Skyrocketing rates of Hepatitis C are the latest fallout from the opioid crisis. Opioid use/abuse frequently leads to injected illegal drugs. Sharing of needles and other high risk behaviors has help created a 15 year peak in Hepatitis C infections. The highest number of new infections is among 20 to 29 year olds. Employers can play a positive role in Hepatitis C prevention, testing and treatment.