On Thursday, however, the president himself seemed to overrule the opinion of his secretary of health and human services, telling reporters in New Jersey that paperwork was being prepared that would, indeed, declare a national state of emergency.
President Barack Obama declared a national emergency as Sandy headed for the East Coast that year.
This follows the recommendations in the interim report from the President's Commission on Combating Drug Addiction and the Opioid Crisis, the release states. Arizona joined Alaska, Florida, Maryland, Massachusetts and Virginia.
That's how many people die every day from a drug overdose, according to the most recent information available from the Centers for Disease Control and Prevention.
Opioid abuse has undoubtedly become a problem in the United States. Like many others though, she's waiting to see exactly what the order will say. "I am deeply saddened every time I read the letters I receive from West Virginians talking about their loved ones they've lost to drug abuse".
Opioids "now kill more people than gun homicides and car crashes combined", the commission wrote. "It's a national emergency". But, he said, "the reality is that they have spent this entire year trying to cut spending on the opioid epidemic" via drastic cuts to Medicaid contained within the various GOP-supported Obamacare repeal bills that nearly became law.
Dealing with such a crisis requires the involvement of federal, state and local governments, and a clear understanding of what local mental health and addiction agencies need in terms of money and other resources.
For Palm Beach County Commissioner Melissa McKinlay, the fight is personal.
Gov. John Hickenlooper noted on NPR this week that Trump's assurance that his administration was "fully engaged" in dealing with the crisis hasn't been noticeable in Colorado.
Politics should play no role in the development of federal regulations that would govern the disbursement of dollars.
Ohio has the infamous distinction of leading the nation in overdose deaths. The President told a gathering in New Jersey he wants more drug-related arrests, while promising more money for treatment programs.
Alternatively, Trump could choose to reassign public health workers to better address the crisis.
While Christie said that he would still need to review "the legal papers" to see Trump's final wording, the delcaration could allow officials to delegate resources like it would a national disaster. And more recently, her senior aide lost her daughter to the epidemic. "And as far as I'm concerned, I'm very thankful that he let go of a large number of people because now we have a smaller payroll", he said. "We may need to modify some of our responses" to the epidemic.