Of the $45 million settlement that Baltimore received from pharmaceutical company Allergan in connection to a lawsuit over the opioid epidemic, $20 million will pay for lawyers hired by the city.
Mayor Brandon Scott announced this detail and others on how the city will spend the settlement money during a news conference Wednesday. He said another $15 million would help fund an updated citywide strategic plan for overdoses, establishing an opioid fund managed by the mayor’s pandemic aid office and programs focused on prevention, education and treatment and recovery. The city had previously said $10 million would go to two community programs that provide services to people who use drugs.
Though the mayor acknowledged that nearly half of the settlement going to outside counsel “may seem like a lot,” he noted that the third party attorneys had agreed to only receive payment if the city won its lawsuit. Scott celebrated the victory over Allergan as a vindication of the city’s decision to pursue its own case against opioids manufacturers, rather than opting into the state’s lawsuit.
The city recently received the funds, which were announced last month. It is a unique opportunity but the city needs a good plan, said Craig Lippens, president of the Maryland Addiction Directors Council, which represents treatment programs across the state.
“I think that it needs to go to prevention, education and treatment, and the outcomes need to be measured,” Lippens said. “To just throw money into the pit, you might as well set it on fire.”
Read More: A councilman wanted to hold a hearing about overdoses. He got shut down.
Questions remain about who has a say in specific funding allocations. Scott previously announced the creation of a board to oversee opioid settlement money, but did not provide more details during his Wednesday news conference.
The initial news release about the Allergan settlement named two beneficiaries.
At least $5 million will fund Charm City Care Connection, an East Baltimore-based nonprofit that serves people who use drugs. That amount would be a sizable windfall for the group, which has an operating budget of $3 million this year, according to executive director Anne Langley.
Staff had no idea they were being considered for funding and it was a surprise when they found out through the news release last month, said Bakari Atiba, who leads community engagement efforts at the organization.
“It was kind of like surreal,” Atiba said, adding, “It was just good to know that somewhere, somebody sees that we’re on the ground, doing some great work and that’s being recognized.”
Langley said she has spoken multiple times with the city’s health commissioner and representatives from the mayor’s office, but is waiting for more details. “I assume they want us to continue and expand what we’re doing but I don’t have any specifics yet from them. The whole thing needs time to play out,” she said.
The funds would help the nonprofit provide more services and reach more people, she said. Charm City Care Connection runs a drop-in center and mobile outreach van, providing syringes, the overdose reversal drug naloxone and wound care kits with gauze and bandages. Through the organization, people can shower, do laundry and work with case managers to find housing, treatment and other services. A mobile clinic called Healthcare on the Spot, which staffs doctors and nurses who prescribe buprenorphine — a medication to treat opioid addiction — stops by once a week.
The nonprofit intends to expand its services for people interested in getting treated with buprenorphine, which studies have shown is effective in reducing risk of death and overdose. Langley said she expects to train more workers who can help answer questions clients have about medication treatment and support them as they visit the doctor or pick up prescriptions.
The Peer Navigator Program is also expected to receive at least $5 million. The program, based out of Enoch Pratt Free Library and run in partnership with Healing City Baltimore and the Maryland Peer Advisory Council, trains people who have had experience with drug addiction and treatment to help others. They pass out naloxone and connect people with social services at eight branches across the city. A library spokesperson said they have not received information about how the money will be disbursed.
Baltimore is continuing to sue other opioid manufacturers and distributors; a trial is set for September. The city was the only jurisdiction to opt out of Maryland’s settlement with drug companies in hopes of securing a larger payout.
A City Council hearing to discuss overdose statistics and potential solutions to the crisis was abruptly cancelled Wednesday, a few hours before officials were scheduled to meet. A statement from Scott said the city is trying to avoid endangering its opioids lawsuit, which is set to go to trial in September. Councilman Mark Conway, chair of the committee set to hold the hearing, said the decision was made against his wishes and efforts to discuss the crisis cannot wait.
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