Harm Reduction in Oregon
Oregon authorizes syringe exchange statewide, and it is legal to carry and administer naloxone. House Bill 2395 lets the Oregon Health Authority issue standing prescriptions for naloxone to individuals and public entities alike, which is why it has become common in restaurants, grocery stores, police departments, and schools, not just pharmacies, and the same law extends Good Samaritan protection to anyone who administers or distributes it. Fentanyl test strips are legal, but Oregon draws an unusual line around who can hand them out: only authorized syringe service programs may distribute them, which means bars, recovery programs, and street outreach teams are legally blocked from doing so even though the strips themselves are legal to possess.
Save Lives Oregon, a collaboration between the Oregon Health Authority and ten organizations across the state, grew out of a 2020 pandemic-era resource hub and now coordinates harm reduction supply access for the communities most affected by overdose. Its Harm Reduction Clearinghouse Project supports equitable naloxone access, Reverse Overdose Oregon gives employers training tools to prepare their own teams, and the PRIME+ program connects peer recovery specialists directly with people at risk.
Because test strip distribution is restricted to registered syringe programs specifically, that is the right kind of organization to look for first, not a general harm reduction outreach group.
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Last reviewed September 2026 by Penny Beach, PRS.