What’s Next In WNC After $26 Billion National Opioid Settlement

Jul 30, 2021

Last week, three of the country’s major pharmaceutical distributors reached a $26-billion settlement with several states over opioids.  North Carolina was one of them.  Here’s what happens next:

Local government leaders worked to get all 100 counties in North Carolina to sign onto an agreement on how funding from the settlement would be distributed.

Becky Garland, finance officer for Graham County, was part of the group that worked with the North Carolina Association of County Commissioners (NCACC)  to create the deal.

“I don’t think there was a single member on the committee who had not been touched at some point or the other by a friend or family member who has substance abuse issues,” said Garland.  

It took almost two years for the statewide agreement to come together with NC DOJ, says Garland.

“I sat and watched that press conference and I cried because I really felt like I had made a difference for somebody. That maybe working on this committee has saved a life. If it’s saved one life, it’ll have been worth it,” said Garland.

North Carolina could receive up to $750 million, but all of the state’s counties and biggest cities need to sign on for North Carolina to receive the full amount. Those that don’t sign on won’t receive the settlement in the first year.

As of Friday morning, 42 counties and 15 municipalities have signed on – including all of the far-western North Carolina counties, except Clay and Swain Counties.  

Here's the full list: 

42 counties: Avery, Bladen, Buncombe, Burke, Catawba, Cherokee, Cleveland, Columbus, Edgecombe, Forsyth, Gaston, Graham, Guilford, Halifax, Harnett, Haywood, Henderson, Hyde, Jackson, Johnston, Jones, Macon, Martin, Mecklenburg, Mitchell, Montgomery, Moore, Nash, New Hanover, Orange, Perquimans, Person, Robeson, Rutherford, Scotland, Stanly, Transylvania, Warren, Wake, Washington, Wilson, Yadkin

15 municipalities: Newton, Morganton, Clayton, Asheville, Fuquay-Varina, Gastonia, High Point, Lumberton, Robbinsville, Fontana Dam, Lake Santeetlah, Salisbury, Summerfield, Albemarle, Holly Springs

North Carolina would receive about 85 percent of its share with that turnout, according to NCACC.  Find more info here. 

The rest have until August 21th to sign on.

Garland says she estimates Graham County will receive about $100,000 per year for the next 18 years from the settlement. She says that number is very preliminary but it would be significant for the county: 

“It doesn’t sound like a hundred thousand dollars is a lot but its more than we’ve got. And in Graham County it’s one penny on our mill rate. So that is really going to give us the boost that we need to help our people that are struggling,” said Garland.  

She says this money will help fund peer counseling and provide recovery support in the county.

“The funding is going to have specific restrictions. It’s going to focus around abatement, prevention and mental health assistance for these folks,” said Garland.  

Funding from the settlement is expected to be handed out in 2022.

Update: NC DOJ shared the deadline for counties to sign onto the agreement is officially August 21st not August 20th.