A Kentucky company used court-ordered urine tests to defraud Medicare, Secretary of State Blinken addresses synthetic drugs at a UN side event, and more.

Secretary of State Blinken addresses synthetic drugs as a side meeting of the UN General Assembly. (Creative Commons)

SAFE Banking Act Negotiations Find "Sweet Spot," Senator Says. Senate Banking Committee member Sen. Kevin Cramer (R-ND) says senators have "probably found a sweet spot" in negotiations over the SAFE Banking Act (S.1323), which is set to have a committee vote, likely next week. Senators have reached an agreement to leave a key section favored by Republicans "intact, as it is," Cramer said.

That section deals with broad banking regulations, and Republicans have insisted that it remain in the bill.

Committee member Sen. Jack Reed (D-NV) had previously expressed concerns about the section—Section 10—but now says senators have "talked extensively about Section 10, and we’ve made some progress." However, he didn’t specify what that progress looks like. "I think we’ve resolved most of the issues we had—and I hope we have so we can get it out of the committee with a strong vote," he said.

Drug Policy

San Francisco Drug Crackdown Has Sparked Violent Turf Warfare in Center of City, Supervisor Says. Mayor London Breed's crackdown on drugs in the Tenderloin and South of Market (Soma) neighborhoods has resulted in hundreds of arrests and the seizure of hundreds of pounds of fentanyl, but is also generating violence in those neighborhoods, one city supervisor says.

"They’re poking a hornet’s nest," Supervisor Dan Preston said in an interview. "There are increased turf wars that are occurring because you have a raid here, and another group moves in. I mean, we’ve had gunfire and a murder during the middle of the day." 

Preston cited two shootings three days apart on Golden Gate Avenue, with the second shooting leaving one person dead.

Meanwhile, street-level drug activity remains undeterred, with overdose deaths on pace to exceed the number from last year.

Tenderloin resident and Public Defender's Office attorney Alexandra Pray said she would rather see more patrols than more arrests.

"I walk to work every day, and I walked through just groups of young men huddled around, and I know what they’re doing," Pray said. "And I just don’t know where the police are. It feels like the police are allowing this to happen, and then when they feel like it, they swoop in and pick people up, and we’re not really solving the problem."

Drug Testing

Kentucky Lab Owner, Exec Plead Guilty to $2.8M Lab Fraud Scheme That Billed Medicare for Non-Medical, Court Ordered Drug Testing. The owner

 and CEO of a Lexington, Kentucky-based lab and the lab's compliance officer have pleaded guilty to a $2.8 million healthcare fraud scheme in which they billed Medicare for court-ordered urine drug tests even though Medicare only pays for medical testing.

LabTox owner Ronald Coburn and LabTox compliance officer and director of operations Erica Baker copped the guilty pleas. Baker helped solicit urine test drug orders submitted by the company. The pair worked with a company Baker recruited, Blue Waters Assessment and Testing Services to refer court-ordered drug tests to LabTox. Despite being aware this was not medical testing, Coburn billed Medicare and Kentucky Medicaid, gaining payments of $1.9 million between June 2019 and March 2021.

Baker also sought out samples from nonmedical substance abuse treatment programs, putting some facility staff on the lab's payroll and compensating them based on the number of urine drug tests sent to the lab. LabTox billed Medicaid and Kentucky Medicare $937,594 for this testing.

Coburn has agreed to pay $3.6 million to the IRS, representing income tax he owed in 2017 through 2021. The pair will be sentenced in December and are looking at up to 10 years in federal prison.

Foreign Policy

US Secretary of State Addresses Global Synthetic Drug Threats at U.S.-Hosted Side Event at 78th United Nations General Assembly. On Monday, September 18, Secretary of State Antony J. Blinken hosted an event on the margins of the 78th United Nations General Assembly addressing the pressing issue of synthetic drug challenges worldwide.  The U.S.-sponsored side event, titled "Addressing the Public Health and Security Threats of Synthetic Drugs Through Global Cooperation," convened international leaders and representatives from international organizations, private sector, and civil society to discuss comprehensive strategies for combatting the public health and security threats posed by synthetic drugs and advance the work of the Global Coalition to Address Synthetic Drug Threats.

As synthetic drugs continue to devastate communities at home and abroad, this discussion underscores the United States’ commitment to engaging with international partners to address this critical issue, including the provision of more than $100 million in assistance from the Department of State to build the capacity of partners across the world to detect, identify, and interdict synthetic drugs.  This assistance also includes providing vital treatment, prevention, and recovery initiatives, as well as supporting alternatives to incarceration systems development with a focus on drug treatment. 

The Global Coalition provides a platform for the exchange of knowledge, ideas, and collaborative efforts aimed at dismantling the criminal networks responsible for the production and distribution of synthetic drugs and sharing universal best practices for substance use harm reduction and will continue expert-level engagement through monthly meetings launching in October.

A GOP-led House committee has killed marijuana and psychedelic reform amendments to the defense spending bill, a Mexican drug cartel uses roadside bombs against the police, and more.

There has been a remarkable drop in federal drug prisoners in recent years. (Creative Commons)

House Committee Kills Every Marijuana and Psychedelic Amendment to Must-Pass Defense Spending Bill. The GOP-led House Rules Committee has killed more than a dozen bipartisan marijuana and psychedelic policy amendments to the National Defense Authorization Act. The Republican leadership of the committee declined to accept any of them for floor votes. Among the proposed amendments killed was one to end marijuana testing for people trying to join the armed forces, one protecting federal workers from losing security clearances because of marijuana, one allowing servicemembers to use CBD and other hemp-derived products, and one investigating the therapeutic potential of certain psychedelics.

Michigan Ends Pre-Employment Marijuana Screening for Most State Jobs. Following months of public comment, the Michigan Civil Service Commission has voted unanimously to adopt new rules ending the practice of pre-employment marijuana screening for most state workers. Under the new policy, most public employees will no longer be required to undergo pre-employment marijuana testing. (Exceptions to the new rules will remain for those in certain safety sensitive positions, like law enforcement personnel.) Those previously denied positions because of a failed marijuana test are also now eligible to immediately reapply for employment.

Psychedelics

California Psychedelic Legalization Bill Wins Another Committee Vote. A bill that would legalize the possession and use of certain psychedelics, Senate Bill 58, which has already been approved by the Senate, has now won a second committee vote in the Assembly. The measure passed the Assembly Health Committee on a 9-2 vote Tuesday. It must now pass only one more committee, the Assembly Appropriations Committee, before heading for an Assembly floor vote. The bill would legalize the "possession, preparation, obtaining, transfer, as specified, or transportation of" specific amounts of psilocybin, psilocyn, DMT, ibogaine and mescaline for personal or facilitated use. Notably, "synthetic" psychedelics like LSD and MDMA would not be legalized, unlike the provisions of the previous version of legislation from Sen. Scott Wiener (D-San Francisco).

Berkeley City Council Effectively Legalizes Some Psychedelics. The city council of the East Bay city voted Tuesday to effectively legalize a range of psychedelics by voting unanimously to make the enforcement of state and federal laws against psychedelic plants and fungi the lowest law enforcement priority. The resolution passed, however, bars the "giving away, sharing, distributing, transferring, dispensing, or administering" of psychedelics.

Sentencing

Nearly a Quarter Fewer Persons Were in Federal Prison for Drug Offenses in 2018 Than in 2013. The number of people held in Federal Bureau of Prisons' facilities on a drug offense fell 24% from fiscal yearend 2013 (94,613) to fiscal yearend 2018 (71,555), according to Sentencing Decisions for Persons in Federal Prison for Drug Offenses, 2013-2018, a new report from the Bureau of Justice Statistics. These persons accounted for 51% of the federal prison population in 2013 and 47% in 2018.

Between 2013 and 2018, there were large decreases in persons serving time in federal prison for marijuana (down 61%), crack cocaine (down 45%) and powder cocaine (down 35%), with a smaller (4%) decline in persons imprisoned for opioids. These reductions were partly offset by growth in the number of persons serving time for heroin (up 13%) and methamphetamine (up 12%).

During the 5-year period, there was also a 33% decrease in the number of people in federal prison who, because of the type and amount of drugs involved in their offense, faced the possibility of mandatory minimum penalties at sentencing. A similar decline trend was observed in the number who ultimately received penalties (down 26%) and received relief from penalties (down 52%).

About 60% of all people in BOP custody for drug offenses at fiscal yearend 2018 had received mandatory minimum penalties: 22% for methamphetamine, 15% for powder cocaine, 14% for crack cocaine, 5% for heroin, 4% for marijuana and less than 1% for opioids. When the federal prison population was analyzed by persons who could have received penalties for their drug offense, those serving time for crack cocaine were more likely to receive penalties (94%) than those held for marijuana (82%), powder cocaine (81%), heroin (80%), methamphetamine (79%) or opioids (70%).

International

Montreal Police Raid Illegal Magic Mushroom Shop on Opening Day. FunGuyz, a chain of shops selling illegal magic mushrooms, has already had several of its stores raided in Ontario, and on Tuesday, it could add one in Montreal to the list. Montreal police raided the shop hours after it opened offering a menu of pills, dried mushrooms, and chocolate bars laced with psilocybin.

A FunGuyz spokesman called the raid a "simple" product seizure and a "waste of taxpayers' money." He said opening FunGuyz was a form of protest to challenge the illegality of psychedelic drugs. "We do expect the police to come in and raid us because obviously what we're doing, it's illegal," he said on Tuesday. "The idea behind everything is, are the police willing to… use the taxpayers' money for mushroom stuff?"

Mexican Drug Cartel Use Roadside Bomb to Kill Cops. Four police officers and two civilians were killed by a series of roadside bombs in the western state of Jalisco on Tuesday. Authorities said an anonymous caller reported a tip about a supposed clandestine burial site, and when police went to investigate, seven roadside bombs went off simultaneously. The blasts were so powerful they left craters in the road, destroyed at least four vehicles, and wounded 14 more people. The state prosecutor blamed an unnamed drug cartel. The Jalisco New Generation Cartel has significant experience with improvised explosive devices, as well as bomb-dropping drones.

Ukraine Parliament Gives Initial Approval to Medical Marijuana Bill. The parliament has given initial approval to a bill to legalize medical marijuana in the country. It must still be approved in a second reading and then sent to President Volodymyr Zelensky for his signature. Zelensky has already said he supports the bill.

A Maryland bill implementing legal marijuana commerce is signed into law, an Oklahoma bill cracking down on illicit medical marijuana grows is signed into law, and more.

A change in DOT drug testing rules could eliminate marijuana false positives. (Creative Commons)

Maryland Governor Signs into Law Bill Implementing Marijuana Legalization. Gov. Wesley Moore (D) on Wednesday signed into law Senate Bill 516, which implements a voter-approved referendum to legalize marijuana. The bill allows currently operating medical marijuana dispensaries to apply for licenses to sell to the adult market beginning in July and mandates that licenses for up to 300 marijuana retailers by July 2024. The bill also sets a 9 percent sales tax on marijuana products, except for registered medical marijuana patients, who are exempt. The bill also allows patients to grow up to four plants at home and increases the amount of marijuana patients can possess.

Medical Marijuana

Oklahoma Governor Signs into Law Bill Cracking Down on Illegal Medical Marijuana Grows. Gov. Kevin Stitt (R) on Wednesday signed into law House Bill 2095, which puts the Oklahoma Attorney General's Office, the Oklahoma Bureau of Narcotics and Dangerous Drugs Control, and the Oklahoma State Bureau of Investigation full enforcement authority over the state's medical marijuana laws. The bill is aimed at cracking down on a plethora of illegal marijuana grow operations and says that authorities can seize and destroy marijuana that was "not properly logged in inventory records or untraceable product not required to be in the system." The bill also makes it a misdemeanor for a licensed medical marijuana commercial grower to hire undocumented immigrants to work anywhere on the property where medical marijuana is grown.

Drug Policy

Washington Governor Announces Special Session to Take Up Drug Possession Law. Gov. Jay Inslee (D) announced Tuesday that will call a special session to begin May 16. The session will focus on passing a new drug possession law. Inslee set the date after conversations with Democratic and Republican legislative leaders. In 2021, the Washington Supreme Court overturned the state's felony drug possession law in the Blake case. Legislators adopted a temporary misdemeanor policy that expires July 1. The so-called "Blake fix" was the only remaining must-do item legislators did not finish during the regular legislative session that ended April 23. In the absence of a statewide policy, several cities and counties have announced their intent to pass their own ordinances which would create a confusing patchwork of policies, treatment options and penalties.

Drug Testing

Department of Transportation Finalizes New Marijuana Testing Policies to Reduce False Positives. The US Department of Transportation (DOT) on Tuesday finished work on a rule that will allow oral saliva drug testing as an alternative to urine-based tests. Urine tests detect THC metabolites for weeks or months after consumption, leading to positive test results for people who are not actually impaired on the job. Oral testing, on the other hand, usually detects THC in saliva for no more than 24 hours after use.

"Allowing employers to use oral fluid testing may improve the effectiveness of drug testing," DOT said. "Oral fluid testing can detect the recent use of some drugs, including marijuana and cocaine, while urine drug testing has a longer window of detection." This will be good news for the trucking industry, which has suffered from driver shortages, including thousands of drivers who have been dismissed because of positive urine-based tests.

International

Luxembourg Releases Two-Phase Plan for Marijuana Legalization. A group of experts appointed by the government has released a report detailing plans for a legal marijuana regime. The report, "An Experimental System of Legal Access to Marijuana for Non-Medical Purposes," lays out the outlines of a legal marijuana market for those over 18. It would allow for possession of up to three grams, the home cultivation of up to four plants, and the development of a legal framework where adults could buy up to five grams a day, but no more than 30 grams in a month. Legalization will come in two phases, with the first requiring that the country's drug law be amended. Once that happens, home cultivation can commence. The second phase will be the development of a state system for the commercial cultivation and sale of marijuana. That will involve the launching of a pilot program to see how commercialization can work.

Two New Jersey women who ate poppy seed bagels before going to the hospital to give birth, and were then reported for possible child abuse or neglect after testing positive for opiates, have filed complaints with state officials charging that the hospital that conducted the tests did so without their knowledge or consent. In doing so the hospital violated the state's law against discrimination on the basis of sex and pregnancy, they argued.

Eating poppy seed bagels can result in a positive drug test for opiates, and that can have consequences. (Pixabay)

Both women and their families were subjected to traumatic investigations by the DCPP during what should have been joyful first months with their new infants, shattering their trust in medical personnel and causing fear of further unnecessary intrusions by the state, their complaints say.

They are seeking to force both hospitals to end what they call an unlawful practice, as well as compensatory damages for emotional distress. They are being represented by the American Civil Liberties Union (ACLU) of New Jersey. Their case is the latest in which patients in several states -- including in New York, Illinois, and Pennsylvania -- have filed cases to challenge similar hospital practices, resulting in policy changes and monetary damages.

"No one should be subjected to unnecessary and nonconsensual drug tests. Our clients are sending a clear message to hospitals that these testing and reporting policies are unacceptable," said ACLU-NJ Staff Attorney Molly Linhorst. "Discriminatory testing policies like these upend what should be a time of joy for families, and so often subject them to further trauma and unwarranted investigation by the state."

"I felt like they were questioning my character and parenting skills," said Kate L. "I'm terrified of ever going to a hospital again; I'm always going to worry that our family could be torn apart. That's why we are doing all we can to stop this from happening to anyone else."

"I feel violated. This whole ordeal has been extremely stressful and has turned our lives upside down and now, because of what happened, I live in fear of medical tests and how they might be used against me as a mother," said Kaitlin K. "I found out later that the lab used a testing threshold far, far lower than what the federal government uses."

Maternal drug testing is not only discriminatory, but it and the decision on whether to report a positive result are also permeated with racial bias, with healthcare professionals are more likely to administer drug tests on pregnant Black women and their babies.

The practice is also opposed by health care providers who warn that it can deter people from seeking medical care during and after pregnancy. The American College of Obstetricians and Gynecologists specifically rejects drug testing in part of the legal consequences a positive test result can unleash.

Poppy seeds can lead to positive test results for opiates. "Research shows that morphine and codeine can sometimes be detected in the urine up to 48 hours after ingestion of poppy seeds from some pastries, such as bagels, muffins, and cakes," says the href="https://www.usada.org/spirit-of-sport/education/can-poppyseeds-cause-a-positive-drug-test/" target=_blank_>US Anti-Doping Agency, the national organization for US Olympic sports.

But positive drug tests from poppy seed bagels would not be a problem if doctors and hospitals were not doing such testing on patients without their knowledge or consent and with no good medical reason. Perhaps having to pay damages for the harm they inflicted on these two women will cause those hospitals to think twice.