Executive/Council Action Form (ECAF)
ITEM TITLE:
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Budget Motion 26-375, approving the Six-Year Opioid Settlement Dollars Spending Plan 2027–2032
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DEPARTMENT: Health Department
ORIGINATOR: Theresa Bengtson
EXECUTIVE RECOMMENDATION: Approved by Ken Patton 9/4/26
PURPOSE: Acceptance of the Health Department’s response to Budget Note 1 included in the mid-biennium review adopted in Amended Ordinance 25-065
BACKGROUND: On September 7, 2022, Snohomish County Council authorized the County Executive to join in the State of Washington’s settlement with McKesson Corp., Cardinal Health Inc., and AmerisourceBergen Drug Corp as a Participating Local Government pursuant to the One WA Memorandum of Understanding (MOU). Snohomish County is also a participant in the “Allocation Agreement Governing the Allocation of Funds Paid by the Settling Opioid Distributors in Washington State” with initial funds from this settlement distributed directly to Snohomish County in 2022. Snohomish County participates with Whatcom, Skagit, Island and San Juan Counties in the North Sound Behavioral Health Administrative Services Organization area (NSBH-ASO) established under RCW 74.09.870 and all five counties and certain cities within those five counties are Participating Local Governments pursuant to the One WA MOU and the Allocation Agreement. In late 2025, the Opioid Settlement Fund transitioned to the Health Department to provide oversight of the Fund on behalf of Snohomish County with the purpose of aligning with its existing body of work of substance use prevention and treatment. The department developed the Six-Year Opioid Settlement Dollars Spending Plan and proposed a six-year spend plan (from page 26 of the attached plan) in response to Amended Ordinance 25-065 Mid-Biennium Budget Note. The report outlines the community needs, strategic priorities, and recommended investments that will guide the use of settlement funds. The spending plan demonstrates how the propos...
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