies CCore
Strategies')[, such that a minimoon of % of the [aggregate] state -level abatemesildishubutions shall
be spent an [one or more oil them amxia4].1
A. Nalmone or other FDA -approved drug to reverse opooid overdoses
1. Expand training for first responders, schools, community support group and families; and
2. hicrease distribution to inditzdoah who are uninsured a whose insuanm does not cover the needed
service..
B. Medication Assisted Treatment ("MAT') Distribution and other opioid-related treatment
`z_ Increase distribution of MAT to non, Medicaid eligible or uninsured individuals;
2. Provide education to school -rased and youth -focused programs that discouuage or prevent misuse;
3. Provide MAT education and awareness training to healthcare providers, EMTs, law enforcement
and other first responders; and
4. Treatment mid Recmwy Support Servam such as residential and inpatient treatment, mbeusive
outpatient heatmeut, outpatient therapy or counseling, and recovery housing that allow or inrtezr_-le
medication with other support sent.
C. Pregnant & Postpartum Women
1. Expand Screening, Brief Intervention, and Referral to Treatment C SBIELT') services to non -
Medicaid eligible or uninsured pregnant women;
2. Expand comprehensive evidenw4 aced treatment and recovery services, including MAT, fir women
with co-occurring Opund Use Disorder ("OUD') and other Substaroe Use Disorder MLID' Wagal
Health disorders for uninsured individuals for up to 12 months postpartum; and
3. Provide coatpreheosive scrap -around services to individuals with Opioid Use Disorder (OUD)
including housing, transportation, job placeVhaining, and childcare.
D. Fang Treatment for Neonatal Abstinence Syndrome.
Expand compreheunve evidence -based and recovery support for NAS babies;
Expand services for bets continuum of care with im£aat-need dyad; and
Expand long team treatmeri and services for medical monitoring of NAS babies and their families.
Asumaa8Uss>..aa.A,wacdsMw` ^ Yomd,""�ravide^ostLei reshagwtmdkawapaceSurnwor
Fdoriues wM be esubtis "daogb d* mecboWm= 4m=m' W a the Te= Sit
Page 112 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2012 PAGE 13 of 23
CL- A CITY OF CLERMONT
I RESOLUTION NO.2021-041R
E. Expansion of Warm Hand-off Programs and Recovery Swam
Expand a ices such as as wt gaiore ----d or -c.W1 seams to begin MAT _a hospital emergency
Expand warm hand-off services to iransitiom to recovery services;
Broaden scope of recovery services to include co-occurring SLID or mental health conditions. ;
Provide comprehensive wrap -around services to individrmaiz in recaaery iaclod n horsing,
transpwtation, job placemens'hamiog and cbii&are; and
r Free idditiona meal woeke:s or health wo:len to ficiliiateepartsions above.
F. Treatment for Incarcerated PopnMon
1. Provide evidence based heat and recovery support including MAT for persons with OUD and
co,-occuring Sf &W disorders within and tranationmg vat ofthe crimmal justice system; and
2. Increase funding for j ails to provide treatment to inmates wild OUD.
G Prevention Programs
1. Funding for media canaigas to prevent opioid use tww1w to the FDA's "Real Cast- campaign to
prevent youth f cunmisusi g tobacco);
2. Fuydmg for evidence -based prevention programs in schools.;
3. Fmmdmg for medical provider education and oatruch regariffaig best prescrrlsng-FICt ces for oFao=+: 3
cm aisi ent with the 2016 CDC guidelmes, mchadmg providers at hospitals (academic detailing);
4. Funding for commrmity drug disposal Programs; and
5. Fmdmg and teaming for first responders to participate in pre -arrest d wersiom programs, Post -
overdose response teams, or similar strategies that connect at risk MdMdnaha t D bdmviorat health
services and snppm s-
r Erpandmr 5%-nnge Se^.ice Programs
1_ Provide comprehensive syringe services programs with more wrap-amand services inchdiing tiokage
to OUD treatment, access to sterile syringes, and linkage to cue and treatment of ixifectiow diiseases.
L Eviderioe-based data collection and research amlyzmg the effectivmess of the slsaterent s ate del,
within the Stte. Y
Page 113 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2013 PAGE 14 of 23
' CITY OF CLERMONT
CIF dam,,,,. RESOLUTION NO.2021-041R
Sehedde B
Approved Uses
PART ONE: TREATMENT
A. TREAT OPIOID USE DISORDER (OUD)
Support treatment of Opwid Use Disorder (OUD) and any co-occoaig Substance Use Duarrder or
Mental Health (SUD/MH) conditions through evideDCe-based orevidCnce infonmedplpgrams or
strategies that may include, but ate• not limited to, the fonowitrg:r
1. Expand availability of treatment for 07JD and any co-occurring SUDIMH conditiams, including all
forms of Medication -Assisted Treatment (MAT) approved by the U.S. Food and Drog Adm inistrotina
2. Support and reimbmse evidenOe4wed services that adhere to the American Society of Addiction
Medicine (ASAM) contimmum of care for OUD and any co-ocem:zmg SUD/MH cottons
3. Expand Webed& to increase access to h+eshnent for OUD and sup co-occning SUD&M
conditions, including MAT, as well as ooaasel ng, pgchmt me support, and other treatment and
recovery support services_
4. hnprm oversight of Opioid Treatment Programs (OTPs) to as m evidmce-based or em dettce-
irrFormed practices such as adequate metbadame dosing and lour threshold approaches to tme meat
5. Support mobile intervention, treatment, and recovery services, offered by qualified professionals and
service providers, such as pees recovay coaches, foe petsoms with OUD and any co-occvmimg
SUDIMH conditions and for persons who have experienced an opioid overdose.
6_ Treatment of trauma for itdividuats with OUD (eg., violence, smml assault, human trafficking, or
adverse childhood experiences) and family members (e.g., suavivmg family members after an overdose
or overdose, fatality), and itaimng of health care peisamnel to identify and address such trauma.
7_ Support evidence -based withdmid management services for people with OUD and any co-
occarm* mental health conditions.
8. Training on MAT foc health care providers, first responders, students, or other sappating
professionals, such as pea recovery coaches or reeaweiy outreach specialists, including telementormg
to assist a mmuni"ased providersin nisei oruodwerved areas.
9. Support workforce development for addiction professionals who work with persons with OUD and
any co-occurring SUDIMH conditions.
10. Fellowships for addiction medicme specialists for direct patient cze, instructors, and clinical
remmb for treatments.
11. Scholarships and supports for behaidaml health paactitionaa or workers invoked in addressing
OUD and gay co-occurring SUD or mental health conditions, including but not limited to training,
2Asswilad&SdWmW&3.wardstffeshttsotmdksresPmfmweforam or
ezwwgp[ogmw. Pnodunwdibeembhsbedatsoaod*mecbummdnvtwdadeTe=Sbwt.
3
Page 114 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2014 PAGE 15 of 23
CLE
,Ch�d-KhwOw
CITY OF CLERMONT
RESOLUTION NO.2021-041R
scholarships, fellawabups, loan repayment programs, at other incentives f clip v2der f to work in rural
orundersevedmeas:
12. [blmtionally Dlank — to be cleaned up iota for nimsberind
13. Provide fording and training for clinicians to obtainn a waiver uncle 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
14. Dissemination ofweb-based training curricula, such as the American Academy of Addiction
Psychiatry's Provide Clinical Support Service-Opwids web -based training curriculum and
motivational intertie9ring.
15. Development and dissemination of new curricula, such as the American Academy of Addiction
Psychiatry's Provider Clinical Support Service for Medication -Assisted Treat
3L SUPPORT PEOPLE IN TREATlId ff AND RECOVERY
Support people in treatment far or recovery from OUD and any co-occ SUDIMH conditions
thzaugh evidence based or eviden a mt'oroed programs or strategies that may inelode, but are mat
limited to, the following:
1. Provide comprehensive wrap -mound services to individuals with OUD and any co-occurring
SUDIMH conditions,. including housing, transportation. education, job placement, job training, or
childcare.
2. Provide the MR cantimium of care of treatment and recovery services for OUD and any co-occurring
SUDlMH conditiona, including supportive housing., peer support services and connselmg, commimity
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 SUDIMH conditions.
4. Provide access to housing for people with OUD and any co-oacurrmg SUD/M1i conditions,
including s%Forfve housing, recovery housing, housing assistance programs, training for housing
providers, or recovery housing programs that allow or integrate FDA4Woved medication with other
support services.
5. Provide community support services, including social and legal services, to assist in
demstitudooalizmg persons with OUD and any co-occurring SUDNE erudition.
6. Support or expand peer -recovery centers, which may include support gmips, social events eompnter
access, or other services for persons with OUD and any co-occurring SUDJMH conditions.
7. Provide or support transportation to treatment or recovery prog mis or services Air persons with
OUD and any co-ocaaring SUDW caxhtions.
8. Provide employment framing or educational services for perms s in t: ra tm?at ='err or re. t;1--try lion:
OUD and amy co-occurring SUD.IMH conditions.
Page 115 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2015 PAGE 16 of 23
C LE
CITY OF CLERMONT
RESOLUTION NO.2021-041R
9 MmI4 snccessfd recovery programs sock as p4mcum, pilot, and college recovery programs, and
provide support anndtedmical assistance to increase the nnumI , and capacity of high-qualrly programs
to help Wose in recovery.
1Q Engage non-profifin, frith -based communities, and eommrmity 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. Training and development of procedures for government staff to appropriately interact and provide
social anti other services to indindurals with or in recorery from OUD: mcludmg reducing stigma.
12. Support stigma reduction efiorts regarding treatment and supportfor persons with OUD, including
reducing the stigma on effective treatment.
13. Create or support cultarally appropriate services and programs for persons with OUD and any co-
occurring SUDtMH condition, krJuding new Americans.
14. Create andlor supportreeovery high schools.
15. Hire or train behavioral health wodcers to provide or expand any of the services or s%4wrts listed
above.
C. CONNECT PEOPLE WHO NEED HELP TO THE HELP THEY NEED (CONNECTIONS
TO CARE)
Provide cod owdons to care for people who have —err at risk of developing — OUD and airy c:o-
occuamg SUD/MH conditions through evidence -based or evidence -informed programs or strategies
chat may include, but are not limited to, the Hollowing:
1. Ensure that heaUh care providers are screening for OUD and other risk factors and know how to
appropriately counsel and heat (or refer if necessary) a patient for OUD treatment.
2. Fund Screen& Brief ln%dveeabon and Ref nd to Treatment (SB1RT) programs to reduce the
transition from rase to disorders, including SBIRT services to pregnant women who are uninsured or cot
eligible fmMedicaid.
3. Provide tramiog and long -team implementation of SBIRT in key systems (health, schools, colleges,
cnmmai justice, and probation), wish a focus on youth and yomig adults when transition from misuse to
opioid disorder is common.
4. Purchase automated versions of SBIRT and support ongoing costs of the t rlmology.
5. Egmnd services such as navigators and on -call teams to begin MAT in hospital emer
&?KNWzb-
6. Traming for emagency room pemomnd treating opieuid merdoae patients on post-diwbup phmug,
including city refenah for MAT, reccovery case management or support services-
7. Support hospital programs that transition persons with OUD and any co-occurring SUDIMH
conditions, or persons who have experienced an opwid overdose; unto dimicaliy-appropriate follow-up
care through a budlge clinic at similar approach.
Page 116 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2016 PAGE 17 of 23
6:
CLE
Ch.i.40W40ft.
CITY OF CLERMONT
RESOLUTION NO. 2021-041R
& Support crisis stabilization centers that save as in alternative to hospital emergency departaxents for
persons with OUD and my co-oecarring SUD/MH conditions or persons that have eqxmmced an
opioid overdose.
9 Support the work of Emergency Medical Systems, mchKbmg pew sq4md specialists, to connect
individuals to treatment or adw appropriate servioes following an opioid overdose or other apked-
related adm e event.
10. Provide finding for peer support spedaHsborrecovery coaches iaemargmcydqmrtmm%detDx
facilities, recovery centers, recovery offer services, supports, or
comections to care to persons with OUD and any ea-occunnng SMIMH conditions or to persons who
have experienced an opioid overdose.
11. Espand warm hand-off services to transiticato rimovery services.
12. Create or support school -based contacts that pareoI can engage win to seek innediaileftentromt
services for their child; and rapport prevention, mtervanh=6 heakaesrk and recovery pwgram focused
-;'RM2 people.
13. Develop and support best practices on addressing OUD in the wodg6ce,
14 Support assistance programs for health care provides wAhOUD
15- Engage nonprofits and the faith conummity as a system to support outreach for treatnent.
16. SuppLar centrzkh2ed cad ce—mis 71mi provjdt miormanon and connecuons ;o IppTop"ale swam
x-Al 3x.W. r, r u 5 ;Lis re Ions 11iLb 0UD -, R -1 m y c o - o c cm. u P n L, 5 T;L- Y o1 H c o L, & u -V W
D. ADDRESS TBE NEEDS OF CRDMAL-70710E-HMOLVED PERSONS
Address the needs of persons with OUD and any co-occurzing SUDM couddions who are involved
in, are at risk of becoming involved in, or we transitioning out of the criminal justice sy*= through
evidence -based or evideswe-informed program or strategies that may include, but are not limited to,
the following.
1. Support pro -arrest or pre -arraignment diversion and deflection strategies for persons with OUD and
any co-occurring SUDNE conditions, including established strategies such as:
a_ Self -referral strategies such as the Aurl Programs or the Police Assisted Addiction Recovery
initiative (PAARI);
b Active outreach strategies such as the Drug Abase Response Team (DART) model;
c "Nalmone Plus" strategies, which work to ensure that nxhvxkuds who have received
nalaxone to reverse the effects of an overdose we then linked to treatment program or other
appropriate services;
d. Officer preumfion strategies, such as the Law Enforoemesd Assisted Diversion (LEAD)
model;
e Officer intervention strategies such as the Leon County, Florida Adult Civil Citation Network
or the Chicago Westside Nareotics, Diversion to Tieatrnmt Whadw, or
Page 117of23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2017 PAGE 18 of 23
OCOrrow. .
CITY OF CLERMONT
RESOLUTION NO.2021-041R
f Co-respander and/or alternative regondea models to address OUD-related 911 coils with
greater SUD expertise
2. Support pre-trial services that connect individuals with OLD and any co-occurring SUD/MH
conditions to evidence4o&rmed treatment, including MAT, and related services.
3. Support treatment and recovery cants chat provide evidence -based options for persons with OUD
and any co-occurring SUDIMH conditions
4. Provide evidence -informed treatment, inchuding MAT, recovery support, barm.reductionn, or other
appropriate services to individuals with OUD and any co-ocaurmg SMMH conditions who are
incacerated in j ail or prison.
5. Provide evidence -informed tread, inchudmg MAT, recovery support harm reduction, or other
appropriate services to individuals with OUD and any co-occurring SUDIMH conditions who are
leaving jail or prison have recently left jail or prise®, are onprobation or parolc, are under conmrrn ity
corrections supervision, or in in re-entry programs or ficilities.
6. Support critical time mtaveations (CIO, particularly for individuals living with dual -diagnosis
OUDlserioos mental rTlness, and services for individuals who face immediste risks and service needs
and risks upon release fmm eaaectionai settings-
7. Provide training an best practices for addressing the needs of crimnal justice -involved per$= with
OUD and any co-occrunug SUDINH conditions to law enforcement, correctional, or judicial personnel
or to providers of treatment recovery, ham reduction, case management or other services ofTiered in
connection with any of the strategies described in this. section.
E. ADDRESS THE NEEDS OF PREGNANT OR PARENTING WOMEN AND THEIR
FAIMM, INCLUDING 11.43JES U-ITH NEONATAL .4ZSTINENCE SYNDROME
Address the needs of pregnant or parroting women with OUD and any co-occurring SUD/Ml•I
oonditions, and due weds of their € inflies, including babies vrith neonatal abstinence syndrome (NAS),
throagli evidence based or evidence -informed programs or strategies that may include, but are not
Waited to, the following:
1. Support evidence -based or evidence -informed tread including MAT, recovery services and
supports, and prevention services for pregoantwomm— or women who could become pregint—who
have OUD and any co-occurring SUD.IMH 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, far
uninsured women with OUD and any co-occurring SUD&M conditions for up to 12 months
PwqwftL
3. Training for obstetricians or other healthcare personnel chat work with pregnant women and their
f anifia regarding treatment of OUD and any co-oonnrmg SUDiMH conditions.
s "Mi cviuvrehew1v Vndernce-Wfstd eanew Sad rt—covery swPon °9r `AS babies: vipmd
serf for ffor'f_ss_Tie C�}�,+rtn5:rl m olftare.,xilh m a t-rued diAd:. expo" � io"nz-ie'rm treat Pat and meet?ce_.
formedical IDanMing ofNAS babies and-di`=nr famraihes
Page 118 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2018 PAGE 19 of 23
CCw-dO-t .
CITY OF CLERMONT
RESOLUTION NO.2021-041R
5. Provide baimng to health care providers who work with pregaaat or parenting Women on best
practices for compliance with federal regmemen4s that children boar with Neonatal Abstinence
Syndrome get referred to appropriate services and receive a plan of safe care..
i C hAa nd EamLl sups.-Dnt for r-renting womaere r:itt, 0 -Dwd any co-oorwing SL71MH
conditions.
7. Enhanced family supports and ch-Ad care services for parads with OUD and any co -or w—mar
SUD/MH conditions.
8. Provide enhanced support for children and family members sofferrog trauma as a result of addiction
in the family, and offer trauma mfoimed behavioral health treatment for adverse childbood events.
9. Offer home -based wrap -around services to persons with OUD and any co-occ urmig SUD W H
conditions, including but not limited to parent skills training.
10. Support for Childreds Services —Fund additional positions and services, ineinding supportive
housing and other residential services, relating to chMm being removed from the home andlor placed
in foster care doe to custodial opioid use.
PART TWO: PREVENTION
F. PRE'4'ENT OVER PRESCRIBING AND ENSU M APPROPRiiATE PRESCRIBIINGAND
DISPENSING OF OPIOID$
Support efforts to pros nt overliesenbiag and amie appropriate prewxibing and dispensing of
opioids through evidence -based or evidence -informed programs or skahves that may include, but Be
not limited to, the foflosring.
1. Fund medical provider education and odmwh regarding best prescribing practices for opioids
consistent with Ggidelmes for PresmlW Opioids for Chronic Pain from the U.S. Cmters for Disease
Control and Prevention, inch ding providers at hospitals (academic detilipe
2. Training for health care providers regmbng safe and responsible quoid prescribing, dosing, and
tapering patients Off opioids.
3. Coning Medical Education (CME) an appropriate prescribing of opioids.
4. Support for neon-opioidpam heatment ahaaatives, including hawing providers to offer or refer to
multi -modal, evidence -maimed trealineat of pain.
5. Support mhancemesits or improvements to Prescription Drug Monitoring Programs (PDMPs),
including but not limited to improvements that
a. Increase the number of prescribers using PDMPs;
b. improve point -of -care decision -making by increasing the quantity, quality, or farniat ofdata
available to prescribers using PDMPs, by improving the interface that prescribers use to access
PDMP data, or both; or
Page 119 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2019 PAGE 20 of 23
CLE?%NT
CITY OF CLERMONT
RESOLUTION NO. 2021-041R
c Enable stem to use FlDe data insuppiut of sinveillance orintervention strategies, mch:giEr
MAT mforrals and follow-W for individuals identified wiffim]?DW data as likely to
experience OUD in amiumer dud complies with all ickmartprivacyand security laws andniles.
6 Ensuring FDWs incorporate available overdose/nalozom deployment dais, including the United
States Department of Transportation's Emergency Medical Technician overdose database in a manner
that complies with an relevant privacy and security taws and rules.
Increase electronic preocn1ing to prevent diversion or forgery-
8. Huxate Dicprsel-' or, atpounate olnoi d &spensing
G. PM'ENr MISUSE OF OFIGIEDS
Support efforts to discourage or prevent misuse of opwids thorough evWence4wed or evidence-
inforined jwograms or strategies thatmay inchik but are not limited to, The hHowim
1. Fund media campaigns to prevent q*d misuse.
Z Corrective advertising or aMmutive public education. campaigns based an evidence.
3- Public education. relating to drug disposal -
Dr ug take back diqmW or destructionprq"ins-
5. Fund community anti -drag coalitions that engage in drug prevention efforts.
6. Support community coalitions in impkmentiqg evidence -informed prevention: such as minced
social access and physical access, stigma reduction— including staffing, educational cianpaws,support
for people in treatment or recovery, or training of coalitions in evidence-inforrued implementation,
including the Strategic Pinemfion. Frzwwad developed by the U.S. Substance Abuse. and Mental
Heft Services Administration (SAMRSA).
Engaze zon--orofinmd ffaitb-based 4o3 mxma6e: as ws"ems to =-'T i0D On P.Wmrt! -
9 Fund evidence -based paeventionpa*rams in schools or evidence -informed school and community
education program and campaigns for students, families, school employees, school affiefic progrms,
parent teacher and student associations, and other.
9 ScbDd4med or youth focusedprogmus or strategies that have demonstrated effectiveness in
preventing drug misuse and seem likely to be effective in preventing the uptake and use of opwWL
10 Create of affort commumity-based education or intervention services for families, youth, and
a&1esceuts at risk for OUD and any co-occruring SUDaffi conditions-
11. Support evidence -informed programs or curricula to address Mental health needs of yang people
who may be at risk of misusing o1noids or other drugs, including emotional modulation and resilience
skills-
12. Support greater access to mental haddi services and supports for young people, including services
and supports provided by school rurrses, behavicM health workers or other school sta to address
Page 120 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2020 PAGE 21 of 23
CAd tlwpom'
CITY OF CLERMONT
RESOLUTION NO.2021-041R
mental heaIdr needs in young people that (when not properly addressed) increase the risk of opund or
cam* d-ar 1w3alse.
H. PREVENIT OVERDOSE DEATHS AND OTHER HARMS, (HARIIfE REDUCTI0N)
Sit efforts toprevent or reduce overdose deaths or otheropioid-related hamos through evidence -
based or evidence-intiamed programs or dratWes dw may include, butane not bmi ted to, the
following
1. Increase wmhb>Zity and distribution of nalosone and other drugs that treat overdoses far fast
responders, overdose patients, individuals with OUD and their friends and family membas, individuals
at high risk of ovtrdose, schools, oommrmity navigators and outreach workers, persons being m1ersed
from jail orpaison, oroihermemben o€the general public.
2. Public beallb entities provide free ndoxone to anyone in the community
3. Tninmg� and education regarding nalaaone and other drugs that treat oveerdoses for first resPonders,
overdose patrenls, patients takmg oproids, families, schools, community support grasps, and other
members of the general public.
4. Enable sdwol eases and other school staff to respond to opioid overdoses, and provide them with
nloaone, training, and support.
S. Expand, improve, ordevelop data tracking software and applications for ovadoseslnapaaene.
revivals.
6. Public education relating to emergency responses to overdoses-
- Public education relating to immunity and Good Samaritan laws.
3. Educate fast responders regarding the esisteoce and operation of immmity and Good Samaritan
laws.
9. Syringe service programs and other evidence -informed programs to reduce halms associatedwith
intrave lotus drug arse, w eluding supplies, staffW space, peer sappat services, referrals to treatmerrt,
fentanyl checkin& eonaw ices to cane, and the full range of harm reduction and t iestment services
Provided by these programs.
10. Expand aexess to testing and treatment for infectious diseases with as HIV and Hepatitis C resulting
from in havenous opioid use.
11. Support 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 coo ccanrmg SUDINH conditions.
12. Provide taming in harm reduction strategies to be d1h care providers, students, pea recovery
coaches, recovery outreach specialists, or otherprofessiouals drat provide care to persons who use
opioids or persons with OUD and any co-oc eturing SUDIMH conditions.
13. Support saeea*gIbrfeutonyI r rmuft 1�1a1 iica)ogs rest
10
Page 121 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2021 PAGE 22 of 23
CITY OF CLERMONT
CLE RESOLUTION NO.2021-041R
PART THREE: OTHER STRATEGIES
L FIRST RESPONDERS
1a addition to items in sections C, D, and H rehrting to first responders, support the followiw.
1. Educate bw enforcement ar o her first responders regnftg appropriate practices and precautions
when dealing with hzt wyi or other drugs.
2. Provision o€wellness and support services for first responders and othe who experience secondary
tramna associated with opwid-related emergency events.
J. LEADERSHIP, YEANNING AND COORDLNATION
Support efforts to provide leadership, planning coordination, Scilitation, training and ter mical
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 comnamity regional plammig to identify root causes of addiction and
overdose, goals for reducing 1h related to the opioid epidemic, and areas and populations with the
greatest needs for treatment intavadion services; to support hawing and technical assistance; or to
support other strategies to abate the c pioid+epidemic described m this opiamd abatement strategy list.
2..A dashboard to share reports, recommendations, or plans to spend **id settlement fiends to show
hour opioid settlement fiords have been sper; to report program or strategy outcomes; or to hack, share,
or visualize key opioid-related orheatf 4dated indicators and supports as identified through
0DRabontwe statewide, regional, local, at community processes.
3. hwest in mf nstruciure or staffing at government ornot-for-profit agencies to support collaborative,
cross4ystem coordination with the purpose of preventing overprescribmg, opioid misuse, or opioid
overdoses, treating those vnih OUD and any co-occruring SUDfMFf conditions, supporting them in
treatment or recoveay, comechng them to care, or nuplementing other strategies to abate the opioid
epidemic described in this opioid abatement strategy list.
d. Provide resources to staff government oversight and management of opioid abatrmeat programs.
IL TRAINING
In addition to the trainmg referred to throngbout this document, support hamgrg to abate the opioid
epidemic through activities, prognuns, or strategies that may include, but are not limited* the
following:
1. Provide f nwh for staff training or networking programs and services to improve the capability of
government, cammonity, and rwt for-Wfit entities to abate the opioid crisis.
2. Support infiashucdae and staffing for collaborative cross -system coordination to prevent opioid
misuse, prevent overdoses, and treat those. with OUD and any co-occrurimg SUDIMH conditions, or
implement other strategies to abate the opioid epidemic described is this opidd abatement wntegy 1) r
(e.g., health care, primary care, pharmacies, PDWTs, etc.).
L RESEARCH
Page 122 of 23
INSTRUMENT# 2021140431 OR BOOK 5812/PAGE 2022 PAGE 23 of 23
c�
C .
chomoo-0—
CITY OF CLERMONT
RESOLUTION NO.2021-041R
Sx pot opxdd abatenrerr'research that may include. but is not limited to, the following:
1. Monitarumg, surveillance, data collection, and evaluation of programs and strategies descriibed in this
opioid abatement strategy list.
2. Research no t-opioid treatment of chronic pain.
3. Research on unproved service delivery for modalities such as SBIRT that demonstrate promising but
mixed results in popubtious vahrerable to opicid use disorders.
4. Research on novel harm reduction and prevention efforts such as the provision of fentanyl test strips.
5. Research on innovative supply-side enfore meat efforts such as uupmveddelection of mail -based
deliver} of synthetic opia ds.
6. Expanded researr hon swiNcertainlhir models to reduce and deter opioid misuse within criarmai
justice populations that build uponpromising approaches used to address other substances (ez. Hawaii
HOPE and Dakota 24M.
7. Epidemiological smvefauee of OUD-related behaviors in critical populations including individuals
enftW the criminal justice system, mxhxl'mg but runt limited to approaches modeled on the Amestee
Drug Abuse Monitoring (ADAM) system
S. Qualitative and motive research regarding public health risks and harm reduction oppornanties
within illicit drug markets, inchuling surveps of market participants who sell or distribute illicit opaoids.
9. Geospahal analysis of access barriers to MAT and their association with heahneut engagement and
s e''nun 9t Outcomes
Page 123 of 23