TX HB3174

Authorizes Bexar, Dallas, El Paso, Harris, Nueces, Travis, and Webb Counties and their hospital districts to establish disease control pilot programs that include anonymous needle exchange services, where used hypodermic needles and syringes can be traded for an equal number of new ones

Requires pilot programs to offer education on transmission and prevention of HIV, hepatitis B, and hepatitis C, and assist participants in obtaining health care, mental health services, substance abuse treatment, and blood-borne disease testing

Creates legal exemptions allowing program employees, volunteers, and participants to possess, deliver, and exchange hypodermic needles and syringes without facing drug paraphernalia charges under Section 481.125 of the Health and Safety Code

Permits registered organizations to charge participants a fee for needles/syringes not exceeding 150% of actual cost, and allows counties or hospital districts to charge organizations a registration fee to cover oversight and law enforcement coordination

Designated as the "Honorable Ruth Jones McClendon Act" with a sunset date of September 1, 2035, when the pilot program authorization and related legal exemptions expire