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FL Doc Gets Twenty Years in Unnecessary Drug Test Scheme, IN Marijuana Bills Filed, More... (1/11/23)

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)
Marijuana Policy

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.

Detroit Legal Adult Marijuana Sales Begin, MN DFL Files Marijuana Legalization Bill, More... (1/5/23)

The legislative season is getting underway, here come the marijuana legalization bills, and more.

Marijuana Policy

Kentucky Lawmaker Files Marijuana Legalization Constitutional Amendment. After years of the Republican-dominated state legislature blocking all efforts at marijuana reform, state Rep. Nima Kulkarni (D) has filed a constitutional amendment (House Bill 48) that would let the state's voters decide directly whether to legalize marijuana. The amendment would ask voters whether they want to decriminalize possession of up to an ounce and allow for the home cultivation of up to five plants. It does not include provisions for a regulated marijuana market. She has also filed a measure, House Bill 47, that would simply decriminalize possession.

Minnesota DFL Files Marijuana Legalization Bill. Nineteen Democratic-Farm-Labor (DFL) members of the House filed a marijuana legalization bill, House Fill 100, on Thursday. The measure is largely similar to the legalization bill passed by the House last year, which never got a vote in the Senate. The bill include social equity provisions, expungement provisions, provisions allowing local governments the power to restrict marijuana sales, and an 8 percent sales tax. The bill now heads to the House Commerce Finance and Policy committee, and will likely be put to discussion in various committees.

Virginia GOP Lawmaker Files Bill to Create Regulated Marijuana Market. Del. Keith Hodges (R) has filed a bill to create a regulated marijuana market, House Bill 1464. But some advocates say the measure would gut social equity provisions in favor of providing incentives to corporations to invest in low-income communities. The state currently allows adult-use marijuana possession and home cultivation, but a legal market will not come into being for several years, and the law does not allow the state's existing medical marijuana dispensaries to sell to adults.

Detroit Adult-Use Marijuana Sales Have Begun. Recreational marijuana sales in Michigan's largest city began on Wednesday, when the House of Dank medical marijuana dispensary opened its doors to recreational buyers. Just hours later, another dispensary, DaCut, similarly opened its doors to recreational buyers. "Going recreational in Detroit is a huge milestone for us," Crystal Jamo, general manager of House of Dank, said. "Just because we've been waiting for it for so long that, like, 'Pinch me, is it real?'"

MS Makes Naloxone Available for Free, PA Fentanyl Test Strips Now Decriminalized, More... (1/4/23)

Violence continues in Ciudad Juarez in the wake of a deadly Sunday prison break, Mississippi has created a web site where residents can order free naloxone, and more.

fentanyl test strips (Creative Commons)
Harm Reduction

Mississippi Makes Naloxone Available for Free. After nearly 600 people died of drug overdoses in 2021, the last year for which full numbers are available, the state is moving to ease access to the opioid overdose reversal drug naloxone (Narcan). The Department of Health has begun a program under which people need only log onto a state website, answer a few questions, and watch a training video, and the department will then send them a free naloxone kit. Or they can download a voucher and have it filled at a local pharmacy. To apply for the free Narcan, visit odfree.org/get-naloxone.

Pennsylvania Law Decriminalizing Fentanyl Test Strips Now in Effect. A new law, Act 111, that decriminalizes fentanyl test strips went into effect Monday. The law achieves this by amending the Controlled Substance, Drug, Device and Cosmetic Act of 1972 to no longer define the test strips as drug paraphernalia. Fentanyl test strips (FTS) are a low-cost method of helping prevent drug overdoses and reducing harm. FTS are small strips of paper that can detect the presence of fentanyl in all different kinds of drugs (e.g., cocaine, methamphetamine, and heroin) and drug forms (pills, powder, and injectables).

International

Sinaloa Cartel Gang Leader Among Those Who Escaped in Ciudad Juarez Prison Attack. Among the 27 prisoners who successfully fled a Ciudad Juarez prison as it was attacked Sunday was Ernesto "El Neto" Pinon, the long-imprisoned leader of the Mexicles, a Juarez gang affiliated with the Sinaloa cartel. The attack and jailbreak left 10 guards and seven prisoners dead, with two escaped prisoner later killed by authorities. Pinon had been jailed at the prison since 2010 on a 224-year sentence for murder. Authorities blamed the prison assault on the Mexicles, saying it was attacked by at least 25 of them. Also among the escapees was the Mexicles' number-two man, Cesar Vega.

Death Toll Rises as Mexican Authorities Hunt Down Juarez Prison Attackers, Escapees. At least seven people were killed in a gunfight as Chihuahua state investigators worked to hunt down the perpetrators of Sunday's attack on a Ciudad Juarez prison, as well as 25 prisoners who escaped. The attack was orchestrated by the Mexicles, a Juarez gang long affiliated with the Sinaloa cartel, who long-imprisoned leader and his number two were among the escapees. In the Tuesday shootout, two state investigators and five Mexicles members died.

MD Pot Decrim Now in Effect, CO Natural Psychedelic Decrim Now in Effect, More... (1/3/23)

The Justice Department is suing a major pharmaceutical distributor over its role in the opioid crisis, a Virgin Islands marijuana legalization bill goes to the governor, and more.

Magic mushrooms and other natural psychedelics are now decriminalized in Colorado. (Creative Commons)
Marijuana Policy

Maryland Marijuana Possession No Longer a Crime. With the advent of the new year, possession of up to 2.5 ounces of marijuana is no longer a crime in the state. People who possess up to 1.5 ounces of marijuana, however, face a maximum $100 fine, while those caught with up to 2.5 ounces face a $250 fine. The reduced penalties are the results of voters approving a referendum in November that directs the legislature to create rules for legal adult sales. That referendum also triggered the implementation of a bill decriminalizing pot possession, which is what went into effect on January 1.

US Virgin Islands Marijuana Legalization Bill Goes to Governor. The US territory's Senate last Friday approved a marijuana legalization bill on a an 11-1 vote, as well as passing separate expungement legislation. The bill has already passed the House. Gov. Albert Bryan Jr. (D), who has repeatedly called on lawmakers to pass such a bill, is expected to sign both bills into law.

Opiates and Opioids

Justice Department Sues Pharmaceutical Distributor for More Than $1 Billion for Role in Opioid Epidemic. The Justice Department last Thursday filed a lawsuit in federal court in the Eastern District of Pennsylvania against pharmaceutical distributor AmerisourceBergen, which Justice alleges "fueled" the country's opioid epidemic. The complaint claims the company, one of the country's largest drug distributors, failed to fulfill its legal obligation to report suspicious orders or to report suspicious customer behavior to the DEA. The complaint also alleges that AmerisourceBergen constantly violated the Controlled Substances Act by failing to follow the proper steps for distributing opioids under the Act. The DOJ filed the complaint in civil court and seeks over $1 billion in damages.

Psychedelics

Colorado Psychedelics Decriminalization Takes Effect. Natural psychedelics including psilocybin (magic mushrooms) are now decriminalized after Gov. Jared Polis (D) signed a proclamation that the voter-approved initiative that decriminalized them had received a majority of votes in the November election. "Coloradans voted last November and participated in our democracy," Polis said in a statement from the governor's office. "Officially validating the results of the citizen and referred initiatives is the next formal step in our work to follow the will of the voters and implement these voter-approved measures." The measure creates a state-regulated system for therapeutic access to natural psychedelics and it decriminalizes the possession, cultivation, and sharing of the naturally occurring psychedelic drugs.

New York Lawmakers File Bill to Legalize Natural Psychedelics. Assembly members Linda Rosenthal (D), Jo Anne Simon (D) and Karines Reyes(D) have filed a bill, A00114, that would legalize the use and possession of a number of natural plant- or fungi-based psychedelics, including DMT, ibogaine, mescaline, psilocybin and psilocyn, recategorize them and eliminate their status as prohibited substances. The bill would: "Legalize adult possession and use of certain natural plant or fungus-based hallucinogens; Grant certain protections for individuals lawfully using such hallucinogens; Remove such hallucinogens from the list of Schedule I controlled substances; Make related provisions."

International

Mexico Prison Assault Leaves 14 Dead, 24 Escaped Prisoners. Presumed cartel gunmen in armored vehicles attacked a prison in Ciudad Juarez Sunday morning, opening fire on guards and other security personnel and leaving 10 guards and four prisoners dead. Another 24 prisoners managed to escape during the mayhem. This same prison also saw violence erupt last August where Mexican army troops had to intervene in a clash between prisoners from the rival Juarez and Sinaloa cartels that led to a riot and shootout with a death toll of 11 people.

The Top Ten International Drug Policy Stories of 2022 [FEATURE]

Here is the good, the bad, and the ugly in international drug policy developments in 2022. (Read about 2022's good, bad and ugly in domestic drug policy here.)

1. The Taliban Bans Opium

With the withdrawal of US and coalition forces and subsequent rapid collapse of the Afghan government in August 2001, the Taliban once again took power in Kabul. During its earlier rule, it banned opium cultivation in 1997 (with little impact) and again in 2000. But after the Taliban was overthrown in late 2001, the country saw two decades of massive opium production, making Afghanistan the world's leading supplier of opium and heroin, accounting for more than 80 percent of global supply throughout this century.

Upon resuming its control of the country, the Taliban once again instituted a ban on opium cultivation, making a formal announcement of a ban in April 2022. Even now, at the end of the year, it is too early to tell how serious the Taliban are or how effective the ban will be, although UN Special Representative in Afghanistan Roza Otunbayeva reported in December that there is evidence the ban is being implemented. "Fields planted before and after the declaration have been destroyed," she said. "We will not be able to verify the actual implementation of this ban until early next year but the intention behind it is commendable. Nonetheless, the ban will have a negative effect on the income of individual farmers as few alternative livelihood programs were put in place."

This year, though, the opium crop is "the most profitable in years," the UN reported in November, with cultivation up by nearly a third and prices soaring because of the looming ban. Sowing of the 2023 crop was supposed to be done by November, and it is unclear how much uncertainty about how the ban will be enforced has affected the sowing of the crop. The answer will come in the spring when it is harvest time for the poppy crop.

2. Colombia Elects a Former Guerrilla Drug War Critic as President

In an election that has overturned a decades-long status quo in Colombian politics and threatens to upend US-Colombia relations, former leftist guerrilla and Bogota Mayor Gustavo Petro won the presidency in June. He beat his competitor, Trumpian businessman Rodolfo Hernández, by a margin of 50.44% to 47.03%.

Petro is a harsh critic of the US-imposed war on drugs, which he says has cost a million Latin American lives even as the US has spent $20 billion since the days of Plan Colombia to wage a drug war entwined with a vicious counterinsurgency. That spending may have helped drive the leftist guerrillas of the FARC to the negotiating table -- a peace accord was signed in 2016 -- but it has not stopped the coca and cocaine trade, which is now undergoing a boom.

After Petro's election, but before he took office in August, a truth commission appointed as part of the 2016 peace accords called for the government to quit focusing on suppressing illicit drugs and instead take the global lead in moving to "strict legal regulation" of those substances. It recommended a new approach to illicit drug production that focuses more on sustainable development and less on the eradication of coca. The commission's recommendations are non-binding, but Petro has said he will follow them.

Petro has been in office for less than six months, but he already held a first assembly of coca growers and called for a regional assembly to discuss hemispheric drug policy. He has also angered the US by vowing not to extradite drug traffickers, and threatening to move toward cocaine decriminalizationand ban the spraying of coca fields with herbicides.

Cocaine decriminalization is not happening yet, but marijuana legalization is. A legalization bill has passed the House and Senate, clearing the way for final votes early next year. Look for Colombia to continue to steer a course away from drug war orthodoxy as the Petro presidency continues.

3. Duterte Leaves Office but His Philippine Drug War Legacy Lingers

Filipino President Rodrigo Duterte became ex-president Duterte in June, having finished his six-year term and leaving a legacy of bloody drug war killings. The Philippines National Police have officially admitted killing more than 6,200, but human rights groups put the total toll of dead in Duterte's drug war at around 30,000, with many killed by shadowy vigilantes.

The widespread drug killings under Duterte were condemned by Western governments and human rights groups and sparked an investigation by the International Criminal Court as a possible crime against humanity.

Duterte's successor, President Ferdinand "Bongbong" Marcos Jr., the son of the deposed former dictator, is attempting to portray his own drug policies as distinct from Duterte's lethal efforts, but he's made clear that he is not planning to undertake a policy change, his claim to focus on rehabilitation has yet to substantially materialize, and the government's few current "drug rehabilitation" programs are involuntary, coercive, and expose drug users to further stigma.

And Philippines police are continuing to kill people in the name of fighting drugs, albeit at a lower level than during the Duterte era. In November, police tried to claim the death toll was "very minimal," saying only 46 people had been killed since June 30, when Marcos took office. But the government's habit of lying, obstructing, and obfuscating, so well developed under Duterte, appears to remain intact under Marcos. An independent estimate from the University of the Philippines Third World Studies Center put the actual number of people killed in drug war incidents at 127, nearly three times the police number.

4. Mexico's Drug War Continues Unabated

Four years into his six-year term, President Andres Manuel Lopez Obrador (AMLO) is having no more luck with his "kisses not bullets" approach to his country's violent drug trafficking organizations than his predecessors did with their various efforts to rein in the so-called cartels. After four years of AMLO, the country has seen 140,000 murders, most of them committed by the cartels. That is a 61 percent increase over the same four-year period under his immediate predecessor, Enrique Pena Nieto.

AMLO has also scrapped the Federal Police, replacing them with the National Guard, which he wants to fold into the armed forces. In a worrying sign, the military is now shouldering more and more of the overall responsibility for dealing with violent.

And it is not working. The competing cartels periodically take a respite from trying to kill each other and go to work terrorizing the state and its agents, as was the case in August and September, when the cartels and allied gangs rampaged across four states, shutting down roads and businesses, burning vehicles and businesses, and attacking police and troops, including a stunning series of attacks in Tijuana.

Meanwhile, the cartels continue to work away assiduously at their main enterprise: exporting massive amounts of methamphetamine and fentanyl into the United States.

5. Canada's British Columbia Wins Approval for Drug Decriminalization

Faced with an intractable drug overdose problem, British Columbia, long a leader in progressive approaches to drug policy, in October 2021 requested an exemption from the federal Controlled Drugs and Substances Act to allow it to decriminalize the possession of small amounts of drugs such as cocaine, heroin, and methamphetamine. Health Canada granted that exemption in June 2022.

The new measure goes into effect on January 31, 2023 and will extend three years to January 31, 2026. Under the decrim plan, possession of up to 2.5 grams of those drugs (cumulatively) will not result in arrest or confiscation of the drugs. While decriminalization is a first in Canada, activists in Vancouver and throughout the province are critical of the low weight limits and of the fact that minors will continue to be arrested regardless of the weight of the drugs they are carrying.

British Columbia's pending drug decriminalization will be first for Canada, but it's not the first in North America. Mexico decriminalized drug possession in 2009 and Oregon voters decriminalized drug possession in 2020.

6. Saudi Arabia Resumes Death Penalty for Drug Offenses

After halting executions of drug offenders in January 2020, Saudi Arabia suddenly and without warning resumed them on November 10. Two weeks later, it announced that 20 men had been executed for drug offenses. Dozens of people remain on death row for drug offenses and face imminent execution.On November 22, the Office of the United Nations High Commissioner for Human Rights urged the Saudi government to halt the imminent execution of one drug prisoner and called on the Saudi authorities to adopt an official moratorium on executions for drug-related offenses, commute death sentences for drug-related offences, and guarantee the right to a fair trial for all defendants, including those accused of committing such crimes, in line with the law and its international obligations.

Nearly three dozen NGOS led by the European Saudi Organization for Human Rights, Harm Reduction International, and the World Coalition Against the Death Penalty have called on the International Narcotics Control Board and the United Nations Office on Drugs and Crime to act on urgent measures in response to the series of drug-related executions carried out by the Kingdom of Saudi Arabia since November 10.

Globally, 146 countries, including 20 member states of the Organization of Islamic Cooperation, have abolished the death penalty. The United Nations does not consider drug offenses to be among the most "serious" crimes that would warrant the death penalty, and resort to the death penalty for such offenses contradicts the standards of the United Nations Office on Drugs and Crime and the International Narcotics Control Board.

7. Pakistan Moves to End Death Penalty for Drug Offenses

At year's end, Pakistan's lower house, the National Assembly, passed the Control of Narcotic Substances Amendment Bill 2022, which abolishes the death sentence for drug dealing and converts it into a life sentence. The bill comes as the country has seen a spate of executions for different sorts of offenses since 2014, when it lifted a six-year moratorium on the death penalty in the wake of a terrorist attack on an army school that left 132 children dead.

The vote came just weeks after Saudi Arabia's execution of three Pakistani nationals when it suddenly resumed drug executions in November.

Earlier in the year, the Senate Standing Committee on Anti-Narcotics approved keeping the death penalty for certain trafficking offenses, but in September, President Arif Alvia approved the amendment allowing for life sentences instead.

8. Russia Weaponizes Its Draconian Drug Laws to Turn American Athlete Brittney Griner into a New Cold War Political Pawn

Russia has long used its draconian drug laws against its own citizens, including dissidents, but this year the Kremlin was able to deploy them as a means of pressuring the United States when Russian customs officials arrested American women's basketball star on drug trafficking charges as she entered the country to play off-season pro ball a week before Russian troops invaded Ukraine.

Russia has theoretically adopted the decriminalization of small-scale drug possession, but officers commonly find just enough of a drug to file criminal charges, as was the case with Griner. Although Griner was found with vape cartridges containing less than a gram of medically-recommended cannabis oil, she was charged not with drug possession but with smuggling "a significant amount" of proscribed drugs, a crime that carries a prison sentence of up to ten years.

She was duly convicted in a Russian court and sentenced to 9 ½ years in a Russian prison, creating an embarrassment and distraction for the Biden administration, which faced mounting pressure to win her release. After months of behind-the-scenes negotiations, a prisoner swap was announced, and Griner was released in December in exchange for convicted Russian arms dealer Viktor Bout, who had been sentenced to a minimum of 25 years in prison in 2011 (after already serving three years in pretrial detention).

9. European Countries Move Down Path to Marijuana Legalization

Late last year, Malta became the first European country to legalize marijuana, and this year, several other countries have been taking steps along the same path. In June, Luxembourg move to enact marijuana reforms, although it has retreated from "legalization" to "regulation," and is proposing the decriminalization of up to three grams of marijuana and allowing the cultivation of up to four plants at home. The government had originally proposed full-blown commercial legalization back in 2018 and says that still remains its goal.

In October, Germany unveiled its marijuana legalization plan. The health ministry rolled out a plan that includes the decriminalization of the possession of up to 30 grams of marijuana as well as allowing for the sale of marijuana to adults in a regulated marketplace. The German government will also consult with the European Union's executive commission to ensure that the legalization plan complies with EU laws and will move forward "on this basis" only if the EU approves.

And in November, the Czech Republic began drafting a marijuana legalization bill. The country has already legalized medical marijuana and decriminalized the possession of up to 10 grams of marijuana for adult use, but the country's center-right governing coalition has now begun the process of a drafting a full marijuana legalization bill. The issue was pushed by the Czech Pirate Party, the smallest member of the governing coalition, which said legalization would "make the Czech Republic a freer country" and "bring billions into public budgets."

10. Thailand Kind of, Sort of Legalizes Marijuana

In June, the Thai government removed marijuana from the country's narcotics list, allowing people to grow all the weed they want and freeing more than 3,000 marijuana prisoners. But the law only legalizes marijuana extracts containing less than 0.2 percent THC, meaning that while people can grow all the plants they want, consuming what they produce will remain technically illegal, as is the case with sales now.

But that has not stopped the use and sale of full-potency marijuana. What began as a flowering of edibles and tinctures shops in June has now morphed into a full-blown recreational marijuana scene, with thousands of dispensaries of dubious legality and the government impotently warning a tide of marijuana tourists they are not welcome.

The government's marijuana moves have been confusing and controversial, and the government is attempting to bring some order to the situation with a 95-article Marijuana Bill that seeks to regulate gray areas around cultivation, consumption, and sales. That bill is expected to be passed before the country's next general in May.

Bipartisan Group of Lawmakers Call on Biden to Deschedule Marijuana, Belize Coca Bust, More... (12/23/22)

There's a big payout for a Georgia woman falsely arrested on cocaine charges, British police chiefs call for drug decriminalization, and more.

Coca, traditionally grown only in the Andes, is popping up in Central America and Mexico. (DEA)
Marijuana Policy

Bipartisan Group of Lawmakers Urge Biden to Deschedule Marijuana. After marijuana reforms failed to pass as the current Congress winds down, a bipartisan group of 24 lawmakers called on President Biden to "recognize the merits of full descheduling" of marijuana. Despite the spread of marijuana and marijuana legalization in the states, marijuana remains a Schedule I substance under the Controlled Substances Act, in the same schedule as heroin and LSD. They reminded Biden that he had launched the first formal review of marijuana scheduling back in October, which they called "a crucial and laudable step," but they called for more action.

"Marijuana does not belong in Schedule I of the Controlled Substances Act, a classification intended for exceptionally dangerous substances with high potential for abuse and no medical use," the lawmakers wrote. "The decision to schedule marijuana was rooted in stigma rather than an evidence-based process, and it is time to fully remedy this wrong. While Congress works to send you a comprehensive legalization bill, the administration should recognize the merits of full descheduling." The signatories were 20 Democrats, including Sens. Elizabeth Warren (D-MA) Cory Booker (D-NJ) and Jeff Merkley (D-OR), and four Republicans.

Law Enforcement

Federal Jury Awards Georgia Woman $1 Million After Wrongful Cocaine Arrests, Extended Jail Stay. A federal jury in Atlanta has awarded a Georgia woman $1 million in damages after an Atlanta police officer falsely accused her of drug possession and she was jailed for months -- even after testing showed she did not possess cocaine. The officer stopped her on the street for jaywalking and falsely accused her of hiding cocaine inside an exercise ball. She spent a month in jail before the Georgia Bureau of Investigation completed an analysis that found the substance in question was not cocaine and then inexplicably spent another four months in jail before being released. The arresting officer was initially ordered to pay the damages and his pay began to be garnished, but Atlanta Mayor Andre Dickens has since said the city will take responsibility for the costs.

International

Belize Armed Forces Destroy More Than 100,000 Coca Plants. The Belize Defense Force, the Coast Guard, and the national Police Department destroyed more than 100,000 coca plants in a joint raid southwest of Graham Creek Village this week. No arrests were made, and the plants were burned. Coca has traditionally been cultivated only in the Andes, but in recent years, the international criminal organizations that run the traffic have experimented with coca plantations in Guatemala, Honduras, and Mexico, as well as Belize.

British Police Chiefs Call for Decriminalization of First-Time Drug Offenses. The National Police Chiefs' Council and the College of Policing are calling for the decriminalization of first-time drug possession offenses, with the use and possession of drugs by first-offenders treated as a public health -- not a law enforcement -- matter. Under the plan, people caught with illegal drugs would be offered drug education or treatment programs, but those who do not comply or complete the programs would be subject to criminal prosecution. Police in 14 of the country's 43 police forces have already adopted similar policies, but the plan is opposed by the Conservative government, which has been floating proposals to stiffen drug penalties, including for marijuana.

This Year's Top Ten Domestic Drug Policy Stories [FEATURE]

The good, the bad, and the ugly in US domestic drug policy this year.

Drug overdoses hit a record high in 2022, but may have peaked. (Creative Commons)
1. Overdose Deaths Appear to Have Peaked but Are Still at Horrid Levels

According to Provisional Drug Overdose Death Counts released by the Centers for Disease Control and Prevention (CDC) in December, the nation's fatal drug overdose epidemic has peaked. After reaching a record high of more than 110,000 fatal overdoses in the 12-month period ending in March, that number declined to 107,735 in the 12-month period ending in July, the last month for which data is available. That is a two percent decline from the March high.

While the decline is welcome, drug overdose numbers are still 25 percent higher than they were two years ago and double what they were five years ago. According to the CDC, synthetic opioids, mainly fentanyl, were implicated in more than two-thirds of overdose deaths and stimulants such as methamphetamine and cocaine were involved in nearly one-third. But some fraction of stimulant-implicated overdose deaths are not caused by the stimulants themselves but by stimulant users being exposed to drugs cut with fentanyl.

2. Neither Marijuana Legalization nor Banking Access Pass Congress

Senate Majority Leader Chuck Schumer (D-NY) vowed to make passage of a marijuana legalization bill a priority in this Congress, but it didn't happen. While the House passed a legalization bill, the Marijuana Opportunity Reinvestment and Expungement (MORE) Act (HR 3617) in April, Schumer and congressional allies didn't even roll out a draft version of their Cannabis Administration and Opportunity Act until this July -- 18 months after this Congress began -- and it never exhibited enough bipartisan support to go anywhere in the evenly divided Senate.

Schumer and his Senate allies also repeatedly blocked efforts to get a bill to allow state-legal marijuana businesses access to financial services through the Senate. The Secure and Fair Enforcement (SAFE) Banking Act (HR 1996) passed the House in April, and Senate allies tried repeatedly to attach it as an amendment to various spending bills, only to be stymied by Schumer and his holdouts for full-blown legalization. At year's end, though, while Schumer was finally ready to move forward with it, Senate Minority Leader Mitch McConnell (R-KY) came out in opposition, helping to scuttle one last effort to tie it to a defense appropriations bill.

3. With Biden's Signature, A Standalone Marijuana Reform Bill Becomes Law for The First Time Ever

For the first time ever, Congress passed and in December the president signed into law a stand-alone marijuana reform bill, the bipartisan Medical Marijuana and Cannabidiol Research Expansion Act (HR 8454). Some marijuana reform measures have been passed before, but only as part of much broader appropriations bills. The aim of the bill is to facilitate research on marijuana and its potential health benefits. The bill will accomplish this by streamlining the application process for scientific marijuana studies and removing existing barriers for research by allowing both private companies and research universities to seek DEA licenses to grow their own marijuana for research purposes.

4. Three More States Legalize Marijuana

In May, Rhode Island became the 19th state to legalize marijuana when the General Assembly passed and Gov. Dan McKee signed into law the Rhode Island Cannabis Act. Sales to any adult over 21 at medical marijuana dispensaries that acquired "hybrid retail licenses" began in December.

And in November, voters in Maryland and Missouri approved marijuana legalization initiatives. Maryland's Question 4 came not from the people but from the legislature and amends the state constitution and mandates that the General Assembly "shall provide for the use, distribution, possession, regulation and taxation of cannabis within the state." Missouri's Amendment 3 overcame multi-sided opposition not only from the usual suspects in law enforcement and the political establishment but also from civil rights groups and marijuana industry insiders to eke out a narrow victory. As of December 8, possession of up to three ounces by adults is no longer a crime, but sales to adults will not begin until next year.

But there were also losses at the ballot box this year. The Arkansas Adult Use Cannabis Amendment garnered only 43.8 percent of the vote, while North Dakota's Initiated Statutory Measure No. 1 managed only 45.1 percent, and South Dakota's Initiated Measure 27 came up short with only 46.6 percent of the vote. The South Dakota defeat was especially bitter, given that just two years ago, voters there approved a broader marijuana legalization initiative with 54 percent of the vote only to see it invalidated by the state Supreme Court.

5. The Year of Fentanyl Test Strip Decriminalization

Fentanyl test strips, which detect the presence of the powerful synthetic opioid in all different kinds of drugs (cocaine, heroin, methamphetamine, etc.) and formulations (pills, powders, and injectables) are recognized by the Centers for Disease Control and Prevention as a valuable harm reduction strategy and are increasingly seen by the states as a crucial tool in the fight to reduce drug overdose deaths. When the Biden White House first endorsed their use in 2021, they were considered illegal drug paraphernalia in a majority of states.

Not anymore. As of the end of 2022, 31 states have now legalized or decriminalized fentanyl test strips, with Alabama, Georgia, New Mexico, Tennessee, and Wisconsin doing so this year alone. But that leaves 19 states, mostly in the South and including Florida and Texas where they remain banned.

6. Colorado Becomes Second State to Approve Natural Psychedelic Reforms

Three years after voters in Denver opened the door to psychedelic reform by approving a municipal initiative that made possession of psilocybin mushrooms the lowest law enforcement priority, voters statewide have approved an initiative that decriminalizes plant- and fungi-derived psychedelics and creates a program for the therapeutic administration of such substances. On Election Day, voters approved Proposition 122, the Natural Medicine Health Act, with 53.55 percent of the vote. The victory makes Colorado the second state to enact reforms decriminalizing a natural psychedelic and setting up a program for therapeutic use. Oregon voters led the way on that by approving Measure 109 in 2020.

Proposition 122 has two main prongs: First, it decriminalizes the personal use, possession, and cultivation by people 21 and over of dimethyltryptamine (DMT), ibogaine, mescaline (not derived from peyote), psilocybin, and psilocyn, as well as providing for the sealing of conviction records of people who have completed sentences for the use or possession of those substances. The measure sets no personal possession limits. Second, it creates a "natural medicine services" program for the therapeutic administration of the specified psychedelics and creates a rubric for regulated growth, distribution, and sales of those substances to entities within the program. Only psilocybin and psilocin would be okayed for therapeutic use until 2026. Then regulators could decide on whether to allow the therapeutic use of DMT, ibogaine, and mescaline.

7. Marijuana Social Consumption Lounges Spread

Ever since the first states legalized marijuana a decade ago, one question for users was where to go to smoke their newly legal product. Most states ban smoking outdoors in public or indoors pretty much anywhere except one's home -- and even that can be an issue if your landlord isn't down with it. One solution is allowing places for marijuana users to toke up in a convivial setting, the marijuana social consumption lounge, whether as part of a retail shop or as a standalone business.

Social consumption lounges are now legal in 11 states -- Alaska, California, Colorado, Illinois, Massachusetts, Michigan, Missouri, New Jersey, New Mexico, New York, and Nevada -- although they are not actually up and running yet in some of them. Massachusetts has two lounges now operating; in New Jersey, regulators just approved rules for them; in Nevada, regulators just issued 20 provisional licenses; in New York, they're still waiting for regulators to act; and in California, the state's dozen or so lounges are set to double in number as more localities okay them. Meanwhile, the nation's capital could be next: In the District of Columbia, the city council just approved a bill allowing them.

8. Safe Injection Sites Are Operating in the United States

Safe injection sites, the harm reduction intervention proven to save lives after years of operation in more than a hundred cities in Australia, Canada, and Europe, are finally getting a toehold in the US. New York City's two safe injection sites have just celebrated their first birthdays after opening in late 2021, and in Rhode Island, a two-year pilot program is underway.

But there will be no safe injection sites in California after Gov. Gavin Newsom (D) vetoed a bill that would have allowed pilot programs in major cities across the state. And the fate of a proposed Philadelphia safe injection site -- and the Biden administration's attitude toward them -- remains in doubt. That facility was initially blocked by the Trump Justice Department, and two years later, the Biden Justice Department has yet to substantively respond to lawsuit from the site's would-be operators. Just this month, a federal judge gave DOJ just 30 more days to respond. A positive response would remove the obstacle to further expansion of such sites that fear of federal prosecution brings. Meanwhile, the Congressional Research Service has thoughtfully released a report about other options for getting them up and running, such as passing budget amendments similar to those blocking the Justice Department from interfering in marijuana laws.

9. In DC and New York City, Gray Market Weed Finds a Way

In both the nation's capital and the nation's largest city, unregulated marijuana vendors have popped up to supply pent up demand as both cities endure legalization without legal marijuana sales. In New York City, it's only a matter of time before taxed, licensed, and regulators marijuana retailers are able to open, but in the interregnum between legalization and legal access, the pot scene has gone hog wild with marijuana being sold everywhere -- head shops, bodegas, even from folding tables on street corners -- with one particularly hysterical estimate putting the number at "likely tens of thousands of illicit cannabis businesses." The market isn't waiting for the regulators, and its emergence could undercut the legal businesses waiting in the wings. The city has undertaken limited enforcement efforts, but to little effect so far.

In Washington, DC, a congressional rider barring taxed and regulated marijuana sales has seen something similar, but with a DC twist: a multitude of shops that will "gift" you marijuana when you purchase some other item. The stores call themselves I-71 shops, after the 2014 initiative that legalized marijuana in the city and they even have their own industry association, which estimates there are a hundred or so of them. The city vowed a crackdown in August, but put that on hold the following month.

10. For the First Time, SAMSHA Funds Harm Reduction

In December 2021, the Substance Abuse and Mental Health Services Administration (SAMHSA) announced that it would for the first time ever make grants available to harm reduction groups to "help increase access to a range of community harm reduction services and support harm reduction service providers as they work to help prevent overdose deaths and reduce health risks often associated with drug use." SAMSHA would make available $10 million a year in grants for the next three years.

And this year, the first tranche went out. Some 25 different programs from the Lost Dreams Awakening Center in New Kensington, Pennsylvania, to the Mile High Council on Alcoholism and Drug Abuse in Denver, to the Los Angeles County Health Department got grants this year, almost all of them for $398,960. It's a drop in the bucket compared to federal spending on prohibition -- and compared to harm reduction's full funding needs -- but it's a start.

Pakistan Moves to End Death Penalty for Drugs; IN, TX Pot Polls; More... (12/21/22)

Grenada is moving forward with multiple reforms, two new state polls show strong support for marijuana legalization in Indiana and Texas, and more.

Grenada. The Caribbean island nation is moving on marijuana reforms. (state.gov)
Marijuana Policy

Indiana Poll Has Overwhelming Support for Medical Marijuana, Strong Support for Legalization. A new Indiana Public Broadcasting-Ball State Hoosier Survey has support for medical marijuana at 85 percent, with 56 percent of Hoosiers also supporting marijuana legalization. The state's Republican-controlled legislature has so far fended off any moves toward legalization or even medical marijuana, even as popular support for marijuana reform has been increasing. "Thinking back to past Hoosier Surveys we’ve done, that number has just been creeping up," said Ball StateBowen Centers for Public Affairs Director Chad Kinsella. "So, I think it’s just kind of the floodgates are opening at this point."

Texas Poll Has Majority Support for Marijuana Legalization. A new University of Texas/Texas Politics Project poll finds support for marijuana legalization at 55 percent, support for decriminalization at 72 percent, and support for medical marijuana at 83 percent. Democrats and independents supported both decriminalization and legalization, but among Republicans, who control the state legislature, only 41 percent favored legalization.

International

Grenada to Move to Legalize Medical Marijuana. Minister for Agriculture and Lands Sen. Adrian Thomas announced Tuesday that the Grenadian government intends to present legislation to legalize medical marijuana by next December. "In January we will be opening a secretariat so that the necessary work can be done," said Thomas, who is also Leader of Government Business in the Upper House. "There will be extensive consultation with the general public, involving education programs, because our people must understand what this industry is all about. We want them to be part of it. In 12 months' times, the necessary legislation will be put in place and we will be ready to cultivate and process the necessary products from the cannabis," he said. In September, the government named a 12-member Commission on Cannabis Legalization and Regulation, whose task includes holding broad-based consultations and engage in public awareness on the policy decision to legalize cannabis within a legal and regulatory framework. Parliament is also currently considering whether to decriminalize the possession of up to an ounce for people 18 and over, as well as allowing the home cultivation of up to five plants.

Pakistan National Assembly Votes to Abolish Death Penalty for Drug Offenses. The National Assembly approved the Control of Narcotics Substance Amendment Bill 2022 on Tuesday, abolishing the death penalty for people involved in drug dealing and replacing it with life imprisonment. The vote came after Law and Justice Minister Azam Nazeer Tarar told members that the death penalty under the Control of Narcotics Substance Act was used in an inappropriate manner, adding that it was a violation of basic human rights.

AG Garland Moves to End Cocaine Sentencing Disparities, BC Decriminalization Granted, More... (12/19/22)

Kansas City, Missouri, dismisses open marijuana cases, Colombia Congress advances marijuana legalization bill, more...

Attorney General Merrick Garland (DOJ)
Marijuana Policy

Tennessee Lawmaker Will File Marijuana Legalization Bill. State Sen. Heidi Campbell (D-Nashville) said last Friday she plans to cosponsor a marijuana legalization bill with Rep. Bob Freeman (D-West Nashville) in the coming session. Previous attempts at passage of such a bill have come up short, but Campbell is ready to try again: "We're filing a full legalization bill," Campbell said. "We are in the process of modifying our last bill and haven't filed it yet."

Kansas City Dismisses Hundreds of Marijuana Cases Following Statewide Legalization Vote. Municipal court workers in the Missouri city have "dismissed over 500" open marijuana cases since statewide marijuana legalization took effect on December 8. Voters statewide approved legalization in the November election. City officials depenalized pot possession in 2020 and had already dismissed over 2,400 marijuana cases. They now report no remaining open marijuana misdemeanor cases in the city.

Opiates and Opioids

Senate Passes END FENTANYL Act in Bid to Reduce Drug Smuggling. The Senate last Thursday passed SB 4460, the "Eradicating Narcotic Drugs and Formulating Effective New Tools to Address National Yearly Losses of Life (END FENTANYL) Act." This legislation would require the Commissioner of US Customs and Border Protection (CBP) to update agency policies at least once every three years, and require the Commissioner of CBP to review and update the Office of Field Operations' policies and handbooks at least once every three years. It would also require the Commissioner to report to the Committee on Homeland Security and Governmental Affairs of the Senate and the Committee on Homeland Security of the House of Representatives about the changes.

Sentencing Policy

US Attorney General Moves to End Crack/Powder Cocaine Sentencing Disparities. In a memo to federal prosecutors last Friday, Attorney General Merrick Garland instructed them to file charges that avoid mandatory minimum sentences that are triggered by small amounts of crack cocaine in small-time, nonviolent cases. For decades, crack has been treated more harshly in federal sentencing even though there is no scientific basis for it, and that has led to "unwarranted racial disparities," Garland wrote. "They are two forms of the same drug, with powder readily convertible into crack cocaine."

But Garland's move could last only as long a his tenure in office. To permanently end sentencing disparities between the two forms of the drug, Congress would have to act. The House passed such a bill last year, and there are still hopes that the Senate will pass its version of the bill, S.2156, as part of an omnibus appropriations bill before the current session ends.

International

British Columbia Drug Decriminalization to Last for Three Years. The decriminalization of the possession of up to 2.5 grams of drugs such as heroin, methamphetamine, an cocaine in the Canadian province, which was granted by the federal government as an emergency measure in the face of an overdose epidemic, has now been set to begin on January 31, 2023, and will be extended until January 31, 2026. The BC Coroners Service reports 1,827 fatal drug overdoses so far this year.

Colombia House and Senate Agree on Marijuana Legalization Bill. The Chamber of Representatives and the Senate have both voted to reconcile their differing versions of a marijuana legalization bill, clearing the way for final votes to come early in the new year. The bill must again pass both chambers because it is a constitutional amendment, and a key Senate sponsor of the bill says it should be formally enacted by June. In final negotiations, lawmakers agreed to limit marijuana consumption and marketing in public spaces and near school zones. They also agreed to have the law go into effect 12 months after final passage.

RI Recreational Marijuana Sales Begin, Berkeley Could Decriminallize LSD, More... (12/1/22)

A global coalition is calling on UN drug bureaucracies to condemn the sudden resumption of drug executions in Saudi Arabia, a new Gallup poll has continuing high support for marijuana legalization, and more.

Legal pot sales for adults have begun in Rhode Island. (Sondra Yruel/DPA)
Marijuana Policy

Gallup Poll Finds Support for Marijuana Legalization Steady at 68 Percent. A new Gallup poll finds that support for marijuana legalization remains at a record high 68 percent for the third year in a row. It's a remarkable evolution in public opinion over the past half-century, with support at a measly 12 percent in 1969, rising to 31 percent in 2000, and achieving majority support in 2013. In every Gallup poll since 2016, at least 60 percent have supported legalization.

Rhode Island Recreational Marijuana Sales Have Begun. As of today, five existing medical marijuana dispensaries are now "hybrid" stores, selling recreational as well a medical marijuana. The first sale was shortly after 5 a.m., when Mother Earth Wellness in Pawtucket opened its doors.

Harm Reduction

Ohio House Approves Fentanyl Test Strip Decriminalization Bill. The House on Wednesday approved a bill to try to reduce drug overdose deaths by decriminalizing the possession of fentanyl test strips, House Bill 456. Ohio saw 5,204 people die of drug overdoses in 2020, 81 percent of them involving fentanyl. Similar legislation has been filed in the Senate.

Psychedelics

Berkeley Health Commissioners Recommend Decriminalization of Use of Hallucinogens, Including LSD. The Bay area city's health commissioners voted unanimously Tuesday night to recommend that the city council decriminalize the use of psychedelics, and they did not limit themselves to natural psychedelics, explicitly embracing the decriminalization of LSD as well. The city is now in line to become the first to decriminalize LSD if the city council approves it. Fifteen cities across the country have decriminalized natural psychedelics, but those measures excluded synthetic psychedelics such as LSD.

International

Global Coalition Calls on International Bodies to Condemn Saudi Arabia Drug Executions. The European Saudi Organization for Human Rights, Harm Reduction International, and the World Coalition Against the Death Penalty along with 32 other NGOs have called on the International Narcotics Control Board and the United Nations Office on Drugs and Crime to act on urgent measures in response to the series of drug-related executions carried out by the Kingdom. Saudi Arabia since November 10, 2022. The groups called on both organisms to seek confirmation from the Saudi government of the status of dozens of people on death row and at imminent risk of execution and to demand that the Saudi government immediately halt all drug-related executions. The Saudi government had halted drug executions in January 2020, but suddenly and without warning resumed them on November 10 and announced 20 such executions on November 24. 

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