BACKGROUND: In 2022, The National Highway Traffic Safety Administration (NHTSA) reported over 42,000 motor vehicle collisions (MVCs) deaths with 31% of MVC deaths secondary to alcohol (AR-MVCs). In 2010, rideshare services (RSS) were introduced to the market providing a new method of transportation with the potential to reduce the incidence of driving under the influence (DUI). We analyzed the NHTSA database to evaluate trends in alcohol related MVC deaths (AR-MVC Deaths) since the initiation of ride share services. METHODS: Fatality Analysis Reporting System (FARS) source from the NHTSA was used to obtain data from years 2009 and 2022 from 50 states, the District of Columbia and Puerto Rico. SPSS software was used to run non-parametric assessments of variance to explore the association between drivers under the influence of alcohol and fatal crashes. The VEHICLE data files for the years 2009 and 2022 were used to explore the trends in alcohol related crashes. Uniform Crime Reporting Program (UCR) source from the Federal Bureau of Investigation (FBI) was used to obtain data to compare number of DUIs RESULTS: There are more than 5 billion reported RSS per year. Between the years of 2009 and 2022, the DUI arrests rates decreased from 32.95% to 16.61% respectively. In 2009, the total number of AR-MVC deaths was 22.8%. In 2022, the number of AR-Deaths was 17.2%. AR-MVC deaths decreased 5.6% (p