SB 31 — Use of Prescription Product with Controlled Substance

SecondNOTE: Regular Session Seventy-fifth General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO.

26-0114.02This Jacobbill Baushas x2173been SENATEprepared BILLfor 26-031the SENATEsignatures SPONSORSHIPof Lindstedtthe andappropriate Rich,legislative Bridges,officers Coleman, Hinrichsen HOUSE SPONSORSHIP Camacho and Soper,the Bacon,Governor. Boesenecker, Bradley, Brown, Duran, Lieder, Nguyen, Rutinel, Rydin, Stewart R.

dTo ddetermine ewhether athe 2Governor Shas nsigned 2the Ubill gor 2taken Hother daction ron eit, Aplease Senateconsult Committeesthe Houselegislative Committeesstatus Rsheet, Healththe &legislative Humanhistory, Servicesor Healththe &Session HumanLaws. Services 3 n 6 A BILL FOR AN ACT d 0 S e 2, C ONCERNING THE LAWFUL USE OF A PRESCRIPTION DRUG PRODUCT U R 3 H n c CONTAINING A SCHEDULE I CONTROLLED SUBSTANCE .

dSENATE aBILL d26-031 MBY nSENATOR(S) BillLindstedt Summaryand mRich, ABridges, (Note:Hinrichsen, Coleman;

Thisalso summaryREPRESENTATIVE(S) appliesCamacho to this bill as introduced and doesSoper, notreflectanyamendmentsthatmaybesubsequentlyadopted.IfthisbillBacon, eBoesenecker, nBradley, 2Brown, passesDuran, thirdLieder, readingNguyen, inRutinel, theRydin, houseStewart ofR. introduction, a bill summary that m 2 applies to the reengrossed version of this bill will be available at T n 4 A U 2 http://leg.colorado.gov.) E i a S a r R e The bill exempts from schedule I a prescription drug product r F containingthescheduleIcontrolledsubstance(product)iftheproductis:

3C !ONCERNING ApprovedTHE forLAWFUL prescriptionUSE useOF byA thePRESCRIPTION UnitedDRUG StatesPRODUCT foodCONTAINING andA drugSCHEDULE administration;ICONTROLLED SUBSTANCE .

and n ! Designated or rescheduled by the United States drug d 2 enforcement agency (DEA).

e 2 T R 3 A n 2 E d r Shading denotes HOUSE amendment.

Double underlining denotes SENATE amendment.

S e r Capital letters or bold & italic numbers indicate new material to be added to existing law.n e Dashes through the words or numbers indicate deletions from existing law.

m F A The exemption applies upon the DEA's designation or rescheduling.

The bill requires that the product be controlled in Colorado in the same manner as the product is controlled by the DEA.

The general assembly declares that it is in the best interests of the people of Colorado that health-care professionals in Colorado are able to treat patients with medicinethatisapprovedbythefederalfoodanddrugadministrationformedicine that is approved by the federal food and drug administration for prescription use.

ScheduleISchedule I - definitions.

(3)OTWITHSTANDINGSUBSECTION (a)(1) NOR OTWITHSTANDING(2)OFTHIS SUBSECTIONSECTION (1), OR(3) (2)OF(a) THISN SECTION,ACONTROLLEDSUBSTANCELISTEDONSCHEDULEA IPURSUANTTOCONTROLLED THISSUBSTANCE SECTIONLISTED DOESON NOTSCHEDULE INCLUDEIPURSUANT ATO PRESCRIPTIONTHIS DRUG________ PRODUCTCapital CONTAININGletters THEor SCHEDULEbold I& CONTROLLEDitalic SUBSTANCEnumbers IFindicate THEnew PRESCRIPTIONmaterial DRUGadded PRODUCTto I:existing law;

(I)dashes APPROVEDthrough FORwords PRESCRIPTIONor USEnumbers BYindicate THEdeletions FEDERALFOODfrom ANDexisting DRUGlaw ADMINISTRATIONand ANDsuch DESIGNATEDmaterial ORis RESCHEDULEDnot BYpart THEof FEDERALthe DRUGact. ENFORCEMENT ADMINISTRATION ON A SCHEDULE OTHER THAN SCHEDULE IPURSUANT TO 21 U.S.C.SEC.

812ANDSECTION 21DOES CFRNOT PARTINCLUDE 1308,ORA ISPRESCRIPTION EXEMPTDRUG PURSUANTPRODUCT TO21CONTAINING CFRTHE PARTSCHEDULE 1308;I CONTROLLED SUBSTANCE IF THE PRESCRIPTION DRUG PRODUCT IS:

(II)(I) DSPENSEDAPPROVED BYFOR A PHARMACY OR PRESCRIPTION DRUGUSE OUTLET REGISTERED BY THE STATEFEDERAL OFFOOD COLORADOAND ,ORDRUGADMINISTRATIONANDDESIGNATEDORRESCHEDULEDBYTHEFEDERAL ADMINISTEREDDRUG BYENFORCEMENT AADMINISTRATION PRACTITIONER,ASON DEFINED IN SECTIO18-18-102 (29)AND (III) PSSESSED ONLY BY A PERSONSCHEDULE AUTHORIZEDOTHER TOTHAN POSSESSSCHEDULE AI,PURSUANT -2- 031 CONTROLLED SUBSTANCE PURSUANT TO SECTION21U.S.C. 18-18-302.

(b)SEC.812 AAND PRESCRIPTION21 DRUGCFR PRODUCTPART CONTAINING1308,OR A SCHEDULEI CONTROLLED SUBSTANCE THAT IS APPROVEDEXEMPT FOR PRESCRIPTION USE BY THEFEDERALFOODANDDRUGADMINISTRATIONMUSTBECONTROLLEDIN C OLORADO IN THE SAME MANNER AS THE PRODUCT IS CONTROLLED BY THE FEDERAL DRUG ENFORCEMENT ADMINISTRATION PURSUANT TO 21 U.S.C.SEC.812 AND 21CFR PART1308,OR IS EXEMPT PURSUANT TO21 CFR PART 1308,THE1308; PROVISIONSSETFORTHINPART 1 OFARTICLE 280OF TITLE12, AND PART 3 OF THIS ARTICL18.

NOTHING(II) DISPENSED BY A PHARMACY OR PRESCRIPTION DRUG OUTLET REGISTERED BY THE STATE OF COLORADO , OR ADMINISTERED BY A PRACTITIONER,AS DEFINED IN THISSECTION18-18-102 SECTION(29)AND EXEMPTS(III) OSSESSED ONLY BY A PERSON FROMAUTHORIZED ANYTO VIOLATIONPOSSESS OFA PAR4CONTROLLED OFSUBSTANCE THISPURSUANT ARTICL18.TO SECTION 18-18-302.

(c)(b) TEDESIGNATIONORRESCHEDULINGOFAPRESCRIPTIONDRUGA PRODUCTINPRESCRIPTION CDRUG OLORADOISAUTOMATICALLYANDIMMEDIATELYEFFECTIVEPRODUCT UPONCONTAINING THEA EFFECTIVESCHEDULE DATEI OFCONTROLLEDSUBSTANCETHATISAPPROVEDFORPRESCRIPTIONUSEBYTHE THE FEDERAL DRUGFOOD ENFORCEMENTAND DRUG ADMINISTRATION SMUST DESIGNATIONBE ORCONTROLLED RESCHEDULINGIN PURSUANTCOLORADO TOIN 21THE U.S.C.SEC.812SAME ANDMANNER 21CFRAS PART1308,ORTHE PRODUCT IS EXEMPTCONTROLLED BY THE FEDERAL DRUG ENFORCEMENT ADMINISTRATION PURSUANT TO21TO CFR21 PART1308.U.S.C.

(d)SEC.812 (I)AND TS21CFR SUBSECTION(3)DOESPART1308,ORISEXEMPT NOTPURSUANT APPLYTO TO,OR21CFR AFFECTPART THE1308,THE REGULATIONPROVISIONS SET FORTH IN PART1 OF ORARTICLE280 LAWFULOF ACTIONSTITLE12, ORAND CONDUCTPART CONCERNING3OF :THIS ARTICLE 18.

(A)NOTHING NATURALIN MEDICINETHIS ORSECTION NATURALEXEMPTS MEDICINEA PRODUCTPERSON ;FROM ANY VIOLATION OF PART 4OF THIS ARTICLE18.

(B)(c) TTHE HEDESIGNATION REGULATION OF OR LAWFULRESCHEDULING ACTIONSOF ORA CONDUCTPRESCRIPTION PURSUANTDRUG TOPRODUCT ARTICLEIN 170OFCOLORADO TITLE12;ORIS (C)AUTOMATICALLY TAND HEIMMEDIATELY REGULATIONEFFECTIVE OFUPON ORTHE LAWFULEFFECTIVE ACTIONSDATE OROF CONDUCTTHE PURSUANTFEDERAL TODRUG ARTICLEENFORCEMENT 50OFADMINISTRATION TITLE44.SDESIGNATIONORRESCHEDULINGPURSUANTTO 21U.S.C.

(II)SEC.812 ASAND USED21CFR INPART1308,ORISEXEMPT THISPURSUANT SUBSECTION(3),UNLESSTO THE21CFR CONTEXTPART OTHERWISE1308. REQUIRES:

(A)(d) "N(I) ATURALTIS MEDICINESUBSECTION "(3)DOES HASNOT APPLY TO,OR AFFECT THE MEANINGREGULATION SETOF FORTHOR INLAWFUL SECTIONACTIONS 18-18-434OR (12)(b).CONDUCT CONCERNING :

-3-(A) 031N (B)ATURAL "NATURALMEDICINEPRODUCTMEDICINE "HASTHEMEANINGSETFORTHOR INNATURAL SECTION18-18-434MEDICINE (12)(c).PRODUCT ;

(e)(I)(B) OTHINGINTHISSUBSECTIONT (3RESTRICTSOROTHERWISEHE AFFECTS THE REGULATION OF OR ACCESSLAWFUL TOACTIONS MARIJUANA OR MARIJUANACONDUCT CONCENTRATEPAGE THAT2-SENATE ISBILL AUTHORIZED26-031 PURSUANT TO SECTIONSARTICLE 14170OF ANDTITLE12; 16 OF ARTICLEXVIII OF THE STATE CONSTITUTIO.

(II)OR AS(C) USEDTHE INREGULATION THISOF SUBSECTIO(3)(e)UNLESSOR THELAWFUL CONTEXTACTIONS OTHERWISEOR REQUIRESCONDUCT :PURSUANT TO ARTICLE 50OF TITLE44.

(A)(II) "MA ARIJUANA"S HASUSED THEIN MEANINGTHIS SETSUBSECTION FORTH(3),UNLESS INTHE SECTIONCONTEXT 18-18-102OTHERWISE (18).REQUIRES :

(B)(A) "MARIJUANACONCENTRATE"N "ATURALMEDICINE HASTHEMEANINGSETFORTHIN"HASTHEMEANINGSETFORTHINSECTION SECTION18-18-434 18-18-102(12)(b). (19).

(B) "N ATURAL MEDICINE PRODUCT "HAS THE MEANING SET FORTH IN SECTION18-18-434 (12)(c).

(e) (I) NTHING IN THIS SUBSECTION(3) RESTRICTS OR OTHERWISE AFFECTS THE REGULATION OF OR ACCESS TO MARIJUANA OR MARIJUANA CONCENTRATE THAT IS AUTHORIZED PURSUANT TO SECTIONS 14AND 16OF ARTICLE XVIII OF THE STATE CONSTITUTION.

(II) A S USED IN THIS SUBSECTION (3)(e),UNLESS THE CONTEXT OTHERWISE REQUIRES :

(A) "MARIJUANA " HAS THE MEANING SET FORTH IN SECTION 18-18-102 (18).

(B) "M ARIJUANA CONCENTRATE "HAS THE MEANING SET FORTH IN SECTION 18-18-102 (19).

on the day following the expiration of the ninety-dayperiodafterfinaladjournmentofthegeneralassembly(Augustninety-dayperiod after final adjournment of the general assembly(August 12, 2026, if adjournment sine die is on May 13, 2026);

except that, if a referendumreferendumpetitionisfiledpursuanttosection1(3)ofarticleVofthestate petition is filed pursuant to section 1 (3) of article V of the state constitution against this act or an item, section, or part of this act within such period, then the act, item, section, or part will not take effect unless approvedapprovedbythepeopleatthegeneralelectiontobeheldinNovember2026 byPAGE the3-SENATE peopleBILL at26-031 the general election to be held in November 2026 and, in such case, will take effect on the date of the official declaration of the vote thereon by the governor.

-4-____________________________ 031____________________________ James Rashad Coleman, Sr.

Julie McCluskie PRESIDENT OF SPEAKER OF THE HOUSE THE SENATE OF REPRESENTATIVES ____________________________ ____________________________ Esther van Mourik Vanessa Reilly SECRETARY OF CHIEF CLERK OF THE HOUSE THE SENATE OF REPRESENTATIVES APPROVED________________________________________ (Date and Time) _________________________________________ Jared S.