In the years leading up to 2017, the United States witnessed a disturbing rise in opioid-related overdose deaths, with fatalities increasing from 33,000 in 2015 to over 47,000 in 2017. This surge placed an immense strain on public health resources and highlighted the urgent need for a coordinated response. In 2018, Congress mandated the creation of the State Opioid Response (SOR) programs, funded by the Substance Abuse and Mental Health Services Administration (SAMHSA).