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Sampson County approves resolution allocating opioid settlement funds for naloxone distribution and a two‑year post‑overdose response team
Summary
The Board approved a resolution directing opioid settlement funds under State MOA Option A, allocating $133,097.76 for naloxone distribution (July 1, 2025–June 2027) and funding a two‑person post‑overdose response team (PORT) for two years; motion carried unanimously.
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Sampson County commissioners approved a resolution authorizing the county to spend opioid settlement funds under the state memorandum of agreement (Option A) to support specified strategies, including naloxone distribution and a post‑overdose response team.
The resolution adopted by the board directs county authorities to follow the state’s MOA on allocation, use and reporting for funds stemming from national settlement agreements. The county’s allocation includes a request of $133,097.76 dedicated to naloxone distribution for the period July 1, 2025, through June 30, 2027.
The board also approved funding for a post‑overdose response team (PORT). Presenters described the PORT as a clinical response modeled elsewhere in North Carolina: two paramedics would staff PORT 12 hours per day, seven days a week, to follow up on overdose incidents, engage individuals who refuse transport after emergency response and work with families to connect people to treatment. The PORT proposal would create two new positions funded from opioid settlement funds for a two‑year period; presenters said county tax dollars would not be used for the positions while opioid funds remain available.
Commissioner questions and conditions Commissioners asked whether the naloxone strategy or the PORT would create new county positions funded by recurring tax dollars. County staff and the presenters said the two PORT positions would be funded through the opioid settlement fund for the two‑year period; if the program continued after opioid funds were exhausted, county staffing options would be considered at that time. Officials stressed that the settlement funds can be spent only on strategies provided in the state memorandum and that the state will review and approve the county’s submissions.
Vote and next steps A motion to adopt the resolution and approve allocation of funds carried. County staff will submit the plan to the state for review and work to clarify standard operating procedures, data sharing and medical oversight for the PORT if implemented.

