Baltimore operates a long-running BCHD Syringe Services Program providing free needle exchange and safe disposal kiosks. Maryland law authorizes harm reduction; possession of program syringes is decriminalized.
BCHD has run the Baltimore Syringe Services Program (SSP) since 1994, one of the oldest in the United States, in response to high HIV and hepatitis C rates among people who inject drugs. The program operates fixed sites and a mobile van offering one-for-one syringe exchange, naloxone distribution, HIV/HCV testing, and linkage to treatment. Maryland Health-General §24-901+ authorizes SSPs and provides legal protection: syringes obtained through a registered program are not 'paraphernalia' under state law. Public sharps disposal kiosks are placed across the city. Improper disposal of needles in regular trash or public spaces is prohibited.
Improper sharps disposal can result in citations under Baltimore Health Code; no penalties for participating in the BCHD SSP.
See how Baltimore's syringe disposal rules stack up against other locations.
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