In the United States, drug overdose deaths are on the rise. In 2022, CDC researchers reported that 110,236 people died from an overdose in a single 12-month period, setting a new record. Synthetic opioid overdose deaths, primarily due to fentanyl, increased nearly 7.5-fold from 2015 to 2021. In Texas, the number of fentanyl-related deaths rose dramatically — from 883 deaths in 2020 to 1,672 deaths in 2021. While Republican lawmakers in Texas have previously opposed harm reduction policies, many have signaled a desire to take policy action to combat the crisis in the 2023 legislative session.