[1] The NHRC emerged from a Harm Reduction Working Group (HRWG) organized in 1993 by Francie and Stephanie Comer, Dan Bigg, George Clark (head of San Francisco's needle exchange), and Dave Purchase.
[2] Many of the attendees at the first meeting had worked with (or founded) needle exchanges in different cities, including Los Angeles, San Francisco, Philadelphia and New York.
[8] Allan Clear was the NHRC's executive director from 1995 until 2016, when he left to take a job in the New York State government.
[9][6] Clear was replaced by Monique Tula, formerly Vice President of Programs at AIDS United.
[12][13][14] In 2020 the HRC rebranded as the National Harm Reduction Coalition and revamped its website.