The National Governors Association (NGA) Center for Best Practices, in partnership with the National Association of State Emergency Medical Services Officials (NASEMSO), supported five states-Kentucky, Ohio, South Carolina, Vermont, and Wisconsin-in developing and implementing action plans to expand the role of EMS to help prevent overdose events and support individuals with substance use disorders. States undertook initiatives such as pilot programs for EMS-initiated buprenorphine, development of statewide naloxone leave-behind programs, and changes to EMS protocols that enable agencies and clinicians to use evidence-informed best and promising practices that utilize harm reduction strategies and provide opportunities for linkages to treatment.
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