CA SB57

Authorizes the City and County of San Francisco, County of Los Angeles, City of Los Angeles, and City of Oakland to approve entities to operate overdose prevention programs until January 1, 2028.

Requires overdose prevention programs to provide supervised consumption spaces, sterile supplies, overdose monitoring and reversal capabilities, and referrals to substance use disorder treatment and medical services.

Mandates staff be certified in CPR and first aid, authorized and trained to administer opioid antagonists, and that jurisdictions hold public meetings with law enforcement and public health officials before approving programs.

Requires participating programs to submit annual reports on participants, overdoses reversed, and referrals made, with findings compiled into a peer-reviewed statewide study due to the Legislature by January 15, 2027.

Provides civil and criminal liability protections for persons acting in good faith within authorized overdose prevention programs, while preserving medical licensing board authority to discipline licensees for violations of the Medical Practice Act.