STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) HOUSE BILL 2107 By: Pae AS INTRODUCED An Act relating to controlled dangerous substances ; authorizing certain entities to conduct scientific research and clinical trials related to psilocybin and psilocyn; specifying certain uses for which scientific research or clinical trials are authorized; limiting number of memoranda of agreement that universities or institutions of higher education may enter into; imposing requirements with respect to studies; requiring registration with the State Department of Health and the Oklahoma Department of Agriculture, Food, and Forestry; prescribing requirements for registration information; providing for specified nonrefundable fees; requiring additional registration with the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control; stipulating duration of registration; requiring certain notification of change of facility location; requiring written certifications for clinical trial participants; prescribing content of written certifications; providing for expiration of certifications; providing immunity to persons conducting or participating in research or clinical trials; requiring submission of written reports by certain date; providing for confidentiality of certain personal information; req uiring specified agencies to maintain confidentiality with respect t o information; directing promulgation of rules; amending 63 O.S. 2021, Section 2 -303, which relates to Oklahoma State Bureau of Narcotics and Dangerous Drugs Control registration; creating certain fee; providing for codification; and providing an effective date. Req. No. 5332 Page 2 BE IT ENACTED BY THE PE OPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 2-811 of Title 63, unless there is created a duplication in numbering, reads as follows: A. A university or other institution of higher education located in this state, or a research facility that has entered into a memorandum of agreement with a university or ins titution of higher education located in this state, may conduct scientific research and clinical trials on psilocybin and psilocyn for the treatment of persons eighteen (18) years of age or older who experience any of the following medical conditions: 1. Post-traumatic stress disorder; 2. Treatment-resistant/refractory depression; 3. Treatment-resistant/refractory anxiety; 4. Treatment-resistant/refractory obsessive-compulsive disorder; 5. Traumatic brain injury; 6. Early-stage dementia; 7. Palliative care; 8. End-of-life care; 9. Opioid use disorder; or 10. Moderate to severe chronic pain. B. The university or institution of higher education may enter into no more than one memorand um of agreement with a resear ch Req. No. 5332 Page 3 facility for the purposes of c onducting scientific research under this section. C. In conducting such scientific research as described in subsection A of this section, the studies shall: 1. Perform clinical trials on the therapeutic efficacy of using psilocybin or psilocyn in the treatment of the medical conditions listed in subsection A of this section ; 2. Review the current literature regarding: a. the safety and efficacy of using psiloc ybin or psilocyn in the treatment of the medical conditions listed in subsection A of this section, and b. the access persons have to psilocybin and psilocyn for the treatment of the medical conditions listed in subsection A of this section; and 3. Examine the science of cultivation, synthesis, extraction, and processing of psilocybin an d psilocyn as well as the fungi, yeasts, and other naturally o ccurring source organisms of these molecules. D. 1. Eligible entities as described in subsection A of this section shall register with the State Department of Health and the Oklahoma Department of Agriculture, Food, and For estry prior to and for the purposes of growing, studying, processing, or dispensing psilocybin-containing fungi or other naturally occurring source organisms, or studying, extracting, synthesizing, or dispensing Req. No. 5332 Page 4 psilocybin or psilocyn. The registration submission information shall include: a. the name and address of the research facility, b. a prospectus approved by a university or other institution of higher education, and c. certification from the institutional review board of the university or institution of higher education if human trials are part of the research. 2. By registering, the registrant acknowledges and agrees that: a. the information contained in the registration submissions may be provided to law enforcement agencies, and b. the registrant shall submit an annual report detailing compliance with annual regulation requirements . 3. The State Department of Health shall collect a one-time nonrefundable fee of Five Hundred Dollars ($500.00) from the registrant at the time of registration and the Oklahoma Department of Agriculture, Food, and Forestry shall collect a one-time nonrefundable fee of One Hundred Dollars ($100.00) from the registrant at the time of registration. The registrant shall, upon completion of registration with the State Department of Health and the Oklahoma Department of Agriculture, Food, and Forestry, register with the Oklahoma State Bureau of Narcotics an d Dangerous Drugs Control as provided by Section 2-301 et seq. of Title 63 of the Req. No. 5332 Page 5 Oklahoma Statutes annually for as long as the research re mains active. 4. Registration under this subsection is valid for one (1) year, effective upon confirmation and receipt of all registrations required by this subsection. The registration required by this subsection shall satisfy and supersede all other reporting requirements otherwise impose d by state law. 5. Should the registrant change facility locations for the cultivation, testing, synthesis, storage, or dispensing of psilocybin or psilocyn, it shall report such changes within fourteen (14) business days to the State Department of Health, the Oklahoma Department of Agriculture, Food, and F orestry, and the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control. E. 1. A written certification shall be issued to persons qualifying for participation in a clinical trial described in this section by a physician participating in the clinical trial. The written certification shall contain the following: a. the name, address, and telephone number of the issu ing physician, b. the name and address of the patient to whom the written certification is issued, c. the date on which the written certificati on was made, d. the signature of the physician, Req. No. 5332 Page 6 e. the quantity of psilocybin or psilocyn to be dispensed, and f. the form of psilocybin or psilocyn to be dispensed. 2. The written certification issued under this subsection shall expire one (1) year after its issuance unless the written certification specifies an earlier date of expiration. F. 1. A scientific researcher or physician operating under a valid registration issued in accordance with this section shall not be subject to arrest, prosecution, or any civil or administrative penalty for the possession, cultivation, synthesis, extraction, or distribution of psil ocybin or psilocyn insofar as the scientific researcher's or physician's conduct is in compliance with the provisions of this section. 2. A patient participating in a clinical trial under a valid written certification issued in accordance with this section shall not be subject to arrest, prosecutio n, or any civil or administrative penalty for the use or possession of psilocybin or psilocyn insofar as the patient's conduct is in compliance with t he provisions of this section. 3. In any prosecution involving possess ion of psilocybin or psilocyn as those terms are specified in subsection C of Section 2- 204 of Title 63 of the Oklahoma Statutes, it shall be an affirmati ve defense if a person can demonstrate by clear and convincing evidence that he or she has one or more of the qualifying medical conditions Req. No. 5332 Page 7 or circumstances listed in subsection A of this section. This subsection shall not be understood to be the decrimin alization of psilocybin or psilocyn. G. Researching entities shall submit a written report to the President Pro Tempore of the Oklahoma State Senate and the Speaker of the Oklahoma House of Representatives containing the results of the studies conducted under this section and any recommendations for legislative or other actions not later than December 1, 202 6. H. Researching entities shall ensure any protected health information collected during the clinical trials done in accordance with this section does not personally identify any individual. I. The State Department of Health, the Oklahoma Department of Agriculture, Food, and Forestry, the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, and any other state agency with access to the research programs authorized by this section shall not release or allow to be released through inaction any protected health information. The protected health information of clinical trial participants shall be exempt from the Oklahoma Open Records Act. J. The State Commissioner of Health, the State Board of Agriculture, and the Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control shall promulgate rules necessary to implement the program authorized in this section. Req. No. 5332 Page 8 SECTION 2. AMENDATORY 63 O.S . 2021, Section 2-303, is amended to read as fol lows: Section 2-303. A. The Director of the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control shall register an applicant to own a medical facility as described in subsection C of Section 2 -302 of this title, or to manufacture, distribu te, dispense, prescribe, administer or use for scientific purposes controlle d dangerous substances included in Schedules I through V of Section 2 -101 et seq. of this title unless th e Director determines that the i ssuance of such registration is inconsisten t with the public interest. In determining the public interest, the followi ng factors shall be considered: 1. Maintenance of effective controls ag ainst diversion of particular controlled dangerous substances and any Schedule I or II substance compounded therefrom into other than legitim ate medical, scientific or industrial chann els, including examination of the fitness of his or her employees or age nts to handle dangerous substances; 2. Compliance with applicabl e state and local law; 3. Has been found g uilty of, entered a plea of guilt y or nolo contendere to a charge under the Uniform Controlled Dangerous Substances Act or any other state or federa l law relating to any substance defined herein as a controlled da ngerous substance or any felony under the laws of any state or the United S tates; Req. No. 5332 Page 9 4. Furnishing by the applicant false or fraudulent material information in any application filed under Secti on 2-101 et seq. of this title; 5. Past experience in the manufa cture, distribution, dispensing, prescribin g, administering or use for scie ntific purposes of controlled dangerous subs tances, and the existence in the establishment of effective controls aga inst diversion; 6. Denial, suspension or revocation of the appli cant's federal registration to manufacture, distribute or dispense controll ed dangerous substances as authorized by fed eral law; and 7. Such other factors as may be relevant to and consisten t with the public health and safe ty. Nothing herein shall be deem ed to require individual licensed pharmacists to register under the provisi ons of the Uniform Controlled Dangerous Subs tances Act. B. Registration granted under subsection A of this section shall not entitle a registrant to manufacture, distribute, dispen se, prescribe, administer or use for scient ific purposes controlled dangerous substances in Schedule I or II other than those specified in the registration. C. Practitioners shall be registe red to dispense, prescribe, administer or use for scientific purp oses controlled dangerous substances in Schedules II through V i f they are authorized to carry on their respective activities under the laws of this state. A Req. No. 5332 Page 10 registration application by a practitioner who wishes to conduct research with Schedule I sub stances shall be accompanied by evidence of the applicant's federal registration to conduct such activity and shall be referred to the Oklahoma Medical Research Commission Foundation for advice. The Oklahoma Medical Research Commission Foundation shall promptly advise the Director concerning th e qualifications of each practitioner requesting such registrat ion. Registration for the purpose of bona fide research or of use for scientific purposes with Schedule I substan ces by a practitioner deemed qualified by the Oklahoma Medical Research Commission Foundation may be denied only on a ground specified in subsection A of Section 2-304 of this title or if there are reasonable grounds to believe that the applic ant will abuse or unlawfully tran sfer such substances or fail to safeguard adequately such applicant 's supply of such substances against diversion from legitimate medi cal or scientific use. D. 1. The Director shall initially permit persons to register who own or operate any establishmen t engaged in the manufacture , distribution, dispensing, prescribing, administer ing or use for scientific purposes of any controlled da ngerous substances prior to June 4, 1991, and who are registered or licensed by the state . Fees for registration under th is section shall be as follo ws: Practitioners and mid-level practitioners $140.00 per year Req. No. 5332 Page 11 of registration Home Care Agencies, Hospic es & Home Care Services $140.00 annually Medical Facility Owners $300.00 annually Distributors $300.00 annually Manufacturers $500.00 annually Manufacturer, Wholesaler, or Distributor of drug products containing pseudoephedrin e or phenylpropanolamine $300.00 annually Researchers of psilocybin or psilocyn $140.00 annually 2. A registrant shall be required to pay double the amo unt of the above-listed fee for any renewal of registration received more than thirty (30) days late. 3. A Ten Dollar ($10.00) fee s hall be charged for a dup licate registration certificate. E. Compliance by manufacturers and distributors with the provisions of the Federal Controlled Substances Act, 21 U.S.C., Section 801 et seq., respecting registration, e xcluding fees, shall be deemed sufficient to qualify f or registration under this act Section 2-101 et seq. of this title. Req. No. 5332 Page 12 SECTION 3. This act shall become effect ive November 1, 2023. 59-1-5332 TJ 01/10/23