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Taking a systems approach, we work with legislators and community leaders to advocate for public and institutional policy changes that reduce health inequities and health disparities faced by people who use drugs.

Our current legislative priority is advocating for the legalization of syringe service programs in Iowa through revision of Iowa's drug paraphernalia law.


Under Iowa Code 124.414, the possession of syringes or the distribution of syringes via a needle exchange is classified as a simple misdemeanor:


124.414 Drug paraphernalia.

1. a. As used in this section, “drug paraphernalia” means all equipment, products, or materials of any kind used or attempted to be used in combination with a controlled substance, except those items used in combination with the lawful use of a controlled substance, to knowingly or intentionally and primarily do any of the following:

(1) Manufacture a controlled substance.

(2) Inject, ingest, inhale, or otherwise introduce into the human body a controlled substance.

  1. (3)  Test the strength, effectiveness, or purity of a controlled substance.

  2. (4)  Enhance the effect of a controlled substance.

b. “Drug paraphernalia” does not include hypodermic needles or syringes if

manufactured, delivered, sold, or possessed for a lawful purpose.
2. It is unlawful for any person to knowingly or intentionally manufacture, deliver, sell, or

possess drug paraphernalia.
3. A person who violates this section commits a simple misdemeanor.