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As Biden fights opioid overdoses, harm-reduction groups face local opposition

The Biden administration’s latest plan to address opioid overdose deaths includes $30 million for harm-reduction measures, but many conservative states don’t allow them. During the 2021 legislative session, Texas lawmakers scuttled a bill that would have rescinded criminal penalties for possessing drug paraphernalia, such as clean syringes and fentanyl test strips.

Casey Malish, 31, handles outreach for the Houston Harm Reduction Alliance, a nonprofit that helps drug users stay alive.
Casey Malish distributes syringes outside a motel in Houston on June 3, 2022.
Casey Malish distributes syringes from his sedan in Houston on June 3, 2022. Malish estimates he can provide resources to only about 20 people a month. Drug overdoses killed 1,119 people in Houston last year,

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