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Backup Documents 07/08/2025 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 6 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 7.8.25 BCC MTG THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Carolyn Noble Community and Human CN 6.24.25 Services 2. County Attorney Office— County Attorney Office 3iticinb 7/& 3. BCC Office Board of County Commissioners 4 7/" 4. Minutes and Records Clerk of Court's Office �(/mac/ /877? PRIMARY CONTACT INFORMATION f Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Carolyn Noble Phone Number 239-450-5186 Contact/ Department Agenda Date Item was 7.8.25 BCC Mtg Agenda Item Number 1.643± Approved by the BCC /(e, D. l0 Type of Document 3 CCSO AMENDMENT#3 Number of Original 3 DOCUMENTS Attached Documents Attached PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK CN 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be Yes signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the N/A document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's YES signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on above date and all changes made during N/A is not the meeting have been incorporated in the attached document. The County f,��ny an option for Attorney's Office has reviewed the changes,if applicable. )A�( this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the 14(4 an option for Chairman's signature. this line. 16D6 CFSA Name: Opioid Settlement Fund CFSA#: 60.355 OPIOID Settlement: FY 2024-2028 Agreement #: 2024-03 CCSO Opioid Activity: Opioid Abatement Settlement CONTRACTOR: Collier County Sheriff s Office Total Award Amount: $3,150,000.00 UE1 #: JDQEQ2KWN966 FEIN: 59-6000561 Period of Performance:05/01/2024- 9/30/2028 Fiscal Year End: 9/30 Monitoring End: 12/2028 THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COLLIER COUNTY SHERIFF'S OFFICE Opioid Settlement Funds This Amendment,is made and entered into this --- 244 day of 2025, by and between Collier County, a political subdivision of the State bf Florida, ("COUNTY")having its principal address as 3339 Tamiami Trail East, Naples, FL 34112, and the COLLIER COUNTY SHERIFF'S OFFICE ("SUBRECIPIENT"), authorized to do business under the laws of the State of Florida, having its principal office at 3319 Tamiami Trail East, Naples, Florida 34112. WHEREAS, on 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. WHEREAS, 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 June 25, 2024, the Board approved its second year allocation (Agenda Item #16.D.7), in the amount $633,277.95 for City/County and $1,241,219.04 for Regional Abatement received on January 1, 2024 and recognized and interest payment of$1,310.30 for Regional Abatement received on April 24, 2024. On April 22, 2025, the Board approved its third year allocation (Agenda Item #16.D.6) in the 1 Collier County Sheriff`s Office 2024-03 CCSO Opioid Amendment#3 ��O Opioid Settlement 16D6 amount of$399,277.79 for City/County and $1,542,962.85 for Regional Abatement, received on February 14, 2025 and January 28, 2025, respectively. RECITALS WHEREAS, on November 12, 2024, Agenda Item #16.D.6, the COUNTY and SUBRECIPIENT entered into an agreement for SUBRECIPIENT to provide opioid and substance abuse treatment, and other related programs and services to assist in alleviating the impacts of the opioid crisis as listed on Exhibit B, with priority given to Schedule A (CORE Strategies), attached and incorporated herein by reference. WHEREAS, on February 25, 2025, Agenda Item #16.D.2, the Board approved Amendment#1 to update language and funding amounts. WHEREAS, on May 13, 2025, Agenda Item#16.D.4,the Board approved Amendment#2 to update payment deliverables to reflect a revised subcontractor agreement for MAT services, add component#4: outreach activities (Laced & Lethal), add funding for component#4 in the amount of$300,000, and update language in payment deliverable supporting documentation and exhibits D and E. WHEREAS, the Parties desire to amend the Agreement to update/add language in special conditions, project details, agreement amount, records and documentation, agency recognition/sponsorships, incident reporting, overpayment and offsets, general provisions, Exhibits A, B and E, add Exhibits G, H, I and J and to renumber where applicable. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration,the receipt and sufficiency of which is hereby mutually acknowledged,the Parties agree to modify the Agreement as follows: Words Struck Through are deleted; Words Underlined are added. WHEREAS, the State Agreement Florida Opioid Allocation and Statewide Response Agreement set forth the amount and manner of distribution of City/County and Regional Settlement funds within Florida, the requirements to receive and manage Regional Abatement funds, and the purposes for which Regional Abatement funds may be used. The current State Agreement is attached hereto as Exhibit A t C lli.r Cou Resolution 2021 136, dated June 22. 2021,-appf-wed in concept the State Agreement: and Collier County Resolution 2021- 136. dated June 22. 2021, including the Memorandum of Understanding between the State of Florida and it's local governments (Florida Planlapproved in concept the State Agreement and is attached hereto as Exhibit A: and * * * 2 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 �� Opioid Settlement 1 6D 6 1.1 SPECIAL CONDITIONS A. Within sixty (60) calendar days of the execution of this Agreement, SUBRECIPIENT must deliver to CHS for approval a detailed project schedule for the completion of the project. B. SUBRECIPIENT must submit the following resolutions and/or policies within sixty (60) days of execution of this Agreement: Affirmative Action/Equal Opportunity Policy El, Conflict of Interest Policy (COI) and related COI Forms 11:El Procurement Policy Fraud, Waste, and Abuse Policy Language Assistance and Planning Policy (LAP) Business Associate Agreement HIPAA Policy Whistleblower Policy Any Policies and Practices recommended by the Opioid Abatement Taskforce or Council. 1.3 PROJECT DETAILS C. Performance Deliverables Program Deliverable I Supporting Documentation Submission Schedule Policies & Procedures Policies as stated in this Within 60 days following (Section 1.2 B) AGREEMENT Agreement execution Insurance Proof of coverage in accordance Within 30 days following with Exhibit C Agreement execution and annually within 30 days after renewal Detailed Project Schedule Project Schedule Within 60 days following agreement execution Progress Report Progress report, detailing 15 days after the end of the accomplishments Exhibit E quarter HIPAA and DCF Security Certificate of Training Within 30 days following Training (per Section 2.5 Agreement execution of this AGREEMENT) 3 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 CAO Opioid Settlement 16D6 Program Deliverable Supporting Documentation Submission Schedule Florida Department of Exhibit I Annually, no more than 13 Children and Families months apart Employment Screening Affidavit Annual Audit Monitoring Exhibit F Annually, 60 days after FY Re port end DCF Executive DCF Form PCMT-08 Annually on or before Ma) Compensation Annual (Exhibit J) 1 Re ort SUBRECIPIENT i Audit report, Management Letter, Annually: 9 months after Financial and Compliance and Supporting Documentation FY end for Single Audit OR Audit one hundred eighty (180) days after FY end. DCF Electronic Data Professional Health Care Claim files 18 days after the end of Exchange (EDI) 837 File in FTP with SSL each month, using the DCF ShareFile Business Associate Agreement Within 90 days following Agreement execution of Agreement Conflict of Interest Form Subrecipient/Developer/Vendor Upon execution of the Conflict of Interest Disclosure Form Agreement for all employees who work on activities associated with the Project and upon hiring of all new employees Labor and Services Affidavit Regarding Labor and Within 60 days of execution (Trafficking) Form Services of Agreement Whistleblower Exhibit H Upon execution of the Protections Affidavit Agreement for all employees who work on activities associated with the Project and upon hiring of all new employees * * * 1.5 AGREEMENT AMOUNT The COUNTY agrees to make available THREE MILLION ONE HUNDRED FIFTY THOUSAND DOLLARS AND ZERO CENTS($3,150,000.00),this agreement allows 4 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 CAQ Opioid Settlement 1 6D for all costs incurred retroactive to May 1,2024 for use by SUBRECIPIENT,during the term of the AGREEMENT(hereinafter, shall be referred to as the Funds). Modifications to the Budget and Scope may only be made if approved by COUNTY, in advance. pgeted Cumulative Fund shifts among line items shall not be more than 10 percent of the total funding- eun --and shall n ;ige—in scope may be approved administratively by CHS Director or designee for a total of up to 10 percent (10%) of the total funding amount and shall not signify a change in scope. Fund shifts that exceed 10 percent of the AGREEMENT amount shall only be made with Board of County Commissioners (Board) approval. All services/activities specified in Part I Scope of Services shall be performed by SUBRECIPIENT or its subcontractors who meet State requirements. SUBRECIPIENT shall comply with. and ensure its subcontractors. subgrantces. and others it arranges to provide deliverables comply with: • applicable laws. rules. codes. ordinances. certifications. licensing requirements. and DCF's Operating Procedures • Department of Financial Services' (DFS)"Reference Gide for State Expenditures" and active DFS Comptroller or Chief Financial Officer Memoranda. If this Agreement is funded by state financial assistance. those funds may only be used for allowable costs during the Period of Performance. Absent DCF's authorization, unused state financial assistance funds must be returned to the Department. The COUNTY shall reimburse SUBRECIPIENT for the performance of this Agreement upon completion or partial completion of the work tasks as accepted and approved by CHS. SUBRECIPIENT may not request disbursement of OPIOID Funds until Funds are needed for eligible costs, and all disbursement requests must be limited to the amount needed at the time of the request. SUBRECIPIENT may expend Funds only for allowable costs resulting from obligations incurred during the term of this Agreement. Allowable costs shall mean those necessary and proper costs identified in the SUBRECIPIENT application and approved by the COUNTY, unless any or all such costs are disallowed by the State of Florida Attorney General or Department of Children and Families (DCF). Invoices for work performed are required every month. If no work has been performed during the month,or if SUBRECIPIENT is not yet prepared to send the required backup, a$0 invoice is required. Explanations will be required if two consecutive months of $0 invoices are submitted. Payments shall be made to SUBRECIPIENT when requested as work progresses, but not more frequently than once per month. Reimbursement will not occur if SUBRECIPIENT fails to perform the minimum level of service required by this Agreement. 5 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 h� Opioid Settlement ��+ 1606 No payment will be made until approved by CHS for compliance and adherence to any and all applicable Local, State, or Federal requirements, including timely submission of Performance Deliverables contained in Section 1.4.C. Late submission of deliverables may cause payment suspension of any open pay requests until the required deliverables are received by CHS. Except where disputed for noncompliance, payment will be made upon receipt of a properly completed invoice,and in compliance with Section 218.70, Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Final invoices are due no later than 90 days after the end of the Agreement. Work performed during the term of the program but not invoiced within 90 days after the end of the Agreement may not be processed without written authorization from the Program Manager. Withholding or Cancellation of Funds. The COUNTY reserves the right to withhold payments, pending timely delivery of program reports or documents as may be required under this Agreement. SUBRECIPIENT agrees that funds determined by the COUNTY to be surplus upon completion of the Project will be subject to cancellation by the COUNTY. The COUNTY shall be relieved of any obligation for payment if funds allocated to the COUNTY cease to be available for any cause other than misfeasance of the COUNTY itself. Payment may be suspended by the COUNTY in the event of a default by SUBRECIPIENT. * * * 1.6 OVERPAYMENTS AND OFFSETS Sl`BRIC IPIENT shall return erroneous payments.ovetpavments. or payments disallowed by this Agreement (including payments made for services subsequently determined by the COUNTY to not be in full compliance with this Agreement's requirements) or law. including interest at a rate established per &55.03(1), F.S.. within 40 days after discovery by the SUBRECIPIENT. audit, or COUNTY. The State or COUNTY may recover against such payments by deduction from subsequent payments under this or any other Agreement with SUBRECIPIENT. or any other lawful method. If this Agreement involves federal or state financial assistance. the following applies: • The SUIRECIPIENT shall return to the COUNTY unused funds, accrued interest earned. and unmatched grant funds. as detailed in the Final Financial Report. within 60 days of the Period of Performance end date. * * * 6 Collier County Sheriff`s Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 1.6-7 NOTICES Notices required by this AGREEMENT shall be in writing and delivered via mail (postage prepaid), commercial courier, or personal delivery, or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written communications under this AGREEMENT shall be addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION: Carolyn Noble, Grant Coordinator Collier County Community and Human Services Division 3339 Tamiami Trail East, Suite 213 Naples, FL 34112 Email to: Carolyn.Noble@colliercountyfl.gov Telephone: 239-450-5186 CONTRACTOR ATTENTION: Marien Ruiz, General Accounting Manager Collier County Sheriff's Office 3319 Tamiami Trail East, Building J Naples, FL 34112 Email to: Marien. Ruiz(cr�,colliersheriff.org Telephone: 239-252-0852 * * * 2.2 RECORDS AND DOCUMENTATION E. Upon completion of all work contemplated under this Agreement, copies of all documents and records relating to this Agreement shall be surrendered to CHS, if requested. In any event, SUBRECIPIENT shall maintain all documents and records in an orderly fashion in a readily accessible, permanent, and secured location for six (6) years after it ceases to receive OPIOID Funds. However, if any litigation, claim, or audit is started before the expiration date of the six (6) year period, the records will be maintained for six (6) years after all litigation, claim, or audit findings involving these records are resolved. If SUBRECIPIENT ceases to exist after the closeout of this Agreement, it will notify the COUNTY in writing, of the address where the records are to be kept, as outlined in Florida Statute Chapter 119. SUBRECIPIENT shall meet all requirements for retaining public records and transfer, at no cost to COUNTY, all public records in SUBRECIPIENT's possession upon termination of the Agreement, and destroy any duplicate, exempt, or confidential public records that are released from public records disclosure requirements. All records stored electronically must be 7 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 �.Q Opioid Settlement 16D6 provided to the COUNTY in a format compatible with the COUNTY's information technology systems. IF SUBRECIPIENT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, IT SHALL CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 239 252 26711, M ieltaecL rvw-n-lceCiiLe'f liercotf-n-tvt1 few 239- 252-5837, Angel.Bates(u colliercountytl.gov,3299 Tamiami Trail East, Naples, FL 34112. * * * 3.9 AGENCY RECOGNITION/SPONSORSHIPS As required by j286.25. F.S.. SUBRECIPIENT agrees that all notices, informational pamphlets, press releases, advertisements, descriptions of Program sponsorships, research reports, and similar public notices, whether printed or digital, SUBRECIPIENT has prepared and released for, on behalf of, and/or about the Program shall include the statement: "FINANCED SPONSORED IN PART BY ISUBRECIPIENT NAMEI STATE OF FLORIDA, DEPARTMENT OF CHILDREN AND FAMILIES AND COLLIER COUNTY COMMUNITY AND HUMAN SERVICES DIVISION" anil The words"State of Florida. l.)ep rtment of Children and Families" shall appear in the same size letters or type as the SUBRECIPIENT's name. This design concept is intended to disseminate key information to the general public regarding the development team as well as Equal Housing Opportunity. Construction signs shall comply with applicable COUNTY codes. * * * 8 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 CAO Opioid Settlement 16D6 3.18 INCIDENT REPORTING If SUBRECIPIENT provides services to clients under this Agreement, SUBRECIPIENT and any subcontractors shall report to the COUNTY any knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled person. During the term of this Agreement, SUBRECIPIENT must report to the COUNTY in writing, within one business day of occurrence, any substantial, controversial, or newsworthy incidents. The Collier County Standard Incident Report Form (Exhibit G) shall be used to report all such incidents. SUBRECIPIENT and any subcontractor must comply with and inform its employees of the following mandatory reporting requirements. Each of the SUBRECIPIENT'S employes, and of any subcontractor. providing services in connection with this Agreement who has knowledge of a reportable incident shall report such incident as follows: • A reportable incident is defined in CFOP 180-4 • Reportable incidents that may involve an immediate or impending impact on the health or safety of a client shall be immediately reported to DCF's Office of Inspector General and the COUNTY'S Grant Coordinator • Other reportable incidents shall be reported to DCF's Office of Inspector General within two (2) business days of discovery, through the internet at: https://www.myflfamiles.com/about/additional-services-offices/office-inspector- general/investigations/inspector-general or by completing a Notification/Investigation Request (Form CF 1934) and emailing the request to the Office of Inspector General at: IG.Complaints@myflfamilies.com. The SUBRECIPIENT and subcontractor shall mail or fax the completed forms to the Office of Inspector General, 2415 North Monroe Street, Suite 400, Tallahassee, FL 32303-4190; or(850) 488-1428. * * * 4.13 Unauthorized Aliens shall not be employed. Employment of unauthorized aliens shall be cause for unilateral cancellation of this Agreement by the COUNTY for violation of ,*274A of the Immigration and Nationality Act. SUBRECIPIENT and its subcontractors will enroll in and use the E-Verify system established by the U.S. Department of Homeland Security to verify the employment eligibility of its employees and its subcontractors' employees performing under this Agreement. Employees assigned to this Agreement means all persons employed or assigned (including subcontractors) by the SUBRECIPIENT or subcontractor, during the Period of Performance, to perform work pursuant to this Agreement within the United States and its territories. 9 Collier County Sherift-s Office 2024-03 CCSO Opioid Amendment#3 CAO Opioid Settlement 16D6 * * * 4.144 Florida Statutes section 119.021 Records Retention Statutes & Constitution: View Statutes: Online Sunshine L5tate.f1.us) 4.145 Florida Statutes section 119.071, Contracts and Public Records http://www.leg.state.fl.us/Statutes/index.cfm?App mode=Display_ Statute&URL=0100- 0199/0119/Sections/0119.071.html 4.156 2 CFR 200.15 Never contract with the enemy. Federal agencies, recipients, subrecipients, and contractors are subject to the guidance implementing Never Contract with the Enemy in 2 CFR part 183. https://www.ecfr.Qov/current/title-2/subtitle-A/chapter-I I/part-200/subpart-C/section- 200.215 https: /w w.ecir.govicurrent/title-2 itiubtitle-A/chapter-I/part-18 3 4.167 Trafficking in Persons: The SUBRECIPIENT agrees to, at any tier, comply with all applicable requirements (including requirements to report allegations) pertaining to prohibited conduct related to the trafficking of persons, whether on the part of the SUBRECIPIENT and any employees of the SUBRECIPIENT. The details of the SUBRECIPIENT'S obligations related to prohibited conduct related to the trafficking of persons are posted at https://ojp..tov lfunding/Explore/ProhibitedConduct-Trafficking.htm. cCFR :: Appendix A to Part 175. Title 2 -- Award Term Pursuant to Florida Statues 787.06, SPONSOR attests that it does not use coercion for labor or services. SUBRECIPIENT shall provide an affidavit, under penalty of perjury, signed by an officer or representative of the organization attesting that it does not use coercion for labor services. http://www.leg.state.fl.us/Statutes/index.sf`in?App mode=Displav Statute&URI,-0700- 0799/0787/Sections/0787.06.html 4.178 Whistleblower Protections: a. In accordance with 2 CFR 200.217 and 41 U.S.C. § 4712, the SUBRECIPIENT may not discharge, demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a federal contract (including the competition for or negotiation of a contract) or grant. 10 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment ll3 + AO Opioid Settlement 1 6 0 6 b. The list of persons and entities referenced in the paragraph above includes the following: i. A member of Congress or a representative of a committee of Congress; ii. An Inspector General; iii. The Government Accountability Office; iv. A Treasury employee responsible for contract or grant oversight or management; v. An authorized official of the Department of Justice or other law enforcement agency; vi. A court or grand jury; or vii. A management official or other employee of Recipient, contractor, or subcontractor who has the responsibility to investigate, discover, or address misconduct. The SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies provided under 2 CFR 200.217 and 41 U.S.C. § 4712, in the predominant native language of the workforce. https://uscode.house.gov/view.xhtml?req=(titic:41%20section:47I 2%20edition:prelim) All SUBRECIPIENT employees directly involved with activities associated with this Agreement shall complete and submit to the COUNTY the Collier County Whistleblower Protections Certification form (Exhibit H) prior to execution of this Agreement. Any new employees hired during the period of performance of this Agreement shall also complete and submit the form to the COUNTY. 4.19 Federal Whistleblower Requirements. Pursuant to $11(c) of the OSH Act of 1970 (29 U.S.C. §660(c)) and the subsequent federal laws expanding the act, the SUBRECIPIENT is prohibited from discriminating against employees for exercising their rights under the OSH Act. Details of the OSH Act are located at: http://www.whistleblowers.gov. 4.20 Employment Screening. As described in CFOP 60-25, Chapter 2 (implementing 110.1127. F.S.), as a condition of initial and continued employment, the SUBRECIPIENT shall ensure all staff, whether employees or independent contractors, are screened by DCF in accordance with chapter 435. F.S., are of good moral character, and meet the Level 2 Employment Screening standards in § 435.04, 110.1127, and 39.001(2), F.S., including: • Employment history checks • Fingerprinting for all criminal record checks • Statewide criminal and juvenile delinquency records checks through Florida Department of Law Enforcement (FDLE) • Federal criminal records checks from the Federal Bureau of Investigation via the Florida Department of Law Enforcement 11 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 C ( Opioid Settlement D 6 • Security background investigation, which may include criminal record checks by local law enforcement agencies: and • Attestation by each employee, subject to penalty of perjury, to meeting the requirements for qualifying for employment pursuant to Chapter 435, F.S., and agreeing to inform the employer immediately if arrested for any of the disqualifying offenses while employed by the employer. SUBRECIPIENT shall sign the Florida Department of Children and Families Employment Screening Affidavit each state fiscal year(no two such affidavits will be signed more than 13 months apart) for the term of this Agreement, stating that all required staff have been screened or the SUBRECIPIENT is awaiting the results of screening. 4.21 Use of Funds for Diversity, Equity, and Inclusion Prohibited. No State funding under this Agreement is being provided for, promoting, advocating for. or providing training or education on "Diversity, Equity, and Inclusion" (DEI). DEI is any program, activity, or policy that classifies individuals on the basis of race, color, sex, national origin, gender identity, or sexual orientation and promotes the position that a group or an individual's action is inherently, unconsciously, or implicitly biased on the basis of such classification. 4.22 Health Insurance Portability and Accountability Act (HIPAA): Should this Agreement involve SUBRECIPIENT access to protected health information (PHI) the SUBRECIPIENT shall be a"Business Associate" limited to the following permissible uses and disclosures. Reference to a section in the HIPAA Rules means the section as in effect or as amended. The SUBRECIPIENT shall assist the COUNTY in amending this Agreement to maintain compliance with HIPAA Rules and any other applicable law requirements. Any ambiguity in this section will be interpreted to permit compliance with the HIPAA Rules. Within the COUNTY, the Grant Manager has been designated the HIPAA privacy Officer. • Catch-all Definitions. The following terms as used in this section have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, Protected Health Information, Required by Law. Security Incident, Unsecured Protected Health Information, and Use. • Specific Definitions: o Business Associate has thesame meanine as the term "business associate" at 45 CFR &160.103. o Covered Entity has the same meaning as the term "covered entity" at 45 CFR &160.103,and for purposes of this Agreement includes the COUNTY. o HIPAA Rules will mean the Privacy, Security, Breach Notification and Enforcement Rules at 45 CFR Parts 160 and 164. 12 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment 3 Opioid Settlement 16D6 o Subcontractor has the same meaning as the term subcontractor at 45 CFR §160.103 and includes individuals to whom a Business Associate delegates a function. activity, or service other than as a member of the workforce of such Business Associate. 4.23 SUBRECIPIENT Obligations and Activities. The SUBRECIPIENT shall: • Not use or disclose PHI except as permitted or required by section 4.22 above, or by law. • Use the appropriate administrative safeguards in 45 CFR 164.308, physical safeguards in 45 CFR § 164.310. and technical safeguards in 45 CFR § 164.312; including policies and procedures regarding the protection of PHI in 45 CFR 164.316 and the provisions of training on such policies and procedures to applicable employees, independent providers, and volunteers, that reasonably and appropriately protect the confidentiality, integrity, and availability of the PHI Provider may create, receive, maintain or transmit on the SUBRECIPIENT'S behalf. • Acknowledge that the foregoing safeguards,policies. and procedures requirements apply to the SUBRECIPIENT in the same manner as such requirements apply to the COUNTY; and the SUBRECIPIENT and its subcontractors are directly liable under the civil and criminal enforcement provisions § 13409 and 13410 of the HITECH Act, 45 CFR 4 164.500 and 164.502(E) of the Privacy Rule (42 U.S.C. 1320d-5 and 1320d-6), as amended, for failure to comply with the safeguards, policies, and procedures requirements and resulting U.S. Health and Human Services (HHS)guidance thereon. • Report to the COUNTY any use or disclosure of PHI not permitted by section 4.22 above, including breaches of unsecured PHI as required at 45 CFR § 164.410, and any security incident. • Notify the COUNTY'S HIPAA Security Officer. HIPAA Privacy Officer, and Grant Manager within 120 hours after finding a breach or potential breach of personal and confidential data. • Notify the COUNTY'S HIPAA Privacy Officer and Grant Manager within 24 hours of HHS notification of any investigations, compliance reviews, or inquiries concerning violations of HIPAA. • Provide additional information requested by the COUNTY for investigation of or response to a breach. • Provide, at no cost, notice to affected parties within 30 days of determination of any potential breach ofpersonal or confidential data of the Department (§ 501.171, F.S.); implementation of the COUNTY'S prescribed measures to avoid or mitigate potential injury to any person due to a breach or potential breach of personal and confidential data of the COUNTY; and, immediate actions limiting or avoiding 13 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 CAO Opioid Settlement 16D6 recurrence of any breach or potential breach and any actions required by applicable federal and state laws and regulations regardless of the COUNTY'S actions. • In accordance with 45 CFR § 164.502(e)(1)(ii) and 164.308(b)(2), as applicable, ensure all entities creating, receiving, maintaining, or transmitting PHI on the SUBRECIPIENT'S behalf are bound to the same restrictions, conditions, and requirements as the SUBRECIPIENT by written contract or other written agreement meeting the applicable requirements of 45 CFR 164.504(e)(2) that the entity will appropriately safeguard the PHI. For prior contracts or other arrangements, the SUBRECIPIENT shall provide written certification its implementation complies with 45 CFR § 164.532(d). • Make PHI available in a designated record set to the COUNTY as necessary to satisfy the COUNTY'S 45 CFR § 164.524 obligations. • Make any amendment to PHI in a designated record set as directed or agreed to by the COUNTY,per 45 CFR§ 164.526,or take other measures as necessary to satisfy the COUNTY'S 45 CFR § 164.526 obligations. • Maintain and make available the information required to provide an accountinti of disclosures to a covered entity as needed to satisfy the COUNTY'S 45 CFR & 164.528 obligations. • To the extent the SUBRECIPIENT carries any obligation under 45 CFR Subpart E, comply with the requirement of Subpart E that apply to the COUNTY in the performance of that obligation; and • Make internal practices. books, and records available to HHS for determining HIPAA rule compliance. 4.24 COUNTY Notifications Affecting SUBRECIPIENT Disclosure of PHI. The COUNTY will notify the SUBRECIPIENT, to the extent it may affect SUBRECIPIENT'S use or disclosure of PHI, of 45 CFR § 164.520 limitations in the Notice of Privacy Practices; of changes in, or revocation of,an individual's permission to use or disclose PHI; or of any restriction on the use or disclosure of PHI information the COUNTY has agreed to or is required to abide by under 45 CFR § 164.522. 4,25 Termination Regarding PHI. • Termination for Cause. Upon the COUNTY'S knowledge of a material breach of the SUBRECIPIENT'S duties under 4.20 above, the COUNTY may: (a) provide the SUBRECIPIENT opportunity to cure the breach within the COUNTY'S specified timeframe; (b) immediately terminate the Agreement or discontinue access to PHI; or (c) if termination or cure are not feasible, the COUNTY will report the breach to the Secretary of HHS. • SUBRECIPIENT obligations under Termination. Upon termination, SUBRECIPIENT, with respect to PHI received from the COUNTY. or created, 14 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAC) 16D6 maintained, or received on behalf of the COUNTY, will: (a) retain on PHI necessary to continue proper management and administration or to carry out legal responsibilities; (b) return PHI not addressed in (a) to the COUNTY or its designee; (c) upon the COUNTY'S permission, destroy PHI the SUBRECIPIENT maintains in any form; (d)continue to use appropriate safeguards and comply with Subpart C of 45 CFR 164 with respect to electronic PHI to prevent use or disclosure of PHI,other than as provided for in (a) for retained PHI; (e) not use or disclose retained PHI other than for purposes for which PHI was retained and subject to the same conditions that applied prior to termination; and (f) comply with (b) and (c) when retained PHI is no longer needed under(a) • Obligations in the preceding paragraph survive termination. The SUBRECIPIENT represents and warrants that no part of the funding under this Agreement will be used in violation of any federal or state law, including but not limited to, 8 U.S.C. §1324 or 8 U.S.C. §1325, or to aid or abet another in violating federal or state law. The COUNTY may terminate this Agreement at any time if the SUBRECIPIENT violates or aids or abets another in violating any state or federal law. 4.26 Public Entity Crime and Discriminatory Contractors. Pursuant to §287.133 and 287.134, F.S., the following restrictions are placed on the ability of persons placed on the convicted vendor list or the discriminatory vendor list. When a person or affiliate has been placed on the convicted vendor list following a conviction for a public entity crime, or any entity or affiliate has been placed on the discriminatory vendor list. suchperson. entity, or affiliate may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work: may not submit bids,proposals, or replies on leases or real property to apublic entity; may not be awarded or perform work as a contractor, supplier, subcontractor. or consultant under a contract with a public entity:, and may not transact business with any public entity; provided, however, that the prohibition on persons or affiliates placed on the convicted vendor list is limited to business in excess of the threshold amount provided in §287.017, F.S., for CATEGORY TWO for 36 months from the date of being placed on the convicted vendor list. 4.27 PRIDE. It is expressly understood and agreed that any articles which are the subject of. or required to carry out, this Agreement shall be purchased from the corporation identified under Chapter 946, F.S.. in the same manner and under the same procedures set forth in §946.515(2) and (4), F.S.; and for purposes of this Agreement. the person, firm, or other business entity carrying out the provisions of this Agreement shall be deemed to be substituted for this agency insofar as dealings with such corporation are concerned. 15 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 ,A� Opioid Settlement 16D6 4.28 Continuing Oversight Teams. The SUB RECIPIENT shall comply with the provisions of &287.057(26), F.S., as applicable, establishing and governing conduct of Continuing Oversight Teams for contracts of$5 million or more. 4.29 Major Disasters and Emergencies. The Stafford Act allows federal assistance for major disasters and emergencies upon a declaration by the President. Upon the declaration, the COUNTY is authorized to apply for federal reimbursement from the Federal Emergency Management Agency (FEMA) to aid in response and recovery from a major disaster. The SUBRECIPIENT shall request reimbursement for eligible expenses through the COUNTY with_payment subject to FEMA approval and reimbursement. 4.30 Executive Compensation Reporting. Annually on or before May 1, SUBRECIPIENT shall complete and return the Executive Compensation Annual Report (Form PCMT-08), located at: https://myflfamilies.com/sites/default;tiles/2025- 03/Executive%20Compensation%20Annual%20Report 0.pdf. In accordance with §216.1336, F.S., if the SUBRECIPIENT is a nonprofit as defined in §215.97(2)(m). F.S.. SUBRECIPIENT must provide documentation to the COUNTY that indicates the amount of state funds: • Allocated to be used during the full term of the Agreement for remuneration to any member of the Board of Directors or an officer of the contractor. • Allocated under each payment by the COUNTY to be used for remuneration of any member of the Board or Directors or an officer of the contractor. The documentation must indicate the amounts and recipients of the remuneration. If the SUBRECIPIENT maintains a website. information provided pursuant to the statement above must be posted on the website. 4.31 Recycled Products. The SUBRECIPIENT shall procure any recycled products or materials, which are the subject of or are required to carry out this Agreement, in accordance with 403.7065, F.S. 16 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 EXHIBIT A FLORIDA OPIOID AI 1 OCATION AND STATEWIDE (See A ttaeh-..,c n t) COLLIER COUNTY RESOLUTION 2021-136 (Florida Plan) RESOLUTION NO. 2021 -t36 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA,AUTHORIZING COLLIER COUNTY TO JOIN WITH THE STATE OF FLORIDA AND OTHER LOCAL GOVERNMENTAL UNITS AS A PARTICIPANT IN THE FLORIDA MEMORANDUM OF UNDERSTANDING AND FORMAL AGREEMENTS IMPLEMENTING A UNIFIED PLAN. WHEREAS,Collier County has suffered harm from the opioid epidemic;and WHEREAS,Collier County recognizes that the entire State of Florida has suffered harm as a result from the opioid epidemic;and WHEREAS,the State of Florida has filed an action pending in Pasco County,Florida,and a number of Florida Cities and Counties have also filed an action In re: National Prescription Opiate Litigation,MDL No.2804(N.D.Ohio)(the"Opioid Litigation")and Collier County is not a litigating participant in that action;and WHEREAS, the State of Florida and lawyers representing certain various local governments involved in the Opioid Litigation have proposed a unified plan for the allocation and use of prospective settlement dollars from opioid related litigation;and WHEREAS,the Florida Memorandum of Understanding (the "Florida Plan")sets forth sets forth a framework of a unified plan for the proposed allocation and use of opioid settlement proceeds and it is anticipated that formal agreements implementing the Florida Plan will be entered into at a futurc date;and WHEREAS, participation in the Florida Plan by a large majority of Florida cities and counties will materially increase the amount of funds to Florida and should improve Florida's relative bargaining position during additional settlement negotiations;and WHEREAS, failure to participate in the Florida Plan will reduce funds available to the State,Collier County,and every other Florida City and County. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COMMISSIONERS OF COLLIER COUNTY,FLORIDA: SECTION 1. That participation in the Florida Plan would be in the best interest of the Collier County and its citizens in that such a plan ensures that almost all of the settlement funds go to abate and resolve the opioid epidemic and each and every city and county receives funds for the harm that it has suffered. SECTION 2.That the Collier County Board of County Commissioners hereby expresses its support of a unified plan for the allocation and use of opioid settlement proceeds as generally described in the Florida Plan.attached hereto as Exhibit"A." 12 i•SHF-002s0/1642784/11 17 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 CAO Opioid Settlement 16D6 SECTION 3. That the Collier County Board of County Commissioners is hereby expressly authorized to execute the Florida Plan in substantially the form contained in Exhibit"A." SECTION 4. That the Collier County Board of County Commissioners is hereby authorized to execute any formal agreements implementing a unified plan for the allocation and use of opioid settlement proceeds that is not substantially inconsistent with the Florida Plan and this Resolution. SECTION 5. That the Clerk be and hereby is instructed to record this Resolution in the appropriate record book upon its adoption. SECTION 6. The Clerk of the Collier County Board of County Commissioners is hereby directed to furnish certified copies of this Resolution to: Attorney General Ashley Moody Florida Association,.i Counties c10 John M.Guard 100 South Monroe Street The Capitol, PL-01 Tallahassee,FL 32301 Tallahassee,FL 32399-1050 SECTION 7.All resolutions inconsistent or in conflict herewith shall be and are hereby repealed insofar as there is conflict or inconsistency. SECTION 8. If any section,sentence,clause,or phrase of this Resolution is held to be invalid or unconstitutional by any court of competent jurisdiction,then said holding shall in no way affect the validity of the remaining portions of this resolution. SECTION 9. This Resolution shall take effect immediately upon its adoption. PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier County,Florida,this 22nt day of June ,2021. ATTEST: BOARD OF,COUN 1 1 COMMISSIONERS Crystal K.Kitiiel,Clerk of Courts COLLIER ç9J.4rY.FLt►{til) AttCSt 8S4b t:1: ' Clerk signAre only. Penny Taylor,Chair 1 p o as to form and legality: ,e. u i•. Co rcen A. Kerins t r K ,,• ° K 0+� ,'w,:.ae�c Assistant County Attorney 1 toAw,by_aty.a,V1'e. 4, or.41.,,;tt .. q ,,: , eepy d Ztd.: 4•t ,. qrn� Dad.�'_ �:.` ,1`, ' ,<� 9!putrark 111-SNF-0OISW1641784/11 . . Lrfp 'AI'� 18 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 t. Opioid Settlement 16D6 LsL EXHIBIT PROPOSAL MEMORANDUM OF UNDERSTANDING Whereas, the people of the State of Florida and its communities have been harmed by misfeasance, nonfeasance and malfeasance committed by certain entities within the Pharmaceutical Supply Chain; Whereas, the State of Florida, through its Attorney General, and certain Local Goverrunents, through their elected representatives and counsel, are separately engaged in litigation seeking to hold Pharmaceutical Supply Chain Participants accountable for the damage caused by their misfeasance,nonfeasance and malfeasance; Whereas,the State of Florida and its Local Governments share a common desire to abate and alleviate the impacts of that misfeasance.nonfeasance and malfeasance throughout the State of Florida; Whereas, it is the intent of the State of Florida and its Local Governments to use the proceeds from Settlements with Pharmaceutical Supply Chain Participants to increase the amount of funding presently spent on opioid and substance abuse education, treatment and other related programs and services, such as those identified in Exhibits A and 13, and to ensure that the funds are expended in compliance with evolving evidence-based"hest practices"; Whereas, the State of Florida and its Local Governments. subject to the completion of formal documents that will effectuate the Parties' agreements. enter into this Memorandum of Understanding("MOU")relating to the allocation and use of the proceeds of Settlements described herein;and Whereas, this MOU is a preliminary non-binding agreement between the Parties, is not legally enforceable,and only provides a basis to draft formal documents which will effectuate the Parties'agreements. A. Definitions As used in this MOU 1. "Approved Purpose(s)" shall mean forward-looking strategies, programming and services used to expand the availability of treatment for individuals impacted by substance use disorders, to: (a) develop, promote, and provide evidence-based substance use prevention strategies; (b) provide substance use avoidance and awareness education; (c) decrease the oversupply of licit and illicit opioids;and(d)support recovery from addiction. Approved Purposes shall include, hut are not limited to, the opioid abatement strategies listed on Exhibits A and B which arc incorporated herein by reference 2. "Local Governments" shall mean all counties, cities, towns and villages located within the geographic boundaries of the State 3. "Managing Entities" shall mean the corporations selected by and under contract with the Florida Department of Children and Families or its successor ("DCF") to manage the IIMAOLC:11.12! 1 19 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 to j, Opioid Settlement 16D6 daily operational delivery of behavioral health services through a coordinated system of care.The singular"Managing Entity"shall refer to a singular of the Managing Entities. 4. "County"shall mean a political subdivision of the state established pursuant to s. 1,Art. VIII of the State Constitution. 5. "Municipalities"shall mean cities,towns,or villages of a County within the State with a Population greater than I0,000 individuals and shall also include cities,towns or villages within the State with a Population equal to or less than 10,000 individuals which filed a Complaint in this litigation against Pharmaceutical Supply Chain Participants. The singular"Municipality" shall refer to a singular of the Municipalities. 6. "Negotiating Committee" shall mean a three-member group comprised by representatives of the following: (1)the State; and(2)twn representatives of Local Governments of which one representative will be from a Municipality and one shall be from a County (collectively,"Members")within the State. The State shall be represented by the Attorney General or her designee. 7. "Negotiation Class Metrics"shall mean those county and city settlement allocations which come from the official wcbsite of the Negotiation Class of counties and cities certified on September 11, 2019 by the U.S. District for the Northern District of Ohio in In re National Prescription Opiate Litigation, MDL No. 2804 (N.D. Ohio). The website is located at https://allocationmap.iclaimsonline.com. 8. "Opioid Funds" shall mean monetary amounts obtained through a Settlement as defined in this MOU. 9. "Opioid Related"shall have the same meaning and breadth as in the agreed Opioid Abatement Strategies attached hereto as Exhibits A or B. 10. "Parties"shall mean the State and Local Governments.The singular word"Party" shall mean either the State or Local Governments. 11. "PEC"shall mean the Plaintiffs'Executive Committee of the National Prescription Opiate Multidistrict Litigation pending in the United States District Court for the Northern District of Ohio. 12. "Pharmaceutical Supply Chain"shall mean the process and cl;Lnnelk through which Controlled Substances are manufactured,marketed,promoted,distributed o;dispensed. 13. "Pharmaceutical Supply Chain Participant" shall mean any entity that engages in, or has engaged in the manufacture, marketing,promotion,distribution or dispensing of an opioid analgesic. 14. "Population"shall refer to published U.S Census Bureau population estimates as of July 1,2019,released March 2020,and shall remain unchanged during the term of this MOU These estimates can currently be found at https://www.census.gov 20 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement r+�o 16D6 15. "Qualified County"shall mean a charter or non-chartered county within the State that:has a Population of at least 300,000 individuals and(a)has an opioid taskforcc of which it is a member or operates in connection with its municipalities or others on a local or regional basis; (b)has an abatement plan that has been either adopted or is being utilized to respond to the opioid epidemic;(c)is currently either providing or is contracting with others to provide substance abuse prevention,recovery,and trca:mctit set ices to its citfh'ns;and id)has or enters into an agreement with a majority of Municipalities (Majority is more than 501.0 of the Municipa sties' total population)related to the expenditure of Opioid Funds.The Opioid FunJ,to he paid to o Qualified County will only include Opioid Funds for Municipalities whose claims arc released by the Municipality or Opioid Funds for Municipalities whose claims arc otherwise barred. 16. "SAMHSA" shall mean the U.S. Department of Health & Human Services, Substance Abuse and Mental Health Services Administration. 17. "Settlement' shall mean the negotiated resolution of legal or equitable claims against a Pharmaceutical Supply Chain Participant when that resolution has been jointly entered into by the State and Local Governments or a settlement class as described in(fi)(I)below. 18. "State"shall mean the State of Florida. B. Terms l. Only Abatement-Other than funds used for the Administrative Costs and Expense Fund as hereinafter described in paragraph 6 and paragraph 9,respectively),all Opioid Funds shall be utilized for Approved Purposes. To accomplish this purpose,the State will either file a new action with Local Governments as Parties or add Local Governments to its existing action,sever settling defendants, and seek entry of a consent order or other order binding both the State, Local Governments, and Pharmaceutical Supply Chain Participant(s) ("Order"). The Order may be part of a class action settlement or similar device. The Order shall provide for continuing jurisdiction of a state court to address non-performance by any party under the Order. .Any local Government that objects to or refuses to be included under the Order or entry of documents necessary to effectuate a Settlement shall not be entitled to any Opioid Funds and its portion of Opioid Funds shall be distributed to,and for the benefit of, the other Local Governments. 2. Avoid Claw Back and Recoupment-Both the State and Local Governments wish to maximize any Settlement and Opioid Funds, In addition to committing to only using funds for the Expense Funds,Administrative Costs and Approved Purposes,both Parties will agree to utilize a percentage of funds for the core strategies highlighted in Exhibit A. Exhibit A contains the programs and strategies prioritized by the U.S.Department of Justice and/or the U.S Department of Health&Human Services("Core Strategies"). The State is trying to obtain the United States' agreement to limit or reduce the United States'ability to recover or recoup monies from the State and Local Government in exchange for prioritization of funds to certain projects. If no agreement is reached with the United States, then there will be no requirement that a percentage be utilized for Core Strategies. 21 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 C A.O Opioid Settlement 1 6 D 6 3. Distribution Scheme-All Opioid Funds will initially go to the State,and then be distributed according to the following distribution scheme.The Opioid Funds will be divided into three funds after deducting costs of the Expense Fund detailed in paragraph 9 below: (a) Cit /Count Fund- The city/county fund will receive 15%of all Opioid Funds to directly benefit all Counties and Municipalities. The amounts to be distributed to each County and Municipality shall be determined by the Negotiation Class Metrics or other metrics agreed upon,in writing,by a County and a Municipality. For focal Governments that are not within the definition of County or Municipality, those Local Governments may receive that government's share of the City/County Fund under the Negotiation Class Metrics,if that government executes a release as part of a Settlement. Any Local Government that is not within the definition of County or Municipality and that does not execute a release as part of a Settlement shall have its share of the City/County Fund go to the County in which it is located. (b) Regional Fund-The regional fund will be subdivided into two parts. (i) The State will annually calculate the share of each County within the State of the regional fund utilizing the sliding scale in section 4 ol'the allocation contained in the Negotiation Class Metrics or other metrics that the Parties agree upon. (ii) For Qualified Counties, the Qualified County's share will be paid to the Qualified County and expended on Approved Purposes, including the Core Strategies identified in Exhibit A,if applicable. (iii) For all other Counties,the regional share for each County will be paid to the Managing Entities providing service for that County. The Managing Entities will be required to expend the monies on Approved Purposes, including the Core Strategies. The Managing Entities shall endeavor to the greatest extent possible to expend these monies on counties within the State that are non-Qualified Counties and to ensure that there are services in every County. (c) State Fund - The remainder of Opioid Funds after deducting the costs of the Expense Fund detailed in paragraph 9,the City/County Fund and the Regional Fund will be expended by the State on Approved Purposes, including the provisions related to Core Strategies,if applicable. (d) To the extent that Opioid Funds are not appropriated and expended in a year by the State, the State shall identify the investments where settlement funds will be deposited. Any gains, profits, or interest accrued from the deposit of the Opioid Funds to the extent that any funds are not appropriated and expended within a calendar year,shall be the sole property of the Party that was entitled to the initial deposit. 22 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement 1CA� 16D6 4. Regional Fund Sliding Scale- The Regional Fund shall be calculated by utilizing the following sliding scale of the Opioid Funds available in any year: A. Years 1-6: 40% B. Years 7-9: 35% C. Years 10-12: 34% D. Years 13-15: 33% E. Years 16-I8: 30% 5. Opioid Abatement "askforce or Council - The State will create an Opioid Abatement Taskforce or Council (sometimes hereinafter"Taskforce"or"Council")to advise the Governor, the Legislature, Florida's Department of Children and Families ("DCF"), and Local Governments on the priorities that should be addressed as part of the opioid epidemic and to review how monies have been spent and the results that have been achieved with Opioid Funds. (a) Size-The Taskforce or Council shall have ten Members equally balanced between the State and the Local Governments. (b) A .. uirliments Local Governments - Two Municipality representatives will be appointed by or through Florida League of Cities. Two county representatives,one from a Qualified County and one from a county within the State that is not a Qualified County, will be appointed by or through the Florida Association of Counties. The final representative will alternate every two years between being a county representative(appointed by or through Florida Association of Counties)or a Municipality representative (appointed by or through the Florida League of Cities). One Municipality representative must be from a city of less than 50,000 people. One county representative must he from a county less than 200,000 people and the other county representative must be from a county whose population exceeds 200,000 people. (c) A...iin:n ,nt.ti Statr- (i) The Governor shall appoint two Members. (ii) The Speaker of the House shall appoint one Member. (iii) The Senate President shall appoint one Member. (iv) The Attorney General or her designee shall be a Member (d) Chair- The Attorney General or designee shall be the chair of the Taskforce or Council. (e) Term-Members will be appointed to serve a two-year term. 23 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement (;,N0 16D6 (f) Support-DCF shall support the Taskforce or Council and the Taskforce or Council shall be administratively housed in DCF (g) Meetints - The Taskforce or Council shall meet quarterly in person or virtually using communications media technology as defined in section 120.54(5)(b)(2), Florida Statutes. (h) Reporting-The Taskforce or Council shall provide and publish a report annually no later than November 30th or the first business day after November 30th, if November 30th falls on a weekend or is otherwise not a business day. The report shall contain information on how monies were spent the previous fiscal year by the State. each of the Qualified Counties, each of th;• Managing 1'ntittcs. and each of the Local Governments. It shall also contain recommendations to the Governor, the Legislature, and Local Governments for priorities among the Approved Purposes for how monies should be spent the coming fiscal year to respond to the opioid epidemic. (i) Accountabilit - Prior to July 1st of each year, the State and each of the Local Governments shall provide information to DCF about how they intend to expend Opioid Funds in the upcoming fiscal year. The State and each of the Local Government shall report its expenditures to DCF no later than August 31st for the previous fiscal yeal.The Taskforce or Council will set other data sets that need to he reported to DC1' to demonstrate the effectiveness of Approved Purposes All programs and expenditures shall he audited annually in a similar fashion to SAMHSA programs. Local Governments shall respond and provide documents to any reasonable requests from the State for data or information about programs receiving Opioid Funds. (j) Conflict of Interest-All Members shall adhere to the rules,regulations and laws of Florida including, but not limited to, Florida Statute §112.311, concerning the disclosure of conflicts of interest and rccusal from discussions or votes on conflicted matters. 6. Administrative Costs- The State may take no more than a 5%administrative fee from the State Fund ("Administrative Costs") and any Regional Fund that it administers for counties that are not Qualified Counties. Each Qualified County may take no more than a 5% administrative fee from its share of the Regional Funds. 7. Negotiation of Non-Multistate Settlements-lithe State begins negotiations with a Pharmaceutical Supply Chain Participant that is separate and apart from a multi-state negotiation, the State shall include Local Governments that are a part of the Negotiating Committee in such negotiations. No Settlement shall be recommended or accepted without the affirmative votes of both the State and Local Government representatives of the Negotiating Committee. 8. Negotiation of Multistate or Local Government Settlements - To the extent practicable and allowed by other parties to a negotiation,both Parties agree to communicate with 24 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement �A� 16D6 members of the Negotiation Committee regarding the terms of any other Pharmaceutical Supply Chain Participant Settlement. 9. Expense Fund-The Parties agree that in any negotiation every effort shall he made to cause Pharmaceutical Supply Chain Participants to pay costs of litigation, including attorneys' fees; in addition to any agreed to Opioid Funds in the Settlement. To the extent that a fund sufficient to pay the entirety of all contingency fee contracts for Local Governments in the State of Florida is not created as part of a Settlement by a Pharmaceutical Supply Chain Participant,the Parties agree that an additional expense fund for attorneys who represent Local Governments (herein"Expense Fund")shall be created out of the City/County fund for the purpose of paying the hard costs of a litigating Local Government and then paying attorneys' fees. (a) The Source ul Fundy for the Expens.2 1 and-Money for the Expense Fund shall be sourced exclusively from the City/County Fund. (b) The Amount of the Expense Fund-The State recognizes the value litigating Local Governments bring to the State of Florida in connection with the Settlement because their participation increases the amount incentive Payments due from each Pharmaceutical Supply Chain Participant. In recognition of that value.the amount of funds that shall be deposited into the Expense fund shall be contingent upon on the percentage of litigating Local Government participation in the Settlement, according to the following table: Litigating Local Government Amount that shall be paid Participation in the into the Expense Fund Settlement(by percentage of : from(and as a percentage the population on the Cit./Count: fund jr,to ;1:+1" l0% ). q '., 7.5% 86 to 90% 5% 85% 2.5% Less than 85% 0% If fewer than 85% percent of the litigating Local Governments (by population) participate,then the Expense Fund shall not be funded,and this Section of the MOU shall be null and void. (c) l'n I inun_ of Pa,ments into the Expense Fund- Although the amount of the Expense Fund shall be calculated based on the entirety of payments due to the City/County fund over a ten to eighteen year period, the Expense Fund shall be funded entirely from payments made by Pharmaceutical Supply Chain Participants during the first two years of the Settlement. Accordingly, to offset the amounts being paid from the City/County to the Expense Fund in the first two years, Counties or Municipalities may borrow from the Regional Fund during the first two years and pay the borrowed amounts back to the Regional Fund during years three, four,and five. 25 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 CA()Opioid Settlement 16D6 For the avoidance of doubt, the following provides an illustrative example regarding the calculation of payments and amounts that may be borrowed under the terms of this MOU, consistent with the provisions of this Section: Opioid Funds due to State of Florida and Local Governments(over 10 to 18 years): S1,000 Litigating Local Government Participation: 100% City/County Fund(over 10 to 18 years): S I j0 Expense Fund(paid over 2 years): $15 Amount Paid to Expense Fund in I st year: $7.5 \union Paid i F.xp ense i and in 2nd yea. $7 5 Amount that may be borrowed from Regional Fund in 1st year: $7.5 Amount that may be borrowed from Regional Fund in 2nd year: $7.5 Amount that must be paid back to Regional Fund in 3rd year: $5 Amount that must be paid back to Regional Fund in 4th year: $5 Amount that must he paid back to Regional Fund in 5th year: $5 (d) Creation of and.Jurisdiction over the Expense Fund- The Expense Fund shall be established,consistent with the provisions of this Section of the MOI by order of the Circuit Court of the Sixth Judicial Circuit in and for Pasco County. 'West Pasco Division New Port Richey.Florida, in the matter of The State Florida.uf office of the Attorney General, Deportment of Legal 4l%Jairs 1 Pun due PhErr,no 1.P. et a! Case No. 2018-CA-001438 (the "Court.). The Court shall have jurisdiction over the Expense Fund, including authority to allocate and disburse amounts from the Expense Fund and to resolve any disputes concerning the Expense Fund (e) .111ocsl!on of Pa:merits to Counsel from the Exo_enseFund- As part of the order establishing the Expense Fund,counsel for the litigating Local Governments shall seek to have the Court appoint a third-neutral to serve as a special master for purposes of allocating the Expense Fund. Within 30 days of entry of the order appointing a special master for the Expense Fund, any counsel who intend to seek an award from the Expense Fund shall provide the copies of their contingency fee contracts to the special master. The special master shall then build a mathematical model,which shall he b,1-ed on each litigating local Government's share under the Negotiation Class Metrics :1nci :l: rate set forth in their contingency contracts, to calculate a proposed award for each litigating Local Government who timely provided a cope of its contingency contract. 10. Dispute resolution-Any one or more of the Local Governments or the State may object to an allocation or expenditure of Opioid Funds solely on the basis that the allocation or expenditure at issue(a) is inconsistent with the Approved Purposes; (h) is inconsistent with the distribution scheme as provided in paragraph 3,or(c)violates the limitations set forth herein with respect to administrative costs or the Expense Fund.There shall be no other basis for bringing an objection to the approval of an allocation or expenditure of Opioid Funds 26 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 �A( Opioid Settlement 1 6 D E EXHIBIT B Schedule A—Core Strategies States and Qualifying Block Grantees shall choose from among the abatement strategies listed in Schedule B. However, priority shall be given to the following core abatement ,tiategies ("Core Strategies") [such that a minimum of % of the [aggregate] state-level abatement distributions shall be spent on [one or more of] them annually]) A. Naloxone or other FDA-approved drug to reverse opioid overdoses 1. Expand training for first responders, schools, community support groups and families: and 2. Increase distribution to individuals who are uninsured or whose insurance does not cove_r the needed service. B. Medication-Assisted Treatment("MAT") Distribution and other opioid-related treatment 1. Increase distribution of MAT to non-Medicaid eligible or uninsured individuals; 2. I'ro‘.ide education to school-based and youth-focused programs that discourage or prevent misuse; 3. Provide MAT education and awareness training to healthcare providers, EMTs, law enforcement, and other first responders;and 4. Treatment and Recovery Support Services such as residential and inpatient treatment, intensive outpatient treatment,outpatient therapy or counseling,and recovery housing that allow or integrate medication with other support services. C. Pregnant& Postpartum Women I. Expand Screening. Brief Intervention, and Referral to Treatment ("SBIRT") services to non- Medicaid eligible or uninsured pregnant women; 2. Expand comprehensive evidence-based treatment and recovery services, including MAT. for women with co-occurring Opioid Use Disorder ("OUD") and other Substance Use Disorder ("SUD")/Mental Health disorders for uninsured individuals for up to 12 months postpartum; and 3. Provide comprehensive wrap-around services to individuals with Opioid Use Disorder (OUD) including housing,transportation,job placement/training,and childcare. D. Expanding Treatment for Neonatal Abstinence Syndrome 1. Expand comprehensive evidence-based and recovery support for NAS babies; 2. Expand services for better continuum of care with infant-need dyad; and 3. Expand long-term treatment and services for medical monitoring of NAS babies and their families. E. Expansion of Warm Hand-off Programs and Recovery Services 1. Expand services such as navigators and on-call teams to begin MAT in hospital emergency departments; 2. Expand warm hand-off services to transition to recovery services; 3. Broaden scope of recovery services to include co-occurring SUD or mental health conditions. ; 4. Provide comprehensive wrap-around services to individuals in recovery including housing, transportation,job placement/training,and childcare; and 5. Hire additional social workers or other behavioral health workers to facilitate expansions above. I. As used in this Schedule A.words like"expend,""fund,""provide," or the like shall not indicate a preference for new or existingprograms. Priorities will be established through the mechanisms described in the Term Sheet. 27 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 F. Treatment for incarcerated Population 1. Provide evidence-based treatment and recovery support including MAT for persons with OUD and co-occurring SUD/MH disorders within and transitioning out of the criminal justice system; and 2. Increase funding for jails to provide treatment to inmates with OUD. G. Prevention Programs 1. Funding for media campaigns to prevent opioid use (similar to the FDA's "Real Cost" campaign to prevent youth from misusing tobacco); 2. Funding for evidence-based prevention programs in schools.; 3. Funding for medical provider education and outreach regarding best prescribing practices for opioids consistent with the 2016 CDC guidelines, including providers at hospitals (academic detailing); 4. Funding for community drug disposal programs;and 5. Funding and training for first responders to participate in pre-arrest diversion programs, post- overdose response teams, or similar strategies that connect at-risk individuals to behavioral health services and supports. H. Expanding Syringe Service Programs 1. Provide comprehensive syringe services programs with more wrap-around services including linkage to OUD treatment,access to sterile syringes.and linkage to care and treatment of infectious diseases. I. __.Evidence-based data collection and research analyzing the effectiveness of the abatement strategies within the State. 28 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 CA Opioid Settlement 16D6 Schedule B—Approved Uses PART ONE: TREATMENT A. TREAT OPIOID USE DISORDER(OUD) Support treatment of Opioid Use Disorder(OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies that may include, but are not limited to, the following:2 1. Expand availability of treatment for OUD and any co-occurring SUD/MH conditions, including all forms of Medication-Assisted Treatment (MAT) approved by the U.S. Food and Drug Administration. 2. Support and reimburse evidence-based services that adhere to the American Society of Addiction Medicine(ASAM)continuum of care for OUD and any co-occurring SUD/MH conditions. 3. Expand telehealth to increase access to treatment for OUD and any co-occurring SUD/MH conditions, including MAT, as well as counseling, psychiatric support, and other treatment and recovery support services. 4. Improve oversight of Opioid Treatment Programs_(OTPs) to assure evidence-based or evidence- informed practices such as adequate methadone dosing and low threshold approaches to treatment. 5. Support mobile intervention,treatment,and recovery services,offered by qualified professionals and service providers,such as peer recovery coaches,for persons with OUD and any co-occurring SUD/MH conditions and for persons who have experienced an opioid overdose. 6. Treatment of trauma for individuals with OUD(e.g., violence, sexual assault,human trafficking or adverse childhood experiences)and family members(e.g., surviving family members after an overdose or overdose fatality),and training of health care personnel to identify and address such trauma. 7. Support evidence-based withdrawal management services for people with OUD and any co- occurring mental health conditions. 8. Training on MAT for health care providers, first responders, students. or other supporting professionals, such as peer recovery coaches or recovery outreach specialists. including telementoring to assist community-based providers in rural or underserved areas. 9. Support workforce development for addiction professionals who work with persons with OUD and any co-occurring SUD/MH conditions. 1� Fellowships for addiction medicine specialists for direct patient care, instructors, and clinical research for treatments. 11. Scholarships and supports for behavioral health practitioners or workers involved in addressing OUD and any co-occurring SUD or mental health conditions, including but not limited to training,scholarships,fellowships,loan repayment programs,or other incentives for providers to work in rural or underserved areas. 12. "Intentionally Blank—to be cleaned up later for numbering' 13. Provide funding and training for clinicians to obtain a waiver under the federal Drug Addiction Treatment Act of 2000 (DATA 2000) to prescribe MAT for OUD, and provide technical assistance and professional support to clinicians who have obtained a DATA 2000 waiver. 2. As used in this Schedule B, words like "expand," "fund." "provide" or the like shall not indicate a preference for new or existing programs. Priorities will be established through the mechanisms described in the Term Sheet. 29 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CA0 16D6 14. Dissemination of web-based training curricula, such as the American Academy of Addiction Psychiatry's Provider Clinical Support Service-Opioids web-based training curriculum and motivational interviewing, 15. Development and dissemination of new curricula, such as the American Academy of Addiction Psychiatry's Provider Clinical Support Service for Medication-Assisted Treatment. B. SUPPORT PEOPLE IN TREATMENT AND RECOVERY Support people in treatment for or recovery from OUD and any co-occurring SUD/MH conditions through evidence-based or evidence-informed programs or strategies that may include, but are not limited to, the following: 1. Provide comprehensive wrap-around services to individuals with OUD and any co-occurring SUD/MH conditions, including housing, transportation, education,job placement,job training, or childcare. 2. Provide the full continuum of care of treatment and recovery services for OUD and any co- occurring SUD/MH conditions, including supportive housing, peer support services and counseling, community navigators, case management, and connections to community-based services. 3. Provide counseling, peer-support, recovery case management and residential treatment with access to medications for those who need it to pci n ith 01 t)and any co-occurring SUD/MH conditions. 4. Provide access to housing for people with OUD and any co-occurring SUD/MH conditions, including supportive housing, recovery housing, housing assistance programs, training for housing providers, or recovery housing programs that allow or integrate FDA-approved medication with other support services. 5. Provide community support services, including social and legal services, to assist in deinstitutionalizing persons with OUD and any co-occurring SUD/MH conditions. 6. Support or expand peer-recovery centers, which may include support groups, social events, computer access, or other services for persons with OUD and any co-occurring SUD/MH conditions. 7. Provide or support transportation to treatment or recovery programs or services for persons with OUD and any co-occurring SUD/MH conditions. 8. Provide employment training or educational services for persons in treatment for or recovery from OUD and any co-occurring SUD/MH conditions. 9. Identify successful recovery programs such as physician, pilot, and college recovery programs, and provide support and technical assistance to increase the number and capacity of high-quality programs to help those in recovery. 10. Engage non-profits, faith-based communities, and community coalitions to support people in treatment and recovery and to support family members in their efforts to support the person with OUD in the family. 11. Training and development of procedures for government staff to appropriately interact and provide social and other services to individuals with or in recovery from OUD, including reducing stigma. 12. Support stigma reduction efforts regarding treatment and support for persons with OUD, including reducing the stigma on effective treatment. 13. Create or support culturally appropriate services and programs for persons with OUD and any co- occurring SUD/MH conditions, including new Americans. 14. Create and/or support recovery high schools. 15. Hire or train behavioral health workers to provide or expand any of the services or supports listed above. 30 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 C. CONNECT PEOPLE WHO NEED HELP TO THE HELP THEY NEED (CONNECTIONS TO CARE) Provide connections to care for people who have — or at risk of developing - OUD and any co- occurring SUD/MH conditions through evidence-based or evidence-informed programs or strategies that may include, but are not limited to,the following: 1. Ensure that health care providers are screening for OUD and other risk factors and know how to appropriately counsel and treat(or refer if necessary)a patient for OUD treatment. 2. Fund Screening, Brief Intervention and Referral to Treatment (SBIRT) programs to reduce the transition from use to disorders, including SBI R F services to pregnant women who are uninsured or not eligible for Medicaid. 3. Provide training and long-term implementation of SBIRT in key systems (health, schools, colleges,criminal justice,and probation),with a focus on youth andyoung adults when transition from misuse to opioid disorder is common. 4. Purchase automated versions of SBIRT and support ongoing costs of the technology. 5. Expand services such as navigators and on-call teams to begin MAT in hospital emergency departments. 6. Training for emergency room personnel treating opioid overdose patients on post-discharge planning, including community referrals for MAT, recovery case management or support services. 7. Support hospital programs that transition persons with OUD and any co-occurring SUD/MH conditions, or persons who have experienced an opioid overdose, into clinically-appropriate follow-up care through a bridge clinic or similar approach. 8. Support crisis stabilization centers that serve as an alternative to hospital emergency departments for persons with OUD and any co-occurring SUD/MH conditions or persons that have experienced an opioid overdose. 9. Support the work of Emergency Medical Systems, including peer support specialists,to connect individuals to treatment or other appropriate services following an opioid overdose or other opioid- related adverse event. 10. Provide funding for peer support specialists or recovery coaches in emergency departments, detox facilities, recovery centers, recovery housing, or similar settings; offer services. supports, or connections to care to persons with OUD and any co-occurring SUD/MH conditions or to persons who have experienced an opioid overdose. II 1. Expand warm hand-off services to transition to recovery services. 12. Create or support school-based contacts that parents can engage with to seek immediate treatment services for their child; and support prevention, intervention, treatment. and recover- programs focused on young people. 13. Develop and support best practices on addressing OUD in the workplace. 14. Support assistance programs for health care providers with OUD. 15. Engage non-profits and the faith community as a system to support outreach for treatment. 16. Support centralized call centers that provide information and connections to appropriate services and supports for persons with OUD and any co-occurring SUD/MH conditions. D. ADDRESS THE NEEDS OF CRIMINAL-JUSTICE-INVOLVED PERSONS Address the needs of persons with OUD and any co-occurring SUD/MH conditions who are involved in,are at risk of becoming involved in,or are transitioning out of the criminal justice system through 31 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 c� idence-based or evidence-informed programs or strategies that may include, but are not limited to, the following: 1. Support pre-arrest or pre-arraignment diversion and deflection strategies for persons with OUD and any co-occurring SUD/MH conditions, including established strategies such as: a. Self-referral strategies such as the Angel Programs or the Police Assisted Addiction Recovery Initiative(PAARI); b. Active outreach strategies such as the Drug Abuse Response Team (DART)model; c. "Naloxone Plus" strategies, which work to ensure that individuals who have received naloxone to reverse the effects of an overdose are then linked to treatment programs or other appropriate services; d. Officer prevention strategies, such as the Law Enforcement Assisted Diversion (LEAD) model; e. Officer intervention strategies such as the Leon County, Florida Adult Civil Citation Network or the Chicago Westside Narcotics Diversion to Treatment Initiative;or f. Co-responder and/or alternative responder models to address OUD-related 911 calls with greater SUD expertise. 2. Support pre-trial services that connect individuals with OUD and any co-occurring SUD/MH conditions to evidence-informed treatment, including MAT, and related services. 3. Support treatment and recovery courts that provide evidence-based options for persons with OUD and any co-occurring SUD/MH conditions. 4. Provide evidence-informed treatment, including MAT, recovery support, harm reduction, or other appropriate services to individuals with OUD and any co-occurring SUD/MH conditions who are incarcerated in jail or prison. 5. Provide evidence-informed treatment, including MAT, recovery support, harm reduction, or other appropriate services to individuals with OUD and any co-occurring S1 D/MH conditions who are leaving jail or prison have recently left jail or prison, are on probation or parole, are under community corrections supervision, or are in re-entry programs or facilities. 6. Support critical time interventions(CTI),particularly for individuals living with dual-diagnosis OUD/serious mental illness, and services for individuals who face immediate risks and service needs and risks upon release from correctional settings. 7. Provide training on best practices for addressing the needs of criminal justice-involved persons with OUD and any co-occurring SUD/MH conditions to law enforcement, correctional, or judicial personnel or to providers of treatment, recovery, harm reduction, case management, or other services offered in connection with any of the strategies described in this section. E. ADDRESS THE NEEDS OF PREGNANT OR PARENTING WOMEN AND THEIR FAMILIES,INCLUDING BABIES WITH NEONATAL ABSTINENCE SYNDROME Address the needs of pregnant or parenting women with OUD and any co-occurring SUD/MI-1 conditions, and the needs of their families, including babies with neonatal abstinence syndrome (NAS), through evidence-based or evidence-informed programs or strategies that may include. but are not limited to,the following: 1. Support evidence-based or evidence-informed treatment, including MAT, recovery services and supports, and prevention services for pregnant women—or women who could become pregnant —who have OUD and any co-occurring SUD/MH conditions,and other measures to educate and provide support to families affected by Neonatal Abstinence Syndrome. 32 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 16D6 2. Expand comprehensive evidence-based treatment and recovery services, including MAT, for uninsured women with OUD and any co-occurring SUD/MH conditions for up to 12 months postpartum. 3. Training for obstetricians or other healthcare personnel that work with pregnant women and their families regarding treatment of OUD and any co-occurring SUD/MH conditions. 4. Expand comprehensive evidence-based treatment and recovery support for NAS babies; expand services for better continuum of care with infant-need dyad; expand long-tenn treatment and services for medical monitoring of NAS babies and their families. 5. Provide training to health care providers who work with pregnant or parenting women on best practices for compliance with federal requirements that children born with Neonatal Abstinence Syndrome get referred to appropriate services and receive a plan of safe care. 6. Child and family supports for parenting women with OUD and any co-occurring SUD/MH conditions. 7. Enhanced family supports and child care services for parents with OUD and any co-occurring SUD/MH conditions. 8. Provide enhanced support for children and family members suffering trauma as a result of addiction in the family; and offer trauma-informed behavioral health treatment for adverse childhood events. 9. Offer home-based wrap-around services to persons with OUD and any co-occurring SUD/MH conditions, including but not limited to parent skills training. 10. Support for Children's Services - Fund additional positions and services, including supportive housing and other residential services, relating to children being removed from the home and/or placed in foster care due to custodial opioid use. PART TWO: PREVENTION F. PREVENT OVER-PRESCRIBING AND ENSURE APPROPRIATE PRESCRIBING AND DISPENSING OF OPIOIDS Support efforts to prevent over-prescribing and ensure appropriate prescribing and dispensing of opioids through evidence-based or evidence-informed programs or strategies that may include,but are not limited to,the following: I. Fund medical provider education and outreach regarding best prescribing practices for opioids consistent with Guidelines for Prescribing Opioids for Chronic Pain from the U.S. Centers for Disease Control and Prevention, including providers at hospitals(academic detailing). 2. Training for health care providers regarding safe and responsible opioid prescribing,dosing,and tapering patients off opioids. 3. Continuing Medical Education(CME)on appropriate prescribing of opioids. 4. Support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal,evidence-informed treatment of pain. 5. Support enhancements or improvements to Prescription Drug Monitoring Programs (PDMPs), including but not limited to improvements that: a. increase the number of prescribers using PDMPs; b. improve point-of-care decision-making by increasing the quantity, quality, or format of data available to prescribers using PDMPs, by improving the interface that prescribers use to access PDMP data,or both; or c. Enable states to use PDMP data in support of surveillance or intervention strategies, including MAT referrals and follow-up for individuals identified within PDMP data as 33 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAO 1 6 D 6 • likely to experience OUD in a manner that complies with all relevant privacy and security laws and rules. 6. Ensuring PDMPs incorporate available overdose/naloxone deployment data, including the United States Department of Transportation's Emergency Medical Technician overdose database in a manner that complies with all relevant privacy and security laws and rules. 7. Increase electronic prescribing to prevent diversion or forgery. 8. Educate Dispensers on appropriate opioid dispensing. G. PREVENT MISUSE OF OPIOIDS Support efforts to discourage or prevent misuse of opioids through evidence-based or evidence- informed programs or strategies that may include, but are not limited to,the following: 1. Fund media campaigns to prevent opioid misuse. 2. Corrective advertising or affirmative public education campaigns based on evidence. 3. Public education relating to drug dismal. 4. Drug take-back disposal or destruction programs. 5. Fund community anti-drug coalitions that engage in drug prevention efforts. 6. Support community coalitions in implementing evidence-informed prevention, such as reduced social access and physical access, stigma reduction— including staffing, educational campaigns, support for people in treatment or recovery, or training of coalitions in evidence-informed implementation, including the Strategic Prevention Framework developed by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA). 7. Engage non-profits and faith-based communities as systems to support prevention. 8. Fund evidence-based prevention programs in schools or evidence-informed school and community education programs and campaigns for students, families, school employees, school athletic programs, parent-teacher and student associations, and others. 9. School-based or youth-focused programs or strategies that have demonstrated effectiveness in preventing drug misuse and seem likely to be effective in preventing the uptake and use of opioids. 10. Create of support community-based education or intervention services for families, youth, and adolescents at risk for OUD and any co-occurring SUD/MH conditions. 11. Support evidence-informed programs or curricula to address mental health needs of young people who may be at risk of misusing opioids or other drugs_ including emotional modulation and resilience skills. 12. Support greater access to mental health services and supports for young people, including services and supports provided by school nurses, behavioral health workers or other school staff, to address mental health needs in young people that(when not properly addressed) increase the risk of opioid or other drug misuse. H, PREVENT OVERDOSE DEATHS AND OTHER HARMS(HARM REDUCTION) Support efforts to prevent or reduce overdose deaths or other opioid-related harms through evidence- based or evidence-informed programs or strategies that may include, but are not limited to, the following: I. Increase availability and distribution of naloxone and other drugs that treat overdoses for first responders, overdose patients, individuals with OUD and their friends and family members, individuals at high risk of overdose, schools, community navigators and outreach workers, persons being released from jail or prison,or other members of the general public. 34 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CA.O 16D6 2. Public health entities provide free naloxone to anyone in the community. 3. Training and education regarding naloxone and other drugs that treat overdoses for first responders, overdose patients,patients taking opioids, families, schools, community support groups, and other members of the general public. 4. Enable school nurses and other school staff to respond to opioid overdoses, and provide them with naloxone, training,and support. 5. Expand, improve, or develop data tracking software and applications for overdoses/naloxone revivals. 6. Public education relating to emergency responses to overdoses. 7. Public education relating to immunity and Good Samaritan laws. 8. Educate first responders regarding the existence and operation of immunity and Good Samaritan laws. 9. Syringe service programs and other evidence-informed programs to reduce harms associated with intravenous drug use, including supplies, staffing, space, peer support services, referrals to treatment, fentanyl checking, connections to care, and the full range of harm reduction and treatment services provided by these programs. 10. Expand access to testing and treatment for infectious diseases such as Illy and Hepatitis C resulting from intravenous opioid use. 11. Support mobile units that offer or provide referrals to harm reduction services, treatment, recovery supports,health care,or other appropriate services to persons that use opioids orpersons with OUD and any co-occurring SUD/MH conditions. 12. Provide training in harm reduction strategies to health care providers, students, peer recovery coaches, recovery outreach specialists, or other professionals that provide care to persons who use opioids or persons with OUD and any co-occurring SUD/MH conditions. 13. Support screening for fentanyl in routine clinical toxicology testing. PART THREE: OTHER STRATEGIES I. FIRST RESPONDERS In addition to items in sections C, D, and H relating_to first responders,support the following: 1. Educate law enforcement or other first responders regarding appropriate practices and precautions when dealing with fentanyl or other drugs. 2. Provision of wellness and support services for first responders and others who experience secondary trauma associated with opioid-related emergency events. LEADERSHIP,PLANNING AND COORDINATION Support efforts to provide leadership, planning, coordination, facilitation, training and technical assistance to abate the opioid epidemic through activities, programs, or strategies that may include, but are not limited to,the following: 1. Statewide, regional, local, or community regional planning to identify root causes of addiction and overdose,goals for reducing harms related to the opioid epidemic,and areas and populations with the greatest needs for treatment intervention services; to support training and technical assistance; or to support other strategies to abate the opioid epidemic described in this opioid abatement strategy list. 2. A dashboard to share reports, recommendations, or plans to spend opioid settlement funds; to show how opioid settlement funds have been spent; to report program or strategy outcomes; or 35 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CA« 16D6 to track, share, or visualize key opioid-related or health-related indicators and supports as identified through collaborative statewide, regional, local, or community processes. 3. Invest in infrastructure or staffing at government or not-for-profit agencies to support collaborative, cross-system coordination with the purpose ofpreventing overprescribing. opioid misuse,or opioid overdoses,treating those with OUD and any co-occurring SUD/MI l conditions, supporting them in treatment or recovery, connecting them to care, or implementing other strategies to abate the opioid epidemic described in this opioid abatement strategy list. 4. Provide resources to staff government oversight and management of opioid abatement programs. K. TRAINING In addition to the training referred to throughout this document, support training to abate the opioid epidemic through activities, programs. or strategies that may include, but are not limited to. the following: 1. Provide funding for staff training or networkingprograms and services to improve the capability of government,community,and not-for-profit entities to abate the opioid crisis. 2. Support infrastructure and staffing for collaborative cross-system coordination to prevent opioid misuse,prevent overdoses,and treat those with OUD and any co-occurring SUD/MH conditions, or implement other strategies to abate the opioid epidemic described in this opioid abatement strategy list(e.g., health care,primary care, pharmacies, PDMPs, etc.). L. RESEARCH Support opioid abatement research that may include, but is not limited to, the following: 1. Monitoring, surveillance,data collection,and evaluation of programs and strategies described in this opioid abatement strategy list. 2. Research non-opioid treatment of chronic pain, 3. Research on improved service delivery for modalities such as SBIRT that demonstrate promising but mixed results in populations vulnerable to opioid use disorders. 4. Research on novel harm reduction and prevention efforts such as the provision of fentanvl test strips. 5. Research on innovative supply-side enforcement efforts such as improved detection of mail- based delivery of synthetic opioids. 6. Expanded research on swift/certain/fair models to reduce and deter opioid misuse within criminal justice populations that build upon promising approaches used to address other substances (e.g Hawaii HOPE and Dakota 24/7). 7. Epidemiological surveillance of OUD-related behaviors in critical populations including individuals entering the criminal justice system, including but not limited to approaches modeled on the Arrestee Drug Abuse Monitoring(ADAM)system. 8. Qualitative and quantitative research regarding public health risks and harm reduction opportunities within illicit drug markets, including surveys of market participants who sell or distribute illicit opioids. 4. Geospatial analysis of access barriers to MAT and their association with treatment engagement and treatment outcomes. 36 Collier County Sheriff s Office 2024-03 CCSO Opioid Amendment#3 O Opioid Settlement l A 16D6 EXHIBIT E QUARTERLY PROGRESS REPORT Subrecipient Name: Collier County Sheriff's Office Report Period: Fiscal Year: Project Number: Organization' Project: Contact Name: Contact Number: DESCRIPTION QUARTER QUARTER QUARTER QUARTER CUMULATIVE YEARLY I 2 3 4 TOTAL TARGET * Total Number of 40 Inmates Starting MAT Program (NEW/INDUCTIONS) MAT Services-# of inmates receiving Vivitrol (injectable) MAT Services- #of inmates receiving Sublocade(injectable) MAT Services- # of inmates receiving Brixadi (injectable) Other MAT Medication services not specified above (this number includes those inmates started on induction phase; but not yet on injectable) Total Number of 40 Inmates continued on the MAT Program (this number includes those who are arrested while on MAT or those MAT-Program) MAT Services - # of inmates receiving buprenorphine/ suboxone/subutex 37 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CAP 16D6 DESCRIPTION QUARTER QUARTER QUARTER QUARTER CUMULATIVE YEARLY 1 2 3 4 TOTAL TARGET * MAT Services - # of inmates receiving Methadone MAT Services - #of inmates receiving Vivitrol (injectable) MAT Services-#of inmates receiving Sublocade(injectable) MAT Services - # of inmates receiving Brixadi (injectable) Total Number of 80 Inmates on MAT (includes New and Gentle-nations Inductions and Continuations) Number of Outreach Activities (media spots)—Laced & Lethal *These are projections only and are not subject to a reduction in funds should they not be met. I hereby certify the above information is true and accurate. Name: Signature: . — — ---- Title: — -- — —Your typed name here represents your electronic signature 38 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement 161) 6 Collier County Community & Human Services Division EXHIBIT:G INCIDENT REPORT FORM Organization Name: Organization Address: Project No: Grant Coordinator: Carolyn Noble Date of Incident 1 Time of Incident: Report Submitted By: (Name & Phone) Description of Incident: Location/Address of Incident: Was Police Report Filed? ❑ Yes ❑ No If Yes,Police Report Number: 1 Jurisdiction: Were there any warning signs that this type of Incident could occur? '� Yes ❑ No If Yes, Explain: What actions will be taken to prevent a recurrence of a similar incident? I certify under penalty of perjury under F.S. 837.06 that the contents of this affidavit are true and correct. Signature of Person Making Report Date Printed Name Title Return completed form to: Kristi Sonntag, Director,CHS Collier County Community and Human Services Division 3339 Tamiami Trail East, Bldg. H,Suite 213 Naples, FL 34112 Fax: (239)252-2638 39 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement 16D6 EXHIBIT II COLLIER COUNTY COMMUNITY & HUMAN SERVICES WHISTLEBLOWER PROTECTIONS AFFIDAVIT SUBRECIPIENT Name:j SUBRECIPIENT Address: Project Name:Opioid Abatement Funds Project No: In accordance with 2 CFR 200.217 and 4I U.S.C. § 4712, SUBRECIPI ENT may not discharge,demote,or otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or grants,a substantial and specific danger to public health or safety,or a violation of law, rule, or regulation related to a federal contract(including the competition for or negotiation of a contract) or grant. The list of persons and entities referenced in the paragraph above includes the following: • A member of Congress or a representative of a committee of Congress • An Inspector General • The Government Accountability Office • A Treasury employee responsible for contract or grant oversight or management • An authorized official of the Department of Justice or other law enforcement agency • A court or grand jury • A management official or other employee of SUBRECIPIENT, contractor, or subcontractor who has the responsibility to investigate, discover, or address misconduct SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies provided under section 41 U.S.C. § 4712, in the predominant native language of the workforce. By signing this affidavit, I certify that Subcontractor Name will comply with all Whistleblower rights and protections for its employees. Name: Signature: Title: Your N2ed name here represents your electronic signature 40 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement CA° 16D6 EXHIBIT I DEPARTMENT OF ELDER AFFAIRS BACKGROUND SCREENING ATTESTATION OF COMPLIANCE - EMPLOYER AUTHORITY:ALL EMPLOYERS are required to annually submit this form attesting to compliance with the provisions of chapter 435 and section 430.0402 of the Florida Statutes. The term"employer"means any person or entit\ required by law to conduct background screenings,including but not limited to,Area Agencies on Aging/Aging and Disability Resource Centers,Lead Agencies,and Service Providers that contract directly or indirectly with the Department of Elder Affairs(DOEA),and any other person or entity which hires employees or has volunteers in service who meet the definition of a direct service provider. See§§435.02,430.0402,Ha.Stat. A direct service provider is"a person 18 years of age or older who,pursuant to a program to provide services to the elderly,has direct,face-to-face contact with a client while providing services to the client and has access to the client's living areas,funds,personal property,or personal identification information as defined in s.817.568. The term also includes,but is not limited to,the administrator or a similarly tilled person who is responsible for the day-to-day operations of the provider,the financial officer or similarly titled person who is responsible for the financial operations of the provider, coordinators, managers, and supervisors of residential facilities, and volunteers,and any other person seeking employment with a provider who is expected to,or whose responsibilities may require him or her to, provide personal care or services directly to clients or have access to client funds, financial matters,legal matters,personal property.or living areas."§430.0402(l)(b),Fla.Stat (2023) ATTESTATION As the duly authorized representative of: (Name of Employer) Located at Street address City State Zip Code Under penalty of perjury, I, _ (Name of Representative) hereby swear or affirm that the above-named employer is in compliance with the provisions of chapter 435 and section 430.0402 of the Florida Statutes,regarding level 2 background screening. Signature of Representative Date DOEA Fort 235,Attestation of Compliance-Employer,Effective October 2023,F S Form available et:https::relderatTarrs or¢alwut-us-background-screeni�bickg,,round�crcreeninp-clearrnghou etrainme<_ ac..cessinc-the-c i earinahoase 41 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement L.;h,t 16I) 6 EXHIBIT J Dept. of Children and Families Executive Compensation Report Executive Compensation Annual Report Instructions: Upon entering into a contract with the Department of Children and Families(Department),and annually by May 1 of each year, providers in a contract with the Department must complete Sections 1 and 2 of this form,and Section 3 if required.Completion of this document is required to comply with the Federal Funding Accountability and Transparency Act(FFATA)and Executive Order 20-44. All references to entity or contract(s) in Sections 2 and 3 shall refer to the Entity and Contract(s)identified in Section 1. Upon completion submit this form to the relevant Department Contract manager(s). Section 1:Attestation I swear(or affirm)to my authority to make binding representations on behalf of the entity listed below,the information contained in this document is accurate and complete to the best of the below-listed entity's knowledge,and both I and the below-listed entity intend the Department rely upon the information contained in this document. Entity Name Department Contract Numbers UEID Number Printed Name of Authorized Person Signature of Authorized Person Date STATE OF FLORIDA COUNTY OF Sworn to (or affirmed)before me by means of❑physical presence or❑online notarization,this day n! Signature of Notary Public-State of Florida Personally Known OR Produced Identification Type of Identification Produced Section 2: Qualifying Questions 1) Did one or more of the contract(s)result from the Entity being named in federal law or Florida Statutes (substantive or appropriation)as the required recipient of a single source,public-privateagreement? ❑Yes ❑ No 2) During the preceding fiscal year,did the Entity receive 50%or more of its budget from either the State of Florida or from a combination of State and Federal funds? ❑Yes ❑ No 3) During the preceding fiscal year,did the Entity: (a)receive more than$25 million in total federal funding,(b) the federal funds so received accounted for more than 80%of the Provider's annual gross revenue,and(c)was the compensation of top five executives for the preceding fiscal year not available publicly? ❑Yes ❑ No If the answer to any question in this section is Yes,you must proceed to and complete Section 3.Otherwise, submit this form to your relevant Department Contract Manager PCMT-08 Effective February 15,2023 • 42 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 Opioid Settlement `p,CS 16D6 Section 3:Annual Executive Compensation Report Attach the latest copy of the Entity's most recent IRS Form 990 and complete the following. If the IRS 990 form is unavailable for the last fiscal year, please explain why: List the Entity's current directors,board members, chief executive officer,chief financial officer,chief operating officer, and any other person performing equivalent functions by their title,total annual compensation,and the percentage of compensation from state (FL %)or federal(Fed %)allocations If any executive compensation changes prior to the next annual report,the Entity must submit an updated version of this report with those changes,and their total annual compensation. Total annual compensation includes salary, bonuses,cashed- in-leave,cash equivalents, paid personal leave, severance pay,retirement benefits, deferred compensation, real-property gifts,and any other payout[see also 17 CFR 229 402(c)(2)]. Include the percentage of the total compensation directly from the state or federal allocations to the contracted entity. If any of the above-listed persons also receive compensation from organizations that:(a)created or were created by the Entity; (b)that were created by any of the above-listed persons whose compensation therefrom also derives from state or federal allocations;or(c)contract with the Entity,then identify the organization(s),their relationship with the Entity or the above listed person, and that person's annual compensation from each such organization,and the percentage of that compensation from state(FL%)or federal(Fed%)allocations.The Entity is not required to disclose the additional compensation a person receives from organizations that contract with the Entity if the above listed person was identified solely upon the person's status as an uncompensated member of the Entity's board of directors,whatever the person's actual title in the organization. Name Title Compensation Total Annual FL% Fed' FL 8 Fed % (Total) . _ PCMT-08 Effective Feb 15, 2023 2 43 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 • © Opioid Settlement l, 16D6 IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY, have each, respectively,by an authorized person or agent,hereunder set their hands and seals on the date first written above. ATTEST: AS TO COUNTY: CRYSTAL K. KI L, CLERK BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA ' Deputy Clerk Afkest alto chaiytr�an's By: 41[44%.,,,ter#40•0"- -..sionatin- _only :' BURT L. SAUNDERS, CHAIRPERSON _n .. Dated:_ ''d7 .it A0 _._ (SEAL) Date: 7/g /as AS TO SUBRECIPIENT: WITNESS : COLLER COUNTY SHERIFF'S OFFICE AGCP,� Witne #1 Signature By: _ PAr,u, £ti,'z. KEVIN RAMBO K, SHERIFF Witness#1 Printed Name -/ `.2 �� Date: /p� Witnes ' nature [Please provide evidence of signing authority] Ti 11;4 1 /R yid,- Witness#2'finted Mime Approva .s o f•i -'and legality: I .01.11041 i Jeffrey 'Ft kow to nt. Attorney 44 Collier County Sheriff's Office 2024-03 CCSO Opioid Amendment#3 0,0 Opioid Settlement