I wouldn’t necessarily assume CA would land at #1, if only because it is still a very large state, with a significant population of “Red-Staters” out away from the cities, and (I suspect) the hispanic population is probably pretty clean, outside of the gangs (and maybe even inside, since their drug use tends more to the marijuana and cocaine side, rather than the injectable drugs).
I figure SF all by itself would have put them over the top!................