grants to 33 police and fire departments, and Baker spoke in support of a lawsuit filed by Massachusetts Attorney General Maura Healey on behalf of 670 Massachusetts residents against OxyContin manufacturer Purdue Pharma. In August 2018, Baker signed into law a second comprehensive opioid bill that expanded access to naloxone and addiction treatment and recovery centers, required all opioid prescribers to convert to secure electronic prescriptions by 2020, and created a commission to study the effectiveness of supervised injection sites, involuntary commitments, and the credentialing of recovery coaches. In the same month, the Massachusetts Department of Public Health released a report stating that fentanyl was present in nearly 90 percent of the opioid overdose deaths in the state that year. In September 2018, the U.S. Department of Health and Human Services announced that Massachusetts would receive $50 million in federal funding to expand access to substance abuse and mental health services in the state. The following month, Baker announced a statewide standing order from the Massachusetts Department of Public Health to allow pharmacies in the state to start dispensing naloxone without a prescription, and Baker proposed a $5 million pilot program to coordinate efforts at fentanyl trafficking enforcement by local police departments. In November 2018, the Massachusetts Taxpayers Foundation released a report estimating that the opioid epidemic had cost the state $15.2 billion in 2017 in lost labor and health-care or criminal justice related costs, and in the same month, the Massachusetts Department of Public Health released estimates showing that opioid overdose deaths were 1.3 percent lower during the first nine months of 2018 than during first nine months of 2017, but that opioid-related emergency medical service (EMS) incidents increased by 12 percent. In February 2019, the Massachusetts Department of Public Health released estimates indicating that while opioid overdose deaths were 4 percent lower in 2018 than 2017, opioid-related EMS calls increased by 18 percent, and the following month, the commission enacted by Baker under the opioid legislation he signed the previous August released its final report. In November 2019, the Massachusetts Department of Public Health released estimates showing that opioid overdose deaths were 6 percent lower during the first nine months of 2019 than the first nine months of 2018, while the presence of fentanyl in opioid-related overdose deaths during the first six months of 2019 rose to an all-time high of 93 percent. In January 2020, the Centers