In October 2017, Oregon was approved by the Center for Disease Control and Prevention (CDC) to use funds from certain eligible Department of Health and Human Services (DHHS) grants to support Syringe Services Programs. This Determination of Need was based on Oregon's increased risk for viral hepatitis and HIV infections related to non-sterile injection drug use. This allows public health programs to intensify HIV prevention among communities at risk, expand syringe access and disposal options, and focus on HIV testing and linkage to care.