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Commission approves opioid‑abatement grant, EHE and Ryan White subrecipient contracts totaling millions

Shelby County Board of Commissioners · April 14, 2026

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Summary

Shelby County commissioners approved state opioid‑abatement funding for naloxone/fentanyl‑strip vending machines and multiple subrecipient contracts under federal HIV grants (Ending the HIV Epidemic and Ryan White programs), with discussion focused on ZIP‑code targeting, vendor locations, and public transparency of allocation maps.

The Shelby County Board of Commissioners approved several public‑health funding items that together expand opioid‑response resources and continue county‑administered HIV services to community providers.

Item 6 authorized acceptance of $261,527 in state opioid‑abatement funds to support local opioid abatement and remediation activities; the health department said the award will fund one full‑time epidemiology position and vending machines stocked with naloxone and fentanyl test strips placed in high‑impact ZIP codes and partner locations. Lori Brooks, deputy director of the Shelby County Health Department, said vending machines will be placed downtown (201 Poplar), at 814 Jefferson in the Medical District, in Whitehaven (Greater Whitehaven Economic Redevelopment Corporation), and at an East Memphis public‑health clinic. Commissioner Thornton questioned the selection logic and urged the administration to provide detailed ZIP‑code and partner‑location information to the full commission and to make it public; Brooks said marketing funds and partners will help publicize availability and that the department will circulate more location details.

The commission also approved Item 10, seven subrecipient contracts under the Ending the HIV Epidemic (EHE) grant totaling $1,700,000, and Item 20, 13 subrecipient contracts under Ryan White Part A/MAI totaling $6,902,702. Commissioners sought clarity about which subrecipients are headquartered in priority ZIP codes and asked that summary information be made publicly available. "I would like for it to be public facing in our system," Commissioner Thornton said. Lori Brooks explained the RFP process, the planning council role and that subrecipients applied via an RFP published on the county website. Dr. Bruce Randolph (S14) clarified that the Ryan White program funds people already diagnosed with HIV and not general prevention services.

Votes on the health funding items carried on recorded tallies (Item 6 passed with 10 ayes; Item 10 passed with 11 ayes; Item 20 passed with 8 ayes). Commissioners requested that staff provide commissioners and the public with target ZIP‑code maps and lists of subrecipient service locations so members can confirm geographic reach and local presence.

The actions expand county harm‑reduction access points and fund core medical and supportive services for people living with HIV; implementation and public outreach will rely on department partners and pending procurement/contract documents.