Although several Indiana counties (Lawrence and Madison) have eliminated their needle exchange programs this year, Monroe County did the opposite in offering Indiana Recovery Alliance a two-year contract.  This makes Monroe the first county to shrug off the one-year contracts standard in the state.

The needle exchange program has long been controversial across Indiana and the nation. This places the efforts of the exchange under constant scrutiny.  Luckily, the programs have proven a massive success, especially in lowering HIV transmission rates.