OPIOID SETTLEMENT
AGREEMENTS
City Co u n c il Me e tin g
Novem ber 1 4, 2023
A genda I tem 1 5. 1
National
Opioid
Settlement
California
Opioid
Settlement
City of
Stockton
Allocations
$3.875 Billion to California
• 15% to State
• 85% to Local Jurisdictions
0.3256176%
Stockton’s weighted allocation
percentage of local jurisdiction
portion
~$10.7 Million to Stockton over
distribution period
$43.3 Billion in National
Opioid Settlement Funds
Source: California Department of Health Care Services
All funding distribution subject to availability from Opioid Settlements Current Settlement Agreements ($2.05B CA)
Janssen Pharmaceuticals
“Big Three Distributors” – McKesson, AmerisourceBergen, Cardinal Health
Bankruptcy Settlements
Mallinckrodt Pharmaceuticals ($14.7M CA)
Endo Pharmaceuticals
Purdue Pharmaceuticals L.P .
PENDING Settlement Agreements ($1.8B CA)
“Pharmacies” – CVS, Walgreens, Walmart
Allergan Pharmaceutical
Teva Pharmaceutical Industries Ltd.
PROJECT SCOPE
All funding distribution is subject to availability from California Opioid Settlement Agreements, and no
funding is guaranteed.
Funding up to the Not-to-Exceed amount will only be
provided during the contractual term.
Agreement is the first of anticipated initiatives for utilizing OSA funds during multi-year tranches.
The City will explore other Allowable Uses of Funds with additional community partners.
USE OF OPIOID SETTLEMENT FUNDS
High Impact Abatement Activities (HIAA)
Expansion of Medication-Assisted Treatment (MAT)
Distribution and other Opioid-Related Treatment
Expansion of Warm Hand-Off Programs and Recovery
Services
Expansion of Comprehensive Wraparound Services,
including Aftercare Direct Services
Connection with local partners, such as San Joaquin
County Opioid Safety Coalition, to leverage programs
and resources, and develop a coordinated and
transparent process.
Source: CA Department of Health Care Services, Exhibit E, Final Settlement Agreement CMC
RECOVERY
SERVICES
Stockton City
Counci l
Novem ber 1 4, 2023
A genda I tem 1 5. 1
about CMC
C MC Mission: Working together to improve
health and well -being in our communities.
Network of 28 neighborhood health centers
providing comprehensive services:
• Medical (primary and specialty)
• Behavioral Health (low/moderate need)
• Substance Use Disorder (SUD) treatment
• Case management
• Dental
C el ebr ati ng 45 year s as a non - p rofit!
SUD Program Overview
In January 2018,
Community Medical
Centers used grant funds
to implement its
substance use disorder
(SUD) services using an
integrated whole-person
approach
Focused on individuals
struggling with one or more
of the following:
• homelessness
• substance use disorder
• mild/moderate
behavioral health issues
• involvement with law
enforcement
Helps meet the needs of
individuals in the
community and decrease
impact on jails and ERs by
lowering barriers to
needed care and services
CM C R espi te Center
201 N. Stanislaus Street, Stockton
(a c ross the stre e t from CMC
Channel Cl i ni c/Pharmacy)
Open 24 hours per day,
7 days a week
RES IDENTIAL 2 4 / 7
Monday–Friday, 8am–5pm
MEDIC AL C LINIC
Respite Team + Services
COUNSEL ING
BH Clinician (LCSW)
Counselor (SUD Certified)
MEDIC AL
X- Waiver Provider (MD/NP/PA)
Medical Assistant (MA)
Nurse (RN/LVN)
SUPPORT
Case Managers
Patient Health Navigators
Peer Counselors
• 1-1 Behavioral and
Substance Use
Counseling
• Case Managemen
• Medication
Assisted Treatmen
(MAT) for opioids
and alcohol
• Group Counseling
• Sobering (6
chairs—Stockton
only)
• 14-Day Transitiona
Respite Stay
• Monitored Detox
• 1-1 Behavioral and
Substance Use
Counseling
• Group Counseling
• Case Management
• Medication Assisted
Treatment (MAT) for
opioids and alcohol
• Monitored detox
• Sobering
• Serving individuals 18
and over
• 14-Day Transitional
Respite Stay
• 24-hour monitoring
• Life skills classes and
activities
• Community programs
• Presentations
Common A reas
SITTING AREA
GROUP ME E TING SPACE
C O VERED P ATIO
Do rm ito ry Style
Caf eter i a
Respite Residential
MEN’S DORM - 8 BEDS
WOMEN’S DORM - 5 BEDS
S P EC IAL NEEDS – 1 R OOM
G RO UP DINING AREA
KITC HEN FAC ILITY
L AUNDRY
SUD Progra m Referra ls & E nrollm ent
2 0 18– 2023
Progra m sta rted with a n
enrol l ment rate of 52% ,
whi ch rose to 82% i n
20 23. Ove ra ll ra te is 6 8 %
THANK
YOU
Alfo n s o Ap u
C h ie f Be h a vio ra l He a lt h Offic e r
[email protected]
L e iHu a ( L e i) Mc Mille r, L MFT
Dire c tor of SUD Se rvic e s
[email protected]
RECOMMENDATION
Approve findings pursuant to Stockton Municipal Code section
3.68.070 in support of an exception to the competitive bidding process.
Award a Professional Services Contract to Community Medical Centers (CMC) of Stockton, CA in the Not-to-Exceed amount of $4,500,000 for three years to utilize funds received through the National Opioid Settlement in order to remediate and provide activities that end, reduce, and/or lessen the effects of the opioid epidemic in communities and include prevention, intervention, harm reduction, treatment and recovery services.
Authorize the City Manager to accept and appropriate all funds allocated to the City of Stockton under the Opioid Settlement Agreement Funds Program