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Board approves opioid-settlement grants to sheriff, hospitals and community providers
Summary
The board authorized $3.6M (and related awards) from opioid-settlement funds for Sheriff-led SHIELD school outreach, Prop 36 supports with the DA/PD, Marshall Medical Center placements and local prevention and mobile-medication units; HHSA retained administrative funds for placement and program continuity.
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El Dorado County approved a set of awards on June 23 that will disperse opioid-settlement dollars to county public-safety and health providers under a board-approved strategic framework.
Behavioral Health Director Justine Collinsworth explained that the county issued a competitive RFQ in 2025, scored submissions against a board-approved set of “high-impact abatement activities,” and is now proposing agreements that prioritize treatment expansion, justice-system diversion (Prop 36), youth prevention and naloxone distribution. She emphasized these funds do not come from the general fund and the county will retain roughly 10% of allocations for administration and contingency to support placements and capital development of treatment-related interim housing.
Grantees and purpose: the board authorized funding agreements for a mix of county and community recipients — the El Dorado County Sheriff’s SHIELD prevention program, agreements supporting Prop 36 placements coordinated by the District Attorney and Public Defender, Marshall Medical Center for same-day access/treatment placements, El Dorado Community Health Center for mobile medication units and Tahoe Alliance for Safe Kids for youth prevention in the Tahoe area.
Board action and recusal: the board approved the slate of awards after the presentation; one supervisor recused from the vote because Marshall Medical Center is a named recipient.
Why this matters: the award cycle formalizes a local plan for multi-year opioid-settlement proceeds and funds both direct service partners and county-directed placement funds to fill local gaps in treatment access, especially for inpatient placements outside the county.

