104th CONGRESS
1st Session
To provide for the therapeutic use of marihuana in situations
involving life-threatening or sense-threatening illnesses and to
provide adequate supplies of marihuana for such use.
IN THE HOUSE OF REPRESENTATIVES
NOVEMBER 10, 1995
Mr. FRANK of Massachusetts (for himself, Mr. JOHNSTON of Florida, and
Ms. PELOSI) introduced the following bill; which was referred to the
Committee on Commerce, and in addition to the Committee on the
Judiciary, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
A BILL
To provide for the therapeutic use of marihuana in situations
involving life-threatening or sense-threatening illnesses and to
provide adequate supplies of marihuana for such use.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. DEFINITIONS.
Section 102(16) of the Controlled Substances Act is amended by adding
at the end thereof the following new sentence: `Such term also does not
include tetrahydrocannabinols not derived, extracted, or prepared from
plant Cannabis sativa L.'.
SEC. 2. AUTHORIZING THE MEDICAL PRESCRIPTION OF MARIHUANA.
(a) SCHEDULE I AMENDMENT- Paragraph (c) of schedule I of section 202(c) of the Controlled Substances Act is amended--
(1) by striking out subparagraph (10);
(2) by redesignating subparagraphs (11) through (17) as subparagraphs (10) through (16), respectively; and
(3) by amending subparagraph (16) (as so redesignated) to read as follows:
`(16) Tetrahydrocannabinols not derived, manufactured, or prepared from the plant Cannabis sativa L.'.
(b) SCHEDULE II AMENDMENT- Paragraph (a) of schedule II of section
202(c) of the Controlled Substances Act is amended by adding at the end
thereof the following new subparagraph:
SEC. 3. PRODUCTION AND DISTRIBUTION OF MEDICINAL MARIHUANA.
(a) RULEMAKING- Section 301 of the Controlled Substances Act is
amended by adding at the end thereof the following: `, except that rules
and regulations specifically relating to the regulation and control of
the production, distribution, and dispensing of marihuana to sections
312 and 313 shall be promulgated by the Secretary.'.
(b) PRODUCTION AND DISTRIBUTION- Part C of the Controlled Substances Act is amended by adding at the end the following:
`OFFICE FOR THE SUPPLY OF INTERNATIONALLY CONTROLLED DRUGS
`SEC. 311. (a) There is established in the Department of Health and
Human Services an office to be known as the Office for the Supply of
Internationally Controlled Drugs (hereinafter referred to in this
section and sections 312 and 313 as the `Office'). The Office shall be
responsible for regulating, administering, and supervising the domestic
production of marihuana and, in accordance with section 313, for the
distribution of marihuana for medical, scientific, and research
purposes.
`(b) The Office shall be under the direction of a Chief Officer who
shall be appointed by the Secretary. The Secretary is authorized to
delegate his powers and responsibilities under sections 312 and 313 to
the Chief Officer.
`PRODUCTION OF MEDICINAL MARIHUANA
`SEC. 312. (a) The Secretary shall take all necessary actions to
secure and maintain a supply of marihuana adequate for the legitimate
medical, research, scientific, and export needs of the United States.
The Secretary shall determine the total quantity of marihuana to be
produced each calendar year to provide for the estimated medical,
scientific, and research needs of the United States, for the
establishment of reserve stocks, and for any lawful export requirements
established by the Attorney General under section 1003. Based on the
determination under the preceding sentence, the Secretary shall
recommend to the Attorney General the aggregate production quotas that
must be established for marihuana under section 306(a). The
recommendations of the Secretary concerning aggregate production quotas
for marihuana shall be binding on the Attorney General.
`(b)(1) In order to maintain an adequate supply of marihuana, the
Secretary shall periodically publish notices soliciting bids on a
contract or contracts for the domestic cultivation and delivery of
marihuana. All bids submitted must specify the areas in which, and the
land on which, cultivation of marihuana will be conducted. All bids
submitted must be accompanied by an application for registration under
section 302.
`(2) The Secretary shall forward a copy of the registration
application to the Attorney General. The Secretary, after consultation
with the Attorney General, shall recommend to the Attorney General that
the application for registration be granted or denied, taking into
account the factors set forth in section 303(a). The recommendations of
the Secretary concerning the registration of applicants to produce
marihuana shall be binding on the Attorney General.
`(3) The Secretary may accept or reject any bid that is submitted by
registered bidders, taking into consideration (A) the factors set forth
in section 303(a), and (B) price. Marihuana may be produced only by
accepted bidders, solely on the land specified in the applicants' bids.
The Secretary shall provide persons whose bids have been accepted with
marihuana seeds capable of germination. Such seeds shall be obtained by
the Secretary from legitimate commercial producers of marihuana or, if
this is not feasible, the National Institute on Drug Abuse, the Attorney
General through the Drug Enforcement Administration, or the Secretary
of Agriculture shall provide the Secretary with an adequate supply of
seeds capable of germination.
`(c) Upon acceptance of a bid for the production of marihuana, the
Secretary shall establish an individual quota for the production of
marihuana for the bidder and shall recommend to the Attorney General
that this quota be assigned to the bidder where required under section
306. The recommendations of the Secretary concerning individual quotas
for the production of marihuana, including recommendations that such a
quota be decreased or increased, shall be binding on the Attorney
General.
`(d) The Secretary may revoke or suspend the acceptance of any bid
for the production of marihuana prior to the expiration of the contract
executed on the basis of the bid upon a finding by the Secretary (1)
that the bidder has materially breached the terms of the contract
relating to the maintenance of effective controls against diversion of
marihuana into other than legitimate medical, scientific, and industrial
channels; or (2) that any of the reasons specified in section 304(a)
are applicable. Upon such revocation or suspension, the Secretary shall
recommend to the Attorney General that the bidder's registration for the
production of marihuana be revoked or suspended pursuant to section 304
and such recommendations by the Secretary shall be binding on the
Attorney General.
`(e) Within four months of the end of the harvest of marihuana grown
by registered bidders pursuant to contract with the Office, the Office
or its delegate or delegates shall take physical possession of the
marihuana harvested.
`(f)(1) The Secretary may, at his discretion, periodically publish
notices soliciting bids on a contract or contracts for the physical
collection, processing, and shipping of marihuana crops produced under
contracts entered into under subsection (b) or of imported or forfeited
stocks described in subsections (g) and (h). All bids submitted must be
accompanied by an application for registration under section 302.
`(2) The Secretary shall forward a copy of the registration
application to the Attorney General. The Secretary, after consultation
with the Attorney General, shall recommend to the Attorney General that
the application for registration be granted or denied, taking into
account the factors set forth in section 303(b) and such recommendations
of the Secretary shall be binding on the Attorney General.
`(3) The Secretary may accept or reject any bids submitted by
registered bidders, taking into consideration (A) the factors set forth
in section 303(b); (B) the provisions in the bid for the processing of
raw marihuana into medically usable forms, including the provisions for
the maintenance of controlled amounts of tetrahydrocannabinols in each
dosage unit; and (C) price.
`(g) If a supply of marihuana adequate to meet domestic medical,
scientific, and research needs is not obtained through contractual
arrangements with domestic registered bidders, the Secretary shall
declare that a state of emergency exists. The declaration by the
Secretary of a state of emergency due to inadequate domestic supplies of
marihuana shall have the same effect as a finding by the Attorney
General of an emergency due to inadequate domestic supplies under
section 1002(a)(2)(A). If no applicants are registered to import
marihuana under sections 1007 and 1008 within sixty days of the date of
the declaration by the Secretary that a state of emergency exists, the
Secretary shall make arrangements for the direct importation by the
Office of a supply of marihuana adequate for domestic medical,
scientific, and research needs.
`(h) If, while a state of emergency declared under subsection (g)
exists, the Secretary finds that a supply of marihuana adequate for
domestic medical, scientific, and research needs cannot be obtained
through importation, then the Secretary may request that the Attorney
General forward to the Office forfeited stocks of marihuana that are
unadulterated with other substances, pursuant to section 511(e).
`DISTRIBUTION OF MEDICINAL MARIHUANA
`SEC. 313. (a) Marihuana shall be distributed only to hospitals and pharmacies that are--
`(1) registered under section 303(f) to dispense drugs in schedule II of section 202; and
`(A) an eligible physician who plans to use marihuana in the
treatment of the nausea of patients who are undergoing cancer
chemotherapy or radiology or in the treatment of patients who have
glaucoma, AIDS wasting syndrome, or muscle spasms from certain spastic
disorders, including multiple sclerosis, paraplegia, and quadriplegia;
or
`(B) a person who has obtained approval by the Secretary of an
investigational new drug application under section 505(i) of the Federal
Food, Drug, and Cosmetic Act for research involving the use of
marihuana.
`(b) In order to be certified as a physician eligible for purposes of
subsection (a)(2)(A), the physician must file a written application
with the Office seeking permission to use marihuana in his practice.
Such an application shall be approved or denied within thirty days of
its receipt by the Office, or, where possible, within such shorter time
as is deemed essential by the applicant in cases of medical emergency.
If an application is not acted upon within thirty days of its receipt by
the Office, it shall be deemed approved. To be approved an application
must affirmatively state--
`(1) that the applicant is a physician registered under section
303(f) to dispense controlled drugs in schedule II of section 202;
`(2) the applicant's registration number;
`(3) that the applicant will use the requested marihuana solely for
the treatment of glaucoma, AIDS wasting syndrome, muscle spasms from
certain spastic disorders, including multiple sclerosis, paraplegia, and
quadriplegia, or the nausea associated with cancer chemotherapy or
radiology;
`(4) the name of all pharmacies or hospitals registered to dispense
schedule II drugs that the applicant is requesting that supplies of
marihuana be sent to;
`(5) that the applicant will inform the Office of any adverse reactions by his patients to the use of marihuana; and
`(6) that prior to administration of marihuana to any patient, he
will obtain from the patient a signed consent form stating that informed
patient consent has been obtained.
Unless the Secretary determines that an application which makes the
statements required by the preceding sentence contains a misstatement of
fact, the application shall be approved upon payment of a reasonable
fee to cover the costs of processing the application. Approval of a
physician's application may be suspended or revoked by the Secretary for
good cause shown.
`(c)(1) Upon certification of a physician as eligible under
subsection (b), the Secretary shall issue serially numbered marihuana
order forms to all registered pharmacies or hospitals listed on the
eligible physician's application form. Whenever any such form is issued
to a pharmacy or hospital the Secretary shall, before delivery thereof,
insert therein the name of the pharmacy or hospital, and it shall be
unlawful for any other person (A) to use such form for the purpose of
obtaining controlled substances; or (B) to furnish such form to any
person with intent thereby to procure the distribution of such
substances.
`(2) It shall be unlawful for any person to obtain by means of order
forms issued under this subsection controlled substances for any purpose
other than their use, distribution, dispensing, or administration in
the conduct of a lawful business in such substances or in the course of
his professional practice or research.
`(3) Written orders made on marihuana order forms issued under this subsection shall satisfy the requirements of section 308(a).
`(4) The preservation and availability requirements of section 308(c)
apply to orders made on forms issued under this subsection.
`(d) Hospitals and pharmacies may obtain supplies of marihuana only
by forwarding a written order to the Secretary on the form issued in
blank in accordance with subsection (c). Upon receipt from a hospital or
pharmacy of a properly completed marihuana order form requesting a
supply of marihuana the Office or its delegate or delegates shall
forward a supply of marihuana to the pharmacy or hospital within a
reasonable time. If notified by an eligible physician that there is a
medical urgency for immediate shipment, the Office or its delegate or
delegates shall forward a supply of marihuana within five days of such
notice, or sooner if feasible. Also, upon receipt by the Secretary of a
written request of a person who has obtained approval of an
investigational new drug application under section 505(i) of the Federal
Food, Drug, and Cosmetic Act for research involving the use of
marihuana, the Office or its delegate or delegates shall forward a
supply of marihuana to the specified pharmacy or hospital licensed to
dispense schedule II drugs within a reasonable time.
`(e) The Secretary is directed to set a price for marihuana that will
recoup, within a reasonable time, all of the costs incurred by the
Federal Government in producing, processing, and distributing marihuana.
`(f) Within six months from the date of the enactment of this
section, the Secretary, after consultation with the Attorney General,
shall promulgate regulations consistent with public health and safety
that are in accord with the provisions of this title to ensure an
adequate supply of medically usable marihuana and to ensure proper
safeguards regarding the production, storage, processing, distribution,
and dispensing of marihuana so as to prevent its diversion into other
than legitimate medical, scientific, or research channels.'.
(c) PENALTY- Section 402(a) of the Controlled Substances Act is
amended (1) by striking out `or' at the end of paragraph (9), (2) by
striking out the period at the end of paragraph (10) and inserting in
lieu thereof `; or', and (3) by adding at the end the following new
paragraph:
`(11) to use an order form issued under section 313(c) in a manner
prohibited by such section or to furnish such a form in violation of
such section.'.
SEC. 4. COMPLIANCE WITH THE FEDERAL FOOD, DRUG, AND COSMETIC ACT.
The Federal Food, Drug, and Cosmetic Act is amended by inserting after section 505 the following:
`THERAPEUTIC USE OF MARIHUANA
`SEC. 505A. (a) Notwithstanding section 505(a), the approval of the
Secretary shall not be required for the introduction or delivery of
marihuana into interstate commerce in compliance with the requirements
of sections 312 and 313 of the Controlled Substances Act.
`(b) Marihuana is defined as a prescription drug for purposes of
section 503(b). Only physicians who are eligible to obtain marihuana
under section 313(b) of the Controlled Substances Act may issue written
prescriptions authorizing the dispensing of marihuana under section
503(b).'.
SEC. 5. AUTHORIZATION OF APPROPRIATIONS.
There is authorized to be appropriated not to exceed $5,000,000 for
the fiscal year 1996, and $5,000,000 for the fiscal year 1997, for the
use of the Office for the Supply of Internationally Controlled Drugs in
conducting, contracting for, supervising, and administering the
production, testing, processing, distribution, and dispensing of
marihuana.
SEC. 6. INTERIM PROVISIONS.
The Secretary of Health and Human Services shall procure a supply of
marihuana adequate for the scientific, medical, and research needs of
the United States within 12 months after the date of the enactment of
this Act. The Secretary of Health and Human Services and the Attorney
General shall ensure that persons now receiving marihuana pursuant to
research projects approved by the Secretary of Health and Human Services
continue to receive uninterrupted supplies until the system for the
processing and distribution of marihuana produced pursuant to the
Controlled Substances Act is fully operational.