Public health and safety; harm-reduction services; deleting sunset date; effective date.

The sunset date for harm-reduction services was changed from July 1, 2026 to July 1, 2031, extending the authorization period by five years.

The effective date for the act was set to November 1, 2025.

Six categories of entities are now authorized to provide harm-reduction services: government entities, religious institutions, nonprofit organizations, for-profit companies, nongovernmental entities partnering with government agencies, and tribal governments.

New requirements were added mandating quarterly reporting to the State Department of Health, including client demographics, referral numbers, distributed supplies, collected syringes, and test results.

A new provision was added prohibiting the use of state dollars to purchase hypodermic needles, even though other entities are authorized to distribute them.

The State Commissioner of Health is now required to promulgate rules for implementing this section, adding a regulatory enforcement mechanism.

The sunset date for harm-reduction service authorization was changed from July 1, 2027 to July 1, 2026, reducing the authorization period by one year.

The sunset date for harm-reduction services was extended from July 1, 2026 to July 1, 2031, allowing organizations to continue providing services for an additional four years.

The requirement for registered providers to report annually to the Governor, Speaker of the House, and President Pro Tempore of the Senate was removed, leaving only quarterly reporting to the State Department of Health.

Page headers and footers were updated to reflect the document as a House Committee Substitute with new requirement numbers instead of the original Engrossed version identifiers.

The effective date for harm-reduction services was changed from July 1, 2026 to July 1, 2027, giving providers an additional year before services must begin.

Reporting requirements for harm-reduction providers were expanded to include annual reports to the Governor, Speaker of the House, and President Pro Tempore of the Senate, in addition to quarterly reports to the State Department of Health.

Header formatting was updated to reflect the bill's engrossed status with proper legislative session information and page numbering changes.