Miller Says She's Open To Needle Exchange Legislation As So. Indiana HIV Epidemic Worsens

NDIANAPOLIS – A key Republican senator says she’s open to needle exchange legislation but needs the go-ahead from her GOP caucus to sign on.

Public Health Chairman Pat Miller, R-Indianapolis, said after two hours of sometimes-emotional testimony on the proposal that she wants to add a sunset to the bill, meaning that lawmakers would have to reapprove the legislation in 2017 to keep the programs in place.

But Miller – who previously opposed needle exchange programs – said the state is facing an emergency in Scott County, where roughly 130 intravenous drug users have been diagnosed with HIV, and something needs to be done now.

“Indiana is in a terrible position. I’m heart sick about the disease and the epidemic we have in Scott County,” Miller said. “I’m just sorry we have that here in Indiana. But we need to address it.”

On Monday, Gov. Mike Pence extended a public health emergency for Scott County for an additional 30 days. That move allows the state to continue operating a temporary needle exchange program in the county, something the Indiana State Department of Health has said is otherwise illegal.

But Dr. Shane Avery, a physician in Scottsburg, near the epicenter of the HIV outbreak, told lawmakers Monday that a temporary program isn’t enough. He said a short-term program encourages drug users to hoard clean needles rather than exchange them while a longer-term program could build trust that leads addicts to be safer.

“This HIV epidemic is not something that will go away in a few months,” he said. “It’s here to stay.”

Avery called on the state to do more to extend services beyond Scott County, saying there’s plenty of evidence that infected residents have left the area to use drugs in other counties or had sex with people traveling through the area.

“If Gov. Pence and the Indiana General Assembly fail to act, then God have mercy on us,” Avery said.

Miller said the proposed legislation is important because Pence can only act every 30 days to extend the current needle exchange program. But she said the legislative proposal – crafted by Rep. Ed Clere, R-New Albany – needs work. She wants to change the way counties qualify to participate and let medical providers weigh in on the process.

Miller said she also has to consult the other GOP members of the Senate. Republican senators can’t sign on to a legislative compromise without permission from their caucus.

“We have not had one word in my caucus yet about needle exchange,” Miller said.

On Monday, at least two members of that caucus – Sens. Erin Houchin, R-Salem, and Liz Brown, R-Fort Wayne – expressed concerns about the needle exchange provision. Houchin said she’s worried the legislature is “putting the cart before the horse” by creating a needle exchange program without the drug treatment services necessary to help addicts get clean.

This story will be updated.

Lesley Weidenbener is executive editor of TheStatehouseFile.com, a news website powered by Franklin College journalism students.