The Commissioner of Health shall appoint a Director for the Program. With the advice of the oversight committee, the Director shall develop and revise as necessary: Program operating procedures for the distribution and exchange of hypodermic needles and syringes to injecting drug users; A community outreach and education program; and A protocol for providing referrals for Program participants to substance use treatment and rehabilitation. The Director shall submit the operating procedures, the plan for a community outreach and education program, and the substance use treatment referral protocol to the Commissioner of Health or the Commissioner’s designee for approval prior to the implementation of revised procedures.