The Millicent Geare Edmunds Lecture, the second in a series of four, presents Birch Barron, MSPH, CEM, deputy director of the Maryland Opioid Operational Command Center, the state emergency management body responsible for coordinating efforts to combat the heroin and opioid crisis in Maryland. Maryland's legislature and administration have implemented major policy initiatives toward developing effective strategies and resources. What has been the effect thus far and how much further do we need to go?