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State Laws Governing Syringe Services Programs and Participant Syringe Possession, 2014-2019
Marcelo H Fernández-Viña1, Nadya E Prood1, Adam Herpolsheimer1
16558 Center for Public Health Law Research, Temple University Beasley School of Law, Philadelphia, PA, USA.
Public Health Reports (Washington, D.C. : 1974)
|August 1, 2020
Summary
State laws governing syringe services programs (SSPs) have improved, with more states authorizing operations and legal syringe possession. However, significant legal barriers persist, hindering harm reduction efforts.
Area of Science:
- Public Health Law
- Health Policy
- Substance Use Disorder Research
Background:
- State laws significantly influence the accessibility and operation of syringe services programs (SSPs).
- Understanding the legal landscape is crucial for expanding harm reduction strategies and preventing infectious disease transmission.
Purpose of the Study:
- To assess the current legal status of state laws governing SSP operations and syringe possession by participants.
- To analyze changes in these laws over a five-year period (2014-2019).
Main Methods:
- A cross-sectional dataset of state laws and regulations concerning syringe possession and distribution was compiled for all 50 US states and the District of Columbia as of August 1, 2019.
- This data was compared with similar data from August 1, 2014, to identify legal changes.
Main Results:
- In 2019, 39 states (including D.C.) had laws supporting SSPs, with 33 states allowing legal syringe possession by participants under certain conditions.
- Between 2014 and 2019, 14 states enacted laws explicitly authorizing SSPs, and 12 states reduced legal barriers to SSPs.
- The number of states explicitly authorizing SSPs nearly doubled, with new legislation in rural, southern, and midwestern states, as well as those at high risk for HIV and HCV.
Conclusions:
- While legal impediments to SSPs have decreased, substantial barriers remain in over 20% of US states.
- Continued legal reform is necessary to fully support SSP operations and reduce drug-related harm.
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