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Harm Reduction in West Virginia

West Virginia's syringe service programs remain legal, but only barely. A 2021 law (Senate Bill 334) added heavy requirements, mandatory ID checks, a full array of additional services, and a one-for-one exchange goal, that pushed the number of active programs from around 19 down to roughly 8 to 10. In February 2026, a bill (House Bill 4413) that would have banned syringe services outright advanced out of a House subcommittee on a 7 to 3 vote; it ultimately did not pass before the session ended, though lawmakers have said the issue will likely return in a future session. The Cabell-Huntington Health Department, which once distributed nearly half the state's clean syringes, stopped its exchange in late 2025 under political pressure, even though it continues offering naloxone and disease testing. West Virginia does have a statewide naloxone standing order, issued in November 2018, that lets any pharmacy dispense it without a prescription, and a Good Samaritan law that protects people who call 911 during an overdose from arrest.

The West Virginia Department of Human Services runs a statewide naloxone distribution initiative through its Bureau for Public Health, and State Opioid Response grant funding supports treatment and harm reduction work through the Bureau for Behavioral Health. Programs still operating around the state are tracked at harmreductionwv.org.

Syringe access in West Virginia varies a lot by county right now, and the legal landscape is being actively contested in the legislature. Confirm a program is currently operating before making plans around it.

Last reviewed September 2026 by Penny Beach, PRS.

Harm Reduction Agencies in West Virginia

Recently added agencies in West Virginia

Milan Puskar Health Right

202 Tunnelton St Valley Healthcare, Kingwood, WV, 26537 Directions

304-292-5703

Narcan/Naloxone

www.mphealthright.org

View Details Last updated Sep 21, 2026

Community Org

Ohio Valley Harm Reduction Coalition

401 Commerce St, Wellsburg, WV, 26070 Directions

304-737-3665

Narcan/Naloxone

ovhrc.org

View Details Last updated Sep 21, 2026

Health Department

Berkeley County Health Department

122 Waverly Court, Martinsburg, WV, 25403 Directions

304-263-5131

Narcan/Naloxone

bchealthdept.org

View Details Last updated Sep 21, 2026

Health Department

Wheeling-Ohio County Health Department Needle Exchange Program

1500 Chapline St Suite 106, Wheeling, WV, 26003 Directions

304-234-3682

Narcan/Naloxone

ohiocountyhealth.com

View Details Last updated Sep 21, 2026

Health Department

Wheeling-Ohio County Health Department Needle Exchange Program

2121 Eoff Street, Wheeling, WV, 26003 Directions

304-234-3682

Narcan/Naloxone

ohiocountyhealth.com

View Details Last updated Sep 21, 2026

Community Org

Ohio Valley Harm Reduction Coalition

616 Pyramus Rd, Chester, WV, 26034 Directions

304-564-3343

Narcan/Naloxone

ovhrc.org

View Details Last updated Sep 21, 2026

Community Org

Ohio Valley Harm Reduction Coalition

371 Carolina Ave, Chester, WV, 26034 Directions

304-564-3343

Narcan/Naloxone

ovhrc.org

View Details Last updated Sep 21, 2026

Community Org

Ohio Valley Harm Reduction Coalition

1151 Washingon St, Newell, WV, 26050 Directions

304-564-3343

Narcan/Naloxone

ovhrc.org

View Details Last updated Sep 21, 2026

View All 36 Agencies in West Virginia

Showing 8 recently added agencies in West Virginia out of 36 total — search a city above to narrow it down

What is Harm Reduction?

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.

Meets people where they are without judgment

Reduces fatal overdoses through naloxone access

Prevents disease transmission through syringe services

Provides pathways to treatment when people are ready

Recognizes abstinence is not the only measure of success

Learn More

Find a Harm Reduction Agency Near You

Find Harm Reduction Services in West Virginia

Harm Reduction in West Virginia

Harm Reduction Agencies in West Virginia

Milan Puskar Health Right

Ohio Valley Harm Reduction Coalition

Berkeley County Health Department

Wheeling-Ohio County Health Department Needle Exchange Program

Wheeling-Ohio County Health Department Needle Exchange Program

Ohio Valley Harm Reduction Coalition

Ohio Valley Harm Reduction Coalition

Ohio Valley Harm Reduction Coalition

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