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15. "Trustee" shall mean an independent trustee who shall be <br />responsible for the ministerial task of releasing Opioid Funds from a QSF account <br />to Participating Local Governments as authorized herein and accounting for all <br />payments into or out of the trust. <br />16. The "Washington State Accountable Communities of Health" or <br />"ACH" shall mean the nine (9) regions described in Section C below. <br />B. Allocation of Settlement Proceeds for Approved Purposes <br />1. All Opioid Funds shall be held in a QSF and distributed by the <br />Trustee, for the benefit of the Participating Local Governments, only in a manner <br />consistent with this MOU. Distribution of Opioid Funds will be subject to the <br />mechanisms for auditing and reporting set forth below to provide public <br />accountability and transparency. <br />2. All Opioid Funds, regardless of allocation, shall be utilized <br />pursuant to Approved Purposes as defined herein and set forth in Exhibit A. <br />Compliance with this requirement shall be verified through reporting, as set out in <br />this MOU. <br />3. The division of Opioid Funds shall first be allocated to <br />Participating Counties based on the methodology utilized for the Negotiation <br />Class in In Re: National Prescription Opiate Litigation, United States District <br />Court for the Northern District of Ohio, Case No. 1: l 7-md-02804-DAP. The <br />allocation model uses three equally weighted factors: (1) the amount of opioids <br />shipped to the county; (2) the number of opioid deaths that occurred in that <br />county; and (3) the number of people who suffer opioid use disorder in that <br />county. The allocation percentages that result from application of this <br />methodology are set forth in the "County Total" line item in Exhibit B. In the <br />event any county does not participate in this MOU, that county's percentage share <br />shall be reallocated proportionally amongst the Participating Counties by applying <br />this same methodology to only the Participating Counties. <br />4 . Allocation and distribution of Opioid Funds within each <br />Participating County will be based on regional agreements as described in <br />Section C. <br />C. Regional Agreements <br />1. For the purpose of this MOU, the regional structure for decision- <br />making related to opioid fund allocation will be based upon the nine (9) pre- <br />defined Washington State Accountable Community of Health Regions (Allocation <br />Regions). Reference to these pre-defined regions is solely for the purpose of <br />3