1 New Paragraph; Pharmacists and Pharmacies; Regulation of Pharmacies; Syringe Service Programs; Authorized Activities and Funding Sources. Amend RSA 318:43-a by inserting after paragraph II the following new paragraph:

II-a.(a) Any entity operating a syringe service program in New Hampshire that involves the provision of sterile needles and syringes shall provide options for the disposal of used syringes, needles, and other related paraphernalia. Such options shall be free to the public.

(b) Any organization required to provide options for the disposal of used syringes, needles, and other related paraphernalia shall undertake an annual marketing campaign to inform participants of free disposal options.

(c) At the time of a quarterly report, each entity operating a syringe service program in New Hampshire shall report to the department whether they are required to provide options for disposal as outlined in this paragraph and, if so, shall demonstrate their compliance.

(d) At the time of a quarterly report, each entity operating a syringe service program in New Hampshire shall report to the department calculated return rates. In addition to calculated return rates, each program shall provide a description of methods used in syringe counting or estimation; separation of returns from direct participant exchange versus secondary/community sources; and a narrative of factors affecting performance and improvement efforts. Strengthening syringe services programs (SSPs) shall seek to achieve and maintain a return rate of 95 percent or higher in each calendar quarter. The department shall assess performance over rolling 4-quarter periods. A return rate may exceed 100 percent. If an SSP reports a return rate below 95 percent for 2 consecutive quarters, it must submit a corrective action plan within 30 days. The plan shall include strategies to increase return rate, such as enhanced drop box access, peer outreach, incentives, or community partnerships; a timeline with measurable targets; and a statement of resource or technical needs. Upon request, the department shall provide support, including guidance on data gathering and best practices. The department shall adopt rules pursuant to RSA 541-A establishing a schedule of fines for failure to file required reports or implement corrective action plans.

(e) No municipality shall adopt any local ordinance or other rule to prohibit any activity authorized by this paragraph.

2 Effective Date. This act shall take effect 90 days after its passage.

1 New Paragraph; Pharmacists and Pharmacies; Regulation of Pharmacies; Syringe Service Programs; Authorized Activities and Funding Sources. Amend RSA 318:43-a by inserting after paragraph II the following new paragraph:

II-a.(a) Any entity operating a syringe service program in New Hampshire that involves the provision of sterile needles and syringes shall provide options for the disposal of used syringes, needles, and other related paraphernalia. Such options shall be free to the public.

(b) Any organization required to provide options for the disposal of used syringes, needles, and other related paraphernalia shall undertake an annual marketing campaign to inform participants of free disposal options.

(c) At the time of a quarterly report, each entity operating a syringe service program in New Hampshire shall report to the department whether they are required to provide options for disposal as outlined in this paragraph and, if so, shall demonstrate their compliance.

(d) At the time of a quarterly report, each entity operating a syringe service program in New Hampshire shall report to the department calculated return rates. In addition to calculated return rates, each program shall provide a description of methods used in syringe counting or estimation; separation of returns from direct participant exchange versus secondary/community sources; and a narrative of factors affecting performance and improvement efforts. Strengthening syringe services programs (SSPs) shall seek to achieve and maintain a return rate of 95 percent or higher in each calendar quarter. The department shall assess performance over rolling 4-quarter periods. A return rate may exceed 100 percent. If an SSP reports a return rate below 95 percent for 2 consecutive quarters, it must submit a corrective action plan within 30 days. The plan shall include strategies to increase return rate, such as enhanced drop box access, peer outreach, incentives, or community partnerships; a timeline with measurable targets; and a statement of resource or technical needs. Upon request, the department shall provide support, including guidance on data gathering and best practices. The department shall adopt rules pursuant to RSA 541-A establishing a schedule of fines for failure to file required reports or implement corrective action plans.

(e) No municipality shall adopt any local ordinance or other rule to prohibit any activity authorized by this paragraph.

2 Effective Date. This act shall take effect 90 days after its passage.