WEST VIRGINIA LEGISLATURE
2024 REGULAR SESSION
ENROLLED
Committee Substitute for House Bill 4667
BY DELEGATE CHIARELLI
[Passed March 4, 2024; in effect ninety days from passage.]
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1 AN ACT to amend and reenact §16-64-3 of the Code of West Virginia, 1931, as amended, relating
2 to syringe services programs; and prohibiting syringe services programs from distributing
3 listed smoking devices.
Be it enacted by the Legislature of West Virginia:
ARTICLE 64. SYRINGE SERVICES PROGRAMS.
§16-64-3. Program requirements.
1 (a) To be approved for a license, a syringe services program shall be part of a harm
2 reduction program which offers or refers an individual to the following services which shall be
3 documented in the application:
4 (1) HIV, hepatitis, and sexually transmitted diseases screening;
5 (2) Vaccinations;
6 (3) Birth control and long-term birth control;
7 (4) Behavioral health services;
8 (5) Overdose prevention supplies and education;
9 (6) Syringe collection and sharps disposal;
10 (7) Educational services related to disease transmission;
11 (8) Assist or refer an individual to a substance use treatment program;
12 (9) Refer to a health care practitioner or treat medical conditions; and
13 (10) Programmatic guidelines including a sharps disposal plan, a staff training plan, a data
14 collection and program evaluation plan, and a community relations plan.
15 (b) A syringe services program:
16 (1) Shall offer services, at every visit, from a qualified licensed health care provider;
17 (2) Shall exclude minors from participation in the syringe exchange, but may provide
18 minors with harm reduction services;
19 (3) Shall ensure a syringe is unique to the syringe services program;
20 (4) Shall distribute syringes with a goal of a 1:1 model;
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21 (5) May substitute weighing the volume of syringes returned versus dispensed as
22 specified. This substitution is only permissible if it can be done accurately and in the following
23 manner:
24 (A) The syringes shall be contained in a see-through container; and
25 (B) A visual inspection of the container shall take place prior to the syringes being weighed;
26 (6) Shall distribute the syringe directly to the program recipient;
27 (7) Proof of West Virginia identification upon dispensing of the needles;
28 (8) Shall train staff on:
29 (A) The services and eligibility requirements of the program;
30 (B) The services provided by the program;
31 (C) The applicant’s policies and procedures concerning syringe exchange transactions;
32 (D) Disposing of infectious waste;
33 (E) Sharps waste disposal education that ensures familiarity with the state law regulating
34 proper disposal of home-generated sharps waste;
35 (F) Procedures for obtaining or making referrals;
36 (G) Opioid antagonist administration;
37 (H) Cultural diversity and sensitivity to protected classes under state and federal law; and
38 (I) Completion of attendance logs for participation in mandatory training;
39 (9) Shall maintain a program for the public to report syringe litter and shall endeavor to
40 collect all syringe litter in the community;
41 (10) Shall not distribute any smoking devices, including, but not limited to, hand pipes,
42 bubblers, bongs, dab rigs, hookahs, crack pipes, or disposable smoking devices.
43 (c) Each syringe services program shall have a syringe dispensing plan which includes,
44 but is not limited to the following:
45 (1) Maintaining records of returned syringes by participants for two years;
46 (2) Preventing syringe stick injuries;
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47 (3) Tracking the number of syringes dispensed;
48 (4) Tracking the number of syringes collected;
49 (5) Tracking the number of syringes collected as a result of community reports of syringe
50 litter;
51 (6) Eliminating direct handling of sharps waste;
52 (7) Following a syringe stick protocol and plan;
53 (8) A budget for sharps waste disposal or an explanation if no cost is associated with
54 sharps waste disposal; and
55 (9) A plan to coordinate with the continuum of care, including the requirements set forth in
56 this section.
57 (d) If an applicant does not submit all of the documentation required in §16-63-2 of this
58 code, the application shall be denied and returned to the applicant for completion.
59 (e) If an applicant fails to comply with the program requirements, the application shall be
60 denied and returned to the applicant for completion.
61 (f) A license is effective for one year.
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The Clerk of the House of Delegates and the Clerk of the Senate hereby certify that the foregoing bill is correctly enrolled.
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Clerk of the House of Delegates
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Clerk of the Senate Originated in the House of Delegates.
In effect ninety days from passage.
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Speaker of the House of Delegates
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President of the Senate __________
The within is ................................................ this the...........................................
Day of ..........................................................................................................., 2024.
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Governor
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Statutes affected:
Introduced Version: 16-64-11
Committee Substitute: 16-64-3
Enrolled Committee Substitute: 16-64-3