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epilepsy

Senate approves one medical marijuana bill

A pleasant surprise.

Rep. Stephanie Klick

Marijuana advocates were handed an unlikely victory Wednesday after the Texas Senate advanced a bill greatly expanding the list of debilitating medical conditions that can legally be treated by cannabis oil in the state.

Although the upper chamber’s leadership once opposed bills that would relax the state’s pot policies, the Senate unanimously voted in favor of a bill by state Rep. Stephanie Klick, R-Fort Worth, that expands the state’s Compassionate Use Program, which currently allows the sale of cannabis oil only to people with intractable epilepsy who meet certain requirements.

The bill now heads back to the Texas House, where lawmakers can either approve the Senate changes or opt to iron out their differences in a conference committee before lawmakers adjourn in five days. Klick did not immediately respond to a request for comment on whether she’d accept the Senate changes to her bill.

The version of the bill approved by the Senate would expand the list of conditions that qualify for the medicine to include all forms of epilepsy; seizure disorders; multiple sclerosis; spasticity; amyotrophic lateral sclerosis, or ALS; terminal cancer; autism and incurable neurodegenerative diseases. The bill also axes a requirement in current statute that says those wanting access to the medicine need the approval of two licensed neurologists, rather than one.

“This bill is about compassion,” said state Sen. Donna Campbell, R-New Braunfels, the Senate sponsor of the bill. “For patients participating in the [Compassionate Use Program], they have had a remarkable and life-altering change because of this. That’s compassion.”

Under Campbell’s version of the bill, the Texas Department on Public Safety would still have oversight of the Compassionate Use Program. Her revised bill also keeps intact the 0.5% cap on the amount of the psychoactive element in marijuana, known as THC, that medical cannabis products are legally allowed to contain. Campbell’s version also axes a provision in Klick’s bill that calls for a research program to assess how effective cannabis is as a medical treatment option for various conditions.

See here for the background. For whatever the reason, Dan Patrick decided to cooperate and play nice, and so here we are. It’s not much, and it brings us no closer to the criminal justice reform part of this, but it’s a step forward, and the more of those the better. The House still needs to approve the Senate changes, and Greg Abbott still needs to sign it, but I feel good about this one going the distance.

Medical marijuana is now available in Texas

To a very limited number of people, and only under a very strict set of circumstances.

Modern medicine has helped Laura Campbell’s 27-year-old daughter, Sierra, fight off many of her persistent seizures. At her peak, Sierra suffered from more than three seizures a day. Now, she’s down to one or two per month.

But the gains come with their own frustrations.

“She takes five pills twice a day, plus more if she needs an emergency supplement in case of a seizure. It damages her brain every time she has [a seizure]. Her IQ has gone down and her neurological functions are suffering,” Campbell said, trailing off between tears. “With every seizure she has, it just gets worse for her.”

Now Campbell, an Austin resident, is hoping she can wean her daughter off the “harsh” meds and turn to cannabis oil instead. That treatment was legalized in 2015, and a dispensary in Schulenburg made its first delivery of the oil to a young Texas child last week.

But as dispensaries are opening, Texans like Campbell’s daughter might still have a hard time getting access to the oil from marijuana plants. Currently, fewer than 20 doctors across the state are registered with the Texas Department of Public Safety to prescribe it.

They are able to do so under the Texas Compassionate Use Act, which legalized the sale of a specific kind of cannabis oil for a small group of Texans: epilepsy patients, like Sierra, whose symptoms have not responded to federally approved medication.

But to qualify for the medicine, Texans must have tried two FDA-approved drugs and found them to be ineffective. The patients also must be permanent residents of Texas and get approval from two of the 18 doctors listed on the Compassionate Use Registry of Texas.

Under the law, a physician can only sign up for the state registry if, among several other requirements, the doctor has dedicated a significant portion of his or her clinical practice to the evaluation and treatment of epilepsy and is certified by the American Board of Psychiatry and Neurology in either epilepsy or neurology.

The bill in question was passed in 2015, so it’s taken awhile just to get to this point. There are only three dispensaries in the state, and there’s not likely to be many more doctors on the registry, at least not while Jeff Sessions is on a reefer madness kick. The effect of this law should be big for those who are able to take advantage of it, but the number of such people will be very small. I hope that effect is enough to allow for a broader bill in the next Legislature, but the surer route to that destination is to vote for candidates who are willing to support that outcome. The Chron has more.