HomeMy WebLinkAbout2026-05-18 RM Exhibits Exhibit
NEW HANOVER COUNTY BOARD OF COMMISSIONERS Book Xw%t Page
RESOLUTION TO DIRECT THE EXPENDITURE OF OPIOID SETTLEMENT FUNDS
WHEREAS,New Hanover County has joined national settlement agreements with companies engaged in
the manufacturing, distribution, and dispensing of opioids;and
WHEREAS, the allocation, use, and reporting of funds stemming from these national settlement
agreements and bankruptcy resolutions("Opioid Settlement Funds") are governed bythe Memorandum
of Agreement Between the State of North Carolina and Local Governments on Proceeds Relating to the
Settlement of Opioid Litigation ("MOA") and the Supplemental Agreement for Additional Funds from
Additional Settlements of Opioid Litigation ("SAAF"),SAAF-2, and SAAF-3; and
WHEREAS, New Hanover County has received Opioid Settlement Funds pursuant to these national
settlement agreements and deposited the Opioid Settlement Funds in a separate special revenue fund as
required by section D of the MOA; and
WHEREAS, the City of Wilmington directed or redirected current and future City Settlement Proceeds
from the national opioid settlement funds,and in return the County agreed to use any opioid settlement
proceeds transferred or re-directed from the City to the County for coordinated use and in conformity
with the MOA; and
WHEREAS, section E.6 of the MOA states that, before spending opioid settlement funds, the local
government's governing body must adopt a resolution that:
(i) indicates that it is an authorization for expenditure of opioid settlement funds;and,
(ii) states the specific strategy or strategies the county or municipality intends to fund
pursuant to Option A or Option B, using the item letter and/or number in Exhibit A or
Exhibit B to identify each funded strategy; and,
(iii) states the amount dedicated to each strategy for a specific period of time.
NOW,THEREFORE BE IT RESOLVED, in alignment with the NC MOA and SAAF, SAAF-2, and SAAF-3 the
New Hanover County Board of Commissioners authorizes the expenditure of opioid settlement funds as
follows, and which supersedes prior resolutions:
1. First strategy authorized:
a. Name of strategy: Withdrawal management services.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA:A7
d. Amount authorized for this strategy: $1,100,000
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program,project,or activity:This will enhance patient retention in MOUD
treatment, prevent relapse, and improve management of withdrawal symptoms for
providers.
g. Provider: Coastal Horizons and OpiAID
2. Second strategy authorized:
a. Name of strategy: Address the needs of pregnant or parenting women and their families,
including babies with neonatal abstinence syndrome
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: El
d. Amount authorized for this strategy: $1,780,000
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program, project, or activity: Tides, Inc. provides preventative treatment
and support services for women with OUD while pregnant,so they can give birth to a healthy
baby, learn critical parenting and life skills, and retain custody of the child.
g. Provider:Tides, Inc.
3. Third strategy authorized:
a. Name of strategy: Recovery support services
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 3
d. Amount authorized for this strategy: $4,745,000
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program, project, or activity: Provides low barrier non-medical detox,
residential drug services, and transitional recovery housing for individuals with OUD.
g. Provider:The Healing Place
4. Fourth strategy authorized:
a. Name of strategy: Evidence-based addiction treatment
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 2
d. Amount authorized for this strategy: $652,727
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program, project, or activity: To increase access to evidence-based
treatment by ensuring timely access to treatment,assist with outreach/engagement for new
and hard-to-reach patients; provide naloxone supplies for existing patients and community
members; support for cost of suboxone for patients who need assistance.
g. Provider: MedNorth
5. Fifth strategy authorized:
a. Name of strategy: Evidence-based addiction treatment
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 2
d. Amount authorized for this strategy:$640,000
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program,project, or activity: This initiative will delivertreatment services
for New Hanover County residents diagnosed with opioid use disorder(OUD) at Recovery
Unplugged facilities. Treatment options may include, but are not limited to, a 30-day
detoxification and residential program, or a detoxification and residential program lasting
three to six months. Treatment options are evidence-based and consistent with American
Society of Addiction Medicine's national practice guidelines, including Medication-Assisted
Treatment(MAT).
g. Provider: Recovery Unplugged/Face the Music
6. Sixth strategy authorized:
a. Name of strategy: Collaborative strategic planning
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 1
d. Amount authorized for this strategy: $443,000
e. Period of time during which expenditure may take place:
Start date July 1, 2024, through End date June 30, 2028
f. Description of the program, project, or activity: Staffing and operational activities that
support the implementation of strategic initiatives from the proposal phase to the data
collection and reporting phase of the initiative, as well as collaborative strategic planning
efforts. Activities also include facilitation of services and any combination of activities listed
in Exhibit C to the MOA.
g. Provider: New Hanover County Office of Strategy
7. Seventh strategy authorized:
a. Name of strategy:Addiction treatment for incarcerated persons
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 11
d. Amount authorized for this strategy: $1,301,726
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Currently, we are providing Medication-
Assisted Treatment for individuals already on MAT in the detention facility.This is the second
phase,that allows for inmates to choose to begin MAT treatment plan through an induction
process in detention facilities.
g. Providers: Coastal Horizons
8. Eighth authorized strategy:
a. Name of strategy: Expand availability of treatment for OUD.
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 8
d. Amount authorized for this strategy:$1,688,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: The EMS MAT Program offers an individual
the opportunity to begin a Medication Assisted Treatment program by offering
buprenorphine after an opioid overdose event and then uses community paramedics and post
overdose responseteams to follow up and continue to provide medication and support until
the person can be placed in long-term OUD treatment.
g. Providers: Novant Health
9. Ninth authorized strategy:
a. Name of strategy:Increase availability and distribution of naloxone and other drugs that treat
overdoses for first responders, overdose, patients, individuals with OUD, etc.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item H1
d. Amount authorized for this strategy:$100,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Naloxone is a medication approved by the
Food and Drug Administration (FDA) designed to rapidly reverse opioid overdose.This will
increase the amount of naloxone by 200 units/year.
g. Provider: New Hanover County Sheriff's Office
10. Tenth authorized strategy:
a. Name of strategy:Increase availability and distribution of naloxone and otherdrugsthattreat
overdoses for first responders, overdose, patients, individuals with OUD, etc.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item H1
d. Amount authorized for this strategy: $80,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Naloxone is a medication approved by the
Food and Drug Administration (FDA) designed to rapidly reverse opioid overdose.
g. Provider: City of Wilmington Police Department, City of Wilmington Fire Department
11. Eleventh authorized strategy:
a. Name of strategy: Employment-related services
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 5
d. Amount authorized for this strategy: $208,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program,project,or activity: Program offers employment support services
to people with opioid use disorder in treatment or recovery such as job training,job skills,job
placement, interview coaching, resume review, professional attire, relevant courses at
community colleges or vocational schools,transportation services ortransportation vouchers
to facilitate any of these activities, or similar services or supports.
g. Provider: LINC
12. Twelfth authorized strategy:
a. Name of strategy: Recovery housing support
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 4
d. Amount authorized for this strategy: $965,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: The Housing Supportive Services program is
intended to ensure residents who are recovering from opioid addiction can find and secure
safe and affordable housing. Eligible activities include, but are not limited to, short-term
recovery housing characterized by living settings that promote opioid free living for up to one
(1) year and utilizes peer support and other addiction recovery aids. Eligible activities may
provide professional low-intensity residential services for adults who are diagnosed with an
opioid use disorder and require regular supervision.
g. Providers: Coastal Horizons
13. Thirteenth authorized strategy
a. Name of strategy:Comprehensive wrap-around services.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item B1
d. Amount authorized for this strategy: $875,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Wrap-around services are any services that
are not treatment,but instead are services that"wrap around" individuals and help them get
into treatment,stay in recovery,or prevent opioid use.Examples include housing, childcare,
transportation,job training or getting needed education.
g. Provider:Various providers
14. Fourteenth authorized strategy
a. Name of strategy: Full continuum of care of treatment and recovery services.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item B2
d. Amount authorized for this strategy: $225,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2026
f. Description of the program, project, or activity: Continuum of care services are any services
that are not treatment,but instead are services that help individuals get into treatment,stay
in recovery,or prevent opioid use.Examplesinclude continuum of care through peersupport,
counseling, case management, etc.
g. Provider:Various providers
15. Fifteenth authorized strategy:
a. Name of strategy: Expand availability of treatment for OUD.
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 2
d. Amount authorized for this strategy: $1,111,297
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Provides funding for medically assisted
treatment and associated therapy for underinsured and uninsured patients who cannot
afford them to reduce unnecessary trips to the Emergency Department and reduce
overdoses.
g. Provider:Coastal Horizons
16. Sixteenth authorized strategy:
a. Name of strategy: Fund media campaigns to prevent opioid misuse
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item G1
d. Amount authorized for this strategy: $125,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project, or activity: Public service announcements and media
campaigns about opioid use prevention.
g. Provider: Eckel+Vaughn
17. Seventeenth authorized strategy:
a. Name of strategy:Corrective advertising or affirmative public education campaigns based on
evidence.
b. Strategy is included in Exhibit B
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item G2
d. Amount authorized for this strategy: $100,000
e. Period of time during which expenditure may take place:
Start date August 21, 2023, through End date June 30, 2028
f. Description of the program, project,or activity: Education and outreach programs related to
opioid use disorder.
g. Provider: Eckel+Vaughn
18. Eighteenth authorized strategy:
a. Name of strategy: Post-overdose response team.
b. Strategy is included in Exhibit A
c. Item letter and/or number in Exhibit A or Exhibit B to the MOA: Item 8
d. Amount authorized for this strategy: $250,000
e. Period of time during which expenditure may take place:
Start date July 1, 2026, through End date June 30, 2027
f. Description of the program, project,or activity: Support post-overdose response teams that
connect persons who have experienced non-fatal drug overdoses to addiction treatment,
recovery support,harm reduction services,primary healthcare,or otherservices or supports
they need to improve their health orwell-being.
g. Provider: City of Wilmington Fire Department
The total dollar amount of Opioid Settlement Fundsappropriated across the above named and authorized
strategies is$16,389,750.
ADOPTED this 18th day of May, 2026.
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Ky erleigh G. Cro II, Clerk to the Board
EXHIBIT A TO NC MOA:
HIGH-IMPACT OPIOID ABATEMENT STRATEGIES ("OPTION A" List)
In keeping with the National Settlement Agreement, opioid settlement funds may support
programs or services listed below that serve persons with Opioid Use Disorder(OUD) or any
co-occurring Substance Use Disorder(SUD) or mental health condition.
As used in this list, the words `fund"and "support"are used interchangeably and mean to
create, expand, or sustain a program, service, or activity.
1. Collaborative strategic planning. Support collaborative strategic planning to address
opioid misuse, addiction, overdose, or related issues, including staff support, facilitation
services, or any activity or combination of activities listed in Exhibit C to the MOA
(collaborative strategic planning).
2. Evidence-based addiction treatment. Support evidence-based addiction treatment
consistent with the American Society of Addiction Medicine's national practice
guidelines for the treatment of opioid use disorder—including Medication-Assisted
Treatment (MAT) with any medication approved for this purpose by the U.S. Food and
Drug Administration—through Opioid Treatment Programs, qualified providers of
Office-Based Opioid Treatment, Federally Qualified Health Centers, treatment offered in
conjunction with justice system programs, or other community-based programs offering
evidence-based addiction treatment. This may include capital expenditures for facilities
that offer evidence-based treatment for OUD. (If only a portion of a facility offers such
treatment, then only that portion qualifies for funding, on a pro rata basis.)
3. Recovery support services. Fund evidence-based recovery support services, including
peer support specialists or care navigators based in local health departments, social
service offices, detention facilities, community-based organizations, or other settings that
support people in treatment or recovery, or people who use drugs, in accessing addiction
treatment, recovery support, harm reduction services, primary healthcare, or other
services or supports they need to improve their health or well-being.
4. Recovery housing support. Fund programs offering recovery housing support to people
in treatment or recovery, or people who use drugs, such as assistance with rent, move-in
deposits, or utilities; or fund recovery housing programs that provide housing to
individuals receiving Medication-Assisted Treatment for opioid use disorder.
5. Employment-related services. Fund programs offering employment support services to
people in treatment or recovery, or people who use drugs, such as job training,job skills,
job placement, interview coaching, resume review, professional attire, relevant courses at
community colleges or vocational schools, transportation services or transportation
vouchers to facilitate any of these activities, or similar services or supports.
6. Early intervention. Fund programs, services, or training to encourage early
identification and intervention for children or adolescents who may be struggling with
problematic use of drugs or mental health conditions, including Youth Mental Health
Exhibits, page 1
First Aid, peer-based programs, or similar approaches. Training programs may target
parents, family members, caregivers, teachers, school staff, peers, neighbors, health or
human services professionals, or others in contact with children or adolescents.
7. Naloxone distribution. Support programs or organizations that distribute naloxone to
persons at risk of overdose or their social networks, such as Syringe Service Programs,
post-overdose response teams, programs that provide naloxone to persons upon release
from jail or prison, emergency medical service providers or hospital emergency
departments that provide naloxone to persons at risk of overdose, or community-based
organizations that provide services to people who use drugs. Programs or organizations
involved in community distribution of naloxone may, in addition, provide naloxone to
first responders.
8. Post-overdose response team. Support post-overdose response teams that connect
persons who have experienced non-fatal drug overdoses to addiction treatment, recovery
support, harm reduction services, primary healthcare, or other services or supports they
need to improve their health or well-being.
9. Syringe Service Program. Support Syringe Service Programs operated by any
governmental or nongovernmental organization authorized by section 90-113.27 of the
North Carolina General Statutes that provide syringes, naloxone, or other harm reduction
supplies; that dispose of used syringes; that connect clients to prevention, treatment,
recovery support, behavioral healthcare, primary healthcare, or other services or supports
they need; or that provide any of these services or supports.
10. Criminal justice diversion programs. Support pre-arrest or post-arrest diversion
programs, or pre-trial service programs, that connect individuals involved or at risk of
becoming involved in the criminal justice system to addiction treatment, recovery
support, harm reduction services, primary healthcare,prevention, or other services or
supports they need, or that provide any of these services or supports.
11. Addiction treatment for incarcerated persons. Support evidence-based addiction
treatment, including Medication-Assisted Treatment with at least one FDA-approved
opioid agonist, to persons who are incarcerated in jail or prison.
12. Reentry Programs. Support programs that connect incarcerated persons to addiction
treatment, recovery support, harm reduction services, primary healthcare, or other
services or supports they need upon release from jail or prison, or that provide any of
these services or supports.
Exhibits, page 2
EXHIBIT B TO NC MOA:
Additional Opioid Remediation Activities ("OPTION B" List)
This list shall be automatically updated to match the list of approved strategies in the most
recent National Settlement Agreement.
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, the following:1
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 (ASAM) 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. 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.
7. Support evidence-based withdrawal management services for people with OUD and any co-
occurring mental health conditions.
As used in this Exhibit B,words like"expand,""fund,""provide"or the like shall not indicate a preference
for new or existing programs.
Exhibits,page 3
8. 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. Fellowships for addiction medicine specialists for direct patient care, instructors, and clinical
research for treatments.
11. Scholarships and supports for behavioral health practitioners or workers involved in addressing
OUD and any co-occurring SUD 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. Dissemination of 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. Development and dissemination of 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 treatment for or 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 following:
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.
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 medication with
other support services.
Exhibits, page 4
5. Provide community support services, including social and legal services, to assist in
deinstitutionalizing 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. 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.
C. CONNECT PEOPLE WHO NEED HELP TO THE HELP THEY NEED
(CONNECTIONS TO CARE)
Provide connections to care for people who have — or 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, the following:
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 Screening, Brief Intervention and Referral to Treatment (SBIRT) programs to reduce the
transition from use to disorders, including SBIRT services to pregnant women who are uninsured
or not eligible for Medicaid.
Exhibits,page 5
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. 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.
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
Exhibits, page 6
system through evidence-based or evidence-informed programs or strategies that may include,but
are not limited to, the following:
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:
a. Self-referral strategies such as the Angel Programs or the Police Assisted Addiction
Recovery Initiative (PAARI);
b. Active outreach strategies such as the Drug Abuse Response Team (DART) model;
c. "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;
d. Officer prevention strategies, such as the Law Enforcement Assisted Diversion (LEAD)
model;
e. Officer intervention strategies such as the Leon County, Florida Adult Civil Citation
Network or the Chicago Westside Narcotics Diversion to Treatment Initiative; or
f. Co-responder and/or alternative responder models to address OUD-related 911 calls with
greater SUD expertise.
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, harm 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,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.
Exhibits, page 7
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, the following:
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.
3. Training for obstetricians or other healthcare personnel that 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; expand long-term treatment and
services for medical monitoring of NAS babies and their families.
5. 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 Neonatal Abstinence
Syndrome get referred to appropriate services and receive a plan of safe care.
6. Child and family supports for parenting women with OUD and any co-occurring SUD/MH
conditions.
7. Enhanced family supports 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. 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.
Exhibits, page 8
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. Fund medical provider education and outreach regarding best prescribing practices for opioids
consistent with 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.
3. Continuing Medical Education (CME) on appropriate prescribing of opioids.
4. Support for non-opioid pain treatment alternatives, including training providers to offer or refer
to multi-modal, evidence-informed treatment of pain.
5. Support enhancements or improvements to Prescription Drug Monitoring Programs (PDMPs),
including but not limited to improvements that:
a. Increase the number of prescribers using PDMPs;
b. 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
c. 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. Increase electronic prescribing to prevent diversion or forgery.
8. Educate 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:
Exhibits, page 9
1. Fund 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. Fund community anti-drug coalitions that engage in drug prevention efforts.
6. Support 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 training of coalitions in evidence-informed
implementation, including the Strategic Prevention Framework developed by the U.S. Substance
Abuse and Mental Health Services Administration (SAMHSA).
7. Engage non-profits and faith-based communities as systems to support prevention.
8. Fund 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 other 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. Increase 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,
individuals at high risk of overdose, schools, community navigators and outreach workers,persons
being released from jail or prison, or other members of the general public.
2. Public health entities that provide free naloxone to anyone in the community.
Exhibits, page 10
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. Enable school nurses and other school staff to respond to opioid overdoses, and provide them
with naloxone, training, and support.
5. Expand, improve, or develop 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. Educate 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. Expand access to testing and treatment for infectious diseases such as HIV and Hepatitis C
resulting from intravenous opioid use.
11. Support 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. Provide 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 SUD/MH conditions.
13. Support screening for fentanyl in routine clinical toxicology testing.
PART THREE: OTHER STRATEGIES
I. FIRST RESPONDERS
In addition to items in sections C, D, and H of this Exhibit relating to first responders, support the
following:
1. Educate 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.
Exhibits, page 11
J. LEADERSHIP, PLANNING AND COORDINATION
Support efforts to provide leadership, planning, coordination, facilitation, 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; to support training and technical
assistance; or to support other strategies to abate the opioid epidemic described in this opioid
abatement strategy list.
2. A dashboard to share reports, recommendations, or plans to spend Opioid Settlement Funds; to
show how Opioid Settlement Funds have been spent; to report program or strategy outcomes; or
to track, share, or visualize key opioid-related 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 SUD/MH 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, the
following:
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:
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.
Exhibits, page 12
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. Geospatial analysis of access barriers to MAT and their association with treatment engagement
and treatment outcomes.
Exhibits, page 13
Exhibit AGENDA:May 18,2026 Book Xl.\I 1' Page -I.act,
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
AN ORDINANCE AMENDING THE FISCAL YEAR 2026 BUDGET
BE IT ORDAINED by the Board of County Commissioners of New Hanover County,North Carolina,that the following
Budget Amendment(s)be made to the annual budget ordinance for the fiscal year ending June 30,2026.
Section 1: Details of Budget Amendment
Strategic Focus Area: Good Governance
Strategic Objective(s): Communicate what the county does and why.
Utilize innovative energy solutions.
Fund:American Rescue Plan Special Revenue Fund
Expenditure: Decrease Increase Total
Transfer to Debt Service Fund $ 214,497 S 214,497
Transfer to Capital Project Fund-CFCC $ 200,155 S 200,155
Total S - S 414,652 S 414,652
Revenue: Decrease Increase Total
Interest on Investrents S 414,652 S 414,652
Total S - I S 414,652 11 S 414,652
Fund: Bike&Pedestrian Path Capital Projects
Expenditure: Decrease Increase 'total
Cap Proj Exp-Carolina Bch Rd,NCDOT S (115,488) S (115,488)
Transfer to Debt Service Fund $ 115,488 $ 115,488
Total $ (115,488) S 115,488 $ -
Fund:Capital Improvement Projects Capital Project Fund
Expenditure: Decrease Increase Total
Cap Proj Exp-Smith Creek Pk Ph II-Art $ 100,000 S 100,000
Cap Proj Exp-Northchase Library-Art $ 64,000 S 64,000
Cap Proj Exp-Hanover Pines S (1,473) S (1,473)
Cap Proj Exp-Ogden Park $ (37,218) S (37,218)
Cap Proj Exp-Vice/Det Facility $ (536) S (536)
Transfer to Debt Service Fund S - $ 235,917 S 235,917
Total $ (39,227) S 399,917 0 S 360,690
Revenue: Decrease Increase Total
Interest on Investments S 391,182 S 391,182
Installment Loan Proceeds S (311,492) S (30,492)
Total S (3(1,492)I S 391,182 I S 360,690
Fund: Project Grace Capital Project Fund
Expenditure: Decrease Increase Total
Capital Project Expense-Art S 486,000 S 486,000
Transfer to Debt Service Fund S - S 1,1 12,500 S 1,1 12,5(10
Total S - S 1,598,511(1II S 1,598,500
Revenue: Decrease Increase Total
Interest on Investments S - S 1,598,500 S 1,598,500
Total S - S 1,598,500 0 S 1,598,500
Fund:CFCC Health Program Expansion Capital Project Fund
Expenditure: Decrease Increase "Total
Transfer to Debt Service Fund S 1,658 S 1,658
Total S - S 1,658 ji S 1,658
Revenue: Decrease Increase "total
Interest on Investments S 352 S 352
Transfer in from Special Revenue-ARPA $ 200,155 S 200,155
Long Term Debt Issued S (198,849) S (198,849)
Total S (198,849)1 S 200,507 li S 1,658
Fund: Public Health and Social Services Facility Capital Project Fund
Exoenditure: Decrease Increase Total
Capital Project Expense $ (212,500) S (212,500)
Transfer to Debt Service Fund S 254,500 S 254,500
Total $ (212,500) S 254,500 S 42,000
Revenue: Decrease Increase Total
Interest on Investments S 42,000 S 42,000
Total S - J S 42,0(10 S 42,000
Fund: Debt Service Special Revenue Fund
Revenue: Decrease Increase Total
Transfer in from Capital Project Funds S - S 1,720,063 S 1,720,063
Transfer in from Special Revenue Fund S 214,497 S 214,497
Appropriated Fund Balance S (1,934,560) S (1,934,560)
Total S (1,934,56011 S 1,934,560 II$ -
Prior to Total if Actions Taken
Actions 1 odav
Appropriated Fund Balance I$ 2,377,758 I S 443,198
Section 2: Explanation
BA 26-039-This budget amendment primarily addresses administrative adjustments and reconciliations across multiple
projects.
The American Rescue Plan Special Revenue Fund has interest earnings of$414K. A portion of this amount is being
transferred to the CFCC Nursing Building Fund,with the remainder being transferred to the Debt Service Fund.
In FY24,$115K was appropriated as a local match in the Bike&Pedestrian Path Capital Project Fund for a multi-use path
on Carolina Beach Road in conjunction with a NCDOT project. In Sept,2025,staff informed the Board that the NCDOT
elected not to move forward with that part of the project. Therefore these matching funds are no longer necessary and are
being transferred to the Debt Service Fund.
As it relates to the Capital Improvement Projects Capital Project Fund and the Project Grace Capital Fund,in last year's
budget,it was budgeted for art costs to be eliminated from Smith Creek Park,Northchase Library,and Project Grace and for
those finds be transferred to the Debt Service Fund. It has been determined that those funds are not available to be
transferred out until the project is complete. Therefore the costs are being re-budgeted to their respective fund and will be
available at the conclusion of the projects. Also,there were three projects partially or fully funded with 2023 limited
obligations bonds(LOBS)-Hanover Pines Park,Ogden Park&the Vice/Detective Facility-that are now complete and this
entry zero's out the remaining funds,including interest earnings.Interest earnings from the Project Grace Capital Fund are
also budgeted to be transferred to the Debt Service Fund.
The CFCC Health Program Expansion Capital Project Fund is being closed(CFCC Nursing Building). While the building
cost was fully reimbursed by CFCC from their state grant,there were several out of pocket costs incurred by the County that
are being funded in this entry with a transfer in of a portion of the ARP interest that is available,which will allow staff to
close the fund.
The Public Health&Social Services Facility Capital Project Fund is being closed.-this relates to the HHS Building built in
2019. The interest and project savings are being transferred to the debt service fund.
The items noted above result in a$1.9 million addition to the Debt Service Fund,which reduces the reliance on fund balance
and provides liquidity.
Section 3: Documentation of Adoption
This ordinance shall be effective upon its adoption.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of New Hanover County,North Carolina,
that the Ordinance for Budget Amendment(s)26-039 amending the annual budget ordinance for the fiscal year ending June
30,2026,is adop�te!d�`���
Adopt-, ...1`l,:!""'�','`: 2026.
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Exhibit
AGENDA: May 18,2026 Book X W t 1 Page
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
AN ORDINANCE AMENDING THE FISCAL YEAR 2026 BUDGET
BE IT ORDAINED by the Board of County Commissioners of New Hanover County,North Carolina,that the following
Budget Amendment(s)be made to the annual budget ordinance for the fiscal year ending June 30,2026.
Section 1: Details of Budget Amendment
Strategic Focus Area: Good Governance
Strategic Objective(s): Communicate what the county does and why.
Utilize innovative energy solutions.
Fund:Mason Inlet Relocation Capital Project Fund
Department: Engeering
Expenditure: Decrease Increase Total
BA 26-040 Capital Project Expense $ - $ 8,861,663 $ 8,861,663
Total $ - I $ 8,861,663 $ 8,861,663
Revenue: Decrease Increase Total
BA 26-040 NC DEQ Grant Revenue $ - $ 8,861,663 $ 8,861,663
Total $ - $ 8,861,663 I$ 8,861,663
Prior to Actions Total if Actions Taken
Today
Departmental Budget $ 34,089,137, $ 42,950,800
Section 2: Explanation
BA 26-040 Accepts a grant from the NC Department of Environmental Quality for the 2026/2027 MIRP(Mason Inlet
Relocation Project)maintenance event. The State has awarded$8,861,663,Shallow Draft Navigation Funds for the event.
The County's required match is$2,953,888,which is available in the Mason Inlet Capital Project Fund. The State's grant
funds shall only be used to supplement,not to supplant,local funds that would otherwise be expended to carry out the project
or services.
Section 3: Documentation of Adoption
This ordinance shall be effective upon its adoption.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of New Hanover County,North Carolina,
that the Ordinance for Budget Amendment(s)26-040 amending the annual budget ordinance for the fiscal year ending June
30,2026,is adopted.
Adopted,this 18th day of May,2026.
•
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44,�p�N i 3 '4,0�� LeAnn Pierce,Chair
O _ y ATT ST:
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1. ;i !1 v
Exhibit
AGENDA: May 18,2026 Book X' ,t I' 1 •2
NEW HANOVER COUNTY BOARD OF COMMISSIONERS W rJ
AN ORDINANCE AMENDING THE FISCAL YEAR 2026 BUDGET
BE IT ORDAINED by the Board of County Commissioners of New Hanover County,North Carolina,that the following
Budget Amendment(s)be made to the annual budget ordinance for the fiscal year ending June 30,2026.
Section 1: Details of Budget Amendment
Strategic Focus Area: Good Governance
Strategic Objective(s): Communicate what the county does and why.
Proactively manage the county budget.
Fund:Capital Improvement Projects
Expenditure: Decrease Increase Total
BA 26-038 Capital Project Expense $ (734,108) $ - $ (734,108)
Total $ (734,108) $ - $ (734,108)
Revenue: Decrease Increase Total
BA 26-038 Installment Loan Proceeds $ (734,108) $ - $ (734,108)
Total $ (734,108)1 $ - $ (734,108)
Section 2: Explanation
BA 26-038 trues up the previous budget established for the North College Road Trail,a bike and pedestrian path connecting
Gordon Road to Northchase Parkway West. Using general estimates,this project was budgeted for as part of the County's
CIP plan in Fiscal Years 22-24 totaling$4.32 million,with the funding designated to be with loan proceeds. In addition,in
FY24,a grant for$1.84 million was received from the WMPO amended the original budget,resulting in a total project
budget of$6,160,000. Construction of the project has now been bid out and the total expected cost is$5,425,892. BA
26-038 adjusts the project budget to this updated amount.
Section 3: Documentation of Adoption
This ordinance shall be effective upon its adoption.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of New Hanover County,North
Carolina,that the Ordinance for Budget Amendment(s)26-038 amending the annual budget ordinance for the fiscal year
ending June 30,2026,is adopted.
Adopted,this 18th day of May,2026.
(SEAL) ,� /J A•
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11 N Ti 3 .`VO Are LeAnn LeAnn Pierce,Chair
n `_
A EST:
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�y2 a2 K leigh G.Crowell erk to the Board
Exhibit
Book YLV t I page _ 40(
BOND ORDER AUTHORIZING THE ISSUANCE OF $320,525,000 GENERAL
OBLIGATION SCHOOL BONDS OF THE COUNTY OF NEW HANOVER, NORTH
CAROLINA
WHEREAS, the Board of Commissioners (the "Board") of the County of New Hanover,
North Carolina (the "County") has ascertained and hereby determines that it is necessary to pay
the capital costs of constructing, improving, and renovating school facilities, including, but not
limited to, the construction and renovation of classroom facilities, the acquisition and installation
of furnishings and equipment, the acquisition of land, rights-of-way and easements in land
required therefor, and related public infrastructure development; and
WHEREAS, an application has been filed with the Secretary of the Local Government
Commission of North Carolina (the "Commission") requesting Commission approval of the
General Obligation School Bonds hereinafter desc " - --I L '"�i-- -1 Government Bond
Act, and the Clerk to the Board has notified the E been accepted for
submission to the Commission.
NOW, THEREFORE, BE IT ORDERED b, li-om u s of the County of
New Hanover, North Carolina, as follows:
Section 1. To raise the money requir I above, in addition
to any funds which may be made available foi ier source, General
Obligation School Bonds of the County are here! Jed pursuant to the
Local Government Finance Act of North Carolina. i ne maximum Qyy , ,.,, principal amount of
such General Obligation School Bonds authorized by this order shall be $320,525,000.
Section 2. Taxes will be levied in an amount sufficient to pay the principal and interest
of the General Obligation School Bonds.
Section 3. A sworn statement of the County's debt has been filed with the Clerk to the
Board and is open to public inspection.
Section 4. The bond order will take effect when approved by the voters of the County
at a referendum scheduled for November 3, 2026.
STATE OF NORTH CAROLINA )
) SS:
COUNTY OF NEW HANOVER )
I, KYMBERLEIGH G. CROWELL, Clerk to the Board of Commissioners of the County of New
Hanover, North Carolina, DO HEREBY CERTIFY that the foregoing is a true and exact copy of the
bond order entitled "BOND ORDER AUTHORIZING THE ISSUANCE OF $320,525,000 GENERAL
OBLIGATION SCHOOL BONDS OF THE COUNTY OF NEW HANOVER, NORTH CAROLINA" which was
introduced by the Board of Commissioners of the County of New Hanover, North Carolina, at a
meeting held on May 18, 2026.
IN WITNESS WH1REOF, I have hereunto set my hand and affixed the corporate seal of
said County, this the /8 -'day of May, 2026.
[SEAL] 0itwkia
0041-.A„
,10 Cier o the Board Commissioners
o =� County of New Hanover, North Carolina
� x
Exhibit
Book x LV 1% Page -1 4 b
RESOLUTION OF THE COUNTY OF NEW HANOVER, NORTH CAROLINA REGARDING BOND ORDER
AUTHORIZING THE ISSUANCE OF$320,525,000 GENERAL OBLIGATION SCHOOL BONDS,SETTING A
PUBLIC HEARING THEREON AND DIRECTING PUBLICATION OF A NOTICE OF SAID PUBLIC HEARING
WHEREAS,the bond order entitled:
"BOND ORDER AUTHORIZING THE ISSUANCE OF$320,525,000 GENERAL OBLIGATION
SCHOOL BONDS OF THE COUNTY OF NEW HANOVER, NORTH CAROLINA"
has been introduced at a meeting of the Board of Commissioners (the "Board") of the County of New
Hanover, North Carolina on May 18, 2026; and
WHEREAS,the Board desires to provide for the holding of a public hearing thereon on June 1, 2026
and the submission of a statement of debt and a statement of disclosures in connection therewith as
required by The Local Government Bond Act.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COMMISSIONERS OF THE COUNTY
OF NEW HANOVER, NORTH CAROLINA that the public hearing on said bond order will be held on June
1, 2026 at or about 4:00 p.m. in the Assembly Room, New Hanover County Historic Courthouse, 24 North
Third Street, Room 201, Wilmington, North Carolina, 28401.
BE IT FURTHER RESOLVED that the Clerk to the Board is hereby directed to cause a copy of said
bond order to be published with a notice of such hearing in the form prescribed by law in a newspaper of
general circulation in the County on or before May 25, 2026.
BE IT FURTHER RESOLVED that before the public hearing, the County's Chief Financial Officer is
hereby directed to (1) file a sworn statement of debt with the Local Government Commission of North
Carolina and the Clerk to the Board in accordance with Section 159-55 of the General Statutes of North
Carolina and (2) file with the Clerk to the Board and the Local Government Commission of North Carolina
and post online a statement of disclosure in accordance with Section 159-55.1(a) of the General Statutes of
North Carolina.
BE IT FURTHER RESOLVED that this Resolution shall become effective on the date of its adoption.
READ,APPROVED AND ADOPTED on May 18, 2026.
} "ex LeAnn Pierce _ ��l
o Chair of the Board of Commissioners
G
ATTE T:
Celt_
': Ky erleigh G. Cro
Clerk to the Board of Commissioners
STATE OF NORTH CAROLINA )
) SS:
COUNTY OF NEW HANOVER )
/, KYMBERLEIGH G. CROWELL, Clerk to the Board of Commissioners of the County of New
Hanover, North Carolina, DO HEREBY CERTIFY the attached to be a true and correct copy of a
Resolution entitled, "RESOLUTION OF THE COUNTY OF NEW HANOVER, NORTH CAROLINA REGARDING
BOND ORDER AUTHORIZING THE ISSUANCE OF $320,525,000 GENERAL OBLIGATION SCHOOL BONDS,
SETTING A PUBLIC HEARING THEREON AND DIRECTING PUBLICATION OF A NOTICE OF SAID PUBLIC
HEARING" adopted by the Board of Commissioners at a meeting held on May 18, 2026.
IN WITNESS WHEREOF,' I have hereunto set my hand and affixed the corporate seal of
said County, this the f ;may of May, 2026.
[SEAL] 4- ''y (ltwe
z Cl k to the Board Commissioners
7 5 _ County of New Hanover, North Carolina
2)9'7
Exhibit
Book )(OM Page -76 e.
NEW HANOVER COUNTY, NORTH CAROLINA
FISCAL YEAR 2026-2027 BUDGET ORDINANCE
BE IT ORDAINED by the Board of Commissioners of New Hanover County, North Carolina as follows:
Section 1: The following amounts are hereby appropriated in the General Fund for the operation of
the New Hanover County government and its activities for the fiscal year beginning July 1, 2026, and
ending June 30, 2027, in accordance with the Chart of Accounts heretofore established for New
Hanover County (County):
General Government $74,173,523
Human Services 81,290,843
Public Safety 122,336,073
Economic and Physical Development 3,093,880
Cultural and Recreational 18,808,390
Education:
Cape Fear Community College Current Operating Expense 13,258,161
Cape Fear Community College Capital Contribution 2,645,000
NHCS Capital Contribution 2,842,433
NHCS Current Operating Expense:
Instructional Services:
Regular Instruction 23,126,111
Special Populations 6,644,382
Alternative Programs 1,846,886
School Leadership 10,216,368
Co-Curricular 2,452,761
School-Based Support 5,669,527
System-Wide Support Services:
Support and Development 2,906,887
Special Population Support and Development 315,136
Alternative Programs and Services Support and Development 1,017,930
Technology Support 6,076,912
Operational Support 28,251,402
Financial and Human Resources 8,141,695
Accountability 359,214
System-Wide Pupil Support 663,973
Policy, Leadership and Public Relations 984,711
Non-Programmed Charges:
Payments to Other Governments 7,753,728
Scholarships 140,000
Other Restricted Revenue (Fund 8) Pre-K 1,950,000
Transfers to Other Funds 37,707,115
Total Appropriations-General Fund $464,673,041
The appropriation for New Hanover County Schools - Current Operating Expense is $4,120 per pupil
and is based on a projected Average Daily Membership (ADM) of 23,760 students for New Hanover
County Schools and 2,104 for charter schools.
Pursuant to North Carolina General Statutes(G.S.) 115C-426(c)and 115C-433(b), allocations made to
the New Hanover County Board of Education through G.S. 115C-429(b) bind the Board of Education
to the following directions and limitations with regard to these funds:
1) The Budget Resolution adopted by the New Hanover County Board of Education shall
conform to the specific allocations for operating and Pre-K as set forth in this Budget
Ordinance.
2) The Budget Resolution adopted by the New Hanover County Board of Education may not
be amended without the prior approval of the Board of County Commissioners if the
proposed amendment would result in a cumulative increase or decrease of 10 percent or
more in the County appropriation for a Purpose or Function as compared to the amounts
contained in this Budget Ordinance.
Pursuant to G.S. 115C-426(c) and 115C-433(b), allocations made to the New Hanover County Board
of Education through G.S. 115C-429(b) bind the New Hanover County Board of Education to conform
to the specific allocations for any capital as set forth in this Budget Ordinance.
The Budget Resolution adopted by the New Hanover County Board of Education may not be amended
without the prior approval of the Board of County Commissioners if the proposed amendment would
result in a cumulative increase or decrease of 10 percent or more to any County appropriation by
project in the capital outlay fund for the New Hanover County Board of Education.
In accordance with G.S. 115C-433(b), the Board of County Commissioners requires the New Hanover
County Board of Education to obtain approval for any changes made to their planned capital outlay
fund expenditures. The notification should include: (1) nature of the change; (2) reason for the
change; (3)dollar amount of any change by planned project; and (4) plans for,and estimated cost of,
completing the planned project in the future if completion as originally anticipated will not be
possible.
The appropriation for training and travel for the Board of County Commissioners is budgeted for the
entire governing body, not by specific or equal dollar amount per member, and is to be expended in
any distribution necessary to carry out the duties of the position. In addition, auto allowances will be
increased for all eligible County employees by approximately 3.54 percent.
Section 2: It is estimated that the following revenues will be available in the General Fund for the
fiscal year beginning July 1, 2026, and ending June 30, 2027:
Ad Valorem Taxes $250,068,192
Sales Taxes 96,147,187
Other Taxes 6,106,404
Charges for Services 13,855,298
Interest on Investments 12,597,180
Intergovernmental Revenue— Federal 25,487,603
Intergovernmental Revenue—State 2,322,467
Intergovernmental Revenue—Other 8,081,154
Loan Proceeds 13,647,926
Other Revenue 834,004
Transfers from Other Funds 19,750,993
Appropriated Fund Balance:
General Fund 6,180,906
Mental Health and Substance Use Fund 9,573,727
Automation Enhancement and Preservation Fund 20,000
Total Estimated Revenues-General Fund $464,673,041
Section 3: The following amount is hereby appropriated in the Debt Service Fund for the fiscal year
beginning July 1, 2026, and ending June 30, 2027:
Debt Service: $53,886,816
Total Appropriation - Debt Service Fund $53,886,816
Section 4: It is estimated that the following revenues will be available in the Debt Service Fund for
the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Ad Valorem Taxes $3,348,988
Sales Taxes 22,472,458
Intergovernmental Revenue—Other 4,256,699
Transfers from Other Funds 23,774,122
Appropriated Fund Balance 34,549
Total Estimated Revenues- Debt Service Fund $53,886,816
Section 5: The following amount is hereby appropriated in the Special Fire District Fund for the
operation of fire protection services for the fiscal year beginning July 1, 2026, and ending June 30,
2027, in accordance with the Chart of Accounts heretofore established for the County:
Public Safety $27 109 333
Debt Service 3,019,651
Total Appropriation -Special Fire District Fund 30,128,984
Section 6: It is estimated that the following revenues will be available in the Special Fire District
Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Ad Valorem Taxes $22,934,863
Sales Taxes 5,845,021
Charges for Services 50,100
Intergovernmental—Federal 94,000
Other Revenue 5,000
Loan Proceeds 1,200,000
Total Estimated Revenues-Special Fire District Fund $30,128,984
Section 7: The following amount is hereby appropriated in the Room Occupancy Tax Fund for the
fiscal year beginning July 1, 2026, and ending June 30, 2027:
Economic and Physical Development $9,359,450
Transfer to Other Funds 3,250,000
Total Appropriation - Room Occupancy Tax Fund 512.609,450
Section 8: It is estimated that the following revenues will be available in the Room Occupancy Tax
Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Room Occupancy Taxes $12,368,000
Special Assessments 241,450
Total Estimated Revenues- Room Occupancy Tax Fund 512,609,450
Section 9: The following amount is hereby appropriated in the Emergency Telephone System Fund
for the fiscal year beginning July 1, 2026, and ending June 30, 2027, for the purpose of maintaining
an Emergency 911 System in the County:
Public Safety $1,670,495
Total Appropriation - Emergency Telephone System Fund -Article 3 S1,670,495
Section 10: It is estimated that the following revenue will be available in the Emergency Telephone
System Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Other Taxes $1,670,495
Total Estimated Revenues- Emergency Telephone System Fund -Article 3 S1,670,495
Section 11: The following amount is hereby appropriated in the Stormwater Services Fund for the
fiscal year beginning July 1, 2026, and ending June 30, 2027:
General Government $5,079,776
Transfers to Other Funds 168,000
Debt Service 23,700
Total Appropriation - Stormwater Services Fund $5,271,476
Section 12: It is estimated that the following revenue will be available in the Stormwater Services
Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Charges for Service $4,656,630
Other Revenue 80,000
Appropriated Fund Balance 534,846
Total Estimated Revenues-Stormwater Services Fund 55,271,476
Section 13: The following amount is hereby appropriated in the Environmental Management Fund
for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Enterprise - Environmental Management Operations $17,344,375
Debt Service 1,766,616
Administrative Reserves:
Environmental Management Closure/Post Closure Reserve 1,158,869
Transfer to Other Funds:
Transfer To General Fund 600,000
Transfer To Environmental Management Fund Closure/Post Closure Reserve 1,158,869
Transfer To Environmental Management Capital Project Funds 5,604,000
Total Appropriation - Environmental Management Fund $27,632,729
Section 14: It is estimated that the following revenues will be available in the Environmental
Management Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Charges for Services $23,980,810
Intergovernmental Revenue-State 729,270
Long Term Debt Issued 805,000
Other Revenues 683,780
Appropriated Fund Balance:
Environmental Management Fund -Appropriated Fund Balance 275,000
Transfer from Other Funds:
Transfers from Environmental Management Fund 1,158,869
Total Estimated Revenues- Environmental Management Fund $27,632,729
Section 15: The following amount is hereby appropriated in the Special Purpose Fund for the fiscal
year beginning July 1, 2026, and ending June 30, 2027:
Human Services $88,186
Cultural and Recreational 189,500
Total Appropriation -Special Purpose Fund $277,686
Section 16: It is estimated that the following revenue will be available in the Special Purpose Fund for
the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Other Revenues $277,686
Total Estimated Revenues-Special Purpose Fund $277,686
Section 17: The following amount is hereby appropriated in the Representative Payee Fund for the
fiscal year beginning July 1, 2026, and ending June 30, 2027:
Human Services $220,000
Total Appropriation - Representative Payee Fund $220,000
Section 18: It is estimated that the following revenue will be available in the Representative Payee
Fund for the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Other Revenues $220,000
Total Estimated Revenues- Representative Payee Fund $220,000
Section 19: The following amount is hereby appropriated in the Revolving Loan Fund for the fiscal
year beginning July 1, 2026, and ending June 30, 2027:
General Government $50,000
Total Appropriation—Revolving Loan Fund $50,000
Section 20: It is estimated that the following revenue will be available in the Revolving Loan Fund for
the fiscal year beginning July 1, 2026, and ending June 30, 2027:
Appropriated Fund Balance $50,000
Total Estimated Revenues—Revolving Loan Fund $50.000
Section 21: There is hereby levied a tax at the rate of thirty and two tenths cents ($0.3020) per one
hundred dollars ($100) valuation of property listed as of January 1, 2026 for General Fund and four
tenths cents ($0.004) per one hundred dollars ($100) valuation of property listed as of January 1,
2026 for Debt Service Fund;for a combined total tax rate of thirty and six tenths cents ($0.3060) per
one hundred dollars ($100) valuation of property listed as of January 1, 2026, for the purpose of
raising revenue included in "Ad Valorem Taxes" in the General Fund in Section 2 and in the Debt
Service Fund in Section 4 of this Budget Ordinance.
This rate is based on an estimated total valuation of property for the purpose of taxation of
$82,242,643,600 and an estimated collection rate of 99.60%.
Section 22: There is hereby levied a tax at the rate of seven and twenty-five hundredths cents
($.0725) per one hundred dollars ($100) valuation of property listed for taxes as of January 1, 2026,
located within the Special Fire District for the raising of revenue for said Special Fire District.
This rate of tax is based on an estimated total valuation of property for the purposes of taxation of
$31,761,338,700 and an estimated collection rate of 99.60%.
Section 23:The following amounts are hereby made to the Bike and Pedestrian Paths Fund pursuant
to G.S. 159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Carolina Beach Road Trail $800,000
Total Bike and Pedestrian Paths Fund Appropriation $800.000
Source of Revenue:
Long Term Debt Proceeds $800,000
Total Estimated Revenues- Bike and Pedestrian Paths Fund $800,000
Section 24:The following amounts are hereby made to the Miscellaneous Projects Fund pursuant to
G.S. 159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
North Chase Library Transfer to Other Funds $479,251
North Chase Library Capital Expense (64,000)
Smith Creek Park Transfer to Other Funds 100,000
Smith Creek Park Capital Expense (100,000)
Transfers to Other funds 1,229.250
Total Miscellaneous Projects Fund Appropriation S1.644,501
Source of Revenue:
Interest Earnings $1,644,501
Total Estimated Revenues—Miscellaneous Projects Fund $1,644.501
Section 25:The following amounts are hereby made to the Project Grace Fund pursuant to G.S. 159-
13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Project Grace Transfer to Other Funds $405,066
Project Grace Capital Expense (405,066)
Total Project Grace Fund Appropriation $ ---
Section 26:The following amounts are hereby made to the Government Center Fund pursuant to G.S.
159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Transfer to Other Funds $1,977,069
Capital Expense Savings (926,907)
Total Government Center Fund Appropriation S1,050,162
Source of Revenue:
Interest Earnings $1,050,162
Total Estimated Revenues—Government Center Fund $1,050,162
Section 27:The following amounts are hereby made to the Healing Place Fund pursuant to G.S. 159-
13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Construction Expense $(267,596)
Transfer to Other Funds 551.891
Total Healing Place Fund Appropriation S284,295
Source of Revenue:
Interest Earnings $284,295
Total Estimated Revenues—Healing Place Fund $284,295
Section 28: The following amounts are hereby made to the American Rescue Fund pursuant to G.S.
159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Transfer to Other Funds $307,473
Total American Rescue Fund Appropriation $307.473
Source of Revenue:
Interest Earnings $307,473
Total Estimated Revenues—American Rescue Fund $307,473
Section 29:The following amounts are hereby made to the Mason Inlet Capital Project Fund pursuant
to G.S. 159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Capital Project Expense $3,250,000
Total Mason Inlet Capital Project Fund Appropriation $3.250.000
Source of Revenue:
Transfer in From Room Occupancy Tax Fund $3,250,000
Total Estimated Revenues—Mason Inlet Capital Project Fund $3,250.000
Section 30: The County has been awarded approximately $36.4 million of Opioid Settlement Funds
from the first two waves of settlements arising from the National Settlement Agreement legislation.
Thus far, the County has received approximately $13.7 million, with periodic allotments scheduled
through fiscal year 2038-2039. These funds may be used to support opioid remediation activities or
restitution in addition to funding the administrative costs of administering the programs. Programs
have been designed within the guidelines set forth through the Memorandum of Agreement between
the State of North Carolina and Local Governments Relating to the Settlement of Opioid Litigation.
The following amounts are hereby made to the Special Revenue Opioid Settlement Fund pursuant to
G.S. 159-15 for the fiscal year beginning July 1, 2026:
Program Appropriations: Option/Item
General Government Application:
Outreach and Education -Substance Abuse Focus B/G1 $20,000
Public Service Announcement/destigmatization of SUD B/G2 25,000
Employment Related Services for People in Treatment and A/5 48,000
Recovery
Staffing Support A/1 92,000
Withdrawal Management Wearable Devices (Coastal
Horizons and OpiAID) B/A7 250,000
Opioid Use Disorder Treatment and Meds for Uninsured A/2 287,099
Recovery Unplugged - Inpatient Treatment A/2 160,000
Recovery Housing Support for People in Treatment or
Recovery/ Port Health/Capstone/Stepping Stone A/4 155,000
Wraparound Support Services for People Transitioning from
Opioid Treatment B/B1/B/B2 250,000
MedNorth -Outreach, OUD Services and Support A/2 272,929
M-A-T for EMS (evidence based) A/8 292,000
Tides, Inc. B/E1 540,000
The Healing Place A/3 1,186,250
City of Wilmington Naloxone Replacement B/H1 24,000
Wrap Services B/B1 175,000
Survey A/1 75,000
Public Safety:
M-A-T for Detention Center (evidence based) B/A1 363,956
New Hanover County Naloxone Replacement B/H1 20,000
Total Special Revenue -Opioid Settlement
Fund Appropriation $4,236,234
Sources of Revenue:
Opioid Settlement Funds $2,308,012
Appropriated Fund Balance 1,928,222
Total Estimated Revenues- Special Revenue Opioid
Settlement Fund $4,236,234
Section 31:The Chief Financial Officer is hereby directed to maintain within the Special Revenue Fund
sufficient specific detailed accounting records to provide the accounting required in accordance with
the Memorandum of Agreement Between the State of North Carolina and Local Governments
Relating to the Settlement of Opioid Litigation.
Section 32: The following amounts are hereby made to the Southern Property Construction Fund
pursuant to G.S. 159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Southern Property Construction/Closure $1,707,000
Total Southern Property Construction Fund Appropriation $1,707,000
Source of Revenue:
Transfer From Environmental Management Fund $1,707,000
Total Estimated Revenues — Southern Property Construction
Fund 51,707.000
Section 33: The following amounts are hereby made to the Environmental Management Various
Projects Fund pursuant to G.S. 159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Administration Building $3,897,000
Total Environmental Management Various Projects Fund $3,897,000
Appropriation
Source of Revenue:
Transfer from Recycling and Solid Waste Fund $3,897,000
Total Estimated Revenues- Environmental Management Various
Projects Fund 53,897,000
Section 34:The following amounts are hereby made to the Fire Capital Projects Fund pursuant to G.S.
159-13.2 for the fiscal year beginning July 1, 2026:
Project Appropriations:
Wrightsboro Station $420,000
Total Fire Capital Projects Fund Appropriation $420,000
Source of Revenue:
Loan Proceeds $420,000
Total Estimated Revenues—Fire Capital Projects Fund $420,000
Section 35: The projects undertaken pursuant to this Budget Ordinance are in accordance with the
County's Capital Improvement Plan, the Recommended Budget and any changes made during the
Board of County Commissioners' budget work sessions and these projects are herewith authorized
and the remaining four years of the Capital Improvement Plan are endorsed by the Board of County
Commissioners for approval in subsequent fiscal years.
Section 36:The Chief Financial Officer is hereby directed to maintain within the Capital Project Funds
sufficient specific detailed accounting records to satisfy all applicable regulations. The terms of the
financing agreement also shall be met.
Section 37: The County desires to expend its own funds for the purpose of paying certain costs of
various projects, for which expenditures the County reasonably expects to reimburse itself from the
proceeds of debt to be incurred by the County, specifically:
Carolina Beach Road Trail up to $800,000
Trails End Pier Repair up to $957,000
North College Road Trail up to$3,585,892
South College Road Trail up to$5,235,000
General Fund Capital Outlay Equipment
&Automobiles, including outlay for the New
Hanover County Schools and
Cape Fear Community College up to$13,647,926
Environmental Management Fund - Equipment up to$805,000
Fire Rescue Fund—Fire Engine up to $1,200,000
Fire Rescue Capital Project Fund—Wrightsboro Station up to $400,000
(collectively,the "Projects)
Section 38: The expenditures related to the acquisition, construction and equipping of the Projects
described above will be reimbursed in whole or in part with the proceeds of tax-exempt obligations
to be issued by the County in accordance with United States Treasury Regulations Section 1.150-2.
Except as otherwise permitted under applicable federal tax law, any reimbursement from the
proceeds of tax-exempt obligations will take place no later than 18 months from the later of the date
the original expenditure was paid and the date the project was placed in service, but in no event shall
an expenditure be reimbursed more than 3 years from the date the paid.
Section 39:This declaration of official intent is made pursuant to Section 1.150-2 of the United States
Treasury Regulations to expressly declare the official intent of the County to reimburse itself from
the proceeds of debt to be hereinafter incurred by the County for certain expenditures paid by the
County on or after the date which is sixty(60) days prior to the date hereof.
Section 40:The County intends to seek Federal, State, and/or other grant funding to reduce the
amount of loan proceeds. The adoption of this Budget Ordinance authorizes the County Manager
and/or his representative to apply for and accept such funding if awarded.
Section 41: All grants that are included in the adopted budget are deemed to be approved by the
Board of County Commissioners and will not come back to the Board for approval to apply for or to
accept the awarded grant unless it is specifically required by the Grantor. In the event an award is
greater than or less than the adopted budget, to the extent it is needed, a budget amendment will
be brought to the Board of County Commissioners through the Consent Agenda for approval to adjust
revenues and expenditures accordingly.
Section 42:The County Manager,and/or County Manager's designee, is hereby authorized to transfer
appropriations as contained herein under the following conditions:
a. He/she may transfer amounts between expenditure line items within a department
without limitation and without a report being required.
b. He/she may transfer amounts between appropriation units within the same budget
function and fund without limitation and without a report being required.
c. He/she may transfer medical insurance appropriations between functions, departments
and divisions within the same fund based upon usage.
d. He/she may not transfer any amounts between funds without approval by the Board of
County Commissioners.
Section 43:As allowed by G.S. 153A-11 and 153A-12, in order to facilitate and expedite any donation
of property to the County, either personal or real,the County Manager is hereby expressly authorized
and delegated the power to accept such property in his/her discretion under the following conditions:
a. The County Manager, and / or County staff under the County Manager's direction, shall
undertake all appropriate due diligence prior to accepting any gift to consider risks,
liability, and need/appropriateness.
b. The County Manager may accept a donation of real or personal property up to a value of
$5,000 per item and $100,000 in aggregate per budget year without the necessity of
further recourse to Board of County Commissioners action. Notwithstanding, the County
Manager may determine that certain donations and recognitions be considered by the
Board of County Commissioners.
c. The County Manager may further delegate this authority to the Chief Financial Officer,
and may if he/she chooses, create any administrative policy for property donation.
Section 44:This Budget Ordinance and the budget document shall be the basis for the financial plan
for New Hanover County for the 2026-2027 fiscal year. The Budget Officer shall administer the
budget. The Chief Financial Officer shall establish and maintain all records which are in concurrence
with this budget and the Budget Ordinance and the appropriate statutes of the State of North
Carolina.
Section 45:This Budget Ordinance incorporates acceptance of the various changes to the County fee
schedule as set forth and published beginning July 1, 2026.
Section 46: In accordance with 2 C.F.R. § 200.320(a)(I)(iv)(C), and the applicable provisions of North
Carolina law, the County hereby self-certifies the following micro-purchase thresholds:
a. $30,000, for the purchase of "apparatus, supplies, materials, or equipment"; and
b. $30,000,for the purchase of"construction or repair work";and
c. $30,000, for the purchase of services not subject to competitive bidding under
North Carolina law; and
d. $50,000, for the purchase of services subject to the qualification-based selection
process in the Mini-Brooks Act (Article 3D of Chapter 143), but only where the unit
of local government exercises,in writing,an exemption to the Mini-Brooks Act for a
particular project pursuant to G.S. 143-64.32. Where the unit does not exercise an
exemption to the Mini-Brooks Act;the micro purchase threshold shall be $0.00.
Section 47: Adoption of this Budget Ordinance instructs the County Manager to implement a
Supplemental Retirement program for Firefighters with program parameters to be detailed in the
Personnel Policy.
Section 48: Copies of this Budget Ordinance shall be furnished to the Clerk to the Board of County
Commissioners and to the Budget Officer and Chief Financial Officer of New Hanover County, North
Carolina, to be kept on file by them for their direction in the disbursement of funds.
ADOPTED, this 18 day of May 2026.
4',t A 2 Ce-
Kym`6erleigh G. C ell LeAnn Pierce, Chair
Clerk to the Board of County Commissioners Board of County Commissioners
NOUN J'1
64 /
'vi
Changes to Existing Fee Schedule
New,Change,Include
Department Fee Title Current Fee Proposed New Fee or Eliminate
Museum
Adult Admission(non NHC resident) $ 15.00 $ 16.00 Change
Adult Admission(NHC resident) $ 7.50 $ 8.00 Change
Planning
Board of Adjustment $ 400.00 $ - Eliminate
Variance $ - $ 400.00 New
Appeal of Staff Determination $ - $ 400.00 New
Reasonable Accommodation $ - $ - New
Recycling and Solid Waste
Tip Fee $ 52.00 $ 61.00 Change
Out-of-County Waste $ 52.00 $500+weight of load fee Change
Mixed Shingles-for loads containing 80%or more asphalt
shingles being disposed of landfill face $ 52.00 $ 104.00 Change
Recyclable Material-for loads containing more than 15%
recyclables(plastic,aluminum,glass) $ 52.00 $500+weight of load fee New
Cardboard(OCC)-for mixed loads of OCC in which
contaniments are not removed from OCC boxes prior to
disposal $ 104.00 $250+weigh of load fee Change
Nuisance Condition $ 62.00 $ 150.00 Change
Tip Fee for Pender County Commerce $ 54.00 $ 63.00 Change
Health
Counseling Code 98961-Education and Training for
Patient Self-management group,Face-to-Face-30 Minutes $ - $ - Eliminate
Counseling Code 99401-Preventive Medical Counseling
15 Minutes $ 40.00 $ - Eliminate
Counseling Code 99402-Preventive Medical Counseling
30 Minutes $ 76.00 $ - Eliminate
Counseling Code 99403-Preventive Medical Counseling
45 Minutes $ 113.00 $ - Eliminate
Counseling Code 99404-Preventive Medical Counseling
60 Minutes $ 144.00 $ - Eliminate
Counseling Code 99406-Smoking and Tobacco Cessation
Visit greater than 3 minutes,up to 10 minutes $ 20.00 $ - Eliminate
Counseling Code 99407-Smoking and Tobacco Cessation
Visit greater than 10 minutes $ 35.00 $ - Eliminate
Counseling Code 99411-Group Counseling-30 minutes $ 39.00 $ - Eliminate
Counseling Code 99412-Group Counseling-60 minutes $ 68.00 $ - Eliminate
Counseling Code 99429-Unlisted Preventive Medicine
Service $ - $ - Eliminate
Counseling Code 99361-Medical Conference-30 Minutes $ 73.00 $ - Eliminate
Counseling Code 99362-Medical Conference-60 Minutes $ 120.00 $ - Eliminate
Other Clinic Services-S9442 Childbirth Education Classes
(per 1 hour unit) $ 10.75 $ - Eliminate
Other Clinic Services-T1001 Matemal Care Skilled Nurse
Home Visit $ 96.00 $ - Eliminate
Other Clinic Services-20552 Injection(s)single or multiple
trigger point(s),1 or 2 muscles $ 60.00 $ - Eliminate
Other Clinic Services-99502EP Newborn EPSDT Screen
Home Visit $ 90.00 $ - Eliminate
Injection/Immunization Administration Codes-95115-
Immunotherapy,one injection $ 15.00 $ - Eliminate
Injection/Immunization Administration Codes-95117-
Immunotherapy injections $ 20.00 $ - Eliminate
Vaccine Codes-90626-Tick Borne Encephalitis 0.25ML $ 320.00 $ - Eliminate
Vaccine Codes-90627-Tick Borne Encephalitis 0.5OML $ 320.00 $ - Eliminate
Vaccine Codes-90670-Prevnar/PC-13 $ 285.00 $ - Eliminate
Vaccine Codes-90734-Menactra Vaccine $ 150.00 $ - Eliminate
Vaccine Codes-90736-Zostavax Vaccine $ 275.00 $ - Eliminate
Vaccine Codes-91319-Pfizer BioNTech COVID-19(5yrs-
11yrs) $ 100.00 $ - Eliminate
Vaccine Codes-91318-Pfizer BioNTech COVID-19(6mos-
4yrs) $ 100.00 $ - Eliminate
In-House Lab Codes-83036-Hemoglobin A1C $ 20.00 $ - Change
In-House Lab Codes-0353U-Chlamydia/Gonorrhea,
PCR $ - $ - Change
In-House Lab Codes-0352U-MVP Assay(Multiplex
Vaginal Panel) $ 165.00 $ - Change
Referred Lab Codes-Private Lab-85004 90-Differential
and total WBC Count-TB Patients only $ - $ - Eliminate
Referred Lab Codes-Private Lab-85048 90-Differential
and total WBC Count-TB Patients only $ - $ - Eliminate
Referred Lab Codes-Private Lab-85007 90-CBC with
Manual Diff-TB Patients only $ - $ - Eliminate
Referred Lab Codes-Private Lab-86787 90-Varicella
Titer/Employee Only-No Charge $ - $ - Eliminate
Referred Lab Codes-Private Lab-87593 90-Infectious
Agent detection by nucleic acid(DNA or RNA);orthopox
(monkey pox) $ - $ - Eliminate
Referred Lab Codes-Private Lab-88141 90-MP
Interpretation-Pathologist $ 25.00 $ - Eliminate
Nutrician Counseling-97804-Medical Nutrition Therapy,
Group,per 30 min $ 20.00 $ - Eliminate
Nutrician Counseling-G0108-Diabetes Self-
Management,Individual,per 30 $ 55.00 $ - Eliminate
Nutrician Counseling-G0109-Diabetes Self-
Management,Group,per 30 $ 25.00 $ - Eliminate
Nutrician Counseling-G0270-Additional Medical Nutrition
Therapy,Phys Order,per 15 min $ 35.00 $ - Eliminate
Nutrician Counseling-G0271-Additional Medical Nutrition
Therapy,Group,Phys Order,per 15 min $ 20.00 $ - Eliminate
Nutrician Counseling-S9465-Diabetes Self-Management,
Registered Dietician Visit,No time/Unit $ 40.00 $ - Eliminate
Nutrician Counseling-S9470-Nutrition Counseling,RD
Visit,No time/Unit $ 40.00 $ - Eliminate
Mobile Dental Unit Codes-D9220-Deep
Sedation/General anesthesia-first 30 minutes $ 155.77 $ - Eliminate
Other Clinic Services-99177 Ocular Instrument Screening-
bilateral $ - $ 30.00 New
In-House Lab Codes-0455U-Chlamydia/Gonorrhea,
PCR $ - $ - Change
In-House Lab Codes-81515-MVP assay(Multiplex
Vaginal Panel) $ 165.00 $ 165.00 Change
Mobile Dental Unit Codes-D1510-Space Maintainer-fixed-
unilateral $ 200.00 $ 220.00 Change
Vaccine Codes-90714-TD $ 45.00 $ 50.00 Change
Vaccine Codes-90632-Havrix-Hep A Adult $ 85.00 $ 90.00 Change
Vaccine Codes-90723-Pedianx(Dtap/HepB/IPV) $ 100.00 $ 115.00 Change
Vaccine Codes-90636-Twinrix(HepA/B) $ 130.00 $ 145.00 Change
Vaccine Codes-90750-Shingnx $ 225.00 $ 240.00 Change
Vaccine Codes-90620-Bexsero $ 245.00 $ 260.00 Change
Vaccine Codes-90707-MMR II $ 105.00 $ 115.00 Change
Vaccine Codes-90619-Menquadfi $ 175.00 $ 180.00 Change
Vaccine Codes-90738-Ixiaro(Japanese Encephalitis) $ 380.00 $ 400.00 Change
Vaccine Codes-90691-Typhoid(Injection)Typhim VI $ 150.00 $ 165.00 Change
Vaccine Codes-90662-Fluzone High Dose $ 85.00 $ 100.00 Change
Vaccine Codes-90380-Beyfortus RSV 0.5mL $ 550.00 $ 575.00 Change
Vaccine Codes-90381-Beyfortus RSV 1mL $ 550.00 $ 575.00 Change
Vaccine Codes-90678-Abrysvo(RSV) $ 300.00 $ 325.00 Change
Vaccine Codes-90679-Arexvy(RSV) $ 300.00 $ 325.00 Change
Vaccine Codes-J7298-Mirena IUD $ 1,170.00 $ 1,240.00 Change
Other Clinic Services-J7300-ParaGard IUD $ 1,115.00 $ 1,160.00 Change
Other Clinic Services-J7307-Nexplanon $ 1,215.00 $ 1,250.00 Change
Wells-Well permit(including site evaluation and
bacteriological water sample analysis) $ 350.00 $ 400.00 Change