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File #: 26-0078    Version: 1 Name:
Type: Action Item Status: Consent Agenda
File created: 2/13/2026 In control: Board of County Commissioners
On agenda: 3/9/2026 Final action:
Title: Budget Ordinance Amendment No. 26OPA004 to Approve an Additional $30,000 from the North Carolina Opioid Settlement Fund to Purchase Additional Naloxone Units to Reverse Opioid Overdoses in Durham County Government
Attachments: 1. AAF - Opioid settlement - naloxone budget, 2. FY26 Annual Budget Ordinance for Durham County Opioid Settlement Funds [Amendment #4 - Public Health], 3. FY26 Resolution for Spending Authorization for Durham County Opioid Funds [Amendment #4 Public Health], 4. AAF-4 Opioid Legal Form, 5. AAF Supplemental Document - opioid settlement - naloxone budget
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Item:
Title
Budget Ordinance Amendment No. 26OPA004 to Approve an Additional $30,000 from the North Carolina Opioid Settlement Fund to Purchase Additional Naloxone Units to Reverse Opioid Overdoses in Durham County Government

Body
Date of BOCC Meeting: March 9, 2026

Request for Board Action:
Agenda Text
The Board is requested to approve Budget Ordinance Amendment No. 26OPA004 to Approve an Additional $30,000 from the North Carolina Opioid Settlement Fund to Purchase Additional Naloxone Units to Reverse Opioid Overdoses in Durham County Government

Naloxone is a medication used to reverse an opioid overdose. Naloxone distribution is an Exhibit A strategy under the NC Memorandum of Agreement, and community distribution of naloxone has been a significant part of Durham County's opioid response. In 2023, Durham County installed its first vending machine to distribute naloxone; in 2026, Durham County will purchase two additional naloxone vending machines using existing, approved opioid settlement funds to increase access to naloxone. While current funds have supported program operations, ongoing program expansion has outpaced available supplies, necessitating a request for additional funding. This request is to ensure a sufficient supply of naloxone to stock all County naloxone vending machines through the end of the current fiscal year.

Funds will be allocated to the Durham County Department of Public Health. The $30,000 of additional funding will bring the total funds allocated to the harm reduction strategy to $371,143 for the 25-26 fiscal year.

The Board of Health has approved this amendment.

Alignment with Strategic Plan: This item aligns with Durham County Strategic Goal: Healthy and Inclusive Community.

Resource Persons: Rodney Jenkins, DrPH, MHA, Public Health Director

County Manager's Recommendation: The County Manager recommends that the Board approve Budget Ordinance Amendment No. 26OPA004 to Approve an Additional $30,000 from the North Ca...

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