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Agenda 12/10/2024 Item #16D16 ({Purchase Agreement with David Lawrence Mental Health Center - Utilize funds to address the opiod epidemic and the County's strategic objective of promoting access to health, wellness, and human services to benefit resident)12/10/2024 Item # 16.D.16 ID# 2024-2034 Executive Summary Recommendation to approve and authorize the Chairperson to approve a Purchase Agreement with David Lawrence Mental Health Center in the amount of $2,184,690.00 to utilize Florida Opioid Settlement Funds to provide outreach services, increase the utilization of medication assisted treatment, support crisis stabilization, detoxification inpatient services and residential treatment beds and facilitate a centralized call center. OBJECTIVE: Utilize the funds received from the Florida Opioid Settlement Fund to address the opioid epidemic and the County's strategic objective of promoting access to health, wellness, and human services to benefit Collier County residents. CONSIDERATIONS: A local, state, and national crisis arose because of the manufacturing, distribution, and over- prescribing of opioids, which resulted in opioid abuse, misuse, overdoses, addictions, and death throughout municipalities, counties, states, and the nation. These activities contributed to the public health emergency and crisis commonly referred to as the opioid epidemic. Collier County and its municipalities have suffered from this crisis which has caused and is causing an undue strain on local government finances to implement programming to combat the opioid epidemic. The National Opiate Litigation filed by the State of Florida and various local governments against pharmaceutical companies has resulted in numerous settlements to be distributed to the State of Florida over multiple years (“Settlement Funds”). At the June 22, 2021 (Agenda Item #16.K.8) meeting, the Board of County Commissioners (Board) approved Resolution No. 2021-136 supporting the terms and conditions of the Memorandum of Understanding (MOU) provided by the Office of Attorney General, which set forth a framework of a unified plan for the proposed allocation and allowable uses of Settlement Funds to mitigate the harmful effects of the opioid epidemic (the “Florida Plan”). Resolution No. 2021-136 further authorized the County to execute formal agreements to implement the Florida Plan. As part of the settlement, two allocations will be received annually over the next eighteen years (18): (1) City/County Fund and (2) Regional Abatement Fund. On April 11, 2023, the Board approved the initial City/County allocation in the amount of $289,151.06 (Agenda Item # 16.D.5) and the Regional Abatement fund allotment in the amount of $2,628,842.15 on June 13, 2023, (Agenda Item #16.D.3). On January 1, 2024, the County received its second-year allocation of $633,277.95 for City/County and $1,241,219.04 for Regional Abatement. On April 24, 2024, the County received an additional allocation of $1,310.30 of Qualified Regional funding. The attached proposed agreement allocates $2,184,690.00 to David Lawrence Mental Center to provide outreach services, provide medication assisted treatment (MAT) to non-Medicaid eligible or uninsured individuals, crisis stabilization and detoxification beds that serve as an alternative to hospital emergency departments, residential inpatient treatment beds and support for a centralized call center to provide information and connection to appropriate treatment services. The services are allowable under the Approved Uses (Core Strategies and Approved Uses). The agreement period of performance is October 1, 2024, through September 30, 2028, and is retroactive for services administered beginning October 1, 2024. The agreement is contingent upon annual allocations of Settlement Funds. Should the County receive reduced funding, the agreement will be revised accordingly. The parties acknowledge that the Funds originate from the State of Florida, Attorney General and DCF provided OPIOID grant funds and must be implemented in full compliance with all Attorney General and DCF rules and regulations and any agreement between COUNTY and Attorney General governing OPIOID Funds pertaining to this Agreement. In the event of curtailment or non-production of said State Funds, the financial sources necessary to continue to pay the David Lawrence Center all or any portion of the Funds will not be available. In that event, the COUNTY may terminate this Agreement, which shall be effective as of the date it is determined by the County Manager or designee, in his or her sole discretion and judgment, that the Funds are no longer available. In the event of such termination, David Lawrence Center agrees that it will not look to, nor seek to hold the COUNTY, nor any individual member of the County Commissioners and/or County Administration, personally liable for the performance of this agreement, and the COUNTY shall be released from any further liability to the David Lawrence Center under the terms of this agreement. Page 8079 of 10663 12/10/2024 Item # 16.D.16 ID# 2024-2034 The agreement includes fixed price unit cost and cost reimbursement methods of payment. David Lawrence Center has an audited and approved reimbursement rate for call center services, crisis stabilization,detoxification and residential bed days that is approved by the State of Florida Department of Children and Families and as such, reimbursement will be no more than the approved rate. Should the rate be decreased or increased and approved by the State, the attached agreement may be amended for Board approval. Staff has sought and received approval from DCF to use the fixed price unit cost rate for services under the Opioid Settlement as they align with the approved Core Strategies and Approved Uses. FISCAL IMPACT: The funding for the agreement is budgeted in Collier Co Seniors Support Fund (1806), Projects 44059- Regional and 44085-City/County. There is no new fiscal impact to the County. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this item. LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote for Board approval. -SAA RECOMMENDATIONS: To approve and authorize the Chairman to approve a Purchase Agreement with David Lawrence Mental Health Center in the amount of $2,184,690.00 to utilize Florida Opioid Settlement Funds to provide outreach services, increase the utilization of medication assisted treatment, support crisis stabilization, detoxification inpatient services and residential treatment beds and facilitate a centralized call center. (Collier Co Seniors Support Fund 1806) PREPARED BY: Carolyn Noble ATTACHMENTS: 1. DLC Opioid Agreement FINAL - CAO appvd 12.2.24 Page 8080 of 10663 Page 8081 of 10663 Page 8082 of 10663 Project Component Three: Crisis Hotline/Call Center Availability (Schedule B, #A and #B). Project Component Four: Residential/Inpatient Treatment Bed Days (Schedule A, #A, Schedule B, #A and #B). A.Project Tasks: I.Maintain documentation on all persons served 2 .Provide qua1terly reports no later than the 20th day following the end of each quarter. 3 .Attendance by a representative of CONTRACTOR's Executive Management at each qumterly Pa1tnership Meeting B.OPIOID Documentation Requirements Compliance Criteria: Activities carried out with funds under this AGREEMENT will be performed in compliance with The Depmtment of Children and Families Operating Procedure, State of Florida Opioid Allocation and Statewide Response Agreement, "Florida Plan," attached hereto as Exhibit A, and any amendments thereto. 1.1 DEFINITIONS AND PURPOSE A.DEFINITIONS Unless otherwise defined herein, all defined terms shall be as defined in the Florida Plan are incorporated herein and shall have the same meanings as in the Florida Plan, and any amendments thereto. B.PURPOSE The purpose of this AGREEMENT is to state the covenants and conditions under which CONTRACTOR will implement the Scope of Service summarized in Section 1.2 and Exhibit A of this AGREEMENT. According to the Florida Opioid Allocation and Statewide Response Agreement between COUNTY and the Office of the Attorney General, opioid settlement funds may only be used for approved purposes, which include, but are not limited to, all opioid-related prevention, treatment, and recovery support services, and opioid abatement strategies listed in the Florida Opioid Allocation and Statewide Response Agreement, Schedule A (Core Sfrategies) and Schedule B (Approved Uses) (See Exhibit A). Opioid settlement funds serve individuals that misuse opioids or that have an Opioid Use Disorder (OUD). If individuals are eligible for settlement-funded services because of these conditi_ons, then opioid settlement funds can be used to holistically treat any other co-occurring mental disorders or health problems. Opioid settlement funds can also be used for prevention services for individuals at risk of opioid misuse or OUD. Services funded by the opioid settlement must be evidence-based, individualized, comprehensive, recovery-oriented, trauma-informed, and culturally competent. Providers that treat opioid use disorders, including those that serve individuals involved in the criminal justice system or in jail, must abide by the most recently updated National Practice Guideline David Lawrence Center 2024-01 DLC Opioid Opioid Settlement Funds Page 3 Page 8083 of 10663 Page 8084 of 10663 Page 8085 of 10663 Page 8086 of 10663 Page 8087 of 10663 Page 8088 of 10663 Page 8089 of 10663 Page 8090 of 10663 Page 8091 of 10663 Page 8092 of 10663 Page 8093 of 10663 Page 8094 of 10663 Page 8095 of 10663 Page 8096 of 10663 Page 8097 of 10663 Page 8098 of 10663 Page 8099 of 10663 Page 8100 of 10663 Page 8101 of 10663 Page 8102 of 10663 Page 8103 of 10663 Page 8104 of 10663 Page 8105 of 10663 Page 8106 of 10663 Page 8107 of 10663 Page 8108 of 10663 Page 8109 of 10663 Page 8110 of 10663 Page 8111 of 10663 Page 8112 of 10663 Page 8113 of 10663 Page 8114 of 10663 Page 8115 of 10663 Page 8116 of 10663 Page 8117 of 10663 Page 8118 of 10663 Page 8119 of 10663 Page 8120 of 10663 Page 8121 of 10663 Page 8122 of 10663 Page 8123 of 10663 Page 8124 of 10663 Page 8125 of 10663