Fresno County Moves to Regulate Kratom, Appoints Public Health Director

The Fresno County Board of Supervisors on November 18 took a significant step toward regulating kratom products in unincorporated parts of the county, voting to return an ordinance for a final reading on December 9, 2025. The proposed rules aim to block unusually high concentrations of the alkaloid 7 hydroxymitragynine from local retail markets while allowing lower risk natural kratom to remain available under restricted sales conditions.

Under the ordinance as discussed, products with unusually high concentrations of 7 hydroxymitragynine or synthetic formulations would be prohibited. Natural kratom products that meet the legal definition would be required to be sold behind the counter at retailers that also sell tobacco. The regulations would initially apply only to unincorporated areas of Fresno County. Any actions taken by cities within the county would be separate, leaving local city councils to decide whether to mirror the county approach.

The hearing drew public comment from residents and stakeholders with differing perspectives. Opponents expressed concern about restricted access and impacts on livelihoods for small retailers. Supporters including public health advocates urged restrictions on high potency or synthetic formulations as a public health measure. Board members signaled that regulation would be paired with public education efforts to inform consumers and retailers about product safety and legal changes.

The proposed ordinance and the conversations around it carry direct implications for many Fresno County residents. Smoke and tobacco retailers that also sell kratom may have to change point of sale practices, and small businesses that stock these products could face new compliance costs. For consumers the rules could change where and how kratom is purchased in unincorporated neighborhoods. Public safety messaging and education campaigns will be important to help residents understand what is allowed and where to buy products legally.

Separately the board unanimously approved Joe Prado to serve as Fresno County Public Health Director, with his appointment to take effect November 24, 2025. County officials said Prado will prioritize improving access to care, strengthening data integration and enhancing public health communications. His leadership will coincide with county work on homelessness response, behavioral health coordination and community outreach across cities and providers.

As the ordinance moves toward a final reading in early December, county officials and community groups will be watching how regulatory details are finalized and how implementation will be supported through education and enforcement. For many residents the decisions will shape local retail practices, public health messaging and access to products in Fresno County.