HCSHB1830--ALTERNATIVETHERAPIES
SPONSOR: McMullen
COMMITTEEACTION:Voted"DoPasswithHCS"bytheStanding
CommitteeonVeteransbyavoteof12to0.
ThefollowingisasummaryoftheHouseCommitteeSubstituteforHB
1830.
Asspecifiedinthisbill,anypersonwhoacquires,uses,produces,
possesses,transfers,oradministerspsilocybinfortheperson's
owntherapeuticusewillnotbeinviolationofStateorlocallaw
andwillnotbesubjecttoacivilfine,penalty,orsanctionso
longasthepersonmeetsthefollowingconditions:
(1)Isaveteran;
(2)Is21yearsofageorolder;
(3)Suffersfromposttraumaticstressdisorder,majordepressive
disorder,orasubstanceusedisorderorrequiresend-of-lifecare;
(4)Hasenrolledinastudytostudytheuseofpsilocybinto
treatposttraumaticstressdisorder,majordepressivedisorder,or
substanceusedisordersorforend-of-lifecare;
(5)InformstheDepartmentofMentalHealththatthepersonplans
toacquire,use,produce,possess,transfer,oradminister
psilocybininaccordancewiththissection;
(6)ProvidestheDepartmentwithdocumentsspecifiedinthebill.
TheDepartmentmustmaintaintheconfidentiality ofanypersonally
identifiableprotectedinformationcollectedfromanyonewho
providesinformationtotheDepartment;
(7)Useofpsilocybinoccursonlyinthepresenceofafacilitator
whomeetsrequirementsoutlinedinthebill;
(8)EnsuresthatalaboratorylicensedbytheStatetotest
controlledsubstancesteststhepsilocybinthepersonintendsto
ingest;and
(9)Thepersonlimitstheuseofpsilocybintonomorethan150
milligramsofpsilocybinanalyte(4-phosphoryloxy-N,
Ndimethyltryptamine) duringany12monthperiod.
TheDepartmentmustprepareandsubmittotheGovernor,Lieutenant
Governor,andtheGeneralAssemblyannualreportsonany informationcollectedbytheDepartmentontheimplementation and
outcomesoftheuseofpsilocybin.
Thisbillspecifiesthat,aphysicianwillnotbesubjectto
criminalorcivilliabilityorsanctionunderthelawsofthis
Stateforprovidingdocumentationthatapersonsuffersfrom
posttraumaticstressdisorder,majordepressivedisorder,ora
substanceusedisorderorrequiresend-of-lifecare,andnoState
agencyorregulatoryboardshallrevoke,failtorenew,ortakeany
otheractionagainstaphysician'slicenseissuedunderChapter
334,RSMobasedsolelyonthephysician'sprovisionof
documentationthatapersonsuffersfromposttraumaticstress
disorder,majordepressivedisorder,orasubstanceusedisorderor
requiresend-of-lifecare.
ThisbillalsorequirestheDepartment,incollaborationwitha
hospitaloperatedbytheaninstitutionofhighereducationinthis
stateorcontractresearchorganizationsconductingtrialsapproved
bytheUnitedStatesFoodandDrugAdministration inMissouri,to
conductastudyontheefficacyofusingalternativemedicinesand
therapies,including,butnotlimitedto,theuseofpsilocybinfor
thetreatmentofpatientssufferingfrompost-traumaticstress
disorder,majordepressivedisorder,substanceusedisorders,or
whorequireend-of-lifecare.
Thebillspecifiesthatsuchstudyshallincludeastudyonthe
therapeuticefficacyofusingpsilocybininthetreatmentof
veteranswhosufferfromposttraumaticstressdisorder,major
depressivedisorder,orsubstanceusedisordersorwhorequireend-
of-lifecare,aswellasaliteraturereviewandthesubmissionof
variousreports. TheDepartmentofMentalHealth,anyhealthcare
providers,andanypersonparticipatinginthestudywillnotbe
subjectedtocriminalorcivilliabilityorsanctionforthe
participationinthestudy,exceptincasesofgrossnegligenceor
willfulmisconduct.
TheDepartmentshallprepareandsubmittotheGovernor,Lieutenant
GovernorandtheGeneralAssembly:
(1)Quarterlyreportsontheprogressofthestudy;and
(2)Awrittenreport,submittedoneyearfollowingthe
commencementofthestudy,whichmust:
(a)Containtheresultsofthestudyandanyrecommendations for
legislativeorregulatoryaction;and
(b)Highlightthoseclinicalpracticesthatappeartobemost
successfulaswellasanysafetyorhealthconcerns. TheDepartmentmustmaintaintheconfidentiality ofanypersonally
identifiableprotectedinformationcollectedduringthestudy.The
DepartmentofMentalHealth,anyhealthcareproviders,andany
otherpersoninvolvedinthestudyunderthissectionshallnotbe
subjecttocriminalorcivilliabilityorsanctionunderthelaws
ofthisstateforparticipatinginthestudy,exceptincasesof
grossnegligenceorwillfulmisconduct.Nohealthcareprovider
shallbesubjecttodisciplineagainsthisorherprofessional
licenseforparticipationinthestudy.
Aphysicianwillnotbesubjecttocriminalorcivilliabilityor
sanctionunderthelawsofthisstateforreferringapatientto
thestudyunderthissection,andnostateagencyorregulatory
boardshallrevoke,failtorenew,ortakeanyotheractionagainst
aphysician'slicensebasedsolelyonthephysician'sreferralofa
patienttothestudyunderthissection.
ThisbillissimilartoHB1154(2023).
Thefollowingisasummaryofthepublictestimonyfromthe
committeehearing. Thetestimonywasbasedontheintroduced
versionofthebill.
PROPONENTS: Supporterssaythatweneedtolookforanywaywecan
tohelpourveteransandotherindividualswithPTSDanddepression
andthistreatmentdoesthat.Weneedtoremovethestigma
attachedtopsilocybinjustlikewedidwithmarijuanainthis
state.
TestifyinginpersonforthebillwereRepresentative McMullen;
ThomasW.Mundell;AmyBenson;AnneBethune;BradBailey;Andrea
Earlywine;ElaineBrewer,GruntStyleFoundation;CarlShepard;
JamieFrederickson;andMarkE.Quinn,SpecialOperationsCharity
Network.
OPPONENTS: Therewasnooppositionvoicedtothecommittee.
OTHERS:Otherstestifyingonthebillsaythatthereiscurrently
atrialprogramatWashingtonUniversity. Sofar,testshavebeen
verypositive. Participantsinthetrialhavetriedmultipleother
remediesbutnothinghasworkedforthem.However,50%ofthe
participantshavepositiveresultsfromtheprogram.
TestifyinginpersononthebillwasDr.JoshSiegel.
ThisbillissimilartoHB1154(2023)2459H.01P;3978H.01I(2024). Writtentestimonyhasbeensubmittedforthisbill.Thefull
writtentestimonyandwitnessestestifyingonlinecanbefound
underTestimonyonthebillpageontheHousewebsite.