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Chronicle AM: Koch Bros Critical of Trump Drug Policies, FL Drug Treatment Fraud, More... (6/26/17)

Florida's medical marijuana regulatory system is now set, the conservative Koch network has some issues with Trump drug war policies, Support Don't Punish marches are going on worldwide, there's something rotten in the Florida drug treatment complex, and more.

Demonstrators took to the streets in more than 200 cities around the globe Monday to call for drug reforms.
Marijuana Policy

Alaska Regulators to Revisit On-Site Consumption Next Month. The state Marijuana Control Board will look at three different options for on-site marijuana use at its meeting next month. One proposal would allow people to try marijuana at retail shops before leaving. Another proposal would allow consumption of edibles, but wouldn't allow smoking. A third proposal would limit on-site use to pot purchased at the site. But none of it is likely to happen before 2018, since the matter won't come up for a vote until August, and there's a 30-day public comment period after that.

Medical Marijuana

Arkansas to Begin Accepting Medical Marijuana Applications. The state Medical Marijuana Commission will begin accepting applications from potential medical marijuana growers and distributors as of this Friday, while the state Health Department will begin accepting applications from patients the same day.

Florida Governor Signs Medical Marijuana Implementation Bills. Gov. Rick Scott last Friday signed into law Senate Bill 6A and Senate Bill 8A, which formalize the voter-approved constitutional amendment legalizing medical marijuana in the state and set up regulations for the new industry.

Utah Advocates Begin Medical Marijuana Initiative Campaign. Medical marijuana supporters organized as the Utah Patients Coalition delivered a proposed initiative to the lieutenant governor's office Monday. Frustrated by the state legislature's refusal to enact a medical marijuana law, the coalition wants to take the issue directly to voters. To qualify for the November 2018 ballot, supporters must hold at least seven public hearings around the state and collect 113,000 valid voter signatures. The measure would not allow smoking medical marijuana and the number of medical marijuana facilities would be limited. It creates a list of specified qualifying conditions.

Drug Policy

Koch Network Critical of Trump Administration on Drug Policy. The conservative Koch brothers political network isn't happy with Trump administration drug policy. At a meeting in Colorado over the weekend, one of the network's top leaders, Mark Holden, decried the administration's return to "the harsh sentencing era of the war on drugs" and added that "You are never going to win the war on drugs. Drugs won." Holden went on to criticize Attorney General Sessions' directive to reevaluate marijuana policies, saying "it's legal in a number of states, so we have to come to grips with that somehow" and that medical marijuana should be "off limits" in any federal crackdown.

Drug Treatment

Florida's Billion Dollar Drug Treatment Industry is Plagued With Fraud and Overdoses. An NBC News investigative report has found crooked treatment centers have created an "insurance fraud mill" by partnering with "body brokers" and operators of "sober homes" to find patients with good health insurance and then billing insurance companies tens of thousands of dollars "for often questionable counseling, costly and potentially unnecessary drug screens, and exotic laboratory tests." And some treatment centers actually encourage drug use because for them, relapse doesn't mean failure, it means more profits.

International

Thousands Take to Streets in Global Drug Reform Day of Action. Thousands of people took to the streets in more than 200 cities in more than 90 countries as part of the Support Don't Punish campaign's "Global Day of Action." Events range from concerts and debates in Belgium, to a float parade and dialogue with parliamentarians in Ghana, a capacity building workshop for religious leaders in Mauritius, drug user and NGO gatherings in Malaysia, Lithuania, Canada and Australia, street art in Portugal, Bolivia, Ecuador and Montenegro, a 250km bike tour to sensitize the general public in India, a football tournament between people who use drugs and service providers in Morocco, the launch of a global call in support for harm reduction in Brazil, and much, much more.

One Year Later, Philippines Drug War Has Killed Thousands, Yet Meth is Cheaper. Philippines President Rodrigo Duterte took power last June 30 and immediately embarked on a brutal campaign to end drug abuse that has left an estimated 9,000 people dead, but the street price of meth has fallen and Filipinos are still as anxious as ever about crime. "If prices have fallen, it's an indication that enforcement actions have not been effective," said Gloria Lai of the International Drug Policy Consortium, a global network of non-governmental groups focused on narcotics.

Chronicle AM: MJ Policy Keeps Northeast Busy, Major Louisiana Sentencing Reforms, More.... (6/16/17)

Marijuana policy continues to roil statehouses across the Northeast, a US senator and a congressman file identical medical marijuana protection bills, Louisiana -- the lock 'em up state -- enacts comprehensive sentencing reforms, and more.

Marijuana Policy

Massachusetts to Get New Legalization Rewrite Bill on Monday. After criticism and errors in the text force the House leadership to pull its marijuana legalization rewrite bill this week, House committee chair Rep. Mark Cusack (D-Braintree) said a redrafted version of the bill would be released on Monday, with debate expected in the House on Wednesday. At issue are tax rates and a governance model for the industry.

New Jersey Arresting More People Than Ever for Marijuana, ACLU Report Finds. Marijuana arrests have climbed steadily in the state in recent years, with black residents three times more likely than whites to be targeted. The report, which analyzed FBI Uniform Crime Report and U.S. Census data from 2000 to 2013, comes as lawmakers are making a push to legalize marijuana in the state. The report found a steady increase in marijuana arrests over that period, from 19,607 in 2001 to 24,067 in 2013.

Rhode Island Legalization Advocates Offer Compromise Bill. Rep. Scott Slater (D-Providence) and Sen. Joshua Miller (D-Cranston), along with Regulate Rhode Island, have outlined a compromise bill that would legalize the possession of up to an ounce of marijuana starting July 1, 2018, with an advisory board to study the effects of legalization and report to the General Assembly next year on setting up a taxed and regulated system of marijuana commerce. Assembly leaders are pushing a bill that would defer legalization until a legislative commission studies the issue.

Vermont Governor Says Legalization Deal Still Possible. Gov. Phil Scott said Thursday an agreement with legislators on marijuana legalization is still possible this year. Scott vetoed the legalization bill last month, citing concerns about drugged driving and children. "We are still negotiating," Scott said. "They understand... what my reservations are in terms of what they're planning, but I still think it's workable." If an agreement is reached, House Republicans would have to agree to suspend the rules of the veto session to allow a vote on the pot bill. They do not sound very interested in that, but Scott has said that if he can reach agreement on a bill, he will try to persuade his GOP colleagues to allow a vote.

Medical Marijuana

Corey Booker, Steve Cohen File Identical Medical Marijuana Protection Bills. Tennessee Democratic Rep. Steve Cohen has filed House Resolution 2920, "to extend the principle of federalism to drug policy, provide access to medical marijuana, and enable research into the medicinal properties of marijuana." New Jersey Democratic Sen. Cory Booker has filed a companion bill, Senate Bill 1374, in the upper chamber.

Michigan Lawmakers File Medical Marijuana Billboard Ad Ban Bills. State Sen. Rick Jones (R) and Rep. Andy Schor (D) have filed identical bills that would effectively ban billboard for medical marijuana businesses. The bills are Senate Bill 463 and House Bill 4767. They are not yet available on the state legislative web site.

Pennsylvania Governor Warns Session Against Interfering with Medical Marijuana. In a sharply worded letter, Gov. Tom Wolf (D) warned Attorney General Jeff Sessions not to interfere with medical marijuana in the state. "For a lot of patients, this is the only medicine that works. So for him to go after medical cannabis is kind of flying in the face of science and the facts," said a spokesman for the governor.

Criminal Justice

Louisiana Enacts Comprehensive Criminal Justice Reforms. Gov. John Bel Edwards (D) on Thursday signed a package of 10 bills that shrink sentences, mostly for nonviolent offenders, and expand parole and probation and reentry opportunities for offenders. The state has the highest proportion of its population behind bars of any state, but Edwards predicts that the new laws will see the state's prison population falling by as much as 10% in the next decade. The bills are House Bills 116, 249, 489, 519, 680 681 and Senate Bills 16, 139, 220, 221. They can be viewed at the state legislative website.

International

British Columbia Court Throws Out Mandatory Minimums for Marijuana Producers. The BC Court of Appeals last week threw out the mandatory minimum sentence for people caught producing more than six marijuana plants, saying the law mandating it was unconstitutional. "I note that a six-month sentence is typical for a first-time trafficker involved in a relatively sophisticated commercial dial-a-dope operation. Imposing that sentence on a 19-year-old student or a migraine sufferer who is growing six plants intending to share them with friends would, in my view, be abhorrent to most Canadians," the trial court judge held, instead giving the man a suspended sentence. The government appealed, and lost last week.

Chronicle AM: Federal CARERS Act Refiled, RI Legalization Commission Bill Advances, More... (6/15/17)

A bipartisan group of senators reintroduce the CARERS Act to protect medical marijuana in the states, marijuana legalization is keeping legislators busy in the Northeast, New York GOP senators want more drug war to fight opioids, and more.

Kirsten Gillibrand (D-NY) is among a bipartisan group of senators who reintroduced the CARERS Act today. (senate.gov)
Marijuana Policy

Massachusetts Legal MJ Rewrite Bill Delayed By Errors, Concern at High Tax Rates. House Speaker Robert DeLeo (D-Winthrop) has postponed a vote on the legislature's rewrite of the marijuana legalization law approved by voters last fall after errors in the drafting of the bill and the high tax rate proposed -- 28% -- drew protests from Democratic lawmakers. "I think there are certain things that we have to clear up, so because of that, I think it's important that with a bill of this mag that we try to get it right or close to right this first time, so I'd rather do that than try to rush it through," DeLeo said, adding that there was a consensus among Democrats on the basics of the bill.

New Jersey Legalization Bill Gets Hearing Monday. The Senate Judiciary Committee will hold a hearing Monday morning on Senate Bill 3195, which legalizes the possession of small amounts of marijuana and sets up a system of taxed and regulated marijuana commerce. The Drug Policy Alliance has expressed "concern" that the bill "does not include essential components to create a fair and equitable marijuana market in New Jersey." Such legislation must include polices to repair past harms to minority communities, DPA said.

Rhode Island Legalization Study Commission Bill Passes House. A bill that creates a legislative commission to study marijuana legalization -- instead of just legalizing it -- passed the House Wednesday night. House Bill 551A now heads to the Senate. Regulate Rhode Island, the main advocacy group for legalization, has said it will not participate in the commission, which it describes as a delaying tactic.

Medical Marijuana

Bipartisan Bill to End Federal Prohibition of Medical Marijuana Reintroduced in US Senate. US Sens. Rand Paul (R-KY), Corey Booker (D-NJ), and Kirsten Gillibrand (D-NY) reintroduced a bill Thursday that would end the federal prohibition of medical marijuana. Sens. Mike Lee (R-UT) and Lisa Murkowski (R-AK) also signed on to the legislation as original cosponsors. The Compassionate Access, Research Expansion, and Respect States (or CARERS) Act of 2017 would allow individuals and entities to possess, produce, and distribute medical marijuana if they are in compliance with state medical marijuana laws. It would also open up avenues to medical marijuana research and allow physicians employed by the Department of Veterans Affairs to recommend medical marijuana to veterans in states where it is legal. The bill also proposes excluding cannabidiol, a non-psychoactive cannabinoid found in marijuana, from the federal government's definition of "marijuana."

Kentucky Lawsuit Challenges State's Medical Marijuana Ban. Three Kentuckians who say they have used marijuana to ease health problems have filed a lawsuit in state court charging that banning medical marijuana violates their constitutional privacy rights. The suit names as defendants Gov. Matt Bevin (R) and Attorney General Steve Beshear (D).

Rhode Island Governor Proposes Medical Marijuana Expansion. Gov. Gina Raimondo (D) has proposed a budget amendment that calls for "no less than six licensed compassion centers" and increased licensing fees that would generate $1.5 in revenues for the state's general fund. There are three existing dispensaries, which would each be allowed to open one more store front, plus the three additional ones proposed.

Heroin and Prescription Opioids

New York Republicans Want More Drug War to Fight Opioids. A Republican Senate task force says that adding funding for addiction treatment is good, but that it's time to increase heroin penalties "to get dealers off the street." The senators are proposing charging dealers with murder if one of their customers dies and increasing penalties based on the weight of the drugs sold. Assembly Democrats rejected the idea, calling the approach one that's been "tried and failed." The Assembly killed a similar approach last year.

America, We Can Fix This: 24 Ways to Reduce Opioid Overdoses and Addiction [FEATURE]

Drugs, mainly opioids, are killing Americans at a record rate. The number of drug overdose deaths in the country quadrupled between 1999 and 2010 -- and compared to the numbers we're seeing now, those were the good old days.

Some 30,000 people died of drug overdoses in 2010. According to a new estimate from the New York Times, double that number died last year. And the rate of increase in overdose deaths was growing, up a stunning 19% over 2015.

The Times' estimate of between 59,000 and 65,000 drug overdose deaths last year is greater than the number of American soldiers killed during the entire Vietnam War, greater than that number of people killed in the peak year for car crash deaths, greater than the number of people who died in the year the AIDS epidemic peaked, and higher than the peak year for gun deaths.

In the first decade of the century, overdoses and addiction rose in conjunction with a dramatic increase in prescription opioid prescribing; since then, as government agents and medical professionals alike sought to tamp down prescribing of opioids, the overdose wave has continued, now with most opioid OD fatalities linked to illicit heroin and powerful black market synthetic opioids, such as fentanyl and carfentanil.

The Centers for Disease Control and Prevention says we are in the midst of "the worst drug overdose epidemic in history," and it's hard to argue with that.

So, what do we do about it? Despite decades of failure and unintended consequences, the prohibitionist reflex is still strong. Calls for more punitive laws, tougher prosecutorial stances, and harsher sentences ring out from state houses across the land to the White House. But tough drug war policies haven't worked. The fact that the overdose and addiction epidemic is taking place under a prohibition regime should make that self-evident.

More enlightened -- and effective -- approaches are now being tried, in part, no doubt, because today's opioid epidemic is disproportionately affecting white, middle class people and not the inner city black people identified with heroin epidemics of the past. But they are also being tried because for the past quarter-century an ever-growing drug reform movement has articulated the failures of prohibition and illuminated more effective alternatives.

The drug reform movement's most powerful organization, the Drug Policy Alliance, this spring published A Public Health and Safety Approach to Problematic Opioid Use and Overdose, which lays out more than two dozen specific policy prescriptions in the realms of addiction treatment, harm reduction, prevention, and criminal justice that have been proven to save lives and reduce dependency on opioids. These policy prescriptions are doable now -- and some are being implemented in some fashion in some places -- but require that political decisions be made, or that forces be mobilized to get those decisions made. Some would require a radical divergence from the orthodoxies of drug prohibition, but that's a small price to pay given the mounting death toll.

Here are 24 concrete policy proposals that can save lives and reduce addiction right now. All the facts and figures are fully documented in the heavily-annotated original. Consult it if you want to get down to the nitty-gritty. In the meantime:

Addiction Treatment

1. Create Expert Panel on Treatment Needs: States should establish an expert panel to address effective treatment needs and opportunities. The expert panel should evaluate barriers to existing treatment options and make recommendations to the state legislature on removing unnecessary impediments to accessing effective treatment on demand. Moreover, the panel should determine where gaps in treatment exist and make recommendations to provide additional types of effective treatment and increased access points to treatment (such as hospital-based on demand addiction treatment). The expert panel must also set evidence-based standards of care and identify the essential components of effective treatment and recovery services to be included in licensed facilities, especially with regards to medication-assisted treatment, admission requirements, discharge, continuity of care and/or after-care, pain management, treatment programming, integration of medical and mental health services, and provision of or referrals to harm reduction services. The expert panel should identify how to improve or create referral mechanisms and treatment linkages across various healthcare and other providers. The panel should establish clear outcome measures and a system for evaluating how well providers meet the scientific requirements the panel sets. And, finally, the expert panel should evaluate opportunities under the ACA to expand coverage for treatment.

2. Increase Insurance Coverage for Medication-Assited Treatment (MAT): Seventeen state medical plans under the Patient Protection and Affordable Care Act (ACA) do not provide coverage for methadone or buprenorphine for opioid dependence. Moreover, the Veterans Administration's (VA's) insurance system has explicitly prohibited coverage of methadone and buprenorphine treatment for active duty personnel or for veterans in the process of transitioning from Department of Defense care. As a result, veterans obtaining care through the VA are denied effective treatment for opioid dependence. Insurance coverage for these critical medications should be standard practice.

3. Establish and Implement Office-Based Opioid Treatment for Methadone: Currently, with a few exceptions, methadone for the treatment of opioid dependence is only available through a highly regulated and widely stigmatized system of Opioid Treatment Programs (OTPs). Moreover, several states have imposed moratoriums on establishing new OTPs that facilitate methadone treatment despite large, unmet treatment needs for a growing opioid-dependent population. Patients enrolled in methadone treatment in many communities are often limited to visiting a single OTP and face other inconveniences that make adherence to treatment more difficult. Initial trials have suggested that methadone can be effectively delivered in office-based settings and that, with training, physicians would be willing to prescribe methadone to their patients to treat their opioid dependence. Office-based methadone may help reduce the stigma associated with methadone delivered in OTPs as well as provide a critical window of intervention to address medical and psychiatric conditions. Office-based opioid treatment programs offering methadone have been implemented in California, Connecticut, and Vermont.

4. Provide MAT in Criminal Justice Settings, Including Jails/Prisons and Drug Courts: Individuals recently released from correctional settings are up to 130 times more likely to die of an overdose than the general population, particularly in the immediate two weeks after release. Given that approximately one quarter of people incarcerated in jails and prisons are opioid-dependent, initiating MAT behind bars should be a widespread, standard practice as a part of a comprehensive plan to reduce risk of opioid fatality. Jails should be mandated to continue MAT for those who received it in the community and to assess and initiate new patients in treatment. Prisons should initiate methadone or buprenorphine prior to release, with a referral to a community-based clinic or provider upon release. In addition, drug courts should be mandated to offer participants the option to participate in MAT if they are not already enrolled, make arrangements for their treatment, and should not be permitted to make discontinuation of MAT a criterion for successful completion of drug court programs. The Substance Abuse and Mental Health Services Administration will no longer provide federal funding to drug courts that deny the use of MAT when made available to the client under the care of a physician and pursuant to a valid prescription. The National Association of Drug Court Professionals agrees: "No drug court should prohibit the use of MAT for participants deemed appropriate and in need of an addiction medication."

Medication-Assisted Treatment (MAT) can help.
5. Offer Hospital-Based MAT: Emergency departments should be mandated to inform patients about MAT and offer buprenorphine to those patients that visit emergency rooms and have an underlying opioid use disorder, with an appointment for continued treatment with physicians in the community. Hospitals should also offer MAT within the inpatient setting, and start MAT prior to discharge with community referrals for ongoing MAT.

6. Assess Barriers to Accessing MAT to Increase Access to Methadone and Buprenorphine: A number of known barriers prevent MAT from being as widely accessible as it should be. The federal government needs to reevaluate the need for and effectiveness of the OTP model and make necessary modifications to ensure improved and increased access to methadone. And, while federal law allows physicians to become eligible to prescribe buprenorphine for the treatment of opioid dependence, it arbitrarily caps the number of opioid patients a physician can treat with buprenorphine at any one time to 30 through the first year following certification, expandable to up to potentially 200 patients thereafter. Moreover, states need to evaluate additional barriers created by state law, including, among others, training and continuing education requirements, restrictions on nurse practitioners, insurance enrollment and reimbursement, and lack of provider incentives.

7. Establish and Implement a Heroin-Assisted Treatment Pilot Program: Heroin-assisted treatment (HAT) refers to the administering or dispensing of pharmaceutical-grade heroin to a small and previously unresponsive group of chronic heroin users under the supervision of a doctor in a specialized clinic. The heroin is required to be consumed on-site, under the watchful eye of trained professionals. This enables providers to ensure that the drug is not diverted, and allows staff to intervene in the event of overdose or other adverse reaction. Permanent HAT programs have been established in the United Kingdom, Switzerland, the Netherlands, Germany and Denmark, with additional trial programs having been completed or currently taking place in Spain, Belgium and Canada. Findings from randomized controlled studies in these countries have yielded unanimously positive results, including: 1) HAT reduces drug use; 2) retention rates in HAT surpass those of conventional treatment; 3) HAT can be a stepping stone to other treatments and even abstinence; 4) HAT improves health, social functioning, and quality of life; 5) HAT does not pose nuisance or other neighborhood concerns; 6) HAT reduces crime; 7) HAT can reduce the black market for heroin; and, 8) HAT is cost-effective (cost-savings from the benefits attributable to the program far outweigh the cost of program operation over the long-run). States should consider permitting the establishment and implementation of a HAT pilot program. Nevada and Maryland have introduced legislation of this nature and the New Mexico Legislature recently convened a joint committee hearing to query experts about this strategy.

8. Evaluate the Use of Cannabis to Decrease Reliance on Prescription Opioids and Reduce Opioid Overdose Deaths: Medical use of marijuana can be an effective adjunct to or substitute for opioids in the treatment of chronic pain. Research published last year found 80 percent of medical cannabis users reported substituting cannabis for prescribed medications, particularly among patients with pain-related conditions. Another important recent study reported that cannabis treatment "may allow for opioid treatment at lower doses with fewer [patient] side effects." The result of substituting marijuana, a drug with less side effects and potential for abuse, has had profound harm reduction impacts. The Journal of the American Medical Association, for instance, documents a relationship between medical marijuana laws and a significant reduction in opioid overdose fatalities: "[s]tates with medical cannabis laws had a 24.8% lower mean annual opioid overdose mortality rate compared with states without medical cannabis laws."Another working paper from the RAND BING Center for Health Economics notes that "states permitting medical cannabis dispensaries experienced a 15 to 35 percent decrease in substance abuse admissions and opiate overdose deaths." There is also some emerging evidence that marijuana has the potential to treat opioid addiction, but additional research is needed.

Harm Reduction

9. Establish and Implement Safe Drug Consumption Services: States and/or municipalities should permit the establishment and implementation of safe drug consumption services through local health departments and/or community-based organizations. California and Maryland have introduced legislation to establish safe drug consumption services, and the City of Ithaca, New York has included a proposal for a supervised injection site in their widely-publicized municipal drug strategy. In Washington State, the King County Heroin an Prescription Opiate Addiction Task Force has recommended the establishment of at least two pilot supervised consumption sites as part of a community health engagement program designed to reduce stigma and "decrease risks associated with substance use disorder and promote improved health outcomes" in the region that includes the cities of Seattle, Renton and Auburn.

10. Maximize Naloxone Access Points, Including Lay Distribution and Pharmacy Access, As Well As Immunities for Prescription, Distribution and Administration:Naloxone should be available directly from a physician to either a patient or to a family member, friend, or other person in a position to assist in an overdose, from community-based organizations through lay distribution or standing order laws, and from pharmacies behind-the-counter without a prescription through standing order, collaborative agreement, or standardized protocol laws or regulations. Though some states, including California, New York, Colorado and Vermont, among others, have access to naloxone at each of these critical intervention points, many others only provide naloxone through a standard prescription. Civil and criminal immunities should be provided to prescribers, dispensers and lay administrators at every access point. In addition, all first responders, firefighters and law enforcement should be trained on how to recognize an overdose and be permitted to carry and use naloxone. Naloxone should also be reclassified as an over-the-counter (OTC) medication. Having naloxone available over-the-counter would greatly increase the ability of parents, caregivers, and other bystanders to intervene and provide first aid to a person experiencing an opioid overdose. FDA approval of OTC naloxone is predicated on research that satisfies efficacy and safety data requirements. Pharmaceutical companies, however, have not sought to develop an over-the-counter product.88 Federal funding may be needed to meet FDA approval requirements.

11. Provide Dedicated Funding for Community-Based Naloxone Distribution and Overdose Prevention and Response Education: Few states provide dedicated budget lines to support the cost of naloxone or staffing for community-based opioid overdose prevention programs. The CDC, however, reports that, between 1996 and 2014, these programs trained and equipped more than 152,280 laypeople with naloxone, who have successfully reversed 26,463 opioid overdoses.89 Without additional and dedicated funding, community-based opioid overdose prevention programs will not be able to continue to provide naloxone to all those who need it, and the likelihood of new programs being implemented is slim. A major barrier to naloxone access is its affordability and chronic shortages in market supply, 90 which overdose prevention programs, operating on shoestring budgets, can have a difficult time navigating.

12. Improve Insurance Coverage for Naloxone: Individuals who use heroin and other opioids are often both uninsured and marginalized by the healthcare system.91 States should insure optimal reimbursement rates for naloxone to increase access to those who need it most – users themselves.

Overdose reversal drugs need to be made much more widely available -- and affordable. (health.pa.gov)
13. Provide Naloxone to Additional At-Risk Communities: People exiting detox and other treatment programs as well as periods of incarceration are at particularly high risk for overdose because their tolerance has been substantially decreased. After their period of abstinence, if they relapse and use the same amount, the result is often a deadly overdose. States should require overdose education and offer naloxone to people upon discharge from detox and other drug treatment programs and jails/prisons. The Substance Abuse and Mental Health Services Administration has declared that prescribing or dispensing naloxone is an essential complement to both detoxification services as well as medically supervised withdrawal. Vermont passed legislation making naloxone available to eligible pilot project participants who are transitioning from incarceration back to the community. In addition, there are other programs/studies that provide naloxone to recently released individuals on a limited basis, including in San Francisco, California, King County, Washington and Rhode Island.

14. Encourage Distribution of Naloxone to Patients Receiving Opioids: Physicians should be encouraged to prescribe naloxone to their patients and opioid treatment programs should inform their clients about naloxone, if prescribing or dispensing an opioid to them. Pharmacists should similarly be encouraged to offer naloxone along with all Schedule II opioid prescriptions being filled, for syringe purchases (without concurrent injectable medication), and for all co-prescriptions (within 30 days) of a benzodiazepine (such as Valium™, Xanax™ or Klonopin™) and any opioid medication. The Rhode Island Governor's Overdose Prevention and Intervention Task Force found that offering naloxone to those prescribed a Schedule II opioid or when co-prescribed a benzodiazepine and any opioid would have reached 86% of overdose victims who received a prescription from a pharmacy prior to their death, and could have prevented 58% of all overdose deaths from 2014 to 2015.

15. Expand Good Samaritan Protections: "Good Samaritan" laws provide limited immunity from prosecution for specified drug law violations for people who summon help at the scene of an overdose. But, protection from prosecution is not enough to ensure that people are not too frightened to seek medical help. Other consequences, like arrest, parole or probation violations, and immigration consequences, can be equal barriers to calling 911. States with Good Samaritan laws already on the books should evaluate the protections provided and determine whether expansion of those protections would increase the likelihood that people seek medical assistance.

16. End the Criminalization of Syringe Possession: Syringes should be exempt from state paraphernalia laws in order to provide optimal access to people who inject drugs. Twenty-two states criminalize syringe possession. Thus, even if there is a legal access point, such as pharmacy sales, paraphernalia laws still permit law enforcement to arrest and prosecute individuals in possession of a syringe. Public health and law enforcement authorities should not be working at cross-purposes.

17. Reduce Barriers to Over-The-Counter Syringe Sales and Permit Direct Prescriptions of Syringes: While the non-prescription, over-the-counter sale of syringes is now permitted in all but one U.S. state, access is still unduly restricted.States should evaluate the potential barriers to accessing syringes over-thecounter and implement measures to improve access. Moreover, doctors should be permitted to prescribe syringes directly to their patients, a practice few states currently permit.

18. Authorize and Fund Sterile Syringe Access and Exchange Programs; Increase Programs: States should explicitly authorize and fund sterile syringe access and exchange programs, and states that have already authorized them should evaluate how to increase the number or capacity of programs to ensure all state residents – whether in urban centers or rural communities -- have access to clean syringes, as well as evaluate any possible barriers to access such as unnecessary age restrictions.

19. Provide Free Public, Community-Level Access to Drug Checking Services: Technology exists to test heroin and opioid products for adulterants via GC/MS analysis, but it has so far been unavailable at a public level in the US (aside from a mail-in service run by Ecstasydata.org). Making these services available in the context of a community outreach service or academic study would lower the number of deaths and hospitalizations and also allow for real-time tracking of local drug trends.

Prevention

20. Establish Expert Panel on Opioid Prescribing: Though the CDC has issued guidelines for prescribing opioids for chronic pain, the guidelines are voluntary and are likely to exacerbate disparities in treatment that already exist. Research has shown, for example, that African Americans are less likely than whites to receive opioids for pain even when being treated for the same conditions. Moreover, the CDC guidelines only address prescribing practices for chronic pain, not prescribing practices more broadly. States should accordingly establish an expert panel to undertake an assessment as to whether prescribing practices, such as co-prescriptions for benzodiazepines and opioids or overprescribing of opioids, have contributed to increased rates of opioid dependence, and, if so, the expert panel should develop a plan to address any such linkages as well as any treatment disparities. The plan must account for the potential negative effects of curtailing prescribing practices or swiftly reducing prescription opioid prescribing volume. A task force in Rhode Island found that while changes in opioid supply can have the intended effect of reducing availability of abuse-able medications, they have also been linked to an increase in transition to illicit drug use and in more risky drug use behaviors (e.g., snorting and injecting pain medications). The plan must also account for chronic pain patients, particularly those already underserviced, and not unduly limit their access to necessary medications. Finally, to the extent prescribing guidelines are issued as part of the plan, they should be mandatory and applied across the board.

21. Mandate Medical Provider Education: States should mandate that all health professional degree-granting institutions include curricula on opioid dependence, overdose prevention, medication-assisted treatment, and harm reduction interventions, and that continuing education on these topics be readily available.

22. Develop Comprehensive, Evidence-Based Health, Wellness, and Harm Reduction Curriculum for Youth: State education departments, in conjunction with an expert panel consisting of various stakeholders that ascribe to scientific principles of treatment for youth, should develop a comprehensive, evidence-based health, wellness, and harm reduction curriculum for use in schools that incorporates scientific education on drugs, continuum of use, and contributors to problematic drug use (e.g., coping and resiliency, mental health issues, adverse childhood experiences, traumatic events and crisis), as well as how reduce harm (e.g., not mixing opioids with benzodiazepines). Education departments should also establish protocols and resources for early intervention, counseling, linkage to care, harm reduction resources, and other supports for students.

CRIMINAL JUSTICE

23. Establish Diversion Programs, Including Law Enforcement Assisted Diversion (LEAD): LEAD is a pre-booking diversion program that establishes protocols by which police divert people away from the typical criminal justice route of arrest, charge and conviction into a health-based, harm-reduction focused intensive case management process wherein the individual receives support services ranging from housing and healthcare to drug treatment and mental health services. Municipalities should create and implement LEAD programs and states and the federal government should provide dedicated funding for such programs. Various other forms of diversion programs exist and can be implemented should LEAD prove unsuitable to a particular population or municipality.

24. Decriminalize Drug Possession: Decriminalization is commonly defined as the elimination of criminal penalties for drug possession for personal use. In other words, it means that people who merely use or possess small amounts of drugs are no longer arrested, jailed, prosecuted, imprisoned, put on probation or parole, or saddled with a criminal record. Nearly two dozen countries have taken steps toward decriminalization. Empirical evidence from the international experiences demonstrate that decriminalization does not result in increased use or crime, reduces incidences of HIV/AIDs and overdose, increases the number of people in treatment, and reduces social costs of drug misuse. All criminal penalties for possession of small amounts of controlled substances for personal use should be removed.

Chronicle AM: NYT Says ODs at Record High, WI Gov Advances Medicaid Drug Testing, More... (6/7/17)

Drug overdoses are at an all time high, drug war dinosaur senators want to return to harsh sentencing, Wisconsin's GOP governor moves forward with first in the nation plan to drug test Medicaid applicants, and more.

Fatal drug overdoses totaled nearly 60,000 last year, the New York Times reports. (Wikimedia)
Marijuana Policy

Connecticut House Debates Legalization, But There is No Vote. The House debated the pros and cons of marijuana legalization Tuesday night, but Democratic leaders then ended debate without any vote. They said a legalization bill would have failed in the House, but the debate could increase the chances of legalization being included as part of a budget bill, although observers describe that prospect as "a long shot."

Wichita Reduces Pot Penalties. The city council voted Tuesday to adopt an ordinance that would reduce the penalty for possession of up to 32 grams (slightly more than an ounce) of marijuana to $50 plus court costs.

ACLU, Drug Policy Alliance Sue Southern California City Over Pot Cultivation Ordinance. The ACLU of California and the Drug Policy Alliance are suing Fontana, claiming that the city's marijuana ordinance conflicts with rights granted to all Californians under Proposition 64. Under Prop. 64, every Californian 21 or older has a right to cultivate up to six marijuana plants for personal use. But the law also says cities or counties can ban outdoor gardens and "reasonably regulate" indoor grows.Fontana -- a city of 200,000 people that sits 50 miles east of Los Angeles -- passed an ordinance in January that requires residents who want to cultivate up to six plants inside their home to first get a $411 permit from the city and not have any drug convictions within the past five years, a policy the groups describe as both illegal and "egregious."

Medical Marijuana

Arkansas Finalizes Process for Medical Marijuana Applications. In a meeting Tuesday, the state Medical Marijuana Commission finalized the process for accepting applications for medical marijuana growers and sellers. The move comes after the commission developed a more detailed scoring system for ranking applicants. The application period will open June 30 and go on for 90 days. The commission will distribute 32 dispensary licenses and five cultivation facility licenses.

Florida Lawmakers Reach Agreement on Implementing Medical Marijuana. Lawmakers on Wednesday came to agreement on how to implement the state's voter-approved medical law. Under the agreement, ten new growers will be licensed this year, with five licenses going to previous applicants, five going to new applicants, and at least one reserved for a black farmer. The state current licenses only seven commercial grows. The agreement also caps the number of dispensaries each grower can operate at 25.

Oregon Bill to Let Medical Growers Sell Up to 20 Pounds in Recreational Market Advances. A bill that seeks to reshape the state's medical marijuana program so it can coexist with legal recreational marijuana is advancing. House Bill 2198, which would let medical growers sell up to 20 pounds in the recreational market in a bid to stay viable, passed the Joint Committee on Marijuana Regulation last week and is now before Joint Committee on Ways and Means.

Heroin and Prescription Opioids

New York Times Investigation Finds Drug Overdose Deaths Reached All-Time High in 2016. The New York Times published on Monday an investigative report that found that drug overdose deaths last year reached an all-time high, suggesting that the country's long-term opioid crisis continues to worsen and that younger age groups in the U.S. are experiencing record numbers of opioid overdoses than in the past. The Times looked at preliminary overdose data for 2016 provided by hundreds of state and local health authorities, concluding: "Drug overdoses are now the leading cause of death among Americans under 50, and all evidence suggests the problem has continued to worsen in 2017." The report estimates that more than 59,000 people died from a drug overdose in 2016 -- an increase of 19% from 2015. The report does not elaborate on which drugs are behind the estimated jump in overdose deaths last year, nor does the report indicate which age groups under 50 saw the largest increase in overdose deaths over prior years.

Senate Drug Warriors Feinstein and Grassley Prepare Bill With Tough New Penalties for Synthetic Opioids. The senior members of the Senate Judiciary Committee are preparing a bill that would create tough new penalties for people caught with synthetic opioids. A draft of the bill would give the attorney general the power to ban all kinds of synthetic drugs and it would impose a 10-year maximum sentence on people caught selling them for a first offense. A second offense would see the sentence double. The bill would penalize people selling drugs at a low level in the US, critics said.

Drug Testing

Wisconsin Submits Request to Drug Test Medicaid Applicants. Gov. Scott Walker (R) on Wednesday officially submitted a request for a federal waiver to become the first state in the country to drug test applicants for Medicaid benefits. Walker said the plan would provide drug addicts with treatment and make them employable. "Healthy workers help Wisconsin employers fill jobs that require passing a drug test," Walker's administration said in a press release Wednesday announcing the waiver. But critics called the notion a waste of money and an insult to people who need Medicaid.

Chronicle AM: RI House Punts on Legalization, Leading Mexican Journo Gunned Down, More... (5/17/17)

The Rhode Island House voted to study marijuana legalization instead of actually do it, Vermont newspapers pressure the governor to sign their legalization bill, the federal Justice Safety Valve Act gets refiled, Mexican journalist Javier Valdez Cardenas is gunned down, and more.

RIP. Mexican journalist Javier Valdez Cardenas, gunned down by presumed cartel hit men in Culiacan, Sinaloa, Monday. (Twitter)
Marijuana Policy

California Assembly Passes Bill to Restrict Edibles Packaging. The Assembly on Monday approved Assembly Bill 350, which would bar labels on edibles that "contain any content that is designed to be attractive to individuals under the age of 21," including cartoons, images that resemble those used to advertise to children, or have candy-like packaging. The bill now goes to the state Senate.

California Senate Passes Edibles Packaging Bill. The Senate on Tuesday unanimously approved Senate Bill 794, which would require all baked items and candies containing marijuana to be marked with a universal symbol (to be designed by the Bureau of Marijuana) and wrapped in child-resistant packaging. The bill now goes to the House.

Rhode Island House Punts on Legalization, Votes for More Study. The House Judiciary Committee on Tuesday voted to put off marijuana legalization for at least another year, instead approving a bill to set up a joint House-Senate commission to study the issue. The vote came as more than 200 people gathered on the state house steps to demand a vote on legalization. Legalization backers in the legislature say they have not given up on this year yet, though. Sen. Joshua Miller (D-Cranston) said he has "about three alternatives in my back pocket to get this done one way or another" and "I won't give up on this until the last night of session."

Four Vermont Newspapers Call on Governor to Sign Legalization Bill. The Burlington Free Press, the Bennington Banner, the Addison County Independent, and the Rutland Herald have all published editorials urging Gov. Phil Scott (R) to sign into law Senate Bill 22, which would legalize the possession and cultivation of small amounts of marijuana and set up a commission to study taxing and regulating marijuana commerce. The bill has not yet officially arrived on Scott's desk. Once it does, he will have five days to either sign it, veto it, or allow it to become law without his signature.

Washington Governor Signs "Omnibus" Marijuana Bill. Gov. Jay Inslee (D) on Tuesday signed into law Senate Bill 5131, the "omnibus bill" of more than a dozen legal changes to the state's marijuana laws. The bill creates an organic certification program for weed, allows people to share pot with friends without fear of violating the law, bars marijuana businesses from depicting plants on any billboards, allows medical patients to buy seeds and plants from producers, and instructs regulators to study the feasibility of allowing people to grow their own. Washington is the only legal state that doesn't allow for home grows.

Medical Marijuana

Delaware Medical Marijuana Expansion Bill Stalled. A bill that would have expanded the list of qualifying conditions for medical marijuana stalled in the Senate Tuesday as lawmakers complained that a promised amendment to address concerns of the medical profession was never added. But sponsor Sen. Margaret Rose Henry (D-Wilmington) said Senate Bill 24 would be reintroduced at a later date. The bill would have added debilitating anxiety to the list of qualifying conditions and removed a requirement that a psychiatrist sign recommendations for people seeking medical marijuana for PTSD.

Drug Policy

Sen. Kamala Harris Slams Trump/Sessions Drug Policy. California's junior senator, Kamala Harris (D) on Tuesday took Attorney General Sessions to task over his call for tough crackdown on drug offenders last week. "I saw the war on drugs up close, and let me tell you, the war on drugs was an abject failure," Harris said. "It offered taxpayers a bad return on investment, it was bad for public safety, it was bad for budgets and our economy, and it was bad for people of color and those struggling to make ends meet." She also called for federal marijuana rescheduling and decriminalization.

Sentencing

Bipartisan "Justice Safety Valve Act" Filed in Both Houses. Sens. Rand Paul (R-KY), Patrick Leahy (D-VT), and Jeff Merkley (D-OR) on Tuesday reintroduced the Justice Safety Valve Act, Senate Bill 1127, while Reps. Bobby Scott (D-VA) and Thomas Massie (R-KY) filed companion legislation, House Bill 2435, in the lower chamber. The bill would give federal judges the ability to impose sentences below mandatory minimums in appropriate cases based on mitigating factors. "Mandatory minimum sentences disproportionately affect minorities and low-income communities, while doing little to keep us safe and turning mistakes into tragedies. As this legislation demonstrates, Congress can come together in a bipartisan fashion to change these laws," said Sen. Paul.

International

Leading Mexican Journalist Gunned Down in Sinaloa. Gunmen in the state capital of Culiacan on Monday assassinated journalist Javier Valdez Cardenas, 50, as he drove to work in his car. Valdez, a veteran journalist who chronicled the bloody conflicts between drug cartels in his home state, co-founded the newspaper Riodoce in 2003, and had won prizes from Columbia University and the Committee to Protect Journalists for his reporting. Valdez is only the latest of at least 104 journalists who have been killed in Mexico since 2000; another 25 have disappeared. The killing is raising pressure on the Mexican government, which has failed to solve all but a handful of the slaying. Your reporter met Valdez in his office in Culiacan in 2008. He will be missed.

Chronicle AM: Rand Paul Slams Jeff Sessions, Guatemala Poppy Conflict Grows Violent, More... (5/16/17)

Marijuana legalization efforts look stalled in Connecticut and Rhode Island, Rand Paul joins the chorus of critics of Attorney General Sessions' drug war crackdown, the California Senate approves a bill to end sentencing enhancements for prior drug convictions, and more.

Kentucky libertarian GOP Sen. Rand Paul says return to harsh drug war will disproportionately harm black communities.
Marijuana Policy

Connecticut Dems Put Legalization Language in Budget Bill. Democrats have included marijuana legalization language in their budget recommendations, while conceding they don't have enough votes in their own caucus to pass the measure. The measure needs 76 votes to pass, but not all 79 Democrats are on board. They said they included the language to spur further conversations and to help balance the state budget. Legalization bills have been defeated in two committees this year.

Rhode Island Bill to Create Legalization Study Commission Gets Vote Today. The House Judiciary Committee was set to vote today on a measure that would create a legislative commission to study marijuana legalization. The move is not supported by legalization proponents, who charge it is a delaying tactic. Foes were set to rally at the statehouse at noon today to urge a legalization vote this year.

Drug Policy

Rand Paul Slams Sessions' Return to Hard Core Drug War. Sen. Rand Paul (R-KY) slammed Attorney General Sessions' new sentencing guidelines in a CNN op-ed Monday. Last Friday, Sessions instructed federal prosecutors to charge defendants with the most serious possible offense carrying the longest possible prison sentence. "The attorney general's new guidelines, a reversal of a policy that was working, will accentuate the injustice in our criminal justice system," Paul wrote, adding that the "war on drugs" disproportionately affects young black men. "I want to go the opposite way from the attorney general," Paul said.

Senate Bill to Reauthorize Drug Czar's Office Funding Filed. Sen. Jeanne Shaheen (D-NH) has filed Senate Bill 1123, which would reauthorize funding for the Office of National Drug Control Policy (ONDCP -- the drug czar's office). The move comes after the Trump administration suggested cutting funding for the office by 95%. This bill does not actually fund ONDCP; it merely authorizes funding it. Actual appropriations levels would be set later in the budget process.

Sentencing

California Senate Approves Bill to End Sentence Enhancements for Prior Drug Convictions. The Senaate approved the RISE ACT (Repeal Ineffective Sentencing Enhancements), Senate Bill 180, on a party line vote Monday. The bill would repeal a three-year mandatory enhancement for prior drug convictions that are added to any new conviction. Today, someone convicted for sale or possession for sale of a miniscule amount of drugs, can face 3-5 years plus an additional three years in jail for each prior conviction for similar drug offenses.

International

Guatemala Border Communities Clash Over Cartel-Tied Opium Crops. The Guatemalan government has declared a state of emergency in the Ixchiguán and Tajumulco municipalities of the San Marcos department near the border with Mexico after community members engaged in armed battles between themselves and the Guatemalan military. The villagers are fighting over poppy crops, with one village aligned with the Jalisco New Generation cartel and the other aligned with the Sinaloa cartel. Videos of the conflict show the villagers heavily armed.

Chronicle AM: AG Sessions Orders Tougher Sentencing, NH Gov Will Sign Decrim, More... (5/12/17)

Attorney General Sessions has rolled out plans to return to the harsh war on drugs of old, New Hampshire is set to become the next decriminalization state (even as polls show it's ready for legalization), Denver takes a step toward social pot consumption permits, and more.

Attorney General Sessions has announced a return to the "tough on drugs" policies of the last century. (senate.gov)
Marijuana Policy

New Hampshire Poll Has Strong Support for Legalization.A new poll from the University of New Hampshire Survey Center has some of the strongest support anywhere for marijuana legalization. The poll found 68% supported legalization, with only 27% opposed. What makes the finding even more striking is that more than half (53%) of respondents in the same poll identified drug abuse as the most serious issue facing the state. As the pollster noted, "The public doesn't see marijuana legalization and the opioid crisis as the same issue."

New Hampshire Governor Says He Will Sign Decriminalization Bill. Maybe he's following the polls, but Gov. Chris Sununu (R) has confirmed that he will sign House Bill 460, which decriminalizes the possession of up to three-quarters of an ounce of pot. "I want to thank the Legislature for passing common sense marijuana reform," Sununu said in a statement. "I look forward to signing House Bill 640 into law."

Texas Decriminalization Bill Dies. The clock has run out on House Bill 81, which would have decriminalized the possession of small amounts of marijuana. The House failed to take up the bill before a midnight Thursday deadline, meaning it is now dead for the session.

Denver Releases Draft Rules for Social Marijuana Consumption Permits. The city released draft rules and regulations for businesses seeking to obtain permits to allow onsite marijuana consumption on Thursday. The draft rules do not allow businesses seeking such a permit to hold a liquor license, meaning dreams of being able to smoke and drink at the same place have gone out the window -- at least for now. The rules are still open for review, with a public hearing set for June 13. The rules also envision making customers sign a waiver form saying they won't drive impaired and won't sell pot at the business. Businesses would not be able to sell any marijuana; instead customers would have to BYOB -- up to an ounce.

Philadelphia Mayor Says Legalize It, Let State Liquor Stores Sell It. Mayor Jim Kenney (D) has called for pot to be legalized and sold at state liquor stores. The state has "the perfect system to set up the legal recreational use" of marijuana with its state-controlled liquor stores, Kenny said. Doing so would allow the state "to capture all the income that is going to the underground," he said, adding that revenues could go to public education.

Medical Marijuana

Michigan Bill Would Allow Patients to Transport Their Medicine. Rep. Peter Lucido (D-Macomb County) has filed House Bill 4606, which would repeal a 2012 law making it illegal to transport marijuana unless it's in a container in the trunk of a vehicle. It's "ridiculous" that medical marijuana patients can't carry pot like any other prescription medication," Lucido said."It makes no sense to give out medical marijuana cards and force patients to put it in the trunk," he continued. "My God, it's not a gun -- being a lawyer, my law firm has taken on at least a dozen of these cases."

New Jersey Panel Recommends Adding Chronic Pain as Qualifying Condition. The state Medical Marijuana Program Review Panel on Friday recommended that the Health Commissioner approve chronic pain related to a number of ailments as a qualifying condition for the use of medical marijuana. There will now be a 60-day comment period and a public hearing before the recommendations is finalized and sent to the commissioner.

Drug Policy

Attorney General Sessions Orders Tougher Drug Sentencing, Rolling Back Obama Reforms. In a memo released Thursday, Attorney General Jeff Sessions ordered federal prosecutors to pursue the toughest possible charges against crime suspects, rolling back Obama administration steps to ease penalties for some nonviolent drug offenders. The policy shift signals a return to "enforcing the laws that Congress has passed," Sessions said Friday.

ACLU Criticizes Sessions' Shift Back to Failed Drug Policies. The American Civil Liberties Union (ACLU) responded to Attorney General Sessions' shift in drug policy by calling it "repeating a failed experiment" and a throwback to the 1980s. Udi Ofer, director of the ACLU's Campaign for Smart Justice said it sounds like a return to the dark days of the 1970s and 1980s, which "devastated the lives and rights of millions of Americans."

Eric Holder Criticizes Sessions Shift Back to Failed Drug Policies. Obama-era Attorney General Eric Holder, author of some of the sentencing reforms being rolled back by Sessions, called the move "dumb on crime" and said Sessions is ignoring bipartisan support for sentencing changes. Sessions' policy is "an ideologically motivated, cookie-cutter approach that has only been proven to generate unfairly long sentences," Holder added.

Chronicle AM: VT Lawmakers Pass Legalization, Sessions May Restart Harsh Drug War, More... (5/10/17)

A bill legalizing the possession and cultivaiton of small amounts of marijuana has passed the Vermont legislature, Attorney General Sessions could be on the verge of reinstating harsh drug war prosecution practices, Mexico's drug violence is on the upswing, and more.

The Vermont legislature made history today becoming the first to have both houses approve a legalization bill. (Wikimedia)
Marijuana Policy

Vermont Legislature Passes Legalization Bill. The state becomes the first in the nation to have both chambers of the legislature approve a marijuana legalization bill after the House voted on Wednesday to approve Senate Bill 22, a compromise between a House bill that would only legalize possession and cultivation -- not commerce -- and a Senate bill that envisioned a full-blown tax and regulate law. This bill postpones the effective date of personal legalization to next year and creates a commission to study whether to advance on taxation and regulation. The bill has already passed the Senate and now heads to the desk of Gov. Phil Scott (R). It is unclear whether Scott will sign the bill or not.

Medical Marijuana

Texas Medical Marijuana Bill Dies. Despite the strongest support yet in Austin, the fight to pass a medical marijuana bill is over. House Bill 2107 is dead, killed by the House Calendars Committee, which failed to take action on it by a Tuesday deadline.

Asset Forfeiture

Iowa Governor Signs Asset Forfeiture Reform Bill. Gov. Terry Branstad (R) on Tuesday signed into law Senate File 446, which requires a criminal conviction before property valued at less than $5,000 can be seized by police. The new law also raises the standard of proof from a preponderance of the evidence to "clear and convincing" evidence, and implements record-keeping requirements.

Drug Policy

Attorney General Sessions Could Bring Back Harsh Drug War Prosecutions. Sessions is reviewing policy changes that could reverse Obama era sentencing practices aimed at reducing the federal prison population. According to reports, Sessions could be on the verge of reversing an Eric Holder memo that instructed prosecutors to avoid charging low-level defendants with crimes carrying the most severe penalties and to avoid seeking mandatory minimum sentences. "As the Attorney General has consistently said, we are reviewing all Department of Justice policies to focus on keeping Americans safe and will be issuing further guidance and support to our prosecutors executing this priority -- including an updated memorandum on charging for all criminal cases," Ian Prior, a department spokesman, in a statement to The Washington Post.

Drug Testing

Labor Department Removes Obama Rule Blocking States' Drug Testing for Unemployment Benefits. The department will publish in the Federal Register on Thursday notice that it is officially removing the Obama era rule that limited states' ability to force unemployment applicants to undergo drug testing. Congress had repealed the rule under the Congressional Review Act in March.

International

Irish Senators Approve Supervised Injection Sites. The Seanad on Wednesday approved legislation permitting the creation of supervised injection sites with a bill that will allow for the preparation and possession of drugs on such premises. The measure was approved by the lower house, the Dail, in March.

Mexico's Drug War Was World's Second Deadliest Conflict Last Year. Some 23,000 people were killed in prohibition-related violence in Mexico last year, making the country second only to Syria in terms of lives lost to conflict. About 50,000 were reported killed in the Syrian civil war in 2016. The numbers come from an annual survey of armed conflict from the International Institute for Strategic Studies. "The wars in Iraq and Afghanistan claimed 17,000 and 16,000 lives respectively in 2016, although in lethality they were surpassed by conflicts in Mexico and Central America, which have received much less attention from the media and the international community," said Anastasia Voronkova, the editor of the survey. Last year's toll is a dramatic increase from the 15,000 conflict deaths in Mexico in 2014 and the 17,000 in 2015. "It is noteworthy that the largest rises in fatalities were registered in states that were key battlegrounds for control between competing, increasingly fragmented cartels," she said. "The violence grew worse as the cartels expanded the territorial reach of their campaigns, seeking to 'cleanse' areas of rivals in their efforts to secure a monopoly on drug-trafficking routes and other criminal assets."

Colombian Coca Production More Than Triples. Thanks largely to "perverse incentives" linked to the end of the decades-long conflict between the Colombian state and the FARC, Colombia is growing more coca than ever. As a result, the cocaine market is saturated, prices have crashed, and unpicked coca leaves are rotting in the fields. "We've never seen anything like it before," said Defense Minister Luis Carlos Villegas. The country produced a whopping 710 tons of cocaine last year, up from 235 tons three years earlier.

Chronicle AM: DHS Flip Flops on MJ, OR Bill to Protect MJ Users from Feds Passes, More... (4/19/17)

Two top federal security officials say scary things about marijuana policy, at least two states are moving to protect pot people from any federal crackdown, San Francisco becomes the latest city to embrace LEAD, and more.

DHS head John Kelly went from marijuana "is not a factor" in drug war to vowing to deport marijuana users in less than 48 hours.
Marijuana Policy

AG Sessions Says Marijuana Plays Role in International Criminal Enterprises. Attorney General Jeff Sessions said Tuesday that marijuana is a significant part of international drug trafficking and that there is "a lot" of violence around "marijuana distribution networks" in this country. "We have quite a bit of marijuana being imported by the cartels from Mexico. This is definitely a cartel-sponsored event," he said. "So it is a financial money-maker for them," he said. "I returned from the border last week and they told me that quite a number of the people they arrest are hauling marijuana across the border."

Homeland Security Chief Says Marijuana Possession is Grounds for Deportation. What a difference a couple of days makes! Over the weekend, Homeland Security Chief John Kelly said that "marijuana is not a factor" in the administration's war on drugs, but by Tuesday, he had changed his tune, denouncing marijuana as a "gateway drug" and warning that DHS would use pot charges to deport people. "ICE will continue to use marijuana possession, distribution and convictions as essential elements as they build their deportation removal apprehension packages for targeted operations against illegal aliens living in the United States," he said.

California Bill to Protect Pot People from Feds Advances. A bill aimed at protecting marijuana users and the state's blossoming pot industry from any federal crackdown was approved by the Assembly Public Safety Committee on a 5-2 vote. The measure, Assembly Bill 1578, would prevent state and local police from helping federal law enforcement crack down on state-legal marijuana activity.

Guam Governor Backs Away from Legalization Proposal, Citing Trump. Governor Eddie Baza Calvo has suspended his push to legalize marijuana on the American territory, citing a change of atmosphere in Washington. "US Attorney General Jeff Sessions' pronouncement that the federal government intends to crack down on jurisdictions where recreational marijuana is legal," a Calvo spokesman pointed out.

Oregon Bill to Protect Pot People from Feds Signed into Law Governor Kate Brown (D) on Monday signed into law Senate Bill 863. The bill would protect Oregon marijuana users from any federal crackdown by prohibiting the state's pot retailers from sharing or keeping information about their customers' purchases or identities.

Atlanta City Council Punts on Marijuana Decriminalization. The city council on Tuesday failed to pass a decriminalization ordinance, instead referring the measure to the Public Safety Committee for further review. The measure would have decriminalized the possession of up to an ounce, with a maximum fine of $75.

Medical Marijuana

Iowa Senate Approves Bill to Down-Schedule Marijuana. The state Senate voted Tuesday to approve a bill that would reschedule marijuana under state law from Schedule I to Schedule II and allow the manufacture and distribution of medical marijuana products. The bill now heads to the House.

North Dakota Governor Signs Medical Marijuana Regulation Bill. Governor Doug Burgum (R) on Monday signed into law Senate Bill 2344, which imposes sweeping legislative modifications on the state's new voter-approved medical marijuana law. With the governor's signature on the bill, the state now expects to have its system up and running within 12 to 18 months.

Law Enforcement

San Francisco Begins Law Enforcement Assisted Diversion (LEAD) Program. As of the beginning of April, the city is now operating a Law Enforcement Assisted Diversion (LEAD) program aimed at reducing the incarceration and criminalization of drug users and those with mental illnesses. LEAD is a pre-booking diversion program that refers low level offenders to treatment and community-based health and social services instead of prosecuting and jailing them. LEAD was pioneered in Seattle and is now in operation in a handful of cities across the country.

Drug War Issues

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