Strategies

Enable law enforcement to immediately take the license of a driver who fails or refuses to take a chemical test for alcohol

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations

Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases

Set legal limits for drivers’ blood alcohol concentrations (BACs)

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts

Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations

Provide sterile injection equipment and often other treatment and referral services to people who inject drugs; also called needle or syringe exchange programs and needle syringe programs