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2024, 08-13 Formal MeetingMINUTES City of Spokane Valley City Council Regular Meeting Formal Format Tuesday, August 13, 2024 Mayor Haley called the meeting to order at 5 p.m. The meeting was held in person by Council and staff in Council Chambers, and also remotely via Zoom meeting. Attendance. Councilmembers Staff Pam Haley, Mayor John Flohnian, City Manager Tim Hattenburrg, Deputy Mayor Kelly Konkright, City Attorney Rod Higgins, Councihnember Gloria Mantz, City Services Administrator Al Merkel, Councilmcinber John Bottelli, Parks and Rec Director Laura Padden, Councilmember Tony Beattie, Sr. Deputy City Attorney Ben Wick, Councilmember John Whitehead, HR Director Jessica Yaeger, Council►ember Mike Basinger, Economic Dev. Director Bill Helbig, Public Works Director Sean Walter, Assistant Police Chief Jill Smith, Communications Manager Virginia Clough, Legislative Policy Coordinator Adam Jackson, Engineering Manager Justan Kinscl, IT Specialist Marci Patterson, City Clerk INVOCATION: Pastor Brad Bruszer, Genesis Church gave the invocation. PLEDGE OF ALLEGIANCE Council, staff and the audience stood for the Pledge of Allegiance. ROLL CALL City Clerk Patterson called the roll; all Councilmembers were present. APPROVAL OF AGENDA It was moved by Deputy Mciyor Hatlenbtrrg, seconded wid unaniniously agreed to approve the cigendci. INTRODUCTION OF SPECIAL GUESTS AND PRESENTATIONS nla COUNCILMEMBER REPORTS Councihnember Padden: said she attended a Valle, Chamber- meeting, Nation Night Out events, and toured the real time crime center. Councilmcmber Wick: noted that lie attended a FMSIB meeting, Fairchild air force base event, WSDOT meeting, National Night Out events, CCS paint the playground event, and HCDAC meeting. Councilmember Yaeger: said she attended the New World Nails ribbon cutting, toured Partners Inland Northwest, attended National Night Out events, WA hospitality assoc. meeting, and a blessings and beyond coffee niecting. Councihnember Merkel: spoke about attending an OAC meeting. Councilmember Higgins: Spokane Regional Clean Air meeting and noted that they selected the new Executive Director. Deputy Mayor Hattenburg: attended National Night Out events, a flag ceremony for our purple heart city ceremony, and an HCDAC meeting. MAYOR'S REPORT Mayor Haley attended a lot of the same meetings as well as the National Night Out events, STA meetings, and a regional meeting regarding homelessness. Council Meeting Minutes, Fonnal: 08-I3-2024 Page I of 5 Approved by Council: 10-08-2024 PROCLAMATIONS: GENERAL PUBLIC COMMENT OPPORTUNITY: After Mayor Haley explained the process, she invited comments from the public. Mr. Derek Baziotis, Spokane; and Mr. John Harding, Spokane Valley all provided general comments. NEW BUSINESS: 1. Consent Agenda: Consists of items considered routine which are approved as a group. Any member of Council may ask that an item be removed from the Consent Agenda to be considered separately. Proposed Motion: Innove to approve the Consent A,:Yenrla. a. Approval of Claim Vouchers, Aug. 13, 2024, Request for Council Action Form: $2,859,279.64 b. Approval of Payroll for Pay Period ending July 31, 2024: $822,062.95. c. Approval of Council Meeting Minutes of June 18, 2024 d. Approval of Counci I Meeting Minutes of June 25, 2024 e. Approval of Council Meeting Minutes of July 9, 2024 It was moved by Deputy 1fayor Hatternburg, seconded and unanimously agreed to approve the Consent Agenda. 2. Motion Consideration: Bid Award for Trent Access Control Project — Erica Amsden It was moved by Deputy Alayor Hatternburg andseconded to mvard the TrentAvenue Access Control �Y(ifety Improvements Project - CIP #0349 construction contract to Liberty Concrete in the amount of $264,.290 and authorize the City Manager to finalize and execute the conrstructiont contract. Ms. Amsden presented a photo of the proposed changes to the Trent access control project and noted that there were three bids received and that Liberty Concrete was the lowest responsive bidder. Council discussed the bids and the requirements to take the lowest responsive bidder and that the project was 100% grant funded. Mayor Haley called for public comment; no comments were offered. Vote by acclamation on the original motion): in favor Unanimous. Opposed: Xone. Lllotnonn carriecl 3. Motion Consideration: Bid Award Indiana Pavement Preservation Project, Phase I — Erica Amsden It was moved by Deputy Alayor Halternburg and seconded to award the Indiana Avenue Preservation Project —Phase I contract to Cameron Reilly, LLC in the a111011lnt of $1,220,901.00, plus applicable sales tar, and authorize the City Manager tofinalize and execute the construction contract. Ms. Amsden reviewed the project and stated that there were three bidders and that the low bidder was Cameron Reilly. Ms. Amsden also noted that the project would be funded with pavement preservation 311 funds. Council discussed PCI and the ranking of each road and what cost comparison would be if the road was done with asphalt and not concrete. Ms. Amsden noted that while she did not have the financial figures for that comparison, she did state that the concrete would last much longer in such a heavily traveled area. Mayor Haley called for public comment; no comments were offered. Vote by acclamation) on the original motion: in favor: Unanimous. Opposed: Alonne. Alotion carried. ADMINISTRATIVE REPORTS: 4. Admin Report: Whatcorn County Visit — John Hohman. Lance Beck. Zeke Smith City Manager Hohman opened the discussion and introduced Mr. Lance Beck, President and CEO of the Greater Spokane Valley Chamber of Commerce and also noted that Mr. Zeke Smith was not able to attend the mecting. Mr. Beck provided details on the recent trip to Whatcom County with other community officials and business partners. Mr. Hohman noted that groups in Whatcom County came together to create a 15-point action plan and noted the funding for the detention facility and needed replacement as it had deteriorated, and other funding would be allocated for behavioral health. They didn't have all the plans completed when they moved forward and noted that it would just be a 50 50 split for the funding. Fiscal design of the program was interesting as it was laid out more creatively. Council discussed the major differences in the Whatcom County program and our previous Measure 1 ballot measure. Council also Council Meeting Minutes, Formal: 08-13-2024 Page 2 of 5 Approved by Council: I0-08-2024 discussed the filnding, what a cost-effective building may look like and how to move forward with a program like what Whatcom County produced. 5. Admin Report: Spokane Count Housing &Community Development 2025-2029 Consolidated Plan Update - Gloria Mantz, Aidan Fritz, George Dahl Ms. Mantz provided a PowerPoint presentation that included an overview of the 2025-2029 HUD Consolidated Plan that included the long-range goals, identify needs and service gaps, the strategy for implementing Housing and Urban Development (HUD) awarded funds towards county activities. Mr. Fritz also reviewed the needs assessment to include the types of individuals experiencing homelessness, special needs for individuals, types of public improvements and their jurisdiction, and the housing needs compared to provided demographic data. The market analysis was reviewed based on the housing market conditions, hazard mitigation, barriers to affordable housing, assessment of shelters and special needs facilities, and community development assets. They also reviewed the overall strategic plan and the results of the first stakeholder meeting that was held at CenterPlace. Ms. Mantz reviewed the importance of the plan for Spokane Valley and the help to provide filnding to many of the Spokane Valley providers. She also noted the benefits to keeping the funding in the valley. They reviewed the 2025 annual action plan, goals and objectives, projects planned for that program year and that public comments will refer to the entire plan not just the AAP. There was discussion regarding the collaboration efforts and reaching out to many of the partners and meet with them to ensure consistency and share data as well as the citizen participation that listed all of the stakeholder events and locations of those events. Council discussed funding and what can be done at the state level. Ms. Mantz stated that she was seeking consensus to have the mayor sign letters of support for the county. Ultimately council provided consensus to allow the mayor to sign the support letters. It was moved by Hayor Halej, seconded and unaniniously agreed to take a 13-minute recess al 7:47PAf and resume the ineeting at 8: OOPIIT 6. Admin Report: Opioid Funding Discussion - Erik Lamb Mr. Lamb opened the discussion with a brief review of the funding and provided details on some of the appropriate uses of the funding that would include opioid abatement. Mr. Lamb provided information on Narcan uses, reviewed priority services that may be available for the opioid funding, and noted STARS would require additional funding due to the high costs for the yearly fees. Council provided additional options during the discussion that included an interest in funding for the stabilization center, purchase of a police K9, transportation for those to receive treatment, education and prevention services, and finding a telehealth opportunity. Mr. Lamb stated that lie would take the options and research costs and the ability to fiend the options and return at a later date with more information. 7. Admin Report: Council Goals & Priorities for Use of Lodging 'Fax — Sarah Farr, Clielsie Taylor John Hohnian Ms. Farr, Ms. Taylor City Manager Hohnian provided information on the council goals and priorities for - the use of the Lodging Tax. Ms. Taylor- noted the clarifications and modifications that were made from the previous presentation. Council discussed the marketing budget for CenterPlace for up to $60k and questioned if they were going to use all that funding. Ms. Taylor stated that parks has a marketing plan for the finds. Council also discussed the partial funding and it is not a goal to partially fund a project. Ms. Fart - also stated that many of the organizations that were partially funded in the past ultimately rescinded the funding as they could not complete their project with the partial funding and that it was not a cost benefit for them. Council also discussed the process of the application and presentations. Council provided consensus to approve the council goals and priorities as listed in the RCA with a slight modification to note that we prefer to fully fiord. 8. Admin Report: HCDAC Appointment -- John Hohnian City Manager- Hohnian presented the current members on the committee and the need to add an additional committee member. Mr. Holtman stated that currently Deputy Mayor Tint Hattenburg and Ben Wick were Council Meeting Minutes, Fornial: 08-13-2024 Page 3 of 5 Approved by Council: 10-08-2024 part of the committee and felt that this subject matter was extremely complex and there are many boards and funding sources to consider at these meetings. He stated that staff member Gloria Mantz is currently part of many of those boards and would help with the collaboration efforts with the committee. Ms. Mantz provides a wealth of knowledge being part of the boards and as a staff person with the city, she is directly working with staff on some of the topics that arise during the committee meetings. Mr. Hohman stated that the was looking for discussion and consensus to move forward with the motion for submitting the application for Ms. Mantz to become a committee member. Council discussed Laving a staff member on the board versus finding a service provider to sit on the board. They also spoke about Ms. Mantz being very qualified for the position on the board and that the bylaws did not have any requirements or restrictions on members of the board. The discussion closed with consensus to allow Mr. Hohman to return with a motion to submit an application for Ms. Mantz to be part of the HCDAC board. It was moved by Councilmember K-ieger, Seconded and zmanlmously Agreed to extend the council meeting by one hour cif 8:50P111 9. Admin Report: Squatter Rights Review — Kelly Konkri ht Mr. Konkright presented a PowerPoint presentation that included an overview of the legal term for squatter was, remedies for property owners, an overview of the unlawful detainer process per RCW, requirements for removing a squatter from the location, unlawful detainer process and removal by trespass. Council discussed multiple potentials for squatters and their rights. A point of order was raised by Councilmember Higgins. Mayor Haley asked to speak to the point. Councilmember Higgins stated that we could go on all evening with the theoretical all evening. Mayor 1-Ialey stated that she would allow Mr. Konkright to provide a quick answer to the point. Council also discussed various topics that included homeowners right to take possession of their property and squatters rights once they are on someone's property. 10. Admin Report: Governance Manual Revisions — John Hohman City Manager Hohman presented the Governance Manual revisions and provided details on the Governance Manual Committees meetings and the changes requested changes to the manual. Mr. Hohman noted that the largest overall change was to the formatting of each meeting. Council discussed the location of the roll call and that it should be in the same spot each meeting, they reviewed the invocation addition, and the public comment portion being moved to the end of the meetings. Consensus was provided to move the Governance Manual forward for a motion as presented. 11. Advance Agenda — Mayor Hale Councilmember Merkel stated he was going with the request from the community and would like to look at short term lodging taxes and short-term rentals and look at the fees. Councilmember Yaeger stated she would like to see more about oversight and following the rules for the short-term rentals. City Manager Hohman stated that a discussion on the items was placed in the packet, and they could hear from the hoteliers as well. Councilmember Padden stated that she would also include some short-term rental owners as well. Mr. Holman noted that it could be a two-part discussion. Council provided consensus for the two- part discussion. Councilmember Merkel spoke about big fire potential in ponderosa area and was concerned about fire escape routes. City Manager Hohman noted that lie would have our Building Official work with fire districts on a presentation regarding that area as some of it is in Spokane Valley and some of the area is County. INFORMATION ONLY COUNCIL COMMENTS Councilmember Merkel stated that lie was troubled by the action of the council by the governance committee and that rules are being quietly manipulated behind closed doors. A point of order was raised. Mayor Haley asked to speak to the point. Councilmember Higgins stated that there is not anything being done behind closed doors, and we are not manipulating anything. Mayor Haley agreed with the point. Co€urcil Meeting Minutes, Formal: 08-13-2024 Page 4 of 5 Approved by Council: 10-08-2024 CITY MANAGER COMMENTS Mr. Hohman stated that due to hour of the meeting, he would defer his comments and suggested that an Executive Session be added for 30 minutes. Executive Session: It was moved by Deputy jllgyor Rallenburg, seconded acljourn into executive session ,for .30 minutes to discuss pending litigation and that no action will be taken upon return to open session. Vote by acclamation on the original molion: infavor.- 11lcryor Raley, Deputy Mayor Haitenbuig, Coirrrcilniembers i-Vick, Padden, Higgins, and Yaeger. Opposed.• Councihnember Merkel tllotlon carried. Councilmember Merkel stated a nay as the Executive Session was not on the agenda. City Manager Holunan stated that it did not need to be. Mayor Haley stated to the public that she needed to explain the need for Executive Session as it seems it is not understood. The reason for the Executive Session is because things come up suddenly that need to be discussed right away and that is what happened this evening. Council adjourned into executive session at 9:16 p.m. At 9:44p.m. Deput}� Mayor Hallenburg declared Council oul of executive session, at which time it ivas moved by Councihnember Nick, seconded and unanimously agreed to adjourn.. ATTEST: 4.a,cilers-on-, Oty Clerk Pam Haley, Mayor Council Meeting Minutes, Fonnal: 08-13-2024 Approved by Council: 10-08-2024 Page 5 of 5 PUBLIC COMMENT SIGN -IN SHEET SPOKANE VALLEY CITY COUNCIL MEETING Tuesday, August 13, 2024 6:00 p.m. GENERAL PUBLIC COMMENT OPPORTUNITY Please sign up to spear for up to THREE minutes and the Mayon will afford the public the opportunity to speak. The public comment opportunity is limited to a maximum of 45 minutes. NAME TOPIC YOU WILL SPEAK PLEASE PRINT ABOUT YOUR CITY OF RESIDENCE Please note that once information is entered on this form, it becomes a puhlic record suhject to public eliselostire. Marci Patterson From: Patrick Miranne <patrickmiranne@gmail.com> Sent: Monday, August 12, 2024 7:15 PM To: Council Meeting Public Comment Subject: Council meeting [EXTERNAL] This email originated outside the City of Spokane Valley. Always use caution when opening attachments or clicking links. Meeting date: 13 August 2024 Name: Patrick Miranne City: Spokane Valley Agenda: Biking and public transportation infrastructure Improving biking infrastructure and public transportation is crucial for our city's growth and sustainability. Investing in dedicated bike lanes and bike -sharing programs will encourage healthier lifestyles and reduce traffic congestion, while expanding and enhancing public transit will provide equitable access to essential services and alleviate traffic issues. These upgrades will foster a more efficient, accessible, and eco-friendly urban environment. I urge you to prioritize these initiatives forthe benefit of our community. S`p�okane ,, 000O Valley August 13, 2024 Office of Lead Hazard Control and Healthy Homes U.S. Department of Housing and Urban Development 451 SW 7th Street Room 8236 Washington, DC 20410 10210 E Sprague Ave ♦ Spokane Valley, WA 99206 Phone (509) 720-5000 ♦ Fax (509) 720-5075 www.spokaiievalleywa.gov RE: Spokane County 2024 Lead Hazard Control Reduction Grant Application Letter of Support To whom it may concern: The City of Spokane Valley supports Spokane County's grant application for the Lead Hazard Control Reduction program. Lead -based paint is a recognized hazard that poses severe risks to families across the nation, inchiding the Spokane Region. If successful, Spokane County will use this award to address and mitigate this imminent health hazard to improve communities across the county. These funds will contribute to a healthier and safer environment for low-income families with children. The City of Spokane Valley is confident that this grant can make a significant impact on the lives of Spokane Valley residents. Thank you for your consideration of this community proposal, Sincerely, Pam Haley, Mayor On behalf of the City of Spokane Valley Council Exhibit E List o_f_Opioid Remediation Uses Schedule A Core Strategies Settling States and Participating Subdivisions listed on Exhibit G may choose from among the abatement strategies listed in Schedule B. However, priority may be given to the following core abatement strategies ("Core Strategies").' A. NALOXONE OR OTHER FDA -APPROVED DRUG TO REVERSE OPIOID OVERDOSES Expand training for first responders, schools, community support groups and families; and Increase distribution to individuals who are uninsured or whose insurance does not cover the needed service. B. MEDICATION -ASSISTED TREATMENT ("MAC"') DISTRIBUTION AND OTHER OPIOID-RELATED TREATMENT 1. Increase distribution of MAT to individuals who are uninsured or whose insurance does not cover the needed service; 2. Provide education to school -based and youth -focused programs that discourage or prevent misuse; Provide MAT education and awareness training to healthcare providers, EMTs, law enforcement, and other first responders; and 4. Provide 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 and with other support services. 'As used in this Schedule A, words like "expand," "fund," "provide" or the like steal[ not indicate a preference for new or existing programs. E- 1 FH11185097.1 C. PREGNANT & POSTPARTUM WOMEN Expand Screening, Brief Intervention, and Referral to Treatment ("SBIRI") 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 OUD, including housing, transportation, job placement/training, and childcare. D. EXPANDING TREATMENT FOR NEONATAL ABSTINENCE SYNDROME ("NAS") 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 I. 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 S. Hire additional social workers or other behavioral health workers to facilitate expansions above. E- 2 FH 11185097.1 F. TREATMENT FOR INCARCERATED POPULATION 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 CDC guidelines, including providers at hospitals (academic detailing); 4. Funding for community drug disposal programs; and S, 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 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 E- 3 FH 11185097.1 Schedule B Approved Uses 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: 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, those that: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 ("AVM') 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. Provide 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. z As used in this Schedule B, words like "expand," "fund," "provide" or the like shall not indicate a preference for new or existing programs. E- 4 FH 11185097.1 7. Support evidence -based withdrawal management services for people with OUD and any co-occurring mental health conditions. 8, Provide 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. 10. Offer fellowships for addiction medicine specialists for direct patient care, instructors, and clinical research for treatments. 11.Offer scholarships and supports for behavioral health practitioners or workers involved in addressing OUD and any co-occurring SUD/MH 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. 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. 13. Disseminate 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. 14, Develop and disseminate 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 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 programs or strategies that: 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. E- 5 FH 11185097.1 3. Provide counseling, peer -support, recovery case management and residential treatment with access to medications for those who need it to persons with OUD 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 mediation with other support services. 5. Provide community support services, including social and legal services, to assist in deinstitutional i zing 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. Provide 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. E- 6 FH 11185097.1 C. CONNECT PEOPLE WHO NEED HELP TO THE HELP THEY NEED (CONNECTIONS TO CARE) Provide connections to care for people who have —or are 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, those that: 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 SBIRT programs to reduce the transition from use to disorders, including SBIRT 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 and young 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. Provide 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. 11. Expand warm hand-off services to transition to recovery services. E- 7 PH11185097.1 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 recovery 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 evidence -based or evidence -informed programs or strategies that may include, but are not limited to, those that: 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: 1. Self -referral strategies such as the Angel Programs or the Police Assisted Addiction Recovery Initiative ("PAARI"); 2. Active outreach strategies such as the Drug Abuse Response Team ("DART') model; 3. "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; 4. Officer prevention strategies, such as the Law Enforcement Assisted Diversion ("LEAD") model; 5. Officer intervention strategies such as the Leon County, Florida Adult Civil Citation Network or the Chicago Westside Narcotics Diversion to Treatment Initiative; or 6. Co -responder and/or alternative responder models to address OUD-related 911 calls with greater SUD expertise. E- 8 FM 1185097.1 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, farm 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 SUD/MH conditions who are leaving jail or prison or 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/MH 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, those that: 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. 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. E- 9 FH11185097.1 3. Provide training for obstetricians or other healthcare personnel who 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; and expand long-term treatment and services for medical monitoring of NAS babies and their families. S. 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 NAS get referred to appropriate services and receive a plan of safe care. 6. Provide child and family supports for parenting women with OUD and any co- occurring SUD/MH conditions. 7. Provide enhanced family support 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. Provide 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: 1. Funding medical provider education and outreach regarding best prescribing practices for opioids consistent with the 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. E- 10 FH 111 &5097.1 3. Continuing Medical Education (CME) on appropriate prescribing of opioids. 4. Providing Support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi -modal, evidence -informed treatment of pain. 5. Supporting enhancements or improvements to Prescription Drug Monitoring Programs ("PDMPs"), including, but not limited to, improvements that: 1. Increase the number of prescribers using PDMPs; 2. 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 3. 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 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. Increasing electronic prescribing to prevent diversion or forgery. 8. Educating 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. Funding media campaigns to prevent opioid misuse. 2. Corrective advertising or affirmative public education campaigns based on evidence. 3. Public education relating to drug disposal. 4. Drug take -back disposal or destruction programs. 5. Funding community anti -drug coalitions that engage in drug prevention efforts. 6. Supporting 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 E- 11 FH 11185097.1 training of coalitions in evidence -informed implementation, including the Strategic Prevention Framework developed by the US, Substance Abuse and Mental Health Services Administration ("SAMHSA"). 7. Engaging non -profits and faith -based communities as systems to support prevention. S. Funding 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 or 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 another 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: 1. Increased 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, schools, community navigators and outreach workers, persons being released from jail or prison, or other members of the general public. 2. Public health entities providing 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. Enabling school nurses and other school staff to respond to opioid overdoses, and provide them with naloxone, training, and support, E- 12 FH 11185097.1 5. Expanding, improving, or developing 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. Educating 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. Expanding access to testing and treatment for infectious diseases such as HIV and Hepatitis C resulting from intravenous opioid use. 11. Supporting 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 or persons with OUD and any co-occurring SUD/MH conditions. 12. Providing 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 SI.1D/MH conditions. 13. Supporting screening for fentanyl in routine clinical toxicology testing. PART THREE: OTHER STRATEGIES I. FIRST RESPONDERS In addition to items in section C, D and H relating to first responders, support the following: 1. Education of 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. E- 13 FH11185097.1 J. LEADERSHIP PLANNING AND COORDINATION Support efforts to provide leadership, planning, coordination, facilitations, 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, and to support training and technical assistance and other strategies to abate the opioid epidemic described in this opioid abatement strategy list, 2. A dashboard to (a) share reports, recommendations, or plans to spend opioid settlement funds; (b) to show how opioid settlement funds have been spent; (c) to report program or strategy outcomes; or (d) to track, share or visualize key opioid- 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 of preventing overprescribing, opioid misuse, or opioid overdoses, treating those with OUD and any co-occurring SUDIMH 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, those that: 1. Provide funding for staff training or networking programs 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: E- 14 FH 11185097.1 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 fentanyl 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. 9. Gcospatial analysis of access barriers to MAT and their association with treatment engagement and treatment outcomes. E- 15 FH 11185097.1