Opioid Board · Meeting · Sep 15, 2026 · 4:00 PM

Tue, Sep 15, 2026

Directs opioid settlement funds and local strategies for prevention, treatment, and recovery serving Hickman County residents.

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This outline was generated by an LLM from a transcript and may contain errors or inaccuracies. Prefer the original recording when available.

The board’s main substantive business was whether to move forward with a renewed opioid-fund application tied to the Hickman County prevention coalition and administered by United Way as fiscal agent. Members raised concerns about duplication with school-based efforts, the jump from an earlier $30,000 request to $55,000, the lack of a hired prevention specialist, and the board’s past experience funding grants before enough oversight was in place. After a motion to proceed failed with two no votes, the board instead voted to table the application and request a more complete submission, including fuller background from the original application and examples of programs and outcomes from other counties’ prevention coalitions.

Other notable threads included the current opioid-fund balance, Educare’s outstanding repayment, questions about in-kind room-use reporting, the status of the still-unfinished UT SMART contract, one open board seat, possible future reopening of the grant process, and Judge William “Bill” Lane’s inquiry about opioid funding for a project involving the National Guard armory, underinsured care, and possible monthly dental/medical services.

Approval of Agenda and Minutes

  • Agenda approved without noted changes.
  • Prior minutes approved without a reading after members indicated they had the opportunity to review them.

Public Comments

  • A public-comment period was opened, but no substantive outside comment was given.
  • A written or emailed concern was discussed indirectly during later grant deliberations, particularly regarding duplication of services, the size of the request, and releasing funds before a staff person is in place.

Department / Official Reports

Financial report

  • Financial report presented showing approximately $419,089.45 on hand in opioid-board funds.
  • The packet included an update from Educare, which still owes $94,017; the board was told Educare is working on its tax return and expects to give a better repayment timeline once that is complete.
  • Members tried to clarify the truly available balance and discussed that, after accounting for outstanding amounts, roughly $119,089.45 was considered available for new commitments.
  • The board also received a report from the NAR on in-kind usage since contract signing.
  • A member questioned an in-kind entry showing a room booked for 4 hours for what was understood to be a health council meeting that normally lasts about 1 hour; no correction was made on the spot, but staff was asked to check how the 4-hour figure was derived.
  • Motion made and seconded to accept the financial report as presented; approved by voice vote.

Unfinished Business

Outstanding reimbursements and contract status

  • The board reviewed unfinished contract matters and said the only contract still outstanding was the one involving United Way and the prevention coalition.
  • Members also discussed the separate UT SMART contract, which has been approved in concept but not finalized.
  • The delay was attributed to work on the contract language and coordination with outside parties to clarify what needs to be included.
  • It was reported that UT SMART had sent an email the day before and that work was ongoing, with hope it would be ready soon because school had already started and the program could not begin until the contract is complete.

Open board position

  • The board confirmed there is 1 open board position.
  • The county mayor said the vacancy had only just come to his attention and that the county was in the process of addressing it.
  • No appointment was made at this meeting.

New Business / Agenda Items

United Way prevention coalition application

  • The board returned to the application from United Way for opioid funding connected to the county prevention coalition.
  • Initial concerns summarized from prior communications included:
    • possible duplication of services already being provided through school-related or county prevention work,
    • the increase from an earlier $30,000 request to $55,000,
    • whether it is appropriate to fund the full amount before a prevention employee is actually hired,
    • and whether the board should release all funds at once given prior problems with grant oversight.
  • One option discussed was partial funding, such as releasing only $20,000 initially and holding the rest until a person is hired or milestones are met.
  • Another oversight option discussed was allocating the full $55,000 but having Finance hold the money and pay it out monthly, bimonthly, or quarterly rather than transferring it all up front; this was presented as a way to improve control and avoid repeating earlier grant-management issues.

Clarification of United Way’s role as fiscal agent

  • A lengthy discussion clarified that the board would not be “giving money to United Way” as a program operator.
  • United Way representatives said their role is as fiscal agent: holding the funds, processing payments, and helping stand up the coalition infrastructure, but not using the money for unrelated United Way purposes.
  • Members said that distinction had not been well understood and that the application should explain more plainly that this is a county prevention effort administered through a nonprofit fiscal agent rather than a United Way program in the ordinary sense.
  • Board members also emphasized that the opioid board itself only recommends funding and that final approval still lies with the County Commission.

Prevention coalition structure and staffing questions

  • The board was told the prevention coalition previously had a director, Katie, who had to leave for health reasons.
  • Unspent money was returned from United Way to the opioid program after her departure.
  • It was explained that once a prevention specialist is in place, that person helps form or activate a coalition board, and that coalition board then becomes the body the employee reports to.
  • Members asked whether there is currently a coalition board in place; they were told there is not one at present.
  • Discussion indicated a prospective replacement had already expressed interest and already has some existing county relationships, including current work with EMA, but no formal hire was before the board.
  • Members questioned the lack of regular updates from the previous prevention specialist and said future funding should likely include more frequent reporting, potentially monthly or every two months, and possibly in-person updates at opioid board meetings.

What the prior prevention work accomplished

  • Supporters of the application argued that the prior prevention specialist spent significant time building relationships, especially with schools and community partners, obtaining prevention certification, creating a website, working with the NAR, and developing the groundwork needed for future programming.
  • Several members argued that those relationship-building activities are normal early-stage coalition work and that a new rural prevention effort should not be judged as if it were already a mature program.
  • It was also noted that the interruption caused by the prior employee’s illness likely slowed grant-seeking and coalition development that had been expected to continue beyond the first year.

Requests for clearer outcomes and measurable expectations

  • Members asked for a more explicit framework showing:
    • what the coalition plans to do,
    • what outcomes it expects,
    • and how success will be measured.
  • In response, discussion pointed to Tennessee prevention-coalition models that track fatal and non-fatal overdoses by county over time, while acknowledging those indicators are typically delayed and influenced by many systems besides the coalition alone.
  • Members also discussed more immediate school-based measurements such as pre- and post-surveys on student knowledge about vaping, marijuana, and other drugs, if schools permit those surveys.
  • A survey tool referred to as STAR surveys was mentioned as one way some coalitions measure changes in student knowledge or perception.
  • Even supporters of the application agreed the board needed the submission to better describe the mechanics of what would be done, not just the broad goal of reducing overdoses.

Examples from other counties

  • To address questions about what a prevention coalition can actually do, representatives cited coalitions in Williamson County, Dickson County, Cheatham County, Stewart County, Houston County, and Franklin County / Winchester.
  • Williamson County was described as having received $100,000 in opioid funding at startup and now operating a large, mature coalition.
  • Members heard that Williamson County and Cheatham County have had coalitions in place roughly 12–13 years or longer, and that Dickson County also has an established coalition with broad programming.
  • A member read examples from Franklin County Prevention Coalition programming, including after-school youth work, MRT therapy, drug-endangered-children programming, youth leadership training, Hidden in Plain Sight demonstrations, retailer tobacco education, TIPS responsible beverage training, nicotine prevention and cessation classes, fentanyl and stimulant training, Narcan training, medication disposal boxes, and a community events calendar.
  • The board generally agreed that examples and website links from comparable counties would help members understand the range of possible future programming, while also acknowledging Hickman County should not be expected to immediately match long-established coalitions elsewhere.

Motion to proceed with the application

  • A motion was made and seconded to proceed with the United Way application in its current form.
  • Before the vote, members briefly discussed whether anyone had a conflict of interest because of a relationship with United Way; no financial conflict requiring a member to step down was identified in the discussion.
  • The vote failed after 2 members voted no. The exact affirmative tally was not clearly stated, but the chair announced that the motion did not pass.

Motion to table and request more information

  • After the failed motion, a member moved to table the application rather than deny it.
  • The stated reasons were to obtain:
    • the complete application, including material from the earlier submission,
    • clearer detail on the proposed work,
    • and examples of services or models from other coalitions for reference.
  • Discussion clarified that the board was not trying to dictate future coalition policy or require specific programs, only to get enough information to evaluate the request responsibly.
  • Representatives agreed they could provide examples and links showing what other coalitions have done, while noting they could not pre-commit a future Hickman coalition board to specific services.
  • Motion to table was seconded and approved by voice vote.

Possible future applications and reopening the grant process

  • A member reported being contacted by a constituent or outside party asking about whether an application could be submitted and whether the board might reopen applications.
  • The response was that the board could not open the process for only one applicant; if reopened, it would need to be publicly advertised and open generally.
  • A minimum public notice period was mentioned, though the exact required length was unclear in the transcript.
  • No motion was made to reopen applications at this meeting.

Judge Lane inquiry about healthcare project and National Guard armory

  • Judge William “Bill” Lane has asked about possible opioid-board funding tied to a project involving rental of the National Guard armory building.
  • The concept discussed was monthly dental and medical services, especially for underinsured or uninsured people, with Hickman County possibly serving as a pilot location.
  • Members said they needed a category or funding framework for that request and that related discussions were already occurring following a hospital meeting the prior week.
  • It was also said that the state apparently has had no interested buyer for the armory and that a rental figure of $100 per month had been mentioned.
  • No formal application or vote on this idea occurred at this meeting.

Adjournment

  • No substantive adjournment discussion was captured in the transcript excerpt.

Key figures and statistics

Figure Type Context / topic
$30,000 Prior request Earlier prevention-coalition application amount discussed as a baseline for comparison
$55,000 Funding request Current prevention-coalition / fiscal-agent request through United Way
$20,000 Proposed partial funding Example discussed for releasing only part of the prevention-coalition funding initially
$419,089.45 Fund balance Opioid-board funds reported on hand
$94,017 Receivable / repayment owed Amount Educare still owes back to the opioid program
$119,089.45 Available balance Member’s simplified calculation of funds available for new commitments
4 hours In-kind usage entry Questioned room-reservation duration shown on NAR / packet materials
1 hour Meeting length Estimated actual health council meeting duration used to question the 4-hour reservation entry
1 Vacancy count Open opioid-board position still needing to be filled
$100,000 Grant amount Reported startup opioid funding received by Williamson County prevention coalition
12–13 years Time period Approximate time Williamson County prevention coalition has been operating
$100 per month Rent amount Reported possible rental amount for use of the National Guard armory in Judge Lane’s project

External vendors, brands, and software

Name Type Context / topic
United Way Company Fiscal agent for the Hickman County prevention coalition application; discussed extensively to clarify it would administer, not own, the opioid-funded program
Educare Company Owes repayment to the opioid board; working on tax return before giving a clearer timeline
UT SMART Company Separate contract still being finalized so school-related work can begin
NAR Company Submitted an in-kind usage report included in the packet
Narcan Brand Cited as part of prevention-coalition training offered in other counties
TIPS Software Responsible beverage service training named in example programming from another county coalition

Laws and policies

Citation / name Level Type Context / topic
Fiscal agent arrangement County Policy Repeatedly described operating structure under which United Way would hold and disburse opioid-board funds for the prevention coalition rather than receive them as unrestricted program money