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If A County Wants A Needle Exchange, Here's What It Must Do

By Gretchen Frazee

Posted April 29, 2015

Indiana lawmakers have approved a framework for how counties could implement needle exchange programs as a way to curb hepatitis C or HIV outbreaks.

But the bill dramatically changed in the final days of the legislative session.

The original proposal would have allowed needle exchanges in all 92 counties. It was then changed to allow exchanges in the counties with the highest rate of hepatitis C.

The counties would have been divided into four "quartiles" based on hepatitis C rates, and those in the top quartile would have been eligible. Those in the next highest quartile could have been eligible, but with additional restrictions.

Here's what the framework is now:

Under the new proposal, counties or cities must meet these standards:

  2. Have an epidemic of hepatitis C or HIV.
  4. Show the primary mode of transmission of the diseases are through intravenous drug use.
  6. Show that a syringe exchange is "medically appropriate" as part of a comprehensive public health response.


If the municipality meets those requirements they must do this:

  2. Conduct a public hearing.
  4. Ask the state health commissioner to declare a public health emergency.


If the state health commissioner grants that request, the municipality must annually register the program with the state and have a licensed professional, such as a physician, oversee the program.

Under a previous proposal, the municipality had to have a public hearing and register with the state, but the state health commissioner did not have to declare a public health emergency.

Governor Mike Pence must still sign the bill before it becomes law.

WFYI's Jake Harper contributed to this report.

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