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Overdose Deaths Fell 12.3%. The Numbers Came From the Same Office That Wants Credit.

A good number, an interested messenger, and a SAMHSA nominee waiting on the Senate.

ByThe Rize NewsroomOctober 22, 20262 min readOpioids

Somewhere in the 67,798 is a number that used to be a person. CDC provisional data put drug overdose deaths at that figure for the 12 months ending March 2026, a 12.3% decline from a year earlier. The year before that, deaths fell 26.2% from 2023 to 2024. Fewer people are dying. That is real, and anyone who has buried someone knows what it is worth.

A good number is not a finished job, and the people announcing it are not neutral.

The figures appeared in a column by Gary Andres and Alyssa Bretan, the HHS Assistant Secretary for Legislation and the office’s congressional liaison director. They wrote that the numbers “do not mean the crisis is over,” which is correct. They also used the column to argue for their department’s momentum and to note that Dr. Timothy Westlake, an emergency physician nominated to lead SAMHSA, cleared the Senate HELP Committee on September 30, with full confirmation expected before year’s end.

Read the number for what it is. Provisional counts are revised. A 12-month window smooths over where deaths are rising, and a national decline can hide a county where they aren’t. The column does not tell you whether the decline will hold if the grants that fund naloxone and treatment slip. SAMHSA announced almost $250 million in awards on September 25 for treatment, overdose prevention and mental health, which is the money that keeps the line moving down. Whether it keeps coming is the question a SAMHSA confirmation hearing exists to ask.

For providers, the move this week is to look at your own county’s numbers, not the national ones, and ask your team where a gap in naloxone distribution or medication access might still be hiding. A falling national curve does not tell you which of your clients is on the wrong side of it.

If you use opioids, none of this has changed what is in your hands tonight. Naloxone is still available over the counter, and a person who carries it and tells someone where it is has already done more than any press release. The SAMHSA helpline at 1-800-662-HELP is still free and still answers.

The decline belongs to the people who carried the naloxone, not the people who announced it.

Filed Under

policytrendsOverdoseSAMHSANaloxone

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