How to deal with substance abuse during pregnancy is a fraught issue, generating harsh sanctions against pregnant women who use drugs or who lose their fetuses before birth and are drug users. According to data compiled by Pregnancy Justice, the advocacy group formerly known as National Advocates for Pregnant Women, prosecutors filed more than 1,300 criminal cases against pregnant women between 2006 and 2020, a rate of more than a hundred a year. They are almost always poor women of color.

·       Making drug use during pregnancy a crime. Such laws have been upheld by state Supreme Courts in Alabama and South Carolina.

·       Several states have expanded their civil child-welfare requirements to include prenatal substance use, so that prenatal drug exposure can provide grounds for terminating parental rights because of child abuse or neglect.

·       Some states, under the rubric of protecting the fetus, authorize civil commitment (such as forced admission to an inpatient treatment program) of pregnant people who use drugs; these policies sometimes also apply to alcohol use or other behaviors.

·       A number of states require health care professionals to report or test for prenatal drug exposure, which can be used as evidence in child-welfare proceedings.

·       To receive federal child abuse prevention funds, states must require health care providers to notify child protective services when the provider cares for an infant affected by illegal substance use.

But now, a growing number of experts, including maternal/fetal specialists, federal health officials and people who treat addiction, are saying that such responses are counterproductive. Women who feel subject to prosecution may avoid health care entirely or may shy away from interventions such as a medication-assisted treatment (MAT) with opioids such as methadone or buprenorphine, increasing their likelihood of fatal overdoses. Overdoses are a eading cause of preventable death among pregnant women.

A study published this week in the Maternal and Child Health Journal of 26 pregnant Massachusetts women found that the decision whether or not to use MAT "was entirely wrapped up in what happened with respect to mandated reporting to Child Protective Services at the time of delivery," according to Dr. Davida Schiff, the study author and an addiction medicine specialist at Massachusetts General Hospital in Boston. The women underwent "intense anxiety and stress"  about the threat they would be reported to child protective services.

"This has led to many women either deciding to not start life-saving medication during pregnancy or to wean off of that life-saving medication during pregnancy and really risk poor outcomes for themselves and their babies," Schiff said. 

That someone is using drugs while pregnant "does not diagnose anyone's ability to parent," said Dr. Hendrée Jones, executive director of the University of North Carolina’s Horizons Program, a drug treatment program. "I have a woman getting ready to deliver, and she is terrified that somehow they're going to find drugs in her system and Child Protective Services is going to be called and her baby's going to be snatched away," Jones said.

"Across the entire country, we're seeing a general trend toward more punitive policies, and those are kind of the policies that consider substance use during pregnancy to be child abuse or neglect," said Laura Faherty, a policy researcher at the RAND Corporation.

Even the head of the National Institute on Drug Abuse (NIDA), Dr. Nora Volkow, thinks things have gone too far.

"We should remove criminalization of women who are pregnant and taking drugs," she said. "That needs to stop. We know that mortality from overdoses is greater in women that are pregnant than counterparts of the same age that are not pregnant. This is extraordinarily important because it's telling us that there's something that is making these pregnant women more vulnerable."

The need for change from punitive prohibitionist policies is urgent. A 2019 study found that the rate of opioid-related diagnoses among pregnant women more than doubled between 2010 and 2017, with ongoing research suggesting another big increase after 2017. And a 2022 study found that the number of pregnant women and new mothers dying of drug overdoses reached a record high in 2020, nearly doubling to11.85 per 100,000 from 6.56 per 100,000 in 2017.

Punitive prohibitionist policies are not working. It is time for another approach.

A bid to condemn Canada's safe supply drug policy in British Columbia fails in Parliament, Vermont's governor signs an overdose prevention omnibus bill into law, and more.

An Ohio appeals court has ruled that pregnant women who use drugs cannot be prosecuted under a state law. (CC)

Minnesota Becomes 23rd Legal Marijuana State. With the signature Tuesday of Gov. Tim Walz (DFL) on a reconciled bill, the state became the 23rd to legalize marijuana and the second this year. Delaware legalized it earlier this year. Passage of the bill after years of effort came after the Democratic Farm Labor Party won majorities in both houses of the legislature. Marijuana use and possession will be legalized as of August 1, but it is likely to take a year or longer to get the state's legal marijuana commerce system up and running

Harm Reduction

Vermont Governor Signs Omnibus Overdose Prevention Bill into Law. Gov. Phil Scott (R) last Thursday signed into law an omnibus overdose prevention bill, House Bill 222. The move comes as the state sees its third year in a row of record drug overdose fatalities. The bill contains measures aimed directly at reducing overdoses, such as funding to launch drug-checking services around the state and providing for liability protection. It also contains provisions aimed at breaking down barriers to receiving drug treatment, such as reducing wait times for preauthorization for medication-assisted treatment and expanding the availability of recovery and sober living homes. The measures are being funded with $8 million the state received from settlements with opioid manufacturers and distributors.

Pregnancy

Ohio Appeals Court Rules Law that Criminalizes Providing Drugs to Pregnant Women Does Not Apply to the Pregnant Woman Herself. Last week, Ohio's 5th District Court of Appeals ruled that it is not a crime for a pregnant women to administer illicit drugs to herself. The ruling came in the case of Muskingum County woman who was found guilty of violating a law that makes it a crime to "administer a controlled substance to a pregnant woman" after she confessed to injecting fentanyl in the hospital parking lot before entering the hospital to deliver her baby. In overturning the verdict, the appeals court held that the administration of drugs must be done by another person—not the pregnant woman herself. As a result, similar cases against four other women have been suspended and the woman in the original case has been released from prison. Prosecutors say they will appeal.

International

Canadian Conservatives' Motion to Condemn Liberals' Safe Supply Drug Policies Fails. A motion from Conservative Party Leader Pierre Poilievre to condemn the Liberal federal government's drug policies, and especially its decision to fund the supply of pharmaceutical alternatives as alternatives to illicit street drugs in the province of British Colombia, failed to pass in the House of Commons last Friday. BC's safe supply approach comes as some 35,000 Canadians have died of drug overdoses since 2016. Poilievre argued that the "tax-funded drug supply" fueled addiction rather than recovery and suggesting diverting money from that program into drug treatment. His motion called on the House to "immediately reverse its deadly policies and redirect all funds from taxpayer-funded, hard drug programs to addiction, treatment and recovery programs." But the House didn't buy it. 

No more pot smoking on the streets of Amsterdam's red light district, a bipartisan marijuana legalization bill gets filed in Ohio, and more.

The House responds to the fentanyl crisis with an old-school prohibitionist approach. (Creative Commons)

Ohio Bipartisan Marijuana Legalization Bill Filed. Even as signature-gatherers are out pounding the streets for a final round of signatures to put a legalization initiative on the November ballot, a bipartisan pair of lawmakers have reintroduced their own legalization bill, the Ohio Adult Use Act. The act would legalize the possession and cultivation of marijuana by people 21 and over and would set up a system of regulated marijuana sales with a retail tax of 10 percent.

Opiates and Opioids

House Approves HALT Fentanyl Act Making Broad Classes of Fentanyl Analogues Illegal. The Republican-led House on Thursday approved HR 467, the Halt All Lethal Trafficking (HALT) of Fentanyl Act. The bill's summary says: "This bill permanently places fentanyl-related substances as a class into schedule I of the Controlled Substances Act… Under the bill, offenses involving fentanyl-related substances are triggered by the same quantity thresholds and subject to the same penalties as offenses involving fentanyl analogues (e.g., offenses involving 100 grams or more trigger a 10-year mandatory minimum prison term). Additionally, the bill establishes a new, alternative registration process for schedule I research that is funded by the Department of Health and Human Services or the Department of Veterans Affairs or that is conducted under an investigative new drug exemption from the Food and Drug Administration."

The bill was strongly opposed by congressional progressives and a wide swathe of civil society organizations who worry that the Biden administration and congressional Democrats (74 House Democrats voted for the bill) are supporting crackdowns on drug users and sellers at the expense of public health efforts. The bill now goes to the Senate. The White House issued a statement saying it supports aspects of the bill such as permanent scheduling, but also wants to do more promote public safety. It has not threatened to veto the bill.

Psychedelics

California Senate Approves Bill to Decriminalize Natural Psychedelics. The state Senate on Wednesday approved Senate Bill 58, which decriminalizes the possession of "certain hallucinogenic substances," including psilocybin, psilocyn, dimethyltryptamine (DMT), ibogaine, and mescaline. The bill also repeals laws banning the cultivation of "spores or mycelium capable of producing mushrooms or other material which contain psilocybin or psilocyn."

Peyote is excluded from the list of decriminalized substances because, bill author Sen. Scott Weiner (D-San Francisco) noted, the cactus is "nearly endangered" and should be reserved for spiritual use by members of the Native American Church.

The bill now heads to the Assembly. In 2021, Weiner introduced a similar bill that passed the Senate only to die without a floor vote in the Assembly.

International

Amsterdam Red Light District Street Pot Smoking Ban Goes into Effect. A municipal ban on smoking marijuana on the streets of Amsterdam's famous red light district went into effect Thursday. The area is known for its brothels, sex clubs, and cannabis cafes and attracts millions of tourists each year, but the traffic is viewed as a nuisance by many residents. The move is part of a push by Mayor Femke Halsema to "clean up" the area. People are still allowed to smoke pot in the cafes and on their terraces, but those caught smoking in the street will face 100 Euro ($110) fine.

San Francisco's mayor is ready to roll out a pilot program to arrest public drug users, yet another federal bill aimed at the fentanyl trade gets filed, and more.

Drug activity in San Francisco's Tenderloin. (AdamChandler86 via Flickr)

New Hampshire Poll Has Strong Support for Marijuana Legalization. After Gov. Chris Sununu (R) last week signaled he was now open to marijuana legalization and as the legislature for the last time this session attempts to pass a marijuana legalization bill, a new Granite State poll shows strong popular support for doing just that. The poll had 72 percent supporting legalization -- 52 percent strongly and 20 percent somewhat -- and only 21 percent opposed -- 13 percent strongly and eight percent somewhat. Seven percent were neutral.

Opiates and Opioids

Federal Fentanyl Bill Would Get US Military Involved. The ongoing fentanyl crisis has generated yet another bill in Congress, this one led by Sens. oni Ernst (R-IA) and Tim Kaine (D-VA) in the Senate and Reps. Stephanie Bice (R-OK) and Salud Carbajal (D-CA) in the House of Representatives. The Disrupt Fentanyl Trafficking Act of 2023 would:

• Declare fentanyl trafficking a national security threat stemming from drug cartels in Mexico,
• Direct the Pentagon to develop a fentanyl-specific counter-drug strategy, including enhanced cooperation with Mexican defense officials,
• Require the Secretary of Defense to increase security cooperation with the Mexican military, and
• Address coordination efforts between the military and federal law enforcement agencies.

Drug Policy

San Francisco to Set Up Pilot Program to Arrest Public Drug Users. On Tuesday, the city's Department of Emergency Management confirmed that a pilot program that would allow police to arrest people using drugs in public and "address situations when someone is so far under the influence of drugs that they may pose a danger to themselves or others" will be part of Mayor London Breed's budget proposal due June 1.

The move came just hours before Breed was forced to cut short a UN Plaza news conference on the topic as she faced protestors and heckling, including one protestor who threw a brick, injuring a teenager.

Breed's approach to the rising clamor over public drug use and disorder is drawing critics not only in the street but on the Board of Supervisors. Supervisor Dean Preston called the pilot program "reactionary, cruel and counterproductive."

Harm Reduction

New York Safe Injection Site Bill Wins Committee Vote. The Senate Health Committee on Tuesday approved a bill to authorize the establishment of state-approved safe injection sites, S. 00399. Companion legislation is also moving in the Assembly. The bill would require the Department of Health to authorize at least one safe injection site with medical personnel on hand that also must provide syringe exchange services, educate clients on safe consumption practices, provide naloxone to reverse opioid overdoses and collect aggregate data on participants and their experiences. Staff and participants would be given immunity from prosecution for the sanctioned activities.

"Harm reduction works. Harm reduction is a modality -- a way to approach dealing with an issue which assumes, first, that a person who uses drugs is a person, and that they have to be met where they are," bill sponsor Sen. Gustavo Rivera (D) said at the hearing. "Fact number two, criminalization has not worked. Over decades of the drug war, it is pretty clear that we have lost said war," he said. "The notion that we could arrest our way out of addiction -- that we could arrest our way out of overdoses and deaths -- has been proven to be a lie based on all of these years of experience. Criminalization does not work."

Two city-sanctioned safe injection sites in New York City have been operating since the end of 2021.

A bill protecting medical marijuana patients advances in Louisiana, a bill broadening expungement and freeing some pot prisoners advances in Connecticut, and more.

Connecticut House Approves Bill to Broaden Expungement, Release Prisoners on Some Marijuana-Related Charges. The House last Thursday voted to approve House Bill 5457, which would require court to reduce sentences or dismiss charges for a number of marijuana-related offenses and release from jail or prison people who are currently incarcerated on those charges. The legislation would make expungement or sentence reductions automatic for offenses such as possession of marijuana drug paraphernalia, distribution of up to four ounces of marijuana, possession of up to four ounces of marijuana, and cultivation of up to six plants.

Minnesota Senate Approves Marijuana Legalization Bill, State to Become 23rd to Free the Weed. Minnesota is set to become the 23rd legal marijuana state after the Senate on Saturday approved Senate File 73just two days after the House passed it. The bill was the result of a final conference committee negotiations after the two chambers earlier approved slightly differing versions of the legislation. Gov. Tim Walz (DFL), a proponent of legalization, has vowed to sign it into law. Beginning this summer, Minnesotans will be able to grow up to eight plants at home, though only four can be flowering. Once legal marijuana commerce is up and running, people will be able to buy up to two ounces of buds, eight grams of concentrates, and 800 milligrams of edibles at one time and possess those amounts in public. The retail tax rate for marijuana will be 10 percent, and home growers can legally possess up to two pounds of marijuana from their harvests.

Medical Marijuana

Louisiana Bill Protecting Patients Seeking Unemployment Benefits Wins Committee Vote. The House Committee on Labor and Industrial Relations last Thursday narrowly approved House Bill 351, which would ensure that people with medical marijuana recommendations are not disqualified from receiving unemployment benefits. The bill's digest says it "provides that a qualifying medical marijuana patient who receives a recommendation from an authorized clinician to use marijuana for a therapeutic use shall not be disqualified for unemployment compensation benefits." The bill now heads for a House floor vote.

International

Iran Hangs Three on Drug Charges. Three men -- Shahab Mansournasab, Samad Geravand and Saeed Geravand -- were executed by hanging after they were caught with more than 39 kilograms of heroin and precursors. They were charged with "corruption on earth" after admitting they planned to sell the drugs in Tehran. Under Iranian law, anyone convicted of possessing more than 30 grams of heroin is eligible for a death sentence.

Iran used to execute hundreds of people annually, but in 2017 adjusted its laws and the number of drug executions dwindled. This year, however, the Islamic Republic has increasingly resorted to the death penalty as it faces a months-long civil uprising that began with the death of a woman at the hands of religious police for improperly wearing a hijab. It is unclear how many of this year's executions are for drug offenses, but Iran hung a man it described as the "sultan of cocaine" earlier this month. Last week, it hung a man for running a human trafficking network and prostitution ring and three men convicted of killing a police officer and two members of the paramilitary Basij during the unrest.

Ireland Drug Checking to Expand at Festivals After Successful Rollout of Pilot Program Last Year. After a pilot program to check drugs at the Electric Picnic festival last September successfully detected high-potency MDMA and new psychoactive substances, the Health Services Executive (HSE) has announced that drug checking will be expanded to more festivals this year. It is part of broader harm reduction effort by the HSE. Under the program, festival-goers can submit samples to be tested without fear of arrest and are then informed of the substances' content. HSE-trained volunteers will also be available to talk about drug treatment services, drug trends, and harm reduction practices with festival-goers.

Switzerland To Expand Marijuana Trials to More Cities. The Federal Office of Public Health (FOPH) has given the green light to expansion of ongoing trials on legal marijuana sales to include the cities of Bern, Biel/Bienne, Lucerne, and Geneva. Such programs have already been underway since last year in Basel and this March in Zurich. The trials are supposed to produce data that will inform the government's policy on marijuana. They aim to investigate the health and social effects of tightly regulated, non-profit marijuana sales in pharmacies and will involve a thousand participants -- only half of whom will be allowed to buy the regulated marijuana in pharmacies.

The FOPH has also approved a pilot program in Vernier, where a single authorized dispensary called the "Cannabinotheque" will sell marijuana under a membership model. It will last for three years and also includes a thousand participants. Currently, recreational marijuana remains illegal in the country, although it legalized medical marijuana last year.

A major civil and human rights group comes out against one federal fentanyl bill, bipartisan senators and representatives file another one, and more.

Fentanyl. The deadly drug continues to generate bills in Congress. (Creative Commons)

Minnesota Marijuana Legalization Bill Ready for Final Votes This Week. House and Senate conference committee negotiators have resolved the remaining differences between the House and Senate marijuana legalization bills and ready to send the final bill to floor votes in both chambers this week. The final sticking points were on the marijuana tax rate and appropriating revenue. Negotiators agreed to the 10 percent retail sales tax in the Senate bill (the House had voted for 8 percent to be adjusted every two years) and agreed that 80 percent of marijuana revenues will go to the state and 20 percent to local governments to cover expenses related to implementing legalization.

Medical Marijuana

Nebraska Activists File Papers for 2024 Medical Marijuana Initiative. The group Nebraskans for Medical Marijuana has filed papers to mount petition drives to put a pair of medical marijuana initiatives on the 2024 ballot. One would set up the doctor/patient system, while the other would regulate the industry. Activists have been trying for eight years to get the legislature to pass a medical marijuana bill, to no avail. Last year, a signature-gathering effort for a medical marijuana initiative came up short because financial problems blocked the group from hiring professional petitioners.

"We have no choice but to keep petitioning our government," said group spokeswoman Crist Eggers. "The legislature refuses to act despite the will of over 80% of Nebraskans, from all parties, regions, ages, etc., supporting this."

Asset Forfeiture

New York Senate Committee Passes Bill to End Civil Asset Forfeiture and Opt State Out of Federal Forfeiture Program. The Senate Codes Committee on Monday approved a bill that would end civil asset forfeiture, Senate Bill 2192. Under the bill filed by Sen. Jamaal Bailey (D) forfeiture could only occur if the "prosecuting authority secures a conviction of a crime that authorizes the forfeiture of property and the prosecuting authority establishes by clear and convincing evidence the property is an instrumentality of or proceeds derived directly from the crime for which the state secured a conviction." The bill would also address "policing for profit" by requiring that forfeiture proceeds go to the state general fund. Currently, the seizing agency gets to keep up to 60 percent of the proceeds. And the bill would opt the state out of the federal "equitable sharing" program that allows law enforcement agencies to skirt state asset forfeiture laws by handing cases off to the feds, who then return most of the money to the seizing agency. The bill now heads to the Senate Finance Committee.

Drug Policy

Bipartisan Bill Aims to Counter National Security Threat of Illicit Drug Trafficking. US Reps. Salud Carbajal (D-CA) and Stephanie Bice (R-OK) and Sens. Joni Ernst (R-IA) and Tim Kaine (D-VA) are leading a bipartisan effort directing increased federal attention to fentanyl trafficking by utilizing the tools of the Department of Defense (DoD) and involving Mexico as an active partner to combat this crisis and disrupt drug cartel and trafficking activity.

The Disrupt Fentanyl Trafficking Act of 2023 would attempt to address cross-border drug trafficking by:

• Declaring fentanyl trafficking a national security threat stemming from drug cartels and smugglers,
• Directing the Pentagon to develop a fentanyl-specific counter-drug strategy, including enhanced cooperation with foreign nations,
• Requiring the Secretary of Defense to increase security cooperation with the Mexican military, and
• Addressing coordination efforts between the military and federal law .enforcement agencies.

Leadership Conference on Civil and Human Rights Opposes HALT Fentanyl Act. The Leadership Conference on Civil and Human Rights on Wednesday sent a letter to the House leadership to express its "strong opposition" to H.R. 467, the HALT Fentanyl Act.

"This bill permanently schedules fentanyl-related substances (FRS) on schedule I of the Controlled Substances Act (CSA) based on a flawed class definition," the letter says. "Additionally, it imposes mandatory minimums and fails to provide an offramp for removing inert or harmless substances from the drug schedule. The class wide scheduling that this bill would impose would exacerbate pretrial detention, mass incarceration, and racial disparities in the prison system, doubling down on a fear-based, enforcement-first response to a public health challenge. Under the class wide control, any offense involving a "fentanyl-related substance" is subject to federal criminal prosecution, even if the substance in question is helpful or has no potential for abuse."

The Leadership Conference represents more than 230 national organizations.

International

Singapore Executes Marijuana Offender for Second Time in Three Weeks. For the second time in three weeks, Singapore has hung a man for trafficking marijuana. The unnamed 37-year-old Malay Singaporean was executed at dawn Wednesday at Changi Prison for trafficking about 3.3 pounds of pot. On April 26, Singapore executed Tangaraju Suppiah, 46, for trafficking 2.2 pounds of pot despite an international outcry. Under Singapore law, trafficking more than 1.1 pounds of pot can garner a death sentence. The city-state halted all executions during the coronavirus pandemic, but hanged 11 people last year -- all for drug offenses.

"If we don't come together to stop it, we fear that this killing spree will continue in the weeks and months to come," said Kokila Annamalai of the Transformative Justice Collective, which campaigns for the abolition of the death penalty in Singapore.

A jealous North Carolina deputy cooks up a plot to frame his ex-girlfriend's new beau, and more. Let's get to it:

In Wadesboro, North Carolina, a former Anson County sheriff's deputy pleaded guilty last Friday to planting heroin and other drugs in his ex-girlfriend's new boyfriend's car. Former deputy David Burroughs led a plot involving three other deputies, one of whom pulled over the boyfriend, claiming he had been speeding and that he smelled marijuana inside the vehicle. The boyfriend was then handcuffed and put in a patrol vehicle, which made a mysterious stop outside a nondescript building near an airstrip on the way to the sheriff's office. The boyfriend was told by deputies that a narcotics investigator had to pick something up, and what that something was was the drugs used to frame him. At the sheriff's office, the boyfriend was told he was about to be charged with drug dealing offenses, but that same night, other deputies released him and gave him back his vehicle. A month later, the State Bureau of Investigation told him that Burroughs had planted the drugs in his car.

Burroughs was arrested in 2019 and charged with making a false police report, obstructing justice, breaking and entering a motor vehicle and possession of heroin, marijuana, and methamphetamine. He pleaded guilty to only obstruction of justice and possession of heroin and was sentenced to two years' probation. But he and the other three deputies involved now face a civil suit.

A Florida marijuana legalization initiative will get a state Supreme Court review, Washington's governor signs into law a bill protecting pot-smoking employees, and more.

Cops will still be able to arrest people for drug possession under a Washington state compromise. (Creative Commons)

Florida Marijuana Legalization Initiative Gets State Supreme Court Review. State Attorney General Ashley Moody (R) on Monday formally submitted the marijuana legalization initiative from Smart and Safe Florida for vetting by the state Supreme Court. Proposed initiatives need more than 222,000 valid voter signatures to qualify for review by the court, and the Smart and Safe Florida initiative has already wildly exceeded that number. The high court will determine issues such as whether the proposed ballot language is clear and whether it is limited to a single subject. When Moody filed the initiative for review Monday, she signaled that she would oppose it, writing that "the proposed amendment fails to meet the requirements" of part of state law. Opponents successfully used Supreme Court review to block two legalization initiatives in 2021.

Minnesota Lawmakers Finalize Adult-Use Legalization Language, Prepare to Send It to Governor's Desk. With the legislative session set to end this week, lawmakers have resolved differences between the legalization bills passed by the two chambers, Senate File 73 and  House File 100, and each chamber is now preparing for final floor votes, which could happen as early as Wednesday. Democratic Gov. Tim Walz will sign it into law once it reaches his desk. The final agreement sets possession limits at two ounces for flowers and allows for the home cultivation of up to eight plants, four or which can be mature. The measures also include the automatic review and expungement of certain marijuana-related offenses and sets up a system of taxed and regulated marijuana commerce. Retail sales will be taxed at 10 percent and onsite consumption will be allowed at permitted events.

Washington Governor Signs Bill Protecting Employees from Drug Testing for Marijuana. Gov. Jay Inslee (D) has signed into lawSenate Bill 5132 to lay out broad protections for employees who consume marijuana while imposing limitations on employment drug testing for marijuana. There are exemptions for exemptions for jobs that involve federal security clearances or background investigations, in law enforcement, the fire department, first responders, corrections officers, the airline or aerospace industries, or in safety-sensitive positions.

The law says: "It is unlawful for an employer to discriminate against a person in the initial hiring for employment if the discrimination is based upon: (a) The person's use of cannabis off the job and away from the workplace; or (b) An employer-required drug screening test that has found the person to have non-psychoactive cannabis metabolites in their hair, blood, urine, or other bodily fluids."

Drug Policy

Washington State Lawmakers Reach Deal to Keep Drug Possession a Crime. Faced with a July 1 deadline to replace the state's felony drug possession law, which was invalidated by the state Supreme Court in 2021, bipartisan legislative leaders announced Monday that they had reached a deal under which simple drug possession would be a gross misdemeanor punishable by up to six months in jail for the first two offenses and up to a year after that. Police and prosecutors, though, would be encouraged to divert cases for treatment and other social services, and the compromise includes millions of additional dollars to pay for that. Prosecutors would have the ability to ask courts to end pre-trial diversion if defendants fail to make substantial progress. The legislature is set to vote on the proposal today. Lawmakers earlier rejected efforts both to reinstate the felony drug possession charge and to decriminalize drug possession.

Rep. Roger Goodman (D-Kirkland) called it "a fair compromise that addresses urgent concerns about public disorder but follows evidence-based practices in helping people in need."

New Hampshire's governor changes his tune on marijuana legalization, the Connecticut House approves psilocybin decriminalization, and more.

New Hampshire Senate Again Kills Marijuana Legalization Bill. As in years past, the Senate has once again killed a marijuana legalization bill, House Bill 639, leaving the state the only one in New England to still maintain marijuana prohibition. Republicans, who control the Senate, killed the bill on a near party-line vote, with one Democrat joining with them. They cited an ongoing drug addiction and overdose crisis in the state.

"Recreationalizing marijuana at this critical juncture would send a confusing message, potentially exacerbating the already perilous drug landscape and placing more lives at risk," Republican Senate President Jeb Bradley said in a written statement.

New Hampshire Governor Now Ready to Support Marijuana Legalization. Gov. Chris Sununu (R), a longtime opponent of marijuana legalization, is ready to change his tune -- as long as legalization is on his terms. In a press release Friday, he touted his signing of a decriminalization bill and the expansion of medical marijuana under his administration, but signaled his openness to some form of legalization in the near future.

"In the past, I said now is not the time to legalize marijuana in New Hampshire. Across this country and in the midst of an unprecedented opioid crisis, other states rushed to legalize marijuana with little guardrails. As a result, many are seeing the culture and fabric of their state turn," he said.

"NH is the only state in New England where recreational use is not legal. Knowing that a majority of our residents support legalization, it is reasonable to assume change is inevitable. To ignore this reality would be shortsighted and harmful. That is why, with the right policy and framework in place, I stand ready to sign a legalization bill that puts the State of NH in the drivers seat, focusing on harm reduction  -- not profits. Similar to our Liquor sales, this path helps to keep substances away from kids by ensuring the State of New Hampshire retains control of marketing, sales, and distribution  -- eliminating any need for additional taxes. As such, the bill that was defeated in NH this session was not the right path for our state.

"New Hampshire must avoid marijuana miles  --  the term for densely concentrated marijuana shops within one city or town. Any city or town that wants to ban shops should be free to do so. The state would not impose any taxes, and should control all messaging, avoiding billboards, commercials, and digital ads that bombard kids on a daily basis."

Opiates and Opioids

Senators Hassan and Shaheen Cosponsor Bipartisan Bill to Combat Fentanyl Crisis. Senators Maggie Hassan (D-NH) and Jeanne Shaheen (D-NH) have cosponsored the bipartisan Fentanyl Eradication and Narcotics Deterrence (FEND) Off Fentanyl Act. This bill targets the illicit fentanyl supply chain by strengthening current law and allowing the Treasury Department to increase penalties for synthetic opioid trafficking and money laundering. The FEND Off Fentanyl Act is a sanctions and anti-money laundering bill that will allow US government agencies to more easily go after illicit opioid traffickers. The bill would:

• Declare that the international trafficking of fentanyl is a national emergency.
• Require the President to impose sanctions on transnational criminal organizations and drug cartels' key members engaged in international fentanyl trafficking
• Enable the President to use proceeds of forfeited, sanctioned property of fentanyl traffickers to further law enforcement efforts
• Enhance the ability to enforce sanctions violations thereby making it more likely that people who defy U.S. law will be caught and prosecuted
• Require the administration to report to Congress on actions the U.S. government is taking to reduce the international trafficking of fentanyl and related opioids
• Allow the Treasury Department to utilize special measures to combat fentanyl-related money laundering
• Require the Treasury Department to prioritize fentanyl-related suspicious transactions and include descriptions of drug cartels' financing actions in Suspicious Activity Reports

Psychedelics

Connecticut House Approves Psilocybin Decriminalization Bill. The House on Wednesday voted to approve House Bill 6734, which would decriminalize the possession of psilocybin mushrooms. The bill decriminalizes the possession of up to half an ounce of 'shrooms, with the only penalty being a $150 fine on a first offense and fines of up to $500 for subsequent offenses. Currently, possession of psilocybin is a misdemeanor punishable by up to a year in jail. The bill now goes to the Senate.

International

Philippine Court Acquits Duterte Critic Leila de Lima of Drug Charges. Former Senator Leila de Lima, who has been held prisoner for six years after criticizing former President Rodrigo Duterte's bloody drug, was acquitted Friday of a drugs charge that was laid after Duterte accused her of taking bribes from drug gangs in prisons in the wake of her Senate investigation of his drug crackdown that left thousands dead. This is the second charge on which she has been acquitted; a third remains, but critics of the campaign against her have called for the remaining charge to be dropped.

"I had no doubt from the very beginning that I will be acquitted in all the cases the Duterte regime has fabricated against me based on the merits and strength of my innocence," she said in a statement. "I'm still asking for even more prayers for another case," she added as she returned to prison pending resolution of that charge.

Bizarro: The Surreal Saga of America's Secret War on Synthetic Drugs and the Florida Kingpins It Captured by Jordan S. Rubin (2023, University of California Press,, 267 pp,, $27.95 HB)

With his partner, Ben Galecki, the enterprising entrepreneur decided to get deeper into the profitable action, creating a company to manufacture the stuff in bulk with synthetic cannabinoids manufactured by Chinese chemical companies. Aware that he was skirting the edge of legality after the original compound JWH-018 was federally scheduled, Ritchie quarantined new shipments of different, unregulated synthetic cannabinoids until they had been tested in labs and verified not to be federally banned substances.

A fan of the Superman comic franchise, Ritchie dubbed his product Bizarro and packaged it with a reverse Superman logo in various flavors. (Ritchie would replace the word "flavors," though, with the word "scents" in order to maintain the fiction that the products were "not intended for human consumption," as noted on the label.)

Ritchie and Galecki made a quick fortune with Bizarro and got out of the business as federal heat on the industry heightened. After their Bizarro factory was raided -- not because of Bizarro but because neighbors thought it was an illegal pot grow -- Ritchie contacted the DEA, provided product samples and invoices to a DEA agent and volunteered to shut the business down immediately on the agent's say so, because, as he said repeatedly, he didn't want to "fight city hall." The agent told them not to worry about it.

But they were still spooked and sold their company. Now, they're sitting in federal prison, doing lengthy sentences for the sale of analogues of banned synthetic cannabinoids. Bizarro tells the story of how they ended up there.

It centers on a bizarre piece of drug war legislation, the Reagan-era Analogues Act, which criminalized the production and distribution of chemical compounds "substantially similar" to already controlled substances. The problem is that "substantially similar" has no defined meaning. It is not a term of science. And that means no one knows if a substance is "substantially similar" enough to a controlled substance to merit prosecution under the statute unless a federal prosecutor tries to make the case -- and a jury buys it.

Even more bizarrely, the DEA conducts analyses of potential analogues and decides whether they are analogues or not -- but does not make that information publicly available, which results in people being prosecuted for substances they didn't even know were illegal.

Journalist and former Manhattan narcotics prosecutor Jordan S. Rubin takes the reader through the legislative history of the Analogues Act, the battles among DEA chemists over whether or not substances were "substantially similar" enough to controlled substances to be banned (and their purveyors prosecuted), and the twists and turns of a number of legal cases, particularly Ritchie and Galecki's, as jurists, prosecutors, and defense attorneys sparred over the meaning and application of the law.

It's a fascinating bit of drug war history, and prosecutions under the Analogues Act are largely history now. That is because federal prosecutors are leery of rolling the dice with juries. They have lost enough cases to know that analogue prosecutions under the act are no sure thing.

But now, Rubin reports, they have something better: class-wide scheduling. In 2018, the DEA used its emergency powers to schedule all fentanyl-related substances on a class-wide basis, meaning that the substance was illegal if it met the broad structural criteria laid out by the DEA. The substance need not behave like fentanyl at all -- it is still illegal. And unlike fentanyl, which is Schedule II, the analogues are classified as Schedule I, even though no one knows if they are better, worse, or the same as fentanyl, or whether they could be helpful.

This raises some of the same issues around civil rights and science that the Analogues Act prosecutions did. And it is an ongoing issue. The DEA's temporary scheduling has been extended repeatedly, and the Biden administration is calling on Congress to make it permanent -- much to the dismay of drug reformers and researchers. Bizarro shines a spotlight on the surrealistic story of the original Analogues Act and provides the reader with some inkling of what the supercharged version being contemplated now could deliver. It is a brisk and thoughtful addition to the literature of drug policy.

Washington State bans discrimination against potential new hires over off-the-job marijuana use, Senate drug warriors file a bill aimed at counterfeit pills, and more.

Legal marijuana is one step closer in Colombia after it won approval in the Chamber of Representatives. (irin.org)

Washington Becomes Latest State to Ban Pre-Employment Tests for Marijuana. Gov. Jay Inslee (D) has signed into law Senate Bill 5123, which bars employers from using a positive test for marijuana to disqualify potential new hires. As of January 1, 2024, it will be "unlawful for an employer to discriminate against a person in the initial hiring for employment if the discrimination is based upon: (a) The person's use of cannabis off the job and away from the workplace; or (b) An employer-required drug screening test that has found the person to have non-psychoactive cannabis metabolites in their hair, blood, urine, or other bodily fluids." Employers can, however, still punish employees for positive marijuana test results even if the use was off-the-job and there are exemptions for certain safety-sensitive employers.

Drug Policy

DEA Extends Pandemic Telehealth Prescribing Rules, Including for Buprenorphine. The Drug Enforcement Administration (DEA) has extended under November 11 rules created during the pandemic that allow for the prescribing of controlled substances via telehealth. The agency says it will make a final decision on whether to make the changes permanent before the current extension expires. The rule has drawn the interest of drug reformers because it allows for telehealth access to buprenorphine, which is used to treat opioid use disorder.

Senators File Bill to Attack Counterfeit Pill Production. Senate Caucus on International Narcotics Control co-chair Sen. Charles Grassley (R-IA), Sen. Dianne Feinstein (D-CA), and Sen. Maggie Hasan (D-NH) have filed a bill that seeks to halt a surge in counterfeit pills containing methamphetamine, fentanyl, or fentanyl analogues, the Stop Pills that Kill Act.

The bill does not mandate new or increased criminal penalties but requires the DEA to come up with a plan to address the problem within 180 days and requires the agency, the Office of National Drug Control Policy (ONDCP -- the drug czar's office), and the attorney general to file an annual report "on information regarding the collection and prosecutions of counterfeit fentanyl and methamphetamine substances." The bill would, however, "ensure that existing penalties for possessing paraphernalia used to manufacture methamphetamine would also apply to possessing paraphernalia used to make counterfeit pills that contain methamphetamine, fentanyl and fentanyl analogues."

The bill is endorsed by a variety of anti-drug groupings, including the National Narcotic Officers' Associations Coalition, Community Anti-Drug Coalitions of America, Song for Charlie, Victims of Illicit Drugs, Major Cities Chiefs Association and National District Attorneys' Association. But the bill's purpose, if not its precise language, could be consistent with the harm reduction approach as well, in in this case by helping drug users avoid taking pills that they think are one thing but are really another.

International

Colombia Chamber of Representatives Approves Marijuana Legalization; Bill Now Heads to Senate for Final Votes. A marijuana legalization bill has won final approval in the Chamber of Representatives and now heads to the Senate, where it must win a committee vote before heading for a final Senate floor vote. The bill passed the lower chamber by a vote of 98-57. A legalization bill passed both chambers last year but since it is in the form of a constitutional amendment, it has to be passed by both chambers in two separate calendar years.