Drug Overdose Mortality Rate

Learn more about the specific State by State guidelines and metrics on drug overdoses, including mortality rates. Find helpful links to testing kits recommended by each State.

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Drug Overdose Mortality Rates:
Guidelines and Test Kits

Locate specific information and helpful drug test kit links by State

Regulatory Details by State:

2025 Data Update & Resources

We have updated this page with the latest finalized federal data (2023) and legislative tracking (2025).

Primary Mortality Data: CDC National Center for Health Statistics (2023 Final Release).
Legality Tracker:LAPPA Fentanyl Test Strip State-by-State Laws.

Note: Age-adjusted rates represent deaths per 100,000 population.

Alabama

Alabama 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	33.9 per 100,000
Total Drug Overdose Deaths	1,608 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2022)

Archived 2020 Data:

Year

2020

Rate

22.3

Deaths

1029

Links to Test Strips

https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/AIDSï¿½Chronic-Diseases/Prevention/DPH_FentanylTestStrips.pdf

https://www.samhsa.gov/newsroom/press-announcements/202104070200

https://mh.alabama.gov/wp-content/uploads/2021/11/Nov-17-Alabama-Opioid-Council-Final_11.17.21.pdf

Alaska

Alaska 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	49.4 per 100,000
Total Drug Overdose Deaths	359 (2023 Final)
FTS Legality Status (2025)	Legal (Not classified as paraphernalia)

Archived 2020 Data:

Year

2020

Rate

Deaths

160

Links to Test Strips

http://www.akleg.gov/basis/get_documents.asp?session=30&docid=55390

https://aspe.hhs.gov/sites/default/files/documents/79e1975d5921d309ed924148ef019417/drug-checking-programs.pdf

Arizona

Arizona 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	36.1 per 100,000
Total Drug Overdose Deaths	2,624 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

35.8

Deaths

2550

Links to Test Strips

https://directorsblog.health.azdhs.gov/national-news-about-overdose-deaths-is-a-call-to-action-for-all-arizonans/

Arkansas

Arkansas 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	17.7 per 100,000
Total Drug Overdose Deaths	516 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

19.1

Deaths

546

Links to Test Strips

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405265

California

California 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	27.9 per 100,000
Total Drug Overdose Deaths	11,378 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

21.8

Deaths

8908

Links to Test Strips

https://www.nevadacountyca.gov/2861/Naloxone

https://www.mass.gov/doc/article-fentanyls-new-foe-1-7-2019/download

http://publichealth.lacounty.gov/eprp/Health%20Alerts/LAHAN%20Fentanyl%20Overdoses%20052418.pdf

http://publichealth.lacounty.gov/sapc/docs/providers/overdose/OverDose_Caution-card.pdf?v=1.1

Colorado

Colorado 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	30.6 per 100,000
Total Drug Overdose Deaths	1,872 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

24.9

Deaths

1492

Links to Test Strips

N/A

Connecticut

Connecticut 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	35.2 per 100,000
Total Drug Overdose Deaths	1,318 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

39.1

Deaths

1371

Links to Test Strips

https://www.ci.milford.ct.us/community-health-division/pages/milford-opioid-response-initiative

Delaware

Delaware 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	53.0 per 100,000
Total Drug Overdose Deaths	525 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

47.3

Deaths

444

Links to Test Strips

https://legis.delaware.gov/BillDetail?legislationId=48404

Florida

Florida 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	31.7 per 100,000
Total Drug Overdose Deaths	7,010 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

Deaths

7231

Links to Test Strips

https://nida.nih.gov/research-topics/trends-statistics/infographics/what-fentanyl

Georgia

Georgia 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	23.6 per 100,000
Total Drug Overdose Deaths	2,570 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2022)

Archived 2020 Data:

Year

2020

Rate

Deaths

1916

Links to Test Strips

N/A

Hawaii

Hawaii 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	21.4 per 100,000
Total Drug Overdose Deaths	320 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

18.3

Deaths

274

Links to Test Strips

https://health.hawaii.gov/opppd/files/2020/12/2021-ADAD-Leg-Report.pdf

Idaho

Idaho 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	20.5 per 100,000
Total Drug Overdose Deaths	386 (2023 Final)
FTS Legality Status (2025)	Restricted (Considered paraphernalia)

Archived 2020 Data:

Year

2020

Rate

15.9

Deaths

287

Links to Test Strips

https://odp.idaho.gov/wp-content/uploads/2021/06/2017-2022-Idaho-Opioid-Misuse-and-Overdose-Strategic-Plan-2021-Update.pdf

https://my.americorps.gov/mp/listing/viewListing.do?fromSearch=true&id=109930&utm_source=linkup&utm_medium=referrer

Illinois

Illinois 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	27.3 per 100,000
Total Drug Overdose Deaths	3,525 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

28.1

Deaths

3549

Links to Test Strips

https://www.dhs.state.il.us/page.aspx?item=136839

https://www.lakecountyil.gov/4344/Harm-Reduction

https://www.ilga.gov/legislation/BillStatus.asp?DocTypeID=HB&DocNum=4334&GAID=16&SessionID=110&LegID=137511

https://www.illinois.gov/news/press-release.24995.html

Indiana

Indiana 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	34.2 per 100,000
Total Drug Overdose Deaths	2,244 (2023 Final)
FTS Legality Status (2025)	Restricted (Some exceptions for programs)

Archived 2020 Data:

Year

2020

Rate

36.7

Deaths

2321

Links to Test Strips

https://www.in.gov/health/overdose-prevention/files/Overdose-Dashboard-Data-Notes.pdf

Iowa

Iowa 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	14.9 per 100,000
Total Drug Overdose Deaths	462 (2023 Final)
FTS Legality Status (2025)	Restricted (Considered paraphernalia)

Archived 2020 Data:

Year

2020

Rate

14.3

Deaths

432

Links to Test Strips

https://idph.iowa.gov/Portals/1/userfiles/278/SOR2/Fentanyl%20Testing%20Strip%20Training%20and%20Best%20Practices%20from%20ATTC_PTTC%20FINAL.pdf

https://idph.iowa.gov/Portals/1/Publishing/Files/9/cfd85831-41e4-4fef-a5de-be284cfb1fa9.pdf

Kansas

Kansas 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	22.8 per 100,000
Total Drug Overdose Deaths	653 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

17.4

Deaths

490

Links to Test Strips

N/A

Kentucky

Kentucky 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	48.0 per 100,000
Total Drug Overdose Deaths	2,077 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

49.2

Deaths

2083

Links to Test Strips

https://chfs.ky.gov/agencies/dph/Pages/harmreduction.aspx

https://louisvilleky.gov/government/health-wellness/overdose-prevention

Louisiana

Louisiana 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	50.6 per 100,000
Total Drug Overdose Deaths	2,224 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2022)

Archived 2020 Data:

Year

2020

Rate

42.7

Deaths

1896

Links to Test Strips

https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1251076

https://council.nola.gov/news/may-2021/council-president-helena-moreno-advances-decrimina/

Maine

Maine 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	44.9 per 100,000
Total Drug Overdose Deaths	598 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

39.7

Deaths

496

Links to Test Strips

https://legislature.maine.gov/doc/7880

Maryland

Maryland 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	39.3 per 100,000
Total Drug Overdose Deaths	2,550 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

44.6

Deaths

2771

Links to Test Strips

https://health.frederickcountymd.gov/Faq.aspx?QID=180

https://beforeitstoolate.maryland.gov/fentanyl

https://health.baltimorecity.gov/news/news-coverage/2018-08-21-city-study-use-fentanyl-detecting-test-strips-distributing-them

https://www.montgomerycountymd.gov/opioids/Resources/Files/Harm%20Reduction%201.pdf

https://www.annapolis.gov/1454/OD-Free-Annapolis

https://www.howardcountymd.gov/health/substance-use-education-awareness

https://www.congress.gov/116/meeting/house/110367/documents/HHRG-116-IF02-20200114-SD015.pdf

https://health.baltimorecity.gov/news/news-coverage/2018-05-14-fentanyl-test-strips-detect-deadly-synthetic-opioid-drug-supply

Massachusetts

Massachusetts 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	33.6 per 100,000
Total Drug Overdose Deaths	2,387 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

33.9

Deaths

2302

Links to Test Strips

https://malegislature.gov/Bills/192/H2097

https://www.mass.gov/doc/fentanyl-test-strips-reduce-risk-of-overdose-in-small-study-commonhealth-10-18-2018/download

Michigan

Michigan 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	28.9 per 100,000
Total Drug Overdose Deaths	2,882 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

28.6

Deaths

2759

Links to Test Strips

https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/drugcontrol/syringe-service-programs/resources/resources

Minnesota

Minnesota 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	23.6 per 100,000
Total Drug Overdose Deaths	1,331 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

Deaths

1050

Links to Test Strips

https://www.health.state.mn.us/communities/opioids/documents/ftsforph.pdf

https://mn.gov/dhs/assets/oerac-meeting-notes-2-22_tcm1053-520923.pdf

Mississippi

Mississippi 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	25.3 per 100,000
Total Drug Overdose Deaths	702 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

21.1

Deaths

586

Links to Test Strips

N/A

Missouri

Missouri 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	33.5 per 100,000
Total Drug Overdose Deaths	1,986 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

32.1

Deaths

1875

Links to Test Strips

https://health.mo.gov/living/healthcondiseases/communicable/hivaids/saferdruguse.php

Montana

Montana 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	17.1 per 100,000
Total Drug Overdose Deaths	188 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

15.6

Deaths

162

Resources

https://leg.mt.gov/content/publications/fiscal/2023-Interim/IBC-D/Fetanyl-Article.pdf

Nebraska

Nebraska 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	9.0 per 100,000
Total Drug Overdose Deaths	172 (2023 Final)
FTS Legality Status (2025)	Legal (Not classified as paraphernalia)

Archived 2020 Data:

Year

2020

Rate

11.3

Deaths

214

Links to Test Strips

https://dhhs.ne.gov/DOP%20document%20library/SER-2021.pdf

Nevada

Nevada 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	38.1 per 100,000
Total Drug Overdose Deaths	1,282 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

Deaths

832

Links to Test Strips

https://www.nevadacountyca.gov/3115/Fentanyl

https://www.nevadacountyca.gov/2861/Naloxone

New Hampshire

New Hampshire 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	32.7 per 100,000
Total Drug Overdose Deaths	440 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

30.3

Deaths

393

Links to Test Strips

https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/dmi-april2022.pdf

New Jersey

New Jersey 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	28.3 per 100,000
Total Drug Overdose Deaths	2,688 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

32.1

Deaths

2840

Links to Test Strips

https://www.nj.gov/oag/njcares/ohh/downloads/OAG-resource-book_020821.pdf

https://www.state.nj.us/humanservices/dmhas/information/provider/Provider_Meetings/2021/DOHDHSTS%20Harm%20Reduction%20Presentation.

New Mexico

New Mexico 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	48.9 per 100,000
Total Drug Overdose Deaths	993 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

Archived 2020 Data:

Year

2020

Rate

Deaths

784

Links to Test Strips

N/A

New York

New York 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	31.1 per 100,000
Total Drug Overdose Deaths	6,330 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

25.4

Deaths

4965

Links to Test Strips

https://oasas.ny.gov/harm-reduction

https://www1.nyc.gov/assets/doh/downloads/pdf/basas/fentanyl-test-strips-brochure.pdf

https://www.health.ny.gov/publications/9971.pdf

https://www.nyconnects.ny.gov/services/fentanyl-test-strips-7470

https://www2.erie.gov/health/index.php?q=press/don%E2%80%99t-trust-your-cocaine-don%E2%80%99t-trust-your-pills

North Carolina

North Carolina 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	33.7 per 100,000*
Total Drug Overdose Deaths	3,520 (Official CDC) / 4,400+ (Est.)
FTS Legality Status (2025)	Legal (Decriminalized in 2021)

*Note: State-level updates suggest the actual rate is closer to 42.1 per 100,000 due to late reporting.

Archived 2020 Data:

Year

2020

Rate

30.9

Deaths

3146

Links to Test Strips

https://www.ncdhhs.gov/media/8460/download

North Dakota

North Dakota 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	16.4 per 100,000
Total Drug Overdose Deaths	122 (2023 Final)
FTS Legality Status (2025)	Restricted (Limited exceptions)

Archived 2020 Data:

Year

2020

Rate

15.6

Deaths

114

Links to Test Strips

https://www.health.nd.gov/sites/www/files/documents/Files/MSS/HIVSTIHEP/Symposium/Robyn_FargoSSP.pdf

Ohio

Ohio 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	41.6 per 100,000
Total Drug Overdose Deaths	4,745 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

47.2

Deaths

5204

Links to Test Strips

https://massillonohio.gov/health-department/harm-reduction-and-mental-health/

Oklahoma

Oklahoma 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	32.4 per 100,000
Total Drug Overdose Deaths	1,278 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

19.4

Deaths

762

Links to Test Strips

N/A

Oregon

Oregon 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	40.8 per 100,000
Total Drug Overdose Deaths	1,782 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

18.7

Deaths

803

Links to Test Strips

https://www.multco.us/battling-opiate-epidemic/counterfeit-pills-overdose-prevention

https://www.multco.us/multnomah-county/news/health-officials-warn-rise-deaths-counterfeit-pills

https://www.co.washington.or.us/HHS/CommunicableDiseases/harm-reduction.cfm

https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le2479_22.pdf

Pennsylvania

Pennsylvania 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	37.1 per 100,000
Total Drug Overdose Deaths	4,757 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

42.4

Deaths

5168

Links to Test Strips

https://www.legis.state.pa.us/WU01/LI/TR/Transcripts/2022_0051_0005_TSTMNY.pdf

https://www.phila.gov/2022-03-08-fentanyl-test-strip-giveaway-campaign-wrap-up

https://www.phila.gov/2021-08-02-mayor-signs-executive-order-to-decriminalize-fentanyl-test-strips

https://www.media.pa.gov/pages/DDAP_details.aspx?newsid=209

https://www.paauditor.gov/Media/Default/Reports/RPT_Fentanyl_101619_FINAL.pdf

Rhode Island

Rhode Island 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	37.5 per 100,000
Total Drug Overdose Deaths	413 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

38.2

Deaths

397

Links to Test Strips

http://webserver.rilin.state.ri.us/BillText/BillText18/HouseText18/H8132.pdf

https://www.rilegislature.gov/pressrelease/_layouts/RIL.PressRelease.ListStructure/Forms/DisplayForm.aspx?List=c8baae31-3c10-431c-8dcd-9dbbe21ce3e9&ID=51266

https://clinicaltrials.gov/ct2/show/NCT04372238

http://webserver.rilin.state.ri.us/Statutes/TITLE21/21-28.9/21-28.9-3.1.htm

South Carolina

South Carolina 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	41.3 per 100,000
Total Drug Overdose Deaths	2,177 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

34.9

Deaths

1739

Links to Test Strips

https://www.daodas.sc.gov/services/prevention/overdose-death-prevention/

South Dakota

South Dakota 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	11.2 per 100,000
Total Drug Overdose Deaths	95 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

10.3

Deaths

Links to Test Strips

N/A

Tennessee

Tennessee 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	52.3 per 100,000
Total Drug Overdose Deaths	3,616 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2022)

Archived 2020 Data:

Year

2020

Rate

45.6

Deaths

3034

Links to Test Strips

https://www.tn.gov/behavioral-health/news/2022/5/10/tdmhsas-marks-fentanyl-awareness-day-may-10.html

Texas

Texas 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	18.5 per 100,000
Total Drug Overdose Deaths	5,687 (2023 Final)
FTS Legality Status (2025)	Restricted (Legislation pending/failed)

Archived 2020 Data:

Year

2020

Rate

14.1

Deaths

4172

Links to Test Strips

N/A

Utah

Utah 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	21.4 per 100,000
Total Drug Overdose Deaths	693 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

20.5

Deaths

622

Links to Test Strips

https://ptc.health.utah.gov/wp-content/uploads/2020/12/FTS-Report-Q1-2020-Final.pdf

Vermont

Vermont 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	42.3 per 100,000
Total Drug Overdose Deaths	259 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

32.9

Deaths

190

Links to Test Strips

https://www.healthvermont.gov/response/alcohol-drugs/opioid-overdose-prevention-KnowOD

https://www.healthvermont.gov/sites/default/files/documents/pdf/Opioid%20Overdose%20Response%20Brief%20-%20July%202021.pdf

https://legislature.vermont.gov/statutes/section/33/019/02004a

Virginia

Virginia 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	28.5 per 100,000
Total Drug Overdose Deaths	2,480 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

26.6

Deaths

2240

Links to Test Strips

https://www.alexandriava.gov/opioids/get-narcan-and-fentanyl-test-strips-for-free

https://www.vdh.virginia.gov/richmond-city/opioids/

https://www.arlingtonva.us/About-Arlington/News/Articles/2021/Fentanyl-Test-Strips-Being-Given-to-People-Released-from-Incarceration

https://spanberger.house.gov/posts/culpeper-star-exponent-theres-always-hope-when-theres-life-culpeper-leaders-join-spanberger-to-highlight-opiate-deaths

https://marketplace.va.gov/innovations/implementation-of-syringe-services-programs-within-the-va

Washington

Washington 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	42.4 per 100,000
Total Drug Overdose Deaths	3,477 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2023)

Archived 2020 Data:

Year

2020

Rate

Deaths

1733

Links to Test Strips

https://livelong.dc.gov/sites/default/files/dc/sites/opioid/page_content/attachments/DC_Opioid_Strategic_Plan_2.0_FINAL.pdf

West Virginia

West Virginia 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	81.9 per 100,000
Total Drug Overdose Deaths	1,377 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2024)

Archived 2020 Data:

Year

2020

Rate

81.4

Deaths

1330

Links to Test Strips

https://dhhr.wv.gov/News/2022/Pages/West-Virginia-to-Celebrate-First-Ever-National-Fentanyl-Awareness-Day.aspx

https://dhhr.wv.gov/office-of-drug-control-policy/news/Documents/FTS%20Fact%20Sheet%20Final.pdf

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=4373&year=2022&sessiontype=RS&btype=bill

Wisconsin

Wisconsin 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	30.6 per 100,000
Total Drug Overdose Deaths	1,767 (2023 Final)
FTS Legality Status (2025)	Legal (Decriminalized in 2022)

Archived 2020 Data:

Year

2020

Rate

27.7

Deaths

1531

Links to Test Strips

https://docs.legis.wisconsin.gov/misc/lc/hearing_testimony_and_materials/2021/sb600/sb0600_2022_01_13.pdf

https://www.dhs.wisconsin.gov/opioids/facts.htm

Wyoming

Wyoming 2023-2025 Health & Legal Statistics

Category	Data
Age-Adjusted Mortality Rate	23.7 per 100,000
Total Drug Overdose Deaths	135 (2023 Final)
FTS Legality Status (2025)	Legal (Explicitly legal)

Archived 2020 Data:

Year

2020

Rate

17.4

Deaths

Links to Test Strips

N/A

Drug Overdose Mortality Rate