Broward County Commission Regular Meeting

A. MOTION TO APPROVE Memorandum of Agreement between Florida Alcohol and Drug Abuse Association (FADAA) and Broward County for the provision of education, screening and administration of extended-release injectable naltrexone (VIVITROL) to treat eligible individuals participating in Broward Addiction Recovery Division's (BARC's) Medication Assisted Treatment (MAT) program, who are involved in, or at-risk of being involved in the criminal justice system, in the estimated annual amount of $177,298 reimbursement to the County, effective October 1, 2018 through June 30, 2019 (with one-year renewal terms upon mutual written agreement); authorizing the Mayor and Clerk to execute same; authorizing the County Administrator to execute renewals and amendments to the Agreement that include funding increases not-to-exceed a total amount of $315,762, subject to approval of the same by the Office of the County Attorney; and authorizing the County Administrator to take all administrative and budgetary actions related to the Agreement.

ACTION: (T-10:57 AM)  Approved. (Scrivener’s Error – See County Administrator’s Report: Exhibit 1, Agreement Summary Box 6a currently reads: Start: At Execution, End: Twelve (12) months from date of execution.  Should read: Start: October 1, 2018, End: June 30, 2019.)

VOTE: 9-0.

B. MOTION TO ADOPT budget Resolution No. 2018-422 of the Board of County Commissioners of Broward County, Florida (Board), providing revenue within OSCA - FADAA Vivitrol Fund in the amount of $177,298 for the provision of VIVITROL treatment for eligible individuals participating in BARC's MAT program who are involved in, or at-risk of being involved in the criminal justice system.

ACTION: (T-10:57 AM)  Approved. (Scrivener’s Error – (See County Administrator’s Report: Exhibit 1, Agreement Summary Box 6a currently reads: Start: At Execution, End: Twelve (12) months from date of execution.  Should read: Start: October 1, 2018, End: June 30, 2019.)

VOTE: 9-0.

Agreements with external agencies require Board approval. Section 129.06(2)(d), Florida Statutes, requires Board approval to recognize revenue.

This action provides funding to BARC for the provision of Vivitrol treatment for eligible individuals involved in the MAT program.

None.

THE HUMAN SERVICES DEPARTMENT AND THE BROWARD ADDICTION RECOVERY DIVISION RECOMMEND APPROVAL OF THE ABOVE MOTIONS.

This item supports the Board's Value of "[A]pproaching human services collaboratively and compassionately, with special emphasis on the most vulnerable," and a Goal to "[D]eliver evidence-based services to the public, and connect customers and their family members, to sustainable support, with special emphasis on financial supports." Funding will enable the County to provide individuals struggling with addiction additional medication within its evidence based MAT program.

In 2017, the Centers for Disease Control and Prevention declared the national opioid crisis to be an epidemic and the Florida Governor officially declared the opioid epidemic to be a public health emergency in Florida.

The Agreement with FADAA provides pass-through grant funding received from the OSCA to provide VIVITROL and treatment services to an estimated 29 alcohol or opioid-addicted individuals. Services will be provided to individuals who are involved in the criminal justice system, or who have a high likelihood of being involved in the criminal justice system. Individuals must first medically qualify to participate in BARC's MAT program. BARC will be reimbursed for medication and treatment services according to unit rates established in the Agreement. It should be noted that no cure provision is provided in the event that FADAA terminates the Agreement; however, FADAA is obligated to pay for all services rendered and unpaid at the time of termination.

A similar Agreement was previously approved by the Board on December 12, 2017 (Item No. 13) for a one-year term with an automatic one-year renewal term. FADAA provided the County notice on June 12, 2018 of early termination to align the Agreement with the State's fiscal year and to revise some of the terms and conditions in a new Agreement.

The new Agreement will be effective from October 1, 2018 through June 30, 2019, and will automatically renew annually, effective July 1, 2019 upon mutual agreement for so long as funding through OSCA is available. FADAA has initially allocated $177,298 to Broward County for the provision of Vivitrol and treatment services; however, it will perform a quarterly utilization review and adjust funding according to usage. BARC anticipates total annual funding up to $315,762.

The funding allocation is dependent upon numerous factors such as availability of funds from OSCA, the number of other agencies funded by FADAA, and the rate of usage by funded agencies. These factors are variable and will impact the funding available under this Agreement. FADAA provides for adjustments as necessary throughout the year.

The Agreement is in FADAA’s format and it will sign last, following Board approval. The Agreement provides that, in the event of court action, Florida courts will have jurisdiction and the governing venue will be in Leon County, Florida. The Agreement has been reviewed and approved as to form by the Office of the County Attorney and Risk Management Division.

Jack Feinberg, Director, BARC, (954) 954-357-4860
William Card, Assistant Director, BARC, (954) 357-4819
Polly Cacurak, Business Manager, BARC, (954) 357-5093