Legal adult marijuana sales have begun in Connecticut, a marijuana legalization bill is filed in Tennessee, and more.

Insurance companies were fraudulently billed more than $125 million. (Creative Commons)

It's Official: Connecticut Legal Adult Use Marijuana Sales are On. Gov. Ned Lamont (D) announced the start of adult-use marijuana sales in a Tuesday news release: "The opening of the adult-use cannabis market in Connecticut marks the start of an expanded cannabis industry that prioritizes the safe and equitable regulation of adult-use cannabis, as well as the preservation of the medical marijuana market, which continues to serve nearly 50,000 patients in the state," the statement said. "Today marks a turning point in the injustices caused by the war on drugs, most notably now that there is a legal alternative to the dangerous, unregulated, underground market for cannabis sales," Gov. Lamont said. "Together with our partners in the legislature and our team of professionals at the Department of Consumer Protection, we've carefully crafted a securely regulated market that prioritizes public health, public safety, social justice, and equity. I look forward to continuing our efforts to ensure that this industry remains inclusive and safe as it develops."

Indiana Marijuana Bills Filed. The state's legislative season is just getting underway and at least four marijuana reform bills have already been filed. Senate Bill 70, introduced by Sen. Mike Bohacek (R-District 8), would decriminalize the possession of one ounce or less of marijuana. Bohacek also introduced Senate Bill 82, which "establishes a defense to operating a vehicle or motorboat with a controlled substance in the person's blood if: (1) the controlled substance is marijuana or a metabolite of marijuana; and (2) the person was not intoxicated." Meanwhile, State Rep. Jake Teshka (R-South Bend) filed House Bill 1039, which would allow for medical marijuana after the drug is removed as a federal Schedule I controlled substance. And House Bill 1065, authored by Rep. Sue Errington (D-District 34), would establish the cannabis compliance advisory committee to review and evaluate certain rules, laws and programs. Last year, 13 marijuana-related bills were filed. None of them went anywhere.

Tennessee Marijuana Legalization Bill Filed. Rep. Bob Freeman (D-Nashville) has filed House Bill 0085, also known as the "Free All Cannabis for Tennesseans Act." The bill would legalize the possession and transfer without remuneration of up to 60 grams (slightly more than two ounces) of marijuana by adults and allow the home cultivation of up to 12 plants, as well as creating a system of licensed and regulated commercial marijuana production and sales.

Drug Testing

Florida Doctor Sentenced to 20 Years for Urine Testing Fraud Scheme. Delray Beach osteopathic physician Michael Ligotti has been sentenced to 20 years in federal prison for approving medically unnecessary urine tests and treatment for alcohol and drug-addicted patients that cost private insurance companies more than $125 million over a decade. Ligotti, who owned a medical clinic in Delray Beach that profited from the scheme, had pleaded guilty in October to conspiring to commit healthcare and wire fraud and was ordered to surrender his Florida medical license.

The 48-year old physician admitted authorizing "fraudulent" urine drug tests for patients at about 50 drug treatment centers, sober homes, and labs in South Florida. In exchange, many of those same patients were recycled through his Delray Beach medical facility, allowing his practice to bill for and profit from redundant drug treatment and testing services. Ligotti also admitted to signing "standing orders" for expensive and unnecessary urine drug tests for patients at the various treatment facilities, including his own clinic.

In turn, the patients' urine specimens were sent to testing laboratories, which then billed private healthcare insurers for the unnecessary urine drug tests. A single test cost thousands of dollars. As a result, between 2011 and 2020, the healthcare insurers were billed more than $746 million for unneeded addiction treatment and urine testing, according to Justice Department prosecutors. In total, the insurers paid about $127 million for fraudulent drug tests and addiction treatment.

A Mexican judge has blocked the extradition of El Chapo's son to the US, you can now get a license to grow your own marijuana in Missouri, and more.

You can grow your own pot plants in Missouri -- if you get a license from the state. (Creative Commons)

Connecticut Adult Marijuana Sales Begin Tomorrow. Adult legal marijuana sales are set to begin tomorrow, January 10. At least nine existing medical marijuana dispensaries have undergone the bureaucratic steps necessary to transition to adult sales tomorrow, with up to another 40 that could open by the end of the year. Initial sales will be limited to a quarter ounce of buds or its equivalent per transaction. The restrictions are in place to ensure adequate supply for medical marijuana patients and will be reviewed over time. Dispensaries in New Haven, Branford, Torrington, Newington, Stamford, Willimantic, Danbury, Montville and Meriden successfully completed the necessary steps to convert to a "hybrid license" and will be allowed to sell to all adults beginning tomorrow.

Missouri Home Cultivation Licenses Now Available. People who want to grow their own under the state's new marijuana legalization regime will have to be licensed to do so, and those licenses are now available. Personal cultivation application forms and instructions are available from the Missouri Cannabis Regulation Division. The license costs $100 and must be renewed annually. People can grow up to six clones, six nonflowering plants, an six flowering plants at the same time. Missouri is the only state to impose a licensing requirement on home growers.

Harm Reduction

Ohio Governor Signs Fentanyl Test Strip Decriminalization Bill into Law. Gov. Mike DeWine (R) has signed into law House Bill 456, which decriminalizes the possession of fentanyl test strips as part of an effort to reduce overdoses. The new law exempts the test strips from the definition of drug paraphernalia. The move makes Ohio the 32nd state to move to decriminalize fentanyl test strips, with a half dozen doing so last year.

International

Mexican Judge Halts Extradition of El Chapo's Son to US. A day after 29 people, including 10 soldiers, died in a wave of violence following his arrest in Culiacan, the extradition of Ovidio Guzman, the son of imprisoned drug lord Joaquin "El Chapo" Guzman, to face charges in the United States has been blocked by a Mexican judge. In the ruling last Friday, the federal judge also suspended a ban on Guzman from communicating with his legal team and family. Guzman faces charges on a US warrant dating back to September 2019. He had been arrested in Culiacan in October 2019 but was quickly released on orders of President Andres Manuel Lopez Obrador because of violent cartel retaliation.

A marijuana research bill becomes law, the SAFE Banking Act doesn't, and more.]

Marijuana Banking Reform Dead in This Congress. Efforts to provide state-legal marijuana businesses with access to banking and financial services have come to naught in this Congress. The push has been on to get the SAFE Banking Act (HR 1996) through the Senate after it passed the House on seven different occasions, most recently in July. But Senate Majority Leader Chuck Schumer (D-NY) never called it for a vote and he and his Senate allies repeatedly blocked it from being attached to various spending bills as they held out for a full-blown legalization bill. One last chance for the act was the omnibus spending bill passed Tuesday, but it didn't include the act, either. This time, though, it was blocked not by Schumer but by Senate Minority Leader Mitch McConnell (R-KY).

SAFE Banking Act Plus Effort Set for Next Year. Supporters of the SAFE Banking Act (HR 1996) struck out in this Congress, but are determined to get an enhanced version of the bill passed next year. The SAFE Banking Act Plus will contain "important expungement and second amendment rights provisions," said bill sponsor Sen. Jeff Merkley (D-OR). Although the last chance to get the bill passed this year was blocked by Republican Senate leaders, Merkley said, the SAFE Banking Act Plus was a "must pass" in 2023. "We've made so much progress on forging bipartisan consensus,"Merkley said, adding that he "won't rest until we get it done."

Kansas

Kansas Lawmakers Plan to Introduce Medical Marijuana Bill at Start of Session Next Month. Since the end of the last legislative session, members of the Special Committee on Medical Marijuana have been meeting, compiling data, and evaluating research, and now they say they are ready to file a medical marijuana bill at the beginning of the session beginning next month. "I think what I'm going to do is -- and any member is more than welcome -- is to take this information and create the bill," said. Sen. Rob Olson (R-Olathe), chair of the medical marijuana committee. "And I'm going to work on a bill with a couple members and then if anybody wants to sign on in the Senate, they'll be more than able to sign onto that bill and introduce it at the beginning of session." He also called on House lawmakers to file similar legislation. "I think that's probably the best way forward," Olson said. Kansas is one of the 13 states that have still not legalized medical marijuana.

Kansas lawmakers will push for a medical marijuana bill when the session begins in January, Connecticut's dispensaries will be able to sell to any adult beginning in January, and more.

The opioid overdose reversal drug naloxone. There is a move afoot to make it available OTC. (Creative Commons)

Connecticut Recreational Marijuana Sales Set to Begin January 10. The state Department of Consumer Protection, which regulates marijuana in the state, has announced that the state's seven existing medical marijuana dispensaries had "successfully completed the necessary steps for conversion to a hybrid license," allowing them to also sell to the adult recreational market beginning January 10. Sales will be limited to a "a total of ¼ ounce of cannabis flower or its equivalent per transaction," according to the DCP. The move comes more than a year and a half after Gov. Ned Lamont (D) signed a marijuana legalization bill into law.

Medical Marijuana

Kansas Lawmakers Plan to Introduce Medical Marijuana Bill at Start of Session Next Month. Since the end of the last legislative session, members of the Special Committee on Medical Marijuana have been meeting, compiling data, and evaluating research, and now they say they are ready to file a medical marijuana bill at the beginning of the session beginning next month. "I think what I’m going to do is — and any member is more than welcome — is to take this information and create the bill," said. Sen. Rob Olson (R-Olathe), chair of the medical marijuana committee. "And I’m going to work on a bill with a couple members and then if anybody wants to sign on in the Senate, they’ll be more than able to sign onto that bill and introduce it at the beginning of session." He also called on House lawmakers to file similar legislation. "I think that’s probably the best way forward," Olson said. Kansas is one of the 13 states that have still not legalized medical marijuana.

Foreign Policy

White House Formally Continues Drug Trafficking State of National Emergency. The White House on Monday issued an executive order continuing a state of national emergency "to deal with the unusual and extraordinary threat to the national security, foreign policy, and economy of the United States constituted by global illicit drug trafficking." Noting that drug overdoses are killing tens of thousands of Americans each year, the order warns that: "Drug cartels, transnational criminal organizations, and their facilitators are the primary sources of illicit drugs and precursor chemicals that fuel the current opioid epidemic, as well as drug-related violence that harms our communities.  International drug trafficking — including the illicit production, global sale, and widespread distribution of illegal drugs; the rise of extremely potent drugs such as fentanyl and other synthetic opioids; as well as the growing role of Internet-based drug sales — continues to pose an unusual and extraordinary threat to the national security, foreign policy, and economy of the United States.  For this reason, the national emergency declared in Executive Order 14059 of December 15, 2021, must continue in effect beyond December 15, 2022.  Therefore, in accordance with section 202(d) of the National Emergencies Act (50 U.S.C. 1622(d)), I am continuing for 1 year the national emergency declared in Executive Order 14059 with respect to global illicit drug trafficking."

Harm Reduction

Major Drug Maker Applies to Sell Over-the-Counter Naloxone. In a move that addiction experts say could save tens of thousands of lives, a major drug maker has applied to sell the opioid overdose reversal drug naloxone over-the-counter. Emergent BioSolutions is now seeking permission to sell the drug without a prescription and says the Food and Drug Administration (FDA) has agreed to fast-track its review. A decision is expected by the end of March. Drug policy experts agreed that making naloxone more widely available is an important step in reducing drug overdoses but raised one concern: price. If OTC naloxone is too expensive, many people using drugs on the street just won't buy it, said University of North Carolina drug researcher Nabarun Dasgupta. "If we have this resource scarcity mentality that this is an expensive product, this is a special product, then people will not take enough kits to do what they need to do."