Connecting you with life-saving harm reduction resources including needle exchanges, naloxone distribution, HIV testing, and more.
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New York was one of the first states to build a real legal framework around harm reduction, and it shows: the state has authorized 25 syringe exchange programs operating more than 81 sites, plus over 1,400 registered opioid overdose prevention programs across roughly 6,000 sites providing no-cost naloxone and training. Naloxone has been available through a statewide pharmacy standing order since 2014, meaning any pharmacy can dispense it without a patient-specific prescription. New York's 911 Good Samaritan law, one of the broader ones in the country, protects both the caller and the person overdosing from prosecution for drug possession (up to eight ounces of a controlled substance), paraphernalia, and marijuana possession, plus alcohol possession for people under 21. Fentanyl test strips are available at no cost through the syringe exchange network.
The state's Office of Addiction Services and Supports (OASAS) runs the "Safer Choices" harm reduction campaign and directs opioid settlement money specifically toward priority populations who are often underserved by treatment systems: Black, Indigenous, and other people of color, justice-involved people, people experiencing homelessness, LGBTQ+ people, older adults, and pregnant or parenting people. A recent round of settlement funding put $7.5 million a year into 10 organizations doing exactly this work.
With this much existing infrastructure, a local health department or syringe exchange program is usually the fastest way to find naloxone, test strips, or other supplies nearby.
Last reviewed September 2026 by Penny Beach, PRS.
New York State's Department of Health produced its own overdose-prevention training videos, in English and Spanish, along with a printable step-by-step infographic, as part of the statewide Opioid Overdose Prevention Program.
These are general steps. Always follow the instructions included with your specific naloxone product.
Recently added agencies in New York
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Find agencies that offer these critical services
Safe syringe exchange programs that reduce disease transmission and provide a connection to care.
No Cost or low-cost naloxone (Narcan) distribution to reverse opioid overdoses.
Confidential testing for HIV and Hepatitis C with connections to treatment.
Basic wound care services to prevent infections and complications.
Fentanyl test strips and drug checking services to reduce overdose risk.
Find harm reduction agencies in your state. See the national overview
Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. It is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs.
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