Josh Luftig, PA-C, is co-founder of The Bridge Center (formerly CA Bridge) and Director of Clinical Innovation at the Public Health Institute, and President-Elect of the Society of Addiction Medicine PAs (SAMPA). With over 25 years in emergency medicine, he is a nationally recognized expert in substance use disorder treatment who has pioneered scalable approaches to medication for addiction treatment and naloxone distribution in acute care settings. A sought-after speaker at national conferences, Josh translates evidence-based practices into real-world implementation. His clinical innovations include co-establishing one of the nation’s largest ED-based MAT programs at Highland Hospital in Oakland, CA, and co-developing a high-dose rapid buprenorphine induction protocol published in JAMA Network Open (2021), now widely adopted as an ED standard of care. Under Josh’s leadership, California’s statewide ED naloxone initiative expanded 200-fold—from one hospital in 2019 to 200 by 2023. As of August 2026, this program has distributed more than 1.15 million naloxone doses through EDs at no cost to recipients, making it the nation’s largest ED-based naloxone distribution project.