Drug Paraphernalia: Summary of State Laws
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categories of items meeting the definition, including: (1) “[t]esting equipment used, intended for
use, or designed for use in identifying, or in analyzing the strength, effectiveness or purity of
controlled substances” and (2) “[h]ypodermic syringes, needles, and other objects used, intended
for use, or designed for use in parenterally injecting controlled substances into the human body.”
The 1979 Act also made it illegal for a person “to use, or to possess with intent to use” or
“deliver, possess with intent to deliver, or manufacture with intent to deliver” drug paraphernalia.
Accordingly, needles, syringes, and testing equipment are illegal in any state whose law tracked
the 1979 Act without subsequent amendment. Moreover, even if present-day local law
enforcement and prosecutors do not actively enforce a state’s prohibition of needles, syringes,
drug test strips, or other testing equipment, the existence of the prohibition continues to chill the
use and distribution of these items.
Given the increased emphasis in recent years on using harm reduction strategies to stem the
overdose crisis, the hurdle posed by state drug paraphernalia laws to establishing syringe services
programs or distributing and using testing equipment is not inconspicuous.
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Accordingly, the
Legislative Analysis and Public Policy Association (LAPPA) undertook this research project to
identify both currently-in-force statutes and recently proposed legislation, throughout all 50
states and the District of Columbia, concerning the treatment of needles, syringes, and testing
equipment under state drug paraphernalia laws.
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Forty-nine (49) states and the District of
Columbia have one or more criminal laws pertaining to drug paraphernalia. Only Alaska does
not.
The results of this research project are presented in this document. Starting on page 11,
LAPPA provides jurisdiction-by-jurisdiction tables describing aspects of each law currently in
effect as of March 2022, including:
• Statutory citation(s) and effective date(s) of drug paraphernalia laws and exceptions to
those laws, if any;
• Dates of substantive amendments to the cited statutes, if any;
• Whether or not a state’s definition of drug paraphernalia includes syringes, needles, and or
testing equipment;
• Penalties for possession or use of drug paraphernalia;
• Circumstances under which use or possession of drug paraphernalia is allowed;
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See, e.g., Madelyn Beck, Fentanyl tests strips could prevent overdoses, but they’re often not allowed to, BOISE
STATE PUBLIC RADIO (Jan. 25, 2022), https://www.boisestatepublicradio.org/health/2022-01-25/fentanyl-tests-
strips-could-prevent-overdoses-but-theyre-often-not-allowed-to; McKenna Schueler, The fight to legalize life-saving
fentanyl test strips in Southern states, FACING SOUTH (Jan. 24, 2022), https://www.facingsouth.org/2022/01/fight-
legalize-life-saving-fentanyl-test-strips-southern-states; Syringe Distribution Programs Can Improve Public Health
During the Opioid Overdose Crisis, THE PEW CHARITABLE TRUSTS (March 2, 2021),
https://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2021/03/syringe-distribution-programs-can-
improve-public-health-during-the-opioid-overdose-crisis (recommending, among other things, that states change
drug paraphernalia laws).
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This document does not discuss statutes authorizing or regulating syringe services programs in detail. More
information on state-specific syringe services program laws can be found in Syringe Services Programs: Summary
of State Laws, L
EG. ANALYSIS & PUB. POLICY ASSOC. (Oct. 27, 2021), https://legislativeanalysis.org/syringe-
services-programs-summary-of-state-laws/.