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Medical Marijuana Update

Chelsea Clinton retracts an errant statement, a California bill creating a "micro farm" license for ma-and-pa growers is signed into law, Massachusetts moves toward being more patient-friendly, and more.

National

Last Thursday, a spokesman conceded that Chelsea Clinton "misspoke" about the risk of marijuana fatalities. Chelsea Clinton "misspoke" when she suggested that using medical marijuana along with other medications could be fatal, a spokeswoman has conceded. "While discussing her and her mother's support for rescheduling marijuana to allow for further study of both its medical benefits and possible interactions with other medications, Chelsea misspoke about marijuana's interaction with other drugs contributing to specific deaths," the spokeswoman said. While campaigning for her mother, the former first daughter told students at Youngstown State University in Ohio over the weekend that "some of the people who were taking marijuana for those [medicinal] purposes, the coroner believes, after they died, there was drug interactions with other things they were taking."

California

Last Thursday, the governor signed the medical marijuana "micro farmer" bill. Gov. Jerry Brown (D) signed into law the Cottage Cannabis Farmers Bill, Assembly Bill 2516. The measure creates a new medical marijuana cultivator license for "micro farmers," defined as farms with 2,500 square feet or less of total canopy size for mixed-light cultivation, up to 25 mature plants for outdoor cultivation, or 500 square feet or less of total canopy size for indoor cultivation, on one premises.

Massachusetts

On Tuesday, regulators proposed expansions in the medical marijuana program. The Department of Public Health has submitted a collection of proposed changes to the Public Health Council. The proposals include allowing nurse practitioners to certify patients and allowing dispensaries to post prices online. Allowing nurse practitioners to certify would boost patient numbers and allowing online price posting should encourage competition and drive prices down, the department said.

Utah

On Monday, a new poll showed strong support for medical marijuana. A new Utah Policy poll finds strong support for medical marijuana, with nearly two-thirds (63%) in favor. A medical marijuana bill failed earlier this year after the Mormon Church warned it could do more harm than good, but expect another one to be filed next year. Utahns may be down with medical marijuana, but they don't go for legalization. Only 22% were prepared to endorse that.

[For extensive information about the medical marijuana debate, presented in a neutral format, visit MedicalMarijuana.ProCon.org.]

(This article was prepared by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Chronicle AM: CA Legalization Ads Roll Out, NFL Bans "Synthetic Marijuana," More... (10/6/16)

Tennessee's two largest cities have semi-decriminalized small-time marijuana possession, California pro-legalization ads roll out, the NFL bans "fake weed," and more.

Marijuana Policy

California Marijuana Legalization Ads Hit the Airwaves Statewide. TV ads in support of marijuana legalization hit the airwaves Monday up and down the state of California. The campaign's ads in support of Proposition 64, the Adult Use of Marijuana Act, are running on both broadcast and cable channels. The first ad highlights in a straightforward way how the tough restrictions will keep marijuana out of the hands of young people. It explains how only adults 21 and older will be allowed to purchase at licensed businesses. The initiative bans ads directed at kids, there are strict labeling and child proof packaging and would ban edibles that appeal to children. The second ad also reinforces that marijuana will only be legal for adults over 21 and bans marijuana use in public. The ad also explains that the money in new revenue will fund after school job training and placement initiatives.

Maine ACLU Endorses Legalization Initiative."Legalizing, regulating and taxing the use of marijuana by adults 21 and older will bring a new approach to our marijuana laws, making them more fair, more compassionate and better at improving public health and increasing public safety. For those reasons, the ACLU endorses a 'yes' vote on Question 1 in November, wrote ACLU of Maine executive director Alison Beyea.

Memphis Decriminalizes (Sort of). The Memphis city council Tuesday night voted 7-6 to approve an ordinance that gives police the discretion to issue a fine instead of arresting people possessing less than a half ounce of marijuana. Nashville approved a similar ordinance last month. Full decriminalization would make the penalty for small-time possession only a fine and would not give police officers the ability to choose which offenders get ticketed and which get arrested.

Medical Marijuana

Massachusetts Regulators Propose Expansions in Medical Marijuana Program. The Department of Public Health has submitted a collection of proposed changes to the Public Health Council. The proposals include allowing nurse practitioners to certify patients and allowing dispensaries to post prices online. Allowing nurse practitioners to certify would boost patient numbers and allowing online price posting should encourage competition and drive prices down, the department said.

New Psychoactive Substances

NFL Bans "Synthetic Marijuana". The National Football League has added synthetic cannabinoids ("fake weed") to its list of banned substances in an agreement with the NFL Players Association announced Wednesday. Players whose drug tests reveal more than 2.5 nanograms per milliliter of synthetic cannabinoids will be considered in violation of the league's drug policies and subject to intervention and discipline.

Chronicle AM: DEA Cuts Prescription Opioid Production Quotas, Legal Pot Sales Keep Getting Higher, More... (10/4/16)

The campaign ads start rolling out in Maine and Massachusetts, legal pot sales keep getting higher, the DEA cuts quotas for prescription opioid manufacturing, and more.

The maker of Suboxone is accused of price gouging and patent manipulation. (Wikimedia.org)
Marijuana Policy

Legal Pot Sales Keep Going Up, Up, Up. This year is on track to be another record-setter when it comes to legal marijuana sales. A new report from the financial services company Convergex finds that sales growth at legal pot shops in Colorado, Oregon, and Washington was "impressive." Through July, Colorado has already done $458.7 million in revenues, while Washington has come in at $415.8 million through August. The Colorado figure is only 20% below the total for all of 2015, while the Washington figure already exceeds sales for all of last year. Oregon dispensaries reported $42.4 million in retail sales in June and July.

New England Legalization Initiatives Launch First TV Ads. The Question 1 campaign in Maine and the Question 4 campaign in Massachusetts both rolled out their first television ads Monday. The Massachusetts ads feature a former Boston police officer who is now a criminal justice professor, while the Maine ad also features a former law enforcement official, former Cumberland County Sheriff Mark Dion.

Heroin and Prescription Opioids

DEA Reduces Amount of Opioid Controlled Substances. The DEA announced Tuesday that it is reducing quotas for the amount of Schedule II opiates and opioid medications that can be produced in the US next year by 25% or more. DEA said it is responding to decreased demand for these substances, based on reduced prescribing of them. The quota has been cut by 25% for oxycodone, hydrocodone, fentanyl, hydromorphone, morphine, and other such medications and a whopping 66% for hydrocodone.

Thirty-Five States and DC Sue Suboxone Maker Over Price Gouging. Illinois is among the 35 states and the District of Columbia that have filed a lawsuit against the drugmaker Indivior over its maneuvers to keep a monopoly on the market for Suboxone, which is used to treat patients addicted to heroin and other opioids. The lawsuit charges that Indivior changed Suboxone from a tablet to a dissolving film only in order to get a new patent that would protect it from competition and allow it to charge exorbitant prices. The company has made over a billion dollars in annual sales every year since 2009, when the original patent was set to expire. "These companies rigged a system to ensure they profited at the expense of the people who depended on this drug to treat and recover from addiction," Illinois Attorney General Lisa Madigan said in a statement.

Chronicle AM: OR MJ Shops Open for Business, NV Question 2 Polling Strongly, More... (10/3/16)

We're little more than a month out from election day and Nevada is looking good, Arizona legalization foes have a big war chest, Germany okays its first medical marijuana patient grow, and more.

Marijuana Policy

Arizona Legalization Foes Have Big War Chest. The organized opposition to the Prop 205 legalization initiative is well-positioned to do damage in the final weeks leading up to election day. According to financial reports filed with the secretary of state's office, the anti-205 Arizonans for Responsible Drug Policy has more than $1.4 million in the bank right now, while the pro-Prop 205 forces have only $170,000 on hand. The pro forces have raised more money ($3.2 million versus $2 million), but they've already spent most of it.

Nevada Poll Has Legalization Initiative Winning Handily. A new Suffolk University poll has the Question 2 legalization initiative favored by 57% of respondents, with only 33% opposed. That's up from the same poll in August, which had 48% in support and 42% opposed.

Oregon's Recreational Pot Shops Are Now Open for Business. The Oregon Liquor Control Commission announced last Friday it had approved licenses for 26 marijuana retailers. Until now, medical marijuana dispensaries had also served recreational users. But now, with pot shops opening, dispensaries will only be allowed to sell to patients after December 31.

Medical Marijuana

Utah Poll Has Strong Support for Medical Marijuana. A new Utah Policy poll finds strong support for medical marijuana, with nearly two-thirds (63%) in favor. A medical marijuana bill failed earlier this year after the Mormon Church warned it could do more harm than good, but expect another one to be filed next year. Utahns may be down with medical marijuana, but they don't go for legalization. Only 22% were prepared to endorse that.

International

Germany Okays First Medical Marijuana Patient Grow. The federal agency for medicines and health products for the first time granted a patient the right to grow his own medical marijuana plants last week. The patient already has permission to obtain cannabis through a pharmacy, but he cannot afford to buy enough to treat himself. This could be a stop-gap measure, though; the government has crafted a law that makes medical marijuana available by prescription and covered by health insurance. The patient's ability to continue to grow his own will depend on showing that health insurance has not covered his costs.

Sinaloa Cartel Blamed for Attack That Left Five Mexican Soldiers Dead. In the worst attack on the military in more than a year, attackers believed to be Sinaloa Cartel gunmen ambushed a military convoy on the outskirts of Culiacan, leaving two military vehicles burned out and the bodies of soldiers strewn across the highway. The attack left five soldiers dead and freed a wounded cartel figure being transported in an ambulance being guarded by the convoy.

Chronicle AM: Kratom Ban Delayed (But Still Coming), Mad Drug Arrest Binge in Indy, More... (9/30/16)

California's governor signs asset forfeiture reform and medical marijuana "micro farmer" bills, a Massachusetts town pays out big time for killing an elderly black man in a drug raid, Indianapolis narcs have arrested 1,000 people in two and a half months and think that's success, and more.

Eurie Stamps. Killed in a 2011 drug raid, now his family wins a $3.75 million settlement. (Stamps family)
Marijuana Policy

Another California Poll Has Prop 64 Winning. A new KPIX 5/Survey USA poll has the Prop 64 legalization initiative winning with 52% of the vote, with 41% opposed. It's the latest in a long line of polls that show the initiative winning, but has it winning by a smaller margin than most other polls.

Medical Marijuana

California Governor Signs Marijuana "Micro Farmer" Bill. Gov. Jerry Brown (D) Thursday signed into law the Cottage Cannabis Farmers Bill, Assembly Bill 2516. The measure creates a new medical marijuana cultivator license for "micro farmers," defined as farms with 2,500 square feet or less of total canopy size for mixed-light cultivation, up to 25 mature plants for outdoor cultivation, or 500 square feet or less of total canopy size for indoor cultivation, on one premises.

Kratom

DEA Ban Delayed, But Only for Days. The DEA says that despite loud protests, its proposed emergency ban on kratom is still coming; it's just been delayed for a few days as the agency deals with paperwork. It was supposed to become Schedule I Friday, but the reprieve could last a week or more. A DEA spokesman said it's "highly accurate" to say the ban won't take effect next week, either.

Asset Forfeiture

California Governor Signs Civil Asset Forfeiture Reform Bill. Gov. Jerry Brown (D) Thursday signed into law Senate Bill 443, which requires a criminal conviction before police can permanently seize property valued at under $40,000. Bill sponsor Sen. Holly Mitchell (D-Los Angeles) sponsored a similar bill last year, but it failed after law enforcement grumbled that it would make it more difficult to go after big drug dealers. Police dropped their opposition after Mitchell agreed to the $40,000 threshold.

Law Enforcement

Family of Massachusetts Man Killed in SWAT Drug Raid Awarded $3.75 Million. The town of Framingham has agreed to pay $3.75 million to settle a lawsuit in the death of Eurie Stamps, 68, who was shot and killed by a Framingham police officer as he laid on the floor of his home complying with officers' demands. It was the killing of Stamps that inspired the Chronicle's tracking of drug war deaths, a work now in its sixth year.

Federal Bill to Require Police Reporting of Deaths and Injuries Filed. Rep. Mark Veasey (D-TX) has filed HR 6217, which would "require States and units of local government to have in place laws requiring law enforcement officers to submit... reports when an individual is injured or killed by such a law enforcement officer in the course of the officer's employment as a condition on receiving certain grant funding, and for other purposes. Currently, there is no federal database on law enforcement killing or injuring suspects.

Indianapolis Narcs on Mad Arrest Binge. A newly formed Indianapolis Metropolitan Police Department drug unit has arrested more than 1,000 people in the past two and half months. Local media is calling it a "success" and IMPD Chief Troy Riggs vowed that more of the same was coming. "We're not backing off," he said. "This is the new normal."

Chronicle AM: Chelsea Clinton "Misspoke" on MJ Dangers, NYC Safe Injection Sites?, More... (9/29/16)

No, medical marijuana doesn't kill patients, Chelsea Clinton's spokeswoman admits, New York City is about to embark on a study of supervised injection facilities, and more.

The InSite supervised injection facility in Vancouver. New York City will study whether to have them, too. (vch.ca)
Medical Marijuana

Chelsea Clinton "Misspoke" About Risk of Marijuana Fatalities. Chelsea Clinton "misspoke" when she suggested that using medical marijuana along with other medications could be fatal, a spokeswoman has conceded. "While discussing her and her mother's support for rescheduling marijuana to allow for further study of both its medical benefits and possible interactions with other medications, Chelsea misspoke about marijuana's interaction with other drugs contributing to specific deaths," the spokeswoman said. While campaigning for her mother, the former first daughter told students at Youngstown State University in Ohio over the weekend that "some of the people who were taking marijuana for those [medicinal] purposes, the coroner believes, after they died, there was drug interactions with other things they were taking."

Harm Reduction

New York City to Study Supervised Injection Facilities. The city council has agreed to fund a $100,000 study into the pros and cons of supervised injection facilities. "The Council's new supervised injection impact study will assess the feasibility and impact of New York City having a program that provides a safe, clean haven to high-risk, vulnerable New Yorkers and will help prevent drug overdoses and disease transmissions, "Council Speaker Melissa Mark-Viverito said after passage of the proposal.

Law Enforcement

GOP Congressman's Bill Would Subject Heroin Spiked with Fentanyl Dealers to the Death Penalty. Rep. Tom Reed (R-NY) has filed a bill that would allow federal prosecutors to seek the death penalty for dealers linked to an overdose death caused by heroin laced with fentanyl. The measure is HR 6158, the Help Ensure Lives are Protected (HELP) Act. The move was quickly criticized by drug reform advocates. "This bill is a doubling down on the very ineffective, harsh and punitive policies that characterized the early war on drugs and which have widely been proven ineffective at reducing drug use," said Lindsay LaSalle, senior staff attorney for the Drug Policy Alliance.

(This article was prepared by StoptheDrugWar.org's lobbying arm, the Drug Reform Coordination Network, which also pays the cost of maintaining this web site. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code, and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

Medical Marijuana Update

No medical marijuana for Missouri this year, polling looks good for the Florida initiative and tense for competing Arkansas initiatives, Colorado moves toward adding PTSD as a qualifying condition, and more.

Arkansas

Last Thursday, the state's highest court threw out a challenge to a medical marijuana initiative. The state Supreme Court has rejected a bid to throw the Arkansas Medical Cannabis Act (Question 7) off the November ballot. Foes had challenged the initiative's ballot language, but the high court said they had not proven it was insufficient. Two court challenges remain, one against Question 7 and one against the Arkansas Medical Marijuana Amendment (Question 6), both of which have qualified for the ballot.

On Sunday, Aa new poll showed a tough fight ahead for medical marijuana initiatives shows the Arkansas Medical Marijuana Amendment (Issue 6) with 36% in support, 53% opposed, and 11% undecided. "Arkansas voters do appear to distinguish between the two medical marijuana proposals, according to our survey," said pollster Roby. A Florida Chamber of Commerce poll has 73% of voters favoring the Amendment 2

Missouri

Last Wednesday, the medical marijuana initiative lost its bid to make the ballot about 2,000 signatures short of qualifying.

Missouri Medical Marijuana Initiative Will Not Make November Ballot. A Cole County circuit court judge has ruled against overturning petition signatures ruled invalid by local officials. New Approach Missouri came out just shy of valid signatures after local election officials denied about 10,700 signatures, leaving their initiative about 2,000 signatures short of qualifying.

[For extensive information about the medical marijuana debate, presented in a neutral format, visit MedicalMarijuana.ProCon.org.]

Chronicle AM: CA "Doctor Shopping" Law, Strong FL MedMJ Polling, Iran Executions More... (9/28/16)

The polls are looking good in Florida and Massachusetts, California's governor signs a mandatory prescription monitoring bill, Iran executes more drug offenders, and more.

Marijuana Policy

California Nurses Endorse Legalization Initiative. The California Nurses Association has formally endorsed the Prop 64 legalization initiative. "California Nurses believe strongly that the prohibition and criminalization of marijuana has ruined generations of lives, wasted hundreds of millions of taxpayer of dollars and failed to protect the public health and safety, "Deborah Burger, the organization's president said in a prepared statement Tuesday. "On balance, Proposition 64 is significantly better for public health and safety than the broken status quo, and we are pleased to endorse it,"she added. The California Medical Association has also endorsed Prop 64; the California Hospitals Association opposes it.

Massachusetts Legalization Initiative Favored in New Poll. A new WBZ-TV/UMass Amherst poll has the Question 4 legalization initiative favored by 53% of respondents, with 40% opposed and 7% undecided. Of demographic groups, only voters over 55 and self-described conservatives opposed the measure.

Medical Marijuana

Florida Medical Marijuana Initiative Cruising to Victory in New Poll. A Florida Chamber of Commerce poll has 73% of voters favoring the Amendment 2 medical marijuana initiative, with only 22% opposed. Because it is a constitutional amendment, the initiative needs 60% to pass, but it is polling well beyond that.

Heroin and Prescription Opioids

California Governor Signs Prescription Monitoring Bill into Law. Gov. Jerry Brown (D) Tuesday signed into law Senate Bill 482, aimed at preventing "doctor shopping." The new law requires doctors to check a database of prescription drug prescriptions before writing prescriptions for potentially addictive drugs. The state already has an electronic prescription database, but until now it's use has been optional. The new law will go into effect in six months.

International

Iran Hangs Five More Drug Offenders. Iranian authorities executed four drug prisoners at Tabriz Central Prison on Saturday and one more at Taybad Prison on Sunday. Their names were Abdolkarim Bapiri, Mehdi Molaie, Salah Ghaderian, Ali Mohtabipour, and Hadi Oskouie. In recent years, Iran has executed hundreds of drug offenders each year.

Chronicle AM: Good MJ Polls in CA/NV, Lynch Rejects Gateway Theory, MI MedMJ, More... (9/22/16)

New polls show marijuana legalization initiatives leading in California and Nevada, Michigan will soon see medical marijuana dispensaries, Missouri won't get to vote on medical marijuana this year, Attorney General Lynch rejects the gateway theory, and more.

Marijuana Policy

Latest California Poll Has Prop 64 Winning Handily. A new Public Policy Institute of California poll has the Prop 64 legalization initiative with 60% support and only 36% opposed. Support is at 65% in the Bay Area, 60% in San Diego and Orange County, 57% in Los Angeles, and even 55% in the conservative Inland Empire. This poll is in line with other recent polls, which all have the initiative winning in November.

Nevada Poll Has Question 2 Leading By 14 Points. A new KTNV-TV 13 Action News/Rasmussen poll has the Question 2 legalization initiative with 53% support, with 39% opposed. This is an increase in support of two points over the same poll in July.

New Jersey Assemblyman Filed Legalization Bill. Conservative Republican Assemblyman Michael Carroll has introduced Assembly Bill 4193, which "Legalizes marijuana and provides for records expungement for certain past marijuana offenses; treats marijuana products similar to tobacco products, including use of civil penalties for providing marijuana to persons under 19 years of age."

Medical Marijuana

Arkansas Court Throws Out Challenge to Medical Marijuana Initiative. The state Supreme Court has rejected a bid to throw the Arkansas Medical Cannabis Act (Question 7) off the November ballot. Foes had challenged the initiative's ballot language, but the high court said they had not proven it was insufficient. Two court challenges remain, one against Question 7 and one against the Arkansas Medical Marijuana Amendment (Question 6), both of which have qualified for the ballot.

Colorado Legislative Panel Approves PTSD as Medical Marijuana Condition. An interim committee of the Legislative Council has backed a proposal to make PTSD a qualifying medical marijuana condition. If the measure is approved by the Council as a whole, it would then be favorably introduced at the start of the next legislative session.

Illinois Judge Orders State to Add Post-Operative Chronic Pain to List of Qualifying Conditions. A Cook County judge has ordered the director of the Department of Public Health to add the condition within the next 30 days. The judge has also set a hearing for November 3 "to ensure the Director's compliance with this order."

Michigan Governor Signs Medical Marijuana Regulation Bill Package. Gov. Rick Snyder (R) Wednesday signed into law a package of bills that will clarify the state's medical marijuana law and explicitly allow for dispensaries to operate. The bills also set taxes on dispensaries, allow for the use of tinctures and lotions, and establish "seed to sale" tracking systems.

Missouri Medical Marijuana Initiative Will Not Make November Ballot. A Cole County circuit court judge has ruled against overturning petition signatures ruled invalid by local officials. New Approach Missouri came out just shy of valid signatures after local election officials denied about 10,700 signatures, leaving their initiative about 2,000 signatures short of qualifying.

Drug Policy

Attorney General Loretta Lynch Rejects Notion Marijuana is Gateway Drug. In an address as part of a week-long emphasis on heroin and opioid misuse and abuse, Lynch forthrightly dismissed the gateway theory that marijuana is a stepping stone to more serious drug use. "When we talk about heroin addiction, we usually, as we have mentioned, are talking about individuals that started out with a prescription drug problem, and then because they need more and more, they turn to heroin," Lynch said. "It isn't so much that marijuana is the step right before using prescription drugs or opioids -- it is true that if you tend to experiment with a lot of things in life, you may be inclined to experiment with drugs, as well. But it's not like we're seeing that marijuana is a specific gateway."

International

Vietnam Sentences Nine to Death for Heroin Trafficking. A court in northern Vietnam has sentenced nine people to death for trafficking nearly 1,400 pounds of heroin from Laos and Thailand over a four-year period. Another three people were sentenced to life in prison.

Seattle Aims to Open the First Safe Injection Sites in the US [FEATURE]

Seattle and surrounding King County are on a path to establish the country's first supervised drug consumption sites as part of a broader campaign to address heroin and prescription opioid misuse. A 99-page report released last week by the Heroin and Prescription Opiate Addiction Task Force calls for setting up at least two of the sites, one in the city and one in the suburbs, as part of a pilot project.

The facilities, modeled on the Canadian government-funded InSite supervised injection site in Vancouver, just 140 miles to the north, would be places where users could legally inject their drugs while under medical supervision and be put in contact with treatment and other social services. There have been no fatal overdoses in the 13-year history of InSite.

Although such facilities, which also operate in various European countries and Australia, have been proven to reduce overdose deaths and drug use-related disease, improve local quality of life, and improve the lives of drug users, they remain controversial, with foes accusing them of "enabling" drug use. Thus, the report refers to them not as "safe injection sites," or even "supervised consumption sites," but as the anodyne "Community Health Engagement Locations" (CHELs).

"If it's a strategy that saves lives then regardless of the political discomfort, I think it is something we have to move forward," said County Executive Dow Constantine, discussing the plan at a news conference last week.

The safe sites will address the region's high levels of opioid and heroin use, or what the task force called "the region's growing and increasingly lethal heroin and opioid epidemic." As the task force noted, the number of fatal overdoses in the county has tripled in recent years, with the rate of death rising from roughly one a week (49) in 2009 to one very other day (156) in 2014. The current wave of opioid use appears centered on young people, with the number of people under 30 seeking treatment doubling between 2006 and 2014, and now, more young people are entering detox for heroin than for alcohol.

Outside Vancouver's InSite (vch.ca)
Overdose deaths actually dropped last year to 132, thanks to Good Samaritan laws that shield people who aid overdose victims from prosecution and to the wider use of the opioid overdose reversal drug naloxone. But that's still 132 King County residents who needn't have died. Task force members said the CHELs would help reduce that number even further.

"The heroin epidemic has had a profound effect not just on our region, but across our country as a whole," said Seattle Mayor Ed Murray. "It is critical that we not only move forward with meaningful solutions that support prevention and treatment, but that we remove the stigma surrounding addiction that often creates barriers to those seeking help.

Not only are key local elected officials on board, so is King County Sheriff John Urquhart. He said the safe site plan was workable.

"As long as there was strong, very strong, emphasis on education, services, and recovery, I would say that yes, the benefits outweigh the drawbacks," he said. "We will never make any headway in the war on drugs until we turn the war into a health issue."

The region may willing to embrace this ground-breaking harm reduction measure, but it is going to require some sort of federal dispensation to get around the Controlled Substances Act and the DEA. How that is going to happen remains to be seen, but Seattle is ready.

The task force wasn't just about CHELs. In fact, the safe sites are just a small, if key, component of a broad-based, far-ranging strategy to attack the problem. The task force report's recommendations come in three categories:

Inside Vancouver's InSite (vch.ca)
Primary Prevention

  • Increase public awareness of effects of opioid use, including overdose and opioid-use disorder.
  • Promote safe storage and disposal of medications.
  • Work with schools and health-care providers to improve the screening practices and better identify opioid use.

Treatment Expansion and Enhancement

  • Make buprenorphine more accessible for people who have opiate-use disorders.
  • Develop treatment on demand for all types of substance-use disorders.Increase treatment capacity so that it’s accessible when and where someone is ready to receive help.

Health and Harm Reduction

  • Continue to distribute more naloxone kits and making training available to homeless service providers, emergency responders and law enforcement officers.
  • Create a three-year pilot project that will include at least two locations where adults with substance-use disorders will have access to on-site services while safely consuming opioids or other substances under the supervision of trained healthcare providers.

Will Seattle and King County be able to actual implement the CHELs? Will the federal government act as obstacle or facilitator? That remains to be seen, but harm reductionists, policymakers, and drug users in cities such as Portland, San Francisco, and New York will be watching closely. There have been murmurs about getting such sites up and running there, too.

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