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Bans on Lifesaving Program for People Who Use Illegal Drugs Violate the Americans with Disabilities Act

Дата публикации: 29-07-2026 16:26:04

Syringe Service Programs provide access to crucial health services to people with substance use disorders. The ACLU is fighting against bans that limit these lifesaving programs.

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The Modesto Needle Exchange on Daly Ave in Modesto.

Syringe Service Programs provide access to crucial health services to people with substance use disorders. The ACLU is fighting against bans that limit these lifesaving programs.

The Modesto Needle Exchange on Daly Ave in Modesto.

J.A.’s life has been impacted by addiction for over two decades, and he needed support. He didn’t have access to clean syringes, so he reused used syringes and contracted countless skin infections and as well as Hepatitis C. But he finally got the support he needed: A Washington syringe service program (SSP) ran by Gather Church provided him not only with sterile syringes that helped him stay healthy, but wraparound services to support him in nearly every aspect of his life.

These programs not only reduce communicable disease, but they also reduce the risk of fatal overdose and reduce illegal drug use by connecting individuals to lifesaving resources, like low barrier access to medication for opioid use disorder. But the same SSP program that saved J.A. got banned by Lewis County in Washington in April 2024. He was back where he started: without the support he needed to be healthy. The ACLU and the ACLU of Washington, along with the law firm Kaplan & Grady, sued Lewis County last year on behalf of Gather Church. J.A. remained anonymous in the case out of fear of being targeted by police.

While the Americans with Disabilities Act (ADA) generally does not cover individuals who are currently using illegal drugs, there is an important exception to this rule that protects health services or services connected to drug rehabilitation. Yet too often, states and municipalities, like Lewis County, enact laws that target SSPs, one of the most effective tools to prevent overdose death and link individuals to treatment. The programs are also known as needle exchanges. By passing laws that target SSPs, these jurisdictions are violating the ADA by targeting health services designed for people with the disability of substance use disorder

Here at the ACLU, we are fighting to ensure that SSPs can operate and that people who need their services are able to access this lifesaving healthcare. A federal court held that the Lewis County ordinance that banned mobile SSPs, put distance requirements on brick-and-mortar SSPs, and prohibited the distribution of public health supplies like fentanyl and xylazine test strips likely violated the ADA because the ordinance targets health services designed for people with substance use disorder. As part of the resulting settlement agreement, the discriminatory ordinance was fully repealed, and the jurisdiction agreed to pay $500,000 in attorney’s fees. We are watching other jurisdictions who enact similar restrictions and are prepared to litigate if necessary.

SSPs Are Lifesaving Health Services for People with Substance Use Disorder

For people with substance use disorder, SSPs can be the difference between life and death. SSPs offer two primary public health benefits. Firstly, they reduce the incidence of potentially deadly communicable diseases like HIV and Hepatitis C. They also increase the likelihood that people who use illicit drugs enter and stay in evidence-based treatment for their substance use disorder.

Jurisdictions that have lifted restrictions on SSPs have seen major public health and public safety benefits. And those that have erected barriers to SSPs have seen the repercussions. For example, after establishing SSPs, Washington, D.C. saw a 70 percent drop in new HIV diagnoses attributable to injection drug use over just two years. New York City saw HIV rates decline 80 percent in people who inject drugs. In contrast, shortly after restricting operation of SSPs in 2018, Cabell County in West Virginia saw more new HIV diagnoses in one year than it did in the previous ten years combined. Similarly, then-Indiana Gov. Mike Pence slowed an HIV outbreak in Scott County of 2014 and 2015 only after authorizing an SSP, which caused a rapid reduction in HIV transmission. Without easy access to SSPs, the rates of these diseases go up, risking lives and costing taxpayer money. SSPs reduce syringe litter compared to communities without the program, and they do not increase criminal activity.

One study also showed that users of SSPs are five times more likely to enter drug treatment and about three times more likely to stop using drugs than those who do not use the programs. SSPs serve many individuals who currently use drugs, many of whom are either not ready for treatment or do not trust the traditional health care system. SSPs often serve as a low-barrier first point of contact to connect their participants to lifesaving health services at SSPs and other health services, including treatment for substance use disorder.

Discriminatory Laws Make SSPs Harder to Access

The success of SSPs as an intervention hinges on the ease of their availability. Difficulty obtaining syringes can lead to syringe reuse, syringe sharing, and longer periods of syringe circulation, which can all cause increased disease transmission. Patients commonly face barriers traveling to SSPs: their lack of housing and transportation, symptoms of their substance use disorder, mobility disabilities and mental health disabilities, and their skepticism of medical professionals and strangers.

That’s why laws that hinder SSPs from reaching participants are so damaging. Laws that target SSPs are counterproductive to public health, public safety, and fiscal responsibility. By making SSPs harder to access, these laws force taxpayers to spend more combatting the consequent rise in HIV, Hepatitis C, and overdose.

Instead of fighting SSPs, governments should embrace this evidence-based practice as we fight to reduce overdose deaths and ensure that people with substance use disorder get the health care that they need.

  • Challenge to West Virginia Methadone Clinic Moratorium Proceeds

    Disability Rights

    Challenge to West Virginia Methadone Clinic Moratorium Proceeds

    CHARLESTON, W.Va. – A federal judge in West Virginia today declined the state’s request to dismiss a lawsuit brought by West Virginia’s largest overdose prevention group, Solutions Oriented Addiction Response of West Virginia, which is suing to overturn the state’s nearly two-decades-old moratorium on new methadone clinics. The ruling allows the case to proceed. “As we are packing thousands of doses of naloxone and care packages for Save a Life Day 2026, we are reminded that access matters,” said Sarah Stone, co-director of Solutions Oriented Addiction Response of West Virginia (SOAR-WV). “Whether it’s naloxone, methadone or any other evidence-based care, people shouldn’t have to overcome stigma and unnecessary barriers to get the care they need. Dignity, autonomy and equitable access should not be extras. They are a baseline.” Access to methadone is critical for people living with opioid use disorder, allowing people who use drugs like fentanyl to begin recovery treatment without dangerous withdrawal. Over the last two decades, more than 12,000 people have died from an opioid overdose in West Virginia. Yet, a statewide moratorium and state zoning restrictions limit methadone clinics to just nine clinics across the state, leaving large parts of the population a very long distance from the nearest clinic. “[A]s SOAR-WV has alleged the lack of methadone treatment centers has made it more difficult and time consuming to connect individual users to treatment, it necessarily follows that it is spending more of its resources on each individual referral. Therefore, the Court has little difficulty finding that SOAR-WV has sufficiently alleged a direct connection between the moratorium and zoning restrictions and injury to its mission,” wrote U.S. District Judge Robert C. Chambers in his order today. The lawsuit is being brought by the American Civil Liberties Union, ACLU of West Virginia, and Kaplan & Grady. It argues that the moratorium violates the American with Disabilities Act and Section 504 of the Rehabilitation Act, because people with opioid use disorder – a recognized disability under federal law – are unable to receive the essential rehabilitation services they need. “West Virginia’s moratorium is denying people with opioid use disorder the ability to receive lifesaving healthcare. This isn’t just dangerous and inhumane, it’s discriminatory and illegal,” said Joseph Longley, staff attorney with the ACLU Disability Rights Program. “We look forward to proving that in court.” “This ruling is a critical step toward ending West Virginia’s discriminatory barriers to addiction treatment,” said David Howard Sinkman of Kaplan & Grady. “Methadone is essential for treating opioid use disorder and particularly important in the fentanyl era. People need access to treatment, not government restrictions that put their lives at risk.” The order denying the motion to dismiss is available here: https://www.aclu.org/cases/solutions-oriented-addiction-response-west-virginia-v-state-of-west-virginia?document=Order-Denying-Motion-to-Dismiss

    Court Case: Solutions Oriented Addiction Response West Virginia v. State of West Virginia

    Affiliate: West Virginia

    Challenge To West Virginia Methadone Clinic Moratorium Proceeds. Explore Press Release.

  • Disability Rights Organizations Urge Federal Appeals Court to Reject Exclusion of Blind Woman from Jury Service

    Disability Rights

    Disability Rights Organizations Urge Federal Appeals Court to Reject Exclusion of Blind Woman from Jury Service

    NEW YORK – Disability rights organizations today filed an amicus brief in the Second Circuit Court of Appeals seeking to reverse a lower court decision to dismiss a case brought by a blind woman who was excluded from jury service because of her disability. The case involves a blind woman, Emeline Lakrout, who sued the New York State Unified Court System after she was excluded from jury service because the court denied her accommodations for her disability. Her claims were dismissed by a federal district court, and Ms. Lakrout has filed an appeal in the Second Circuit to vindicate her rights. “The importance of jury service as a fundamental civic duty cannot be understated. When disabled people are excluded from this core form of civic participation, it undermines the fairness of the judicial system and denies individuals with disabilities representation in the process,” said Malhar Shah, senior staff attorney with the ACLU Disability Rights Program. “This is about more than one juror – New York courts have repeatedly failed to remove systemic barriers that prevent disabled people from serving on juries. Accessibility isn’t optional, and we hope the Second Circuit states that clearly.” The amicus brief argues that excluding Ms. Lakrout from jury service violates the Americans with Disabilities Act and Section 504 of the Rehabilitation Act. “Blind prospective jurors face pervasive institutional barriers to jury service that are not the result of discriminatory individual decisions but are instead the result of the widespread failures of courts to take the required affirmative steps to include and accommodate disabled court users, including identifying and providing the auxiliary aids and services that a person may need. Enforcement of Section 504 and the ADA is thus critical to the ability of blind people to exercise their fundamental duties of citizenship, including jury service,” the brief reads. “It is frankly unacceptable that New York courts are excluding people with disabilities from jury service, calling into question whether our judicial system serves all New Yorkers equally,” said Beth Haroules, director of disability justice litigation at the NYCLU. “No one should be turned away from a fundamental civic duty simply because they have a disability. Our laws require accommodations to dismantle systemic barriers for people with disabilities, and the Second Circuit must uphold this basic right.” Systemic barriers continue to cause widespread exclusion of blind and otherwise disabled jurors, and affirmative steps need to be taken to include jurors with disabilities, according to the brief. This includes securing auxiliary aids and services like screen readers and assistive listening devices used to provide effective communication, developing accommodation policies, and training staff to implement accommodations. Excluding jurors with disabilities, the brief argues, undermines the fairness, representativeness, and legitimacy of the judicial system. The brief in Lakrout v. New York Unified Court System was submitted by the American Civil Liberties Union, New York Civil Liberties Union, Disability Rights Education and Defense Fund, Disability Rights New York, and the National Disability Rights Network. The brief is available here: https://www.aclu.org/cases/lakrout-v-new-york-state-unified-court-system?document=Amicus-Brief

    Court Case: Lakrout v. New York State Unified Court System

    Affiliate: New York

    Disability Rights Organizations Urge Federal Appeals Court To Reject Exclusion Of Blind Woman From Jury Service. Explore Press Release.

  • People with Disabilities, Advocates Sue City of Portland and Multnomah County Over Inaccessible Emergency Systems

    Disability Rights

    People with Disabilities, Advocates Sue City of Portland and Multnomah County Over Inaccessible Emergency Systems

    PORTLAND, Ore. — People with disabilities and disability rights advocates have filed a federal lawsuit against the city of Portland, Multnomah County, and their top elected officials, alleging that the jurisdictions' emergency management systems fail to protect people with disabilities before, during, and after disasters — in violation of the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act, and Oregon law. “Five years ago, as temperatures soared above 115 degrees, far too many disabled Portland residents could not reach cooling centers or even access usable emergency information. As a result, people with disabilities were overrepresented among those who died,” said Malhar Shah, senior staff attorney with the ACLU Disability Rights Program. “With the threat of extreme weather and disasters like wildfires only accelerating, Portland and Multnomah County have a legal duty to make their emergency system accessible to people with disabilities and give them the equal opportunity to survive.” The complaint seeks to avoid a repetition of the city of Portland and Multnomah County's response to the June 2021 extreme heat wave, when temperatures reached an all-time high of 116 degrees and 69 people died of heat-related causes in Multnomah County — with people with disabilities overrepresented among the dead. Many victims lived on upper floors of multi-family housing, in trailers and RVs, or were unhoused. Survivors with disabilities reported being unable to reach cooling centers, obtain accessible transportation, or access timely, usable emergency information. That risk is not abstract. A local wildfire expert who studied the 2025 Eaton Fire in Los Angeles — which killed at least 17 people and destroyed 9,000 structures — found that Portland is less prepared and has fewer resources than Los Angeles did before that disaster. Forest Park has only two wildfire-detection cameras, and Southeast Portland's Oaks Bottom area, where three fires have already ignited this year, has none at all. “We’re in a wildfire emergency right now statewide and people with disabilities cannot be an afterthought,” said Jake Cornett, executive director at Disability Rights Oregon. “We often hear about victims with disabilities in the aftermath of disasters — and that’s not good enough. We need the city and county to have an inclusive plan to evacuate and shelter people with disabilities long before a wildfire, flood, earthquake, or some other disaster strikes.” The lawsuit was filed by Disability Rights Oregon, Disability Law United, the American Civil Liberties Union, and law firm Cambreleng & Marton, and names the City of Portland, Multnomah County, Portland Mayor Keith Wilson, and Multnomah County Board Chair Jessica Vega Pederson as defendants. Plaintiffs in the lawsuit are Disability Rights Oregon, Oregon’s federally designated protection and advocacy organization, and Bridges Oregon, a nonprofit that serves Deaf, DeafBlind, Hard of Hearing, and Late-Deafened Oregonians. Three individuals also join the case: Audra Pearson, a Portland resident with cerebral palsy who relies on a powered wheelchair, paratransit, and round-the-clock caregiver support: “I can't just grab a bag and walk out the door during an emergency — I need an accessible vehicle, a shelter that fits my wheelchair, and staff who know how to help me. Nobody has ever asked what I'd need to survive a disaster, even though it's obvious I'd need help. That has to change before it costs someone their life." Jonathan Simeone, a Portland homeowner who is blind: “Learning about the emergency system created and maintained by Portland and Multnomah County, I realized they do not include those of us with disabilities in their emergency planning and that their violations of our civil rights have resulted in those of us with disabilities being more likely to suffer injury or death during an emergency simply because we are disabled and Portland and Multnomah County have not considered the rights of disabled people with the care they have considered the rights of nondisabled people." Philip Wolfe, a Deaf Portland resident: "I have the same right to survive a disaster as anyone else, but every time there’s a wildfire, heat wave, or other dangerous emergency, I worry whether I'll get the information I need in time.” The lawsuit alleges that Portland and Multnomah County's emergency system denies people with disabilities meaningful access at every phase of disaster response: Alerts and warnings are shared in inaccessible formats, including maps without descriptive text and social media videos without captions or ASL interpretation. Evacuation assistance is unreliable: the city and county have no adequate way to identify residents who need help, lack accessible vehicles and trained drivers, and exclude entire categories of residents with disabilities — including people in high-rises, psychiatric facilities, and group homes — from evacuation plans altogether. Shelters and recovery centers are riddled with known accessibility barriers, and there is no concrete plan to fix them or to ensure access to medication and equipment after a disaster. Planning, training, and outreach continue to exclude the disability community, despite years of advocacy and documented requests to be included. “This isn't a case of a government caught off guard,” said Ayelet Weiss at Disability Law United. “The City's own auditor and community members have urged the Defendants to include individuals with disabilities in a comprehensive planning process for years. That hasn't happened, and the needs of the disabled go unaddressed. As the City Auditor put it, ‘This lack of preparation puts the lives of people with disabilities at risk.’” The lawsuit asks the court to declare that Portland and Multnomah County's emergency planning, preparedness, response, and recovery programs violate the ADA, Section 504, and Oregon law; order the city and county to design, implement, and maintain an emergency management system — covering alerts, evacuation, shelter, and planning — that is fully accessible to people with disabilities; and award damages to individual plaintiffs and reasonable attorneys’ fees and costs to organizational plaintiffs. “When the law is ignored for years, litigation is the necessary next step to ensure equal protection for all Oregonians,” said Rebecca Cambreleng, partner at Cambreleng & Marton and co-counsel on the case. “We intend to see this through until the city and county meet their legal obligations to everyone with disabilities.” Plaintiffs tried to resolve these issues without litigation by notifying the city and county of their findings in February 2025 and meeting with counsel in March 2026. After those efforts failed to produce meaningful commitments, plaintiffs notified defendants of intent to sue in June 2026. The complaint is available here: https://www.aclu.org/cases/simeone-v-multnomah-county?document=Complaint

    Court Case: Simeone v. Multnomah County

    Affiliate: Oregon

    People With Disabilities, Advocates Sue City Of Portland And Multnomah County Over Inaccessible Emergency Systems. Explore Press Release.

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