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Regulating Medicinal Cannabis in Australia
1. Office of Drug Control
- Regulating cannabis
July 2017
Thomas Stoddart
Office of Drug Control
Commonwealth Department of Health
2. Regulating cannabis - What does ODC do?
• Regulating cultivation and manufacture of medicinal cannabis
̵ Fit and proper persons requirements
̵ Security and inspections
• Controlling the import and export of narcotics
̵ Sponsored import of “bulk” medicinal cannabis products
̵ Patient by patient imports
̵ Personal importation and travelers exemption
̵ Export of manufactured medicinal cannabis products
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3. Regulating cannabis - the medicinal cannabis scheme
• Prior to 2016, cannabis was an illegal narcotic, and it remains so
outside of the medicinal cannabis scheme.
• In early 2016, Government amended the Narcotic Drugs Act 1967,
establishing the medicinal cannabis scheme:
̵ allowing cannabis to be treated as a medicine
̵ giving effect to the Single Convention on Narcotic Drugs 1961, and
̵ providing pathways for the supply of medicinal cannabis - cultivation,
manufacture and trade.
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4. Regulating cannabis - licence types
• The Narcotic Drugs Act 1967 allows the ODC to issue four types of
licences:
̵ Medicinal cannabis licence - allows for either or both the cultivation and
production of medicinal cannabis for supply to the holder of a manufacture
licence under this Act.
̵ Cannabis research licence - allows for either or both the cultivation and
production of medicinal cannabis for research purposes
̵ Manufacture licence - provides for the creation of drugs from the raw
cannabis material supplied under the above licences.
̵ Import licence - allowing the import of narcotics under certain conditions.
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5. Regulating cannabis - how to become licenced?
• Easy - just apply at <https://www.odc.gov.au/>
• There are a couple of issues though...
̵ you, and your business associates, must meet the fit and proper person
test
̵ cultivation and manufacture security arrangements must be in line with the
value of medicinal cannabis and the risk of criminal diversion, and
̵ supply pathways to patients must be clearly established.
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6. Regulating cannabis - why licence?
• The medicinal cannabis scheme is designed to ensure that Australia
can satisfy its international obligations under the United Nations
Single Convention on Narcotic Drugs 1961.
• Australia must ensure that the risk of diversion of narcotic drugs (such as
cannabis) is minimised and that the use of cannabis is strictly reserved for
medical and scientific purposes only.
• Under the Single Convention, cultivation for medicinal purposes can only
occur under licence issued by the Australia Government. Permits allow the
Government to restrict how much is cultivated (and manufactured), thus
meeting a key obligation of preventing accumulation of narcotic material.
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7. Regulating cannabis - how many licences are required?
• ODC does not limit the grant of licences, if your application is
complete and satisfies the key issues, you will get a licence.
• But…
̵ to obtain a permit to cultivate (non-research), you need a contract with a
licensed manufacturer, and
̵ to obtain a permit to manufacture the drug, you need to demonstrate
supply to patients.
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8. Regulating cannabis - how many licences are there?
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• 17 licences have been granted as at 10 July 2017. These include:
̵ 8 Medicinal cannabis licences (cultivation and production)
̵ 5 Cannabis research licences (cultivation and production)
̵ 4 Manufacture licences
• Applications for licences are still being received and processed.
• Applications for permits under licences are now also being received.
9. Regulating cannabis - inspections and compliance
• The Narcotic Drugs Act 1967 includes provision for inspections and
compliance activity for all licence holders.
• ODC conducts two types of inspections:
̵ Licence and permit assessment inspections
Inspections necessary to complete the assessment of licences or permits and ensure
security undertakings are in place - arranged with the applicant.
You are charged a fee for the pleasure.
̵ Compliance inspections
Conducted under section 14 of the Act, and without prior warning at any time. These do not
require your consent.
These ones are free.
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10. Regulating cannabis - bulk import of medicinal cannabis
• The Therapeutic Goods Regulations 1990 allow the import of
medicinal cannabis under bulk sponsored import arrangements.
̵ In early 2017 arrangements were put in place within this legislative
framework to reduce the time it takes to get medicinal cannabis to
patients - following prescription under the Special Access Scheme
Category B or Authorised Prescriber pathways.
̵ Imports are subsequently allowed under the Customs (Prohibited Imports)
Regulations 1956 and are subject to a number of strict conditions.
̵ State or Territory wholesaling and distribution licences are also required.
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11. Regulating cannabis - import of medicinal cannabis
• It is also possible to import medicinal cannabis on an individual basis.
̵ Medical practitioners can arrange for patient by patient importation to fill
prescriptions issued using the Special Access Category A pathway.
Importing for this purpose requires a licence under the Customs (Prohibited
Import) Regulations 1956.
• Patients can alternatively utilise the traveler's exemption.
̵ This exemption allows travelers or their careers to carry their medicines
with them on a ship or aeroplane entering into Australia with a valid
prescription and in limited amounts.
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12. Regulating cannabis - exporting medicinal cannabis
• ODC is now seeking industry comment on options to allow the export
of medicinal cannabis products while simultaneously ensuring
sufficient product is available for domestic use.
̵ With 17 licences granted, and more under assessment, export allows for a
broader market.
̵ It is important not to constrain the growth of an emerging domestic industry
through restricting market opportunities.
̵ But – there must be domestically cultivated and manufactured medicinal
cannabis products available to Australian patients.
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13. Regulating cannabis - exporting medicinal cannabis (2)
• Maintaining adequate domestic supply is an important consideration
in any scheme which allows export.
̵ The ODC request for comment includes seeking industry suggestions on
how to maintain that supply.
• The exports of finished medicinal products will require a regulatory
change to expand the mechanisms whereby medicinal cannabis can
be supplied.
• Increasing the available supply pathway options under 11k(2)(b) of the
Narcotic Drugs Act 1967 for those interested.
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14. Regulating cannabis - nowhere near the end
• The first 9 months of the medicinal cannabis scheme have been
interesting and rewarding in working with industry entrants and
applicants in establishing cultivation and manufacture models.
• There will be some minor regulatory changes coming forward in
coming months to reflect what we have learnt from the initial stages of
the medicinal cannabis scheme.
• Given the time required to see changes to medical prescribing
practice based on the outcomes of clinical trials and development of
evidence, we have a way to go yet!
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15. Regulating cannabis - the end
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Questions?
General contact: MCS@health.gov.au
Comments on export: DCS@health.gov.au