Req. No. 7479 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 59th Legislature (2023) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 2107 By: Pae COMMITTEE SUBSTITUTE An Act relating to controlled dangerous substances ; creating the Oklahoma Psilocybin Research Pilot Program; authorizing certain entities to conduct scientific research related to psilocybin and psilocyn; specifying certain uses for which scientific research is 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 wi th 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 Pilot Program participants; prescribing content of written certifications; providing for expiration of certifications; providing immunity to persons conducting or participating in the Pilot Program; requiring submission of written reports by certain date; providing for confidentiality of certain personal information; requiring 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. 7479 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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. This act shall be known and may be cited as the " Oklahoma Psilocybin Research Pilot Program ". B. 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 on psilocybin and psilocyn for the treatment of persons ei ghteen (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; Req. No. 7479 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 9. Opioid use disorder; or 10. Moderate to severe chronic pain. C. The university or institution of higher education may enter into no more than one memorandum of agreement with a resear ch facility for the purposes of c onducting scientific research under this section. D. In conducting such scientific research as described in subsection B of this section, the studies shall: 1. Study the therapeutic efficacy of using psilocybin or psilocyn in the treatment of the medical conditions listed in subsection B 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 B of this section, and b. the access persons have to psilocybin and psilocyn for the treatment of the medical conditions listed in subsection B 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. E. 1. Eligible entities as described in subsection B of this section shall register with the State Department of Health and the Req. No. 7479 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 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 Req. No. 7479 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 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. Notwithstanding the registration fee listed in Section 2 of th is act, the registration required by this subsection shall satisfy and supersede all other registration and 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 Forestry, and the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control. F. 1. A written certification shall be issued to persons qualifying for participation in the pilot program described in this section by a physician participating in the pilot program. The written certification shall contain the following: a. the name, address, and telephone number of the issu ing physician, Req. No. 7479 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 b. the name and address of the patient to whom the written certification is issued, c. the date on which the written certification was made, d. the signature of the physician, 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 exp iration. G. 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 psilocybin 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 the pilot program under a valid written certification issued in accordance with this sec tion 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. Req. No. 7479 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. In any prosecution invol ving possession 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 or circumstances listed in subsection B of this section. This subsection shall not be understood to be the decrimin alization of psilocybin or psilocyn. H. 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, 2026. I. Researching entities shall ensure any protected health information collected during the pilot program done in accordance with this section does not personally identify any individual. J. 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 i naction any protected health information. The protected health information of pilot program participants shall be exempt from the Oklahoma Open Records Act. Req. No. 7479 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 K. 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. 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 against diversion of particular controlled dangerous substances and any Schedule I or II substance compounded therefrom into other than legitimate medical, scientific or industrial chann els, including examination of the fitness of his or her employees or agents to handle dangerous substances; 2. Compliance with applicabl e state and local law; Req. No. 7479 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Has been found g uilty of, entered a plea of guilty or nolo contendere to a charge under the Uniform Controlled Dangerous Substances Act or any other state or federal 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 States; 4. Furnishing by the applicant false or fraudulent material information in any application filed under Section 2-101 et seq. of this title; 5. Past experience in the manufa cture, distribution, dispensing, prescribin g, administering or use for scientific purposes of controlled dangerous subs tances, and the existence in the establishment of effective controls against diversion; 6. Denial, suspension or revocation of the appli cant's federal registration to manufacture, distribute or dispense controlled dangerous substances as authorized by fed eral law; and 7. Such other factors as may be relevant to and consistent with the public health and safe ty. Nothing herein shall be deem ed to require individual licensed pharmacists to register under the provisions 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 Req. No. 7479 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 dangerous substances in Schedule I or II other than those specified in the registration. C. Practitioners shall be registered to dispense, prescribe, administer or use for scientific purp oses controlled dangerous substances in Schedules II thro ugh V if they are authorized to carry on their respective activities under the laws of this state. A registration application by a practitioner who wishes to conduct research with Schedule I sub stances shall be accompan ied by evidence of the applicant's federal registration to conduct such activity and shall be referred to the Medical Research Commission for advice. The Medical Research Commission shall promptly advise the Director concerning the qualifications of each practitioner requesting such registration. 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 Medical Research Commission 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 applicant 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 r egister who own or operate any establishmen t engaged in the manufacture, distribution, dispensing, prescribing, administer ing or use for Req. No. 7479 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 follows: Practitioners and mid-level practitioners $140.00 per year 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 am ount of the above-listed fee for any ren ewal of registration received more than thirty (30) days late. 3. A Ten Dollar ($10.00) fee s hall be charged for a duplicate registration certificate. E. Compliance by manufacturers and distributors with the provisions of the Federal Controlled Substance s Act, 21 U.S.C., Req. No. 7479 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Section 801 et seq., respecting registration, e xcluding fees, shall be deemed sufficient to qualify for registration under this act Section 2-101 et seq. of this title. SECTION 3. This act shall become effective November 1, 2023. 59-1-7479 JL 02/15/23