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Pennsylvania’s Numbers: A Close Look at the Battle over Syringe Services • Spotlight PA


In a joint investigation by Spotlight PA and WESA, conflicting views on Pennsylvania’s opioid settlement windfall have been uncovered. While the multibillion-dollar settlements with drug companies prioritize expanding syringe services, these programs are mostly considered illegal in the state due to drug paraphernalia laws. Supporters argue that these services help connect individuals with treatment and reduce the presence of discarded needles, thereby making communities safer. However, some lawmakers in Harrisburg are concerned that such programs condone illegal drug use or do not improve community safety.

One Republican lawmaker, state Rep. Jim Rigby, voted in favor of a syringe services legalization bill during a committee vote in February, influenced by his experience as a former police chief. The bill, which received unanimous Democratic support in committee, is awaiting action in the full House. Three Pennsylvania counties have been flagged for being vulnerable to the rapid spread of HIV and hepatitis C due to injection drug use.

Studies have shown that needle exchange programs increase the likelihood of individuals entering drug treatment and reduce the improper disposal of syringes in communities. While 38 states authorize syringe services, Pennsylvania does not, leading to concerns and controversies over the use of opioid settlement funds. The year 1992 saw then-Mayor Ed Rendell issue an executive order allowing syringe services in Philadelphia, showcasing a longstanding debate on the effectiveness and legality of these programs in the state.

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