Substance use is a severe concern in New Mexico, which has long had one of the highest overdose death rates in the nation, driven by fentanyl and methamphetamine. Key figures:

• One of the highest overdose death rates in the nation for the last two decades, according to New Mexico IBIS.
• Fentanyl is involved in over half of overdose deaths.
• Methamphetamine is involved in 51% of deaths.
• 488 New Mexicans died from methamphetamine overdoses.
• The overdose death rate has more than tripled since 1990.
• Overdose deaths decreased for the second straight year.

New Mexico’s crisis is long-running, with one of the highest overdose death rates in the country for two decades. Fentanyl and methamphetamine now drive most deaths, though the state has seen two straight years of decline.

New Mexico expanded Medicaid in 2014 under the Affordable Care Act, integrating physical and behavioral health coverage. The state’s Human Services Department oversees substance use treatment. Of the 141 facilities listed below, 131 accept Medicaid.