Amy Lieberman

All 50 states and the District of Columbia have modified their laws to increase access to naloxone, the standard first-line treatment for opioid overdose. While these laws have been successful in increasing access to this lifesaving medication, few explicitly address the legality of distributing and administering naloxone that is past its expiration date. This fact sheet discusses whether Tennessee laws forbid the prescription, dispensing, distribution, possession, or administration of expired naloxone and whether medical professionals and others who take such actions might be held liable.  

In 2021, nearly 108,000 people in the U.S. died of a drug overdose; around 75 percent of those overdoses involved an opioid, largely driven by the increased presence of synthetic opioids, like fentanyl and fentanyl analogues, in the nation’s illicit drug supply. While many jurisdictions are making moves toward evidence-based harm reduction measures to save lives, others are increasing penalties for those who possess and sell fentanyl.

National Minority Health Month was observed in April — which marked its 20th year — to emphasize and highlight initiatives aimed at improving health outcomes for racial and ethnic minority groups. This year, severe public health threats including the Covid-19 pandemic, opioid epidemic, high rates of substance abuse, and ongoing housing crises highlight the underlying disparities in U.S. health care and other policies, emphasizing the need to focus on these issues to achieve the best health outcomes for all.

In response to the ongoing opioid overdose crisis, all 50 states and the District of Columbia have modified their laws to increase access to naloxone, the standard first-line treatment for opioid overdose. While these laws have been successful in increasing access to this lifesaving medication, few explicitly address the legality of distributing and administering naloxone that is past its expiration date. These fact sheets discuss the efficacy of expired naloxone in Kentucky and Texas and whether the relative laws in each state permit the distribution and administration of such naloxone.

In response to the ongoing opioid overdose crisis, all 50 states and the District of Columbia have modified their laws to increase access to naloxone, the standard first-line treatment for opioid overdose. While these laws have been successful in increasing access to this lifesaving medication, few explicitly address the legality of distributing and administering naloxone that is past its expiration date. These fact sheets discuss the efficacy of expired naloxone in Kentucky and Texas and whether the relative laws in each state permit the distribution and administration of such naloxone.

Arnold Ventures has renewed funding support for the Network for Public Health Law’s Harm Reduction Legal Project, which works to address the legal and policy barriers that impede the establishment and expansion of evidence-based harm reduction measures such as naloxone distribution, syringe access programs, and access to evidence-based substance use disorder treatment.

Despite state efforts, disparities in access to the life-saving overdose reversal drug naloxone are widespread.  People of color and those experiencing homelessness face numerous barriers to obtaining naloxone, which is especially concerning given that from 2018 to 2019, overdose deaths for non-Hispanic Black individuals increased 40 percent, while deaths remained stable among individuals of other races and ethnicities. One innovative way to improve access is through the use of naloxone vending machines, an approach currently in use in a number of prisons and jails. 

This fact sheet briefly discusses the efficacy of expired naloxone and examines whether North Carolina law permits the distribution and administration of such naloxone.

International Day of Persons with Disabilities is observed annually to promote awareness and support for the rights and wellbeing of people with disabilities. One in four adults in the United States have a disability, and solutions to advance accessibility, inclusion, and equity must account for the diversity of experiences among people with disabilities. To mark the occasion, Network attorneys highlight recent law and policy developments related to health equity, sexual orientation, and gender identity. 

This fact sheet briefly discusses the efficacy of expired naloxone and examines whether Washington law permits the distribution and administration of such naloxone.

This fact sheet briefly discusses the efficacy of expired naloxone and examines whether California law permits the distribution and administration of such naloxone.

Like many others, we recently recognized the 20th International Overdose Awareness Day, and we are especially somber, as we know that the past year has seen more people die from preventable overdose than ever before. The Biden administration acknowledged the gravity of this moment by issuing a proclamation declaring Overdose Awareness Week. Over 94,000 families, friends, co-workers, and neighbors in the United States lost someone they loved. Many more folks faced the trauma of experiencing an overdose, reversing an overdose, or witnessing an overdose.