Prime Minister Irakli Kobakhidze announced a major overhaul of Georgia’s substitution therapy policy, banning private sector involvement and ordering the relocation of methadone clinics from densely populated areas.

Citing public concerns, Kobakhidze claimed some private providers prioritize profit over patient recovery, effectively using methadone and buprenorphine to legally distribute narcotics. He argued that commercial interests conflict with the goal of rehabilitation.

Under the new policy, only state institutions will be allowed to operate substitution therapy programs. The government will tighten control to ensure a focus on recovery and prevent “legal addiction.”

The Health Ministry has been tasked with relocating state-run clinics away from urban centers due to residents’ concerns, with the process set to begin immediately. The decision has sparked debate over access to treatment, healthcare standards, and potential human rights implications.