Twelve mayors, including Benoît Payan of Marseille, have written to the French government to request a permanent legal framework for establishing haltes soins addictions (HSAs), also known as drug consumption rooms. These are facilities where adults can consume their own drugs under the supervision of trained professionals. The mayors of Marseille, Paris, Lyon, Strasbourg, Lille, Nantes, Montpellier, Rennes, Villeurbanne, Grenoble, Tours, and Nancy argue that the current experimental status of these facilities, which are only permitted in Île-de-France and the Grand Est regions, should be expanded to other cities. At present, only two HSAs exist in France: one in Paris and another in Strasbourg, both operating under an experimental regime that will last until the end of 2027. In a letter dated September 30 addressed to Prime Minister Sébastien Lecornu, the mayors requested a legal framework to allow more cities to establish such facilities. These rooms aim to reduce public drug consumption and associated nuisances by allowing adults to use drugs in a controlled environment. Professionals on site can intervene in emergencies, prevent risky behaviors, and provide care or social support. An evaluation by the general inspection of social affairs and administration found that these facilities have had positive health outcomes and improved public tranquility, without a noted increase in crime near the studied sites. In Marseille, the proposal for an HSA has faced obstacles. A planned opening in the city center (boulevard Libération in the 4th arrondissement) in 2024 was blocked due to strong opposition from local residents. The project was again blocked by the regional prefect in September 2025. However, a visit by Health Minister Stéphanie Rist to Marseille and Aix-en-Provence in April 2026 reignited the debate. The minister expressed support for an experimental facility near a health institution, provided there is local agreement. "I am in favor of these HSAs when all local elected officials agree on a location and prefer them to be near a health facility," Rist said, citing the experiences in Paris and Strasbourg, which have seen a decrease in overdoses and needles found on the streets. She noted, however, that there is no data on the impact on public order. The Marseille-based collective TEMPO, which includes organizations such as Médecins du Monde, AIDES, Asud Mars Say Yeah, Bus 31/32, Nouvelle Aube, and Autres Regards, has warned of a rapid increase in crack use in the city. In a statement published on October 1, the collective said the situation in Marseille is no longer sustainable with current resources, citing a rise in cocaine use, poverty, mental health issues, polydrug use, health problems, and housing instability. Women and young people are particularly affected. The closure of the Sleep In center, a drug users' harm reduction center, due to unsanitary conditions this summer has further limited support options. The collective TEMPO has outlined 41 actions, including seven-day-a-week patrols, rest spaces, housing placements, and better access to healthcare, estimating the need for about 20.5 million euros in the first year. The collective is calling on both the state and local authorities to mobilize resources to address the growing crisis in the city.