Harm Reduction

July 22, 2026 | Drug Paraphernalia, Fact Sheets, Fentanyl, Harm Reduction, Public Health, Public Safety, Substance Misuse

 “Drug checking” is a strategy to prevent overdoses among individuals who use illicitly obtained drugs by informing these individuals of the substances present in a sample and if those substances include an unexpected adulterant, and while drug checking programs are more common in parts of Europe and Canada, the proliferation of adulterants such as fentanyl and xylazine in the American illicit drug supply over the past decade has led to an increased interest in drug checking—and the equipment used to do it—in the United States. Drug checking equipment (DCE) includes both simple drug checking methods and more complex options. Simple DCE, such as fentanyl test strips (FTS) and other rapid drug test strips, liquid reagent tests, and thin layer chromatography kits, provide qualitative information about the presence of a particular drug/substance—or lack thereof—for which the test is designed. In June 2021, LAPPA published a fact sheet on FTS. LAPPA’s 2021 fact sheet addressed how disposable, single-use FTS work as a drug checking tool, studies investigating their efficacy, and the obstacle to large-scale FTS distribution created by state laws criminalizing the use and possession of drug paraphernalia. Now, five years later, some aspects of drug checking and FTS described in the...

July 15, 2026 | Drug Paraphernalia, Fact Sheets, Harm Reduction, Public Health, Public Safety, Sharps/Syringes, Substance Misuse

Syringe services programs (SSPs), initially limited to the exchange of hypodermic needles and syringes and often still called needle or syringe exchange programs, have been present in the United States in some form since the early 1980s. Often illegal due to drug paraphernalia laws – an issue that still exists in 2026 – only seven U.S. cities had programs by the end of 1991. According to the Centers for Disease Control and Prevention (CDC), in November 2007, there were 185 SSPs in 36 states, the District of Columbia, and Puerto Rico. As of June 2026, that number has increased to 587 operational SSPs in 45 states, the District of Columbia, and Puerto Rico, although only 37 states, the District of Columbia, and Puerto Rico either explicitly or implicitly authorize SSPs through statute or regulation. This fact sheet provides readers with an overview of SSPs, including the components that make up a comprehensive SSP and the obstacles encountered by programs and their participants....

June 8, 2026 | Controlled Substances, Harm Reduction, Law Enforcement, Legal & Legislative Research, Opioids, Public Health, Public Safety, Sharps/Syringes, Substance Misuse

Syringe services programs (SSP) are harm reduction programs that provide a wide range of services including, but not typically limited to, the provision of new, unused hypodermic needles and syringes and other injection drug use supplies, such as cookers, tourniquets, alcohol wipes, and sharps waste disposal containers, to people who inject drugs. In this summary, readers will find information with respect to SSPs for each state, including citations to applicable statutes and/or regulations, whether the state allows SSPs by statute, whether there are any municipal or county ordinances or regulations in place within the state, program components, miscellaneous provisions, and information on any pending legislation....

May 19, 2026 | Controlled Substances, Harm Reduction, Peer Support and Recoery Services, Recovery, Substance Misuse, Toolkits, Treatments

In February 2026, the International Healthcare Facility Diversion Association released a toolkit developed by its Substance Use Recovery and Support Steering Committee, designed to provide best practices and ethical considerations for supporting healthcare professionals (HCPs) in recovery. This resource is intended for use by entities supporting HCPs in recovery from substance use with the potential to return to safe practice....

February 27, 2026 | Controlled Substances, Harm Reduction, Model Laws, Recovery, Substance Misuse, Substance Use Disorder

The Model Addressing Drug Diversion in Healthcare Settings Act (1) requires healthcare entities to establish policies and procedures for the prevention and detection of drug diversion by healthcare professionals and to ensure that treatment and recovery support services are offered to eligible healthcare professionals; (2) requires certain individuals and entities to report healthcare professionals suspected of misusing drugs and/or alcohol, diverting drugs for personal use, having an untreated substance use disorder, or practicing while impaired and to establish penalties for failure to make such reports; (3) requires boards, as defined in this Act, to establish or participate in an alternative to discipline program for eligible healthcare professionals; (4) establishes legal protections for individuals who make reports as required by this Act; (5) provides immunity from civil and criminal liability for specified individuals and entities for actions taken pursuant to this Act; (6) establishes penalties for healthcare entities that fail to take corrective action after discovering diversion by a healthcare professional; (7) establishes program reporting and audit requirements; (8) establishes technology grants for healthcare entities to be used for the prevention and detection of drug diversion; and (9) establishes funding provisions for alternative to discipline programs....

November 19, 2025 | Controlled Substances, Drug Courts, Harm Reduction, Law Enforcement, Legal & Legislative Research, Opioids, Prescription Drugs, Public Health, Public Safety, Substance Misuse

Psilocybin is a chemical compound produced by more than 100 species of mushrooms found growing around the world. Because of the psychedelic effects that these mushrooms produce when consumed, psilocybin-containing mushrooms have been colloquially referred to as “magic mushrooms” or “shrooms.” In this document, the Legislative Analysis and Public Policy Association (LAPPA) identifies both currently-in-force statutes/regulations and recently proposed legislation related to psilocybin throughout all 50 states, the District of Columbia, and the U.S. territories....

September 17, 2025 | Controlled Substances, Fentanyl, Harm Reduction, Law Enforcement, Legal & Legislative Research, Opioids, Public Health, Public Safety, Sharps/Syringes, Substance Misuse, Synthetic Drugs

Given the increased emphasis in recent years on using harm reduction strategies to slow the overdose crisis, the hurdle posed by state drug paraphernalia laws to freely allowing drug checking services or establishing syringe services programs is not inconspicuous. Accordingly, in 2022, LAPPA first undertook an extensive research project to determine how drug paraphernalia laws throughout the 50 states, District of Columbia, and all U.S. territories treat drug checking equipment (including fentanyl test strips and other items) and needles/syringes. This January 2024 version, which sets forth a summary of state and territory laws as of December 2023, is an update to the original report. ...

August 28, 2025 | Controlled Substances, Criminal Justice, Fact Sheets, Harm Reduction, Medication Assisted Treatment (MAT), Opioids, Recovery, Substance Misuse, Treatments

Through the use of medications for addiction treatment (MAT), an individual’s substance use, withdrawal symptoms, and the physiological and psychological cravings can be controlled, enabling the person to begin treatment while in a correctional facility and be released as a person in, or on his or her way to, recovery. Research shows that that the use of MAT for Opioid Use Disorder in correctional settings is a cost-effective and life-saving intervention....

August 11, 2025 | Controlled Substances, Harm Reduction, Legal & Legislative Research, Opioids, Pharmacy, Prescription Drugs, Public Health, Public Safety, Substance Misuse

In this document, the Legislative Analysis and Public Policy Association examines state-level legislative and administrative responses to the public health risk posed by expired and unused prescription medications. In the last several years, states, in coordination with the Federal Drug Enforcement Administration (DEA) have enacted legislation or promulgated administrative regulations to authorize drug take-back programs where expired or unused pharmaceuticals can be collected from the public by authorized persons and disposed of in a safe manner. Findings are presented by state for ease of comparison....