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The Push is On for PTSD and Medical Marijuana [FEATURE]

Access to medical marijuana continues to expand as more and more states embrace the healing power of the herb. At the same time, hundreds of thousands of veterans of America's decade of wars are returning home burdened with Post Traumatic Stress Disorder (PTSD), a condition as old as war itself, but that in years past went either unrecognized or was seen as a soldier's personal failure, his "shell shock" or "battle fatigue." Could medical marijuana help?

http://stopthedrugwar.org/files/scott-murphy-iraq-deployment-200px.jpg
Scott Murphy Iraq deployment photo
Scott Murphy of Newton, Massachusetts, is an Iraq combat veteran who uses medical marijuana for chronic pain. "I use medical cannabis for chronic pain from a motorcycle accident that was aggravated by my military service," Murphy said. "I had a severe accident when I was 18, I have a rod in my femur and four plates in my hip. The pain is to the point where it is affecting my walk."

But Murphy also wants to ensure that his state's new medical marijuana law provides for access to the plant for PTSD. A man Murphy described as his "best friend," a fellow veteran, committed suicide at age 22 after being kicked out of the Army for misconduct related to his mental issues rather than being given a medical discharge as promised.

"He had been showing signs of PTSD," Murphy recalled. "He was a good soldier, but when he got back from his second deployment he was having problems. When they kicked him out of the Army, he went home and killed himself."

Amid increasing evidence that medical marijuana can have a beneficial impact in helping people cope with PTSD, the push is on to expand access to the healing herb. Murphy spent Monday morning testifying at a public hearing on draft regulations for the Massachusetts medical marijuana program. Although voters voted for the initiative that listed specific qualifying conditions -- not including PTSD -- as well as "and other" conditions, state regulators are considering changing that to "and other debilitating" conditions, a change that Murphy and others fear could limit access to medical marijuana for PTSD patients.

In some medical marijuana states, adding PTSD requires going through a medical marijuana regulatory commission; in others, it is being pushed through the legislature. In Oregon, for example, Senate Bill 281, which would add PTSD to the list of treatable conditions, was approved by the state Senate last Thursday, and now moves to the House. In Michigan, by contrast, hearings on PTSD and medical marijuana were held recently by Michigan's Advisory Committee on Medical Marijuana (ACMM).

State legislatures are proving to be an easier path than unelected medical marijuana overseers, said activists. "There have been a number of states that have tried to petition to get it added to the list that have so far failed," said Kris Hermes, media liaison for Americans for Safe Access.

Air Force veteran Michael Krawitz of Veterans for Medical Cannabis Access (VCMA) and a plaintiff in Americans for Safe Access v. Drug Enforcement Agency, a case which seeks to see marijuana moved out of the Controlled Substance Act's Schedule I, agreed. "That Oregon effort is moving in the legislature because the state oversight panel was so intractable," said Krawitz, who was deeply involved in the effort there. "Any time we've had to go through the process provided by the state to address expanding access to medical marijuana, we've had trouble. Michigan is another example. There, there was a petition to add PTSD, but there was no actual process to do so. They were essentially keeping the process from moving forward until [vaunted Michigan marijuana attorney] Matt Abel sued them. Now, we have hearings before the advisory committee."

The need to do something for veterans is a major impetus behind the push, but PTSD effects lots of people who aren't veterans as well. "It isn't just veterans who suffer from PTSD," Krawitz said. "At that hearing, there were many veterans, but also other people who had suffered trauma -- child abuse survivors, rape survivors, emergency response workers."

Michael Krawitz testifying in support of Oregon bill
Still, veterans mustering out after more than a decade of US wars in Iraq and Afghanistan are coming home with PTSD in record numbers. A 2004 study in the New England Journal of Medicine estimated that 18% of returning Iraq combat veterans had PTSD. And a 2008 RAND Corporation report estimated that up to 225,000 veterans will return from the wars with PTSD.

The trauma of war is reflected not only in the number of vets suffering from PTSD, but even more ominously, in sky-high suicide rates. US military veterans are committing suicide at a rate of 22 per day, up 20% from just five years ago. And according to a Veterans Administration study released in February, that number almost certainly undercounts the number of veteran suicides because of data limitations.

The military and public health workers are keenly aware of the problem, and are attempting to address it through means both conventional and unconventional. The military and the Veterans Administration have been open to therapeutic interventions including yoga, meditation, and the use of companion dogs; they have also armed themselves with the arsenal of psychotherapeutic drugs -- anti-depressants, anti-psychotics, tranquilizers -- available in the standard pharmacopeia. But those drugs can have some nasty side effects, and their utility in treating PTSD is questionable; noting reports of negative consequences, the Army has warned against over reliance on them.

In the search for succor, more and more vets and other victims of PTSD are turning to medical marijuana. But there is a problem. Not only do a majority of states not recognize medical marijuana, even in those states that do, many of them do not allow its use for PTSD. Despite mounting evidence that medical marijuana can help with PTSD, only a handful of medical marijuana states have approved its used. According to Americans for Safe Access, only California, Connecticut, Delaware, New Mexico and Massachusetts would allow for its use for PTSD, and as we have seen above, it's still up in the air in the Bay State.

"As we find more and more people, especially veterans, benefiting from its use, we see the unfortunate absence of availability for patients across the country," said ASA's Hermes, "It's only approved in five states; that means well below half the medical marijuana states recognize the need for patients to use it for PTSD."

Americans for Safe Access supports expanded access to medical marijuana for PTSD, according to Hermes. "We wholeheartedly support the efforts to petition where patients can do so to get PTSD added to the list of conditions, and we're also pushing for recognition inside the Veterans Administration, but that's an uphill slog," he said.

And it isn't only PTSD treatment that's at stake for veterans. "I'm not only pushing for chronic pain and PTSD, but other stress-related combat issues, and that language is one of the things I asked [the Massachusetts Department of Public Health] to clarify today," Murphy said in an interview following the hearing. "Does their definition of 'debilitating' include PTSD? If they're going to use a broad definition of 'debilitating' so that it covers the full spectrum of vets' injuries, that would be one thing. But it's unclear if PTSD or other mental conditions will be covered. I think we should leave the wording with "and other" -- that's what the voters voted on. I don't think we should have to wait until someone's PTSD is so bad it's life-limiting to be able to get access."

Massachusetts regulators were supposed to have their draft regulations ready by May 5, but in the wake of the Boston bombings, that is now up in the air.

Part of the problem with winning acceptance of using medical marijuana for treatment of PTSD is the relative paucity of clinical studies on its safety and efficacy. When the state of Arizona considered adding PTSD to its list of qualifying conditions, researchers hired by the Department of Human Services found very little of use in their review of the literature.

But studies do exist. Krawitz and Veterans for Medical Cannabis Access compiled an impressive set of studies suggesting marijuana is safe and effective in treating PTSD and anxiety for Michigan regulators. (They are downloadable as submitted at the following links: Packet 1, part 1 of 3, Packet 1, part 2 of 3, Packet 1, part 3 of 3, Packet 2, Packet 3). That same packet also went out to New Mexico, where an effort to remove PTSD from the list of treatable ailments was foiled, and to Oregon, where the PTSD bill moved forward this week.

"While we don't have a lot of studies titled 'PTSD Response to Cannabis Therapy,' we do have a preponderance of evidence that shows cannabis works in various ways, including for symptoms of PTSD," said Krawitz.

Scott Murphy at 2013 press conference (courtesy ASA via YouTube)
One important reason the hard science officials would like to see on the efficacy and safety of marijuana for PTSD is federal government obstructionism. The Multidisciplinary Association for Psychedelic Studies (MAPS), for instance, has been attempting for years to win approval for its study of PTSD and medical marijuana. But it's still waiting and still patiently trying to satisfy the endless niggling of the National Institute on Drug Abuse and the Department of Health and Human Services. The DEA and the courts haven't helped either -- the agency in 2011 denied a request by UMass scientist Dr. Lyle Craker to grow marijuana for research purposes, disregarding its own administrative law judge's recommendation to approve it, and a court last week sided with DEA.

Nevertheless, anecdotal evidence on marijuana treatment for PTSD is helping to move the issue forward. The site ProCon.org, which features a major section devoted to medical marijuana, has posted several readers' comments on the subject:

"I had severe reservations about 'smoking pot.' It is illegal and I am a health care professional," one anonymous commenter wrote. "Still, I wanted to feel better, to be myself again, and to be the person I was before the PTSD. I smoked the pot. Immediately I felt relaxed and calm. I smiled and laughed. I finally felt at peace for the first time in two years. I slept my first night in three years without the sleep medication. The next day I felt refreshed and renewed. I had hope again. My son told me that he was so happy to see the old me again."
 

"I was shot thru the right sub and supra orbital sections of the right side of my head exiting over my right ear. They rebuilt 1/4 of my skull," wrote another commenter. "Epilepsy, PTSD, and other issues such as severe anxiety, constant pain and depression... I am still alive because I smoke [marijuana] every day. Empirical evidence has proven to me that failure to utilize generally causes a seizure and at minimum I get really aggressive... I will not live on narcotics. Ibuprofen or aspirin all have side effects worse than any temporary pain. Replacement liver from the damage of man-made drugs? No thanks."

In the meanwhile, veterans and others continue to suffer from PTSD and continue to use marijuana for relief. In states that do not have medical marijuana laws, that makes them criminals. In states that do have medical marijuana laws, but don't allow it to be used for PTSD, they are criminals, too -- unless they hide what they're actually using it for.

"These state medical marijuana control boards are willing to allow vets to have it for pain, but not PTSD, so in states like Arizona, vets suffering from PTSD are using a pain diagnosis to be legal under state law, and that's problematic. We're trying to get people suffering from PTSD to actually come in and get help, and it's difficult because there's a lot of stigma around it. What are we telling our soldiers when we tell them 'tell the doc you have pain, don't say you have PTSD'"? Krawitz asked. "What are we saying about the validity of their condition?"

That leads to other problems, too Krawitz said.

"When we can't recommend medical marijuana for PTSD, we're pushing people to use chronic pain as a qualifying condition, and that leads to police and prosecutors seeing all those pain recommendations and saying there must be fraud in the system," he said. "There are a lot of patients who would otherwise have had recommendations for PTSD."

PTSD sufferers are not waiting for peer-reviewed, clinically-controlled studies to tell them what works. PTSD is a real and growing problem, and medical marijuana appears to do some good. The scientific studies that would satisfy legislators and state review boards need to be done, and that is happening, albeit too slowly, but in the meanwhile, people are suffering because the government they served at risk to life and limb is now obstructing the research that would legitimize their treatment.

Supreme Court Rules No Automatic Deportation for Minor Marijuana Possession

A 26-year-old Jamaican who has resided in the US since he was three should not automatically be deported for being caught with a small amount of marijuana, the US Supreme Court ruled Tuesday. The case was Moncrieffe v. Holder.

In that case, Adrien Moncrieffe was caught with 1.3 grams of marijuana when police in Georgia pulled him over for a traffic stop. He pleaded guilty to possession with intent to distribute in a plea bargain in which the state of Georgia agreed to expunge the charges after he served five years' probation.

But a federal immigration judge ruled that the plea bargain made Moncrieffe deportable as an "aggravated felon." While federal law considers possession of small amounts of weed a misdemeanor, federal officials argued that his plea was to an offense analogous to a federal felony and thus calling for automatic deportation under federal immigration law. With the lesser offense, Moncrieffe might potentially face deportation, but the government would not have to seek it and Moncrieffe could make his case before a judge if it did.

The US 5th Circuit Court of Appeals in New Orleans upheld the immigration judge's ruling, but the Supreme Court accepted the case for review last year. On Tuesday, seven justices agreed that Moncrieffe's conviction did not rise to the level of a drug trafficking offense that triggered the aggravated felony classification for deportation under the Immigration and Nationality Act (INA).

"Moncrieffe's conviction could correspond to either the CSA [Controlled Substances Act] felony or the CSA misdemeanor," Justice Sonia Sotomayor wrote for the majority. "Ambiguity on this point means that the conviction did not 'necessarily' involve facts that correspond to an offense punishable as a felony under the CSA. Under the categorical approach, then, Moncrieffe was not convicted of an aggravated felony."

Although federal prosecutors had argued that any marijuana distribution conviction (even intending to distribute one gram) is "presumptively" a felony, Sotomayor and the other six justices weren't buying that.

"That is simply incorrect, and the government's argument collapses as a result," Sotomayor wrote. "Marijuana distribution is neither a felony nor a misdemeanor until we know whether the conditions in paragraph (4) attach."

That paragraph lists exceptions to the offense of marijuana distribution that allow defendants to be considered misdemeanor "simple drug possessors."

To follow prosecutors' logic, Sotomayor argued, "would render even an undisputed misdemeanor an aggravated felony. Recognizing that its approach leads to consequences Congress could not have intended, the government hedges its argument by proposing a remedy: Non-citizens should be given an opportunity during immigration proceedings to demonstrate that their predicate marijuana distribution convictions involved only a small amount of marijuana and no remuneration, just as a federal criminal defendant could do at sentencing," she wrote.

But that approach was "entirely inconsistent with both the INA's text and the categorical approach," Sotomayor stressed. "The government cites no statutory authority for such case-specific fact finding in immigration court, and none is apparent in the INA. Indeed, the government's main categorical argument would seem to preclude this inquiry: If the government were correct that 'the fact of a marijuana-distribution conviction alone constitutes a CSA felony,' then all marijuana distribution convictions would categorically be convictions of the drug trafficking aggravated felony, mandatory deportation would follow under the statute, and there would be no room for the government's follow-on fact finding procedure. The government cannot have it both ways."

And the government's approach would lead to a litany of "absurd consequences that would flow from" immigration investigations into such offenses. "That the only cure is worse than the disease suggests the government is simply wrong," she wrote.

Only Justices Clarence Thomas and Samuel Alito dissented, with Thomas arguing that since Georgia punished Moncrieffe's offense as a felony, he should be deportable under the CSA, and Alito warning that the majority had just given a free ride to "drug traffickers in about half the states."

"In those states," Alito wrote in his dissent, "even if an alien is convicted of possessing tons of marijuana with the intent to distribute, the alien is eligible to remain in this country. Large-scale marijuana distribution is a major source of income for some of the world's most dangerous drug cartels, but the court now holds that an alien convicted of participating in such activity may petition to remain in this country."

Of course, Moncrieffe was not convicted of "large-scale marijuana trafficking" and was not a member of one of "the world's most dangerous drug cartels;" he was a guy busted with a couple of joints worth of weed. And the government may still be able to deport people in Moncrieffe's situation, but now they will have to make the case for deportation before a judge.

Washington, DC
United States

Bill Filed to Create National Marijuana Commission

A bill that would establish a National Commission on Marijuana Policy was introduced in the US Congress last week. Filed by Rep. Steve Cohen (D-TN), House Bill 1635 seeks a commission that would undertake a comprehensive review of the costs and benefits of current federal marijuana prohibition, as well as examining how federal policy should interact with state laws that have either approved medical marijuana or legalized marijuana outright.

Steve Cohen (house.gov)
Cohen's proposal is inspired by the 1971 Shafer Commission on Marijuana and Drug Abuse, which was commissioned by President Richard Nixon but then shelved when it recommended decriminalizing marijuana. The commission report resulted in decriminalization in a handful of states in the 1970s, before marijuana reform went into the deep freeze during the Reagan era.

"Regardless of your views on marijuana, it's important that we understand the impact of current federal policy and address the conflict with those state laws that allow for medicinal or personal use of marijuana," said Congressman Cohen. "This conflict is only going to continue to grow over the next few years and we must provide certainty to the millions of individuals and businesses that remain caught in a web of incompatible laws. A national commission would provide us with the information we need to create sensible policy going forward."

Joining Cohen in backing the bill are cosponsors Reps. Earl Blumenauer (D-OR), Sam Farr (D-CA), Jim Moran (D-VA), and Jared Polis (D-CO).

"The Obama administration has repeatedly stated that a national conversation is needed when it comes to our country’s marijuana policies, but so far that conversation has been largely one sided," said Erik Altieri, communications director for NORML, which worked with Cohen on drafting the bill. "It is time for federal lawmakers to listen to the voice of the majority of Americans who want to see change to our nation’s marijuana laws and for them to take part in that dialogue."

"We have clearly reached a point where the American people want marijuana prohibition to end," said Steve Fox, national political director for the Marijuana Policy Project. "The states have been taking the lead, but the federal government must catch up. It is no longer a question of whether the federal government should allow states to enact their own marijuana policies. Of course, it should. The question now is how to reconcile state and federal laws. This commission bill proposes a study and a discussion that is long overdue."

The proposed commission would consist of 13 members: five appointed by the president; two appointed by the Speaker of the House; two appointed by the House minority leader; two appointed by the Senate majority leader; and two appointed by the Senate minority leader.

Eighteen states and the District of Columbia allow patients with qualifying conditions to use medical marijuana with recommendations from their physicians. In November, voters in Colorado and Washington State approved measures making marijuana legal for adults 21 and older and directing state regulatory bodies to create regulations for businesses to cultivate and sell marijuana to adults.

Washington, DC
United States

Poll of DC Voters Finds Two-Thirds Support Marijuana Legalization

District of Columbia map
Activists planning possible Washington, DC, marijuana reform efforts got some good news this week. A Public Policy Polling survey released Wednesday found that three-quarters of DC voters support decriminalizing marijuana possession, two-thirds (67%) think law enforcement resources focused on marijuana should be used elsewhere, and nearly two-thirds (63%) said they would support ballot measures similar to those in Colorado and Washington state, where voters legalized marijuana last November.

DC voters weren't just interested in lessening marijuana law enforcement. A solid majority (54%) said drug use should be treated as a public health issue and people should no longer be arrested and locked up for possession of a small amount of any drug for personal use.

DC-based activists have been meeting about plans to push pot law reforms. The first stop is the city council, but it the council balks, there are also contingency plans for a possible ballot initiative. In interviews earlier this year, activists said they were waiting for polling results before deciding on a course of action. Now they have them.

Adam Eidinger holding "Free Bryan Epis" sign at protest of then drug czar John Walters, 2002 (drugwar.com)
"As a 20-year DC resident, I know scores of people who have been humiliated with an arrest and have even spent time in jail for possessing small quantities of marijuana," said longtime District activist and spokesman for Dr. Bronner's Natural Soaps Adam Eidinger. "This new poll confirms that there is little support for laws that criminalize marijuana consumers in the District and they are due for repeal. We hope it inspires the Council to craft meaningful marijuana policy reform legislation, but in either case a change in the law appears to be inevitable."

"District voters, like most Americans, think it is time for a new, more sensible approach to marijuana policy," said Steve Fox of the DC-based Marijuana Policy Project. "People should not be subjected to life-altering criminal penalties simply for using a substance that is objectively less harmful than alcohol. Harsh criminal penalties should be reserved for serious criminals, and our law enforcement resources should be reserved for addressing serious crimes."

"DC voters clearly want to end the failed war on drugs," said Bill Piper, DC-based national affairs director for the Drug Policy Alliance. "Decriminalizing marijuana is a no-brainer, but the Council should do more. There is an opportunity to make a clean break from the past and treat drug use as a health issue instead of a criminal justice issue. More access to treatment and health services. No more putting people in jail."

The ball is in the DC City Council's court, but if elected representatives fail to act, the threat of direct democracy via the initiative process looms.

Washington, DC
United States

Congressman Predicts Current Congress Will Legalize Hemp

Earl Blumenauer at Brookings marijuana legalization forum, April 2013
I attended a forum on marijuana legalization at The Brookings Institution Monday, where Rep. Earl Blumenauer (D-OR), one of a handful of Congressional champions of marijuana law reform, was one of the speakers. Along with his general optimism for where the issue is going, Blumenauer predicted that the current Congress -- #113, in office this year and next -- will legalize hemp growing.

That may be a less bold prediction than in the past -- with the highest-ranking Republican senator supporting hemp now, Mitch McConnell, it should be more likely -- but it's still a fairly bold prediction, when one thinks about just how long Congress has refused to do anything for this utterly no-brainer of an issue. One of Blumenauer's reasons was that a House bill to legalize hemp growing, H.R. 525, also is being sponsored by a Kentucky Republican, Thomas Massie.

You heard it here first. (Unless you also watched the Brookings forum.)

Illinois House of Representatives Passes Medical Marijuana Bill

Illinois State House
Word just came out that the Illinois House has passed medical marijuana legislation, after several tries. Now it has to go to the Senate. Phil wrote about this and other medical marijuana news in his weekly update.

Illinois going for medical marijuana could be what gets Sen. Durbin involved. Durbin is the second highest ranking Democratic senator, and so it could be a big advance. Durbin supports medical marijuana, and was a cosponsor in 2004 of "Truth in Trials" legislation to allow it in states that allow it. But 2004 was a long time ago, and the Senate has seen little in the way of medical marijuana legislation to advance.

Location: 
Springfield, IL
United States

Medical Marijuana Update

More DEA raids in Los Angeles, federal prison bureaucrats ignore a Michigan medical marijuana prisoner's medical needs, federal drug bureaucrats prevail in a medical marijuana research case, and there is lots of action in state legislatures, including a Wednesday afternoon victory in the Illinois House. Let's get to it:

National

On Monday, a federal appeals court rejected Prof. Lyle Craker's appeal to overturn a DEA decision to not allow him to grow medical marijuana for research purposes.The appeals court sided with the DEA, finding its decision to maintain the federal marijuana cultivation monopoly was reasonable and in line with the Controlled Substances Act. Craker first sought approval in 2001.

California

On Monday, a hearing on a Lake County lawsuit challenging the county's cultivation ordinance was postponed when the judge hearing the case recused himself. Judge Richard Martin recused himself because his son is running for sheriff against Sheriff Frank Rivero, who is a defendant in the case. As a result, the lawsuit against the county and its sheriff will be sent to Lake County Superior Court Presiding Judge Stephen Hedstrom for reassignment. Lake County resident Donald Merill is suing over the Board of Supervisors' decision last summer to approve an ordinance limiting the number of pot plants allowed in outdoor cultivation, banning commercial cultivation of medical marijuana and prohibiting growing on vacant lands in the unincorporated areas of the county. Now, a case management conference set for next week has been pushed back until late August, too late for this year's outdoor growing season.

On Tuesday, supporters of a Los Angeles dispensary initiative kicked off their campaign with a city hall press conference. Proposition D is one of three dispensary initiatives going before city voters on May 21. The measure would cap the number of dispensaries at 135, as would Proposition E, whose backers have switched to supporting Prop D. A third initiative, Proposition F, has no caps on dispensaries, but imposes other restrictions. Both Props D and F would impose a gross tax receipts of 2% on medical marijuana dispensary revenues.

Also on Tuesday, DEA and local law enforcement raided four Los Angeles area dispensaries. Hit were the Zen and Alternative Herbal Health Services dispensaries on Santa Monica Boulevard in West Hollywood, La Brea Compassionate Caregivers in Los Angeles, and Marina Caregivers in Marina del Rey. Law enforcement also executed search warrants at seven other locations and arrested three people. Those arrested are accused of selling marijuana outside of California and various other offenses.

Illinois

On Tuesday, nearly 250 doctors signed on to support medical marijuana legislation pending at the state house. Several of them, along with patients, spoke at a Chicago press conference one day before a vote on House Bill 1 was expected in the House. The bill would create a pilot medical marijuana program, including a dispensary system.

On Wednesday, the bill passed the House on a 61-57 vote. It now goes to the Senate.

Michigan

Late last week, the federal Bureau of Prisons refused to house an ailing medical marijuana patient at one of its medical facilities even though he is a kidney-pancreas transplant candidate, suffers coronary artery disease, and requires a strict medication regime. Jerry Duval, 53, must report to federal prison on June 11 and must serve his sentences at a federal correctional facility in Ohio. His sentencing judge had recommended that he be "placed in a Federal Medical Center or other facility deemed to be appropriate in consideration of the Defendant's medical needs." Last August, Montana medical marijuana prisoner Richard Flor, 68, died in federal prison after his medical conditions were given short shrift.

Nevada

Last Thursday, a medical marijuana dispensary bill won a Senate committee vote. Senate Bill 374 was approved by the Senate Judiciary Committee on a unanimous vote. The bill now goes to the Senate Finance Committee. Because the bill includes fees, it must win two-thirds approval to pass the Senate.

On Saturday, the state's first medical marijuana school opened. The Cannabis Career Institute launched its Budtender School with a workshop for about 40 students on Saturday in Henderson. The school will teach all aspects of the medical marijuana business, including how to grow marijuana legally and bake it into brownies, cookies and cakes. The institute has held similar workshops in other cities across the US, and more than 1,500 people hold certificates from it.

New Hampshire

Last Thursday, medical marijuana legislation got a hearing in a key Senate committee. The bill, House Bill 573, was heard in the Senate Health, Education, and Human Services Committee. Opponents suggested that a clinical study be done, but supporters retorted that such suggestions were merely a way to delay the bill. A similar measure has already passed the House. While Gov. Maggie Hassan (D) has said she would support a tightly regulated program, she has expressed concern about a home-grow option.

New York

On Tuesday, a medical marijuana bill passed the Assembly Health Committee on a 21-4 vote. The bill, Assembly Bill 6357, would allow patients suffering from severe debilitating or life-threatening conditions to use medical marijuana. A practitioner who is licensed to prescribe controlled substances would certify that a patient has a severe debilitating or life-threatening condition that should be treated with the medical use of marijuana.  Certifying and dispensing medical marijuana would be included in the I-STOP prescription monitoring system for controlled substances enacted in 2012.

Also on Tuesday, Gov. Andrew Cuomo (D) said he still opposes medical marijuana. "I do not support medical marijuana. I understand the pros and cons. I understand the argument," Cuomo said. "We are looking at it, but at this point, I don't support medical marijuana. I understand the benefits, the risks. How do you construct a system that really is that tightly controlled that you don’t have dissemination beyond the directed population?"

North Carolina

Last Friday, Rep. Kelly Alexander introduced a medical marijuana study bill. The bill, House Bill 941, would require a legislative research commission to study medical marijuana-related issues. Earlier this session, Alexander had introduced a medical marijuana bill, but that was killed by legislators who complained they were getting too much feedback from constituents.

Oregon

Last Friday, it was learned that the federal government had forced the state to release medical marijuana patient records. The Oregon Public Health Division, which keeps tabs on medical marijuana card holders, has handed over an undisclosed number of patient records as the result of a federal search warrant. The DEA executed the warrant and seized Oregon Medical Marijuana Program records in an investigation into illegal drug activity. The name and number of patients information pulled is still unknown because the investigation is ongoing and more records could be subpoenaed. Patients and activists are not pleased.

Rhode Island

Last Thursday, medical marijuana supporters protested proposed restrictions on caregivers at a rally at the state house. More than two dozen people showed up to oppose amendments to the state's law that would reduce the number of plants that a caregiver could grow from 24 to 12 and allow a patient to grow a maximum of 6 plants. Patients can currently grow twice that number. The caregivers and patients also criticized amendments that would require the growers to notify city or town zoning officials about their plans to grow marijuana.

Federal Appeals Court Rejects Researcher's Bid to Grow Medical Marijuana

The US First Circuit Court of Appeals in Boston Monday sided with the Drug Enforcement Administration (DEA) in rejecting University of Massachusetts-Amherst scientist Dr. Lyle Craker's appeal of the agency's decision to deny him a license to grow medical marijuana for research purposes.

Professor Lyle Craker (maps.org)
Craker sought to break the federal government's monopoly on the production of marijuana for research purposes. Because of hostility to research on the possible benefits of marijuana in the federal drug control and research bureaucracies, the federal monopoly on marijuana for research purposes created a bottleneck, blocking potential valuable research efforts.

The decision in Craker v. DEA caps a 12-year odyssey through federal regulatory purgatory for Craker and the Multidisciplinary Association for Psychedelic Studies, which had backed the UMass-Amherst scientist's bid to develop a source of marijuana independent of that produced under the auspices of NIDA.

"After such a long struggle, I'm disappointed that the Court failed to recognize the need for an independent source of plant material for use in research on the medical uses of marijuana," said Prof. Craker. "In doing so, they have failed the American people, especially those for whom marijuana as a medicine could help."

Craker first applied for a license from the DEA in 2001; it took the agency three years to initially deny his request. In 2007, the DEA's own administrative law judge recommended that the agency grant his application, but two years later, then DEA Deputy Administrator (and current Adminstrator) Michele Leonhart rejected that recommendation. Craker sought a formal reconsideration, which Leonhart denied in 2011.

Craker then appealed to the First Circuit, with oral arguments taking place in May 2012. In its decision Monday, the First Circuit upheld Leonhart's denial. In so doing, it dismissed Craker's claims that the DEA had changed the rules in the middle of the game and that the supply of marijuana from the NIDA facility was inadequate and uncompetitive. Leonhart's interpretation of the Controlled Substances Act was permissible and her findings were "reasonable and supported by the evidence," the court held.

"This ruling will result in sick people continuing to be denied the medicine they desperately need, and which 18 states and the District of Columbia recognize as legitimate," said Allen Hopper, criminal justice and drug policy director for the ACLU of California and one of the lawyers representing Prof. Craker. "The Obama administration must stop blocking the research necessary to take marijuana through the FDA approval process."

Boston, MA
United States

Vermont House Passes Marijuana Decriminalization

The Vermont House of Representatives Friday approved a bill that would decriminalize the possession of small amounts of marijuana. The bill passed on a vote of 98-44.

The bill now moves to the Senate. It is supported by state Attorney General William Sorrell and Public Safety Commissioner Keith Flynn, both of whom testified for it in the House. Gov. Peter Shumlin (D) has also expressed support for decriminalization.

Introduced by Rep. Christopher Pearson (P-Burlington) with a tri-partisan group of 38 cosponsors, House Bill 200 would decriminalize the possession of up to an ounce of pot, making it only a ticketable offense, like a traffic citation. Minors under 21 would additionally have to undergo substance abuse screening.

Under current Vermont law, possession of up to two ounces is a misdemeanor punishable by up to six months in jail, and up to two years in jail if it's not a first offense.

"Vermont is another step closer to adopting a more sensible approach to marijuana policy," said Matt Simon, a legislative analyst for the Marijuana Policy Project. "The support demonstrated by members of the House reflects that of the state's top law enforcement officials and the voters."

Marijuana is decriminalized in 17 states, including Vermont's neighbors, Connecticut, Maine, Massachusetts, and New York.

Montpelier, VT
United States

CA Lt. Gov. Newsom Calls for Legalizing Marijuana

At the California Democratic Party convention in Sacramento Saturday, Lt. Gov. Gavin Newsom called for marijuana legalization and described the war on drugs as "an abject failure." (Watch the speech here.)

Gavin Newsom
The famously well-coiffed former San Francisco mayor is one of the key contenders for the Democratic Party gubernatorial nomination in 2014 -- if Gov. Jerry Brown (D) decides not to run again. The other leading contender is state Attorney General Kamala Harris, who did not broach the topic in her convention address.

"It's time to decriminalize, tax, and regulate marijuana," Newsom said to raucous cheers and applause. "In 2011 alone in this country, three quarters of a million people in the United States were arrested for marijuana law violations, 87% of them for simple possession. And listen to me closely on this -- African-American children are ten times more likely to get arrested for drug crimes than their white counterparts even though white children are more likely to abuse drugs."

"You can't make this up," Newsom said. "We send a higher percentage of African American males to prison and jail in this country than we send to colleges and universities in California. After 42 years of failure, I think it's time we concede that if we continue to do what we've done, we'll continue to get what we've got. I think you and we deserve better. It's about standing up on principle, having the courage of our convictions, about saying publicly all too often what we say privately."

The lieutenant governor's speech wasn't all high seriousness. Jokingly referring to his role as acting governor while Brown is on an overseas trip, he said, "I'm thrilled to be here… on the sixth day of the Newsom administration," he said. "This is the right time and the appropriate time to reflect on our cornucopia of landmark accomplishments over these magical six days." Among those was the creation of hundreds of new jobs, "notably in the now-booming hair gel industry," he said, patting his hair.

"All of these wonderful achievements will one day be studied by scholars at the Newsom Acting Governor Library, currently being constructed in the back of a medical marijuana dispensary in the Haight-Ashbury," he said to laughter and applause. "I'm looking forward to it as well," Newsom said, smiling.

Sacramento, CA
United States

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