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OTC Narcan Now Available at Major Pharmacies, VA Marijuana "Sharing" and "Gifting" Shops Pop Up, More... (9/6/23)

A majority of Floridians are ready to legalize weed, the British government moves to criminalize laughing gas, and more.

The British government is making laughing gas an illegal Class C substance. No more whippets for you Brits! (Creative Commons)
Marijuana Policy

Florida Poll Has Three Out of Five for Marijuana Legalization. A new poll from the University of South Florida and Florida Atlantic University has support for marijuana legalization at 60 percent. That includes 71 percent of Democrats, 59 percent of independents, and 50 percent of Republicans.

The poll comes as Floridians await a decision from the state Supreme Court on whether it will allow a marijuana legalization initiative from Smart & Safe Florida to appear on the ballot next year. The group has already met signature-gathering requirements.

The poll had even stronger support for medical marijuana, with 83 percent overall supporting it, including 87 percent of Democrats, 84 percent of independents, and 78 percent of Republicans.

Sixty percent support is precisely the amount needed for the initiative—a constitutional amendment—to pass at the polls. Given that initiative campaigners commonly seek a 10 percent cushion to be comfortable about their measure's prospects, Smart & Safe Florida is not yet in that comfort zone and needs another 10 percent increase in support to get there.

Virginia Shops Are "Sharing" and "Gifting" Marijuana Amid State's Lack of Legal Sales Mechanism. State Attorney General Jason Miyares has opined that shops "gifting" or "sharing" marijuana with customers are illegal, but they are proliferating anyway as the state grapples with marijuana legalization without a means of legal sales. Some of the stores "gift" marijuana to customers when they buy some other item from the shop, while others act like co-ops or clubs where members "share" marijuana with new members who either buy something or pay for membership.

Teresa Green and a partner own Good Vibes, which has nine shops in the region. She concedes that "gifting" marijuana is illegal but said her stores don't do that. Instead, she calls them "adult share stores," but when asked exactly how that work, she responded: "That’s as clear as I can get with it." She also said she was aware of the attorney general's opinion, but "anyone can have an opinion."

Police and prosecutors in the area are doing little about it and feeling frustrated. "There are so many gray areas that it’s just become impossible to enforce," said Greg Habeeb, a former Republican state delegate from Salem, president of Roanoke-based Gentry Locke Consulting, and representative of the Virginia Cannabis Association Habeeb. "So, a lot of law enforcement just aren’t enforcing it. They feel like their hands are tied."

"I don’t keep up with the popup marijuana stores and so I really don’t have an opinion, except to say that … it’s the Wild West out there," said longtime Roanoke Commonwealth’s Attorney Donald Caldwell. "To simply legalize marijuana and not have any restraints on it. And so, I think God knows what’s going on there. I certainly don’t."

Harm Reduction

Over-the-Counter Narcan Goes on Sale This Month at Major Retailers. The opioid overdose reversal drug naloxone is about to become much more widely available. Emergent BioSolutions, the manufacturer of Narcan, the naloxone nasal spray formulation, announced last week that it had shipped hundreds of thousands of the two-spray kits to major retailers.

The life-saving sprays will be available at CVS, RiteAid, Walgreens, and Walmart, but they won't be especially cheap. The suggested retail price is $44.99.

The Food and Drug Administration approved Narcan for over-the-counter use in March as the nation confronts an overdose crisis that killed an estimated 110,000 last year, with synthetic opioids such as fentanyl implicated in two-thirds of those deaths.

Prescription Narcan is already in wide use—carried by police officers and paramedics; stocked in libraries, schools, and vending machines; and distributed on the streets by harm reduction groups.

International

Britain to Make Laughing Gas an Illegal Class C Controlled Substance. The Conservative government has moved against nitrous oxide, popularly known as laughing gas, by announcing that it will become an illegal Class C substance by year's end. Under British drug laws, possession of a Class C substance is punishable by up to two years in jail, while distribution could garner up to 14 years behind bars.

Currently, supplying laughing gas for recreational use is banned, but possession is not.

The government move is counter to the advice of the Advisory Council on the Misuse of Drugs, which said that the ban would be disproportionate to the amount of harm linked to the drug.

"The British people are fed up with yobs abusing drugs in public spaces and leaving behind a disgraceful mess for others to clean up," said Home Secretary Suella Braverman. "Earlier this year the prime minister and I promised a zero-tolerance approach to antisocial behavior and that is what we are delivering. If you are caught using ‘laughing gas’ as a drug, you could be hit with a hefty fine or face jail time," she added.

CO Lawmakers Call for Safe Injection Sites, CA Psychedelic Decrim Bill Heads for Final Vote, More... (9/5/23)

A North Carolina Republican congressman files a bill to punish localities that legalize marijuana, Peruvian Shining Path remnants tied to the cocaine trade clash with Peruvian army troops, and more 

Magic mushrooms and other natural psychedelics would be decriminalized under a California bill that heads for a final vote. (CC)
Marijuana Policy

North Carolina Congressman Files Bill to Punish Legal Weed States. Rep. Chuck Edwards (R-NC) has filed a bill that would punish states or reservations where marijuana is legal by withholding 10 percent of highway funding to them. Edward's Stop Pot Act, filed last Friday, targets jurisdictions "in which the purchase or public possession of marijuana for recreational purposes is lawful."

It was spurred by his ire at the Eastern Band of Cherokee Indians, which will vote on whether to legalize marijuana this week. He argues that such laws are an affront to federal law.

"The laws of any government should not infringe on the overall laws of our nation, and federal funds should not be awarded to jurisdictions that willfully ignore federal law," he said in a press release. "During a time when our communities are seeing unprecedented crime, drug addiction, and mental illness, the Stop Pot Act will help prevent even greater access to drugs and ease the strain placed on our local law enforcement and mental health professionals who are already stretched thin."

The tribe does not think much of Edwards' move. Principal Chief Richard Sneed noted that Edwards is "a non-Indian, elected official telling a sovereign tribal nation how they ought to handle their business" and that he "overstepped his authority."

Psychedelics

California Psychedelic Decriminalization Bill Heads for Assembly Floor Vote. A bill to decriminalize certain plant- and fungi-based psychedelics is heading for a final Assembly floor vote after clearing a final committee vote last Friday. Senate Bill 58 , from Sen. Scott Weiner (D-San Francisco) has already passed the Senate and cleared the Assembly Appropriations Committee on Friday.

The bill would decriminalize plant-based and other natural hallucinogens such as psilocybin, dimethyltryptamine (DMT), ibogaine, and mescaline, but in deference to the Native American Church, not peyote. Police would be unable to charge those in possession of personal use amounts of those substances, which range from two grams for psilocybin to 15 grams for ibogaine. The substances would remain illegal for minors.

The bill is a scaled back version of a bill first filed by Weiner in January 21 that would also have decriminalized synthetic psychedelics, such as ketamine, LSD, and MDMA. And as doubts lingered over whether the bill could pass this year, Weiner amended it to add a provision requiring the California Health and Human Services Agency (CHHSA) to create a workgroup tasked with studying and making recommendations on the establishment of a framework for the therapeutic use of psychedelics.

"I’m particularly excited to see that a vote will be held for decriminalizing psychedelics, an idea whose time has come I," said Weiner."I look forward to working with my colleagues and a wide array of stakeholders to deliver these bills to the governor."

But whether Gov. Gavin Newsom (D) will sign the bill remains an open question.

"The bill does have a good shot of passing the Assembly," said former police officer and current drug counselor Marty Ribera. "But Newsom is the big one. He’s looking to run for president either next year or in 2028, and being the Governor who legalized a bunch of drugs would not be a good look."

Harm Reduction

Colorado Legislative Opioid Study Committee Calls for Safe Injection Sites. Lawmakers last year tried and failed to clear the way for safe injection sites last year, and this year they will be back again. The legislature's opioid study committee has called for a bill to be drafted to allow cities to create "overdose prevention centers" or safe injection sites.

The committee vote followed party lines, with Republicans opposed.

The need is evident. Opioid overdose deaths, most implicating fentanyl, rose 50 percent from 2019 to 2020 and another 27 percent from 2020 to 2021.

Safe injection sites are arguably illegal under federal law, specifically the 1986 Anti-Drug Abuse Act, which forbids the use of premises for illicit drug use—the crack house act. The Trump administration Justice Department sued to block a Philadelphia safe injection site, but the Biden Justice Department is now in negotiations that could clear the way for it to open.

Rhode Island has authorized safe injection sites, but the only locally-authorized sites opened in New York City in late 2021. And now, the US attorney there is making noises calling into question whether they can remain.

International

Peru Clashes Between Military and Shining Path Leave Six Dead. Remnants of the Shining Path, a Maoist insurgency from the 1980s that left tens of thousands dead and has since devolved into players in the coca and cocaine trade, clashed with an army patrol Monday, leaving four soldiers and two Shining Path members dead.

The early morning attack by the rebel traffickers came in the province of Huanta in the Ayacucho region—the historic Shining Path stronghold.

"During the confrontation, the security forces managed to kill two terrorist criminals, who fell with their long-range weapons," the army said in a press release. "Unfortunately, during this action, four brave members of the armed forces died, whose remains will be transferred shortly to the city of Huamanga." The army said three wounded soldiers were also transferred to a nearby hospital.

Peruvian President Dina Boluarte paid tribute to the soldiers shortly afterwards on social media, referring to the Shining Path as "narcoterrorists."

The violence occurred in the Valley of Apurimac, Ene, and Mantaro Rivers (VRAEM), a center of coca cultivation and cocaine production. In 2021, the government estimated that 70 percent of the country's total coca leaf production came from the VRAEM. The VRAEM is also the last outpost of the Shining Path. 

Reform Groups Respond to HHS Marijuana Rescheduling Call, TX Activists Rally at Governor's Mansion, More (8/31/23)

A British parliamentary committee is calling on the government to reinstate festival drug checking, Texas harm reduction activists protest Gov. Greg Abbott's regressive drug policies, and more.

More than a thousand Mexican soldiers are being deployed to the cartel-ridden state of Michoacan. (Creative Commons)
Marijuana Policy

Reform Groups Respond to HHS Recommendation to Reschedule Marijuana. The Department of Health and Human Services' (HHS) announcement that it was formally recommending moving marijuana from Schedule I to Schedule III of the Controlled Substances Act has excited considerable commentary and varied reactions from the reform community. Here, thanks to Marijuana Moment, are the reactions from several groups. For more, as well as reaction from political figures, click on the link above:

NORML Deputy Director Paul Armentano

"The goal of federal cannabis policy reform ought to be to address the existing, untenable chasm between federal marijuana policy and the cannabis laws of the majority of U.S. states," Armentano told Marijuana Moment on Wednesday.

"Rescheduling the cannabis plant to Schedule III of the US Controlled Substances Act fails to adequately address this conflict, as existing state legalization laws—both adult use and medical—will continue to be in conflict with federal regulations, thereby perpetuating the existing divide between state and federal marijuana policies," he said.

US Cannabis Council (USCC) Executive Director Edward Conklin

"The US Cannabis Council enthusiastically welcomes today’s news. President Biden and his Administration recognized that cannabis was wrongly classified as a Schedule I controlled substance, and they are delivering on their promise to change it," Conklin said. "We believe that rescheduling to Schedule III will mark the most significant federal cannabis reform in modern history. President Biden is effectively declaring an end to Nixon’s failed war on cannabis and placing the nation on a trajectory to end prohibition.

"Rescheduling will have a broad range of benefits, including signaling to the criminal justice system that cannabis is a lower priority and providing a crucial economic lifeline to the cannabis industry by lifting the 280E tax burden. State licensed cannabis businesses of all shapes and sizes will benefit from this historic reform," he said. "We urge the DEA to proceed with rescheduling cannabis with all reasonable speed."

Marijuana Policy Project (MPP) Director of State Policies Karen O’Keefe

"We are encouraged by the recommendation made by the Dept. of Health and Human Services for a more sensible and realistic scheduling for cannabis," O’Keefe said. "Given that over half the US population lives in medical cannabis states and millions of Americans are finding relief with cannabis products, it is long past due for the federal government to acknowledge cannabis’ medical value."

"Unfortunately, moving cannabis to Schedule III will still leave many of the harms of federal prohibition in place," she said. "However, today’s news is a step in the right direction and will deliver real benefits, including facilitating increased research and reducing burdens on medical cannabis patients and the businesses that serve them."

Drug Policy Alliance (DPA) and Parabola Center’s Cat Packer

we recognize that a shift to schedule III would be significant in a number of ways," Packer told Marijuana Moment, noting how the reform would remove research barriers and allow marijuana businesses to "make normal business deductions."

However, she said that the rescheduling action "would fall woefully short of the promises made by President Biden during his 2020 presidential election campaign, especially promises made to Black and Brown communities."

"It does not address the underlying criminalization of marijuana, even just for personal use and possession—which President Biden has already acknowledged as a failure that disproportionately impacts Black and Latino communities," Packer said. "If the Biden Administration is seriously committed to ending the Country’s failed approach on marijuana and righting the wrongs of marijuana criminalization including addressing the disproportionate impacts of criminalization on Black and Latino communities, Biden should support decriminalization and a new approach to federal cannabis policy that actually promotes fairness and justice."

National Cannabis Industry Association (NCIA) CEO Aaron Smith

"Moving cannabis to schedule III could have some limited benefit but does nothing to align federal law with the 38 U.S. states which have already effectively regulated cannabis for medical or adult use," Smith said. "The only way to fully resolve the myriad of issues stemming from the federal conflict with state law is to remove cannabis from the Controlled Substances Act and regulate the product in a manner similar to alcohol.""The vast majority of Americans live in states with laws that depart from federal law on this issue and where thousands of regulated Main Street businesses are serving the legal cannabis market safely and responsibly," he said. "It’s long past time for Congress to truly harmonize federal policy with those states."

Harm Reduction

Texas Activists Rally Outside Governor's Mansion to Protest Abbott's Harm Reduction and Overdose Policies. Texas activists marked International Overdose Awareness Day Wednesday by rallying in front of the governor's mansion in downtown Austin to call out Gov. Greg Abbott (R) for his regressive policies around harm reduction and overdose prevention.

The state has seen a 30 percent increase in fentanyl-related overdose deaths from 2021 to 2022, but Abbott has failed to push for measures that could alleviate the crisis, such as House Bill 362, which would have legalized fentanyl test strips. While that bill passed the House, it failed to advance out of the Senate.

Instead of taking up harm reduction and overdose prevention measures, Abbott has urged the legislature to crack down on trafficking, including a February move declaring fentanyl an emergency. He also directed lawmakers to label fentanyl overdoses "poisonings" and prosecute them as murder.

The protest was organized by VOCAL-TX, an activist and harm reduction organization.

International

UK Home Office Urged to Reinstate Festival Drug Checking. The House of Commons Home Affairs Committee issued a report Thursday urging the Home Office to reinstate music festival drug checking, which had been a regular part of the festival scene in recent years until the Tory government suddenly demanded drug checkers be licensed earlier this summer. The Home Affairs Committee report also urged members of Parliament to grant necessary licenses to local authorities to allow drug checking to go forward in a bid to reduce overdoses.

A licensing plan should be in effect by next summer, the report urged. This summer, festival organizers were hit with last-minute notices that they needed licenses only hours before festivals began. Those licenses came with a $3,500 fee and could take months to process.

"Back of house testing has been operating at festivals for a number of years through memorandums of understanding between local stakeholders, including the police and local authorities," the report said. "The primary aim of drug checking is to reduce drug-related harms. This is done through the provision of healthcare advice from medical professionals to the individuals who have submitted samples and/or via the dissemination of health warnings to the wider public— for example, to festival-goers. Countries, such as, the United States, Switzerland, Spain, Portugal, New Zealand, the Netherlands, Italy, Germany, Canada, Austria and Australia have established drug checking services."

But the Tory Home Office is having none of it: "There is no safe way to take illegal drugs, which devastate lives, ruin families and damage communities, and we have no plans to consider this," it said in response to the report. "Our 10-year drugs strategy set out ambitious plans, backed with a record £3 billion funding over three years to tackle the supply of illicit drugs through relentless policing action and building a world-class system of treatment and recovery to turn people’s lives around and prevent crime."

Mexico Deploys 1,200 More Troops to Conflict-Ridden Michoacan. The Mexican government said Monday it sent 1,200 more troops to the cartel-dominated western state of Michoacan after a weekend of violence. State prosecutors said three convenience stores and five trucks and cars had been set afire, a tactic often used by drug cartels in the state to block roads and enforce extortion demands. Prosecutors said three men and three youths aged 16 and 17 were arrested in the attacks.

The soldiers are being deployed to the cities of Apatzingan, Buenavista, and Uruapan. In Buenavista, lime growers and farmers are complaining of extortion by the cartels, and in Apatzingan, cartel extortion has nearly doubled the price of basic goods. Similar conditions a decade ago sparked the rise of civilian vigilante groups, but those have since faded away or been infiltrated by the cartels themselves. 

The National Governors Association Weighs in on Fighting Drug Overdoses [FEATURE]

Faced with an ongoing drug overdose epidemic that may have peaked in recent months but is still killing around 100,000 Americans each year, with fentanyl implicated in the great majority of deaths, the nation's governors are moving to get a grip on the problem. On Tuesday, the National Governors Association (NGA) released a roadmap to help support governors and state officials in developing policy solutions to address unprecedented opioid overdose rates. Titled Implementing Best Practices Across the Continuum of Care to Prevent Overdose, the roadmap outlines concrete solutions across the full spectrum of health services, from the foundations, to prevention, harm reduction, treatment, and recovery.

By limiting their policy prescriptions to health services, the governors avoid tackling the prickly politics of drug prohibition and the role it plays in the overdose crisis. The words "legalization" and "decriminalization" do not appear once in the 79-page report. On the other hand, law enforcement is not mentioned as playing a role in addressing the problem, either.

Developed in coordination with the O'Neill Institute at Georgetown University Law Center, the roadmap is based on the contributions of more than 30 subject matter experts and 20 states and territories -- providing governors with specific, actionable recommendations to prevent overdose across five pillars of the Substance Use Disorder Continuum of Care.

This is not the first time the governors have addressed the topic. In fact, this report can be seen as an update to the NGA's 2016 Roadmap, which covered much of the same territory. The latest iteration, however, reflects the evolving nature of the ongoing drug overdose epidemic and includes strategies specific to the rise of illicitly manufactured fentanyl.

The continued attention is needed. From 2019 to 2021, overdose death rates increased in all 50 states; death rates in 40 states increased by more than 25 percent. The national overdose death rate in 2021 reached 32.4 per 100,000 people, compared to 6.1 in 1999. Overdose deaths among adolescents increased 109 percent from 2019 to 2021, despite low youth substance use rates.

For each of the five pillars -- foundations, prevention, harm reduction, treatment, and recovery -- the NGA roadmap makes specific recommendations:

Foundations

  • Establish a state government coordinating body to set a statewide vision for overdose prevention.
  • Invest in state infrastructure to maximize resources.
  • Seek and include the perspectives and leadership of people with a variety of lived experiences.
  • Invest in evaluation and test new ideas. Promote evidence-based requirements for funded prevention initiatives.
  • Nurture and grow a mental health and substance use workforce that reflects the populations served.

Prevention

  • Champion and invest in initiatives that support family cohesion and well-being.
  • Promote evidence-based requirements for funded prevention initiatives.

Harm Reduction

  • Maximize federal resources and braid funding to promote health and reduce harm for people who use drugs.
  • Implement targeted and low-barrier distribution strategies for overdose reversal agents (ORAs) such as naloxone.
  • Champion changes that allow for the distribution of harm reduction tools.

Treatment

  • Implement and invest in policies and programs that expand Medication for Opioid Use Disorder (MOUD) access beyond the office setting.
  • Implement and invest in evidence-based treatment and access models.
  • Maximize federal funding resources for treatment.
  • Assess state-level policies that restrict access.
  • Make all MOUD treatment forms available to those involved in the criminal legal system.

Recovery

  • Foster communities that support recovery.
  • Champion changes to policies to establish recovery residence standards.
  • Invest in small businesses and community-based organizations led by and employing people with lived experience who represent the communities they serve.

The roadmap goes into gritty, granular detail on each of these recommendations and policy-makers and advocates alike would be well advised to dig deeper. Overall, the NGA provides a progressive, evidence-based approach to dealing with drug overdoses. There is much to apply here.

Ramaswamy Talks Drug Decriminalization, SD 2024 Legal Pot Initiative Coming, More... (8/15/23)

The National Governors Association has a plan for dealing with drug overdoses, Peru and the US have renewed an agreement to force down drug smuggling aircraft, and more.

GOP presidential contender Vivek Ramaswamy breaks with Republican orthodoxy on drug policy. (CC -- Gage Skidmore)
Marijuana Policy

South Dakota Activists to Try Again with 2024 Marijuana Legalization Initiative. Local activists are hoping the third time is the charm when it comes to legalizing marijuana possession in the state. A 2020 legalization initiative was approved by voters only to be shot down by a state Supreme Court acting at the behest of Gov. Kristi Noem (R) and her political allies, and a 2022 legalization initiative was narrowly defeated at the polls.

Now, South Dakotans for Better Marijuana Laws has filed initial papers for a 2024 legalization initiative. This measure would legalize the possession of up to two ounces by people 21 and over and allow for the home cultivation of up to six plants. The initial draft contains no mention of taxed and regulated marijuana commerce.

The public now has until August 21 to comment on the draft. Once state authorities have okayed petitions for circulation, supporters will need 17,509 valid voter signatures by May 7, 2024 to qualify for the 2024 ballot.

Drug Policy

National Governors Association Releases Roadmap for Tackling Drug Overdose Epidemic. The National Governors Association (NGA) released a roadmap to help support Governors and state officials in developing policy solutions to address unprecedented opioid overdose rates. Titled Implementing Best Practices Across the Continuum of Care to Prevent Overdose, the roadmap outlines concrete solutions across the full spectrum of health services: foundations, prevention, harm reduction, treatment, and recovery.

Developed in coordination with the O'Neill Institute at Georgetown University Law Center, the roadmap is based on the contributions of more than 30 subject matter experts and 20 states and territories -- providing Governors with 17 specific, actionable recommendations to prevent overdose across five pillars of the Substance Use Disorder Continuum of Care.

An update to NGA's 2016 roadmap, the new publication reflects the evolving nature of the ongoing drug overdose epidemic and includes strategies specific to the rise of illicitly manufactured fentanyl. The roadmap highlights 10 states' initiatives that exemplify best practices and innovative strategies in overdose prevention.

Vivek Ramaswamy Breaks with GOP Pack on Drug Decriminalization. Republican presidential nomination contender Vivek Ramaswamy is creating some space in a crowded field by edging away from the Republican consensus on a hardline drug policy. While on the campaign trail, he has frequently addressed issues around the war on drugs and the toll of fentanyl overdose deaths.

"You don't hear me talk about the war on drugs. I'm not a war on drugs person," Ramaswamy said while appearing at an event in New Hampshire in June. "I am probably the only person in the modern history" of the party to talk about "off ramps" for people trying to get off drugs, including the use of "psychedelics, from ayahuasca to ketamine," he said.

"I'm eyes wide open and willing to be bold in crossing boundaries we haven't yet crossed to address the demand side of this as well," Ramaswamy said. "I think in the long run, and I'm talking about over a long run period of time, decriminalization, serially, is an important part of the long run solution here… That's gotta be part of the solution," he later added.

Similarly, last month, he said that rather than being "a war on drugs guy," he was "actually a path to legalization guy for a lot of different drugs, and a path to reasonable decriminalization. Many veterans are dying of fentanyl. I think fewer would be dying if there was access to ayahuasca, if there was access, legal access, to psychedelics more broadly. We can talk about, we can have a reasonable conversation about ketamine and others. So, I'm in that direction," he said.

He also argued that marijuana should be decriminalized now. "We got to catch up with the times. It's not a popular position in the Republican Party, but I'd just, again, I guess I'm going to speak the truth. Whether you vote for me or not is your choice. I think the time has come to decriminalize it," he said.

International

Peru, US Revive Air Security Agreement to Combat Drug Trafficking. The government of President Dina Boluarte has announced an air security agreement with the US that aims to prevent drug smuggling aircraft from entering Peruvian airspace. The agreement revives a bilateral security agreement with the US that was ended 20 years ago after Peruvian fighter jets downed a civilian aircraft with American missionaries aboard, killing one missionary and her infant daughter.

It will different this time, said Peruvian Defense Minister Jorge Chaves, who emphasized that any interdictions of aircraft under the agreement will be carried out through nonlethal means.

"With this, Peru will be able to exercise and use non-lethal air interdiction. Drug gangs and cartels are notified," said Alberto Otárola Peñaranda, President of the Council of Ministers. "The country will start an intense fight against the entry of illegal planes that violate our sky. We will act without contemplation to intercept them," he stressed.

Swiss Court Rules That Small Amounts of Drugs Should No Longer Be Confiscated. The Federal Tribunal, the country's highest court, ruled recently that people caught with "small amounts" of illicit drugs should be able to keep them. The decision came in a marijuana case, but is likely to also be applied to other drugs, such as cocaine, according to Swiss legal experts.

It is unclear, however, what "small amounts" means for different drugs. And it is important that the different cantons develop coordinated definitions and approaches since they are the government units that will implement the changes.

(This article was prepared by StoptheDrugWar.org's 501(c)(4) lobbying nonprofit, the Drug Reform Coordination Network, which also pays the cost of maintaining this website. DRCNet Foundation takes no positions on candidates for public office, in compliance with section 501(c)(3) of the Internal Revenue Code and does not pay for reporting that could be interpreted or misinterpreted as doing so.)

FDA Approves Second OTC Nasal Naloxone Spray, Singapore Hangs Another Drug Offender, More... (7/28/23)

GOP senator files bill mandating social media cooperation with law enforcement against drug trafficking, bipartisan senators file bill to ease access to fentanyl test strips, and more.

RiVive naloxone nasal spray has been approved by the FDA. (Harm Reduction Therapeutics)
Drug Policy

Rick Scott Files Social Media Act to Combat Online Drug Sales. Sen. Rick Scott (R-FL) on Friday introduced the Stopping Online Confusion for Investigative Agencies and Law Enforcement by Maintaining Evidence Determined Interparty Arrangements (SOCIAL MEDIA) Act to combat the sale of fentanyl and other illicit drugs on social media platforms. The SOCIAL MEDIA Act will allow for better law enforcement coordination in criminal cases with social media platforms by requiring 24/7 staffed-in-the-USA call centers for fielding information requests with clear guidelines for agencies to best expedite the process. This bill will promote enhanced data collection, transparency in the data collected, and uniformity in data presented to better compare platform to platform on their efforts to combat illegal drug sales.

The SOCIAL MEDIA Act fhas been endorsed by the National Sheriffs' Association, the Partnership for Safe Medicine and the Major County Sheriffs of America.

Harm Reduction

FDA Approves Second Over-the-Counter Naloxone Nasal Spray Product. The Food and Drug Administration (FDA) on Friday approved RiVive, 3 milligram (mg) naloxone hydrochloride nasal spray for over the counter (OTC), nonprescription use for the emergency treatment of known or suspected opioid overdose. This is the second nonprescription naloxone product the agency has approved, helping increase consumer access to naloxone without a prescription. The timeline for availability and the price of this nonprescription product will be determined by the manufacturer.

"We know naloxone is a powerful tool to help quickly reverse the effects of opioids during an overdose. Ensuring naloxone is widely available, especially as an approved OTC product, makes a critical tool available to help protect public health," said FDA Commissioner Robert M. Califf, M.D. "The agency has long prioritized access to naloxone products, and we welcome manufacturers of other naloxone products to discuss potential nonprescription development programs with the FDA."

The FDA has taken a series of steps to help facilitate access to opioid overdose reversal products and to decrease unnecessary exposure to opioids and prevent new cases of addiction. The agency approved the first nonprescription naloxone nasal spray product in March 2023, the first generic nonprescription naloxone nasal spray product in July 2023 and over the last year has undertaken new efforts to expand opioid disposal options in an effort to reduce opportunities for nonmedical use, accidental exposure and overdose.

The FDA granted the nonprescription approval of RiVive to Harm Reduction Therapeutics.

Bipartisan Senate Bill to Increase Access to Fentanyl Test Strips Filed. A bipartisan group of senators on Thursday filed a bill to clarify that the federal drug paraphernalia statute excludes fentanyl test strips, which remain criminalized as drug paraphernalia under state laws in more than 20 states.

Sens. John Cornyn (R-TX), Chris Coons (D-DE), Tom Cotton (R-AR), Bill Cassidy (R-LA), and Amy Klobuchar (D-MN) are all cosponsors of the Fentanyl Safe Testing and Overdose Prevention Act. Companion legislation, HR 3653 was introduced in May in the House.

"This legislation would help prevent deaths due to fentanyl poisoning by giving people the tools to identify it, and I urge my colleagues to pass it without delay," Cornyn said. His state, Texas, has experienced one of the nation's worst rates of fentanyl overdoses, which skyrocketed nearly 600% over the last year, according to the state's Department of Health and Human Services.

The Fentanyl Safe Testing and Overdose Prevention Act would also apply to test strips for xylazine, a powerful animal tranquilizer approved by the Food and Drug Administration only for veterinary use. Officials have warned the public that the sedative, which has been found to be mixed with fentanyl in several states, can create a deadly drug cocktail.

International

Singapore Hangs Woman Drug Offender for First Time in 20 Years; Second Drug Execution This Week. Singaporean national Saridewi Djamani was executed Friday in the first known execution of a woman in Singapore since 2004. She was found guilty of possession of around 30 grams of diamorphine (heroin) for the purposes of trafficking. A Singaporean Malay man, Mohd Aziz bin Hussain, was executed on Wednesday after being found guilty in 2018 for trafficking around 50 grams of diamorphine (heroin). Both had been sentenced to the mandatory death penalty in 2018.

Singapore has now executed 15 people for drug related offenses since March 2022, when executions resumed after a hiatus of two years. Four of these were known to have been carried out in 2023. Singapore's close neighbour Malaysia has observed an official moratorium on executions since 2018 and has recently repealed the mandatory death penalty, including for drug-related offences. The Transformative Justice Collective reported that a third execution has been set for 3 August, of a man convicted and sentenced to the mandatory death penalty for possession of 54 grams of diamorphine for the purpose of trafficking.

Both the UNODC and the INCB -- two UN bodies in charge of developing and monitoring drug policies -- have condemned the use of the death penalty for drug-related offences and have urged governments to move towards abolition. Singapore is one of only four countries, alongside China, Iran and Saudi Arabia, where executions for drug-related offences were confirmed in 2022.

Biden Administration Rolls Out Plan to Confront Xylazine-Fentanyl Phenomenon [FEATURE]

In its latest move to confront the rapidly rising incidence of overdose deaths and other deleterious consequences of the combination use of the veterinary tranquilizer xylazine ("tranq") and fentanyl, the Biden administration on Tuesday released a National Response Plan to coordinate a whole-of-government approach to the threat.

The veterinary tranquilizer and pain reliever xylazine is bad news in combo with fentanyl. (NY OASAS)
The plan calls for a public health campaign of increased testing and treatment and more data collection to see how the drug combo spreads and contributes to overdose numbers. But it also calls for looking into whether to schedule xylazine and includes the reflex resort to law enforcement to try to suppress supply.

This is just the latest in a series of steps the administration has taken since late last year to address the emerging phenomenon. Last December, Office of National Drug Control Policy (ONDCP -- the drug czar's office) head Dr. Rahul Gupta hosted a listening session with public health and public safety leaders and subject matter experts from several states and territories about trends they are seeing related to xylazine and efforts to address these trends. In January, Dr. Gupta convened the Evolving and Emerging Threats Committee to discuss the emergence of fentanyl adulterated with xylazine in the illicit drug supply.

In February, the Food and Drug Administration took action to restrict the unlawful entry of xylazine active pharmaceutical ingredients and finished dosage form drug products into the country and in March, the Drug Enforcement Administration issued a public safety alert to warn the American public of a sharp increase in the trafficking of fentanyl mixed with xylazine. In April, Dr. Gupta named the xylazine-fentanyl combination an emerging public health threat, the first time such a designation has been used since Congress authorized it in 2018.

"Since we announced the emerging drug threat earlier this year, we've been working tirelessly to create the best plan of attack to address this dangerous and deadly substance head-on," said Dr. Gupta in a statement. "Now, with this National Response Plan, we are launching coordinated efforts across all of government to ensure we are using every lever we have to protect public health and public safety, and save lives. As a doctor, I have seen the devastating consequences of xylazine combined with fentanyl firsthand. And as President Biden's drug policy advisor, I am laser-focused on finding every tool we have and following the best evidence-based practices to take on this new challenge. This will be an all-hands-on-deck effort -- but I am confident we can take action together and eradicate this emerging threat."

Fentanyl first emerged as a significant actor in the illicit drug market in the early to mid-2010s, while xylazine entered the scene in the late 2010s. Now, xylazine has been detected in nearly every state in the country, and xylazine-involved overdose deaths are skyrocketing, albeit from very low initial levels. The Centers for Disease Control and Prevention (CDC) reported last month that the monthly percentage of fentanyl deaths with xylazine detected jumped from 2.9 percent in January 2019 to 10.9 percent in June 2022. CDC also found that the death rate from xylazine overdoses jumped 35-fold from 2018 to 2021.

Xylazine is a tranquilizer, not an opioid, and thus does not respond to opioid overdose reversal drugs such as naloxone. It also has other serious potential health effects, including wounds that may eventually require amputations, as well as breathing difficulties.

"If we thought fentanyl was dangerous, fentanyl combined with xylazine is even deadlier," Dr. Gupta said in a press call previewing the plan Monday.

But he warned that the plan will need Congress to step up with funding if it is to be be fully implemented. He noted that the Biden administration Fiscal Year 2024 budget request includes funding for emerging threats.

"We will do what we can with what we have until we get the resources from Congress," Dr. Gupta said. "It's a matter of utilizing what we have right now in order to save lives while we're encouraging Congress to pass the president's budget and provide those resources as quickly as possible. We're going to move ahead as quickly as possible because the fact is that lives are on the line."

MA Natural Psychedelic Bills Get Hearing, Big Rise in Psychedelic Use in Young Adults, More... (5/14/23)

Alabama issues its first medical marijuana licenses, the British Home Office is messing with festival drug checking, and more.

Magic mushrooms -- objects of medical, legislative, and recreational interest. (Creative Commons)
Medical Marijuana

Alabama Awards First Medical Marijuana Licenses. The state Medical Cannabis Commission on Monday awarded 16 licenses for the cultivation and distribution of medical marijuana, leaving four out of five applicants out of luck. But there are more licenses to come.

The commission can grant up to 12 licenses for cultivation, four for processing, and four for retail sales. It can also grant up to five licenses for integrated facilities (combined cultivation, processing, and distribution operations), each of which can operate up to five dispensaries.

"To the recipients, let me say that we look forward to working with you in a partnership manner in which all you know what lies ahead," said John McMillan, the Commission's director.

The legislature approved medical marijuana in 2021, but a bill authorizing the program did not allow for licenses to be issued until September 2022. But the Medical Cannabis Commission only began accepting applications late last year.

Psychedelics

Massachusetts Psychedelic Reform Bills Get Hearing. The Joint Committee on the Judiciary held a hearing Tuesday on several psychedelic reform bills.

House Bill 3589, from Rep. Nicholas Boldyga (R), would legalize plant medicines for people 21 and over, while House Bill 1754 and Senate Bill 1009, from Rep. Lindsay Sabadosa (D) and Sen. Pat Jehlen (D), respectively, would expand the use of plant medicines to people 18 and over.

"Massachusetts has the opportunity to lead the way in the mental health revolution," Boldyga said. "It's been said an idea whose time has arrived cannot be stopped... I believe that time is now for these life-saving plant medicines as a new paradigm in how we view, and understand, and treat mental health is upon us."

No votes were taken.

Dramatic Rise in Hallucinogen Use Among Young Adults. Based on the results of the annual Monitoring the Future survey of young adults, researchers are reporting that the use of psychedelics other than LSD had nearly doubled between 2018 and 2021. Past-year use of psychedelics was 3.4 percent in 2018, jumping to 6.6 percent in 2021. During the same period, LSD use was fairly stable, rising from 3.7 percent in 2018 to 4.2 percent in 2021.

"While non-LSD hallucinogen use remains substantially less prevalent than use of substances such as alcohol and cannabis, a doubling of prevalence in just three years is a dramatic increase and raises possible public health concerns," coauthor Megan Patrick, PhD, with the University of Michigan Institute for Social Research, Ann Arbor, said in a news release.

International

British Home Office Blocked Festival Drug Checking Last Weekend. British festival organizers are raising cries of alarm after the Home Office blocked drug checking at the Parklife festival in Manchester last weekend because it said festival organizers needed to apply for a special license to provide drug checking services, a proven harm reduction intervention.

It was the first time drug checking did not take place at the festival since 2014 and it happened because the Home Office suddenly introduced the separate licensing requirement.

"Events at this year's Parklife are extremely worrying for everyone in the industry, and even more importantly festivalgoers," said Melvin Benn, the managing director of Festival Republic, which runs Leeds and Reading festivals. "If festival organizers fear their safeguarding measures will be pulled at the 11th hour, then how can we guarantee the wellbeing of our guests?"

In a terse response to criticism, the Home Office said: "Anyone interested in undertaking lawful activities involving the possession, supply or production of controlled drugs, including those who wish to provide drug testing services, need to apply for a Home Office license. Festival organizers in consultation with local partners are responsible for decisions relating to drug testing at festivals. We will continue an open dialogue with prospective licensees throughout the festival season."

But festival organizers say it can take more than three months and more than $3,000 to get a Home Office license.

SAFE Banking Act to Get Committee Vote Soon, Study Finds Opioid Busts Could Increase ODs, More... (6/8/23)

A federal bill to fund university research on medical maerijuana gets filed, a federal asset forfeiture reform bill moves, and more.

Overdose deaths are prompting old punitive responses and possible new, more effective responses. (Pixabay)
Marijuana Policy

SAFE Banking Act to Get Senate Committee Vote Within Weeks, Chairman Says. Sen. Sherrod Brown (D-OH), chairman of the Senate Banking Committee, has said that the Secure and Fair Enforcement (SAFE) Banking Act (S. 1323) would get a committee vote within weeks. "We’re looking at markup on the fentanyl issue, the executive compensation issue, and the Safe Banking Act issue and we want to do all that in the next two or three weeks,"Brown said.

The bill would give state-legal marijuana businesses access to the American banking system. Previous efforts to advance the bill stalled in the last few congressional sessions. But Sens. Jeff Merkley (D-OR), Steve Daines (R-MT), and Reps. Dave Joyce (R-OH) and Earl Blumenauer (D-OR) refiled the bill in their respective chambers in April.

Medical Marijuana

New Federal Bill Would Appropriate Millions for Medical Marijuana Research. This week Congresswoman Dina Titus (D-NV) and Congressman Joe Neguse (D-CO) introduced the Higher Education Marijuana Research Act of 2023, legislation that would eliminate obstacles to the academic research of cannabis, protect universities and researchers who study it, and promote the responsible study of marijuana.

While 38 states have legalized marijuana for medicinal use and 23 states including Nevada and Colorado have legalized it for recreational use, myriad federal rules and regulations create barriers to academic research. The bill would establish a new grant program within the National Institutes of Health to fund studies assessing cannabis’ medical benefits. It would appropriate up to $150 million in federal funding for university-sponsored medical cannabis research. The legislation also permits academic institutions to purchase state-licensed cannabis products for the purpose of "biological, chemical, agricultural, or public health research."

Asset Forfeiture

House Judiciary Committee Subcommittee Approves Asset Forfeiture Reform Bill. The House Judiciary Committee's Subcommittee on the Constitution and Limited Government on Tuesday voted to advance the Fifth Amendment Integrity Restoration (FAIR) Act of 2023 (HR 1525). The bill passed the subcommittee with bipartisan support and now awaits a full committee vote.

The bill would require that before seizing cash or property law enforcement show "a substantial connection between the property and the offense" and that the owner "used the property with intent to facilitate the offense" or "knowingly consented or was willfully blind to the use of the property by another in connection with the offense."

The bill would also eliminate the "equitable sharing" program under which state and local law enforcement agencies circumvent state asset forfeiture laws by turning cases over to the feds, who return 85 percent of the proceeds to the state or local law enforcement agency. And it would require that seizures be approved by a federal judge, not an administrative agency, such as the DEA, and that any funds go to the Treasury's general fund, not the fund of the seizing agency.

Drug Policy                                                       

Wisconsin Legislature Approves Bill to Increase Penalties in Overdose Deaths. With a final vote in the Assembly Wednesday, the legislature has approved a bill that increases maximum prison sentences for people who produce or sell drugs that cause another person's death, Senate Bill101. The bill would increase the maximum penalty from 25 years to 40 years in prison and increase the maximum period of supervision from 15 years to 20 years.

The bill comes as the state reported a record high number of overdose deaths in 2021 and easily passed both chambers. The only opposition to the bill comes from the ACLU of Wisconsin

"While reducing rates of overdose deaths is certainly an urgent priority, SB 101 won't alleviate the crisis," ACLU of Wisconsin policy analyst Jon McCray Jones said. "An extensive body of research - as well as our own lived experiences - tells us that punitive drug laws don't reduce drug use, substance abuse disorder, or overdoses."

Law Enforcement

. A new study found that when law enforcement agencies seize illicit opioids, fatal overdoses in the vicinity of the seizure increase over the next three weeks.

"This casts doubt on the core assumption of state and federal drug policy and suggests that police officers intending to protect the public’s health and safety may be inadvertently exacerbating harms such as fatal overdose," the study’s authors wrote.

The report does not say that drug raids caused the uptick in overdoses, but one of the study’s authors laid out a potential reasoning in a tweet: a person addicted to drugs does not simply stop using because police disrupt their supply. Instead, they go into withdrawal. They get more and more desperate, more willing to acquire drugs from dealers they don’t know. By the time they get new drugs, their tolerance likely decreased, putting them at risk of an overdose.

"Unknown tolerance, unknown potency, reduced risk aversion, and no margin for error in safely dosing fentanyl can all lead to increased fatal overdose observed in our study," Brandon del Pozo, an assistant professor of health services, policy and practice and an assistant professor of research at Brown University, wrote on Twitter.

Almost 1 million people have died from an overdose across the US in the past 20 years. The report proposes forming public safety partnerships where organizations can step in and assist people who use drugs after police perform a seizure; such groups could provide overdose prevention services, outreach and refer people to care.

"As drug markets become less predictable and morbidity and mortality among people who use drugs increases, it is critical that communities not only create low barrier access to evidence-based treatment but also implement harm reduction strategies that directly address supply-side drivers of accidental overdose," the report reads. "Naloxone distribution, drug-checking, and overdose prevention sites are strategies first developed and implemented by people who use drugs that can be facilitated or enhanced by law enforcement cooperation through exceptions or ‘carve-outs’ of drug criminalization to protect public health."

Seattle Rejects New Drug War Bill, Colombia One Vote Away from Legalizing Weed, More... (6/7/23)

British Colombia is reviewing its safe supply drug policy with an eye toward expansion, Berlin officially launches a drug checking program, and more. 

Legal weed is now just one Senate vote away in Colombia. (Creative Commons)
Drug Policy

Seattle City Council Narrowly Rejects Return to Drug War Policies. The city council on Tuesday voted 5-4 to reject a bill, CB 120586, that would have allowed City Attorney Ann Davison to prosecute drug possession and public drug use cases for the first time in city history. The bill would have put the city in line with a new statewide misdemeanor drug possession law.

Now, misdemeanor drug cases in the city will most likely not be prosecuted at all. The other option for prosecuting such cases would have been for the King County prosecutor's office to take them on, but King County Prosecutor Leesa Manion told the council her office's current contract with the city does not allow for that and even if it did, she does not have the staff to handle such cases.

International

British Columbia is Reviewing Safe Supply Policies with Eye to Expanding Them. The Canadian province's chief medical officer says it program to prescribe a safe supply of drugs to some drug users is being reviewed as officials decide whether it should be expanded to cover more people and make more drugs available. Provincial Health Officer Dr. Bonnie Henry said under the current model drugs have to be distributed in a clinical setting, and that may be discouraging more people from participating.

Dr. Henry said she wants to examine whether the program  should include greater access to opioid alternatives other than hydromorphone – the medication currently most commonly used in such programs. She cited concerns that hydromorphone is not meeting the needs of drug users who have been exposed to a much more toxic and contaminated supply.

She is also looking at whether there are alternatives to the medical model for people seeking a safe supply of drugs. She gave no timeline for completion of the review.

Colombian Senate Approves Marijuana Legalization with One More Vote to Go. A marijuana legalization bill won its penultimate vote in the Senate Tuesday, leaving the bill just one vote away ending pot prohibition. But concerns are rising that unrelated political controversies could derail the effort as legislative deadlines loom increasingly large.

The bill has already cleared the lower chamber and a final Senate vote is set for next week, but if the bill is amended, lawmakers would have only another week to reconcile the bill with the version passed by the Chamber of Deputies before the session ends.

Berlin Launches Drug Checking Program. City officials have launched a drug checking program where people can get their drugs tested anonymously and at no cost. Authorities said the program had two goals: harm reduction for drug users and detecting drug consumption trends. The program will be run by the State Institute for Forensic and Social Medicine and will include three centers where people can drop off their drugs and get results and advice three days later.

"In our opinion, drug checking is successful if we can avoid damage to health and if we, as drug help, reach users who would otherwise not be reached by drug help or who would be reached much too late," said the pharmaceutical director of the project, Tibor Harrach.

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