North Dakota Syringe Exchange Program (SEP) Guidance

Syringe exchange programs (SEP), also known as syringe access (SAP), syringe service program (SSP) or needle exchange (NEP) programs, are a harm reduction intervention that have been in existence since the late 1980s and have been scientifically proven to reduce transmission of human immunodeficiency virus (HIV), hepatitis B and C, and other blood-borne pathogens in people who inject (PWI). The primary objectives of SEPs are to:

  • Provide a clean syringe for each injection instance to reduce the potential for transmission of HIV, hepatitis B and C, and other blood-borne pathogens.
  • Provide an entry point for substance abuse treatment and care and other resources as appropriate to the individual.

Syringe Access Programs became legal in the state of North Dakota for communities who are deemed at risk for increases of HIV and viral hepatitis infections due to people in that community who inject and are sharing injection equipment with the passage of Senate Bill (SB) 2320 during the 2017 Legislative Session. The North Dakota Department of Health was given the authority to authorize programs within the state of North Dakota. The legislation passed set out key requirements that entities must comply with prior to operationalizing their exchanges. One of those requirements is that SEPs must be authorized to operate by the NDDoH. SEPs must follow the enrollment information, which is found in the guidance, to be considered for authorization.

Syringe Exchange Program Guidance and Documents


North Dakota Syringe Exchange Program (SEP) Guidance

Syringe Exchange Program (SEP) Participant Log Template

Syringe Exchange Program (SEP) Semi-Annual Report Form

North Dakota Epidemiologic Profile


Risk Assessment

Take an HIV/STD/viral hepatitis risk assessment survey.