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opioid settlement

Suffolk County Executive Steve Bellone, announced the first round of recipients of opioid settlement funds at a Jan. 12 press conference. Photo from Steve Bellone’s Flickr page

County Executive Steve Bellone (D) announced the names of 34 organizations who will receive $25 million to combat the opioid crisis in the first round of funding secured by the county’s settlement against manufacturers, distributors and others involved in the crisis.

Suffolk County Legislature Minority Leader Jason Richberg, at podium, was on hand to announce the first round of recipients of opioid settlement funds at a Jan. 12 press conference. Photo from Steve Bellone’s Flickr page

The grant recipients, who were among the 111 that applied for funding, include community groups, nonprofits, for-profit groups and county agencies and will receive the funds over a three-year period.

The county hopes to provide funds in the next couple of weeks to combat a crisis that COVID-19 exacerbated in the last few years.

“We had begun to make real progress in the battle and in 2019, deaths declined for the first time in many years,” Bellone said at a press conference Jan. 12 announcing the recipients chosen by a bipartisan five-member committee. The pandemic “reversed that progress and, once again, we saw opioid-related deaths rising.”

Funds from the settlement against manufacturers and distributors of opioids total over $200 million, which the county will distribute over the next 20 years. The second round of funding will begin later this year. The county encouraged some of the groups that didn’t receive funding in the first round to reapply, while opening up the opportunity to other organizations that are similarly dedicated to prevention, education, treatment and recovery.

Urgency

County Legislature Minority Leader Jason Richberg (D-West Babylon), who helped select award recipients, said the committee received over $170 million worth of requests.

“The goal is not only to have an immediate impact, but to have a long-standing impact,” he said in an interview. The committee wanted to take a “multifaceted approach when funding these organizations.”

Richberg said the group took a considerable number of hours to put together the list of recipients for the first round.

“We understood the urgency to make sure this came out in the best way possible,” he said.

The minority leader appreciated the perspective of fellow committee member Sharon Richmond, president of the Northport-East Northport Community Drug and Alcohol Task Force and a victim-advocate whose son Vincent died from opioids in 2017.

Richberg described Richmond as a “beacon of strength” who helped guide the group in the right direction.

At the press conference, Richmond said her son would have been “honored to know that so many people are going to get so much help” with these funds.

‘We want to reach individuals in the community and not necessarily have to wait for someone to come to our emergency departments.’

Dr. Sandeep Kapoor

Reaching out

The leaders of the groups that will receive this money have numerous approaches to combat an epidemic that has robbed the community of family members, friends and neighbors.

“We want to reach individuals in the community and not necessarily have to wait for someone to come to our emergency departments,” said Dr. Sandeep Kapoor, assistant vice president of addiction services for Northwell Health.

Northwell’s Project Connect Plus will receive about $3.5 million, which is the largest single award in the first round of funding.

Project Connect Plus would like to expand its reach and is partnering with domestic violence organizations and with Island Harvest food bank to create a pathway for people to access support.

“The goal of this initiative is to make sure we can navigate people [to services], build partnerships and ensure that people trust the process,” Kapoor said.

Project Connect Plus is emphasizing the importance of ongoing contact between health care providers and people who need support to defeat drug addiction.

He contrasted the attention most patients get after an operation with the lack of ongoing attention in the health care system for those people who come to an emergency room for drug-related problems.

‘It’s a significant amount of money that will have a significant impact. It means a lot to us to have the support of the county around harm reduction efforts.’

— Tina Wolf

Hospitals typically reach out to patients numerous times after knee operations, to check on how people are feeling, to make sure they are taking their medicine, to check for infection and to remind them of future appointments.

Someone with a substance use disorder typically receives no phone calls after an emergency room visit.

“If [the health care community] is doing right by people with knee surgery, why not take the same approach” for people who are battling addiction, Kapoor said. “We continually engage people to make sure they are not alone.”

Project Connect Plus is also partnering with other organizations, including Community Action for Social Justice, which is working toward increasing safety around drug use.

CASJ’s executive director and co-founder, Tina Wolf, provides direct services to reduce the risk for people who use drugs, such as syringe exchange and risk reduction counseling, overdose prevention training and harm reduction training.

CASJ is receiving $1.5 million from the opioid settlement.

“It’s a significant amount of money that will have a significant impact,” Wolf said. “It means a lot to us to have the support of the county around harm reduction efforts.”

Wolf said the funds will enable CASJ to double its existing harm reduction efforts in Suffolk County, which is important not only amid an increase in substance abuse in the aftermath of the pandemic, but also as people develop wounds amid a change in the drug supply.

In the last few years, amid volatility in drugs used in the county, some fentanyl has included xylazine, a pet pain reliever and muscle relaxant. In Philadelphia, Puerto Rico and Long Island, among other places, xylazine has caused significant nonhealing wounds.

“Some of this money is for wound care issues,” Wolf said.

Other grant recipients include Hope House Ministries of Port Jefferson ($600,000), Town of Brookhaven Youth Prevention Program ($75,000) and Town of Smithtown Horizons Counseling and Education Center ($111,000). 

A comprehensive list

The award recipients will update the committee on their efforts to ensure that the funds are providing the anticipated benefits and to help guide future financial decisions.

Groups have to report on their progress, Richberg said, which is a part of their contract.

County Legislator Kara Hahn (D-Setauket) was pleased with the work of the recipients.

“It’s a fantastic list” that is “really comprehensive and varied in the type of services and the location geographically,” she said. “We do need so much out there.”

She believes the funds will “do some
real good.”

Wolf said she hopes “we don’t all just do well in our individual projects, but we can link those projects together. I’m hoping there’s enough overlap that we can create this net together to really make sure people aren’t falling through the cracks.”

Pictured above, Suffolk County Comptroller John M. Kennedy Jr. (R). Photo by Rita J. Egan

After serving in the office for the last eight years, Suffolk County Comptroller John M. Kennedy Jr. (R) is seeking reelection.

His challenger, Democratic Party nominee Thomas Dolan, is not openly campaigning and therefore could not be reached for comment.

‘I think Suffolk County still needs a shakedown.’

— John Kennedy

In an exclusive interview, Kennedy defined the function of the comptroller’s office, its central role in the fiscal stability of the county government, and why he is pursuing election to that office yet again.

He described his responsibilities as overseeing the county’s financial operations. However, the scope of the office goes well beyond this purpose, with auditing powers and administrative duties related to the former Office of Treasurer.

“It has been a great gig,” Kennedy said. “I have thoroughly enjoyed it. Eight years into it, I think we’ve been able to do some good things.” He spoke of his opponent, “I hear he’s a very nice individual.”

Kennedy said he has several programs and policy initiatives he intends to get off the ground if reelected. Among these is upgrading the county’s financial infrastructure to improve the office’s operations and connect currently disconnected frameworks.

“One of the components in that is unifying the capital budget function,” he said. “It is critical from a budgeting perspective, from a management perspective, that we bring all those disparate databases together so that we have continuity and good stewardship of our money.”

Kennedy also plans to request two additional auditors from the county Legislature to oversee the expenditures of approximately $185 million in opioid-related settlements to Suffolk County. [See story, “Suffolk County launches grant application program to fight opioid crisis,” TBR News Media, July 28, also TBR News Media website.]

“Many have said that they want to see contemporaneous oversight of the opioid settlements,” the county comptroller said. “We received $25 million [so far] … but unfortunately, there is a propensity in government for money to go to all different types of things.” 

He added, “Our electeds, our advocates, our treatment community want to make sure that there’s good, contemporaneous oversight regarding expenditure and use of those funds.”

Kennedy augmented his audit staff from 19 to 34 members during his two terms in the comptroller’s office. He viewed this as progress and committed to increasing the number of auditors at his disposal.

“I’ve been very aggressive with [hiring] our audit staff,” he said. “I think we need to do more of that. I want to bring that on in some other aspects of the office, including IT.”

Having served in this capacity for some time now, he believes he possesses the requisite experience and institutional knowledge to discharge the county’s finances responsibly.

“This is the kind of office that lends itself to almost limitless opportunities,” he said.

But it has yet to be smooth sailing for Kennedy or the public fund. Citing an analysis, by New York State Comptroller Tom DiNapoli (D), which considered fund balance and borrowing cycles, among other concrete financial measures, he acknowledges that Suffolk County ranks near the bottom among the state’s 62 counties in terms of fiscal responsibility.

“It’s indisputable that going back two or three years ago, we were the 62nd in ranking out of all 62 counties in the state of New York,” Kennedy said. “The most recent evaluation has moved us up.”

Despite Suffolk’s checkered financial record, the comptroller believes this assessment requires further context. He contends the analysis measures Suffolk against other counties throughout the state, which are less populated and with budgets dwarfed by Suffolk County’s $3.8 billion annual budget.

Instead, he favors an “apples to apples” method of comparing the county’s finances to those of the “Big Five”: Suffolk, Nassau, Erie, Monroe and Albany counties.

“They’re the largest concentrations of cities, budget size and municipal function,” he said, adding, “We’re somewhat comparable with them.”

Still, Kennedy supports “serious fiscal reform,” stating that he intends to embark upon a “shakedown” of the county government.

“I think Suffolk County still needs a shakedown,” he said. “The underlying platform and premise for us is unsustainable. Unless we do something to address the proliferation of things that we have — and the areas where we’re not delivering services adequately — I think we will be destined for serious financial strife in ‘24.”

The county government may be able to get through the 2023 fiscal year comfortably, according to Kennedy, due to substantial financial reserves generated during the COVID-19 pandemic. However, he foresees those reserves drying up and the effects to be felt within a year. 

“We are on a runaway train with inflation,” he said. “We are seriously, seriously compromised internally in our financial structure.”

Throughout the interview, Kennedy named several individuals with whom he disagreed on policy grounds. In the face of these differences, he finds that he still manages to build bridges across the aisle and discover common ground. 

“The middle [of the road], registered, undeclared [voting population] keeps growing,” he explained. “My sense with folks that are in that category is they want to talk about the issues, hear about what’s important to them, and know what you’re going to do with the opportunity they give you.”

Kennedy asserted that the general public is decreasingly tolerant of partisans and political extremists. Instead, the regular voter thirsts for tangible results from the government. The county comptroller says his efforts to reach across the aisle have generally been reciprocal.

“What I’m talking about with them is the operations, the nuts and bolts of government,” he said. “I’m not talking about whether you’re pro-abortion or pro-life, or whether you believe in cashless bail or whether you want to legalize heroine.”

He added, “I’m talking about how to pay bills, how to recruit and keep talent, how to do the things necessary for the vast majority of people that interact with the county government.”

Whether Kennedy will apply his “nuts and bolts” political philosophy to other realms of the county government is still to be decided. Next year, the highest post in Suffolk County, the office of county executive, will be up for grabs.

Kennedy received the Republican nomination for county executive in 2019, but was defeated by incumbent Steve Bellone (D). When asked if he would pursue that office again, Kennedy responded, “We’ll see what the future brings.”

Photo by Julianne Mosher

A new website dedicated to addiction and mental health resources has been unveiled to provide residents with easy-to-access services for those who are struggling. 

On Thursday, July 22, Suffolk County legislator and chairwoman of the county Legislature Health Committee, Sarah Anker (D-Mount Sinai), joined county Department of Health Services Commissioner Gregson Pigott, county Division of Community Mental Hygiene Services Director Cari Faith Besserman, together with members of the county Department of Information Technology and the county Addiction Prevention and Support Advisory Panel outside the William H. Rogers Building in Hauppauge to announce the launch of the website suffolkstopaddiction.org.

The webpage was created by Resolution No. 34-2021, introduced by Anker and unanimously passed earlier this year. 

The legislation directed the county Department of Information Technology and the Department of Health to collaborate to create a comprehensive webpage dedicated to addiction, mental health, substance use disorder prevention and rehabilitation services. The webpage features sections that include important emergency numbers, substance use disorder and mental health information and resources, and a list of treatment providers compiled by the county Division of Community Mental Hygiene Services.

Photo by Julianne Mosher

“I want to thank the Suffolk County Department of Health Services, the Division of Community Mental Hygiene Services and the Department of Information Technology for their tireless work they put into creating this webpage,” Anker said. “With the concerning rise in addiction and mental health issues after a challenging year, our hope is that this webpage will help increase the accessibility of the possibly life-saving resources that are available through the Suffolk County Health Department and improve our ability to reach those who are in need of help in our county.”

Anker sponsored the resolution in response to the growing opioid and substance abuse epidemic in the county and across the U.S. 

During an October public hearing, Victoria Sunseri, a Suffolk County constituent in the medical field, noted that it was difficult for providers to locate mental health and/or addiction resources for their patients. The panel members echoed the importance of providers being able to connect a person to treatment options and for residents to find important information in a user-friendly way. In response, Anker facilitated the creation of the webpage singularly dedicated to addiction and mental health resources and services.

“Throughout the pandemic, we have received a surge in calls from individuals seeking mental health resources from crisis intervention to addiction rehabilitation,” Sunseri said. “This mental health hub will serve to empower individuals by reducing the time and frustration they might experience while seeking help appropriate to their needs and by streamlining reception of services through increasing the salience of who does what, where and how.”

This comes just days after the county Legislature convened July 12 to consider and vote on certificates of necessity concerning settlements with several defendants in the county’s pending opioid litigation. These certificates were approved promptly after legislators met in executive session to discuss details related to the litigation.

On Feb. 3, 2015, county legislator and current presiding officer, Rob Calarco (D-Patchogue), introduced legislation to establish a six-member committee to determine the viability of legal action against drug manufacturers and ascertain Suffolk’s costs due to the over-prescription of opioids. 

Following this study, Calarco spearheaded the resolution that authorized the special counsel to commence legal action(s) against all responsible parties. The law firm of Simmons Hanly Conroy LLC was retained, on a contingency basis, to represent the County of Suffolk in this complex litigation. 

Suffolk County was one of the first three counties in the United States to act against opioid manufacturers in 2015. The counties of Orange and Santa Clara in California and the city of Chicago took similar action in that same period. These settlement dollars will be used in accordance with any requirements outlined in relation to such settlement and, in all likelihood, will be put toward educational programming, treatment and other related efforts to remedy the impacts of this crisis. 

According to a Calarco press release following the July 12 special meeting, settlements were approved with Rite Aid of New York $1.5 million; CVS $3.5 million plus the additional amount of $500,000 if certain settlements are reached with other defendants; Walmart $3,062,500; Walgreens $5 million; Johnson & Johnson a sum between $8.4 million and $19.8 million over 10 years “to be used for restitution and abatement and agreeing not to manufacture, sell or promote opioids going forward”; and between approximately $10.4 million and $19.6 million over nine years from the Purdue/Sackler family. 

Photo by Julianne Mosher

“When we began to experience this crisis, it quickly became apparent that our constituents were being overprescribed opioids, and this negligence is what led to the widespread addiction in our community,” Calarco said. “Pharmacies had a responsibility to track the distribution of these medications carefully. Their failure to do so furthered the impact of this crisis by allowing individuals to pharmacy shop to obtain more of these powerful drugs. The pharmaceutical companies and their affiliates knew that they were pushing a highly addictive drug that was unsafe for long-term use. Yet, they proceeded anyway, all in the name of turning a profit.”

He added that while these settlements cannot repair the damage done or bring back those who we lost to the grips of this epidemic, it has already made a substantial impact. Doctors are now prescribing medication differently, and two of the major manufacturers of these dangerous medications will cease production for good. 

“With this settlement, we are going to have substantial resources that we’re going to be able to put into this epidemic that’s been plaguing our county for so long, and to be able to make sure that our residents had the ability to get connected to treatment services to prevention services,” Calarco said at last Thursday’s press conference. “There are windows of time, where you have clarity, and you recognize that you need help. … We need to make sure that we have the resources there for you at those windows, so you can take advantage of that help. That’s what this resource guide is about — it’s about making sure that you know where to go.”