111 Iowa L. Rev. 1297 (2026)

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Abstract

Syringe service programs (“SSPs”) and drug-checking equipment such as fentanyl test strips are powerful tools to respond to the opioid epidemic. SSPs distribute sterile needles and other harm reduction supplies to decrease the spread of diseases. They also offer linkages to treatment facilities. Drug-checking equipment allows people to know whether a substance is adulterated with potent substances, such as fentanyl. Under Iowa’s drug paraphernalia law, Iowa Code section 124.414, both SSPs and drug-checking equipment are prohibited. This Note argues that Iowa should amend its drug paraphernalia law to expressly allow SSPs and drug-checking equipment. This Note also argues that Iowa should fund these harm reduction resources and proactively lower barriers to accessing them.