ONDCP Meeting on Impact of Proposition 200/215 and Expanding Legalization Efforts

8/22/2019 ONDCP Meeting on Impact of Proposition 200/215 and Expanding Legalization Efforts

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EXHIBIT P


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11/14196 Meeting oCFederai. State" Local Governmeat.representativesCoofirmed Attendee ListFgnd Bmy McCaffrey Ricla McMahon Patricia Seitz Bob Sloane

T h o ~ Constantine David Lutweiler CatherineSbaw John Emerson Christa Robinson Jon Schwartz Nicholas Gess Janice Innis-Thompson PeggyOrove loe Graupensperger Bill Corr Renee Landers 'Dr. Franklin SullivanDr. Don GoldstoneBill ModjeleskiKeoEdgeUSusan GinsburgDr. Karen Hein.Dr. Constance PechuraCarolyn FulcoCatharyn LivennanCQIleresUQnalPatMwphyChris PutaJaTom AlexanderNeil QuinterStat,- AdzonaRichard RomleyBarnett Lotste inGary ButlerAlex RomeroBarbara ZugorRalphOgden

- (as of 12:30pm 11114196)

ONDCP ONDCP(Oftice of CoS) ONDCP(OLC) ONDCP(Public Affairs) DBA DBA DBA WH lOA, Deputy Director WHDPe DOJ .DOJ DOlOOJ 001 HHS HHS{GC) HHSlSAMHSAHHSlSAMHSAEducationTransportationTreasuryNASIIOM, Exec. OfficerNASIIOM. Director, NeW'OSCience &. Behavior HealthNASIIOM. Neuroscience &. Behavior HealthNASlIOM, Neuroscience It. Behavior Health

Sen. Hatch's Office Sen. Biden's Office Sen. Kyl's Office Sen. Feinstein's Office

Maricopa County DA (AZ delegation lead)Special Assistant, Maricopa COWlty Attorney. OfficeNavaho County SheriffArizona Drug WatchTSAC - Executive DirectorYuma COUDty Sheriff, President, AZ SheriffAssoc.


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11114196 Meeting ofFederal, State" Local Goverument representatives ConfirmedAttendee List - Page 2State - CaIifomigBob ElisbergTom GadeBrad OatesJohn GordinerTom GormanGeorge KennedyBill StemJim ThomasLess Weidman

Publip Interest GroupsRichard BonnetteMike TownsendAlvah ChapmanMarDi VlietJim CoppleMargaret GarikesKimberly JenningsKevin McAnaney

California Peace Officen Assoc. Special Assistant to the AG Orange County Sheriff Attorney O e l 1 c : r a I ~ s Office(CA delegation lead) California Narcotics Officers Assoc. CaUfomia District Attorneys A-ssoc. (Santa Clara DA) California Chiefs ofPolice Assoc. (Seal Beach PO) California Sheriffs Assoc. (Snerift Santa Barbara County) California Sheriffs Assoc. (Sheriff, Stanislaus COWlty)

premdent. Partnership for a Drug Free AmericaExec..VP, OPFAFounding President, CADCA(Former pubJiabcr Miami Herald)CADCA, PresidentCADCA, Executive DirectorAmerican Medical AssociationCASACASA Pro Bono Attorney (Dewey, Ballentine)


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ONDCP Meeting on Impact or Propositions 2001215 and Expanding Legalization Effort2:30 pm to 5:30 pm, November 14., 1996 Location: ONDCP, 5tb Floor, 750 17th Street NW , Wasbiagton, D.C.

2:30 3:00 Welcome and introduction ofGeneral (Ret) Barry McCaffrey. Director, Office~ f N a t i o n a l Drug Control Policy by Patricia A. Seitz, Director, Office of/n____ t . ~ g a l Counsel, ONDep.Remarks by Director McCaffrey -- A National Strategy in Face of the ExpandingLegalization Effort.PatSeitz introduces Tom Constantine, Director, DEA

3:00 - 3:15 B r i e f o v e r v i e w o f C a l i f o m i a P r o p o s i ~ o n 21S, including Califomia-based political, legal and enforcement options. Presentation Lead: Tom Gede. California Attorney General's officc, Mike Bradbury: Ventura County DA and Brad Gates. Onmge County Sheriff: 3:15 - 3:20 Q&A3:20 - 3:35 BriefoverviewofArizolll Proposition 200, including Arizona-based political,legal and enforeement options. Presentation Lead: Richard Romley, M'aricopaCounty DA and Ralph Ogden. Yuma County Sheriff.3 :35 - 3:40 Q& A3:40 4:00 Break:4:00 - 4:35 Community's Response to Propositions' Impact and Natioual Legalization Trend.Discussion of options by CADCA., CASA and Partnership for aDrug Free.America representatives. 4ad: MarDi Vliet, President, CADCA4:35 -4:40 Q&A4:40 - 5 30 Roundtable discussion, summarize consensus on next steps and timetablemoderated by Pat Seitz.5:30 Meeting adjourned.

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To: California Peace Officers AssociatiQnCalifornia Chief's ofPolice Association

From: Robert S. E1sbergAssociations Representative

Subject: Meeting with ONDCP on Impact ofProposition 21 in WasbingtOn D.C.

On November 14, 1996, tho caIifomia Contingency met -M tho Arizona Contingency iuWashington D. C. to review each t a t e ' ~ situation as a result fthe passage ofPropositions 200and 215. We then agreed as to our strategy and fonnat Of-l:NttaUODS that would be made to~ e federal aeencies in the aftcmooA.The California Contingency consisted of;

Brad Gates, Sheriff" Orange County. lim Thomas, Shcrlff, SantaBarbara CQWlty [rcpr$C:ntiJ'li t the Sberifrs Assn.]Les WeJdman, Sheriff, Stanislaus County [ . the Sheriff's Assn.]Michael Bradbury, District Attorney, VenturaCo 1y [ ~ t i n g the DAis. Assn.]Tom Gade, Special Assistant to Attorney GcnctaI LungrenJohn Gordnier, Sr. Assistant Attorney GenelaI, [ ifomia Delegation Lead]Robert Elsbelg [representing CPOAICal Chiefs]Thomas Oonnan [representing CNOA]-, ..~he major topics consisted of: ""-_ 1. California and federa11aw enforcement policy as reSult ofProPOSruoD 21S .. 2. Potential legal and legislative challenges to Propo ition 215.3. How to fight the new political war against drug 1 alization in America.The California delegation was attempting to have the federal ovenunent sue the State of Califomia since we felt federal law preempts Statels authori to make something a . e d i c ~ e . We requested to have tho federal government give CalifomJa VI enforcement Il written. document authorizing us to seize marijuana under federal orjty and for DBA to take a &reater role in marijuana. e n f ~ n ~ in California. We..,so asked r federal th.resholds on marijuana for federal prosecu t ion . . -.... ... ..The c;:ontingen.cies met thefeaeral g O v e m m ~ t representativ at the ONDCP building at 2:30 Pf.1: The federal government bad representatives from OND P, DE.", DOJ. HHS,

T ~ r t a t i o n , Education, Treasury. and other departments, ~ i t i o n to representatives from c.'

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Senators Hatch. BideD. KyJ aDd FeiDstein's offic:e. See attaciheot Jfor the agendaof thismaetina as prepared by ONDCP. See attachmcttt2 for the .na dooumeD.t whivh tho federalagencies hadprepared prior to 1he meeting sogesting acbOD ti.mc fi'amDs,The following is swnmary ofprosentations made by some ~ k e r s at the ONDCP meeting:

Opened up the ~ by stating that he wanted to watch see what bappeDs as a result of1he~ a g e ofArizonaand. Califomia', Propositi.ou. He' that by waidDS approxirnately oneyear we could sort tbroush and think through the issues.. . federal sovemmaat 'Willsupportfederal law to protect tho process by which droparo JJ1adc ill the Nation. !residentCUDton will bepteSeDted with optioDs by Doaoa SbaJaIa and McCaffery. OeaeralMcCa1fery stated that it was a,aatioMl igue. General Me ery did. not1bh1k that the passageof'" Propositions would teSU1t in...kiQa startmusiv y usi1l8 ofdrugs, DOl' did hebelieve that doctors would start recoll1tD.CDdiDapot for ,J.lDcjses,PEA A4miDistptor Tom Constaptjuc;COnstantine telt that CongressioDal Hearings 8le valuable tbat we may want to haveHearings in California to air the issues. DBA. will use the ~ J _ Orand JlIlY andprosecute the.major suppliers ofmarijuanaand mDOve doctor's Jan. appropriate. The removal ofadoctofs license may be a deterrent. DBA wUl1oolc: at how it its t1mda wbeo State's dofoolish b i D ~ . -.. ..

SheriffGates stated that a NatioPaJ orpnizatioa. DOD-profit. deeded. to be fonD to educato thepublic. We supported the leaitimate reseach for IDIIijuana a medicine aad that perhaps thefederal govemment could !nnd and uradertake the project. 'fomia needed tomowme UnitedStates Attomeys thresho1c1s for what they will prosecute u as marijuana vfoladons. SheriffGates asked iftbe federal govetDrnontwill CODtinue to fund HIDA's aDd MarijuanaEradication in Califomia and rcqucst.ed a par1aa:'Sbip federal. state and localgova.mnent.rom 0a4c [special Assistant to Pap L u n l ~

standlna to intcrvCD? and fiIe a law suit.Dfliet with fedallaw. He'deliaes for law the

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Jim Copple [CAl2CA. Exoeutjye UirectorJ " They have 4:11000 members and are privately funded. He stat that we should first ge t peoplo tounderstand the new problems before government takes any tion to prevent a backlash. GeneralMcCaffeIyagreed.

He stated that we 10$l the baule and a . o w ~ did to reorgani . We should leam from ourmistabs and move forward through education. The drug "wants t9 pu t more money intodrui education.Re.prc:smtatjye for Donna ShaJaJaThe representative stated that they needed 10 sort through a de variety ofoptions v a i l a b l ~ anddo it quickly. The Proposition n ~ the message We D .to get to ourkids. A suit infederal court by the federal govemmeDl is o ~ l . Ifwe . to we need to determine where wewill file. We will also look at FDA actioDJ cross and thresholds for' sec ' infederal court.Suminatjoos; .David ~ i 1 1 e r [Deputy Administtator DEA]. DBA Admin tor 9.'88 abseot at this point.Usually when DEA goes after a doctor'$ license. the State first and madeUte case, andthen DBA came in afterwaros. T h e y ~ n c e d to look at this further. DEA cap not resQ9P4 tgall of he State's marijuana cases due to lack of resowg;s. D A will not change their strategyand therefore won't change resource allocation. Also, the U ttotneys have their limits as tohow many cases they can prosecute. He's not sure what will pen to the federalgovermnent'scontributions to such areas as HIDNs and Marijuana Eradica 'on. He stated that there 'WaS a lotto think about, but it would be done quickly.General McCaffery:The Propositions in Arizona and California created" a areat di~ e publie. He doesnft want federal ovemment to lead onlaws haye not ehan;ed, only local ones. ~ G c a e r a l ~ ~ ! ! M ~ C C a f f l ~ ~ ~ ! ! ! ! : ~ ~ t ! t ! ~ ~ ~ ! . ! ! l ~ 2 1 . .wait for a cooJdinatcd action. General McCaffery will be thet:enmll

representing the federal government and the date ofJ.Je


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but we need Fed go\-1 support.We need guidance from Fed gOYl. On liability issue. We lh-ant a memo from PEAeotecting us ~ h e n we seize contraband gn their behalf:Anticipates cottage industry for forged prescriptions on/over Mex border. Hopewe aren't going to "liven with this new law.

Ogden New situation very confusing. but AZ will remain aggressive enforcementPosture. Need clarification from Fed govt. HIDTA may be compromised. Do wehave to provide medical marijuana to prisoners? lcawsuUs will cG{1Iinly arisefrom ow enlOrs;ement. Will offic;cm be pm tec ted2No way to gauge intox level with MJ. Whole situation unfair to our citizens,as we can't tell tbemjust what they can or can-tdo.

Romley Even though CA & AZ are different props. the strategyofproponents is thesame. It will expand throughout the nation ifwe all don't react.

Gates Message of national strategy iscompromised. Wants congressional h ~ i n g s .Pat asks about action on state legislative side.Romley Our law allows for a change, because Less than 50% of eligible voters voted. Weare aggressively promoting a special session to change the measure.Pat - now can we help?Romley Oet high level officials out to AZ to support the call for a special session. It will

take political wiU.Romero New law further complicated by older AZ licensing law.Oede Our legislature can't pass a law to change. Can only happen by another initiative.Romley Education is the key here. Maybe CADCA could fund a new initiative.(Sloane - unintelligible comment)Gede In addition to (ear of tort liabiliV from s e i ~ medical Ml. our officers fear suit

if they don't seize MJ tliat later IS proximate cause of actionable barm.(someone asked ifAZ o ~ can sue)Romley He thinks he can: others in legislature do not agree.

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(Someone asks how cari Or's get MJ to presenoe?DEA They can't. DBA registers Sched II-V only. Also, you have all asked good Q'sthat I just don't have the answer to.

Wants to get a US Any meeting together ASAP to resolve issues on enforcementpolicy.DBA normally doesn't act against Doc's until the state board disciplines

Romley But state med board nonnally won't act until OEA acts. We have catch 22.Need resolution of Federal law regarding seizure of contraband.

DEA T!!!!'!I all state cases inlo Fed system as waX around 2151200 would grind Fedsystem to a bitt. Not enough resources...BreakGeneral Glad to be back. Had opportunity to talk to AG, she is with us. .Romley What about FDA'5 role. Are they going to participate in this process?

AZ will Jose drug courts. Having MJ alluded to as medicine solidifies positiveconflict.General FDA must go slow on this. MJ remains a Sched I drug, period. States can'tsupersede esA.Marni These initiatives have brought issue back up on the radar. CADCA remains verymuch opposed.Copple Must protect other 48 states, and rollback in CA &. AZ. Have launched rCaeducation campaign in 27 states which are potential next targets. "Say itStraight" is the title of the first effort, using video downlink from Nat Guard.

Did not expect onslaught ofmoney &. effort by pro ..21 51200 forces in CAlAZ.No funds a v a i l a ~ l e in time to separate compassion from legislation.CASA, CADCA and RWI Foundation have S$ & expertise to respond now,and will. We are taking it very seriously.

M ~ A n a m e y RW J Foundation has timded CASA study sho,",ing voters didn't know whatthey were reaUy voting for.

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Bidenrep Can't defeat use oftenumaUy il l by pro-MJ forces. it's a winning political issue.Copple We need. to retool how we address this issue. Must separate compassion fortenninatly ill from targeT policy issue.General Jim is right, medicine is the easy answer. Problem is for NIDAIAMA to decide.IfMJ is medicine, no problem. lfits not, then no further discussion ofmedieal

issue.BideD rep. What j f med evidence shows no medical use for tetmina11y iIl1 but people believeit works?Romley Must educate and show the lies put forth by 'the proponents.Jellineck Other side would be salivating iftbey o ~ d hear p r ~ ofFeds lo g apinst,& ,Yin of h e ~ . It is a political problem.. vouneed a Federal ;!!sponse butcan't be viewed as outside interference

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General Agrees with above t but Fed.s have simple task. We win enforce Fed law.Gede Reminds us of legislative history in CA. Must resolve terminally il l problembefore we proceed.Gatman Day after election. media turned to us and aSked. how could you have allowed this

to happen. They have woken up.Remley Legislative solution can't succeed w/o political solution.Bonnette We lost first round of communications battle. No coordinated plan.

. .,Must ape on overall coordinated strategy. considering medicalllaw enfltreatmentissues. We leamed a lesson in CA.The Federal agencies represented at the meeting were given the opportunity to summarize theirpositions.

HHS Interested in increased consultation with the State and local governments and thepublic interest groups. Because the initiatives undercut the drug strategy. recommended actingquickly.DEA - Very interested in the tort issue and sympathetic to the concerns of the officers inthe field. Commented on the role DEA plays in the licensing of M.D.s. Indicated DEA doesn'tintend to change its enforcement strategy.DOl - Referred to the difficulties of bringing a 903 action. Concerned that CA and AR

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energized 1lOIl..smokers to :fbcus on their ripts to a pollution-fi:1=e en.viromntmt; publicbides. often enables and often does not addiction aDd its impact pbysicallypemotionally. envi:romuentally; putblaan face on the i$SUe such asMADD did.. ensu.re oxisteneo ofa natjgpal strategy given interstate mobility and mtematioDal ~ obligations

, , providC guidance and assistance to Jaw enfbreement in California and Arizona protect the FDA pzotoeoI fbr tho sciea1ific based dcsignatlOU ~ f ~ e d i c . i n e s ' " develop and implement Dltioual communications trateIy (based on the re-fi'amod issue)wi1h .. rapid ft!I$J)ODSe element similar to thoPJOPOIlCIlfs' ~ Intemet approach. inyolve the medical commWlity (which dofeated the mid-8O's attempt to use heroinmediCa1ly); at present appeaxs a sizable fac1ioD $uppo1'ts marijuaDa foe the j n a J l y il l..why? Teasionbetwcan iDdividua1 t:r:eatmcmt issues and developiDg a commou. good putilicpolicy need tobe resolved). bmadeIl the coamnmity involvement. particularly the business comrnUllity given thene.eauvo impactofdrugs on business profitability and t\mdin.g needs. identify lead. national StOUP to mobilize and o o r d i n a t ~ interested state and local groups 1 ~ chambers of ~ ~ PDFA- Lioos.. Parents groups etc.., to bethe first line ofdefense apibst .formal or $te8lth efforts to I .Jize illicitdrup.,

IV. Couideratiou to Date:Federal AgeIIdes ... 0NDcP: - (1) Drug Cabinet o u n c i ~ meeting 12112ao issue on the agfllda; (2}fundio,gformediea1 research 1iteraturc review; (3) lead govemmeot's message development; (4)Modal State Drug Law A11iancemonitoringand development oflaws with nationalstrategy; (5) assist in d.eveloping medical information clearing house; (6) deter:m:inewbat

impact the initiatives have on fedeml fimdin& to states which do not coopente in anatiOD4ll drug strategy. DOl'PM - (1) DctermiDe whoth.ecthe state ballotinitiatives may be J)R'I'JIllJ)ted. inwhole or in part, through a foderallawsuif or through new federal Jcgislation; (2) outliDeDBA enforcement stnte&Y and m'iew p!9S!C!11ion guidelines for U.S. Attorneys'" ofIices; .

(3) ProvideguidarJ.ceand statemlloeallaw aacnciesrepntingtiiit officers? ability to ~ contrabiiia ana Jiii& iiriiSfSrVlOIi1iOiiofreatat2

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.4. Cell. .ofMflol: IndeveIopins oar SIl'IIIII)'. wepve IDe CCIIIIDWatioA to twObypriDeiplee: w..lattthorityYiI .. Yis tJ:ato f" . . . . . . ad the Dd to CIlSUn that Amc::ricaDdtbeas hCYe acceII to..and effei:Uve To auam 1he four objectives. 0NlJCP aad.PecJaoaI c!nIa ecmtroIapnc:iea have formect & pu:tIMnhip to m:adatake the fol1crlrJa& c:oontiDat.ed~ o l c d c m : ". .A. ~ ' l - MIdIdafIt dfec:tlve 1Ilforeem1ld'' ' ' ' 'wtdd111h f'ruwwDl'k a Ii::akd by d&e J'edenlCaalnllletls.. . .cea Ad ... file Feci. . . .F. . . .Dra. UICI 'c....ucAd

. 'Departaleat ofJudcewinpubUdy IIb1hDJ'OIidoD that . 1 C d o a ofl'COIIJIDCIldiqor Sc1acdole I co&'d:n6d SIIbstauccs is DDt c:aasitart 'With the~ ~ (u dratpJaseilUJedm._ CoDtroJled Suh8taaceI Act) _ will leacl toMminfc. . . . ac:doa.1r.r dutDnCEaforcallit 10revoke me '~ i ~ tolJlal&OCIIDf:rOJlId""I':_ "DOJ'mc:l Dep.trt.aalt ofB. . . . . ad B1UIWl SI!I9fa:I willIIIld aletrer ID MtionaI.state. a4localpnrct!dcaerassad_a._ IfceaIIqbods sMiq uaequivoca11y thatDBA ;,nn. . to J'IJVIIb theD!A . . . . . . . . . . .orpllytiiciaDa who J'llClflllIIIlCDd. orPft*llDeSdledule I 1 1 e c I " " ' " 'l'hiI ....wm Uo 01ltJiDe tha atIIodtyofthe IDsp=1Or Gancn1 ofBHS ID acJ:ade ..eadriet CIOIl'II'idacl of rzia:!_1. om:r... naatizt& to CIODtIOUtd ~ & o m ~ in the Meclicare Cf4Medicaid pIDJP. . . . F_1eIoDy CIC.'IIl'VicdCD" tbalaw proviclcs for & ID8DClUOlY CIIXdasfcm

o f . mi:aimum. otJl..... yea,,1IId far misdaDeelaar CODVicd.aat. tIHnu,., .a_WI 'c:xduai.oaofdne, . . . .wids the pedocl ofr.r.rcIusiaDbeiq redDc&d orupcmmidptfDi or agrpltiua r:ircumatma:s. ~ ClII'lIrc eDfoIcaear propaass fa punu.e.tpj)l'Opl'lata blveldpdcDs_

. .0 l I l fOrdMir. . . . . Impec.t. . . . ~ and othcn ia iD.volviq:~ a) the lhIace ofa'bona fI_ pt1triantbjp: (b) aldp 'I'Olt.Ime ofpJelCfipdODl or ..amm.dllHms ofSdJada1e I CGJItI'DIlecI . . . .u..otI; (c) daeccumwlliorl of ptflQlStpdts err asaII 110m the pesctlptioD Dr IOCOUlpcadadGn ofScbedDle I c::aDtrDDecI ~ Cd) SchBdtde I c:aatrolW . . . . . . MiDtJnYided. toDIi:Doa; aadIot (.) IpCICiI1 ebc:awsta.uces,. sacb.. . . . 4a:dlor. . . . 'bocIIly iqjuryresults hID ....... ~ .. n. inU.s. AlroiaI.YSittCaJifbrtlia acI AIiIDaa will. review CIISeI b"sn-catba .......c:dtc:da.-m f l.. IDI.OVIIlof tha ' " iutrolvedIs belcnv 1be ,...a11ht1llwl4", 'IJt'eipt. .II" tPtt are co.DtaiDed wi1biD theirJ ~ j J i U l l c u d o a . . . . . . . .

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i 9 ::98 -2'2 "4-:. FROW. OFtTCE' 't."teAL COUN8BL"

ED win review with educaTOrS irlArlzam ami Califbmfa Ihe cfFo:t PIopositions 200 and 2J5 wiD have on drug 1lSC by studcrsts. Th",. will also commtmieate nalionally with school suj:eintcndents. administruars. priD.dpaJa. boards ofeducation. md P!As about the Arizona and Califcmia ProposltiaDS IDd the implications fbr rheir statec. .. ED will develop I model policy to a::otmom: ""mc:dic;aI marijuanl."'uso in schoob and outIme a.eUons e4u.cators can 1 3 k ~ tI:J ~ illicit drugs &om coming into schools. ED-will deYelDp moclol chuS pnvcatiOD.prosnma to c marijuana 11h. These models will1:te c1issemizmed to the stile. at a SpritJa 1'97 CODfma::;e. ONDCP aad DOT v.oilI providerecmmcndatioDs pans.uua.t to your October 19 .. 1996 diiectiv= to deter teeD dmc uso 1bd dEuap4 drMas t'fa:vusbpre-Iia:ase drug W1;irt& strc:rJgIhc:Ded law CDlbmemcmt aracl c6r.tmeas. 'I'hc ~ O Z I S wiD uadc:rKorc tb8 point that the use r ~ form ..... 1IIIdIDgera theheIlth me! SIfety oithe public. S. Le.dslatiyc Ip '=cpl:s: BHS and bOl..m IIfOd: with CoDgreu 10 CODSi.clerchq_1O thePedal Food.. aracI Cosmetic Act mel the CoaImIled Sabs'taDc:es At.1. . . 10limit the ttatc!" alriJily to ely on these ad _"JarmecJica1_mYisioDs... The AdmiDistnlionbolicrw'cs tbar \VorJdDg ,.,ith CongrESS is the comseofacdaa that wm.aftiIm the DltioJul poficy toccmtrol saDstzDces thathave a hiP potaial fDr Ihue_ 120 aaceptecl medical uso, .Theo'bjec.dve is to provide a aaifr.mapolicy which p!81rV111be iDtesrit;y oEtbe mcdical..sdcntificprocess 'by w.bidl substlmCta are u life. . e.f&cti:ve medic:iDe&. W. w i l l. . ' ~continue to comider ~ stt:fJ!. iI!:ludinJcaxtitiaaig; Pede.raI fbacIa 011 e=lice with I


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6164Federal RegisterNotices Vol. 62, No. 28Tuesday, February 11, 1997

This section of the FEDERAL REGISTERcontains documents other than rules orproposed rules that are applicable to thepublic. Notices of hearings and investigations,committee meetings. agency decisions andrulings, delegations of authority, filing ofpetitions and applications and agencystatements of organization and functions areexamples of documents appearing in thissection.

EXECUTIVE OFFICE OF THEPRESIDENTOffice of National Drug Control PolicyAdministration Response to ArizonaProposition 200 an d CaliforniaProposition 215AGENCY: Office of National Drug ControlPolicy, Executive Office ofthePresident.ACTION: Notice.SUMMARY: This notice lists the Federalgovernment response to the recentpassage of propositions which makedangerous drugs more available inCalifornia and Arizona. These measurespose a threat to the National DrugControl Strategy goal of redUcing drugabuse in the United States. At thedirection of the President, the Office ofNational Drug Control Policy (ONDCP)developed a coordinated administrationstrategy to respond to the actions inArizona and California with the otheragencies of the Federal Government tominimize the tragedy of drug abuse inAmerica.FOR FURTHER INFORMATION CONTACT:Comments and questions regarding thisnotice should be directed to Mr. DanSchecter, Office of Demand Reduction,ONDCP, Executive Office of thePresident. 750 17th Street N.W.,Washington, D.C. 20503, (202) 3956733.SUPPLEMENTARY INFORMATION: A Federalinteragency working group chaired byONDCP met four times in Novemberand December. In developing thisstrategy, the inter-agency group gavedue consideration to two key principles:federal authori ty vis a vis that of thestates, and the requirement to ensureAmerican citizens are provided safe andeffective medicine. The President hasapproved this strategy, and Federal drugcontrol agencies will undertake the

A. Objective I-Maintain Effective 'Enforcement Efforts Within the [Framework Created by the FederalControlled Substances Act and theFood, Drug, an d Cosmetic Act

Department of justice 's (DOn pOSitionis that a practitioner's action ofrecommending or prescribing ScheduleI controlled substances is not consistentwith the "public interest" (as thatphrase is used in the federal ControlledSubstances Act) and will lead toadministrative action by the DrugEnforcement Administration (DEA) torevoke the pract itioner's registration.DOj and Department of Health andHuman Services (HHS) will send a letterto national, state, and local practitionerassociations and licensing boards whichstates unequivocally that DEA will seekto revoke the DEA registrations ofphysicians who recommend or prescribeSchedule I controlled substances. Thisletter will outline the authority of theInspector General for HHS to excludespecified individuals or entities fromparticipation in the Medicare andMedicaid programs.DOj will continue existingenforcement programs using thefollowing criteria: (a) the absence of abona fide doctor-patient relationship; (b)a high volume of prescriptions orrecommendations of Schedule Icontrolled substances; (c) theaccumulation of significant profits orassets from the prescription orrecommendation of Schedule Icontrolled substances; (d) Schedule Icontrolled substances being provided tominors; and/or (e) specialcircumstances, such as when death orserious bodily injury results fromdrugged driving. The five U.s. Attorneysin California and Arizona will continueto review cases for prosecution using!bese criteria. ' i i i .,

r DEA will adopt seizures of Schedule lI controlled substances made by stateand local law enforcement officialsfollowing an arrest where state and localprosecutors must decline prosecutionbecause of the Propositions. Once inDENs possession the drugs can besummarily forfeited and destroyed byDEA. State and local law enforcementofficials will be encouraged to continueto execute state law to the fullest extentby having officers continue to makearrests and seizures under state law. .1'

use provisions of the Propositions OnlY]*'as a defense to state prosecution. .Department of the Treasury (Treasury)and the Customs Service will continueto protect the nation' s borders and takestrong and appropriate enforcementaction against imported or exportedmarijuana and other illegal drugs. TheCustoms Service will continue to: (a)seize unlawfully imported or exportedmarijuana and other illegal drugs; (b)assess civil penalties against personsviolating federal drug laws; (c) seizeconveyances facilitating the illegalimport or export of marijuana and otherillegal drugs; and (d) arrest personscommitting Federal drug offenses andrefer cases for prosecution to theappropriate Federal or state prosecutor.Treasury and the Internal RevenueService (IRS) will continue theenforcement of existing Federal ta x lawswhich discourage illegal drug activities.IRS will enforce existing Federal taxlaw as it relates to the requirement toreport gross income from whateversource derived. including income fromactivities prohibited under Federal orstate law.Treasury will recommend that the IRSissue a revenue ruling. to the extentpermissible under existing law. thatwould deny a medical expensededuction for amounts expended forillegal operations or treatments and fordrugs. including Schedule I controlledsubstances, that are illegally procuredunder Federal or state law.IRS will enforce existing Federal taxlaw as i t relates to the disallowance ofexpenditures in connection with theillegal sale of drugs. To the extent thatstate laws result in efforts to conductsales of controlled substancesprohibited by Federal law. the IRS willdisallow expenditures in connectionwith such sales to the fullest extentpermissible unde r existing Federal ta xlaw.

U.S. Postal Service will continue topursue aggressively the detection andseizure of Schedule I controlledsubstances mailed through the USmails, particularly in California andArizona, and the arrest of those usingthe mail to distribute Schedule Icontrolled substances.DEA together with other Federal, stateand local law enforcement agencies willwork with private mail, parcel an dfreight services to ensure continuingfollowing coordinated courses of action: CaVing defendants to raise the medica2,a compliance with internal company


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6165ederal Register / Vol. 62. No. 28 / Tuesday. February 11. 1997 / Noticespolicies dictating that these companiesrefuse to accept for shipment ScheduleI controlled substances and that theynotify law enforcement officials of suchactivities. Federal investigations andprosecutions will be institutedconsistent with appropriate criteria.B. Objective 2-Ensure the Integrity ofthe Medical-Scientific Process byWhich Substances are Approved asSafe and Effective Medicines in Orderto Protect Public Health

The Controlled Substances Actembodies the conclusion of theCongress, affmned by DEA and HHS,that marijuana, as a Schedule I drug, has"high potential for abuse" and "nocurrently accepted medical use intreatment in the United States." Toprotect the public health, all evaluationsof the medical usefulness of anycontrolled substance should beconducted through the Congressionallyestablished research and approvalprocess managed by the NationalInstitutes of Health (NIH) and the Foodand Drug Administration (FDA).Currently there are a few patients whoreceive marijuana through FDAapproved investigations.HHS to ensure the continuedprotection of the public health will: (a)examine all medical and scientificevidence relevant to the perceivedmedical usefulness of marijuana; (b)identify gaps in knowledge and researchregarding the health effects ofmarijuana; (c) determine whetherfurther research or scientific evaluationcould answer these questions; and (d)determine how that research could bedesigned and conducted to yieldscientifically useful results.HHS will undertake discussions withmedical organizations throughout thenation: (a) to address the"compassionate use" message; and (b)to educate medical and public healthprofessionals by underscoring thedangers of smoked marijuana andexplaining the views of NIH that avariety of approved medications areclinically proven to be safe and effectivein treating the illnesses for whichmarijuana is purported to provide relief,such as pain, nausea, wasting syndrome,multiple sclerosis, and glaucoma.C. Objective 3-Preserve Federal DrugFree Workplace and Safety Programs

Transportation Workers: Departmentof Transportation (DOT) has issued afonnal advisory to the transportationindustry that safety-sensitivetransportation workers who test positiveunder the Federally-required drugtesting program may not under anycircumstance use state law as a

legitimate medical explanation for thepresence of prohibited drugs. DOT isencouraging private employers to followits example.General Contractors and Grantees:Under the Drug-Free Workplace Act. therecipients of Federal grants or contractsmust have poliCies that prohibit the useof illegal drugs. Each Federal agencywill issue a notice to its grantees andcontractors to remind them: (a) of theirresponsibilities; (b) that any use ofmarijuana or other Schedule I controlledsubstances remains a prohibitedactivity; and (c) that the failure tocomply with this prohibition will makethe grantee or contractor subject to theloss of eligibility to receive Federalgrants and contracts. Further, Federalagencies will increase their efforts tomonitor compliance with the provisionsof the Act, and to institute suspensionor debarment actions against violatorswith special priority given to statesenacting drug medicalization measures.Federal Civllian Employees: HHS willissue policy guidance to all 130 FederalAgency Drug-Free Workplace programcoordinators, the 72 laboratoriescertified by HHS to conduct drug tests,and trade publications that reachmedical review officers. This policyguidance states that the Propositions donot change the requirements of theFederal Drug-Free Workplace Program,which will continue to be fully enforcedfor federal civilian employeesnationwide. Medical Review Officerswill not accept physicianrecommendations for Schedule I

substances as a legitimate explanationfor a positive drug test.Department ofDefense (DOD) and theMilitary Services: DOD will instructcivilian employees and militarypersonnel in the active. reserve andNational Guard components, tha t DODis a drug-free organization, a fact that isnot changed by the Propositions. Therequirement that all DOD contractorsmaintain drug-free workplaces willcontinue to be enforced.Nuclear Industry Workers: TheNuclear Regulatory Commission willcontinue to demand drug-freeemployees in the nuclear powerindustry, and will develop a fonnaladvisory to emphasize that its drug freeworkplace regulations continue toapply.Public Housing: The Propositions willnot affect the Department of Housingand Urban Development's (HUD)continued aggressive execution of the"One Strike and You're Out" policy toimprove the safety and security of ournation's public housing developments.HUD's principal tool for implementing"One Strike" will be the systematic

evaluation of public housing agenciesscreening and evictions efforts throughthe Public Housing ManagementAssessment Program. This program willgive HUD a standard measurement ofthe progress of all public housingauthorities in developing effective lawenforcement, screening. and occupancypoliCies to reduce the level of drug use,crime. and drug distribution and salesin their communities.Safe Work Places: Department ofLabor (DOL) will continue to implementits Working Partners Initiative,prOViding information to smallbusinesses about workplace substanceabuse prevention programs. focusingspecific attention on trade and businessorganizations located in California andArizona. DOL will accelerate its effort topost its updated Substance AbuseInformation Database (SAID) on theInternet. SAID will provide informationto businesses about workplacesubstance abuse and how to establishworkplace substance abuse preventionprograms. DOL will give priority to itsefforts in California and Arizona.DOL's Occupational Safety andHealth Administration (OSHA) willsend letters to the California andArizona Occupational Safety and HealthAdministrations reiterating the dangersof drugs in the workplace and providinginformation on programs to helpemployers address these problems.DOL's Mine Safety and HealthAdministration will continue to strictlyenforce the prohibition on the use ofalcohol and illegal drugsnotwithstanding these Propositions.D. Objective 4-Protect Children fromIncreased Marijuana Availability andUse

HHS and the Department of Educationwill educate the public in both Arizonaand California about the real and provendangers of smoking marijuana. Amessage will be tailored for preteens,teens, parents, educators, and medicalprofessionals. Research demonstratesthat, marijuana: (a) harms the brain,heart, lungs, and immune system; and(b) limits learning. memory, perception.judgment. and the ability to drive amotor vehicle. In addition, researchshows that marijuana smoke typicilllycontains over 400 carcinogeniccompounds and may be addictive. Themessage will remind the public there isno medical use for smoked marijuanaand will educate the public aboutstrategies to prevent marijuana use. Themessage will also remind the public thatthe production, sale, and distribution ofmarijuana for medical uses notapproved by DEA violates the


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6166 Federal Register / Vol. 62. No. 28 / Tuesday. February 11, 1997 / NoticesControlled Substances Act and theFederal Food, Drug, and Cosmetic Act.HHS will analyze all available data onmarijuana use, expand ongoing surveysto determine current levels of marijuanause in California and Arizona, and trackchanges in marijuana use in those states.HHS will develop the survey capacityto assess trends in dru.g use in all stateson a state-by-state ba s IS . .The e p ~ e n t of d u ~ t i o n(Education) wIll use proVISIons of theSafe and Drug Free Schools Act to [reinforce the ~ a g e to all localeducation agenCIes receiving FederalSafe and Drug Free School funds thatany drug possession or use will not betolerated in schools. This affectsapproximately 95% of school districts.Notwithstanding the passage of the twoPropositions. local educat ion agenciesmust continue to: (a) develop programswhich prevent the use, possession, anddistribution of tobacco, alcohol, andillegal drugs by students; (b) developprograms which prevent the illegal use, [possession, and distribution of suchsubstances b y school employees; and (c)

e ~ u r e that programs supported by andWith Federal Safe and Drug FreeSchools funds convey the message thatthe illegal use of alcohol and otherdrugs, including marijuana, is wrongand harmful.Education will review with educatorsin Arizona and California the effectPropositions 200 and 215 will have ondrug use by students. They will alsocommunicate nationally with schoolsuperintendents, administrators.principals, boards of education. andPTAs about the Arizona and CaliforniaPropositions and the implications fortheir states.Education will develop a modelpolicy to confront "medical marijuana"use in schools and outline actionseducators can take to prevent illicitdrugs from coming into schools.Education will develop model drugprevention programs to discouragemarijuana use. These models will bedisseminated to the states at a Spring1997 conference.ONDCP and DOT will providerecommendations pursuant to theOctober 19, 1996 Presidential directiveto deter teen drug use and druggeddriving through pre-license drug testing,strengthened law enforcement and othermeans. The recommendations willunderscore the point that the use ofmarijuana for any reason endangers thehealth and safety of the public.Legislative Enactments: ONDCP, HHSand OOJ will work with Congress toconsider changes to the Federal Food,Drug, and Cosmetic Act and theControlled Substances Act. as

appropriate. to limit the states" abilityto rely on these and similar medical useprovisions. The Administration believesthat working with Congress is the courseof action that will affirm the na tionalpolicy to control substances that have ahigh potential for abuse and no acceptedmedical use. The olUective is to providea uniform policy which preserves theintegrity of the medical-scientificprocess by which substances areapproved as safe and effectivemedicines. We will also consideradditional steps. including conditioningFederal funds on compliance with theControlled Substances Act and theNational Drug Control Strategy. *

Signed at Washington. D.C. this 15th dayofJanuary, 1997.Barry R. McCaffrey,Director.[FR Doc. 97-3334 Filed 2-10-97; 8:45 am]BILLING CODE 3180-42-P

. ......DeSignation of New High Intensi ty 1'1Drug Trafficking AreasAGENCY: Office of National Drug ContolPolicy, Executive Office of thePresident. (1) Cascade HIDTA: State ofAcnON: Notice. Washington; King, Pierce, Skagit,Snohomish. Thurston , Whatcom, andSUMMARY: This notice lists the five new Yakima counties;High Intensi ty Drug Trafficking Areas(HIDTAs) designated by the Director,Office of National Drug Control Policy.HIDT As are regions ident ified as havingthe most critical drug traffickingproblems that adversely affect theUnited States. These new HIDT As aredesignated pursuant to 21 U.S.C.1504(c), as amended. to promote moreeffective coordinat ion of drug controlefforts. The additional resourcesprovided by Congress enable task forcesof local, State, and Federal officials toassess regional drug threats, designstrategies to combat the threats, developinitiatives to implement the strategies,and evaluate effectiveness of thesecoordinated efforts.FOR FURTHER INFORMAOON CONTACT:Comments and questions regarding thisnotice should be directed to Mr. RichardY. Yamamoto, Director, HIDTA, Officeof National Drug Control Policy,Executive Office of the President, 75017th Street N.W., Washington, D.C.20503. (202) 395-6755.SUPPLEMENTARY INFORMAOON: In 1990,the Director of ONDCP designated thefIrSt five HIDTAs. These originalHIDTAs, areas through which mostillegal drugs ente r the United States, areHouston, Los Angeles, New YorklNewJersey. South Florida, and theSouthwest Border. In 1994, the Director

designated the Washington/BaltimoreHIDTA to address the extensive drugdistribut ion networks serving hardcoredrug users. Also in 1994. the Directordesignated Puerto Rico/U.S. VirginIslands as a HIDTA based on thesignificant amount of drugs entering theUnited States through this region.In 1995, the Director designated three

more HIDTAs in Atlanta, Chicago, andPhiladelphia/Camden to target drugabuse and drug trafficking in thoseareas, specifically augmentingEmpowerment Zone programs.The five new HIDTAs wil l bui ld uponthe effective efforts of previouslyestabl ished HIDTAs. In Fiscal Year1997, the HIDTA program wi ll receive$140 million in Federal resources. Theprogram will support more than 150 colocated officer/agent task forces;strengthen mutually supporting local,State, and Federal drug trafficking andmoney laundering task forces; bolsterinformation analysis and sharingnetworks; and, improve integration oflaw enforcement, drug treatment, anddrug abuse prevention programs. Thestates and counties included in the fivenew HIDTAs are: :]*

(2) GulfCoast HIDTA: State ofAlabama; Baldwin, Jefferson, Mobile,and Montgomery counties; State ofLouisiana; Caddo, East Baton Rouge,Jefferson, and Orleans parishes; andState of Mississippi; Hancock, Harrison,Hinds. and Jackson counties.(3) Lake County HIDTA: State ofIndiana; Lake County.(4) Midwest HIDTA: State of Iowa;Muscatine, Polk. PottawattanIie, Scott,and Woodbury counties; State ofKansas; Cherokee, Crawford. Johnson,Labette, Leavenworth. Saline, Seward,and Wyandotte counties; State ofMissouri; Cape Girardeau. Christian.Clay, Jackson, Lafayette, Lawrence, Ray,Scott, and St. Charles counties. and thecity of St. Louis; State of Nebraska;Dakota, Dawson. Douglas. Hall,Lancaster. Sarpy, and Scott's Bluffcounties; State of South Dakota; Clay,Codington, Custer, Fall River, Lawrence,Lincoln, Meade, Minnehaha,Pennington, Union, and Yanktoncounties.(4) RockyMountain HlDTA: State ofColorado; Adams, Arapahoe, Denver,Douglas, Eagle, EI Paso, Garfield,Jefferson, La Plata, and Mesa counties;State of Utah; Davis. Salt Lake. Summit.Utah, and Weber counties; and State ofWyoming; Laramie. Natrona. andSweetwater counties.

Documents

ONDCP Meeting on Impact of Proposition 200/215 and Expanding Legalization Efforts