Lydia Strickland
ECON 290
Dr. Bajah
October 3, 2021
Milestone #3
A. Rules of Organization that are Influenced/Impacted by Policy
The main supporters behind Senate Bill 334 are the Republican Party. The new bill requires licensing requirements for anyone wanting to start a Needle Exchange Program and any pre-existing programs. These new licensing requirements for newly started needle exchange programs requires to have the support of the county commission and sheriff, pay an application fee and have a 30-day comment period. All needle exchange programs, whether new or pre-existing, are required to provide a full range of services, including HIV testing, and any programs only providing needles must dissipate within six months after the bill is passed. There must also be a 1:1 ration with the needle exchange, in order for someone to receive clean needles, they must return their dirty ones. In order to receive needles, one must have a West Virginia ID, and they cannot receive needles for another person (Herald-Dispatch, 2021).
B. The Input of Those Impacted by the Decision
The main argument against Senate Bill 334 is that it is unconstitutional. People opposed to the bill all sent letters to Governor Justice stated their position and what they expected the outcome to be, an increase in HIV cases and dirty needles on the ground. The ACLU-WV filed a lawsuit in an attempt to stop Governor Justice from signing the bill weeks before he actually signed it (Reports, 2021). After the bill was signed, Federal Judge Robert Chambers halted the implementation of the Bill while it was considered for its constitutionality, which was deemed constitutional.
C. Groups Most Impacted by Decision
The demographic most affected by this decision would first be those with substance abuse. The program was designed to prevent HIV outbreaks by sharing and reusing dirty needles in that community. If these restrictions are imposed on the Needle Exchange Programs, then this would prevent many substance abusers from getting access to clean needles, therefore increasing the possibility of an HIV outbreak.
The other group that is affected by this legislation is the already existing Needle Exchange Programs. These programs will be required to change essentially everything about them. They will have to begin providing other services, such as the HIV testing, which can be expensive. If not, then they will have to cease the program or face criminal charges.
D. Unintended Consequences
One of the unintended consequences to this bill is the closing of many needle exchange programs across the state. The new licensing requirements, such as requiring the approval of county commission and sheriff and providing a full range of services such as HIV testing, could prove to be too much and force the programs to close, or face criminal charges.
The main unintended consequence that the opposition is worried about is an HIV outbreak. West Virginia has already had two of the worst HIV outbreaks in the country, and part of the CDC’s recommendation to prevent another one is to improve access to clean, sterile needles (Department of Health and Human Resources). The opposition to the bill worry that with the potential of multiple needle exchange programs closing and less access to clean needles, HIV will be spread more quickly through the use of dirty needles that are shared among drug users.
References
Department ofHealth & Human Resources. WVDHHR. (n.d.). Retrieved October 3, 2021, from https://dhhr.wv.gov/News/2021/Pages/Final-CDC-Recommendations-on-Kanawha-County-HIV-Outbreak-Presented-.aspx.
Herald-Dispatch, T. A. Y. L. O. R. S. T. U. C. K. T. (2021, March 14). 'no justification:' Senate bill will end syringe services in WV, experts say. Dispatch. Retrieved October 3, 2021, from https://www.herald-dispatch.com/news/no-justification-senate-bill-will-end-syringe-services-in-wv-experts-say/article_78b2bce1-0f7d-5d56-852b-d50b73da6edb.html.
Reports, F. S. (2021, June 25). ACLU-WV files suit weeks before newly passed West Virginia Bill to take effect. WV News. Retrieved October 3, 2021, from https://www.wvnews.com/news/wvnews/aclu-wv-files-suit-weeks-before-newly-passed-west-virginia-bill-to-take-effect/article_a4062282-33da-50ab-8a76-cb2762109c09.html.