SB 91 Indiana Senate · 2026 Regular Session

Syringe exchange program.

SB 91 extends the expiration date of the state's syringe exchange program to July 1, 2036. This directly affects people who use syringe exchange services, primarily to prevent the spread of blood-borne diseases like HIV and hepatitis. The bill changes the program's current expiration date to a new end date in 2036, ensuring continued funding and operation. It does not alter the program's existing structure or eligibility requirements.
Bill status signed all 5 stages cleared
Introduction
Dec 2025
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Feb 2026
Signed into Law
Mar 2026
Introduced Dec 9, 2025 Signed Mar 10, 2026
Maddy AI version diff · 5 comparisons

What changed between versions

Senate Bill (S) Senate Bill (H) · 5 edits
MODERATE
The bill was updated to reflect its passage by the House and amended to include new operational requirements for syringe exchange programs. Key changes include expanding the list of sponsors, updating the bill's timeline to February 2026, and significantly broadening the scope of the program by adding detailed duties for operators, such as mandatory registration, specific medical oversight, and drug treatment referrals. Additionally, the expiration date was extended from July 1, 2026, to July 1, 2028.
Scope change
The bill's scope expanded from a simple expiration extension to include comprehensive operational mandates for qualified entities, such as requirements for licensed medical oversight, specific training protocols, and restrictions on providing chemical reagents.
REQUIREMENT

Added detailed duties for program operators, including annual registration, mandatory oversight by a licensed physician, nurse, or physician assistant, and requirements to provide overdose intervention drugs and drug treatment referrals.

Prohibited qualified entities from providing chemical reagents or precursors to participants.

ELIGIBILITY

Established new eligibility criteria requiring participants to be residents of the specific continuum of care region and to present valid identification.

TIMELINE

Extended the program expiration date from July 1, 2026, to July 1, 2028.

TECHNICAL

Updated the bill title from SB0091.1 to ES0091.1, added House sponsors, and revised the digest and action history to reflect House passage and the February 2026 date.

Floor votes · Senate Jan 27, 2026 · House Feb 18, 2026

How they voted

3213
Passed · 3 other
Total votes 48
Jan 27, 2026
D Democratic9
8 Yea 1
88% Yea
R Republican39
24 Yea 13 Nay 2
61% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
33
Key actions
12
Committee
2
Amendments
4
Feb 27, 2026
Upper · Passed
Signed by the President Pro Tempore
upper
Feb 27, 2026
Lower · Passed
Signed by the Speaker
lower
Feb 27, 2026
Upper · Passed
Signed by the President of the Senate
upper
Feb 25, 2026
Upper · Passed
Senate concurred with House amendments; Roll Call 273: yeas 38, nays 10
upper
Feb 18, 2026
Lower · Passed
Third reading: passed; Roll Call 271: yeas 70, nays 22
lower
Feb 17, 2026
Lower · Passed
Amendment #11 (Mayfield) prevailed; voice vote
lower
Feb 17, 2026
Lower · Passed
Amendment #14 (Clere) prevailed; voice vote
lower
Feb 17, 2026
Lower · Passed
Amendment #12 (Ireland) prevailed; voice vote
lower
Feb 10, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
Jan 27, 2026
Upper · Passed
Third reading: passed; Roll Call 93: yeas 33, nays 13
upper
Jan 26, 2026
Upper · Passed
Amendment #2 (Crider) prevailed; voice vote
upper
Jan 8, 2026
Upper · Passed
Committee report: do pass, adopted
upper
4 primary · 9 co-sponsors

Sponsors