Detox and substance use disorder treatment in Laredo is regulated at both the state and federal levels. The Texas Health and Human Services Commission (HHSC) licenses all Chemical Dependency Treatment Facilities (CDTFs) under 26 TAC Chapter 564, setting clinical and safety standards for any program offering medical detoxification.
The Substance Abuse and Mental Health Services Administration (SAMHSA) separately certifies Opioid Treatment Programs (OTPs) such as methadone clinics under 42 CFR Part 8. Facilities that use public funding must also meet HHSC block grant compliance requirements.
Laredo’s position as one of the busiest U.S.-Mexico land ports of entry gives the city a specific overdose risk profile. Illicit fentanyl moves through Webb County in high volumes, contributing to a local overdose death toll that reached 66 within city limits in 2023. In response, the City of Laredo opened ROOTS Recovery Center in 2024, a publicly funded 24-room detox facility at 1300 Chicago St., operated by the city’s Detoxification Department. ROOTS accepts patients meeting DSM-5 substance dependence criteria and serves people regardless of their ability to pay.
When weighing options beyond the public system, start by verifying HHSC licensure, reviewing medication-assisted treatment (MAT) availability, and confirming payment options before arrival. Webb County also operates a Drug Court Program that provides a treatment-track alternative for people with substance use disorders involved in the local criminal justice system, pairing structured accountability with community-based care.
