Opioid Settlement Funds

In 2018, the Orange County Board of Commissioners authorized the county to participate in national litigation related to the opioid epidemic. Those efforts led to a historic $26 billion agreement that will help bring desperately needed relief to communities impacted by opioids.

Orange County Commissioner Sally Greene was a member of the 5-5-5 committee comprised of five county commissioners, five county managers and five county attorneys from across the state. This committee worked with the N.C. Department of Justice and the N.C. Association of County Commissioners to come up with a plan to disburse North Carolina's share of settlement funds.

The sides agreed on a plan that would disburse the funds as follows:

  • 80 percent to local governments listed in the MOA to address the epidemic
  • 15 percent to the state of North Carolina
  • 5 percent for a county incentive fund

These funds will be used to support treatment, recovery, harm reduction, and other life-saving programs and services in communities throughout the state. North Carolina’s Opioid and Substance Use Action Plan lays out concrete strategies to advance prevention, reduce harm, and connect people to the care that they need. 

Orange County is expected to receive $6,799,780 through 2040, paid in annual installments.

BOCC creates Opioid Advisory Committee

The Orange County Board of Commissioners approved the creation of the Orange County Opioid Advisory Committee at its Sept. 6 business meeting. The committee will advise the Board of Commissioners on how to utilize the county’s share of the national opioid settlement funds.

The committee will discuss opioid-related health concerns and issues impacting Orange County residents, advise the BOCC on options to expend funds to prevent opioid use and remedy opioid impacts, and plan and host an annual meeting to receive input on proposed uses of settlement funds.

The BOCC approved a 19-member advisory committee that includes representatives from the Orange County Sheriff, the Hillsborough, Carrboro and Chapel Hill police departments, Orange County schools, Chapel Hill-Carrboro schools, UNC Hospital, Alliance Health and representatives from the following county departments: Social Services, Emergency Services, Criminal Justice Resource Department and Health.

In addition, several spots will be open for county residents through an application process. Two spots will be for individuals with lived experience, along with a substance abuse treatment provider, a community group working on opioid-related concerns, an employment provider and two flex spots.

The committee has scheduled its first meeting for Monday, Jan. 23, 2023.