Oklahoma 2022 Regular Session

Oklahoma House Bill HB1005 Compare Versions

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29-HOUSE OF REPRESENTATIVES - FLOOR VERSION
30-
3128 STATE OF OKLAHOMA
3229
3330 1st Session of the 58th Legislature (2021)
3431
35-HOUSE BILL 1005 By: Bush and Pae of the House
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37- and
38-
39- Montgomery of the Senate
32+HOUSE BILL 1005 By: Bush
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4538 AS INTRODUCED
4639
4740 An Act relating to the Uniform Controlled Dangerous
4841 Substances Act; amending 63 O.S. 2011, Section 2 -101,
4942 as last amended by Section 1, Cha pter 101, O.S.L.
5043 2020 (63 O.S. Supp. 2020, Section 2 -101), which
5144 relates to definitions; defining term; modifying
5245 definitions; amending 63 O.S. 2011, Section 2 -101.1,
5346 which relates to drug paraphernalia; providing
5447 exception; authorizing certain entities to engage in
5548 harm-reduction services; requiring registration with
5649 the State Department of Health; providing for certain
5750 allowable activities for specified period of time ;
5851 providing reporting requirements; directing
5952 promulgation of rules; providing for codifi cation;
6053 and declaring an emergency .
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6760 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
6861 SECTION 1. AMENDATORY 63 O.S. 2011, Section 2 -101, as
6962 last amended by Section 1, Chapter 101, O.S.L. 2020 (63 O.S. Supp.
7063 2020, Section 2-101), is amended to read as follows:
64+Section 2-101. As used in the Uniform Controlled Dangerous
65+Substances Act:
66+1. "Administer" means the direct application of a controlled
67+dangerous substance, whether by injection, inhalation, ingestion or
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98-Section 2-101. As used in the Uniform Controlled Dangerous
99-Substances Act:
100-1. "Administer" means the direct application of a controlled
101-dangerous substance, whether by injection, inhalation, ingestion or
10294 any other means, to the body of a patient, animal or research
10395 subject by:
10496 a. a practitioner (or, in the presence of the
10597 practitioner, by the authorized agent of the
10698 practitioner), or
10799 b. the patient or research subject at the direction and
108100 in the presence of t he practitioner;
109101 2. "Agent" means a peace officer appointed by and who acts on
110102 behalf of the Director of the Oklahoma State Bureau of Narcotics and
111103 Dangerous Drugs Control or an authorized person who acts on behalf
112104 of or at the direction of a person who m anufactures, distributes,
113105 dispenses, prescribes, administers or uses for scientific purposes
114106 controlled dangerous substances but does not include a common or
115107 contract carrier, public warehouser or employee thereof, or a person
116108 required to register under th e Uniform Controlled Dangerous
117109 Substances Act;
118110 3. "Board" means the Advisory Board to the Director of the
119111 Oklahoma State Bureau of Narcotics and Dangerous Drugs Control;
120112 4. "Bureau" means the Oklahoma State Bureau of Narcotics and
121113 Dangerous Drugs Control ;
114+5. "Coca leaves" includes cocaine and any compound,
115+manufacture, salt, derivative, mixture or preparation of coca
116+leaves, except derivatives of coca leaves which do not contain
117+cocaine or ecgonine;
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149-5. "Coca leaves" includes cocaine and any compound,
150-manufacture, salt, derivative, mixture or preparation of coca
151-leaves, except derivatives of coca leav es which do not contain
152-cocaine or ecgonine;
153144 6. "Commissioner" or "Director" means the Director of the
154145 Oklahoma State Bureau of Narcotics and Dangerous Drugs Control;
155146 7. "Control" means to add, remove or change the placement of a
156147 drug, substance or immediate precursor under the Uniform Controlled
157148 Dangerous Substances Act;
158149 8. "Controlled dangerous subs tance" means a drug, substance or
159150 immediate precursor in Schedules I through V of the Uniform
160151 Controlled Dangerous Substances Act or any drug, substance or
161152 immediate precursor listed either temporarily or permanently as a
162153 federally controlled substance. A ny conflict between state and
163154 federal law with regard to the particular schedule in which a
164155 substance is listed shall be resolved in favor of state law;
165156 9. "Counterfeit substance " means a controlled substance which,
166157 or the container or labeling of which w ithout authorization, bears
167158 the trademark, trade name or other identifying marks, imprint,
168159 number or device or any likeness thereof of a manufacturer,
169160 distributor or dispenser other than the person who in fact
170161 manufactured, distributed or dispensed the sub stance;
171162 10. "Deliver" or "delivery" means the actual, constructive or
172163 attempted transfer from one person to another of a controlled
164+dangerous substance or drug paraphernalia, whether or not there is
165+an agency relationship;
166+11. "Dispense" means to deliver a controlled dangerous
167+substance to an ultimate user or human research subject by or
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200-dangerous substance or drug paraphernalia, whether or not there is
201-an agency relationship;
202-11. "Dispense" means to deliver a controlled dangerous
203-substance to an ultimate user or human research subject by or
204194 pursuant to the lawful order of a practitioner, including the
205195 prescribing, administering, packaging, labeling or compounding
206196 necessary to prepare the substance for such d istribution.
207197 "Dispenser" is a practitioner who delivers a controlled dangerous
208198 substance to an ultimate user or human research subject;
209199 12. "Distribute" means to deliver other than by administering
210200 or dispensing a controlled dangerous substance;
211201 13. "Distributor" means a commercial entity engaged in the
212202 distribution or reverse distribution of narcotics and dangerous
213203 drugs and who complies with all regulations promulgated by the
214204 federal Drug Enforcement Administration and the Oklahoma State
215205 Bureau of Narcotics and Dangerous Drugs Control;
216206 14. "Drug" means articles:
217207 a. recognized in the official United States Pharmacopoeia
218208 Pharmacopeia, official Homeopathic Pharmacopoeia of
219209 the United States, or official National Formulary, or
220210 any supplement to any of them ,
221211 b. intended for use in the diagnosis, cure, mitigation,
222212 treatment or prevention of disease in man or other
223213 animals,
214+c. other than food, intended to affect the structure or
215+any function of the body of man or other animals, and
216+d. intended for use as a com ponent of any article
217+specified in this paragraph;
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251-c. other than food, intended to affect the structure or
252-any function of the body of man or other animals, and
253-d. intended for use as a component of any article
254-specified in this paragraph;
255244 provided, however, the term "drug" does not include devices or their
256245 components, parts or accessories;
257246 15. "Drug-dependent person" means a person who is using a
258247 controlled dangerous substance and who is i n a state of psychic or
259248 physical dependence, or both, arising from administration of that
260249 controlled dangerous substance on a continuous basis. Drug
261250 dependence is characterized by behavioral and other responses which
262251 include a strong compulsion to take th e substance on a continuous
263252 basis in order to experience its psychic effects, or to avoid the
264253 discomfort of its absence;
265254 16. "Harm-reduction services" means programs established to:
266255 a. reduce the spread of infectious diseases related to
267256 injection drug use,
268257 b. reduce drug dependency, overdose deaths, and
269258 associated complications, and
270259 c. increase safe recovery and disposal of used syringes
271260 and sharp waste;
272261 17. "Home care agency" means any sole proprietorship,
273262 partnership, association, corporation, or other organization which
274263 administers, offers, or provides home care services, for a fee or
264+pursuant to a contract for such services, to clients in their place
265+of residence;
266+17. 18. "Home care services" means skilled or personal care
267+services provided to clients in their place of residence for a fee;
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302-pursuant to a contract for such services, to clients in their place
303-of residence;
304-17. 18. "Home care services" means skilled or personal care
305-services provided to clients in their place of residence for a fee;
306294 18. 19. "Hospice" means a centrally administered, nonprofit or
307295 profit, medically directed, nurse -coordinated program which provides
308296 a continuum of home and inpatient care for the terminally ill
309297 patient and the patie nt's family. Such term shall also include a
310298 centrally administered, nonprofit or profit, medically directed,
311299 nurse-coordinated program if such program is licensed pursuant to
312300 the provisions of the Uniform Controlled Dangerous Substances Act.
313301 A hospice program offers palliative and supportive care to meet the
314302 special needs arising out of the physical, emotional and spiritual
315303 stresses which are experienced during the final stages of illness
316304 and during dying and bereavement. This care is available twenty -
317305 four (24) hours a day, seven (7) days a week, and is provided on the
318306 basis of need, regardless of ability to pay. "Class A" Hospice
319307 refers to Medicare certified hospices. "Class B" refers to all
320308 other providers of hospice services;
321309 19. 20. "Imitation controlled substance" means a substance that
322310 is not a controlled dangerous substance, which by dosage unit
323311 appearance, color, shape, size, markings or by representations made,
324312 would lead a reasonable person to believe that the substance is a
325313 controlled dangerous substance. In the event the appearance of the
314+dosage unit is not reasonably sufficient to establish that the
315+substance is an "imitation controlled substance ", the court or
316+authority concerned should consider, in addition to all other
317+factors, the following factors as related to "representations made "
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353-dosage unit is not reasonably sufficient to establish that the
354-substance is an "imitation controlled subst ance", the court or
355-authority concerned should consider, in addition to all other
356-factors, the following factors as related to "representations made "
357344 in determining whether the substance is an "imitation controlled
358345 substance":
359346 a. statements made by an owner or by any other person in
360347 control of the substance concerning the nature of the
361348 substance, or its use or effect,
362349 b. statements made to the recipient that the substance
363350 may be resold for inordinate profit,
364351 c. whether the substance is packaged in a manner normally
365352 used for illicit controlled substances,
366353 d. evasive tactics or actions utilized by the owner or
367354 person in control of the substance to avoid detection
368355 by law enforcement authorities,
369356 e. prior convictions, if any, of an owner, or any other
370357 person in control of the object substance, under state
371358 or federal law related to controlled substances or
372359 fraud, and
373360 f. the proximity of the substances to controlled
374361 dangerous substances;
375362 20. 21. "Immediate precursor" means a substance which the
376363 Director has found to be and by regulation designates as being the
364+principal compound commonly used or produced primari ly for use, and
365+which is an immediate chemical intermediary used, or likely to be
366+used, in the manufacture of a controlled dangerous substance, the
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404-principal compound commonly used or produced primarily for use, and
405-which is an immediate chemical intermediary used, or likely to be
406-used, in the manufacture of a controlled dangerous substance, the
407393 control of which is necessary to prevent, curtail or limit such
408394 manufacture;
409395 21. 22. "Laboratory" means a laboratory approved by the
410396 Director as proper to be entrusted with the custody of controlled
411397 dangerous substances and the use of controlled dangerous substances
412398 for scientific and medical purposes and for purposes of instruction;
413399 22. 23. "Manufacture" means the production, preparation,
414400 propagation, compounding or processing of a controlled dangerous
415401 substance, either directly or indirectly by extraction from
416402 substances of natural or synthetic origin, or independently by means
417403 of chemical synthesis or by a c ombination of extraction and chemical
418404 synthesis. "Manufacturer" includes any person who packages,
419405 repackages or labels any container of any controlled dangerous
420406 substance, except practitioners who dispense or compound
421407 prescription orders for delivery to t he ultimate consumer;
422408 23. 24. "Marijuana" means all parts of the plant Cannabis
423409 sativa L., whether growing or not; the seeds thereof; the resin
424410 extracted from any part of such plant; and every compound,
425411 manufacture, salt, derivative, mixture or preparatio n of such plant,
426412 its seeds or resin, but shall not include:
413+a. the mature stalks of such plant or fiber produced from
414+such stalks,
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454-a. the mature stalks of such plant or fiber produced from
455-such stalks,
456441 b. oil or cake made from the seeds of such plant,
457442 including cannabidiol derived from the seeds of the
458443 marijuana plant,
459444 c. any other compound, manufacture, salt, derivative,
460445 mixture or preparation of such mature stalks (except
461446 the resin extracted therefrom), including cannabidiol
462447 derived from mature stalks, fiber, oil or cake,
463448 d. the sterilized seed of such plant which is incapab le
464449 of germination,
465450 e. for any person participating in a clinical trial to
466451 administer cannabidiol for the treatment of severe
467452 forms of epilepsy pursuant to Section 2 -802 of this
468453 title, a drug or substance approved by the federal
469454 Food and Drug Administration for use by those
470455 participants,
471456 f. for any person or the parents, legal guardians or
472457 caretakers of the person who have received a written
473458 certification from a physician licensed in this state
474459 that the person has been diagnosed by a physician as
475460 having Lennox-Gastaut syndrome, Dravet syndrome, also
476461 known as Severe Myoclonic Epilepsy of Infancy, or any
477462 other severe form of epilepsy that is not adequately
463+treated by traditional medical therapies, spasticity
464+due to multiple sclerosis or due to paraplegia,
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505-treated by traditional medical therapies, spasticity
506-due to multiple sclerosis or due to paraplegia,
507491 intractable nausea and vomiting, appetite stimulation
508492 with chronic wasting diseases, the substance
509493 cannabidiol, a nonpsychoactive cannabinoid, found in
510494 the plant Cannabis sativa L. or any other preparation
511495 thereof, that has a tetrahydrocannabinol concentration
512496 of not more than three -tenths of one percent (0.3%)
513497 and that is delivered to the patient in the form of a
514498 liquid,
515499 g. any cannabidiol drug or substance approved by the
516500 federal Food and Drug Administration-approved
517501 cannabidiol drug or substance , or
518502 h. industrial hemp, from the plant Cannabis sativa L. and
519503 any part of such plant, whether growing or not, with a
520504 delta-9 tetrahydrocannabinol concentration of not more
521505 than three-tenths of one percent (0.3%) on a dry
522506 weight basis which shall only be grown pursuant to the
523507 Oklahoma Industrial Hemp Program and may be shipped
524508 intrastate and interstate;
525509 24. 25. "Medical purpose" means an intention to utilize a
526510 controlled dangerous substance for physical or mental treatment, for
527511 diagnosis, or for the prevention of a dise ase condition not in
512+violation of any state or federal law and not for the purpose of
513+satisfying physiological or psychological dependence or other abuse;
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555-violation of any state or federal law and not for the purpose of
556-satisfying physiological or psychological dependence or other abuse;
557540 25. 26. "Mid-level practitioner" means an Advanced Practice
558541 Registered Nurse as defined and within p arameters specified in
559542 Section 567.3a of Title 59 of the Oklahoma Statutes, or a certified
560543 animal euthanasia technician as defined in Section 698.2 of Title 59
561544 of the Oklahoma Statutes, or an animal control officer registered by
562545 the Oklahoma State Bureau o f Narcotics and Dangerous Drugs Control
563546 under subsection B of Section 2 -301 of this title within the
564547 parameters of such officer 's duty under Sections 501 through 508 of
565548 Title 4 of the Oklahoma Statutes;
566549 26. 27. "Narcotic drug" means any of the following, whether
567550 produced directly or indirectly by extraction from substances of
568551 vegetable origin, or independently by means of chemical synthesis,
569552 or by a combination of extraction and chemical synthesis:
570553 a. opium, coca leaves and opiates,
571554 b. a compound, manufact ure, salt, derivative or
572555 preparation of opium, coca leaves or opiates,
573556 c. cocaine, its salts, optical and geometric isomers, and
574557 salts of isomers,
575558 d. ecgonine, its derivatives, their salts, isomers and
576559 salts of isomers, and
577560 e. a substance, and any compound , manufacture, salt,
578561 derivative or preparation thereof, which is chemically
562+identical with any of the substances referred to in
563+subparagraphs a through d of this paragraph, except
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606-identical with any of the substances referred to in
607-subparagraphs a through d of this paragraph, except
608590 that the words "narcotic drug" as used in Section 2 -
609591 101 et seq. of this titl e shall not include
610592 decocainized coca leaves or extracts of coca leaves,
611593 which extracts do not contain cocaine or ecgonine;
612594 27. 28. "Opiate" or "opioid" means any Schedule II, III, IV or
613595 V substance having an addiction -forming or addiction -sustaining
614596 liability similar to morphine or being capable of conversion into a
615597 drug having such addiction -forming or addiction -sustaining
616598 liability. The terms do not include, unless specifically designated
617599 as controlled under the Uniform Controlled Dangerous Substances Act,
618600 the dextrorotatory isomer of 3 -methoxy-n-methyl-morphinan and its
619601 salts (dextromethorphan). The terms do include the racemic and
620602 levorotatory forms;
621603 28. 29. "Opium poppy" means the plant of the species Papaver
622604 somniferum L., except the seeds thereof ;
623605 29. 30. "Peace officer" means a police officer, sheriff, deputy
624606 sheriff, district attorney 's investigator, investigator from the
625607 Office of the Attorney General, or any other person elected or
626608 appointed by law to enforce any of the criminal laws of this state
627609 or of the United States;
610+30. 31. "Person" means an individual, corporation, government
611+or governmental subdivision or agency, business trust, estate,
612+trust, partnership or association, or any other legal entity;
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655-30. 31. "Person" means an individual, corporation, government
656-or governmental subdivision or agency, business trust, estate,
657-trust, partnership or association, or any other legal entity;
658639 31. 32. "Poppy straw" means all parts, except the seeds, of the
659640 opium poppy, after mowing;
660641 32. 33. "Practitioner" means:
661642 a. (1) a medical doctor or osteopathic physician,
662643 (2) a dentist,
663644 (3) a podiatrist,
664645 (4) an optometrist,
665646 (5) a veterinarian,
666647 (6) a physician assistant or Advanced Practice
667648 Registered Nurse under the supervision of a
668649 licensed medical doctor or osteopathic physician,
669650 (7) a scientific investigator, or
670651 (8) any other person,
671652 licensed, registered or otherwise permitted to
672653 prescribe, distribute, dispense, conduct research with
673654 respect to, use for scientific purposes or administer
674655 a controlled dangerous substance in the course of
675656 professional practice or research in this state, or
676657 b. a pharmacy, hospital, laboratory or other institution
677658 licensed, registered or otherwise permitted to
678659 distribute, dispense, conduct research with respect
660+to, use for scientific purposes or administer a
661+controlled dangerous substance in the course of
662+professional practice or research in this state;
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706-to, use for scientific purposes or administer a
707-controlled dangerous substance in the course of
708-professional practice or research in this state;
709689 33. 34. "Production" includes the manufacture, planting,
710690 cultivation, growing or harvesting of a controlled dangerous
711691 substance;
712692 34. 35. "State" means the State of Oklahoma or any other state
713693 of the United States;
714694 35. 36. "Ultimate user" means a person who lawfully possesses a
715695 controlled dangerous substance for the person's own use or for the
716696 use of a member of the person 's household or for administration to
717697 an animal owned by the person or by a member of the person 's
718698 household;
719699 36. 37. "Drug paraphernalia" means all equipment, products and
720700 materials of any kin d which are used, intended for use, or fashioned
721701 specifically for use in planting, propagating, cultivating, growing,
722702 harvesting, manufacturing, compounding, converting, producing,
723703 processing, preparing, testing, analyzing, packaging, repackaging,
724704 storing, containing, concealing, injecting, ingesting, inhaling or
725705 otherwise introducing into the human body, a controlled dangerous
726706 substance in violation of the Uniform Controlled Dangerous
727707 Substances Act including, but not limited to:
728708 a. kits used, intended for use, or fashioned specifically
729709 for use in planting, propagating, cultivating, growing
710+or harvesting of any species of plant which is a
711+controlled dangerous substance or from which a
712+controlled dangerous substance can be derived,
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757-or harvesting of any species of plant which is a
758-controlled dangerous substance or from which a
759-controlled dangerous substance can be derived,
760739 b. kits used, intended for use, or fashioned specifically
761740 for use in manufacturing, compounding, converting,
762741 producing, processing or preparing controlled
763742 dangerous substances,
764743 c. isomerization devices used, intended for use, or
765744 fashioned specifically for use in increasing the
766745 potency of any species of plant which is a controlled
767746 dangerous substance,
768747 d. testing equipment used, intended for use, or fashioned
769748 specifically for use in identifying, or in analyzing
770749 the strength, effectiveness or purity of controlled
771750 dangerous substances,
772751 e. scales and balances used, intended for use, or
773752 fashioned specifically for use in weighing or
774753 measuring controlled dangerous substances,
775754 f. diluents and adulterants, such as quinine
776755 hydrochloride, mannitol, mannite, dextrose and
777756 lactose, used, intended f or use, or fashioned
778757 specifically for use in cutting controlled dangerous
779758 substances,
759+g. separation gins and sifters used, intended for use, or
760+fashioned specifically for use in removing twigs and
761+seeds from, or in otherwise cleaning or refining,
762+marijuana,
780763
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807-g. separation gins and sifters used, intended for use, or
808-fashioned specifically for use in removing twigs and
809-seeds from, or in otherwise cleaning or refining,
810-marijuana,
811789 h. blenders, bowls, containers, spoons and mixing devices
812790 used, intended for use, or fashioned specifically for
813791 use in compounding controlled dangerous substances,
814792 i. capsules, balloons, envelopes and other containers
815793 used, intended for use, or fashioned specifically for
816794 use in packaging small quantities of controlled
817795 dangerous substances,
818796 j. containers and other objects used, intended for use,
819797 or fashioned specifically for use in parenterally
820798 injecting controlled dangerous substances into the
821799 human body,
822800 k. hypodermic syringes, needles and other objects used,
823801 intended for use, or fashioned specifically for use in
824802 parenterally injecting controlled dangerous substances
825803 into the human body except as authorized by Section 3
826804 of this act,
827805 l. objects used, intended for use, or fashioned
828806 specifically for use in ingesting, inhaling or
829807 otherwise introducing marijuana, cocaine, hashish or
830808 hashish oil into the human body, such as:
809+(1) metal, wooden, acrylic, glass, stone, plastic or
810+ceramic pipes with or without scree ns, permanent
811+screens, hashish heads or punctured metal bowls,
812+(2) water pipes,
831813
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858-(1) metal, wooden, acrylic, glass, stone, plastic or
859-ceramic pipes with or without screens, permanent
860-screens, hashish heads or punctured metal bowls,
861-(2) water pipes,
862839 (3) carburetion tubes and devices,
863840 (4) smoking and carburetion masks,
864841 (5) roach clips, meaning objects used to hold burning
865842 material, such as a marijuana cigarette, that has
866843 become too small or too short to be held in the
867844 hand,
868845 (6) miniature cocaine spoons and cocaine vials,
869846 (7) chamber pipes,
870847 (8) carburetor pipes,
871848 (9) electric pipes,
872849 (10) air-driven pipes,
873850 (11) chillums,
874851 (12) bongs, or
875852 (13) ice pipes or chillers,
876853 m. all hidden or novelty pipes, and
877854 n. any pipe that has a tobacco bowl or chamber of less
878855 than one-half (1/2) inch in diameter in which there is
879856 any detectable residue of any controlled dangerous
880857 substance as defined in this section or any other
881858 substances not legal fo r possession or use;
859+provided, however, the term "drug paraphernalia" shall not include
860+separation gins intended for use in preparing tea or spice, clamps
861+used for constructing electrical equipment, water pipes designed for
862+ornamentation in which no detect able amount of an illegal substance
882863
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909-provided, however, the term "drug paraphernalia" shall not include
910-separation gins intended for use in preparing tea or spice, clamps
911-used for constructing electrical equipment, water pipes designed for
912-ornamentation in which no detectable amount of an illegal substance
913889 is found or pipes designed and used solely for smoking tobacco,
914890 traditional pipes of an American Indian tribal religious ceremony,
915891 or antique pipes that are thirty (30) years of age or older;
916892 37.
917893 38. a. "Synthetic controlled substance" means a substance:
918894 (1) the chemical structure of which is substantially
919895 similar to the chemical structure of a controlled
920896 dangerous substance in Schedule I or II,
921897 (2) which has a stimulant, depressant, or
922898 hallucinogenic effect on the centra l nervous
923899 system that is substantially similar to or
924900 greater than the stimulant, depressant or
925901 hallucinogenic effect on the central nervous
926902 system of a controlled dangerous substance in
927903 Schedule I or II, or
928904 (3) with respect to a particular person, which su ch
929905 person represents or intends to have a stimulant,
930906 depressant, or hallucinogenic effect on the
931907 central nervous system that is substantially
932908 similar to or greater than the stimulant,
909+depressant, or hallucinogenic effect on the
910+central nervous system of a controlled dangerous
911+substance in Schedule I or II.
933912
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960-depressant, or hallucinogenic effect on the
961-central nervous system of a controlled dangerous
962-substance in Schedule I or II.
963938 b. The designation of gamma butyrolactone or any other
964939 chemical as a precursor, pursuant to Section 2 -322 of
965940 this title, does not preclude a finding pursuant to
966941 subparagraph a of this paragraph that the c hemical is
967942 a synthetic controlled substance.
968943 c. "Synthetic controlled substance " does not include:
969944 (1) a controlled dangerous substance,
970945 (2) any substance for which there is an approved new
971946 drug application,
972947 (3) with respect to a particular person any
973948 substance, if an exemption is in effect for
974949 investigational use, for that person under the
975950 provisions of Section 505 of the Federal Food,
976951 Drug and Cosmetic Act, Title 21 of the United
977952 States Code, Section 355, to the extent conduct
978953 with respect to such substan ce is pursuant to
979954 such exemption, or
980955 (4) any substance to the extent not intended for
981956 human consumption before such an exemption takes
982957 effect with respect to that substance.
958+d. Prima facie evidence that a substance containing
959+salvia divinorum has been enha nced, concentrated or
960+chemically or physically altered shall give rise to a
983961
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1010-d. Prima facie evidence that a substance containing
1011-salvia divinorum has been enhanced, concentrated or
1012-chemically or physically altered shall give rise to a
1013987 rebuttable presumption that the substance is a
1014988 synthetic controlled substance;
1015989 38. 39. "Tetrahydrocannabinols " means all substances that have
1016990 been chemically synthesized to emulat e the tetrahydrocannabinols of
1017991 marijuana;
1018992 39. 40. "Isomer" means the optical isomer, except as used in
1019993 subsections C and F of Section 2 -204 of this title and paragraph 4
1020994 of subsection A of Section 2 -206 of this title. As used in
1021995 subsections C and F of Se ction 2-204 of this title, "isomer" means
1022996 the optical, positional or geometric isomer. As used in paragraph 4
1023997 of subsection A of Section 2 -206 of this title, the term "isomer"
1024998 means the optical or geometric isomer;
1025999 40. 41. "Hazardous materials" means materials, whether solid,
10261000 liquid or gas, which are toxic to human, animal, aquatic or plant
10271001 life, and the disposal of which materials is controlled by state or
10281002 federal guidelines;
10291003 41. 42. "Anhydrous ammonia" means any substance that exhibits
10301004 cryogenic evaporative behavior and tests positive for ammonia;
10311005 42. 43. "Acute pain" means pain, whether resulting from
10321006 disease, accidental or intentional trauma or other cause, that the
10331007 practitioner reasonably expects to last only a short period of time.
1008+"Acute pain" does not include chronic pain, pain being treated as
1009+part of cancer care, hospice or other end -of-life care, or pain
1010+being treated as part of palliative care;
10341011
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1061-"Acute pain" does not include chronic pain, pain being treated as
1062-part of cancer care, hospice or other end -of-life care, or pain
1063-being treated as part of palliative care;
10641037 43. 44. "Chronic pain" means pain that persists beyond the
10651038 usual course of an acute disease or hea ling of an injury. "Chronic
10661039 pain" may or may not be associated with an acute or chronic
10671040 pathologic process that causes continuous or intermittent pain over
10681041 months or years;
10691042 44. 45. "Initial prescription " means a prescription issued to a
10701043 patient who:
10711044 a. has never not previously been issued a prescription
10721045 for the drug or its pharmaceutical equivalent in the
10731046 past year, or
10741047 b. requires a prescription for the drug or its
10751048 pharmaceutical equivalent due to a surgical procedure
10761049 or new acute event and has previously had a
10771050 prescription for the drug or its pharmaceutical
10781051 equivalent within the past year.
10791052 When determining whether a patient was previously issued a
10801053 prescription for a drug or its pharmaceutical equivalent, the
10811054 practitioner shall consult with the patient and review the medical
10821055 record and prescription monitoring information of the patient;
10831056 45. 46. "Patient-provider agreement" means a written contract
10841057 or agreement that is executed between a practitioner and a patient,
1058+prior to the commencement of treatment for chronic pain using an
1059+opioid drug as a means to:
10851060
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1112-prior to the commencement of treatment for chronic pain using an
1113-opioid drug as a means to:
11141086 a. explain the possible risk of development of physical
11151087 or psychological dependence in the patient and prevent
11161088 the possible development of addiction,
11171089 b. document the understanding of both the practitioner
11181090 and the patient regarding the patient -provider
11191091 agreement of the patient,
11201092 c. establish the rights of the patient in association
11211093 with treatment and the obligations of the patient in
11221094 relation to the responsible use, discontinuation of
11231095 use, and storage of opioi d drugs, including any
11241096 restrictions on the refill of prescriptions or the
11251097 acceptance of opioid prescriptions from practitioners,
11261098 d. identify the specific medications and other modes of
11271099 treatment, including physical therapy or exercise,
11281100 relaxation or psycho logical counseling, that are
11291101 included as a part of the patient -provider agreement,
11301102 e. specify the measures the practitioner may employ to
11311103 monitor the compliance of the patient including, but
11321104 not limited to, random specimen screens and pill
11331105 counts, and
11341106 f. delineate the process for terminating the agreement,
11351107 including the consequences if the practitioner has
1108+reason to believe that the patient is not complying
1109+with the terms of the agreement. Compliance with the
11361110
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1163-reason to believe that the patient is not complying
1164-with the terms of the agreement. Compliance with the
11651136 "consent items" shall constitute a valid, infor med
11661137 consent for opioid therapy. The practitioner shall be
11671138 held harmless from civil litigation for failure to
11681139 treat pain if the event occurs because of nonadherence
11691140 by the patient with any of the provisions of the
11701141 patient-provider agreement;
11711142 46. 47. "Serious illness" means a medical illness or physical
11721143 injury or condition that substantially affects quality of life for
11731144 more than a short period of time. "Serious illness" includes, but
11741145 is not limited to, Alzheimer 's disease or related dementias, lung
11751146 disease, cancer, heart failure, renal failure, liver failure or
11761147 chronic, unremitting or intractable pain such as neuropathic pain;
11771148 and
11781149 47. 48. "Surgical procedure" means a procedure that is
11791150 performed for the purpose of structurally altering the human body by
11801151 incision or destruction of tissues as part of the practice of
11811152 medicine. This term includes the diagnostic or therapeutic
11821153 treatment of conditions or disease processes by use of instruments
11831154 such as lasers, ultrasound, ionizing, radiation, scalpels, probes or
11841155 needles that cause localized alteration or transportation of live
11851156 human tissue by cutting, burning, vaporizing, freezing, suturing,
11861157 probing or manipulating by closed reduction for major dislocations
1158+or fractures, or otherwise altering by any mechanical, the rmal,
1159+light-based, electromagnetic or chemical means.
11871160
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1214-or fractures, or otherwise altering by any mechanical, thermal,
1215-light-based, electromagnetic or chemical means.
12161186 SECTION 2. AMENDATORY 63 O.S. 2011, Section 2 -101.1, is
12171187 amended to read as follows:
12181188 Section 2-101.1 In determining whether an object is "drug
12191189 paraphernalia", a court or jury shall consider, in addition to all
12201190 other logically relevant factors, the following:
12211191 1. Statements by an owner or by anyone in control of the object
12221192 concerning its use;
12231193 2. The proximity of the object, in time and space, to a direct
12241194 violation of the Uniform Controlled Dangerous Substances Act;
12251195 3. The proximity of the object to controlled dangerous
12261196 substances;
12271197 4. The existence of any residue of controlled dangerous
12281198 substances on the object;
12291199 5. Direct or circumstantial evidence of the intent of an owner,
12301200 or of anyone in control of the object, to deliver it to any person
12311201 who intends to use the object to facilitate a violation of the
12321202 Uniform Controlled Dangerous Substances Act. The innocence of an
12331203 owner, or of anyone in control of the object, as to a direct
12341204 violation of this act shall not prevent a finding that the object is
12351205 intended for use, or fashioned specifically for use, as drug
12361206 paraphernalia;
1207+6. Instructions, oral or written, provided with the object
1208+which either state directly or imply that the object is to be used
1209+for the consumption of controlled dangerous substances;
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1264-6. Instructions, oral or written, provided with the object
1265-which either state directly or imply that the object is to be used
1266-for the consumption of controlled dangerous substances;
12671236 7. Descriptive materials accompanying the object which explain
12681237 or depict its use as an object for the consumption of controlled
12691238 dangerous substances;
12701239 8. The manner in which the object is displayed for sale;
12711240 9. Whether the owner, or anyone in control of the object, is a
12721241 legitimate supplier of like or related items to the community, such
12731242 as a licensed distributor or dealer of tobacco products;
12741243 10. Direct or circumstantial evidence of t he ratio of sales of
12751244 the object or objects to the total sales of the business enterprise;
12761245 11. The existence and scope of legitimate uses for the object
12771246 in the community; and
12781247 12. Expert testimony concerning its use.
12791248 Provided, nothing in this section shall apply to objects in the
12801249 possession of harm-reduction services providers as authorized by
12811250 Section 3 of this act.
12821251 SECTION 3. NEW LAW A new section of law to be codified
12831252 in the Oklahoma Statutes as Section 2-1101 of Title 63, unless there
12841253 is created a duplication in numbering, reads as follows:
12851254 A. Until July 1, 2026, the following are hereby authorized to
12861255 engage in harm-reduction services:
1256+1. Government entities including, but not limited to, the State
1257+Department of Health and the Ok lahoma Department of Mental Health
1258+and Substance Abuse Services; provided, no state dollars shall be
1259+used to purchase hypodermic needles;
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1314-1. Government entities including, but not limited to, the State
1315-Department of Health and the Oklahoma Department of Mental Health
1316-and Substance Abuse Services; provided, no state dollars shall be
1317-used to purchase hypodermic needles;
13181286 2. Religious institutions or churches;
13191287 3. Nonprofit organizations;
13201288 4. For-profit companies;
13211289 5. Nongovernment entities partnering with a government agency;
13221290 and
13231291 6. Tribal governments.
13241292 B. Those offering harm-reduction services shall register with
13251293 the State Department of Health and may engage in the following
13261294 activities in order to reduce the use of drugs, prevent outbr eaks of
13271295 infectious diseases, and reduce morbidity among people who use
13281296 injection drugs:
13291297 1. Offer referrals and resources to treat substance use
13301298 disorders;
13311299 2. Provide education on the risk of transmission of infectious
13321300 diseases, including human immunodefi ciency virus (HIV) and viral
13331301 hepatitis;
13341302 3. Rapid testing for HIV, hepatitis C, and sexually transmitted
13351303 infections (STIs);
13361304 4. Referrals for medical and mental health services;
13371305 5. Collect used hypodermic needles for safe disposal ;
1306+6. Possess and distribute hypodermic needles, cleaning kits,
1307+test kits, and opioid antagonists; and
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1365-6. Possess and distribute hypodermic needles, cleaning kits,
1366-test kits, and opioid antagonists; and
13671334 7. Rapid substance-testing products used, intended for use, or
13681335 fashioned specifically for use in identi fying or analyzing the
13691336 potency or toxicity of unknown substances.
13701337 C. Registered providers of harm -reduction services shall report
13711338 at least quarterly to the State Department of Health:
13721339 1. The number of clients served, including basic demographic
13731340 information;
13741341 2. Number and type of referrals provided;
13751342 3. Number of syringes, tes t kits, and antagonists distributed;
13761343 4. Number of used syringes collected; and
13771344 5. Number of rapid HIV and viral hepatitis tests performed,
13781345 including the number of reactive test results.
13791346 D. The State Department of Health shall promulgate rules for
13801347 the implementation of this section.
13811348 SECTION 4. It being immediately necessary for the preservation
13821349 of the public peace, health or safety, an emergency is hereby
13831350 declared to exist, by reason whereof this act shall take effect and
13841351 be in full force from and after its passage and approval.
13851352
1386-COMMITTEE REPORT BY: COMMITTEE ON PUBLIC SAFETY, dated 02/09/2021 -
1387-DO PASS, As Coauthored.
1353+58-1-5070 AB 10/12/20