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Sunset review: Drug Take-Back Program

September 2026

Sydney Romero, Andrew Hatt, Vivien Chen, research analysts
Ryan McCord, audit director; Eric Thomas, legislative auditor
Contact information

Key points

  • Drug manufacturers pay businesses (operators) to run drug take-back programs required by law. The Department of Health (Health) regulates the programs. 
  • 177 of 281 communities have enough drug collection sites to meet legal requirements. Requirements may not be achievable in smaller communities. 
  • Limited information exists about program performance or whether it achieves the Legislature’s goals for environmental impact and overdose prevention. 
  • The recent withdrawal of one operator means fewer collection sites and 50% less funding for Health’s oversight. 
  • The program is subject to the Sunset Act. It will end in January 2029 unless reauthorized by the Legislature.

Legislative auditor’s recommendations

The legislative auditor makes two recommendations.

Recommendation #1

The Legislature should continue the program with changes to address unresolved challenges.

The program has carried out the core of what the Legislature intended by creating a single statewide program that is largely funded by manufacturers. However, the kiosk requirement may be unachievable as written, and studies to assess outcomes are incomplete or not useful.

The Legislature may wish to consider statutory changes to address these challenges. If so, Health should provide current data to inform the policy discussions.

Legislation required:
Yes
Fiscal impact:

Depends on legislative decisions.

Implementation date:

2027 or 2028 legislative session

Agency name:
Legislature
Status:
Not yet reported

Recommendation #2

Health should clearly prioritize its activities and set performance measures and goals for its work.

Health should define its priorities to maximize oversight in the context of reduced funding. Performance measures will help it assess whether those activities are effective and efficient.

Legislation required:
No
Fiscal impact:

Health can implement this recommendation within existing resources.

Implementation date:

June 30, 2027

Agency response:

To be included in proposed final report.

Agency name:
Department of Health (DOH)
Status:
Not yet reported

Video summary

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Read the full report

Sunset review: Drug Take-Back Program (HTML)

Read an overview

Printable overview (PDF)

Read the agency response

To be included in proposed final report

Legislative mandate

ESHB 1047 (2018)

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