As we have gained a greater understanding of the healthcare disparities that exist in our communities across the country, there has been an increased focus on addressing these conditions. As 911 calls continues to rise, fire-based EMS services and first responders are struggling to manage increased run volumes while experiencing the fallout of hospital crowding.  The national public health system is working to address the opioid epidemic with numerous initiatives but is not traditionally a direct healthcare provider. At the intersection of this is Mobile Integrated Health (MIH). This class will discuss how implementing a MIH program can positively impact a fire service, decrease 911 calls, improve healthcare efficiency, boost morale, and further ingrain the fire service into the healthcare environment of the community. We will discuss the basics of program implementation, how to intregrate with your overdose response plan and recovery organizations, programming and partners to enlist to improve health equity and eliminate disparities. We will also discuss the challenges of MIH programs and directions for the future.