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Published on March 26, 2025
Oklahoma House Votes to Extend Harm-Reduction Programs to Curb Substance-Related Health IssuesSource: Oklahoma House of Representatives

Oklahoma's efforts to combat public health issues related to substance use are slated for extension after the House of Representatives voted in favor of House Bill 2012. Authored by Rep. Daniel Pae, R-Lawton, the bill aims to further the operations of state harm-reduction programs until July 1, 2027. The legislation covers vital services like needle exchanges and swift testing for sexually transmitted infections, as reported by the Oklahoma House of Representatives.

These initiatives, which currently operate without state funding, had a sunset date set for 2026. But the latest bill steps in with an extension, building on 2021's legislative groundwork that permitted harm-reduction schemes to register with the Oklahoma State Department of Health. As per the details shared by the Oklahoma House of Representatives, the four programs under Oklahoma State Department of Health's watch delivered 578,330 syringes and distributed 25,125 naloxone kits in just over two years, signaling a dedicated fight against disease spread and overdose fatalities.

Rep. Pae underscored the critical role of harm-reduction programs in a statement saying, "These programs not only combat the spread of disease but also provide critical resources for individuals in need." He emphasized the dual benefit of saving lives and curbing public health expenses, portraying the bill as a fiscally prudent measure that simultaneously enhances community support services. The programs' impact is evidenced by 1,212 reported overdose reversals and 1,528 referrals for substance use education or STI/HIV testing, illustrating their front-line position in managing health crises, as stated by the Oklahoma House of Representatives.

Oklahoma has faced significant challenges with HCV and HIV, particularly in rural areas. In 2022, the state stood among the top seven in the United States with the highest rural HIV burden—a public health predicament with life-long costs exceeding half a million dollars per individual case. The state simultaneously grappled with the highest new infection rate of HCV, which, like HIV, often stems from shared needle use. Pae highlighted in a statement to the Oklahoma House of Representatives, "Allowing these programs, which don't receive any state funding, to continue their work will later save the state millions of dollars." HB2012's journey continues as it moves to the Senate for further scrutiny, having passed the House floor with a narrow vote of 52-41.