A North Carolina Senate bill that attempts to tighten syringe service programs has caused alarm among some public health advocates. 

Senate Bill 607 adds more accountability to needle exchange programs that advocates say are crucial in fighting opioid use disorder. The legislation is sponsored by Republican Senators Joyce Krawiec and Chuck Edwards.

It would require that needle exchange programs be offered in locations that provide professional counseling or rehabilitation services. The bill also mandates treatment for those who use illegal drugs, background checks for staffers, and special identifying markings for syringes and supplies. Mobile needle exchange programs would be banned.

Opponents of the legislation say the requirements would effectively shut down many syringe services, which already face budget constraints.

Colin Miller co-founded the Twin City Harm Reduction Collective. Miller tells The Winston-Salem Journal that "this bill was not written by people who have any understanding of public health or harm reduction.”

While some believe that needle exchange programs enable drug users, advocates say they help reduce the spread of Hepatitis C and HIV and keep needles off the streets.

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