Legislation Details

File #: 26-0567    Version: 1 Name:
Type: Action Item Status: Consent Agenda
File created: 10/20/2026 In control: Board of County Commissioners
On agenda: 11/2/2026 Final action:
Title: Approval of Budget Ordinance Amendment No. 27BCC044 Appropriating General Fund Restricted Fund Balance in the Amount of $440,945 to Increase Expenditure Authority for the Sheriff’s Office Medication-Assisted Treatment (MAT) Grant
Attachments: 1. MAT Sup, 2. FY27 MAT RFB Report - Finance Approved 10.5.pdf, 3. AAF-44 LEGAL FORM DCSO appropriating $440,945 in GF restricted funds for MAT program
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Item:
Title
Approval of Budget Ordinance Amendment No. 27BCC044 Appropriating General Fund Restricted Fund Balance in the Amount of $440,945 to Increase Expenditure Authority for the Sheriff’s Office Medication-Assisted Treatment (MAT) Grant

Body
Date of BOCC Meeting: November 9, 2026

Request for Board Action:
Agenda Text
The Board is requested to approve Budget Ordinance Amendment No. 27BCC044 appropriating $440,945 of General Fund Restricted Fund Balance to increase expenditure authority for the Sheriff’s Office Medication Assisted Treatment (MAT) Grant. The MAT funds are restricted and specific to local detention centers and are provided by the North Carolina Department of Public Safety.

This grant was originally awarded at the end of FY2023. Due to turnover in the Detention Facility and a subsequent review of the goals and objectives, the funded scope was modified to address more pressing needs within the MAT program. The grant was also extended to June 1, 2027.

This funding will increase opioid use disorder treatment and add support for individuals being released from the Durham County Detention facility. North Carolina continues to experience the harmful effects of the opioid epidemic. Researchers examined rates of fatal drug overdose among justice-involved individuals in North Carolina and found opioid overdose mortality rates more than 40 times higher than the general population. Those rates were highest during the first two weeks following release from custody. In accordance with Session Law 2021-180, the North Carolina Department of Public Safety (DPS) solicited applications from Sheriffs' Offices to establish, expand or maintain medication-assisted treatment (MAT) programs of non-opioid, long-acting, injectable medication for the treatment of alcohol and/or opioid use disorder as part of reentry programming in county jails.

Alignment with Strategic Plan: This request aligns with Durham County Strategic Goal: Financial Stewardship

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