US Needle Exchange and Harm Reduction Resources Master List
Resources gathered using
North America Syringe Exchange Network
National Harm Reduction Coalition
FInd Naloxone, Find Syringes Nationwide
Alabama
Next Distro - HR Resources
Needle Exchanges Illegal in the state
Syringes are criminalized and not sold without prescription
Alaska
Needle Exchanges (2) - Fairbanks, Anchorage
Arizona
Needle Exchanges (4) 1 Phoenix, 3 Tucson
Arkansas
HR Resources
Needle Exchanges not technically prohibited, but syringes still considered paraphernalia
California
Needle Exchanges (47)
Syringes not considered paraphernalia
Authorized exchanges can provide free naloxone and test kits
Colorado
Needle Exchanges (9)
Syringe possession still considered paraphernalia
Connecticut
Needle Exchanges 8
Delaware
Needle Exchange (1) Wilmington
Florida
Needle Exchange (1) Miami
Georgia
Needle Exchanges (3) Atlanta
Hawaii
Needle Exchange (1) Honolulu
Idaho
Needle Exchange/HR Resource (1) Boise
Illinois
Needle Exchanges (7)
Indiana
Needle Exchanges (7)
Iowa
HR Resources
Needle Exchanges prohibited
Kansas
HR Resources
No needle exchanges
Kentucky
Needle Exchanges (40)
Louisiana
Needle Exchanges (3) Baton Rouge, New Orleans
Maine
Needle Exchanges (4) Augusta, Bangor, Ellsworth, Portland
Maryland
Needle Exchange (1) Baltimore
Massachusetts
Needle Exchanges (10)
Michigan
Needle Exchanges (4) Grand Rapids, Flint, Detroit, Ypsilanti
Minnesota
Needle Exchanges (10)
Mississippi
HR Resources
Needle Exchanges prohibited
Missouri
HR Resources
Needle Exchanges prohibited
Montana
Needle Exchanges (3) Missoula, Poplar
Nebraska
HR Resources
Needle Exchanges prohibited
Nevada
Needle Exchange (1) Las Vegas
New Hampshire
Needle Exchanges (6)
New Jersey
Needle Exchanges (5)
New Mexico
Needle Exchanges (33)
New York
Needle Exchanges (23)
New York Harm Reduction Educators:
NYHRE - East Harlem Program: 104 -106 E 126th St #1A, New York, NY 10035
Washington Heights Corner Project: 500 W 180th St, New York, NY 10033
Phone Number: +1 (212)-923-7600
Services provided include overdose prevention, safe injection, needle exchange, counseling, and training.
North Carolina
Needle Exchanges (3) Asheville, Greensboro, Roxboro
North Dakota
HR Resources
Ohio
Needle Exchanges (19) - 21 counties
Oklahoma
HR Resources
Needle Exchanges prohibited
Oregon
Needle Exchanges (11)
Pennsylvania
HR Resources
Needle Exchanges prohibited
Rhode Island
Needle Exchange (1) Providence
South Carolina
HR Resources
South Dakota
NextDistro HR Resources
Needle Exchanges prohibited
Tennessee
Needle Exchanges (2) Memphis, Nashville
Texas
HR Resources
Needle Exchanges prohibited
Utah
Needle Exchanges (4) Salt Lake City, Salt Lake County, Wasatch
Vermont
Needle Exchanges (4) Burlington, St Jonsbury, White River Junction
Virginia
HR Resources
Washington State
Needle Exchanges (22)
Washington D.C.
Needle Exchanges
West Virginia
HR Resources
Wisconsin
Needle Exchanges (12)
Wyoming
HR Resources
Needles Exchanges prohibited
TDS US HR Orgs (2020)
Global HR Workshop Org List (2013)