Healthcare Workers: Gov Hochul, Authorize OPCs!

August 31, 2023

Dear Governor Hochul,


We write to you as healthcare workers, researchers, and health officials on the front line of the overdose crisis to urge swift and decisive action to address the overdose crisis in our state through passing an executive order to authorize overdose prevention centers (OPCs) in high need areas across New York State.


The Centers for Disease Control and Prevention (CDC) estimates that over 6,080 New Yorkers died from preventable overdoses in 2021, surpassing the number of deaths from gun violence, suicides, and motor vehicle accidents combined. Overdose is the leading cause of death for New Yorkers under 50 years old. The ripple effects of the COVID-19 pandemic have only exacerbated the urgency of the overdose crisis.


Overdose prevention centers, now operating in dozens of cities around the world for over 35 years, provide a controlled setting where people can use pre-obtained drugs under the supervision of trained professionals who intervene in the event of an overdose or other medical emergencies.  They also offer sterile supplies and thus prevent infections including HIV, hepatitis C, endocarditis, and abscesses. In doing so, they keep participants safe and reduce the likelihood of emergency room visits and hospital admissions.  Most importantly, there has never been a fatal overdose in an OPC.   


At the same time, OPCs provide an important point of access to appropriate healthcare for underserved patients. They reduce stigma for our clients, and they keep communities safe and healthy. OPCs fill unmet needs for the people they serve including linkage to counseling and referrals to health care, social services and drug treatment. OPCs also benefit local communities by moving drug use to safe spaces indoors, reducing syringe litter in public spaces. 


Fortunately, there is no need to speculate on the potential effectiveness of OPCs in the U.S. – in late November of 2021, the first two sanctioned OPCs in the nation opened in New York City under the umbrella organization OnPoint.  In over a year and half of operation, OnPoint has reversed over 1000 potentially fatal overdoses. With more New Yorkers dying from opioid overdoses than ever, it is time to expand access to all New Yorkers in need.


Organizations representing medical, public health and addiction professionals including the American Medical Association, the American Society of Addiction and the NY Society of Addiction Medicine have all called for the expansion of OPCs to meet the overdose death crisis.


We the undersigned health professionals urge you to help save lives throughout the state by passing an executive order authorizing safer consumption sites and overdose prevention centers immediately.


Callen-Lorde Community Health Center

Greater NYC Black Nurses Association

Health Justice

Institute for Family Health

Just Equity for Health

Manhattan Central Medical Society

National Health Care for the Homeless Council

New York Doctors Coalition

New York Society of Addiction Medicine

NYC Against Segregated Healthcare

NYS Academy of Family Physicians

St. Ann's Corner of Harm Reduction