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Europe’s Medicinal Cannabis Growth: Regulations & Perspectives

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By: Juan Sebastian Chaves Gil

 

Recently, there has been a notable increase in interest in medicinal cannabis in Europe, leading to regulatory changes in several countries. However, these changes have occurred at the national level in each Member State, creating a heterogeneous landscape that requires standardization. Currently, several European countries have legal frameworks allowing for the sale and distribution of cannabis-derived products for medicinal purposes. In addition to following the conventional EU drug approval procedures established in Directive 2001/83/EC, some countries have adapted their regulations at the national level to establish simplified registration procedures to facilitate faster patient access to these products and medicinal preparations.

The United Nations (UN) legal framework currently consists of three agreements that establish international regulations to monitor the production, trade, and possession of around 300 psychoactive substances, including cannabis. In 1961, the Single Convention on Narcotic Drugs adopted and globalized the system of control over narcotic substances and cannabis from previous treaties, defining narcotic substances as natural or synthetic substances listed in Schedules I and II attached to the convention. Under this system, cannabis was categorized as one of the most harmful drugs. However, by late 2020, the UN Commission on Narcotic Drugs removed both “cannabis plant” and “cannabis resin” from Schedule IV of the Single Convention on Narcotic Drugs of 1961, where they were listed along with other substances of risk and little therapeutic value. This change marked a significant milestone in recognizing the medical potential of cannabis.

 

Within the European legal and regulatory framework, the European Medicines Agency (EMA) defines and classifies cannabis-based products into three distinct categories:

1. Medicinal product derived from cannabis: These are products that, like other plant-derived medications, may contain isolated active substances, plant-based substances, or plant-based preparations, with specific quality standards. These preparations are often complex and have their own regulations.

2. Herbal substance-based: This includes typical herbal substances derived from cannabis, such as flowers (Cannabis flos) or resin (Cannabis resin), as defined in Directive 2001/83/EC and the European Pharmacopoeia monograph on herbal substances.

3. Herbal preparation-based: This encompasses crushed or powdered substances, tinctures, extracts, essential oils, expressed juices, and processed exudates derived from plants.

The safety and efficacy of these substances depend on the composition of individual cannabinoids, such as the ratio between Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD), leading to the recognition of three distinct groups of products.



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Cannabis Rescheduling Takes The Next Steps

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The Biden administration’s marijuana rescheduling takes the next step

The Department of Justice is moving marijuana rescheduling to the next step. The administration has proposed moving the drug from Schedule I, a strict classification including drugs like heroin, to Schedule III, which is more on the level of Tylenol. It also marks the federal government acknowledgement the plants medical benefits. The industry will watch over the next few months as the process of moving it forward grinds ahead.

RELATED: Americans Want It, Some Politicians Prefer a Nanny State

President Joe Biden announced move on his official account on X (formerly known as Twitter.  In a video Biden shared “This is monumental, It’s an important move towards reversing long-standing inequities. … Far too many lives have been upended because of a failed approach to marijuana, and I’m committed to righting those wrongs. You have my word on it.”

Vice President Kamala Harris also released a video Thursday, hailing the progress. It seems she has progressed in her position over the last 5 years.

Official White House Photo by Andrea Hanks

A key part of the next step is a 60-day comment period. This will allow any and all parties to provide information, opinion, support or random thoughts. Already a group of GOP Senators want to either slow or stop the process. Senator Mitt Romney (R-UT) has started leading an effort to stall the plan if not outright stop it. They are going against the general public opinion with 85%+ believe it should be legal in some form.

The Drug Enforcement Agency is not 100% on board and there are still hurdles to rescheduling. After the comment person, there could be a review from an administrative judge, which could be a drawn-out process.  The total process can take from 3 months to a year, although it is unlikely the issue will not be resolved before the election.

RELATED: California or New York, Which Has The Biggest Marijuana Mess

Considering the stance of the federal government, Senator Mitch McConnell, and certain other opponents, the road is still going to be a bit bumpy.  The industry, in an awkward growth mood, is in need of the government not to be a hindrance.  But only time will tell.



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BREAKING NEWS: DEA Issues Notice of Proposed Rulemaking to Move Marijuana to Schedule III

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Today is another historic day in the history of cannabis control and regulation. In a much anticipated announcement, the Drug Enforcement Administration (DEA) issued a notice of proposed rulemaking to reschedule marijuana, from Controlled Substances Act (CSA) schedule I to schedule III (the “Proposed Rule”).

We have covered the implications of a Schedule III placement in various posts on this blog, beginning with the Health and Human Services (HHS) recommendation that DEA undertake this rescheduling last August. See:

For now, here are a couple of high-level observations on today’s Proposed Rule.

First, DEA is not proposing an interim final rule. We expected as much, but it would have been nice! Under an interim final rule, an agency finds that it has good cause to issue a final rule without first publishing a proposed rule (as DEA did here). An interim final rule would have gone effect immediately upon publication, and marijuana would have been moved to schedule III today. Instead we’ll have to wait.

Second, the Proposed Rule gives a standard 60-day comment period, from the date the Proposed Rule is published in the Federal Register. That’s a pretty standard window; although, as I’ve explained before, this can always be extended.

Third, the Proposed Rule is clear that “any drugs containing a substance within the CSA’s definition of ‘marijuana’ would also remain subject to the applicable prohibitions in the Federal Food, Drug, and Cosmetic Act (“FDCA”).” No, this does not mean FDA enforcement is going to begin; and no, this does not mean Big Pharma is coming to squash state licensed operators. Stop saying that.

Fourth, the Proposed Rule gives very specific protocols for submitting electronic and other types of comments. These protocols are not hard to follow! But if you fail to do so, your comment will not make it into the record, and it will not be considered by DEA.

Fifth, I really like this paragraph:

HHS recommended in August 2023 that marijuana be rescheduled to schedule III. See Letter for Anne Milgram, Administrator, DEA, from Rachel L. Levine, M.D., Assistant Secretary for Health, HHS (Aug. 29, 2023) (“August 2023 Letter”). The Attorney General then sought the legal advice of the Office of Legal Counsel (“OLC”) at DOJ on questions relevant to this rulemaking proceeding. Among other conclusions, OLC concluded that “HHS’s scientific and medical determinations must be binding until issuance of a notice of proposed rulemaking [(‘NPRM’)].” Questions Related to the Potential Rescheduling of Marijuana, 45 Op. O.L.C. __, at *25 (Apr. 11, 2024) (“OLC Op.”).1 After the issuance of a notice of rulemaking proceedings, HHS’s scientific and medical determinations are accorded “significant deference” through the rest of the rulemaking process.2 OLC Op. at *26.

I’ve always argued that HHS’s scientific and medical determinations are binding under the plain language of the CSA itself. But it’s awfully nice to hear confirmation that OLC agreed– especially because there was some consternation among the cognoscenti about what OLC was doing here. It seems that OLC has essentially confirmed to DEA: “you are stuck with Schedule III.”

Sixth, it’s interesting to see the Proposed Rule delve into problematic international law constraints. The Proposed Rule gives a rather cursory analysis here, but OLC seems to have justified marijuana’s placement on Schedule III in the context of public international law obligations, including the 1961 U.N. Singled Convention on Narcotic Drugs (to which the United States is a party). DEA states, however, at Proposed Rule page 86 that:

“[c]oncurrent with this rulemaking, DEA will consider the marijuana-specific controls that would be necessary to meet U.S. obligations under the Single Convention and the Convention on Psychotropic Substances in the event that marijuana is rescheduled to schedule III, and, to the extent they are needed if marijuana is rescheduled, will seek to finalize any such regulations as soon as possible.”

This could get pretty interesting! Expect a lot of fretting here by industry and the general public.

Seventh, it was also interesting to see DEA and HHS justify why it arrived at a Schedule III conclusion, after concluding in 2016 that marijuana should stay in schedule I. I have wondered aloud about the intellectual gymnastics that might be required for this. Take a read at the rationale on the Proposed Rule at pages 11 – 13 and see if you’re convinced.

_____

OK, that’s it for now. The Proposed Rule is 92 pages and I had less than 30 minutes to read it and write this today. We will follow up as soon as next week with further thoughts on this very significant development.



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Slovakia And Cannabis

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Despite being landlocked – it become a tourist destination for it’s beautiful outdoors – but can you chill in Slovakia?

The Slovak Republic came into being in 1993 after  centuries under Russia, Austria, monarchs and more. Beautiful towns, breathtaking outdoors and affordable prices makes the country a tourist hot spot. They receive as many tourists and they have citizens, so the place is hopping. But what about Slovakia and cannabis? Well, not so breaktaking.

RELATED: Americans Want It, Some Politicians Prefer a Nanny State

Slovakia is a parliamentary democratic republic with Catholics a majority of the population. It ranks the 46th of the richest country in the world. The capital, Bratislava, is the -richest region of the European Union with 90% of citizens owning their homes.  Traditionally more Euro friendly, it has lately become polarized and embracing a backward phase, which has hurt in the way of cannabis use.  The attempted assassination of the Prime Minster, whose government seems to be at least open to listening about the benefits of medical marijuana, is another set back.

Photo by HighGradeRoots/Getty Images

Canada, the United States and some of Europe is taking a more modern approach to cannabis allowing for medical, and increasingly, full recreational.  Bringing a healthy illicit market into the legal sphere has been a boon for tax revenue and has unexpected positive effect for the population. The medical community has embraced the plant for its currently know medical benefits and are pushing for research.  But in Slovakia, marijuana is illegal and possession of even small amounts of the drug (a joint) can lead to lengthy prison terms. Having a small amount can end with the offender spending up to eight years in prison.

RELATED: California or New York, Which Has The Biggest Marijuana Mess

The country was once joined with the Czech Republic, who allows personal possession has  since it was decriminalized in January 2010 with medical cannabis has been legal since 1 April 2013. Unlike Slovakia, which is prominently Catholic, the  Czechs are less religious and have a pragmatic and practical view of the world.

If you are visiting, you should be very careful bringing or buying anything in country.



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