Dr. Jerome Adams, the nominee to be the next U.S. Surgeon General, has made the opioid epidemic a high priority as Indiana’s Health Commissioner, his supporters say.

Addiction specialists and advocates tell NPR that Adams has been a leader in implementing lifesaving policies in Indiana.

Four months after being appointed in Indiana, Adams announced an HIV outbreak in a rural county. Most of those infected with HIV also tested positive for hepatitis C. Health workers say Adams persuaded then-Governor Mike Pence to allow Indiana counties to create syringe exchanges to contain the spread of disease.

“We wouldn’t have syringe exchange if it wasn’t for him,” said Carrie Lawrence, a public health researcher at Indiana University who helps implement syringe exchange programs in Indiana. Adams also supported a state bill that increased access to the opioid overdose antidote naloxone.