"I haven't changed my position," Dr McGirr said, standing by his prior statements that NSW should have a trial of festival patrons being allowed to test their drug for potentially lethal contaminants.

Ms Berejiklian was this week asked about her response to leaked draft recommendations from a coronal inquest into a series of drug overdoses, which included a call to introduce pill testing.

"I went to the election with this position and I won't be changing it. There is no such thing as a safe illegal drug," Ms Berejiklian said.

Victorian Premier Daniel Andrews has also ruled out pill testing in that state for similar reasons.

One of the main proponents of pill testing, Canberra-based Dr David Caldicott, said Dr McGirr's position on allowing a trial was "more sensible than many".

"You have now got an independent forensic inquiry of the evidence supporting pill testing," Dr Caldicott said.

Dr Caldicott said pill testing would "absolutely" improve safety at music festivals held in the Riverina.

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Dr McGirr has backed Ms Berejiklian's new legislation to place mandatory safety requirements on 'high risk' music festivals.

Dr McGirr said the coroner's recommendations "point to a whole raft of issues that need to be addressed, particularly with having appropriate medical and emergence services on sight, hydration and mobile phone access."

"I think some sort of licencing regime is pretty important," he said.

"I don't want my position on pill testing, which is at odds with the government, to hide the fact that I didn't agree when they took the (festival licencing) legislation out of the upper house."

The new bill will focus on 11 'high risk' festivals out of 90 such events scheduled over the next few years.

Liquor and Gaming NSW list of high risk festivals did not contain any events scheduled for the Riverina.

Dr McGirr said he would continue to support pill testing despite the Premier's position.

"I don't think you should ever give up on these issues and I think there are opportunities to continue a discussion around it," he said.