BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | SB 139| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- THIRD READING Bill No: SB 139 Author: Galgiani (D), et al. Amended: 8/18/15 Vote: 27 - Urgency SENATE PUBLIC SAFETY COMMITTEE: 7-0, 7/14/15 AYES: Hancock, Anderson, Glazer, Leno, Liu, Monning, Stone SENATE APPROPRIATIONS COMMITTEE: Senate Rule 28.8 SUBJECT: Controlled substances SOURCE: California Narcotics Officers Association DIGEST: This bill makes it an infraction to use or possess specified synthetic cannabinoid or stimulant drugs beginning on the effective date of this bill, not as of January 1, 2016, as provided in existing law. This bill greatly expands the definition of a stimulant compound synthetic cannabinoid and greatly expands the definition of a synthetic cannabinoid to include numerous chemical families or classes and a myriad of individual chemicals. ANALYSIS: Existing law: 1)Provides that any person who possesses for sale, sells or furnishes any synthetic cannabinoid compound shall be punished by imprisonment in the county jail for up to six months, a fine of up to $1,000, or both. (Health & Saf. Code § 11357, subd. (a.) 2)Provides that any person who sells, dispenses, distributes, or SB 139 Page 2 gives the stimulant substances naphthylpyrovalerone or cathinone, or specified variations of these drugs, or who offers to do such acts, is guilty of a misdemeanor, punishable by a jail term of up to six months, a fine of up to $1,000, or both. (Health & Saf. Code § 11375.5.) 3)Holds that within the context of Health and Safety Code Section 11550, "use" of a controlled substance means current use, or use immediately prior to arrest. (Bosco v. Justice Court (1978) 77 Cal.App.3d 179, 191; People v. Velasquez (1976) 54 Cal.App.3d 695.) 4)Provides that beginning on January 1, 2016, a person who "uses or possesses" a specified synthetic cannabinoid or specified synthetic stimulant is guilty of an infraction. (Health and Saf. Code § 11357.5, subd. (b).) This bill: 1)Provides, as an urgency measure, that the infraction for possession of a specified synthetic cannabinoid or synthetic stimulant shall become effective upon the date the measure is approved by the governor. 2)Updates the list of drugs or chemicals deemed to be synthetic cannabinoids by adding a myriad chemical groups and individual chemicals and similarly updates the list of specified, prohibited synthetic stimulants. Background Synthetic cannabinoids come in two basic forms. CB1 cannabinoids bind to CB1 cannabinoid receptors in the brain and have psychoactive properties. CB2 cannabinoid receptors bind to cells throughout the body that are largely involved in regulating the immune system. (THC binds to CB1 and CB2 receptors) (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567606/.) The concerns raised about synthetic cannabinoids appear to involve chemicals that bind to CB1 receptors. SB 139 Page 3 The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is a European Union agency that "exists to provide the EU ? with a factual overview of European drug problems and a solid evidence base to support the drugs debate." The EMCDDA website includes the following about synthetic cannabinoids: Synthetic cannabinoids ?. bind to the same cannabinoid receptors in the brain [as THC] ? More correctly designated as cannabinoid receptor agonists, they were developed over the past 40 years as therapeutic agents. ? However, it proved difficult to separate the desired properties from unwanted psychoactive effects. Although often referred to simply as synthetic cannabinoids [or synthetic marijuana], many of the substances are not structurally related to the so-called "classical" cannabinoids like THC? ?[L]ittle is known about the detailed pharmacology and toxicology of the synthetic cannabinoids and few formal human studies have been published. It is possible that, apart from high potency, some cannabinoids could have? long half-lives?leading to a prolonged psychoactive effect. ? [T]here could [also] be considerable ? batch variability? in terms of substances present and ?quantity. The EMCDD reports that most synthetic cannabinoids are manufactured in China and shipped though legitimate distribution networks. (http://www.emcdda.europa.eu/topics/pods/synthetic-cannabinoids.) The White House Office of National Drug Control Policy states that most synthetic cannabinoids originate overseas, but that they are also being made on a small scale in the United States. (https://www.whitehouse.gov/ondcp/ondcp-fact-sheets/synthetic-dru gs-k2-spice-bath-salts) The EMCDD reported on adverse consequences of synthetic cannabinoid use: The adverse health effects associated with synthetic SB 139 Page 4 cannabinoids are linked to both the intrinsic nature of the substances and to the way the products are produced. ?As noted above, some of these compounds are very potent; therefore the potential for toxic effects is high. Harm may result from uneven distribution of the substances within the herbal material, result[ing] in products containing doses that are higher than intended. The reported adverse effects of synthetic cannabinoid products include agitation, seizures, hypertension, emesis (vomiting) and hypokalemia (low potassium levels). ?There is some evidence?that synthetic cannabinoids can be associated with psychiatric symptoms, including psychosis. There are also investigations underway in the US regarding links between the use of synthetic cannabinoids? and acute kidney injury and recently, a case report associated the use of the cannabinoid JWH-018 with?strokes... There are 14 currently known "families" or classes of synthetic cannabinoids. The bill appears to include them all. The EMCDD noted that 105 individual chemicals in these classes were being monitored in Europe in 2014. This bill includes hundreds of individual chemicals in the list of prohibited synthetic cannabinoids. Many of the chemicals are identified through a letter and number combination, such as JWH-018, AM-087 and HU-210. The letters are generally the initials of the researcher who first synthesized the chemical or the institution where the research was done. The background provided by the author and sponsor includes model statutes for prohibiting synthetic cannabinoids and synthetic stimulants. The model statute was drafted by the National Alliance for Model State Drug Laws. (http://www.namsdl.org/about.cfm.) The list of chemicals in the bill reflects the model statute. The purpose of describing synthetic cannabinoids by class or family is to include any new chemical in each class as a prohibited substance. That is, if a new drug is developed in any of the 14 classes, the chemical is prohibited, regardless of whether the individual chemical is included in the statute. It is not known whether many new SB 139 Page 5 synthetic cannabinoid classes can or will be developed. Synthesis of a new class or family of cannabinoids would not be included in the list of prohibited chemicals. From 2010 through 2011, reported emergency room (ER) visits linked to synthetic cannabinoids increased from 11,406 to 28,531. The vast majority of patients were young males, ages 12 through 20. (http://www.samhsa.gov/data/sites/default/files/SR-1378/SR-1378.p df) This is a relatively small number of ER visits, as total drug-related ER visits numbered 2,460,000 in 2011. Of the 2,300,000 ER visits in 2010, approximately 460,000 concerned marijuana and approximately 11,000 concerned synthetic cannabinoids. However, the reported number of synthetic cannabinoid ER visits likely understates actual visits, as testing availability is limited and some medical personnel might not be familiar with the drugs. The ER studies reported that very few patients engaged in follow-up treatment. It is not clear whether ER doctors did not make referrals for additional care, or if patients chose not to seek it. Very recently, ER visits for synthetic cannabinoids have spiked. As use of these drugs appears to be dropping, the surge in ER visits is likely the result of a dangerous change in chemical composition of the drugs. One who obtains a synthetic cannabinoid can only guess as to its composition and effects. The New York Times explained in an April 24, 2015 article: "[Synthetic cannabinoids ?typically imported from China by American distributors, come in hundreds of varieties; new formulations appear monthly, with molecules subtly tweaked to try to skirt the DEA's list of illegal drugs as well as drug-detecting urine tests. ? [E]each new variety can present distinct health risks caused by its underlying chemistry or contaminants in renegade manufacturing facilities." A United Nations report in 2011 considered the addictive potential of synthetic cannabinoids. The report found a number of synthetic cannabinoids could produce dependence because uses may quickly develop tolerance to the drug. However, the chemical composition of synthetic cannabinoids changes rapidly, often with a different affinity for cannabinoid receptors and a different effect on the user. It is not clear if there is a SB 139 Page 6 general dependence or addictive quality among synthetic cannabinoids, such that use of one chemical or substance would contribute to dependence on another, or other, synthetic cannabinoids. The University of Michigan Monitoring the Future survey first asked 8th and 10th graders about their use of synthetic [cannabinoids] in 2011. The survey found that in 2012 annual prevalence rates were 4.4% and 8.8%, respectively. Use in all grades fell in 2013, and the decline was sharp among 12th graders The declines continued into 2014 and were significant for both 10th and 12th graders; use for all grades declined 40% in 2014 from peak use in 2011 Awareness of the dangers of synthetic cannabinoid was up sharply among 12 graders. (http://monitoringthefuture.org/pubs/monographs/mtf-overview2014. pdf.) The use of synthetic stimulants among 8, 10th and 12 graders was first reported in the survey in 2012, with approximately 1% of students having tried the drug. Use of synthetic stimulants has also declined significantly - down approximately 20% from 2012 to 2014. The decline in the use of synthetic cannabinoids and synthetic stimulants was preceded by a precipitous drop in the use of the psychedelic salvia divinorum - another drug that gained popularity and some infamy around 2008. Since peak use (of 3.6%) by students in 2011 and 2012, use of salvia declined 61%. Sale or distribution of salvia was made a misdemeanor in 2008, but no penalties exist for possession or use. The decline in use appears to result from negative experiences by users, such as a frightening sensation of falling through space, not criminal penalties. It appears that the synthetic stimulant chemicals included in this bill are closely related to cathinone, the psychoactive chemical in the khat plant, which is commonly used in the Middle East. Khat and Cathinone are Schedule II stimulants. (Health and Saf. Code § 11055, subd. (d)(7)-(8).) Without this bill, it appears that possession of one of the specified synthetic chemicals would be a crime through the analog statute. The analog statute provides that any drug that has a chemical structure or properties that are similar to a scheduled drug can be the subject of prosecution as though the drug were included SB 139 Page 7 in the schedules. FISCAL EFFECT: Appropriation: No Fiscal Com.:YesLocal: Yes SUPPORT: (Verified 8/25/15) California Narcotics Officers Association (source) Association for Los Angeles Deputy Sheriffs California Association of Code Enforcement Officers California College and University Police Chiefs Association California District Attorneys Association California Police Chiefs Association California State Sheriffs' Association Los Angeles Police Protective League Riverside Sheriffs Association OPPOSITION: (Verified 8/25/15) American Civil Liberties Union Legal Services for Prisoners with Children Prepared by:Jerome McGuire / PUB. S. / 8/26/15 16:42:55 **** END ****