Few if any U.S. states have been hit harder than Ohio by the crushing rise in drug use, abuse and overdose deaths. That state’s rate of overdose deaths was second in the nation in 2017: 46.5 per 100,000. Behind those numbers, too, are tragic stories that have personally touched many Ohio legislators — and helped lead their ongoing search for policy solutions.Ohio’s new law grants authority to pharmacists to dispense or administer a five-day emergency supply of naltrexone without a prescription, if they can verify the patient already has been on the drug.In 2017, Ohio expanded access to medication-assisted treatment programs (HB 49), including the creation of a specialized drug court program. According to the National Drug Court Resource Center, Ohio now has 72 drug-treatment court programs for adults, the most of any Midwestern state.An alternative sentencing option, drug courts target offenders with drug dependency problems. Treatment, monitoring, graduated sanctions and incentives are overseen by a multidisciplinary team. Drug courts have been shown to reduce recidivism and lower costs.