Lyle E. Craker, PhD; Order Regarding Officially Noticed Evidence and Motion for Reconsideration, 51403-51412 [2011-21064]
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Schedule
Drug
Tetrahydrocannabinols (7370) .....
Methamphetamine (1105) ............
Pentobarbital (2270) .....................
Nabilone (7379) ............................
DEPARTMENT OF JUSTICE
I
II
II
II
Drug Enforcement Administration
Manufacturer of Controlled
Substances; Notice of Registration
With regard to Gamma
Hydroxybutyric Acid (2010),
Tetrahydrocannabinols (7370), and
Methamphetamine (1105) only, the
company manufactures these controlled
substances in bulk solely for domestic
distribution within the United States to
customers engaged in dosage-form
manufacturing.
With regard to Nabilone (7379) only,
the company presently manufactures a
small amount of this controlled
substance in bulk solely to conduct
manufacturing process development
within the company. It is the company’s
intention that, when the manufacturing
process is refined to the point that its
Nabilone bulk product is available for
commercial use, the company will
export the controlled substance in bulk
solely to customers engaged in dosageform manufacturing outside the United
States. The company is aware of the
requirement to obtain a DEA registration
as an exporter to conduct this activity.
No comments or objections have been
received. DEA has considered the
factors in 21 U.S.C. 823(a) and
determined that the registration of
Norac, Inc. to manufacture the listed
basic classes of controlled substances is
consistent with the public interest at
this time. DEA has investigated Norac,
Inc. to ensure that the company’s
registration is consistent with the public
interest. The investigation has included
inspection and testing of the company’s
physical security systems, verification
of the company’s compliance with state
and local laws, and a review of the
company’s background and history.
Therefore, pursuant to 21 U.S.C. 823(a),
and in accordance with 21 CFR 1301.33,
the above named company is granted
registration as a bulk manufacturer of
the basic classes of controlled
substances listed.
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Dated: August 9, 2011.
[FR Doc. 2011–21073 Filed 8–17–11; 8:45 am]
BILLING CODE 4410–09–P
16:04 Aug 17, 2011
Drug
Schedule
Cocaine (9041) .............................
Ecgonine (9180) ...........................
II
II
The company plans to manufacture
the listed controlled substances in bulk
for distribution to its customers.
No comments or objections have been
received. DEA has considered the
factors in 21 U.S.C. 823(a), and
determined that the registration of
Stepan Company to manufacture the
listed basic classes of controlled
substances is consistent with the public
interest at this time. DEA has
investigated Stepan Company to ensure
that the company’s registration is
consistent with the public interest. The
investigation has included inspection
and testing of the company’s physical
security systems, verification of the
company’s compliance with state and
local laws, and a review of the
company’s background and history.
Therefore, pursuant to 21 U.S.C. 823(a),
and in accordance with 21 CFR 1301.33,
the above named company is granted
registration as a bulk manufacturer of
the basic classes of controlled
substances listed.
Dated: August 10, 2011.
Joseph T. Rannazzisi,
Deputy Assistant Administrator, Office of
Diversion Control, Drug Enforcement
Administration.
[FR Doc. 2011–21081 Filed 8–17–11; 8:45 am]
Drug
Tetrahydrocannabinols (7370) .....
Methylphenidate (1724) ................
Codeine (9050) .............................
Dihydrocodeine (9120) .................
Oxycodone (9143) ........................
Hydromorphone (9150) ................
Hydrocodone (9193) .....................
Oripavine (9330) ...........................
Thebaine (9333) ...........................
Oxymorphone (9652) ...................
Noroxymorphone (9668) ..............
Fentanyl (9801) ............................
Schedule
I
II
II
II
II
II
II
II
II
II
II
II
The company plans to manufacture
the listed controlled substances in bulk
for conversion and sale to dosage form
manufacturers.
No comments or objections have been
received. DEA has considered the
factors in 21 U.S.C. 823(a) and
determined that the registration of
Rhodes Technologies to manufacture
the listed basic classes of controlled
substances is consistent with the public
interest at this time. DEA has
investigated Rhodes Technologies to
ensure that the company’s registration is
consistent with the public interest. The
investigation has included inspection
and testing of the company’s physical
security systems, verification of the
company’s compliance with state and
local laws, and a review of the
company’s background and history.
Therefore, pursuant to 21 U.S.C. 823(a),
and in accordance with 21 CFR 1301.33,
the above named company is granted
registration as a bulk manufacturer of
the basic classes of controlled
substances listed.
Dated: August 10, 2011.
Joseph T. Rannazzisi,
Deputy Assistant Administrator, Office of
Diversion Control, Drug Enforcement
Administration.
[FR Doc. 2011–21080 Filed 8–17–11; 8:45 am]
BILLING CODE 4410–09–P
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
DEPARTMENT OF JUSTICE
Joseph T. Rannazzisi,
Deputy Assistant Administrator, Office of
Diversion Control, Drug Enforcement
Administration.
VerDate Mar<15>2010
By Notice dated April 13, 2011, and
published in the Federal Register on
April 20, 2011, 76 FR 22146, Stepan
Company, Natural Products Dept., 100
W. Hunter Avenue, Maywood, New
Jersey 07607, made application by
renewal to the Drug Enforcement
Administration (DEA) to be registered as
a bulk manufacturer of the following
basic classes of controlled substances:
application by renewal to the Drug
Enforcement Administration (DEA) to
be registered as a bulk manufacturer of
the following basic classes of controlled
substances:
Jkt 223001
Drug Enforcement Administration
Drug Enforcement Administration
[Docket No. 05–16]
Manufacturer of Controlled
Substances; Notice of Registration
Lyle E. Craker, PhD; Order Regarding
Officially Noticed Evidence and Motion
for Reconsideration
By Notice dated April 25, 2011, and
published in the Federal Register on
May 4, 2011, 76 FR 25375, Rhodes
Technologies, 498 Washington Street,
Coventry, Rhode Island 02816, made
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Lyle E. Craker, PhD (Respondent) has
requested that I reconsider the Final
Order I issued on January 7, 2009 (74 FR
2101), which denied his application to
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become registered as a bulk
manufacturer of marijuana. For the
reasons provided below, Respondent
has failed to demonstrate that the Final
Order contains any erroneous material
findings of fact or conclusions of law.
Accordingly, Respondent’s motion for
reconsideration does not provide a basis
for altering the decision in the Final
Order to deny his application.
I. Post-Final-Order Proceedings
Following the issuance of the January
7, 2009, Final Order, Respondent
submitted a letter to me dated January
21, 2009, noting that, in several places
in the Final Order, I indicated I was
taking official notice of certain
documents that were not submitted
during the administrative hearing. With
respect to such documents, the Final
Order states: ‘‘To allow Respondent the
opportunity to refute the facts of which
I take official notice, Respondent may
file a motion for reconsideration within
fifteen days of service of this order
which shall commence with the mailing
of the order.’’ Thus, Respondent had
until January 23, 2009, to file a motion
for reconsideration of the facts of which
I took official notice. In his January 21,
2009, letter, Respondent requested an
extension of this filing deadline until
January 30, 2009. I granted this request
for an extension by letter dated January
22, 2009.
On January 30, 2009, Respondent
submitted to me a document entitled
‘‘Request for Opportunity Under 5
U.S.C. 556(e) To Respond to New
Officially Noticed Evidence and Motion
for Reconsideration.’’ In this document,
Respondent provided a preliminary
response to those documents of which
I took official notice. However,
Respondent asked for additional time to
supplement his preliminary response,
given the length of the Final Order as
well as that of the documents of which
I took official notice. I granted this
request, allowing Respondent until
March 11, 2009, to supplement his
response and motion. I further
instructed that counsel for the
Government would have to submit its
response no later than 15 days after
being served with Respondent’s
submission.
On March 11, 2009, Respondent
submitted ‘‘Respondent’s Supplemental
Brief in Support of Request Under 5
U.S.C. 556(e) To Respond to New
Officially Noticed Evidence and Motion
for Reconsideration.’’ In this document,
Respondent provided the legal and
factual bases for his motion for
reconsideration of the Final Order. Also
in the document, Respondent requested
that the administrative hearing be
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reopened so that he may call additional
witnesses in view of certain documents
of which I took official notice in the
final order. The Government submitted
its response on April 13, 2009. In view
of these submissions, and to clarify
Respondent’s request, I issued an
interim order on May 18, 2009, directing
Respondent to submit a list of all
witnesses he would call if his request to
reopen the administrative hearing were
granted and to provide a summary of the
proposed testimony for each witness.
This interim order further instructed
Respondent to indicate precisely which
documents he sought to introduce for
purposes of his motion for
reconsideration and, for each document,
whether he wanted me to take official
notice of it, or whether he wished to
introduce it through witnesses if his
request to reopen the hearing were
granted.
On June 5, 2009, Respondent
submitted his ‘‘Witness List and
Document List in Support of Motion for
Reconsideration.’’ On December 2, 2010,
I issued an order granting in part, and
denying in part, Respondent’s request
that I take official notice of certain
documents. The order denied
Respondent’s request that I reopen the
hearing to allow him to call additional
witnesses. Having ruled on which new
documents would be considered part of
the record (through my taking official
notice thereof), the order then gave
Respondent an additional opportunity
to file a final brief in support his motion
for reconsideration. The order stated
that Respondent was required to submit
such brief on or before March 7, 2011,
and that the Government’s responsive
brief was due no later than 30 days after
receipt of Respondent’s brief.
Respondent submitted his brief on
March 7, 2011 (hereafter, ‘‘Respondent’s
latest submission’’), and the
Government submitted its responsive
brief on April 1, 2011.
If Respondent submits all of the
correspondence between Chemic and HHS
(or any of its components) relating to this
application [Chemic’s application to HHS to
receive marijuana for research] that he has in
his possession or can reasonably access
(including, but not limited to, any such
correspondence on the MAPS website, such
as the January 23, 2009, letter from HHS to
Chemic), I will take official notice of all such
correspondence.
II. Respondent’s Additional Proposed
Documentary Exhibits
Given the number of written
submissions made by Respondent
following the issuance of the January 7,
2009, Final Order, along with the
Government’s responses thereto and the
interim orders I issued regarding these
submissions, it is important to reiterate
here the purpose for which Respondent
was given an opportunity to file a
motion for reconsideration. That
purpose was stated in the January 7,
2009, Final Order: ‘‘To allow
Respondent the opportunity to refute
the facts of which I take official notice,
Respondent may file a motion for
reconsideration within fifteen days of
service of this order which shall
Respondent’s request to introduce
additional documents for purposes of
his motion for reconsideration was
addressed at length in my December 2,
2010, Order. For each such document
Respondent sought to introduce, the
December 2, 2010, Order stated (pages
23–27) whether I would take official
notice of the document, and the reasons
therefor. Only one category of
documents that Respondent sought to
introduce was left unresolved by the
December 2, 2010, Order. As to this
category, the order stated (page 26):
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Thus, the only additional documents
that might be considered at this juncture
for inclusion in the record (by my taking
official notice thereof) are the
‘‘correspondence between Chemic and
HHS’’ described in the above-quoted
sentence. Respondent’s latest brief seeks
to introduce 11 new documents (which
Respondent labels Exhibits A–K).
However, only four of these documents
(Exhibits C, I, J, and K) appear to be
correspondence between Chemic and
HHS. The remaining seven documents
(A, B, D, E, F, G, and H) do not appear
to be correspondence between Chemic
and HHS, and Respondent makes no
assertion in his brief that they are such.
The Government asserts in its
responsive brief that these Exhibits A, B,
E, F, G, and H are not ‘‘correspondence’’
and further that ‘‘Respondent has not
laid any foundation to demonstrate that
these exhibits were provided to HHS by
Chemic.’’ For this reason, among others,
the Government objects to including
these documents in the record.
Accordingly, I rule as follows with
respect to these latest proposed exhibits:
(1) I will take official notice of
Exhibits C, I, J, and K; and
(2) As Exhibits A, B, D, E, F, G, and
H do not comport with the instructions
contained in the December 2, 2010,
Order, I will not take official notice of
these documents, and they will not be
considered part of the administrative
record considered by the agency in this
adjudication.
III. Respondent’s Motion for
Reconsideration
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commence with the mailing of the
order.’’ 74 FR at 2108 n.24. This was
restated in the interim orders I issued
following the Final Order. As explained
in the Final Order and the December 2,
2010, Order, this opportunity to seek
reconsideration of facts of which the
agency takes official notice is derived
from the Administrative Procedure Act
(5 U.S.C. 556(e)) and the DEA
regulations (21 CFR 1316.59(e)).
Respondent’s post-Final-Order
submissions have, in many respects,
gone beyond seeking reconsideration of
facts of which I took official notice.
Respondent has essentially sought broad
reconsideration of the factual and legal
bases for the Final Order—generally
without predicating such arguments on
the taking of official notice of any fact.
Neither the Controlled Substances Act
(CSA) nor the DEA regulations provide
for such a broad-based motion for
reconsideration of a Final Order.1
Nonetheless, in the exercise of my
discretion, taking into account the
complex and sometimes novel issues
involved in this matter, I have
considered all of the arguments
Respondent has submitted in his postFinal-Order submissions—including
those that go beyond the scope of what
is permitted by 5 U.S.C. 556(e) and 21
CFR 1316.59(e).
The arguments contained in
Respondent’s post-Final-Order
submissions are, for the most part,
reiterations of the same arguments that
were addressed at length and rejected in
the Final Order. In a few instances, as
noted below, Respondent does present
some slightly different assertions than
he previously offered. However, even in
these instances, Respondent’s core
contentions remain those that I
previously rejected. Furthermore,
Respondent fails in these latest
submissions to rebut the fundamental
reasons that were provided in the Final
Order for denying his application.
1 The CSA appeal provision, 21 U.S.C. 877, states:
‘‘All final determinations, findings, and conclusions
of the [Administrator of DEA] under this subchapter
shall be final and conclusive decisions of the
matters involved, except that any person aggrieved
by a final decision of the [Administrator] may
obtain review of the decision in the United States
Court of Appeals * * *.’’ This provision suggests
that—outside of the scenario provided by the DEA
regulations and APA in which a party, on timely
request, seeks the opportunity to controvert facts of
which the agency took official notice—DEA is not
obligated to allow parties to seek reconsideration of
final orders regarding applications for registration.
DEA also adheres to the Supreme Court’s decision
in Interstate Commerce Comm’n v. Bhd. of
Locomotive Eng’rs, 482 U.S. 270 (1987), regarding
the reopening of proceedings where it is alleged
that new evidence or changed circumstances render
the agency’s original order inappropriate. See also
Fry v. DEA, 353 F.3d 1041, 1044 (9th Cir. 2003).
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A. Respondent’s Arguments Relating to
the Review of Research Protocols by the
Department of Health and Human
Services
In his post-Final-Order submissions,
Respondent continues to focus on what
was his primary theme throughout the
adjudication proceedings leading up to
the Final Order: his desire to have the
Public Health Service and the National
Institute on Drug Abuse (NIDA)
removed from the process by which the
Department of Health and Human
Services (HHS) carries out its statutory
duty to review proposed research
involving marijuana. For purposes of
context, it is repeated here, as explained
in the Final Order, that under the CSA
(21 U.S.C. 823(f)), the Secretary of HHS
is responsible for reviewing all
proposed research involving schedule I
controlled substances. Specifically,
section 823(f) provides that, with
respect to applications for registration
by practitioners wishing to conduct
research with schedule I controlled
substances, ‘‘the Secretary * * * shall
determine the qualifications and
competency of each practitioner
requesting registration, as well as the
merits of the research protocol.’’
(Emphasis added.) Thus, under section
823(f), a research proposal involving
marijuana may only go forward where
the Secretary both (1) Deems the
practitioner qualified and competent
and (2) determines the research protocol
to be meritorious. Or, as stated by HHS
in its 1999 announcement of its policies
for providing marijuana to researchers:
‘‘To receive such a registration [under
§ 823(f)], a researcher must first be
determined by HHS to be qualified and
competent, and the proposed research
must be determined by HHS to have
merit.’’ 74 FR at 2120 n.70 (emphasis
added in Final Order).
Respondent does not dispute that the
statute assigns the foregoing functions to
the Secretary of HHS. However,
Respondent objects to the manner in
which these functions are carried out
within HHS. In particular, Respondent
seeks to have the Public Health Service
and NIDA stripped of any role in this
process.2
For purposes of addressing this issue,
it is useful to repeat the following parts
of the Final Order, which discussed the
scientific review process that has been
utilized by HHS since 1999 to evaluate
marijuana research proposals:
[I]n 1999, due in part to an increased
interest in marijuana research and taking into
2 See, e.g., 74 FR at 2106 (noting testimony of
Rick Doblin, the Director of MAPS, that ‘‘what
we’re trying to do is get the Public Health Service
and NIDA out of the picture’’).
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account the IOM report, HHS decided to
change the procedures by which it would
supply marijuana to researchers. The new
procedures were announced in a document
released by NIH on May 21, 1999. In the
announcement, ‘‘HHS recognize[d] the need
for objective evaluations of the potential
merits of cannabinoids for medical uses[,]’’
and that ‘‘[i]f a positive benefit is found,
* * * the need to stimulate development of
alternative, safer dosage forms.’’ Toward this
end, NIH explained that the new procedures
were designed to increase the availability of
marijuana for research purposes by, among
other things, making such marijuana
‘‘available on a cost-reimbursable basis.’’
This new procedure allowed researchers who
were privately funded to obtain marijuana
from HHS by reimbursing the NIDA
contractor for the cost of the marijuana. This
was a departure from the prior practice (pre1999), whereby HHS only made marijuana
available to persons who received NIH
funding. The new procedures implemented
by HHS in 1999 remain in effect today.
*
*
*
*
*
At the administrative hearing in this case,
Steven Gust, PhD, Special Assistant to the
Director of NIDA, explained that, in addition
to seeking to facilitate research into the
possible medical utility of marijuana, the
new procedures implemented by HHS in
1999 were intended ‘‘to make the process
more standardized, and to * * * provide
some expertise that did not really exist at
NIDA in terms of reviewing applications that
involved * * * the use of marijuana * * *
for treatment of diseases.’’ Accordingly, HHS
‘‘established a separate peer review process
that * * * moved the review into the Public
Health Service [a component of HHS] * * *
where additional expertise from other NIH
Institutes and other Federal agencies’’ could
be utilized in reviewing the scientific merit
of the applications. Dr. Gust further
explained that the members of the review
committee are drawn from the various
specialty institutes of NIH, and the Substance
Abuse and Mental Health Services
Administration (SAMHSA). Dr. Gust also
testified that the ‘‘scientific bar has been set
very low, [so] that any project that has
scientific merit is approved,’’ and that
‘‘anything that gets approved gets NIDA
marijuana.’’ As of April 2004, HHS had
approved at least seventeen pre-clinical or
clinical studies of marijuana, which were
sponsored by the California Center for
Medical Cannabis Research (CMCR).
According to one witness who testified on
behalf of Respondent, all of the CMCRsponsored researchers who applied to NIDA
for marijuana did in fact receive marijuana
from NIDA.
*
*
*
*
*
In his testimony, Dr. Gust explained the
term ‘‘peer review’’ as follows: ‘‘Peer review
is a process that has been used, certainly by
NIH, and I think in other agencies in the
Department of Health and Human Services,
and probably the Federal Government, where
outside expertise is acquired and outside
opinions on the scientific merit of specific
research proposals.’’ Dr. Gust added that the
NIH peer review committees ‘‘review
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proposals three times a year for the NIH, and
there are—occasionally a Federal employee
participates in one of those reviews, but
probably 90 percent or more of the
participants are researchers who are in the
private sector, for the most part in academic
institutions.’’
Respondent also introduced into evidence
a letter from the President of Chemic to HHS
responding to several points raised by the
PHS Committee in denying Chemic’s
application. Respondent’s letter does not,
however, establish that HHS impermissibly
denied Chemic’s application for marijuana.
To the contrary, the evidence supports the
conclusion that HHS (acting through the PHS
Committee) made its determination not to
supply marijuana on this occasion based on
scientific considerations, finding that
Chemic’s then-latest proposed study was
duplicative of prior and ongoing research
and not likely to provide useful data.
pieces of correspondence between
Chemic and HHS relating to this matter
that were not produced in the
administrative hearing. As indicated
above and in the December 2, 2010,
Order, I have taken official notice of all
six of these documents. Each of these
documents further confirms that HHS’s
rejection of the Chemic protocol was—
as the Final Order found—based purely
on scientific merit.
It is difficult to understand why
Respondent would seek to introduce at
this juncture six letters between Chemic
and HHS that reaffirm what was found
in the Final Order—and how
Respondent construes these letters as
‘‘rebuttal’’ evidence. The statements by
HHS in these letters are, without
question, focused entirely on the
scientific inadequacies of various
iterations of Chemic’s research proposal.
The letters demonstrate that the HHS
scientists have actively engaged in a
dialogue with Chemic for many years,
and have gone to great lengths to
explain to Chemic each of the areas in
which Chemic needs to revise its
protocol so that it can be deemed
scientifically meritorious. The letters
thereby reaffirm that HHS (including,
but not limited to, the Public Health
Service and NIDA) has never indicated
any opposition (political, philosophical,
or otherwise) to any category of
marijuana research. To the contrary, the
letters—particularly the most recent one
submitted by Respondent, dated January
23, 2009—actually show that HHS is
interested in Chemic’s proposal and
willing to supply Chemic with
marijuana, provided that Chemic
provides validation data that is
necessary to support Chemic’s scientific
measurements. In short, the evidence
continues to point squarely to the
conclusion that HHS is doing precisely
what it is required to do under 21 U.S.C.
823(f): Allow only those schedule I
research proposals that it determines to
be scientifically meritorious to go
forward. As the Final Order stated:
‘‘That Respondent finds this process to
be scientifically rigorous—and thereby
not automatically accepting of any
proposed study sponsored by MAPS—
provides no basis for any valid objection
or any contention that the HHS supply
of marijuana is inadequate.’’ 74 FR at
2120 (footnotes omitted).3
74 FR at 2109 (emphasis added; footnote
and citation omitted). As noted, I
granted Respondent’s post-Final-Order
request to introduce additional
correspondence between Chemic and
HHS relating to Chemic’s proposed
research protocol involving marijuana.
Respondent produced six additional
3 It is unclear whether Respondent is suggesting
that I should refuse to accept at face value what
HHS stated in its correspondence with Chemic and
instead conclude—without any evidentiary basis for
doing so—that the HHS scientists who are
responsible for reviewing proposed marijuana
research have conspired for years to carry out an
elaborate ruse aimed at thwarting marijuana
research. If this is Respondent’s mind-set, adopting
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74 FR at 2015, 2119 n.67 (footnotes and
citations omitted).
Again, it is Respondent’s contention
that the involvement of the Public
Health Service and NIDA in reviewing
proposed marijuana research protocols
has the effect of blocking legitimate
research into marijuana. Indeed, the
primary argument Respondent puts
forth in support of his proposed
registration is that the current system by
which the United States Government
makes marijuana available to
researchers fails to provide an adequate
supply of marijuana within the meaning
of 21 U.S.C. 823(a)(1)—precisely
because, in Respondent’s opinion, the
Public Health Service and NIDA have
‘‘institutional biases’’ against certain
types of marijuana research.
This argument was carefully
examined in the Final Order. See 74 FR
at 2107–08, 2119–20. Respondent’s
post-Final-Order submissions as to this
issue are not materially different from
the claims that were rejected in the
Final Order. In fact, the new documents
that Respondent has submitted
following the Final Order, and of which
I have taken official notice, provide
further confirmation of certain
determinations made in the Final Order.
Respondent’s latest submission contains
no citations to actual evidence in the
record that supports his claims of
‘‘institutional biases’’ or ‘‘political’’
motivation on the part of the Public
Health Service and NIDA.
As to this issue, the Final Order
stated, among other things:
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Moreover, Respondent’s ‘‘institutional
bias’’ theory is belied by the following
crucial fact. As stated in the Final
Order: ‘‘The record reflects that since
HHS changed its policies in 1999 to
make marijuana more readily available
to researchers (by, among other things,
allowing privately funded researchers to
obtain marijuana), every one of the 17
CMCR [California Center for Medical
Cannabis Research]-sponsored preclinical or clinical studies that
requested marijuana from NIDA was
provided with marijuana.’’ 74 FR at
2119. Despite the enormity of this fact
in relation to Respondent’s
‘‘institutional bias’’ claim, Respondent
makes only the following vague
reference to it in his latest submission
(page 9): ‘‘Though the DEA points to
other marijuana research that NIDA has
allowed, none of these studies aimed to
develop marijuana into a legal
prescription medicine.’’ What
Respondent downplays as ‘‘other
marijuana research that NIDA has
allowed’’ is, in fact, seventeen different
clinical trials involving marijuana
proposed by CMCR—all of which were
approved by the Public Health Service
and NIDA. As stated in the Final Order:
Any suggestion that the HHS scientific
review process is unduly rigorous is belied
by the testimony of Dr. Gust that the
‘‘scientific bar has been set very low, [so] that
any project that has scientific merit is
approved,’’ and that ‘‘anything that gets
approved gets NIDA marijuana’’ (Tr. at 1700–
01) as well as the uncontroverted evidence
that every one of the 17 CMCR-sponsored
research protocols submitted to HHS was
deemed scientifically meritorious by HHS
and was supplied with marijuana (GX 31, at
3; Tr. 694–95).
74 FR at 2120 n.71.
As for Respondent’s contention that
‘‘none of these studies aimed to develop
marijuana into a legal prescription
medicine,’’ this too is contradicted by
the record. As stated in the Final Order:
The California research studies were
conducted pursuant to a law enacted by
California in 1999 known as the Marijuana
Research Act of 1999. Cal. Health & Safety
Code § 11362.9. This state law established
the ‘‘California Marijuana Research Program’’
to develop and conduct studies on the
potential medical utility of marijuana. Id.
(The program is also referred to as the
‘‘Center for Medicinal Cannabis Research’’
(CMCR). Tr. 396.) The state legislature
it would be the antithesis of the principle inherent
to the Administrative Procedure Act (APA) that
agency action must be presumed to be valid where
a reasonable basis exists for its decision. See, e.g.,
Kern County Farm Bureau v. Allen, 450 F.3d 1072,
1076 (9th Cir. 2006). It is also at odds with the APA
concept that bars a reviewing court—much less a
member of the public—from substituting its
judgment for that of the agency. Id.
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appropriated a total of $9 million for the
marijuana research studies. Tr. 397.
74 FR at 2105–06 n.16. It is thus beyond
question that the CMCR studies were
aimed at what Respondent characterizes
as ‘‘develop[ing] marijuana into a legal
prescription medicine.’’ 4
For the same reasons, the record
contradicts Respondent’s related claim
that the involvement of the Public
Health Service and NIDA in
determining the scientific merit of
proposed marijuana research ‘‘renders
the supply [of marijuana] inadequate
because entire categories of legitimate
medical research are effectively
foreclosed.’’ Respondent fails to explain
what ‘‘categories of legitimate medical
research’’ are supposedly being
foreclosed. Again, it seems (but is
unclear) that Respondent is suggesting
that the Chemic research proposal, and/
or Dr. Russo’s proposal (see below),
were more geared toward ‘‘develop[ing]
marijuana into a legal prescription
medicine’’ than were the 17 CMCR
studies. In other words, Respondent
appears to be suggesting that the Public
Health Service and NIDA went into
their alleged ‘‘institutional bias’’ mode
when reviewing the Chemic and Russo
proposals, but turned off that mode
when reviewing the 17 CMCR proposals
because the latter were less geared
toward developing marijuana into an
FDA-approved medicine. If this is what
Respondent is suggesting, there is no
evidentiary foundation for such a claim
as neither Chemic’s proposal nor Dr.
Russo’s could be characterized as closer
than the CMCR studies to the goal of
obtaining FDA approval of marijuana as
a drug.5
To address further the portion of
Respondent’s latest submission
pertaining to Dr. Russo, the following
part of the Final Order is recited:
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[Dr. Ethan Russo] sought funding from
NIDA to study the use of marijuana to treat
migraine headaches beginning around 1996.
The precise dates of the events related to Dr.
Russo are somewhat unclear as Respondent
presented these events through the testimony
of Mr. Doblin. (Dr. Russo did not testify.)
Based on Mr. Doblin’s testimony, it appears
that during 1996–97, NIDA twice rejected Dr.
Russo’s protocol for reasons which are not
clearly established by the record. However,
according to Mr. Doblin, Dr. Russo conceded
4 The process by which FDA approves new drugs
for marketing is summarized in the Final Order. 74
FR at 2106 n.21.
5 As stated in the Final Order, no clinical trials
involving marijuana—not even the 17 CMCR
studies—have advanced beyond Phase 1 of the
three phases required for FDA approval of a new
drug. 74 FR at 2107 n.23. The proposed Chemic
study does not even appear to be a clinical trial, let
alone a study more advanced in the phases of FDA
approval than the CMCR studies.
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that, on both of these two occasions when
NIDA rejected his protocol, NIDA’s bases for
doing so did include ‘‘some valid critiques.’’
Mr. Doblin testified that Dr. Russo
subsequently attempted for a third time to
obtain marijuana from NIDA, but on this
third occasion he decided not to seek
government funding but to seek private
funding to purchase the marijuana from
NIDA. According to Mr. Doblin, this third
protocol submitted by Dr. Russo was
approved by both the FDA and Dr. Russo’s
institutional review board, but NIDA again
refused to supply marijuana. When asked
when this last denial by NIDA occurred, Mr.
Doblin testified: ‘‘I think it was 1999.’’
As noted above, NIH announced on May
21, 1999, HHS’s new procedures for making
marijuana available to researchers. Bearing in
mind that Respondent had the burden of
proving any proposition of fact that he
asserted in the hearing, 21 CFR 1301.44(a),
nothing in Mr. Doblin’s testimony, or any
other evidence presented by Respondent,
established that HHS denied Dr. Russo’s
request for marijuana under the new
procedures implemented by the agency in
1999. Indeed, Respondent produced no
evidence showing that HHS has denied
marijuana to any clinical researcher with an
FDA-approved protocol subsequent to the
adoption of the 1999 guidelines.
74 FR at 2108 (citations omitted).
In his post-Final-Order submissions,
Respondent submitted a letter dated
February 1, 2000, from the Public
Health Service and NIDA to Dr. Russo
(Exhibit C to Respondent’s March 11,
2009, Supplemental Brief). In the
December 2, 2010, Order, I granted
Respondent’s request to take official
notice of this document. As Respondent
indicates, this letter was issued after
HHS announced in 1999 its new
procedures for providing marijuana to
researchers. Even assuming, arguendo,
that this letter demonstrates that the
third protocol submitted by Dr. Russo
was evaluated by HHS under the new
procedures established in 1999,6 this
does not materially alter the conclusions
in the Final Order. This is because the
Final Order stated, in essence, that even
if Dr. Russo’s proposal had been
evaluated by HHS under the post-1999
procedures, ‘‘the evidence indicates that
the denials involving * * * Dr. Russo
were based on HHS finding [his]
protocols to be lacking in scientific
merit.’’ See 74 FR at 2119 n.68.
The most recent document submitted
by Respondent regarding Dr. Russo (the
February 1, 2000, letter from Public
Health Service to Dr. Russo) confirms
yet again that the Public Health Service
6 While the letter itself is dated February 1, 2000,
Respondent failed to present evidence indicating
when Dr. Russo submitted his third protocol, or
when HHS began its review of that protocol. Thus,
it remains uncertain whether this third protocol
was evaluated under the pre-1999 or post-1999 HHS
procedures.
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and NIDA focus on scientific merit in
reviewing proposed marijuana research.
The February 1, 2000, letter advised Dr.
Russo that a scientific review of his
protocol had been conducted by the
Center for Scientific Review (CSR) of the
National Institutes of Health on behalf
of the Public Health Service, and that
the CSR recommended certain changes
to the protocol. If, the letter continued,
such changes were incorporated into a
new protocol and submitted by Dr.
Russo, the Public Health Service would
reconsider his request. Among the
specific changes that Dr. Russo was
advised to make were the following:
Including a placebo arm; taking steps to
account for possible attrition of research
subjects; and ensuring that research
subjects received equivalent doses of
THC. These are quintessentially
scientific refinements that the
researcher was being asked to make—
not, as Respondent alleges, a refusal to
allow a category of research to take
place.
Thus, even when viewing
Respondent’s newly submitted evidence
regarding Dr. Russo as an example of a
denial by HHS of marijuana under the
post-1999 HHS procedures, it is in the
same category as the Chemic protocols:
A denial based on scientific merit under
the post-1999 procedures. This would
bring the total figures under the post1999 procedures to the following: 17
studies approved and supplied with
marijuana; two studies denied until the
researcher makes certain changes in the
protocol to render the proposal
scientifically meritorious. Stated
alternatively, under the post-1999
procedures, HHS’s approval rate for
marijuana studies is at least 89.5
percent, with the possibility of that
figure rising to 100 percent if two of the
researchers were willing to make
adjustments to their protocols to make
them scientifically meritorious.
Respondent’s latest submission also
refers to certain documentary and
testimonial statements by NIDA
officials, which Respondent contends
support his claim of ‘‘institutional bias.’’
As these statements were part of the
record that the parties addressed in their
pre-Final-Order submissions, and since
the Final Order already addressed this
type of argument by Respondent, it is
not necessary to reexamine this issue at
length here. Moreover, the actions by
HHS in response to actual research
proposals are by far the best evidence of
the agency’s true willingness to supply
marijuana to researchers, and these
actions render inconsequential any
attempt by Respondent to surmise
‘‘institutional bias’’ from abstract
statements isolated from the documents
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and testimony. The same considerations
apply with respect to Respondent’s
argument that NIDA’s mission stands as
an obstacle to allowing legitimate
marijuana research to take place. This
argument was addressed in the Final
Order and is overwhelmingly refuted by
the evidence of HHS’s actual track
record in supplying marijuana to
researchers.7
Respondent also asserts that two
provisions of the Federal Food, Drug,
and Cosmetic Act (FDCA) and an FDA
regulation mandate that the FDA—and
not NIDA—must carry out the Secretary
of HHS’s responsibility under 21 U.S.C.
823(f) to determine the scientific merit
of proposed marijuana research.
Specifically, Respondent cites 21 U.S.C.
393(b) (FDA’s mission statement), 21
U.S.C. 355 (new drug approval process),
and 21 CFR 312.22(a) (general
principles of submission of an
investigational new drug application
(IND)), in support of this assertion.
This assertion is mistaken in a
number of respects, including, but not
limited to, the following. First, the fact
that the FDA’s statutory mission
statement lists certain functions by no
means precludes other agencies within
HHS from having overlapping
functions.8 Second, while FDA is
7 Although HHS’s actual record in supplying
marijuana to researchers is the best evidence of its
willingness to do so, the following testimony of Dr.
Gust at the hearing explains how HHS took steps
in 1999 to ensure the availability of marijuana to
researchers—including those interested in pursuing
medical uses of marijuana—irrespective of NIDA’s
mission:
It was about this time [1999] when there was
some increased interest in research, in pursuing the
medical use of marijuana, and in an effort to make
the process more standardized, and to basically
provide some expertise that did not really exist at
NIDA in terms of reviewing applications that
involved primarily the use of marijuana or any
other substance for that matter for treatment of
diseases, which did not really fall within NIDA’s
mission, the department [HHS] established a
separate peer review process that made the
review—that moved the review into the Public
Health Service at the time where additional
expertise from other NIH Institutes and other
Federal agencies could be brought to bear to help—
and help provide reviews, appropriate reviews, of
the scientific merit of these applications.
Tr. 1632–33. Thus, Respondent’s attempt to focus
on NIDA’s particular mission, without regard to the
mission of other components of HHS involved in
review of marijuana research proposals, and
without regard to the overall aims of the procedures
established by HHS in 1999 for providing marijuana
to researchers, is misplaced.
8 Moreover, not even those functions expressly
listed in FDA’s statutory mission statement are
carried out solely by the FDA. As stated in the very
next subsection after the one cited by Respondent,
21 U.S.C. 393(c), which is entitled ‘‘Interagency
collaboration’’: ‘‘The Secretary [of HHS] shall
implement programs and policies that will foster
collaboration between the [FDA], the National
Institutes of Health, and other science-based
Federal agencies, to enhance the scientific and
technical expertise available to the Secretary in the
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indeed the agency within HHS that is
chiefly responsible for administering the
new drug approval process under 21
U.S.C. 355, this is a distinctly different
function than the determination under
21 U.S.C. 823(f) of the scientific merit of
proposed research involving schedule I
controlled substances. There is certainly
no basis for Respondent (or any other
member of the public) to dictate to the
Secretary that the same agency within
HHS that carries out the former function
must also carry out the latter.9 Third,
although the review by FDA of an IND
may (depending on the phase of the
investigation) be similar in certain
respects to the review under § 823(f) of
a schedule I research proposal, the two
types of reviews are distinct
administrative functions carried out
within HHS. This is evident from the
first sentence of the very regulation that
Respondent cites, 21 CFR 312.22(a),
which states: ‘‘FDA’s primary objectives
in reviewing an IND are, in all phases
of the investigation, to assure the safety
and rights of subjects, and in Phase 2
and 3, to help assure that the quality of
the scientific evaluation of drugs is
adequate to permit an evaluation of the
drug’s effectiveness and safety.’’ Thus,
in reviewing an IND for a Phase 1
investigation, FDA’s primary objective
is to assure the safety and rights of
subjects—not to assess the scientific
quality of the clinical investigation. This
is especially notable since, as stated
above, none of the clinical trials
involving marijuana that have been
proposed to HHS has advanced beyond
Phase 1.
The foregoing discussion also sheds
light on another assertion made by
Respondent in his latest submission:
That ‘‘several research projects have
been blocked by NIDA in spite of FDAapproved protocols.’’ 10 Preliminarily, it
should be noted that Respondent fails to
specify exactly what he means here by
‘‘several research projects.’’ The record
reveals only two clinical research
proposals submitted to HHS involving
marijuana that did not receive
marijuana: Dr. Abrams’s proposal (in the
pre-1999 era) and Dr. Russo’s
proposal.11 In addition, it is important
conduct of the duties of the Secretary with respect
to the development, clinical investigation,
evaluation, and postmarket monitoring of emerging
medical therapies, including complementary
therapies. * * *’’
9 Under 21 U.S.C. 823(f), Congress assigned to the
Secretary of HHS sole discretion to determine how
HHS carries out its responsibility to review the
scientific merit of schedule I research proposals.
10 Respondent uses this particular wording on
page 9 of his latest submission, and he reiterates the
assertion numerous times in the document.
11 As Respondent seems to concede, Chemic’s
proposed research involving marijuana is not a
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at this juncture to correct an error in
terminology. FDA does not ‘‘approve’’
INDs. Rather, the IND process works as
follows. An investigator seeking to use
an investigational new drug in a clinical
trial must submit an IND for the drug to
the FDA. 21 CFR 312.40. The IND
automatically goes into effect 30 days
after the FDA receives the IND,12 unless
the FDA notifies the sponsor that the
investigation is subject to a clinical
hold. Id.
Thus, it is incorrect for Respondent to
state that the FDA ‘‘approved’’ any
‘‘protocols’’ for proposed marijuana
research.13 More accurately stated, the
most that can be inferred from the
evidence is that the FDA reviewed INDs
submitted by Dr. Abrams and Dr. Russo,
and that the FDA did not place a
clinical hold on either proposed
investigation.14 However, as just
explained, the FDA regulations indicate
that, for Phase 1 investigations, FDA’s
review of an IND focuses primarily on
the safety and rights of subjects—not the
scientific quality of the clinical
investigation. Thus, while the FDA
appears to have concluded that allowing
Dr. Russo’s and Dr. Abrams’s Phase 1
studies to proceed would not have
presented an unacceptable risk of harm
to the human research subjects,15 there
is no evidentiary basis to conclude that
FDA evaluated the scientific quality of
either proposal—and particularly no
basis to conclude that FDA determined
that the studies were scientifically
meritorious within the meaning of 21
U.S.C. 823(f).
As stated in the Final Order, under
the procedures implemented by HHS in
1999 for reviewing proposed marijuana
research, the review by FDA on an IND
is one part of that process.16 Yet,
Respondent seems to want FDA’s
clinical trial. Accordingly, Respondent does not
appear to be suggesting that Chemic submitted an
IND to the FDA for its research proposal. Thus, it
does not appear that Respondent is including the
Chemic situation in his category of ‘‘research
projects [that] have been blocked by NIDA in spite
of FDA-approved protocols.’’
12 The FDA may also notify the investigator that
the clinical investigation may begin earlier than 30
days after the FDA receives the IND. 21 CFR
312.40(b)(2).
13 The word ‘‘approve’’ (or ‘‘approval’’) is a term
of art in the FDCA. The FDA ‘‘approves’’ new drug
applications upon an adequate showing of safety
and efficacy for the uses in the proposed labeling,
which allows a drug to be legally marketed. 21
U.S.C. 355; 21 CFR 314. An effective IND is
considered ‘‘accepted,’’ not ‘‘approved,’’ by FDA.
14 I am assuming, for the sake of discussion, that
Dr. Russo and Dr. Abrams submitted INDs and that
the FDA did not issue clinical holds, even though
Respondent did not introduce such INDs or call Dr.
Russo or Dr. Abrams to testify.
15 See 21 CFR 312.42(b) (grounds for imposition
of a clinical hold of a Phase 1 study under an IND).
16 See 74 FR at 2105.
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review of an IND for Phase 1
investigations—which focuses on the
safety and rights of subjects, rather than
the scientific quality of the clinical
investigation—to serve as the entire
review process, i.e., to supplant the fullfledged evaluation of the scientific merit
required by 21 U.S.C. 823(f). Had
Congress intended such a result, it
could have easily stated in 21 U.S.C.
823(f) that the only scientific
prerequisite to conducting research with
a schedule I controlled substance is that
an IND be in effect with respect to such
research.17 But it is evident from the
language of § 823(f) that Congress
intended HHS to conduct a different
type of evaluation of the scientific merit
of research proposals than that which
will suffice for purposes of an IND. It is
unclear whether Respondent fails to
understand this distinction between the
review by FDA of a Phase 1 IND and the
review of the scientific merit of a
research proposal under § 823(f), or if
Respondent does understand this
distinction and simply wishes that the
less rigorous review (the Phase 1 IND
review) would suffice so that even those
marijuana research proposals that lack
scientific merit could be carried out.18
For the reasons noted above, neither of
the foregoing is a legally valid position.
In sum, Respondent’s motion for
reconsideration provides no basis for
deviating from the conclusions in the
Final Order relating to the process by
which HHS determines the scientific
merit of proposed marijuana research
pursuant to 21 U.S.C. 823(f). Congress
assigned to the Secretary of HHS
responsibility for deciding how to carry
out that function within HHS, and the
evidence demonstrates that the
procedures established by HHS in 1999,
including the Public Health Service
interdisciplinary review process,
properly focus on the scientific merit of
research proposals. As the Final Order
indicated, that process makes marijuana
available to all researchers who meet the
criteria of § 823(f), and Respondent’s
post-Final-Order submissions provide
no evidence suggesting otherwise.
Respondent’s desire to substitute his
opinion for that of the Secretary as to
what type of scientific review should be
carried out under § 823(f), and who
17 Several provisions of the CSA reference the
IND provision of the FDCA. For example, 21 U.S.C.
827(c)(2)(A) expressly excludes ‘‘research
conducted in conformity with an exemption
granted under [21 U.S.C. 355(i)]’’ from the CSA’s
recordkeeping requirements.
18 Illustrative of this point is Respondent’s
statement in his latest submission (page 14) that ‘‘if
a research protocol is good enough for the FDA, it
should be good enough to be carried out.’’
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within HHS should carry it out, is
legally untenable.
Respondent’s claim that the supply of
marijuana is inadequate is dependent on
his supposition that the current HHS
process for supplying marijuana to
researchers improperly denies
marijuana to researchers. That
supposition was found in the Final
Order to be without merit, and his latest
submission warrants no departure from
that finding, as explained above.
Accordingly, Respondent has provided
no basis to change the conclusion in the
Final Order that he failed to meet his
burden of proving that the supply of
marijuana is inadequate within the
meaning of 21 U.S.C. 823(a)(1).
B. Respondent’s Arguments Relating to
the Single Convention on Narcotic
Drugs, 1961
Respondent seeks reconsideration of
the determinations in the Final Order
relating to the Single Convention on
Narcotic Drugs, 1961 (Single
Convention). Respondent’s post-FinalOrder arguments relating to the Single
Convention are not predicated on the
taking of official notice of any fact.
Nonetheless, as indicated, I have
considered these arguments.
Respondent’s core contentions regarding
the Single Convention were addressed
in the Final Order and, therefore, it is
unnecessary to repeat all of that
discussion here. However, in view of his
latest submissions, a few points warrant
reiteration and/or clarification.
Under 21 U.S.C. 823(a), DEA must
deny an application by a person seeking
to become registered as a bulk
manufacturer of a schedule I controlled
substance if the agency determines that
such registration would be inconsistent
with United States obligations under
applicable international drug control
treaties—i.e., the Single Convention.
When it comes to marijuana (referred to
under the treaty as ‘‘cannabis’’), one of
the key principles of the Single
Convention is that the federal
government maintain a monopoly over
the wholesale distribution of the drug.
As to this point, the Final Order recited
the following statement from the
Official Commentary to the Single
Convention:
Countries * * * which produce * * *
cannabis * * *, [i]n so far as they permit
private farmers to cultivate the plants * * *,
cannot establish with sufficient exactitude
the quantities harvested by individual
producers. If they allowed the sale of the
crops to private traders, they would not be
in a position to ascertain with reasonable
exactitude the amounts which enter their
controlled trade. The effectiveness of their
´
control regime would thus be considerably
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weakened. In fact, experience has shown that
permitting licensed private traders to
purchase the crops results in diversion of
large quantities of drugs into illicit channels.
* * * [T]he acquisition of the crops and the
wholesale and international trade in these
agricultural products cannot be entrusted to
private traders, but must be undertaken by
governmental authorities in the producing
countries. Article 23 * * * and article 28
* * * therefore require a government
monopoly of the wholesale and international
trade in the agricultural product in question
in the country which authorizes its
production.
74 FR at 2115 (citing Commentary at
278).
As indicated in the Final Order, the
United States has, since 1968,
implemented this aspect of the treaty
through the following system carried
out within HHS. NIDA enters into a
contract with a private grower, with the
grower being obligated under the
contract to produce the amount and
quantity of marijuana specified by NIDA
and to produce marijuana cigarettes to
supply researchers as directed by
NIDA.19 Throughout the 44 years since
the United States ratified the Single
Convention in 1967, the entire United
States supply of marijuana for
researchers has been distributed through
this system. In this manner, the United
States Government has always
monopolized the wholesale trade in
marijuana, consistent with its
obligations under the treaty.
It is true, as Respondent points out in
his post-Final-Order submissions, that
the Single Convention (article 23,
paragraph 3) calls upon parties to carry
out the functions of article 23 by a
single government agency. It is also true,
as Respondent indicates, that the United
States fails to adhere strictly to this
provision of the treaty as both DEA and
HHS carry out certain functions set forth
in article 23, paragraph 2.20 Specifically,
DEA carries out those functions of
article 23 paragraph 2 that are
encompassed by the DEA registration
system, and HHS (through NIDA) carries
out those functions relating to
purchasing the marijuana and
maintaining a monopoly over the
wholesale distribution. That these
19 Prior to 1999, NIDA entered into two contracts:
one with the grower and one with the entity that
produced the cigarettes. In 1999, NIDA decided that
a single contract should be awarded for both
activities, which resulted in the contractor (a
division of the University of Mississippi)
continuing to grow the marijuana, but
subcontracting to Research Triangle Institute the
responsibility of producing the cigarettes. 74 FR at
2122 n.79.
20 Respondent is incorrect, however, in asserting
that the Final Order stated that NIDA carries out all
the functions under article 23, paragraph 2. No such
statement appears in the Final Order.
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functions are divided among the two
agencies—rather than being carried out
by a single agency—is a result of the
existing statutes, regulations, and
Congressional appropriations.21
Nonetheless, when evaluating an
application for registration under 21
U.S.C. 823(a), DEA must attempt to
conform with the provisions of the
Single Convention to the fullest extent
possible under the existing statutory
and regulatory framework. Accordingly,
even in the absence of a single
government agency carrying out all the
functions referred to in article 23,
paragraph 2, DEA must seek to adhere
to the other provisions of this article
that are attainable within the existing
statutory and regulatory framework,
including that which calls upon the
United States Government to
monopolize the wholesale distribution
of marijuana.22
Therefore, for the reasons detailed in
the Final Order, Respondent’s stated
goal of becoming registered for the
purpose of ending the Government
monopoly on the wholesale distribution
of marijuana to researchers is directly at
odds with the Single Convention, which
independently warrants denial of his
application. Respondent seems to
continue to either ignore and/or
misunderstand this fundamental aspect
of the treaty. In his latest submission,
Respondent states (pages 20–21): ‘‘It is
certainly true Dr. Craker seeks to
cultivate marijuana outside NIDA’s
monopoly, but it does not follow that
Dr. Craker seeks to cultivate marijuana
outside the structures of any
government regulation. * * * Dr. Craker
and [Mr. Doblin] are in no way opposed
to the regulation of marijuana by
[DEA].’’ (Emphasis in original.) This
statement suggests that Respondent
believes incongruously that as long as
he agrees to comply with the DEA
regulations relating to registration and
security, his proposed registration
should be deemed consistent with the
Single Convention. Based on this flawed
assumption, Respondent is effectively
21 Whether, in the absence of Congressional
action, DEA could promulgate regulations that
would result in DEA alone carrying out all the
functions of article 23 is beyond the scope of this
adjudication.
22 Although Respondent argues that the
Government does not take actual physical
possession of the marijuana grown by the NIDA
contractor (as contemplated by article 23, paragraph
2(d)), one could conclude that the NIDA contract
process does fulfill this obligation. For the reasons
indicated above, this does not compel DEA to
abandon the provision of article 23 requiring a
government monopoly on the wholesale
distribution of marijuana. See 74 FR at 2114
(‘‘taking possession and engaging in wholesale
distribution are two separate activities under the
Convention’’).
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arguing that the provision of the Single
Convention requiring a Government
monopoly over the wholesale
distribution of marijuana may be
jettisoned whenever an applicant for
registration promises to comply with the
DEA regulations governing registration
and security.
Respondent also continues to argue
that the marijuana he seeks to grow is
‘‘exempt’’ from the Single Convention
requirement of a government monopoly
over the wholesale distribution of
marijuana. According to Respondent,
because he is seeking to supply
marijuana to researchers for the purpose
of conducting research that he hopes
will someday lead to the FDA approval
of marijuana as medicine, the marijuana
he is seeking to grow should be deemed
‘‘medicinal cannabis’’ within the
meaning of the Single Convention and
thus the government monopoly set forth
in article 23, paragraph 2(e) should be
considered inapplicable to his proposed
activity. The Government correctly
suggests in its responsive brief (pages
8–9) that Respondent’s interpretation
would vitiate the language of article 23,
paragraph 2(e). As I stated in the
December 2, 2010, Order, it is
theoretically possible that a marijuanaderived drug might be approved by the
FDA in the future that would constitute
‘‘medicinal cannabis’’ within the
meaning of the Single Convention.
However, no drug product derived from
marijuana has been approved by the
FDA and, therefore, there is currently no
such thing as ‘‘medicinal cannabis’’ in
the United States. For this reason, the
exception in article 23, paragraph 2(e)
for ‘‘medicinal cannabis’’ has no bearing
on this adjudication.
For purposes of the Single
Convention, the marijuana that
Respondent seeks to produce is clearly
‘‘cannabis’’ subject to the government
monopoly under article 23, paragraph
2(e). As to this point, the Final Order
observed:
In its 2005 Annual Report, the
[International Narcotics Control Board]
reiterated: ‘‘Articles 23 and 28 of the [Single]
Convention provide for a national cannabis
agency to be established in countries where
the cannabis plant is cultivated licitly for the
production of cannabis, even if the cannabis
produced is used for research purposes
only.’’
74 FR at 2115 (footnote omitted).
Respondent also makes the following
statement in his latest submission
(pages 15–16): ‘‘Additionally, the
conduct of the one currently DEAlicensed manufacturer, who has been
permitted by DEA to grow large
amounts of marijuana outside of the
NIDA contract, disproves the theory that
PO 00000
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Fmt 4703
Sfmt 4703
marijuana grown for any purpose other
than to supply NIDA-approved research
would violate the Convention.’’
(Emphasis in original.) Respondent is
referring here to the cultivation of
marijuana by the National Center for
Natural Products Research (National
Center), a division of the University of
Mississippi.23 As explained in the Final
Order, in 1999, DEA and the National
Center entered into a Memorandum of
Agreement (MOA) under which the
National Center was granted an
additional registration to manufacture
marijuana and THC independent of its
contract with NIDA. 74 FR at 2104 n.13.
The Final Order further explained:
As set forth in the MOA, the purpose of the
registration was ‘‘to allow the Center to
develop a new product formulation for
effecting delivery of THC in a
pharmaceutically acceptable dosage form
suppository * * * and to provide crude THC
extract to a DEA-registered manufacturer of
THC for further purification.’’ The MOA
further stated that, under the terms thereof,
the Center would ‘‘manufacture marijuana for
the purpose of extracting THC therefrom.’’
Subsequently, the Center submitted a new
application for a registration to bulk
manufacture marijuana and THC ‘‘to prepare
marihuana extract for further purification
into bulk active [THC] for use in launching
FDA-approved pharmaceutical products.’’
DEA has not yet issued a final order as to this
application. (DEA publishes in the Federal
Register all final orders on applications for
registration to bulk manufacture schedule I
and II controlled substances.)
The MOA further provided that ‘‘[i]n
accordance with articles 23 and 28 of the
Single Convention on Narcotic Drugs * * *
private trade in ‘cannabis’ is strictly
prohibited. Therefore, the Center shall not
distribute any quantity of marijuana to any
person other than an authorized DEA
employee.’’ Continuing, the MOA explained
that ‘‘[t]he Single Convention does not
prohibit private trade in ‘cannabis
preparations,’ ’’ and noted that this term,
‘‘within the meaning of the Single
Convention, is a mixture, solid or liquid
containing cannabis, cannabis resin, or
extracts or tinctures of cannabis.’’ Because
‘‘[t]he THC that the Center will extract from
marijuana [is] considered such a ‘cannabis
preparation[,]’ * * * the Center may, in
accordance with the Single Convention,
distribute the crude THC extract to private
entities’’ provided the Center otherwise
complies with the CSA and DEA regulations.
The MOA also set forth a detailed series of
controls to maintain accountability of the
marijuana from acquisition of the seeds
through the extraction of THC from the
harvested material.
Id. (emphasis added; citations omitted).
The Final Order further stated:
23 For ease of understanding, the National Center
is sometimes referred to here and in the Final Order
as ‘‘the University of Mississippi.’’
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In 2005, the University of Mississippi
applied for a new registration to manufacture
marijuana ‘‘to prepare marihuana extract for
further purification into bulk active [THC] for
use in launching FDA-approved
pharmaceutical products.’’ DEA has not yet
issued a final order as to this application and
the University therefore does not currently
have DEA authorization to undertake such
activity. As with Respondent’s application,
DEA may only grant the pending University
of Mississippi application if the agency
determines that the University has
demonstrated that the registration would be
consistent with United States treaty
obligations and the public interest. In making
such determinations, DEA will not simply
rely on the prior issuance of registration
under the 1999 MOA but will consider the
application anew, in view of the current
circumstances and consistent with this final
order. Among other things that must be
considered with respect to the pending
University of Mississippi application, I note
that the Commentary to the Single
Convention states the following with respect
to the exemption for ‘‘opium preparations’’
under Article 23, paragraph (e): ‘‘Opiumproducing countries may thus authorize
private manufacture of, and private
international and domestic wholesale trade
in, medicinal opium and opium preparations.
The opium other than medicinal opium
needed for such manufacture must however
be procured from the national opium
agency.’’ Commentary at 284 (emphasis
added). Whether the University of
Mississippi’s proposed registration would be
consistent with this aspect of the treaty has
not yet been determined by DEA and is not
the subject of this adjudication.
74 FR at 2118 n.61 (emphasis in
original; citations omitted).
When viewing the foregoing
statements from the Final Order in
juxtaposition with Respondent’s latest
assertions regarding the National Center,
two points should be considered. First,
the above statements reflect that as part
of the 1999 MOA with the National
Center, DEA insisted—as it has in
Respondent’s case—on adherence to the
principle under the Single Convention
of prohibiting private trading in
cannabis. The National Center has never
been permitted to distribute marijuana
to any persons except upon the specific
instructions of NIDA through the system
described above. Second, contrary to
Respondent’s assertion, DEA has never
taken the position that ‘‘marijuana
grown for any purpose other than to
supply NIDA-approved research would
violate the Convention.’’ Rather, as just
noted, DEA has consistently taken the
position that, in accordance with the
Single Convention, the Government
must maintain a monopoly on the
wholesale distribution of cannabis.
One other argument made by
Respondent in his latest submission
warrants a brief response. Respondent
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repeatedly makes erroneous assertions
about the legal and factual
circumstances surrounding his
application, then denounces the
situation as a ‘‘catch-22.’’ For example,
on page 17 of his latest submission,
Respondent describes the following as a
‘‘catch-22’’: ‘‘Medical marijuana does
not exist, according to DEA, unless it is
an FDA-approved medicine, but Dr.
Craker’s license to supply marijuana for
the research necessary to test such a
medicine and secure FDA approval
cannot be granted because medical
marijuana does not exist.’’ In fact, not
only DEA, but also the United States
Supreme Court, interpreting the text of
the CSA, has stated—unanimously—
that marijuana is not medicine. In
United States v. Oakland Cannabis
Buyers’ Cooperative, 532 U.S. 483, 491
(2001), the Court stated: ‘‘[F]or purposes
of the [CSA], marijuana has ’no
currently accepted medical use’ at all.’’
Moreover, Respondent, in denouncing
the notion that marijuana must gain
FDA-approval to be considered
medicine, is objecting to what has been
a cornerstone of the FDCA for 50
years—that a drug may not be marketed
as medicine in this country unless the
FDA has determined, based on
submissions of scientific evidence
established in clinical trials, that the
drug is safe and effective for the
treatment of a disease or condition. As
for Respondent’s contention that
marijuana research cannot go forward
unless he becomes registered to grow
marijuana, as explained above in section
A., this is flatly refuted by the fact that
HHS and DEA authorized 17 of the last
17 marijuana research proposals
submitted by CMCR—all of which were
aimed at establishing a scientific
foundation for the FDA approval of
marijuana. Thus, Respondent’s use of
the term ‘‘catch-22’’ is empty rhetoric.
C. Respondent’s Arguments Relating to
the Involvement of Rick Doblin in
Respondent’s Proposed Activities
Respondent also seeks
reconsideration of my determinations in
the Final Order relating the involvement
of Rick Doblin in Respondent’s
application and proposed activities.
Again, in the exercise of my discretion,
I have considered Respondent’s posthearing submissions as to this issue,
even though they do not arise out of the
taking of official notice of any fact.
To briefly recap, the Final Order
listed the various ways in which Mr.
Doblin was involved in Respondent’s
application process and how Mr. Doblin
would have a role in Respondent’s
activities if the application were
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Fmt 4703
Sfmt 4703
51411
granted. 74 FR at 2126. The Final Order
then stated:
In short, Mr. Doblin has mapped out and
assisted in most acts, if not every act, that
Respondent has taken toward applying for a
registration to manufacture marijuana and, if
the registration were granted, Mr. Doblin
would continue to maintain responsibility for
managing and monitoring the activities of the
registrant. Given this level of involvement by
Mr. Doblin—and the passive, if not
subservient, nature of Respondent’s
involvement—it is appropriate under factor
six to consider the following conduct by Mr.
Doblin relating to controlled substances.
First, Mr. Doblin admits that he smokes
marijuana for ‘‘recreational use’’ on a weekly
basis. Thus, Mr. Doblin violates federal and
state laws relating to controlled substances
on a weekly basis. This demonstrates that Mr.
Doblin has disregard for the controlled
substances laws. It is simply inconceivable
that DEA would—consistent with its
obligations under the CSA—grant a
registration to engage in certain activities
involving controlled substances where it is
clear that a person who will have any role
in the oversight and management of such
activities routinely engages in the illegal use
of controlled substances. It is still more
untenable where that person has the level of
oversight and management that Mr. Doblin
would have—and where the controlled
substance he illegally uses is the very
controlled substance the applicant seeks to
produce. Indeed, it is remarkable that Mr.
Doblin would—given his admitted illegal
involvement in controlled substances—ask
DEA to effectively grant him permission to
take on such a prominent role in the
manufacture of the most widely abused
illegal controlled substance in the United
States.
Id. (emphasis in original; citations and
footnotes omitted).
In his latest submission, Respondent
points out that in the Final Order, under
the fifth public interest factor (21 U.S.C.
823(a)(5)), I concluded that if the
registration were granted, Respondent
would have in the establishment (i.e., in
his growing facility) effective controls
against diversion. 74 FR 2125–26.
Respondent contends that this
conclusion precludes me from
concluding under the sixth public
interest factor (21 U.S.C. 823(a)(6)) that
Mr. Doblin’s involvement in
Respondent’s activity weighs against
granting his application.
It is plain when comparing the text of
factor five with that of factor six that a
favorable finding with respect to factor
five does not preclude an unfavorable
finding under factor six. As explained in
the Final Order, under public interest
factor five, ‘‘the existence in the
establishment of effective control
against diversion’’ includes, among
other considerations, appropriate
physical security and employee
screening as required by the DEA
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regulations as confirmed through a DEA
on-site inspection of the premises. 74
FR at 2128 (citing 21 CFR 1310.71–
1301.93). Factor six, in contrast, is a
catchall category that is designed to give
DEA wide latitude to consider all
evidence that might reasonably bear on
the suitability of an applicant for
registration. In other words, even if a
registrant has promised to undertake
security procedures sufficient to obtain
a favorable finding under factor five, if
other evidence (not covered by factors
one through five) casts doubt on
whether the applicant can be entrusted
with the responsibility of a DEA
manufacturing registration, such
evidence may be considered under
factor six.
Consider, for example, if a person
were seeking to become registered as a
manufacturer of oxycodone, and the
applicant promised to install and
maintain in the facility all the physical
security measures and employee
screening procedures required by the
regulations. Assume further that
evidence came to light that the main
investor in the facility, who planned to
make the decisions as to how the facility
would distribute oxycodone, admitted
that he obtains oxycodone illegally and
uses it for ‘‘recreational’’ purposes on a
weekly basis. In such circumstances, it
would certainly be appropriate for DEA
to draw an adverse inference under
factor six based on such person’s illicit
activity involving oxycodone—
regardless of whether the applicant
made assurances that it would comply
with the security regulations. Thus, I
cannot adopt Respondent’s suggestion
that Mr. Doblin’s regular marijuana use
should be ignored as a factor relevant to
his application.
Nonetheless, it bears repeating that
the ultimate decision in this matter did
not turn on consideration of Mr.
Doblin’s marijuana activity. As stated in
the Final Order, two other independent
grounds existed for denying the
application and, therefore, the same
result would have been reached had I
determined that Mr. Doblin’s marijuana
activity were irrelevant.
To be clear, if I determined that the
proposed registration were consistent
with United States obligations under the
Single Convention and further that the
supply of marijuana available to
researchers in the United States were
inadequate within the meaning of 21
U.S.C. 823(a)(1), it is conceivable that
arrangements could have been made to
mitigate the concerns regarding Mr.
Doblin’s marijuana activity. For
example, under a conditional grant of
registration or memorandum of
agreement, sufficient terms perhaps
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Jkt 223001
could have been imposed to ensure that
Mr. Doblin would not be allowed to
have access to the growing facility and
would have no role in any decision
making relating to management of the
facility or the distribution of marijuana.
However, consideration of such an
approach was not feasible here given the
other grounds for denying the
application.
IV. Conclusion
For the foregoing reasons,
Respondent’s motion for
reconsideration is hereby denied. The
administrative record is modified as
indicated herein and in my December 2,
2010, order. The January 14, 2009, Final
Order, as supplemented by this order, is
effective on September 7, 2011.
Dated: August 8, 2011.
Michele M. Leonhart,
Administrator.
[FR Doc. 2011–21064 Filed 8–17–11; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF JUSTICE
Drug Enforcement Administration
Joe C. Fermo, M.D.; Revocation of
Registration
On September 30, 2009, the Deputy
Assistant Administrator, Office of
Diversion Control, Drug Enforcement
Administration, issued an Order to
Show Cause to Joe C. Fermo, M.D.
(Registrant), of Tulsa, Oklahoma. The
Show Cause Order proposed the
revocation of Registrant’s DEA
Certificate of Registration, BF7430781,
as well as the denial of any pending
applications to renew or modify his
registration, on the ground that his
‘‘continued registration would be
inconsistent with the public interest.’’
Show Cause Order at 1 (citing 21 U.S.C.
823(f) and 824(a)(4)).
The Show Cause Order specifically
alleged that on February 23, 1990,
Registrant was convicted in the District
Court for Oklahoma County, State of
Oklahoma, of ten counts of submitting
false claims to the Oklahoma
Department of Human Services in
violation of Oklahoma law, and that on
June 20, 1990, the United States
Department of Health and Human
Services excluded him from
participating in federal health care
programs under 42 U.S.C. 1320a–7(a).
Id. at 1–2. The Order further alleged that
based on his convictions, on June 21,
1990, the Oklahoma State Board of
Medical Licensure placed his medical
license on probation and that Registrant
materially falsified three separate
PO 00000
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Fmt 4703
Sfmt 4703
applications (in 1991, 1994, and 1997)
to renew his DEA registration by failing
to disclose the state board’s action. Id.
at 2 (citing 21 U.S.C. 824(a)(1)).1
Finally, the Show Cause Order alleged
that on August 27, September 24, and
September 26, 2007, an undercover
officer had obtained prescriptions from
Registrant for alprazolam (at all three
visits) and propoxyphene (at the first
two visits), both of which are schedule
IV controlled substances. Id. The Order
further alleged that these prescriptions
lacked a legitimate medical purpose and
were issued outside of the usual course
of professional practice in violation of
Federal and State laws. Id. (citing 21
CFR 1306.04 and Okla. Admin. Code
475.30–1–3(a)).
On or about October 5, 2009, the
Show Cause Order, which also notified
Registrant of his right to either request
a hearing on the allegations or to submit
a written statement in lieu of a hearing,
the procedures for doing so, and the
consequence if he failed to do so, was
served on Registrant by certified mail
addressed to him at the address of his
registered location. Id. at 2–3 (citing 21
CFR 1301.43). Since service of the Show
Cause Order, more than thirty days have
now passed and neither Registrant, nor
anyone purporting to represent him, has
either requested a hearing or submitted
a written statement in lieu of a hearing.
See 21 CFR 1301.43(b)–(d). Accordingly,
I find that Registrant has waived his
rights to a hearing or to submit a written
statement. Id. 1301.43(d). I therefore
issue this Decision and Final Order
without a hearing based on relevant
evidence contained in the investigative
record submitted by the Government.
Findings
Registrant is the holder of DEA
Certificate of Registration, BF7430781,
which authorizes him to dispense
controlled substances in schedules II
through V as a practitioner at the
registered location of 5970 E. 31 St.,
Suite O, Tulsa, Oklahoma. While his
registration was to expire on September
30, 2010, on August 13, 2010, Registrant
filed a renewal application. In
accordance with the Administrative
Procedure Act and DEA regulations, I
find that Registrant’s registration
remains in effect pending the issuance
1 The Show Cause Order alleged that in March
2001, Registrant and DEA entered into a
Memorandum of Agreement (MOA) which settled a
Show Cause Proceeding filed in April 2000 based
on the allegations described above. Show Cause
Order at 2. The Show Cause Order also alleged that
under the MOA, Registrant surrendered his
registration and was allowed to reapply no earlier
than March 2004, and that in October 2004, DEA
issued him a new registration. Id.
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[Federal Register Volume 76, Number 160 (Thursday, August 18, 2011)]
[Notices]
[Pages 51403-51412]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-21064]
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DEPARTMENT OF JUSTICE
Drug Enforcement Administration
[Docket No. 05-16]
Lyle E. Craker, PhD; Order Regarding Officially Noticed Evidence
and Motion for Reconsideration
Lyle E. Craker, PhD (Respondent) has requested that I reconsider
the Final Order I issued on January 7, 2009 (74 FR 2101), which denied
his application to
[[Page 51404]]
become registered as a bulk manufacturer of marijuana. For the reasons
provided below, Respondent has failed to demonstrate that the Final
Order contains any erroneous material findings of fact or conclusions
of law. Accordingly, Respondent's motion for reconsideration does not
provide a basis for altering the decision in the Final Order to deny
his application.
I. Post-Final-Order Proceedings
Following the issuance of the January 7, 2009, Final Order,
Respondent submitted a letter to me dated January 21, 2009, noting
that, in several places in the Final Order, I indicated I was taking
official notice of certain documents that were not submitted during the
administrative hearing. With respect to such documents, the Final Order
states: ``To allow Respondent the opportunity to refute the facts of
which I take official notice, Respondent may file a motion for
reconsideration within fifteen days of service of this order which
shall commence with the mailing of the order.'' Thus, Respondent had
until January 23, 2009, to file a motion for reconsideration of the
facts of which I took official notice. In his January 21, 2009, letter,
Respondent requested an extension of this filing deadline until January
30, 2009. I granted this request for an extension by letter dated
January 22, 2009.
On January 30, 2009, Respondent submitted to me a document entitled
``Request for Opportunity Under 5 U.S.C. 556(e) To Respond to New
Officially Noticed Evidence and Motion for Reconsideration.'' In this
document, Respondent provided a preliminary response to those documents
of which I took official notice. However, Respondent asked for
additional time to supplement his preliminary response, given the
length of the Final Order as well as that of the documents of which I
took official notice. I granted this request, allowing Respondent until
March 11, 2009, to supplement his response and motion. I further
instructed that counsel for the Government would have to submit its
response no later than 15 days after being served with Respondent's
submission.
On March 11, 2009, Respondent submitted ``Respondent's Supplemental
Brief in Support of Request Under 5 U.S.C. 556(e) To Respond to New
Officially Noticed Evidence and Motion for Reconsideration.'' In this
document, Respondent provided the legal and factual bases for his
motion for reconsideration of the Final Order. Also in the document,
Respondent requested that the administrative hearing be reopened so
that he may call additional witnesses in view of certain documents of
which I took official notice in the final order. The Government
submitted its response on April 13, 2009. In view of these submissions,
and to clarify Respondent's request, I issued an interim order on May
18, 2009, directing Respondent to submit a list of all witnesses he
would call if his request to reopen the administrative hearing were
granted and to provide a summary of the proposed testimony for each
witness. This interim order further instructed Respondent to indicate
precisely which documents he sought to introduce for purposes of his
motion for reconsideration and, for each document, whether he wanted me
to take official notice of it, or whether he wished to introduce it
through witnesses if his request to reopen the hearing were granted.
On June 5, 2009, Respondent submitted his ``Witness List and
Document List in Support of Motion for Reconsideration.'' On December
2, 2010, I issued an order granting in part, and denying in part,
Respondent's request that I take official notice of certain documents.
The order denied Respondent's request that I reopen the hearing to
allow him to call additional witnesses. Having ruled on which new
documents would be considered part of the record (through my taking
official notice thereof), the order then gave Respondent an additional
opportunity to file a final brief in support his motion for
reconsideration. The order stated that Respondent was required to
submit such brief on or before March 7, 2011, and that the Government's
responsive brief was due no later than 30 days after receipt of
Respondent's brief. Respondent submitted his brief on March 7, 2011
(hereafter, ``Respondent's latest submission''), and the Government
submitted its responsive brief on April 1, 2011.
II. Respondent's Additional Proposed Documentary Exhibits
Respondent's request to introduce additional documents for purposes
of his motion for reconsideration was addressed at length in my
December 2, 2010, Order. For each such document Respondent sought to
introduce, the December 2, 2010, Order stated (pages 23-27) whether I
would take official notice of the document, and the reasons therefor.
Only one category of documents that Respondent sought to introduce was
left unresolved by the December 2, 2010, Order. As to this category,
the order stated (page 26):
If Respondent submits all of the correspondence between Chemic
and HHS (or any of its components) relating to this application
[Chemic's application to HHS to receive marijuana for research] that
he has in his possession or can reasonably access (including, but
not limited to, any such correspondence on the MAPS website, such as
the January 23, 2009, letter from HHS to Chemic), I will take
official notice of all such correspondence.
Thus, the only additional documents that might be considered at this
juncture for inclusion in the record (by my taking official notice
thereof) are the ``correspondence between Chemic and HHS'' described in
the above-quoted sentence. Respondent's latest brief seeks to introduce
11 new documents (which Respondent labels Exhibits A-K). However, only
four of these documents (Exhibits C, I, J, and K) appear to be
correspondence between Chemic and HHS. The remaining seven documents
(A, B, D, E, F, G, and H) do not appear to be correspondence between
Chemic and HHS, and Respondent makes no assertion in his brief that
they are such. The Government asserts in its responsive brief that
these Exhibits A, B, E, F, G, and H are not ``correspondence'' and
further that ``Respondent has not laid any foundation to demonstrate
that these exhibits were provided to HHS by Chemic.'' For this reason,
among others, the Government objects to including these documents in
the record.
Accordingly, I rule as follows with respect to these latest
proposed exhibits:
(1) I will take official notice of Exhibits C, I, J, and K; and
(2) As Exhibits A, B, D, E, F, G, and H do not comport with the
instructions contained in the December 2, 2010, Order, I will not take
official notice of these documents, and they will not be considered
part of the administrative record considered by the agency in this
adjudication.
III. Respondent's Motion for Reconsideration
Given the number of written submissions made by Respondent
following the issuance of the January 7, 2009, Final Order, along with
the Government's responses thereto and the interim orders I issued
regarding these submissions, it is important to reiterate here the
purpose for which Respondent was given an opportunity to file a motion
for reconsideration. That purpose was stated in the January 7, 2009,
Final Order: ``To allow Respondent the opportunity to refute the facts
of which I take official notice, Respondent may file a motion for
reconsideration within fifteen days of service of this order which
shall
[[Page 51405]]
commence with the mailing of the order.'' 74 FR at 2108 n.24. This was
restated in the interim orders I issued following the Final Order. As
explained in the Final Order and the December 2, 2010, Order, this
opportunity to seek reconsideration of facts of which the agency takes
official notice is derived from the Administrative Procedure Act (5
U.S.C. 556(e)) and the DEA regulations (21 CFR 1316.59(e)).
Respondent's post-Final-Order submissions have, in many respects,
gone beyond seeking reconsideration of facts of which I took official
notice. Respondent has essentially sought broad reconsideration of the
factual and legal bases for the Final Order--generally without
predicating such arguments on the taking of official notice of any
fact. Neither the Controlled Substances Act (CSA) nor the DEA
regulations provide for such a broad-based motion for reconsideration
of a Final Order.\1\ Nonetheless, in the exercise of my discretion,
taking into account the complex and sometimes novel issues involved in
this matter, I have considered all of the arguments Respondent has
submitted in his post-Final-Order submissions--including those that go
beyond the scope of what is permitted by 5 U.S.C. 556(e) and 21 CFR
1316.59(e).
---------------------------------------------------------------------------
\1\ The CSA appeal provision, 21 U.S.C. 877, states: ``All final
determinations, findings, and conclusions of the [Administrator of
DEA] under this subchapter shall be final and conclusive decisions
of the matters involved, except that any person aggrieved by a final
decision of the [Administrator] may obtain review of the decision in
the United States Court of Appeals * * *.'' This provision suggests
that--outside of the scenario provided by the DEA regulations and
APA in which a party, on timely request, seeks the opportunity to
controvert facts of which the agency took official notice--DEA is
not obligated to allow parties to seek reconsideration of final
orders regarding applications for registration. DEA also adheres to
the Supreme Court's decision in Interstate Commerce Comm'n v. Bhd.
of Locomotive Eng'rs, 482 U.S. 270 (1987), regarding the reopening
of proceedings where it is alleged that new evidence or changed
circumstances render the agency's original order inappropriate. See
also Fry v. DEA, 353 F.3d 1041, 1044 (9th Cir. 2003).
---------------------------------------------------------------------------
The arguments contained in Respondent's post-Final-Order
submissions are, for the most part, reiterations of the same arguments
that were addressed at length and rejected in the Final Order. In a few
instances, as noted below, Respondent does present some slightly
different assertions than he previously offered. However, even in these
instances, Respondent's core contentions remain those that I previously
rejected. Furthermore, Respondent fails in these latest submissions to
rebut the fundamental reasons that were provided in the Final Order for
denying his application.
A. Respondent's Arguments Relating to the Review of Research Protocols
by the Department of Health and Human Services
In his post-Final-Order submissions, Respondent continues to focus
on what was his primary theme throughout the adjudication proceedings
leading up to the Final Order: his desire to have the Public Health
Service and the National Institute on Drug Abuse (NIDA) removed from
the process by which the Department of Health and Human Services (HHS)
carries out its statutory duty to review proposed research involving
marijuana. For purposes of context, it is repeated here, as explained
in the Final Order, that under the CSA (21 U.S.C. 823(f)), the
Secretary of HHS is responsible for reviewing all proposed research
involving schedule I controlled substances. Specifically, section
823(f) provides that, with respect to applications for registration by
practitioners wishing to conduct research with schedule I controlled
substances, ``the Secretary * * * shall determine the qualifications
and competency of each practitioner requesting registration, as well as
the merits of the research protocol.'' (Emphasis added.) Thus, under
section 823(f), a research proposal involving marijuana may only go
forward where the Secretary both (1) Deems the practitioner qualified
and competent and (2) determines the research protocol to be
meritorious. Or, as stated by HHS in its 1999 announcement of its
policies for providing marijuana to researchers: ``To receive such a
registration [under Sec. 823(f)], a researcher must first be
determined by HHS to be qualified and competent, and the proposed
research must be determined by HHS to have merit.'' 74 FR at 2120 n.70
(emphasis added in Final Order).
Respondent does not dispute that the statute assigns the foregoing
functions to the Secretary of HHS. However, Respondent objects to the
manner in which these functions are carried out within HHS. In
particular, Respondent seeks to have the Public Health Service and NIDA
stripped of any role in this process.\2\
---------------------------------------------------------------------------
\2\ See, e.g., 74 FR at 2106 (noting testimony of Rick Doblin,
the Director of MAPS, that ``what we're trying to do is get the
Public Health Service and NIDA out of the picture'').
---------------------------------------------------------------------------
For purposes of addressing this issue, it is useful to repeat the
following parts of the Final Order, which discussed the scientific
review process that has been utilized by HHS since 1999 to evaluate
marijuana research proposals:
[I]n 1999, due in part to an increased interest in marijuana
research and taking into account the IOM report, HHS decided to
change the procedures by which it would supply marijuana to
researchers. The new procedures were announced in a document
released by NIH on May 21, 1999. In the announcement, ``HHS
recognize[d] the need for objective evaluations of the potential
merits of cannabinoids for medical uses[,]'' and that ``[i]f a
positive benefit is found, * * * the need to stimulate development
of alternative, safer dosage forms.'' Toward this end, NIH explained
that the new procedures were designed to increase the availability
of marijuana for research purposes by, among other things, making
such marijuana ``available on a cost-reimbursable basis.'' This new
procedure allowed researchers who were privately funded to obtain
marijuana from HHS by reimbursing the NIDA contractor for the cost
of the marijuana. This was a departure from the prior practice (pre-
1999), whereby HHS only made marijuana available to persons who
received NIH funding. The new procedures implemented by HHS in 1999
remain in effect today.
* * * * *
At the administrative hearing in this case, Steven Gust, PhD,
Special Assistant to the Director of NIDA, explained that, in
addition to seeking to facilitate research into the possible medical
utility of marijuana, the new procedures implemented by HHS in 1999
were intended ``to make the process more standardized, and to * * *
provide some expertise that did not really exist at NIDA in terms of
reviewing applications that involved * * * the use of marijuana * *
* for treatment of diseases.'' Accordingly, HHS ``established a
separate peer review process that * * * moved the review into the
Public Health Service [a component of HHS] * * * where additional
expertise from other NIH Institutes and other Federal agencies''
could be utilized in reviewing the scientific merit of the
applications. Dr. Gust further explained that the members of the
review committee are drawn from the various specialty institutes of
NIH, and the Substance Abuse and Mental Health Services
Administration (SAMHSA). Dr. Gust also testified that the
``scientific bar has been set very low, [so] that any project that
has scientific merit is approved,'' and that ``anything that gets
approved gets NIDA marijuana.'' As of April 2004, HHS had approved
at least seventeen pre-clinical or clinical studies of marijuana,
which were sponsored by the California Center for Medical Cannabis
Research (CMCR). According to one witness who testified on behalf of
Respondent, all of the CMCR-sponsored researchers who applied to
NIDA for marijuana did in fact receive marijuana from NIDA.
* * * * *
In his testimony, Dr. Gust explained the term ``peer review'' as
follows: ``Peer review is a process that has been used, certainly by
NIH, and I think in other agencies in the Department of Health and
Human Services, and probably the Federal Government, where outside
expertise is acquired and outside opinions on the scientific merit
of specific research proposals.'' Dr. Gust added that the NIH peer
review committees ``review
[[Page 51406]]
proposals three times a year for the NIH, and there are--
occasionally a Federal employee participates in one of those
reviews, but probably 90 percent or more of the participants are
researchers who are in the private sector, for the most part in
academic institutions.''
74 FR at 2015, 2119 n.67 (footnotes and citations omitted).
Again, it is Respondent's contention that the involvement of the
Public Health Service and NIDA in reviewing proposed marijuana research
protocols has the effect of blocking legitimate research into
marijuana. Indeed, the primary argument Respondent puts forth in
support of his proposed registration is that the current system by
which the United States Government makes marijuana available to
researchers fails to provide an adequate supply of marijuana within the
meaning of 21 U.S.C. 823(a)(1)--precisely because, in Respondent's
opinion, the Public Health Service and NIDA have ``institutional
biases'' against certain types of marijuana research.
This argument was carefully examined in the Final Order. See 74 FR
at 2107-08, 2119-20. Respondent's post-Final-Order submissions as to
this issue are not materially different from the claims that were
rejected in the Final Order. In fact, the new documents that Respondent
has submitted following the Final Order, and of which I have taken
official notice, provide further confirmation of certain determinations
made in the Final Order. Respondent's latest submission contains no
citations to actual evidence in the record that supports his claims of
``institutional biases'' or ``political'' motivation on the part of the
Public Health Service and NIDA.
As to this issue, the Final Order stated, among other things:
Respondent also introduced into evidence a letter from the
President of Chemic to HHS responding to several points raised by
the PHS Committee in denying Chemic's application. Respondent's
letter does not, however, establish that HHS impermissibly denied
Chemic's application for marijuana. To the contrary, the evidence
supports the conclusion that HHS (acting through the PHS Committee)
made its determination not to supply marijuana on this occasion
based on scientific considerations, finding that Chemic's then-
latest proposed study was duplicative of prior and ongoing research
and not likely to provide useful data.
74 FR at 2109 (emphasis added; footnote and citation omitted). As
noted, I granted Respondent's post-Final-Order request to introduce
additional correspondence between Chemic and HHS relating to Chemic's
proposed research protocol involving marijuana. Respondent produced six
additional pieces of correspondence between Chemic and HHS relating to
this matter that were not produced in the administrative hearing. As
indicated above and in the December 2, 2010, Order, I have taken
official notice of all six of these documents. Each of these documents
further confirms that HHS's rejection of the Chemic protocol was--as
the Final Order found--based purely on scientific merit.
It is difficult to understand why Respondent would seek to
introduce at this juncture six letters between Chemic and HHS that
reaffirm what was found in the Final Order--and how Respondent
construes these letters as ``rebuttal'' evidence. The statements by HHS
in these letters are, without question, focused entirely on the
scientific inadequacies of various iterations of Chemic's research
proposal. The letters demonstrate that the HHS scientists have actively
engaged in a dialogue with Chemic for many years, and have gone to
great lengths to explain to Chemic each of the areas in which Chemic
needs to revise its protocol so that it can be deemed scientifically
meritorious. The letters thereby reaffirm that HHS (including, but not
limited to, the Public Health Service and NIDA) has never indicated any
opposition (political, philosophical, or otherwise) to any category of
marijuana research. To the contrary, the letters--particularly the most
recent one submitted by Respondent, dated January 23, 2009--actually
show that HHS is interested in Chemic's proposal and willing to supply
Chemic with marijuana, provided that Chemic provides validation data
that is necessary to support Chemic's scientific measurements. In
short, the evidence continues to point squarely to the conclusion that
HHS is doing precisely what it is required to do under 21 U.S.C.
823(f): Allow only those schedule I research proposals that it
determines to be scientifically meritorious to go forward. As the Final
Order stated: ``That Respondent finds this process to be scientifically
rigorous--and thereby not automatically accepting of any proposed study
sponsored by MAPS--provides no basis for any valid objection or any
contention that the HHS supply of marijuana is inadequate.'' 74 FR at
2120 (footnotes omitted).\3\
---------------------------------------------------------------------------
\3\ It is unclear whether Respondent is suggesting that I should
refuse to accept at face value what HHS stated in its correspondence
with Chemic and instead conclude--without any evidentiary basis for
doing so--that the HHS scientists who are responsible for reviewing
proposed marijuana research have conspired for years to carry out an
elaborate ruse aimed at thwarting marijuana research. If this is
Respondent's mind-set, adopting it would be the antithesis of the
principle inherent to the Administrative Procedure Act (APA) that
agency action must be presumed to be valid where a reasonable basis
exists for its decision. See, e.g., Kern County Farm Bureau v.
Allen, 450 F.3d 1072, 1076 (9th Cir. 2006). It is also at odds with
the APA concept that bars a reviewing court--much less a member of
the public--from substituting its judgment for that of the agency.
Id.
---------------------------------------------------------------------------
Moreover, Respondent's ``institutional bias'' theory is belied by
the following crucial fact. As stated in the Final Order: ``The record
reflects that since HHS changed its policies in 1999 to make marijuana
more readily available to researchers (by, among other things, allowing
privately funded researchers to obtain marijuana), every one of the 17
CMCR [California Center for Medical Cannabis Research]-sponsored pre-
clinical or clinical studies that requested marijuana from NIDA was
provided with marijuana.'' 74 FR at 2119. Despite the enormity of this
fact in relation to Respondent's ``institutional bias'' claim,
Respondent makes only the following vague reference to it in his latest
submission (page 9): ``Though the DEA points to other marijuana
research that NIDA has allowed, none of these studies aimed to develop
marijuana into a legal prescription medicine.'' What Respondent
downplays as ``other marijuana research that NIDA has allowed'' is, in
fact, seventeen different clinical trials involving marijuana proposed
by CMCR--all of which were approved by the Public Health Service and
NIDA. As stated in the Final Order:
Any suggestion that the HHS scientific review process is unduly
rigorous is belied by the testimony of Dr. Gust that the
``scientific bar has been set very low, [so] that any project that
has scientific merit is approved,'' and that ``anything that gets
approved gets NIDA marijuana'' (Tr. at 1700-01) as well as the
uncontroverted evidence that every one of the 17 CMCR-sponsored
research protocols submitted to HHS was deemed scientifically
meritorious by HHS and was supplied with marijuana (GX 31, at 3; Tr.
694-95).
74 FR at 2120 n.71.
As for Respondent's contention that ``none of these studies aimed
to develop marijuana into a legal prescription medicine,'' this too is
contradicted by the record. As stated in the Final Order:
The California research studies were conducted pursuant to a law
enacted by California in 1999 known as the Marijuana Research Act of
1999. Cal. Health & Safety Code Sec. 11362.9. This state law
established the ``California Marijuana Research Program'' to develop
and conduct studies on the potential medical utility of marijuana.
Id. (The program is also referred to as the ``Center for Medicinal
Cannabis Research'' (CMCR). Tr. 396.) The state legislature
[[Page 51407]]
appropriated a total of $9 million for the marijuana research
studies. Tr. 397.
74 FR at 2105-06 n.16. It is thus beyond question that the CMCR studies
were aimed at what Respondent characterizes as ``develop[ing] marijuana
into a legal prescription medicine.'' \4\
---------------------------------------------------------------------------
\4\ The process by which FDA approves new drugs for marketing is
summarized in the Final Order. 74 FR at 2106 n.21.
---------------------------------------------------------------------------
For the same reasons, the record contradicts Respondent's related
claim that the involvement of the Public Health Service and NIDA in
determining the scientific merit of proposed marijuana research
``renders the supply [of marijuana] inadequate because entire
categories of legitimate medical research are effectively foreclosed.''
Respondent fails to explain what ``categories of legitimate medical
research'' are supposedly being foreclosed. Again, it seems (but is
unclear) that Respondent is suggesting that the Chemic research
proposal, and/or Dr. Russo's proposal (see below), were more geared
toward ``develop[ing] marijuana into a legal prescription medicine''
than were the 17 CMCR studies. In other words, Respondent appears to be
suggesting that the Public Health Service and NIDA went into their
alleged ``institutional bias'' mode when reviewing the Chemic and Russo
proposals, but turned off that mode when reviewing the 17 CMCR
proposals because the latter were less geared toward developing
marijuana into an FDA-approved medicine. If this is what Respondent is
suggesting, there is no evidentiary foundation for such a claim as
neither Chemic's proposal nor Dr. Russo's could be characterized as
closer than the CMCR studies to the goal of obtaining FDA approval of
marijuana as a drug.\5\
---------------------------------------------------------------------------
\5\ As stated in the Final Order, no clinical trials involving
marijuana--not even the 17 CMCR studies--have advanced beyond Phase
1 of the three phases required for FDA approval of a new drug. 74 FR
at 2107 n.23. The proposed Chemic study does not even appear to be a
clinical trial, let alone a study more advanced in the phases of FDA
approval than the CMCR studies.
---------------------------------------------------------------------------
To address further the portion of Respondent's latest submission
pertaining to Dr. Russo, the following part of the Final Order is
recited:
[Dr. Ethan Russo] sought funding from NIDA to study the use of
marijuana to treat migraine headaches beginning around 1996. The
precise dates of the events related to Dr. Russo are somewhat
unclear as Respondent presented these events through the testimony
of Mr. Doblin. (Dr. Russo did not testify.) Based on Mr. Doblin's
testimony, it appears that during 1996-97, NIDA twice rejected Dr.
Russo's protocol for reasons which are not clearly established by
the record. However, according to Mr. Doblin, Dr. Russo conceded
that, on both of these two occasions when NIDA rejected his
protocol, NIDA's bases for doing so did include ``some valid
critiques.'' Mr. Doblin testified that Dr. Russo subsequently
attempted for a third time to obtain marijuana from NIDA, but on
this third occasion he decided not to seek government funding but to
seek private funding to purchase the marijuana from NIDA. According
to Mr. Doblin, this third protocol submitted by Dr. Russo was
approved by both the FDA and Dr. Russo's institutional review board,
but NIDA again refused to supply marijuana. When asked when this
last denial by NIDA occurred, Mr. Doblin testified: ``I think it was
1999.''
As noted above, NIH announced on May 21, 1999, HHS's new
procedures for making marijuana available to researchers. Bearing in
mind that Respondent had the burden of proving any proposition of
fact that he asserted in the hearing, 21 CFR 1301.44(a), nothing in
Mr. Doblin's testimony, or any other evidence presented by
Respondent, established that HHS denied Dr. Russo's request for
marijuana under the new procedures implemented by the agency in
1999. Indeed, Respondent produced no evidence showing that HHS has
denied marijuana to any clinical researcher with an FDA-approved
protocol subsequent to the adoption of the 1999 guidelines.
74 FR at 2108 (citations omitted).
In his post-Final-Order submissions, Respondent submitted a letter
dated February 1, 2000, from the Public Health Service and NIDA to Dr.
Russo (Exhibit C to Respondent's March 11, 2009, Supplemental Brief).
In the December 2, 2010, Order, I granted Respondent's request to take
official notice of this document. As Respondent indicates, this letter
was issued after HHS announced in 1999 its new procedures for providing
marijuana to researchers. Even assuming, arguendo, that this letter
demonstrates that the third protocol submitted by Dr. Russo was
evaluated by HHS under the new procedures established in 1999,\6\ this
does not materially alter the conclusions in the Final Order. This is
because the Final Order stated, in essence, that even if Dr. Russo's
proposal had been evaluated by HHS under the post-1999 procedures,
``the evidence indicates that the denials involving * * * Dr. Russo
were based on HHS finding [his] protocols to be lacking in scientific
merit.'' See 74 FR at 2119 n.68.
---------------------------------------------------------------------------
\6\ While the letter itself is dated February 1, 2000,
Respondent failed to present evidence indicating when Dr. Russo
submitted his third protocol, or when HHS began its review of that
protocol. Thus, it remains uncertain whether this third protocol was
evaluated under the pre-1999 or post-1999 HHS procedures.
---------------------------------------------------------------------------
The most recent document submitted by Respondent regarding Dr.
Russo (the February 1, 2000, letter from Public Health Service to Dr.
Russo) confirms yet again that the Public Health Service and NIDA focus
on scientific merit in reviewing proposed marijuana research. The
February 1, 2000, letter advised Dr. Russo that a scientific review of
his protocol had been conducted by the Center for Scientific Review
(CSR) of the National Institutes of Health on behalf of the Public
Health Service, and that the CSR recommended certain changes to the
protocol. If, the letter continued, such changes were incorporated into
a new protocol and submitted by Dr. Russo, the Public Health Service
would reconsider his request. Among the specific changes that Dr. Russo
was advised to make were the following: Including a placebo arm; taking
steps to account for possible attrition of research subjects; and
ensuring that research subjects received equivalent doses of THC. These
are quintessentially scientific refinements that the researcher was
being asked to make--not, as Respondent alleges, a refusal to allow a
category of research to take place.
Thus, even when viewing Respondent's newly submitted evidence
regarding Dr. Russo as an example of a denial by HHS of marijuana under
the post-1999 HHS procedures, it is in the same category as the Chemic
protocols: A denial based on scientific merit under the post-1999
procedures. This would bring the total figures under the post-1999
procedures to the following: 17 studies approved and supplied with
marijuana; two studies denied until the researcher makes certain
changes in the protocol to render the proposal scientifically
meritorious. Stated alternatively, under the post-1999 procedures,
HHS's approval rate for marijuana studies is at least 89.5 percent,
with the possibility of that figure rising to 100 percent if two of the
researchers were willing to make adjustments to their protocols to make
them scientifically meritorious.
Respondent's latest submission also refers to certain documentary
and testimonial statements by NIDA officials, which Respondent contends
support his claim of ``institutional bias.'' As these statements were
part of the record that the parties addressed in their pre-Final-Order
submissions, and since the Final Order already addressed this type of
argument by Respondent, it is not necessary to reexamine this issue at
length here. Moreover, the actions by HHS in response to actual
research proposals are by far the best evidence of the agency's true
willingness to supply marijuana to researchers, and these actions
render inconsequential any attempt by Respondent to surmise
``institutional bias'' from abstract statements isolated from the
documents
[[Page 51408]]
and testimony. The same considerations apply with respect to
Respondent's argument that NIDA's mission stands as an obstacle to
allowing legitimate marijuana research to take place. This argument was
addressed in the Final Order and is overwhelmingly refuted by the
evidence of HHS's actual track record in supplying marijuana to
researchers.\7\
---------------------------------------------------------------------------
\7\ Although HHS's actual record in supplying marijuana to
researchers is the best evidence of its willingness to do so, the
following testimony of Dr. Gust at the hearing explains how HHS took
steps in 1999 to ensure the availability of marijuana to
researchers--including those interested in pursuing medical uses of
marijuana--irrespective of NIDA's mission:
It was about this time [1999] when there was some increased
interest in research, in pursuing the medical use of marijuana, and
in an effort to make the process more standardized, and to basically
provide some expertise that did not really exist at NIDA in terms of
reviewing applications that involved primarily the use of marijuana
or any other substance for that matter for treatment of diseases,
which did not really fall within NIDA's mission, the department
[HHS] established a separate peer review process that made the
review--that moved the review into the Public Health Service at the
time where additional expertise from other NIH Institutes and other
Federal agencies could be brought to bear to help--and help provide
reviews, appropriate reviews, of the scientific merit of these
applications.
Tr. 1632-33. Thus, Respondent's attempt to focus on NIDA's
particular mission, without regard to the mission of other
components of HHS involved in review of marijuana research
proposals, and without regard to the overall aims of the procedures
established by HHS in 1999 for providing marijuana to researchers,
is misplaced.
---------------------------------------------------------------------------
Respondent also asserts that two provisions of the Federal Food,
Drug, and Cosmetic Act (FDCA) and an FDA regulation mandate that the
FDA--and not NIDA--must carry out the Secretary of HHS's responsibility
under 21 U.S.C. 823(f) to determine the scientific merit of proposed
marijuana research. Specifically, Respondent cites 21 U.S.C. 393(b)
(FDA's mission statement), 21 U.S.C. 355 (new drug approval process),
and 21 CFR 312.22(a) (general principles of submission of an
investigational new drug application (IND)), in support of this
assertion.
This assertion is mistaken in a number of respects, including, but
not limited to, the following. First, the fact that the FDA's statutory
mission statement lists certain functions by no means precludes other
agencies within HHS from having overlapping functions.\8\ Second, while
FDA is indeed the agency within HHS that is chiefly responsible for
administering the new drug approval process under 21 U.S.C. 355, this
is a distinctly different function than the determination under 21
U.S.C. 823(f) of the scientific merit of proposed research involving
schedule I controlled substances. There is certainly no basis for
Respondent (or any other member of the public) to dictate to the
Secretary that the same agency within HHS that carries out the former
function must also carry out the latter.\9\ Third, although the review
by FDA of an IND may (depending on the phase of the investigation) be
similar in certain respects to the review under Sec. 823(f) of a
schedule I research proposal, the two types of reviews are distinct
administrative functions carried out within HHS. This is evident from
the first sentence of the very regulation that Respondent cites, 21 CFR
312.22(a), which states: ``FDA's primary objectives in reviewing an IND
are, in all phases of the investigation, to assure the safety and
rights of subjects, and in Phase 2 and 3, to help assure that the
quality of the scientific evaluation of drugs is adequate to permit an
evaluation of the drug's effectiveness and safety.'' Thus, in reviewing
an IND for a Phase 1 investigation, FDA's primary objective is to
assure the safety and rights of subjects--not to assess the scientific
quality of the clinical investigation. This is especially notable
since, as stated above, none of the clinical trials involving marijuana
that have been proposed to HHS has advanced beyond Phase 1.
---------------------------------------------------------------------------
\8\ Moreover, not even those functions expressly listed in FDA's
statutory mission statement are carried out solely by the FDA. As
stated in the very next subsection after the one cited by
Respondent, 21 U.S.C. 393(c), which is entitled ``Interagency
collaboration'': ``The Secretary [of HHS] shall implement programs
and policies that will foster collaboration between the [FDA], the
National Institutes of Health, and other science-based Federal
agencies, to enhance the scientific and technical expertise
available to the Secretary in the conduct of the duties of the
Secretary with respect to the development, clinical investigation,
evaluation, and postmarket monitoring of emerging medical therapies,
including complementary therapies. * * *''
\9\ Under 21 U.S.C. 823(f), Congress assigned to the Secretary
of HHS sole discretion to determine how HHS carries out its
responsibility to review the scientific merit of schedule I research
proposals.
---------------------------------------------------------------------------
The foregoing discussion also sheds light on another assertion made
by Respondent in his latest submission: That ``several research
projects have been blocked by NIDA in spite of FDA-approved
protocols.'' \10\ Preliminarily, it should be noted that Respondent
fails to specify exactly what he means here by ``several research
projects.'' The record reveals only two clinical research proposals
submitted to HHS involving marijuana that did not receive marijuana:
Dr. Abrams's proposal (in the pre-1999 era) and Dr. Russo's
proposal.\11\ In addition, it is important at this juncture to correct
an error in terminology. FDA does not ``approve'' INDs. Rather, the IND
process works as follows. An investigator seeking to use an
investigational new drug in a clinical trial must submit an IND for the
drug to the FDA. 21 CFR 312.40. The IND automatically goes into effect
30 days after the FDA receives the IND,\12\ unless the FDA notifies the
sponsor that the investigation is subject to a clinical hold. Id.
---------------------------------------------------------------------------
\10\ Respondent uses this particular wording on page 9 of his
latest submission, and he reiterates the assertion numerous times in
the document.
\11\ As Respondent seems to concede, Chemic's proposed research
involving marijuana is not a clinical trial. Accordingly, Respondent
does not appear to be suggesting that Chemic submitted an IND to the
FDA for its research proposal. Thus, it does not appear that
Respondent is including the Chemic situation in his category of
``research projects [that] have been blocked by NIDA in spite of
FDA-approved protocols.''
\12\ The FDA may also notify the investigator that the clinical
investigation may begin earlier than 30 days after the FDA receives
the IND. 21 CFR 312.40(b)(2).
---------------------------------------------------------------------------
Thus, it is incorrect for Respondent to state that the FDA
``approved'' any ``protocols'' for proposed marijuana research.\13\
More accurately stated, the most that can be inferred from the evidence
is that the FDA reviewed INDs submitted by Dr. Abrams and Dr. Russo,
and that the FDA did not place a clinical hold on either proposed
investigation.\14\ However, as just explained, the FDA regulations
indicate that, for Phase 1 investigations, FDA's review of an IND
focuses primarily on the safety and rights of subjects--not the
scientific quality of the clinical investigation. Thus, while the FDA
appears to have concluded that allowing Dr. Russo's and Dr. Abrams's
Phase 1 studies to proceed would not have presented an unacceptable
risk of harm to the human research subjects,\15\ there is no
evidentiary basis to conclude that FDA evaluated the scientific quality
of either proposal--and particularly no basis to conclude that FDA
determined that the studies were scientifically meritorious within the
meaning of 21 U.S.C. 823(f).
---------------------------------------------------------------------------
\13\ The word ``approve'' (or ``approval'') is a term of art in
the FDCA. The FDA ``approves'' new drug applications upon an
adequate showing of safety and efficacy for the uses in the proposed
labeling, which allows a drug to be legally marketed. 21 U.S.C. 355;
21 CFR 314. An effective IND is considered ``accepted,'' not
``approved,'' by FDA.
\14\ I am assuming, for the sake of discussion, that Dr. Russo
and Dr. Abrams submitted INDs and that the FDA did not issue
clinical holds, even though Respondent did not introduce such INDs
or call Dr. Russo or Dr. Abrams to testify.
\15\ See 21 CFR 312.42(b) (grounds for imposition of a clinical
hold of a Phase 1 study under an IND).
---------------------------------------------------------------------------
As stated in the Final Order, under the procedures implemented by
HHS in 1999 for reviewing proposed marijuana research, the review by
FDA on an IND is one part of that process.\16\ Yet, Respondent seems to
want FDA's
[[Page 51409]]
review of an IND for Phase 1 investigations--which focuses on the
safety and rights of subjects, rather than the scientific quality of
the clinical investigation--to serve as the entire review process,
i.e., to supplant the full-fledged evaluation of the scientific merit
required by 21 U.S.C. 823(f). Had Congress intended such a result, it
could have easily stated in 21 U.S.C. 823(f) that the only scientific
prerequisite to conducting research with a schedule I controlled
substance is that an IND be in effect with respect to such
research.\17\ But it is evident from the language of Sec. 823(f) that
Congress intended HHS to conduct a different type of evaluation of the
scientific merit of research proposals than that which will suffice for
purposes of an IND. It is unclear whether Respondent fails to
understand this distinction between the review by FDA of a Phase 1 IND
and the review of the scientific merit of a research proposal under
Sec. 823(f), or if Respondent does understand this distinction and
simply wishes that the less rigorous review (the Phase 1 IND review)
would suffice so that even those marijuana research proposals that lack
scientific merit could be carried out.\18\ For the reasons noted above,
neither of the foregoing is a legally valid position.
---------------------------------------------------------------------------
\16\ See 74 FR at 2105.
\17\ Several provisions of the CSA reference the IND provision
of the FDCA. For example, 21 U.S.C. 827(c)(2)(A) expressly excludes
``research conducted in conformity with an exemption granted under
[21 U.S.C. 355(i)]'' from the CSA's recordkeeping requirements.
\18\ Illustrative of this point is Respondent's statement in his
latest submission (page 14) that ``if a research protocol is good
enough for the FDA, it should be good enough to be carried out.''
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In sum, Respondent's motion for reconsideration provides no basis
for deviating from the conclusions in the Final Order relating to the
process by which HHS determines the scientific merit of proposed
marijuana research pursuant to 21 U.S.C. 823(f). Congress assigned to
the Secretary of HHS responsibility for deciding how to carry out that
function within HHS, and the evidence demonstrates that the procedures
established by HHS in 1999, including the Public Health Service
interdisciplinary review process, properly focus on the scientific
merit of research proposals. As the Final Order indicated, that process
makes marijuana available to all researchers who meet the criteria of
Sec. 823(f), and Respondent's post-Final-Order submissions provide no
evidence suggesting otherwise. Respondent's desire to substitute his
opinion for that of the Secretary as to what type of scientific review
should be carried out under Sec. 823(f), and who within HHS should
carry it out, is legally untenable.
Respondent's claim that the supply of marijuana is inadequate is
dependent on his supposition that the current HHS process for supplying
marijuana to researchers improperly denies marijuana to researchers.
That supposition was found in the Final Order to be without merit, and
his latest submission warrants no departure from that finding, as
explained above. Accordingly, Respondent has provided no basis to
change the conclusion in the Final Order that he failed to meet his
burden of proving that the supply of marijuana is inadequate within the
meaning of 21 U.S.C. 823(a)(1).
B. Respondent's Arguments Relating to the Single Convention on Narcotic
Drugs, 1961
Respondent seeks reconsideration of the determinations in the Final
Order relating to the Single Convention on Narcotic Drugs, 1961 (Single
Convention). Respondent's post-Final-Order arguments relating to the
Single Convention are not predicated on the taking of official notice
of any fact. Nonetheless, as indicated, I have considered these
arguments. Respondent's core contentions regarding the Single
Convention were addressed in the Final Order and, therefore, it is
unnecessary to repeat all of that discussion here. However, in view of
his latest submissions, a few points warrant reiteration and/or
clarification.
Under 21 U.S.C. 823(a), DEA must deny an application by a person
seeking to become registered as a bulk manufacturer of a schedule I
controlled substance if the agency determines that such registration
would be inconsistent with United States obligations under applicable
international drug control treaties--i.e., the Single Convention. When
it comes to marijuana (referred to under the treaty as ``cannabis''),
one of the key principles of the Single Convention is that the federal
government maintain a monopoly over the wholesale distribution of the
drug. As to this point, the Final Order recited the following statement
from the Official Commentary to the Single Convention:
Countries * * * which produce * * * cannabis * * *, [i]n so far
as they permit private farmers to cultivate the plants * * *, cannot
establish with sufficient exactitude the quantities harvested by
individual producers. If they allowed the sale of the crops to
private traders, they would not be in a position to ascertain with
reasonable exactitude the amounts which enter their controlled
trade. The effectiveness of their control r[eacute]gime would thus
be considerably weakened. In fact, experience has shown that
permitting licensed private traders to purchase the crops results in
diversion of large quantities of drugs into illicit channels. * * *
[T]he acquisition of the crops and the wholesale and international
trade in these agricultural products cannot be entrusted to private
traders, but must be undertaken by governmental authorities in the
producing countries. Article 23 * * * and article 28 * * * therefore
require a government monopoly of the wholesale and international
trade in the agricultural product in question in the country which
authorizes its production.
74 FR at 2115 (citing Commentary at 278).
As indicated in the Final Order, the United States has, since 1968,
implemented this aspect of the treaty through the following system
carried out within HHS. NIDA enters into a contract with a private
grower, with the grower being obligated under the contract to produce
the amount and quantity of marijuana specified by NIDA and to produce
marijuana cigarettes to supply researchers as directed by NIDA.\19\
Throughout the 44 years since the United States ratified the Single
Convention in 1967, the entire United States supply of marijuana for
researchers has been distributed through this system. In this manner,
the United States Government has always monopolized the wholesale trade
in marijuana, consistent with its obligations under the treaty.
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\19\ Prior to 1999, NIDA entered into two contracts: one with
the grower and one with the entity that produced the cigarettes. In
1999, NIDA decided that a single contract should be awarded for both
activities, which resulted in the contractor (a division of the
University of Mississippi) continuing to grow the marijuana, but
subcontracting to Research Triangle Institute the responsibility of
producing the cigarettes. 74 FR at 2122 n.79.
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It is true, as Respondent points out in his post-Final-Order
submissions, that the Single Convention (article 23, paragraph 3) calls
upon parties to carry out the functions of article 23 by a single
government agency. It is also true, as Respondent indicates, that the
United States fails to adhere strictly to this provision of the treaty
as both DEA and HHS carry out certain functions set forth in article
23, paragraph 2.\20\ Specifically, DEA carries out those functions of
article 23 paragraph 2 that are encompassed by the DEA registration
system, and HHS (through NIDA) carries out those functions relating to
purchasing the marijuana and maintaining a monopoly over the wholesale
distribution. That these
[[Page 51410]]
functions are divided among the two agencies--rather than being carried
out by a single agency--is a result of the existing statutes,
regulations, and Congressional appropriations.\21\ Nonetheless, when
evaluating an application for registration under 21 U.S.C. 823(a), DEA
must attempt to conform with the provisions of the Single Convention to
the fullest extent possible under the existing statutory and regulatory
framework. Accordingly, even in the absence of a single government
agency carrying out all the functions referred to in article 23,
paragraph 2, DEA must seek to adhere to the other provisions of this
article that are attainable within the existing statutory and
regulatory framework, including that which calls upon the United States
Government to monopolize the wholesale distribution of marijuana.\22\
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\20\ Respondent is incorrect, however, in asserting that the
Final Order stated that NIDA carries out all the functions under
article 23, paragraph 2. No such statement appears in the Final
Order.
\21\ Whether, in the absence of Congressional action, DEA could
promulgate regulations that would result in DEA alone carrying out
all the functions of article 23 is beyond the scope of this
adjudication.
\22\ Although Respondent argues that the Government does not
take actual physical possession of the marijuana grown by the NIDA
contractor (as contemplated by article 23, paragraph 2(d)), one
could conclude that the NIDA contract process does fulfill this
obligation. For the reasons indicated above, this does not compel
DEA to abandon the provision of article 23 requiring a government
monopoly on the wholesale distribution of marijuana. See 74 FR at
2114 (``taking possession and engaging in wholesale distribution are
two separate activities under the Convention'').
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Therefore, for the reasons detailed in the Final Order,
Respondent's stated goal of becoming registered for the purpose of
ending the Government monopoly on the wholesale distribution of
marijuana to researchers is directly at odds with the Single
Convention, which independently warrants denial of his application.
Respondent seems to continue to either ignore and/or misunderstand this
fundamental aspect of the treaty. In his latest submission, Respondent
states (pages 20-21): ``It is certainly true Dr. Craker seeks to
cultivate marijuana outside NIDA's monopoly, but it does not follow
that Dr. Craker seeks to cultivate marijuana outside the structures of
any government regulation. * * * Dr. Craker and [Mr. Doblin] are in no
way opposed to the regulation of marijuana by [DEA].'' (Emphasis in
original.) This statement suggests that Respondent believes
incongruously that as long as he agrees to comply with the DEA
regulations relating to registration and security, his proposed
registration should be deemed consistent with the Single Convention.
Based on this flawed assumption, Respondent is effectively arguing that
the provision of the Single Convention requiring a Government monopoly
over the wholesale distribution of marijuana may be jettisoned whenever
an applicant for registration promises to comply with the DEA
regulations governing registration and security.
Respondent also continues to argue that the marijuana he seeks to
grow is ``exempt'' from the Single Convention requirement of a
government monopoly over the wholesale distribution of marijuana.
According to Respondent, because he is seeking to supply marijuana to
researchers for the purpose of conducting research that he hopes will
someday lead to the FDA approval of marijuana as medicine, the
marijuana he is seeking to grow should be deemed ``medicinal cannabis''
within the meaning of the Single Convention and thus the government
monopoly set forth in article 23, paragraph 2(e) should be considered
inapplicable to his proposed activity. The Government correctly
suggests in its responsive brief (pages 8-9) that Respondent's
interpretation would vitiate the language of article 23, paragraph
2(e). As I stated in the December 2, 2010, Order, it is theoretically
possible that a marijuana-derived drug might be approved by the FDA in
the future that would constitute ``medicinal cannabis'' within the
meaning of the Single Convention. However, no drug product derived from
marijuana has been approved by the FDA and, therefore, there is
currently no such thing as ``medicinal cannabis'' in the United States.
For this reason, the exception in article 23, paragraph 2(e) for
``medicinal cannabis'' has no bearing on this adjudication.
For purposes of the Single Convention, the marijuana that
Respondent seeks to produce is clearly ``cannabis'' subject to the
government monopoly under article 23, paragraph 2(e). As to this point,
the Final Order observed:
In its 2005 Annual Report, the [International Narcotics Control
Board] reiterated: ``Articles 23 and 28 of the [Single] Convention
provide for a national cannabis agency to be established in
countries where the cannabis plant is cultivated licitly for the
production of cannabis, even if the cannabis produced is used for
research purposes only.''
74 FR at 2115 (footnote omitted).
Respondent also makes the following statement in his latest
submission (pages 15-16): ``Additionally, the conduct of the one
currently DEA-licensed manufacturer, who has been permitted by DEA to
grow large amounts of marijuana outside of the NIDA contract, disproves
the theory that marijuana grown for any purpose other than to supply
NIDA-approved research would violate the Convention.'' (Emphasis in
original.) Respondent is referring here to the cultivation of marijuana
by the National Center for Natural Products Research (National Center),
a division of the University of Mississippi.\23\ As explained in the
Final Order, in 1999, DEA and the National Center entered into a
Memorandum of Agreement (MOA) under which the National Center was
granted an additional registration to manufacture marijuana and THC
independent of its contract with NIDA. 74 FR at 2104 n.13. The Final
Order further explained:
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\23\ For ease of understanding, the National Center is sometimes
referred to here and in the Final Order as ``the University of
Mississippi.''
As set forth in the MOA, the purpose of the registration was
``to allow the Center to develop a new product formulation for
effecting delivery of THC in a pharmaceutically acceptable dosage
form suppository * * * and to provide crude THC extract to a DEA-
registered manufacturer of THC for further purification.'' The MOA
further stated that, under the terms thereof, the Center would
``manufacture marijuana for the purpose of extracting THC
therefrom.'' Subsequently, the Center submitted a new application
for a registration to bulk manufacture marijuana and THC ``to
prepare marihuana extract for further purification into bulk active
[THC] for use in launching FDA-approved pharmaceutical products.''
DEA has not yet issued a final order as to this application. (DEA
publishes in the Federal Register all final orders on applications
for registration to bulk manufacture schedule I and II controlled
substances.)
The MOA further provided that ``[i]n accordance with articles 23
and 28 of the Single Convention on Narcotic Drugs * * * private
trade in `cannabis' is strictly prohibited. Therefore, the Center
shall not distribute any quantity of marijuana to any person other
than an authorized DEA employee.'' Continuing, the MOA explained
that ``[t]he Single Convention does not prohibit private trade in
`cannabis preparations,' '' and noted that this term, ``within the
meaning of the Single Convention, is a mixture, solid or liquid
containing cannabis, cannabis resin, or extracts or tinctures of
cannabis.'' Because ``[t]he THC that the Center will extract from
marijuana [is] considered such a `cannabis preparation[,]' * * * the
Center may, in accordance with the Single Convention, distribute the
crude THC extract to private entities'' provided the Center
otherwise complies with the CSA and DEA regulations. The MOA also
set forth a detailed series of controls to maintain accountability
of the marijuana from acquisition of the seeds through the
extraction of THC from the harvested material.
Id. (emphasis added; citations omitted). The Final Order further
stated:
[[Page 51411]]
In 2005, the University of Mississippi applied for a new
registration to manufacture marijuana ``to prepare marihuana extract
for further purification into bulk active [THC] for use in launching
FDA-approved pharmaceutical products.'' DEA has not yet issued a
final order as to this application and the University therefore does
not currently have DEA authorization to undertake such activity. As
with Respondent's application, DEA may only grant the pending
University of Mississippi application if the agency determines that
the University has demonstrated that the registration would be
consistent with United States treaty obligations and the public
interest. In making such determinations, DEA will not simply rely on
the prior issuance of registration under the 1999 MOA but will
consider the application anew, in view of the current circumstances
and consistent with this final order. Among other things that must
be considered with respect to the pending University of Mississippi
application, I note that the Commentary to the Single Convention
states the following with respect to the exemption for ``opium
preparations'' under Article 23, paragraph (e): ``Opium-producing
countries may thus authorize private manufacture of, and private
international and domestic wholesale trade in, medicinal opium and
opium preparations. The opium other than medicinal opium needed for
such manufacture must however be procured from the national opium
agency.'' Commentary at 284 (emphasis added). Whether the University
of Mississippi's proposed registration would be consistent with this
aspect of the treaty has not yet been determined by DEA and is not
the subject of this adjudication.
74 FR at 2118 n.61 (emphasis in original; citations omitted).
When viewing the foregoing statements from the Final Order in
juxtaposition with Respondent's latest assertions regarding the
National Center, two points should be considered. First, the above
statements reflect that as part of the 1999 MOA with the National
Center, DEA insisted--as it has in Respondent's case--on adherence to
the principle under the Single Convention of prohibiting private
trading in cannabis. The National Center has never been permitted to
distribute marijuana to any persons except upon the specific
instructions of NIDA through the system described above. Second,
contrary to Respondent's assertion, DEA has never taken the position
that ``marijuana grown for any purpose other than to supply NIDA-
approved research would violate the Convention.'' Rather, as just
noted, DEA has consistently taken the position that, in accordance with
the Single Convention, the Government must maintain a monopoly on the
wholesale distribution of cannabis.
One other argument made by Respondent in his latest submission
warrants a brief response. Respondent repeatedly makes erroneous
assertions about the legal and factual circumstances surrounding his
application, then denounces the situation as a ``catch-22.'' For
example, on page 17 of his latest submission, Respondent describes the
following as a ``catch-22'': ``Medical marijuana does not exist,
according to DEA, unless it is an FDA-approved medicine, but Dr.
Craker's license to supply marijuana for the research necessary to test
such a medicine and secure FDA approval cannot be granted because
medical marijuana does not exist.'' In fact, not only DEA, but also the
United States Supreme Court, interpreting the text of the CSA, has
stated--unanimously--that marijuana is not medicine. In United States
v. Oakland Cannabis Buyers' Cooperative, 532 U.S. 483, 491 (2001), the
Court stated: ``[F]or purposes of the [CSA], marijuana has 'no
currently accepted medical use' at all.'' Moreover, Respondent, in
denouncing the notion that marijuana must gain FDA-approval to be
considered medicine, is objecting to what has been a cornerstone of the
FDCA for 50 years--that a drug may not be marketed as medicine in this
country unless the FDA has determined, based on submissions of
scientific evidence established in clinical trials, that the drug is
safe and effective for the treatment of a disease or condition. As for
Respondent's contention that marijuana research cannot go forward
unless he becomes registered to grow marijuana, as explained above in
section A., this is flatly refuted by the fact that HHS and DEA
authorized 17 of the last 17 marijuana research proposals submitted by
CMCR--all of which were aimed at establishing a scientific foundation
for the FDA approva