Making syringe exchange services programs unlawful

West Virginia's SB 203 makes syringe exchange programs unlawful statewide, requiring all existing programs to cease operations immediately upon the bill's effective date. The bill allows harm reduction services (like overdose prevention education, referrals to treatment, and wound care) to continue without syringe exchanges during a 120-day transition period for patient care. Operators who continue syringe exchanges after the effective date face daily civil penalties of up to $2,500. The law specifically prohibits providing sterile syringes without a prescription, while permitting non-syringe harm reduction services to remain operational.