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Alachua County, FL Public Health Rules: Syringe Disposal (2026)

Some Restrictions
Compiled from the official code textEditor Martyn O'NeillLast verified August 2026

Key Facts

Authorized by
F.S. § 381.0038
Adopted
Ord. No. 2020-20 (9-8-2020)
Exchange ratio
one-to-one, needle for needle
Eligible operators
hospital, clinic, med school, addiction facility, HIV/AIDS 501(c)(3)
Screening referral window
within 72 hours
Annual report due
August 1 to County Commission

Summary

Alachua County operates a state-authorized sterile needle exchange under Fla. Stat. §381.0038: an approved health entity swaps one clean needle per used one, must secure exchange sites and safely dispose of returned sharps, and reports program data annually without collecting participants' identities.

These county ordinances apply to unincorporated areas of Alachua County. Incorporated cities within the county may have their own rules that take precedence over county-level regulations.

Sec. 70.01. Sterile needle exchange program. (a)The County Manager shall enter into an agreement with the Department of Health to establish a program which meets the requirements of F.S. § 381.0038. ... (d)An exchange program must: ... (2)Provide for maximum security of sites where needles and syringes are exchanged and of any equipment used under the program, including, at a minimum, an accounting of the number of needles and syringes in use, the number of needles and syringes in storage, safe disposal of returned needles... (3)Operate a one-to-one exchange, whereby a participant shall receive one sterile needle and syringe unit in exchange for each used one.

View official code

Official source re-checked September 7, 2026: no newer edition of the code had been published (publisher’s edition: Code of Ordinances: Supplement 63).

Full Breakdown

01, adopted by Ord. No. 2020-20 (Sept. 01(a)-(b)). S. Ch. 01(c)(1)-(5)). 01(d)(1)). 01(d)(3)). 01(d)(6)). 01(d)(7) bars collecting any participant's personal identifying information. 01(e).

Violations & Fines

This is a programmatic authorization, not a rule enforced against individual needle users. Compliance runs through the operator's County Commission-approved oversight and accountability system (§70.01(d)(1)) and the county's periodic review of the program's compliance with F.S. §381.0038(4)(b) (§70.01(e)); without that statutory authorization and the section's site-security, one-to-one and reporting requirements, the county could not lawfully operate exchange sites.

Frequently Asked Questions

Who can legally run a needle exchange in Alachua County?
Only an entity listed in §70.01(c), a licensed hospital, a Part X Chapter 400 health clinic, an accredited medical school, a licensed addictions receiving facility, or a §501(c)(3) HIV/AIDS service organization, and only after the County Commission approves its oversight and accountability system under §70.01(d)(1).
Do participants get a needle for every one they bring back?
Yes, §70.01(d)(3) requires the program to "operate a one-to-one exchange, whereby a participant shall receive one sterile needle and syringe unit in exchange for each used one."
Is personal information collected from participants?
No, §70.01(d)(7) requires annual reporting on participant numbers and demographics but states "a participant's personal identifying information may not be collected for any purpose."
What else must the program provide besides needles?
Under §70.01(d)(4)-(6), it must supply HIV/hepatitis educational materials, provide onsite or referred counseling and blood-borne disease screening within 72 hours, and provide, or refer participants to, emergency opioid antagonist kits.

Sources & Official References

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