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Commissioner West says county will explore local regulation of syringe exchanges; health experts urge caution
Summary
Commissioner Ben West said he intends to explore a local ordinance modeled on SB 1573 regulating syringe exchange buffer zones; substance-use counselor Mitchell Doy and others warned such restrictions risk public health harms and possible ADA litigation.
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Commissioner Ben West told the Clackamas County Board on March 5 that he proposed opening a public conversation about local rules to restrict syringe-service program siting similar to elements of Senate Bill 1573. West said the Washington case cited by opponents does not bind Oregon and that the county can develop a balanced local approach while respecting legal constraints.
"We are inspired somewhat by that bill and its overwhelming support from constituents, but looking to do that at a local level," West said, adding he has not engaged in any off-record quorum deliberations and invited public records requests.
Mitchell Doy, a state-credentialed substance-use counselor who testified during public comment, urged the board to halt efforts to localize restrictions. Doy cited multiple studies and public-health organizations saying syringe services reduce HIV transmission and hepatitis C, warning that restricting access increases infections and could expose the county to ADA-related litigation. "This policy contradicts the county's own stated goals of achieving a recovery-oriented system of care by limiting access to services that are a crucial link to the treatment and recovery continuum," Doy said.
Why it matters: The topic pits public-safety and neighborhood concerns against public-health evidence about harm-reduction programs. Commissioner West framed the proposal as a local policy conversation; public-health presenters urged the board not to move forward with restrictions that could increase disease transmission.
What’s next: West said the board will hold public conversations and that county staff and the public can weigh in; no ordinance was adopted or voted on at the meeting.

