Long-standing structural biases including racism have shaped experiences across every community, and have led to important substance use disorder (SUD)-associated inequities in the U.S. To begin addressing such inequities, health care providers should hold a clear understanding of the social and institutional factors driving SUD health outcomes. Harm reduction and increased access to evidence-based, person-centered SUD treatment are two necessary approaches to support health for people who use drugs. This session aims to increase awareness of how racial inequities in SUDs highlight significant gaps in our public health infrastructure and response. Presenters will share information on life-saving opportunities and medical interventions which family physicians are well-positioned to provide, as well as readily-available resources that can support providers to increase equitable access to SUD treatment.