Although drug overdose deaths continue to climb at alarming rates across the United States, most people with substance use disorder (SUD) receive little, if any, treatment. People with SUD frequently experience obstacles to care, with certain communities of color far more likely to be affected by treatment barriers. States can confront the substance use and overdose crisis by maximizing available public funding to increase access to evidence-based SUD services and address inequities.

This Principles-in-Action series offers practical guidance to inform state investments in three key evidence-based SUD interventions: peer supports, medications for opioid use treatment, and harm reduction services. The checklist format details concrete steps to support state policy development aimed at enhancing SUD treatment systems with a focus on sustainability and equity.

The series draws from State Principles for Financing Substance Use Care, Treatment, and Support Services, a report developed by the Center for Health Care Strategies through a partnership with The Pew Charitable Trusts and support from Bloomberg Philanthropies.