Scott County Fiscal Court voted to amend its existing agreement with Net Recovery Corporation to fund up to 20 additional treatment slots, at $3,500 per treatment, using the county’s opioid settlement funds.

The amendment was presented as an addition to an earlier contract funded through opioid settlement proceeds. The court heard that Net Recovery staff track post-treatment outcomes and that a provider-supplied survey indicated over 75% of treated individuals reported not currently using opioids at the time of follow-up. Court members and staff discussed how residential aftercare and wraparound services would be arranged for people leaving the jail or seeking treatment in the community.

Court members noted there is no single local residential provider for men; previous placements have included Isaiah House and other regional facilities. Staff said Mary’s Safe Haven and Shepherd’s House have treated some clients (Mary’s Safe Haven for women) and that Net Recovery has coordinated placements with facilities in neighboring counties when necessary. Participants without private insurance may be enrolled in Medicaid or Medicare by local caseworkers; the court heard that some partners help clients secure public benefits so settlement funds are used only when other payer sources are unavailable.

Financial context: A court member reported the county’s opioid settlement account balance as about $519,000. Staff also said the settlement payments are structured to continue for years and that the county has joined additional settlements, yielding further, though declining, annual payments over time. One court member noted that the annual payment stream will decrease and urged planning so future courts would not simply stop services once the current payments decline.

Action taken: A motion to amend the Net Recovery agreement to add treatment slots was made, seconded, and approved by voice vote. Court members asked staff to develop options and “best practices” gathered from the settlement administrator and other counties to guide longer-term program planning and the use of settlement funds for aftercare and residential placements.

What’s next: Staff were asked to report back with best practices from the settlement administrator and other counties, an assessment of aftercare provider options (Isaiah House, Shepherd’s House, Mary’s Safe Haven), and program planning to sustain services as payments decline.