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<dc:title>117 S253 ES: Cannabidiol and Marihuana Research Expansion Act</dc:title>
<dc:publisher>U.S. Senate</dc:publisher>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<congress display="yes">117th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">S. 253</legis-num><current-chamber display="no">IN THE SENATE OF THE UNITED STATES</current-chamber><legis-type display="yes">AN ACT</legis-type><official-title display="yes">To expand research on the cannabidiol and marihuana.</official-title></form><legis-body style="OLC" display-enacting-clause="yes-display-enacting-clause"><section id="S1" section-type="section-one" commented="no" display-inline="no-display-inline"><enum>1.</enum><header display-inline="yes-display-inline">Short title; table of contents</header><subsection id="id16D5B1AD49C544CE9AAEF2F7A025C6B8" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="yes-display-inline">This Act may be cited as the <quote><short-title>Cannabidiol and Marihuana Research Expansion Act</short-title></quote>.</text></subsection><subsection id="idEADC2A8228DE4FD592969F95B5AFA142" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Table of contents</header><text display-inline="yes-display-inline">The table of contents for this Act is as follows: </text><toc><toc-entry level="section" idref="S1" bold="off">Sec. 1. Short title; table of contents.</toc-entry><toc-entry level="section" idref="idBBEE8B87E9A1420295F1CF1C4F4154EA" bold="off">Sec. 2. Definitions.</toc-entry><toc-entry level="title" idref="id6CFC78480BAA40C28596185EAAC6D80B" bold="off">TITLE I—Registrations for marihuana research</toc-entry><toc-entry level="section" idref="id8307cd5480cf4ccab451119966f08d74" bold="off">Sec. 101. Marihuana research applications.</toc-entry><toc-entry level="section" idref="id70e49aa692de468b9afaf0b5b3ac641c" bold="off">Sec. 102. Research protocols.</toc-entry><toc-entry level="section" idref="ide18b5e4ca3b9404d901585c01be58fc0" bold="off">Sec. 103. Applications to manufacture marihuana for research.</toc-entry><toc-entry level="section" idref="id763c6e935b8a478691023637565af835" bold="off">Sec. 104. Adequate and uninterrupted supply.</toc-entry><toc-entry level="section" idref="id8e61efea72854b0cad2f14eb04cfd512" bold="off">Sec. 105. Security requirements.</toc-entry><toc-entry level="section" idref="idf11fab7bb81240f79050c96260b1744c" bold="off">Sec. 106. Prohibition against reinstating interdisciplinary review process for non-NIH-funded researchers.</toc-entry><toc-entry level="title" idref="id9119266a6e2b4eeaa181064766adda02" bold="off">TITLE II—Development of FDA-approved drugs using cannabidiol and marihuana</toc-entry><toc-entry level="section" idref="idE3159A2D32DA4C81B1B228368B78CCFA" bold="off">Sec. 201. Medical research on cannabidiol.</toc-entry><toc-entry level="section" idref="id701e46c972624062893a1e78271895d5" bold="off">Sec. 202. Registration for the commercial production and distribution of Food and Drug Administration-approved drugs.</toc-entry><toc-entry level="section" idref="id4986074B000A487A82F5B75A099BA19D" bold="off">Sec. 203. Importation of cannabidiol for research purposes.</toc-entry><toc-entry level="title" idref="id9192230FA8D140E99E163D9B293BF8E5" bold="off">TITLE III—Doctor-patient relationship</toc-entry><toc-entry level="section" idref="id2684313A4501482DB8CD4B9ACC08682A" bold="off">Sec. 301. Doctor-patient relationship.</toc-entry><toc-entry level="title" idref="id48AC735321A84F5FB7114CD40758B0B5" bold="off">TITLE IV—Federal research</toc-entry><toc-entry level="section" idref="idab7f0c70065b4f6f8c249ada88d0148d" bold="off">Sec. 401. Federal research.</toc-entry></toc></subsection></section><section id="idBBEE8B87E9A1420295F1CF1C4F4154EA" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Definitions</header><text display-inline="no-display-inline">In this Act—</text><paragraph id="idAE9B34FBE15E4A1A83F4999CF6AF871B" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">the term <term>appropriately registered</term> means that an individual or entity is registered under the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>) to engage in the type of activity that is carried out by the individual or entity with respect to a controlled substance on the schedule that is applicable to cannabidiol or marihuana, as applicable;</text></paragraph><paragraph id="id5D25C6BC55F84F258BE252882E81E4FF" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">the term <term>cannabidiol</term> means—</text><subparagraph id="id4911102DFAAD404286815729A8FAEC84" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">the substance, cannabidiol, as derived from marihuana that has a delta-9-tetrahydrocannabinol level that is greater than 0.3 percent; and</text></subparagraph><subparagraph id="id22831141D7294926B034C99350C882AE" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">the synthetic equivalent of the substance described in subparagraph (A);</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idD4CA166321814256A397DF74535ADFB9"><enum>(3)</enum><text display-inline="yes-display-inline">the terms <term>controlled substance</term>, <term>dispense</term>, <term>distribute</term>, <term>manufacture</term>, <term>marihuana</term>, and <term>practitioner</term> have the meanings given such terms in section 102 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/802">21 U.S.C. 802</external-xref>), as amended by this Act;</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id008F7269DD2C473EB3A07D4D4CD56903"><enum>(4)</enum><text display-inline="yes-display-inline">the term <term>covered institution of higher education</term> means an institution of higher education (as defined in section 101 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>)) that—</text><subparagraph commented="no" display-inline="no-display-inline" id="id890EC4F4F0424177A29FDAF1263B4CD6"><enum>(A)</enum><clause commented="no" display-inline="yes-display-inline" id="idC87EC87E8057461BB5E729114A7BD2E6"><enum>(i)</enum><text display-inline="yes-display-inline">has highest or higher research activity, as defined by the Carnegie Classification of Institutions of Higher Education; or</text></clause><clause commented="no" display-inline="no-display-inline" id="id52E32948AE3C43A2AF128DA833953366" indent="up1"><enum>(ii)</enum><text display-inline="yes-display-inline">is an accredited medical school or an accredited school of osteopathic medicine; and</text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idEF9CB2A7671B4110839165A1B70CF5EC"><enum>(B)</enum><text display-inline="yes-display-inline">is appropriately registered under the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>);</text></subparagraph></paragraph><paragraph id="id05920FAA6F1B41BEB3B08580209467C5" commented="no" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">the term <term>drug</term> has the meaning given the term in section 201(g)(1) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/321">21 U.S.C. 321(g)(1)</external-xref>);</text></paragraph><paragraph id="id70BFF12067CB4220B2A8087176D417AD" commented="no" display-inline="no-display-inline"><enum>(6)</enum><text display-inline="yes-display-inline">the term <term>medical research for drug development</term> means medical research that is—</text><subparagraph id="id9A67EDDC83914E42B48AC92F7BF8E181" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">a preclinical study or clinical investigation conducted in accordance with section 505(i) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(i)</external-xref>) or otherwise permitted by the Department of Health and Human Services to determine the potential medical benefits of marihuana or cannabidiol as a drug; and</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="idBF4C211F4ADB4DC79A8A7D2C41443DC4"><enum>(B)</enum><text display-inline="yes-display-inline">conducted by a covered institution of higher education, practitioner, or manufacturer that is appropriately registered under the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>); and</text></subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="id10EE2361EB1842A794D459432520BF87"><enum>(7)</enum><text display-inline="yes-display-inline">the term <term>State</term> means any State of the United States, the District of Columbia, and any territory of the United States.</text></paragraph></section><title id="id6CFC78480BAA40C28596185EAAC6D80B" style="OLC" commented="no" level-type="subsequent"><enum>I</enum><header display-inline="yes-display-inline">Registrations for marihuana research</header><section id="id8307cd5480cf4ccab451119966f08d74" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>101.</enum><header display-inline="yes-display-inline">Marihuana research applications</header><text display-inline="no-display-inline">Section 303(f) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823(f)</external-xref>) is amended—</text><paragraph id="idcfcc20b652c743b5a2a5f0038f91db0f" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively;</text></paragraph><paragraph id="id72f642fc1d514e66a9e46b98cc0fc7a1" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">by striking <quote>(f) The Attorney General</quote> and inserting <quote>(f)(1) The Attorney General</quote>;</text></paragraph><paragraph id="idb3fa1a8cceef4369a96efd2e7f8b6c2b" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">by striking <quote>Registration applications</quote> and inserting the following:</text><quoted-block display-inline="no-display-inline" id="id711d799a46e0451babaf286790e0085c" style="OLC"><paragraph id="iddcf38342958847b2933ea019caa5fe59" indent="up1" commented="no" display-inline="no-display-inline"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id19A726F2D42D46BA9A9E583006950D41"><enum>(A)</enum><text display-inline="yes-display-inline">Registration applications</text></subparagraph></paragraph><after-quoted-block display="yes">;</after-quoted-block></quoted-block></paragraph><paragraph id="id6cf3d6b42ecc4ac6bf61a810c37d6090" commented="no" display-inline="no-display-inline"><enum>(4)</enum><text display-inline="yes-display-inline">by striking <quote>Article 7</quote> and inserting the following:</text><quoted-block display-inline="no-display-inline" id="id9bd837e49d6d4565880c33f741a51a17" style="OLC"><paragraph id="id2d61165a69f94bd4af19fe103ce2df12" indent="up1" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">Article 7</text></paragraph><after-quoted-block display="yes">; and</after-quoted-block></quoted-block></paragraph><paragraph id="id8453260042764ea69a76f6b05c6f2d34" commented="no" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">by inserting after paragraph (2)(A), as so designated, the following:</text><quoted-block display-inline="no-display-inline" id="id91bb1779d0c34b82ac53b69668fc309c" style="OLC"><subparagraph id="idc7072e5adc824d2fb180b0dd1c8a5c65" indent="up2" commented="no" display-inline="no-display-inline"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id528C3DF52FCD485BA734CEA890FB26C4"><enum>(i)</enum><text display-inline="yes-display-inline">The Attorney General shall register a practitioner to conduct research with marihuana if—</text><subclause id="id628369BC680049438947B44B19F4B0E5" indent="up1" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">the applicant’s research protocol—</text><item id="idF99ABC316D614BABB7838BB980118A6B" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">has been reviewed and allowed—</text><subitem id="idFD9231273425442ABDDF8E9A7AB48BF1" commented="no" display-inline="no-display-inline"><enum>(AA)</enum><text display-inline="yes-display-inline">by the Secretary of Health and Human Services under section 505(i) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(i)</external-xref>);</text></subitem><subitem id="idEDCC422F835B4C4F8543193A32493637" commented="no" display-inline="no-display-inline"><enum>(BB)</enum><text display-inline="yes-display-inline">by the National Institutes of Health or another Federal agency that funds scientific research; or</text></subitem><subitem id="id06E7CCE767ED45E1BE5D01576573E3F5" commented="no" display-inline="no-display-inline"><enum>(CC)</enum><text display-inline="yes-display-inline">pursuant to sections 1301.18 and 1301.32 of title 21, Code of Federal Regulations, or any successors thereto; and</text></subitem></item></subclause><subclause id="idB40E03E7046B444188956D541A11F35E" indent="up1" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">the applicant has demonstrated to the Attorney General that there are effective procedures in place to adequately safeguard against diversion of the controlled substance for legitimate medical or scientific use pursuant to section 105 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>, including demonstrating that the security measures are adequate for storing the quantity of marihuana the applicant would be authorized to possess.</text></subclause></clause><clause id="id83746EDE53024ECDB84096C427B7786D" indent="up1" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">The Attorney General may deny an application for registration under this subparagraph only if the Attorney General determines that the issuance of the registration would be inconsistent with the public interest. In determining the public interest, the Attorney General shall consider the factors listed in—</text><subclause id="id5D59C59214874E6BB9DD1734B17D7345" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">subparagraphs (B) through (E) of paragraph (1); and</text></subclause><subclause id="id997D43E2959E4AB9B0F20D25F45D2EB8" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">subparagraph (A) of paragraph (1), if the applicable State requires practitioners conducting research to register with a board or authority described in such subparagraph (A).</text></subclause></clause><clause id="id164D499A4CDD47DE867F519348886DDE" indent="up1" commented="no" display-inline="no-display-inline"><enum>(iii)</enum><subclause commented="no" display-inline="yes-display-inline" id="id213B6F9916054839B306A22093D418E8"><enum>(I)</enum><text display-inline="yes-display-inline">Not later than 60 days after the date on which the Attorney General receives a complete application for registration under this subparagraph, the Attorney General shall—</text><item id="id4A6D7F11B6AD4825A0A031CAF1F70834" indent="up1" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">approve the application; or</text></item><item id="idD9C65C134EE04CDE96812AAB92160789" indent="up1" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">request supplemental information.</text></item></subclause><subclause id="id7551F71D59424B2AA75BB11BF4D0CD55" indent="up1" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">For purposes of subclause (I), an application shall be deemed complete when the applicant has submitted documentation showing that the requirements under clause (i) are satisfied.</text></subclause></clause><clause id="idEAE1A3612D874F2A8AE73D50108EBD8D" indent="up1" commented="no" display-inline="no-display-inline"><enum>(iv)</enum><text display-inline="yes-display-inline">Not later than 30 days after the date on which the Attorney General receives supplemental information as described in clause (iii)(I)(bb) in connection with an application described in this subparagraph, the Attorney General shall approve or deny the application.</text></clause><clause id="id5EAFED318596434F83A1A6137BD76A5C" indent="up1" commented="no" display-inline="no-display-inline"><enum>(v)</enum><text display-inline="yes-display-inline">If an application described in this subparagraph is denied, the Attorney General shall provide a written explanation of the basis of denial to the applicant.</text></clause></subparagraph><after-quoted-block display="yes">.</after-quoted-block></quoted-block></paragraph></section><section id="id70e49aa692de468b9afaf0b5b3ac641c" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>102.</enum><header display-inline="yes-display-inline">Research protocols</header><subsection id="id2694233CA48C489C8BD0C6AD89758661" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Paragraph (2)(B) of section 303(f) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823(f)</external-xref>), as amended by section 101 of this Act, is further amended by adding at the end the following:</text><quoted-block display-inline="no-display-inline" id="ide2ac247acef344da8285cf0e8aa580c6" style="OLC"><clause id="id80654c31d1f444729719d8556ca5e329" indent="up3" commented="no" display-inline="no-display-inline"><enum>(vi)</enum><subclause commented="no" display-inline="yes-display-inline" id="idE1427C9757D9412FA7EB61956A917F69"><enum>(I)</enum><text display-inline="yes-display-inline">If the Attorney General grants an application for registration under clause (i), the registrant may amend or supplement the research protocol without reapplying if the registrant does not change—</text><item id="idd8ddffec32a34c2ea0abcbb5ab42c92c" indent="up1" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">the quantity or type of drug;</text></item><item id="id487ed7f48a434ff8bc3cd1825cfbed20" indent="up1" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">the source of the drug; or</text></item><item id="idcc700d98631e44579536f50f3b4f47f9" indent="up1" commented="no" display-inline="no-display-inline"><enum>(cc)</enum><text display-inline="yes-display-inline">the conditions under which the drug is stored, tracked, or administered.</text></item></subclause><subclause id="id6fb15cfe1fd9485db8a2a2c86f0d44f6" indent="up1" commented="no" display-inline="no-display-inline"><enum>(II)</enum><item commented="no" display-inline="yes-display-inline" id="id6D9BB59A11E4439B80F9F39481F3BBC6"><enum>(aa)</enum><text display-inline="yes-display-inline">If a registrant under clause (i) seeks to change the type of drug, the source of the drug, or conditions under which the drug is stored, tracked, or administered, the registrant shall notify the Attorney General via registered mail, or an electronic means permitted by the Attorney General, not later than 30 days before implementing an amended or supplemental research protocol.</text></item><item id="id74135125f3c04ebc9c652fd6ac20311c" indent="up1" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">A registrant may proceed with an amended or supplemental research protocol described in item (aa) if the Attorney General does not explicitly object during the 30-day period beginning on the date on which the Attorney General receives the notice under item (aa).</text></item><item id="id5d0b548a6e1b4af79ce09870d30e8332" indent="up1" commented="no" display-inline="no-display-inline"><enum>(cc)</enum><text display-inline="yes-display-inline">The Attorney General may only object to an amended or supplemental research protocol under this subclause if additional security measures are needed to safeguard against diversion or abuse.</text></item><item id="id2650A64184564A22A01ADDD8F0AB59DB" indent="up1" commented="no" display-inline="no-display-inline"><enum>(dd)</enum><text display-inline="yes-display-inline">If a registrant under clause (i) seeks to address additional security measures identified by the Attorney General under item (cc), the registrant shall notify the Attorney General via registered mail, or an electronic means permitted by the Attorney General, not later than 30 days before implementing an amended or supplemental research protocol.</text></item><item id="id27563D3089074FFD97B23129DB3A9348" indent="up1" commented="no" display-inline="no-display-inline"><enum>(ee)</enum><text display-inline="yes-display-inline">A registrant may proceed with an amended or supplemental research protocol described in item (dd) if the Attorney General does not explicitly object during the 30-day period beginning on the date on which the Attorney General receives the notice under item (dd).</text></item></subclause><subclause id="id659275daaf694bf781cdeacaedb39d42" indent="up1" commented="no" display-inline="no-display-inline"><enum>(III)</enum><item commented="no" display-inline="yes-display-inline" id="id675d5a764d67454da5018d85643301b5"><enum>(aa)</enum><text display-inline="yes-display-inline">If a registrant under clause (i) seeks to change the quantity of marihuana needed for research and the change in quantity does not impact the factors described in item (bb) or (cc) of subclause (I) of this clause, the registrant shall notify the Attorney General via registered mail or using an electronic means permitted by the Attorney General.</text></item><item id="id2a99a4d10456426b84195c4860773055" indent="up1" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">A notification under item (aa) shall include—</text><subitem id="ida98d19b348ca4754aa4f1d999c2a4412" commented="no" display-inline="no-display-inline"><enum>(AA)</enum><text display-inline="yes-display-inline">the Drug Enforcement Administration registration number of the registrant;</text></subitem><subitem id="idd7fe508d9538438a950b9aad01e6f522" commented="no" display-inline="no-display-inline"><enum>(BB)</enum><text display-inline="yes-display-inline">the quantity of marihuana already obtained;</text></subitem><subitem id="id0d47d35b2f3642e99e20218574a43e7e" commented="no" display-inline="no-display-inline"><enum>(CC)</enum><text display-inline="yes-display-inline">the quantity of additional marihuana needed to complete the research; and</text></subitem><subitem id="idf5e249d6970d4e708f2588dbf1c387c8" commented="no" display-inline="no-display-inline"><enum>(DD)</enum><text display-inline="yes-display-inline">an attestation that the change in quantity does not impact the source of the drug or the conditions under which the drug is stored, tracked, or administered.</text></subitem></item><item id="id6863197cf911461f8860b7341488cc74" indent="up1" commented="no" display-inline="no-display-inline"><enum>(cc)</enum><text display-inline="yes-display-inline">The Attorney General shall ensure that—</text><subitem id="id4f0fa7f3531f4d408d921e4b6431cdf6" commented="no" display-inline="no-display-inline"><enum>(AA)</enum><text display-inline="yes-display-inline">any registered mail return receipt with respect to a notification under item (aa) is submitted for delivery to the registrant providing the notification not later than 3 days after receipt of the notification by the Attorney General; and</text></subitem><subitem id="ida769c96d5af548f0996471972b178fa6" commented="no" display-inline="no-display-inline"><enum>(BB)</enum><text display-inline="yes-display-inline">notice of receipt of a notification using an electronic means permitted under item (aa) is provided to the registrant providing the notification not later than 3 days after receipt of the notification by the Attorney General.</text></subitem></item><item id="id9edbbdf2e13046dea9f28ae5c3493657" indent="up1" commented="no" display-inline="no-display-inline"><enum>(dd)</enum><subitem commented="no" display-inline="yes-display-inline" id="id29622844d5c44eb0b22c437214042bf4"><enum>(AA)</enum><text display-inline="yes-display-inline">On and after the date described in subitem (BB), a registrant that submits a notification in accordance with item (aa) may proceed with the research as if the change in quantity has been approved on such date, unless the Attorney General notifies the registrant of an objection described in item (ee).</text></subitem><subitem id="id35b41e30f64545d6b1fa2ce24ca763aa" indent="up1" commented="no" display-inline="no-display-inline"><enum>(BB)</enum><text display-inline="yes-display-inline">The date described in this subitem is the date on which a registrant submitting a notification under item (aa) receives the registered mail return receipt with respect to the notification or the date on which the registrant receives notice that the notification using an electronic means permitted under item (aa) was received by the Attorney General, as the case may be.</text></subitem></item><item id="id8d3436f54cff4955a1ffe2e3990a6d87" indent="up1" commented="no" display-inline="no-display-inline"><enum>(ee)</enum><text display-inline="yes-display-inline">A notification submitted under item (aa) shall be deemed to be approved unless the Attorney General, not later than 10 days after receiving the notification, explicitly objects based on a finding that the change in quantity—</text><subitem id="id530886d2c12340eb98a68034e74b49ac" commented="no" display-inline="no-display-inline"><enum>(AA)</enum><text display-inline="yes-display-inline">does impact the source of the drug or the conditions under which the drug is stored, tracked, or administered; or</text></subitem><subitem id="iddab50153f34843379b5b5da744b94bf1" commented="no" display-inline="no-display-inline"><enum>(BB)</enum><text display-inline="yes-display-inline">necessitates that the registrant implement additional security measures to safeguard against diversion or abuse.</text></subitem></item></subclause><subclause id="id99ca2767219f413497bc8316fe58cbf1" indent="up1" commented="no" display-inline="no-display-inline"><enum>(IV)</enum><text display-inline="yes-display-inline">Nothing in this clause shall limit the authority of the Secretary of Health and Human Services over requirements related to research protocols, including changes in—</text><item id="id0a45b72ccb994d149519a8f9d4e283c0" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">the method of administration of marihuana;</text></item><item id="id41508e966b3d44f5a77a3af78583615b" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">the dosing of marihuana; and</text></item><item id="id3ff8adc462c140e3a375301dfd4edca4" commented="no" display-inline="no-display-inline"><enum>(cc)</enum><text display-inline="yes-display-inline">the number of individuals or patients involved in research.</text></item></subclause></clause><after-quoted-block display="yes">.</after-quoted-block></quoted-block></subsection><subsection id="idE96B179571764C3A959B123D7D0B4141" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Regulations</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, the Attorney General shall promulgate regulations to carry out the amendment made by this section.</text></subsection></section><section id="ide18b5e4ca3b9404d901585c01be58fc0" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>103.</enum><header display-inline="yes-display-inline">Applications to manufacture marihuana for research</header><subsection id="idF7010B31B1A54EF8BF7B01CA1800F70A" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 303 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823</external-xref>) is amended—</text><paragraph id="id0b8e0b8ae9cf4738b2daf190a89132ba" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">by redesignating subsections (c) through (k) as subsections (d) through (l), respectively;</text></paragraph><paragraph id="id768e7ee05f1c43cea7002fd0a749e3c6" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after subsection (b) the following:</text><quoted-block display-inline="no-display-inline" id="id1c754d7b02904001ad31f627de62292c" style="OLC"><subsection id="id9345ea0ffce845aaadcc609d7abd83b4" commented="no" display-inline="no-display-inline"><enum>(c)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idF095D4E8832C45709DA554C035A7C070"><enum>(1)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="id7476669120134449AD758F60A3780829"><enum>(A)</enum><text display-inline="yes-display-inline">As it relates to applications to manufacture marihuana for research purposes, if the Attorney General places a notice in the Federal Register to increase the number of entities registered under this Act to manufacture marihuana to supply appropriately registered researchers in the United States, the Attorney General shall, not later than 60 days after the date on which the Attorney General receives a completed application—</text><clause id="id4AC2DC95FCBE4A77BB3BF19F694581ED" indent="up2" commented="no" display-inline="no-display-inline"><enum>(i)</enum><text display-inline="yes-display-inline">approve the application; or</text></clause><clause id="idACF055F771F041DAB89C78CFD958732B" indent="up2" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">request supplemental information.</text></clause></subparagraph><subparagraph id="idED5348FE9A8B4022BD9B08D8363AF6DD" indent="up2" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">For purposes of subparagraph (A), an application shall be deemed complete when the applicant has submitted documentation showing each of the following:</text><clause id="id271DAD45A39A4CCFA975D59D34E27431" commented="no" display-inline="no-display-inline"><enum>(i)</enum><text display-inline="yes-display-inline">The requirements designated in the notice in the Federal Register are satisfied.</text></clause><clause id="id29260f5ebf054aa9a82dd7242758a27e" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">The requirements under this Act are satisfied.</text></clause><clause id="id0f97de73deb44a4da8a729214f6c086e" commented="no" display-inline="no-display-inline"><enum>(iii)</enum><text display-inline="yes-display-inline">The applicant will limit the transfer and sale of any marihuana manufactured under this subsection—</text><subclause id="id1b0b838bb6da4977b95bb4ccbcabb9e6" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">to researchers who are registered under this Act to conduct research with controlled substances in schedule I; and</text></subclause><subclause id="idf7be1672415b48d0bb6a058fea293348" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">for purposes of use in preclinical research or in a clinical investigation pursuant to an investigational new drug exemption under 505(i) of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355(i)</external-xref>).</text></subclause></clause><clause id="id978979f47dcd44d586c5f60a9ecf0c8e" commented="no" display-inline="no-display-inline"><enum>(iv)</enum><text display-inline="yes-display-inline">The applicant will transfer or sell any marihuana manufactured under this subsection only with prior, written consent for the transfer or sale by the Attorney General.</text></clause><clause id="id2daa51a26b834696a3bfc45f31b00dd4" commented="no" display-inline="no-display-inline"><enum>(v)</enum><text display-inline="yes-display-inline">The applicant has completed the application and review process under subsection (a) for the bulk manufacture of controlled substances in schedule I.</text></clause><clause id="idccc5fbcf3fd8421a926c288277f6e7b9" commented="no" display-inline="no-display-inline"><enum>(vi)</enum><text display-inline="yes-display-inline">The applicant has established and begun operation of a process for storage and handling of controlled substances in schedule I, including for inventory control and monitoring security in accordance with section 105 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>.</text></clause><clause id="id137179c2a7f34ad0982fbed3b874fcbf" commented="no" display-inline="no-display-inline"><enum>(vii)</enum><text display-inline="yes-display-inline">The applicant is licensed by each State in which the applicant will conduct operations under this subsection, to manufacture marihuana, if that State requires such a license.</text></clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id6A0F4848E5B34F6C894C67629C6E631B" indent="up2"><enum>(C)</enum><text display-inline="yes-display-inline">Not later than 30 days after the date on which the Attorney General receives supplemental information requested under subparagraph (A)(ii) with respect to an application, the Attorney General shall approve or deny the application.</text></subparagraph></paragraph><paragraph id="id006BB30B85674AF891CB7DD0E9697676" indent="up1" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">If an application described in this subsection is denied, the Attorney General shall provide a written explanation of the basis of denial to the applicant.</text></paragraph></subsection><after-quoted-block display="yes">; </after-quoted-block></quoted-block></paragraph><paragraph id="idF2099281C5EB4F78B46ADC023FEF49D1" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (h)(2), as so redesignated, by striking <quote>subsection (f)</quote> each place it appears and inserting <quote>subsection (g)</quote>;</text></paragraph><paragraph id="idFD9D7487F4CC4DB39220C35F4ADEEA06" commented="no" display-inline="no-display-inline"><enum>(4)</enum><text display-inline="yes-display-inline">in subsection (j)(1), as so redesignated, by striking <quote>subsection (d)</quote> and inserting <quote>subsection (e)</quote>; and</text></paragraph><paragraph id="idE7FBAEB3FEF54BBF8C087FB2CAF9FBDC" commented="no" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">in subsection (k), as so redesignated, by striking <quote>subsection (f)</quote> each place it appears and inserting <quote>subsection (g)</quote>.</text></paragraph></subsection><subsection id="id35A7D28C5B3C4A31998D8134ED5DE788" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Technical and conforming amendments</header><paragraph id="idEE08B672F7034840A1C653065270B0F6" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">The Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>) is amended—</text><subparagraph id="idBDAE89ED1D7C4E718BC9DBD69EA98810" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">in section 102 (<external-xref legal-doc="usc" parsable-cite="usc/21/802">21 U.S.C. 802</external-xref>)—</text><clause id="idF132FDE2EE7249EEAFCC52B45578F14C" commented="no" display-inline="no-display-inline"><enum>(i)</enum><text display-inline="yes-display-inline">in paragraph (52)(B)—</text><subclause id="id0527DFF5AAF6461E89A39F59067C4ECA" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">by striking <quote>303(f)</quote> each place it appears and inserting <quote>303(g)</quote>; and</text></subclause><subclause id="id898A9621F8B14EE08FF1225BF754CB54" commented="no" display-inline="no-display-inline"><enum>(II)</enum><text display-inline="yes-display-inline">in clause (i), by striking <quote>(d), or (e)</quote> and inserting <quote>(e), or (f)</quote>; and</text></subclause></clause><clause id="id3154BE27E70A469187489662904F693D" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">in paragraph (54), by striking <quote>303(f)</quote> each place it appears and inserting <quote>303(g)</quote>;</text></clause></subparagraph><subparagraph id="id8BDD61174C014D0F8991CD9180034E03" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in section 302(g)(5)(A)(iii)(I)(bb) (21 U.S.C. 822(g)(5)(A)(iii)(I)(bb)), by striking <quote>303(f)</quote> and inserting <quote>303(g)</quote>; </text></subparagraph><subparagraph id="id90C385C0D3C14A9B80F0CD8DAE4CF26E" commented="no" display-inline="no-display-inline"><enum>(C)</enum><text display-inline="yes-display-inline">in section 304 (<external-xref legal-doc="usc" parsable-cite="usc/21/824">21 U.S.C. 824</external-xref>), by striking <quote>303(g)(1)</quote> each place it appears and inserting <quote>303(h)(1)</quote>;</text></subparagraph><subparagraph id="id6225C4AF7D554534A5CAFD823127ACB9" commented="no" display-inline="no-display-inline"><enum>(D)</enum><text display-inline="yes-display-inline">in section 307(d)(2) (<external-xref legal-doc="usc" parsable-cite="usc/21/827">21 U.S.C. 827(d)(2)</external-xref>), by striking <quote>303(f)</quote> and inserting <quote>303(g)</quote>;</text></subparagraph><subparagraph id="id02D30B59166F4086A87F4E2C7959C8C6" commented="no" display-inline="no-display-inline"><enum>(E)</enum><text display-inline="yes-display-inline">in section 309A(a)(2) (<external-xref legal-doc="usc" parsable-cite="usc/21/829a">21 U.S.C. 829a(a)(2)</external-xref>), in the matter preceding subparagraph (A), by striking <quote>303(g)(2)</quote> and inserting <quote>303(h)(2)</quote>; </text></subparagraph><subparagraph id="id0D706750A45A45AEA0582BACE3DCF252" commented="no" display-inline="no-display-inline"><enum>(F)</enum><text display-inline="yes-display-inline">in section 311(h) (<external-xref legal-doc="usc" parsable-cite="usc/21/831">21 U.S.C. 831(h)</external-xref>), by striking <quote>303(f)</quote> each place it appears and inserting <quote>303(g)</quote>;</text></subparagraph><subparagraph id="id02D4692FAC824C4BB794AB9D7D2D4CAE" commented="no" display-inline="no-display-inline"><enum>(G)</enum><text display-inline="yes-display-inline">in section 401(h)(2) (<external-xref legal-doc="usc" parsable-cite="usc/21/841">21 U.S.C. 841(h)(2)</external-xref>), by striking <quote>303(f)</quote> each place it appears and inserting <quote>303(g)</quote>;</text></subparagraph><subparagraph id="id6D728FE398FC4E33860A5A26ABC7F31A" commented="no" display-inline="no-display-inline"><enum>(H)</enum><text display-inline="yes-display-inline">in section 403(c)(2)(B) (<external-xref legal-doc="usc" parsable-cite="usc/21/843">21 U.S.C. 843(c)(2)(B)</external-xref>), by striking <quote>303(f)</quote> and inserting <quote>303(g)</quote>; and</text></subparagraph><subparagraph id="id8212AEF026D14E319774E2B8C7CF9226" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">in section 512(c)(1) (<external-xref legal-doc="usc" parsable-cite="usc/21/882">21 U.S.C. 882(c)(1)</external-xref>) by striking <quote>303(f)</quote> and inserting <quote>303(g)</quote>.</text></subparagraph></paragraph><paragraph id="idE585FF636F924A21B2B742B8F7EE6598" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">Section 1008(c) of the Controlled Substances Import and Export Act (<external-xref legal-doc="usc" parsable-cite="usc/21/958">21 U.S.C. 958(c)</external-xref>) is amended—</text><subparagraph id="id6C3D5892B52345C2ACFEDBFF4034A285" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>303(d)</quote> and inserting <quote>303(e)</quote>; and</text></subparagraph><subparagraph id="idBCAD6DB294E24D598F812E68D4BC4199" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (2)(B), by striking <quote>303(h)</quote> and inserting <quote>303(i)</quote>.</text></subparagraph></paragraph><paragraph id="id4E61456F526341C1A491B3BF9A0398C6" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">Title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa et seq.</external-xref>) is amended—</text><subparagraph id="id743BA0220F7147C78D2BD631F99DC9EF" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">in section 520E–4(c) (42 U.S.C. 290bb–36d(c)), by striking <quote>303(g)(2)(B)</quote> and inserting <quote>303(h)(2)(B)</quote>; and</text></subparagraph><subparagraph id="idC0506D9F2C0040D2809B169CF338C81E" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in section 544(a)(3) (<external-xref legal-doc="usc" parsable-cite="usc/42/290dd-3">42 U.S.C. 290dd–3(a)(3)</external-xref>), by striking <quote>303(g)</quote> and inserting <quote>303(h)</quote>.</text></subparagraph></paragraph><paragraph id="id3D45AF538CA64288971442FEA96A06E5" commented="no" display-inline="no-display-inline"><enum>(4)</enum><text display-inline="yes-display-inline">Title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>) is amended—</text><subparagraph id="id39B5D2DAB7F54BFE910CA87615F19499" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">in section 1833(bb)(3)(B) (<external-xref legal-doc="usc" parsable-cite="usc/42/1395l">42 U.S.C. 1395l(bb)(3)(B)</external-xref>), by striking <quote>303(g)</quote> and inserting <quote>303(h)</quote>; </text></subparagraph><subparagraph id="idBE023FD41B8B4C968B393A4FA7C3999B" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in section 1834(o)(3)(C)(ii) (<external-xref legal-doc="usc" parsable-cite="usc/42/1395m">42 U.S.C. 1395m(o)(3)(C)(ii)</external-xref>), by striking <quote>303(g)</quote> and inserting <quote>303(h)</quote>; and</text></subparagraph><subparagraph id="id02A87A2F6718452491F2058AEE84A326" commented="no" display-inline="no-display-inline"><enum>(C)</enum><text display-inline="yes-display-inline">in section 1866F(c)(3)(C) (<external-xref legal-doc="usc" parsable-cite="usc/42/1395cc-6">42 U.S.C. 1395cc–6(c)(3)(C)</external-xref>), by striking <quote>303(g)</quote> and inserting <quote>303(h)</quote>. </text></subparagraph></paragraph><paragraph id="id43DB0F0A693740229D2B27EDA5A82E9E" commented="no" display-inline="no-display-inline"><enum>(5)</enum><text display-inline="yes-display-inline">Section 1903(aa)(2)(C)(ii) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(aa)(2)(C)(ii)</external-xref>) is amended by striking <quote>303(g)</quote> each place it appears and inserting <quote>303(h)</quote>. </text></paragraph></subsection></section><section id="id763c6e935b8a478691023637565af835" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>104.</enum><header display-inline="yes-display-inline">Adequate and uninterrupted supply</header><text display-inline="no-display-inline">On an annual basis, the Attorney General shall assess whether there is an adequate and uninterrupted supply of marihuana, including of specific strains, for research purposes.</text></section><section id="id8e61efea72854b0cad2f14eb04cfd512" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>105.</enum><header display-inline="yes-display-inline">Security requirements</header><subsection id="id28856c1a55414c5ba20b9484f262a4ee" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">An individual or entity engaged in researching marihuana or its components shall store it in a securely locked, substantially constructed cabinet.</text></subsection><subsection id="id435f8f29fe604cfd9eee9d769289d9bc" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Requirements for other measures</header><text display-inline="yes-display-inline">Any other security measures required by the Attorney General to safeguard against diversion shall be consistent with those required for practitioners conducting research on other controlled substances in schedules I and II in section 202(c) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/812">21 U.S.C. 812(c)</external-xref>) that have a similar risk of diversion and abuse.</text></subsection></section><section id="idf11fab7bb81240f79050c96260b1744c" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>106.</enum><header display-inline="yes-display-inline">Prohibition against reinstating interdisciplinary review process for non-NIH-funded researchers</header><text display-inline="no-display-inline">The Secretary of Health and Human Services may not—</text><paragraph id="id604dd05ecb904ad19a21fc736905df91" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">reinstate the Public Health Service interdisciplinary review process described in the guidance entitled <quote>Guidance on Procedures for the Provision of Marijuana for Medical Research</quote> (issued on May 21, 1999); or</text></paragraph><paragraph id="id7df49a5425bb480fb49532c3043ccdb9" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">require another review of scientific protocols that is applicable only to research on marihuana or its components.</text></paragraph></section></title><title id="id9119266a6e2b4eeaa181064766adda02" commented="no" level-type="subsequent"><enum>II</enum><header display-inline="yes-display-inline">Development of FDA-approved drugs using cannabidiol and marihuana</header><section id="idE3159A2D32DA4C81B1B228368B78CCFA" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>201.</enum><header display-inline="yes-display-inline">Medical research on cannabidiol</header><text display-inline="no-display-inline">Notwithstanding any provision of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>), the Safe and Drug-Free Schools and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/20/7101">20 U.S.C. 7101 et seq.</external-xref>), <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/41/81">chapter 81</external-xref> of title 41, United States Code, or any other Federal law, an appropriately registered covered institution of higher education, a practitioner, or a manufacturer may manufacture, distribute, dispense, or possess marihuana or cannabidiol if the marihuana or cannabidiol is manufactured, distributed, dispensed, or possessed, respectively, for purposes of medical research for drug development or subsequent commercial production in accordance with section 202.</text></section><section id="id701e46c972624062893a1e78271895d5" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>202.</enum><header display-inline="yes-display-inline">Registration for the commercial production and distribution of Food and Drug Administration-approved drugs</header><text display-inline="no-display-inline">The Attorney General shall register an applicant to manufacture or distribute cannabidiol or marihuana for the purpose of commercial production of a drug containing or derived from marihuana that is approved by the Secretary of Health and Human Services under section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>), in accordance with the applicable requirements under subsection (a) or (b) of section 303 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823</external-xref>).</text></section><section commented="no" id="id4986074B000A487A82F5B75A099BA19D" display-inline="no-display-inline" section-type="subsequent-section"><enum>203.</enum><header display-inline="yes-display-inline">Importation of cannabidiol for research purposes</header><text display-inline="no-display-inline">The Controlled Substances Import and Export Act (<external-xref legal-doc="usc" parsable-cite="usc/21/951">21 U.S.C. 951 et seq.</external-xref>) is amended—</text><paragraph commented="no" id="id6BEC9E86ADB540A38DAC2CDB6BC8FD43" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">in section 1002(a) (<external-xref legal-doc="usc" parsable-cite="usc/21/952">21 U.S.C. 952(a)</external-xref>)—</text><subparagraph commented="no" id="id0AE198C907A44A6289D414CDA44CD8ED" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>and</quote> at the end;</text></subparagraph><subparagraph commented="no" id="id217C4B7454374800AF0003C6EA11D0AE" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in paragraph (2)(C), by inserting <quote>and</quote> after <quote>uses,</quote>; and</text></subparagraph><subparagraph commented="no" id="id18F3FC899C09472BAE03D85EA2C27D43" display-inline="no-display-inline"><enum>(C)</enum><text display-inline="yes-display-inline">inserting before the undesignated matter following paragraph (2)(C) the following:</text><quoted-block display-inline="no-display-inline" id="idf127ef644af24531b99b40c438649d6a" style="OLC"><paragraph commented="no" id="idcc6ed5b8515a42b9ad605b88a5b4e72b" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">such amounts of marihuana or cannabidiol (as defined in section 2 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>) as are—</text><subparagraph commented="no" id="id2F53E9ACA7C7496EAAC32498F5D0980E" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">approved for medical research for drug development (as such terms are defined in section 2 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>), or</text></subparagraph><subparagraph commented="no" id="id72F2964436E24E04AB14F9EF6C777753" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">necessary for registered manufacturers to manufacture drugs containing marihuana or cannabidiol that have been approved for use by the Commissioner of Food and Drugs under the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/301">21 U.S.C. 301 et seq.</external-xref>),</text></subparagraph></paragraph><after-quoted-block display="yes">; and</after-quoted-block></quoted-block></subparagraph></paragraph><paragraph commented="no" id="idD2563F4405A646859A4664A540AAF573" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">in section 1007 (<external-xref legal-doc="usc" parsable-cite="usc/21/957">21 U.S.C. 957</external-xref>), by amending subsection (a) to read as follows:</text><quoted-block display-inline="no-display-inline" id="idBFF8FDA8AD584569B74B27E12196F48D" style="OLC"><subsection id="id46B4009EACBF4CD393EA44F48981B089" commented="no" display-inline="no-display-inline"><enum>(a)</enum><paragraph commented="no" display-inline="yes-display-inline" id="idB961E9F446C645B3A3E3751D1B82162C"><enum>(1)</enum><text display-inline="yes-display-inline">Except as provided in paragraph (2), no person may—</text><subparagraph id="IDEA5A457ACEF34CB685084EBF60551F46" indent="up1" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">import into the customs territory of the United States from any place outside thereof (but within the United States), or import into the United States from any place outside thereof, any controlled substance or list I chemical, or</text></subparagraph><subparagraph id="IDB5E9977C43164EBF886C70951BAC100A" indent="up1" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">export from the United States any controlled substance or list I chemical,</text></subparagraph><continuation-text continuation-text-level="paragraph" indent="subsection" commented="no">unless there is in effect with respect to such person a registration issued by the Attorney General under section 1008, or unless such person is exempt from registration under subsection (b).</continuation-text></paragraph><paragraph id="id02BD82867E5544B2A8425AA7DE101FB6" indent="up1" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">Paragraph (1) shall not apply to the import or export of marihuana or cannabidiol (as defined in section 2 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>) that has been approved for—</text><subparagraph id="id2AC02C885EE24FB2B6DD462F6D5D9123" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">medical research for drug development authorized under section 201 of the <short-title>Cannabidiol and Marihuana Research Expansion Act</short-title>; or</text></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id4293CB698A12487AA7C2AA7ACC8F080C"><enum>(B)</enum><text display-inline="yes-display-inline">use by registered manufacturers to manufacture drugs containing marihuana or cannabidiol that have been approved for use by the Commissioner of Food and Drugs under the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/301">21 U.S.C. 301 et seq.</external-xref>).</text></subparagraph></paragraph></subsection><after-quoted-block display="yes">.</after-quoted-block></quoted-block></paragraph></section></title><title id="id9192230FA8D140E99E163D9B293BF8E5" style="OLC" commented="no" level-type="subsequent"><enum>III</enum><header display-inline="yes-display-inline">Doctor-patient relationship</header><section id="id2684313A4501482DB8CD4B9ACC08682A" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>301.</enum><header display-inline="yes-display-inline">Doctor-patient relationship</header><text display-inline="no-display-inline">It shall not be a violation of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/801">21 U.S.C. 801 et seq.</external-xref>) for a State-licensed physician to discuss—</text><paragraph id="id1DE85E6C17154F31A509861CA1F20AC3" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">the currently known potential harms and benefits of marihuana derivatives, including cannabidiol, as a treatment with the legal guardian of the patient of the physician if the patient is a child; or</text></paragraph><paragraph id="id1E7D0635961148FF8F16A4EF99A5499A" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">the currently known potential harms and benefits of marihuana and marihuana derivatives, including cannabidiol, as a treatment with the patient or the legal guardian of the patient of the physician if the patient is a legal adult.</text></paragraph></section></title><title id="id48AC735321A84F5FB7114CD40758B0B5" style="OLC" commented="no" level-type="subsequent"><enum>IV</enum><header display-inline="yes-display-inline">Federal research</header><section id="idab7f0c70065b4f6f8c249ada88d0148d" commented="no" display-inline="no-display-inline" section-type="subsequent-section"><enum>401.</enum><header display-inline="yes-display-inline">Federal research</header><subsection id="id534FECA8D8AB43268DB42A51ED9C05CA" commented="no" display-inline="no-display-inline"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services, in coordination with the Director of the National Institutes of Health and the heads of other relevant Federal agencies, shall submit to the Caucus on International Narcotics Control, the Committee on the Judiciary, and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce and the Committee on the Judiciary of the House of Representatives a report on—</text><paragraph id="idce8ee7b7cc7e4cd8a1fb883fe254e0f9" commented="no" display-inline="no-display-inline"><enum>(1)</enum><text display-inline="yes-display-inline">the potential therapeutic effects of cannabidiol or marihuana on serious medical conditions, including intractable epilepsy;</text></paragraph><paragraph id="idf32bd656855b4a21994f6cda2defb005" commented="no" display-inline="no-display-inline"><enum>(2)</enum><text display-inline="yes-display-inline">the potential effects of marihuana, including—</text><subparagraph id="idf599c8deac054c6da8c66b8bbd1acd67" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">the effect of increasing delta-9-tetrahydrocannabinol levels on the human body and developing adolescent brains; and</text></subparagraph><subparagraph id="idf8c63408609942698169bd39acee0122" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">the effect of various delta-9-tetrahydrocannabinol levels on cognitive abilities, such as those that are required to operate motor vehicles or other heavy equipment; and</text></subparagraph></paragraph><paragraph id="id68c344da7ad2433ebc847dca5dc87ab9" commented="no" display-inline="no-display-inline"><enum>(3)</enum><text display-inline="yes-display-inline">the barriers associated with researching marihuana or cannabidiol in States that have legalized the use of such substances, which shall include—</text><subparagraph id="idabc610192c3343d0b2860e98fa376766" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text display-inline="yes-display-inline">recommendations as to how such barriers might be overcome, including whether public-private partnerships or Federal-State research partnerships may or should be implemented to provide researchers with access to additional strains of marihuana and cannabidiol; and</text></subparagraph><subparagraph id="idba4612fb6ec64cc2a126134c7e11ede4" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">recommendations as to what safeguards must be in place to verify—</text><clause id="idB11D3EA751B44343BA4680365947A91A" commented="no" display-inline="no-display-inline"><enum>(i)</enum><text display-inline="yes-display-inline">the levels of tetrahydrocannabinol, cannabidiol, or other cannabinoids contained in products obtained from such States is accurate; and</text></clause><clause id="id998B3698B70E49E388C9F4FA2955F541" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text display-inline="yes-display-inline">that such products do not contain harmful or toxic components.</text></clause></subparagraph></paragraph></subsection><subsection id="idde0a66f89c404d72b469c407faeea9d5" commented="no" display-inline="no-display-inline"><enum>(b)</enum><header display-inline="yes-display-inline">Activities</header><text display-inline="yes-display-inline">To the extent practicable, the Secretary of Health and Human Services, either directly or through awarding grants, contacts, or cooperative agreements, shall expand and coordinate the activities of the National Institutes of Health and other relevant Federal agencies to better determine the effects of cannabidiol and marihuana, as outlined in the report submitted under paragraphs (1) and (2) of subsection (a).</text></subsection></section></title></legis-body><attestation><attestation-group><attestation-date date="20220324" chamber="Senate">Passed the Senate March 24, 2022.</attestation-date><attestor display="no"></attestor><role>Secretary</role></attestation-group></attestation><endorsement display="yes"></endorsement></bill> 

