Harm Reduction in Tennessee
Tennessee authorizes syringe service programs under state law (Tenn. Code Ann. 68-1-136), and they distribute naloxone and drug-checking supplies, including fentanyl and xylazine test strips, at no cost. Pharmacists can dispense naloxone on a standing order, and prescribers can supply it in bulk to a long list of eligible organizations: recovery groups, hospitals, schools, harm reduction organizations, homeless services, county jails, shelters, AIDS service organizations, federally qualified health centers, and health departments. Tennessee's Good Samaritan law, passed in 2014, is narrower than some neighboring states: it protects someone who administers naloxone in good faith from civil liability, but it is not a full 911 immunity law covering drug possession charges the way Ohio's or Kentucky's laws are.
The Tennessee Department of Health's Overdose Response Coordination Office (ORCO) coordinates the state's response, and the Save A Life project, running since 2017, funds 25 Regional Overdose Prevention Specialists across 13 divisions of the state as local points of contact for naloxone training and distribution. Since 2018, the state's syringe service programs alone have handed out hundreds of thousands of naloxone kits.
If you need a treatment or harm reduction referral anywhere in the state, the Tennessee REDLINE (800-889-9789) is staffed around the clock by call or text.
Sources
Last reviewed September 2026 by Penny Beach, PRS.