DC Accepted Papers Paper: The Effectiveness of Good Samaritan Laws: Evidence from across America, 1999-2017

*Names in bold indicate Presenter

Russell John Kraus, United States Military Academy


This paper explores the impact of Good Samaritan Laws on drug overdose fatalities. Overdoses kill more people in the United States annually than motor vehicle accidents and firearms, yet there is a limited scope of research into the effectiveness of policies to combat the crisis. Good Samaritan Laws provide immunity from prosecution for possession or use of illegal drugs for anyone who in good faith alerts authorities to get help for someone overdosing. The effectiveness of this law is essential to policymakers’ ability to confront the drug crisis, but it also has broader implications. Providing immunity for reporting a dangerous situation could be potentially useful for preventing fatalities in a variety of circumstances involving illegal activity like underage drinking and sexual assault. While theoretically Good Samaritan Laws should help fight the overdose epidemic, they potentially pose a moral hazard which must also be explored. The potential for a moral hazard arises here because a Good Samaritan Law reduces the cost of a risky action, which may make a risk averse person more likely to partake in that action.

Research in this field is slim, with only two papers previously examining the effects of these laws. These papers were also written during the infancy period of Good Samaritan Laws providing very few treatment states and observations; additionally, statistically significant estimates of the effect of a Good Samaritan Law on overdose deaths have yet to be achieved. This paper will add to the literature by examining the years 1999-2017, which provides additional treatment variation because 25 more states have passed a Good Samaritan Law between 2015 and 2017. I leverage the variation in the timing of these laws across the country to estimate a generalized difference in differences, and I also exploit the variation in the strength of the treatment between states to reveal the mechanism working behind the law’s effectiveness. I find no evidence that Good Samaritan Laws decrease overdose fatalities; instead, my statistically insignificant point estimate suggests they increase overdose deaths by 4.9%. Using a 95% confidence interval, I can rule out anything greater than a 7.8% decrease in overdose deaths.