HouseH.R. 10923119th Congress

Public Health and Research Reforms in Controlled Substances Act of 2026

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[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10923 Introduced in House (IH)]

<DOC>

119th CONGRESS
  2d Session
                               H. R. 10923

 To amend the Controlled Substances Act to better align such Act with 
modern medical knowledge, establish a new system for the scheduling of 
    controlled substances, redelegate certain authorities, promote 
              scientific research, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                            October 29, 2026

  Mr. Cohen introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committees on 
  the Judiciary, Oversight and Government Reform, Natural Resources, 
Agriculture, and Transportation and Infrastructure, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL

 
 To amend the Controlled Substances Act to better align such Act with 
modern medical knowledge, establish a new system for the scheduling of 
    controlled substances, redelegate certain authorities, promote 
              scientific research, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Public Health and Research Reforms 
in Controlled Substances Act of 2026''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
            TITLE I--AMENDMENTS TO CONTROLLED SUBSTANCES ACT

Sec. 101. Findings and declarations.
Sec. 102. Definitions.
Sec. 103. Authority and criteria for classification of substances.
Sec. 104. Schedules of controlled substances.
Sec. 105. Treatment of controlled substance analogues.
Sec. 106. Rules and regulations.
Sec. 107. Persons required to register.
Sec. 108. Registration requirements.
Sec. 109. Denial, revocation, or suspension of registration.
Sec. 110. Quotas applicable to certain substances.
Sec. 111. Records and reports of registrants.
Sec. 112. Order forms.
Sec. 113. Prescriptions.
Sec. 114. Prohibited acts A--penalties.
Sec. 115. Prohibited acts B--penalties.
Sec. 116. Prohibited acts C--penalties.
Sec. 117. Distribution to persons under age twenty-one.
Sec. 118. Distribution in or near schools.
Sec. 119. Denial of Federal benefits to drug traffickers and 
                            possessors.
Sec. 120. Drug paraphernalia.
Sec. 121. Administrative hearings.
Sec. 122. Judicial review.
  TITLE II--AMENDMENTS TO CONTROLLED SUBSTANCES IMPORT AND EXPORT ACT

Sec. 201. Exportation of controlled substances.
Sec. 202. Exemption authority.
Sec. 203. Registration requirements.
Sec. 204. Prohibited acts A--penalties.
    TITLE III--AMENDMENTS TO OFFICE OF NATIONAL DRUG CONTROL POLICY 
                      REAUTHORIZATION ACT OF 1998

Sec. 301. Definitions.
Sec. 302. Appointment and duties of Director and Deputy Director.
Sec. 303. Development, submission, implementation, and assessment of 
                            National Drug Control Strategy.
Sec. 304. Federal evolving or emerging drug threat classification and 
                            response system; media campaign.
                    TITLE IV--MARIJUANA DESCHEDULING

Sec. 401. Conforming amendments to other laws.
Sec. 402. Effect on other law.
Sec. 403. Public meetings.
Sec. 404. Special rule for Federal employee testing.
        TITLE V--REVISION OF UNITED STATES SENTENCING GUIDELINES

Sec. 501. Revision of United States Sentencing Guidelines regarding 
                            sentencing for drug offenses.
Sec. 502. Resentencing.
                        TITLE VI--EFFECTIVE DATE

Sec. 601. Effective date.

            TITLE I--AMENDMENTS TO CONTROLLED SUBSTANCES ACT

SEC. 101. FINDINGS AND DECLARATIONS.

    Section 101 of the Controlled Substances Act (21 U.S.C. 801) is 
amended--
            (1) in paragraph (1), by inserting ``public'' before 
        ``health''; and
            (2) in paragraph (2), by striking ``and possession and 
        improper use of controlled substances have a substantial and 
        detrimental effect on the health and general welfare of the 
        American people'' and inserting ``and improper use of 
        controlled substances may represent a threat to public 
        health''.

SEC. 102. DEFINITIONS.

    Section 102 of the Controlled Substances Act (21 U.S.C. 802) is 
amended--
            (1) by striking paragraph (1);
            (2) by redesignating paragraphs (2) through (60) as 
        paragraphs (1) through (59), respectively;
            (3) in paragraph (5), as so redesignated, by striking ``IV, 
        or V'' and inserting ``or IV'';
            (4) in paragraph (13), as so redesignated, by striking ``, 
        except as used in schedule I(c) and schedule II(a)(4). As used 
        in schedule I(c), the term `isomer' means any optical, 
        positional, or geometric isomer. As used in schedule II(a)(4), 
        the term `isomer' means any optical or geometric isomer'';
            (5) in paragraph (22)(A), as so redesignated, by striking 
        ``Attorney General'' and inserting ``Secretary'';
            (6) in paragraph (31), as so redesignated--
                    (A) in subparagraph (A), by striking clauses (i) 
                through (iii) and inserting the following:
            ``(i)(I) the chemical structure of which is substantially 
        similar to the chemical structure of a controlled substance in 
        schedule I or II; and
            ``(II) which has a stimulant, depressant, or hallucinogenic 
        effect on the central nervous system that is substantially 
        similar to or greater than the stimulant, depressant, or 
        hallucinogenic effect on the central nervous system of a 
        controlled substance in schedule I or II; or
            ``(ii) with respect to a particular person, which such 
        person represents or intends to have a stimulant, depressant, 
        or hallucinogenic effect on the central nervous system that is 
        substantially similar to or greater than the stimulant, 
        depressant, or hallucinogenic effect on the central nervous 
        system of a controlled substance in schedule I or II.''; and
                    (B) in subparagraph (B), by striking ``paragraph 
                (34) or (35)'' and inserting ``paragraph (33) or 
                (34)'';
            (7) in paragraph (33), as so redesignated, by striking 
        ``Attorney General'' each place it appears and inserting 
        ``Secretary'';
            (8) in paragraph (34), as so redesignated, by striking 
        ``Attorney General'' each place it appears and inserting 
        ``Secretary'';
            (9) in paragraph (38)(A), as so redesignated--
                    (A) in the matter preceding clause (i)--
                            (i) by striking ``Attorney General 
                        establishes'' and inserting ``Secretary, in 
                        consultation with the Attorney General, 
                        establishes''; and
                            (ii) by striking ``Attorney General, in 
                        consultation with'' and inserting ``Secretary, 
                        in consultation with the Attorney General 
                        and''; and
                    (B) in clause (iii), by striking ``Attorney 
                General'' and inserting ``Secretary, in consultation 
                with the Attorney General,'';
            (10) in paragraph (40)(A), as so redesignated, in the 
        matter following clause (lxxv), by striking ``Attorney 
        General'' and inserting ``Secretary'';
            (11) in paragraph (43), as so redesignated, by striking 
        ``marihuana,'';
            (12) in paragraph (44)(B), as so redesignated--
                    (A) by striking ``Attorney General'' and inserting 
                ``Secretary''; and
                    (B) by striking ``202(c)'' and inserting ``202'';
            (13) in paragraph (51)(B)(viii), as so redesignated, by 
        striking ``, IV, or V'' each place it appears and inserting 
        ``or IV'';
            (14) in paragraph (54), as so redesignated, by striking ``, 
        IV, or V'' each place it appears and inserting ``or IV'';
            (15) in paragraph (55), as so redesignated, by striking ``, 
        IV, or V'' each place it appears and inserting ``or IV''; and
            (16) by striking paragraph (59), as so redesignated, and 
        inserting the following:
    ``(59)(A) Except as provided in subparagraph (B), the term 
`fentanyl-related substance' means any substance that is structurally 
related to fentanyl by 1 or more of the following modifications:
            ``(i) By replacement of the phenyl portion of the phenethyl 
        group by any monocycle, whether or not further substituted in 
        or on the monocycle.
            ``(ii) By substitution in or on the phenethyl group with 
        alkyl, alkenyl, alkoxyl, hydroxyl, halo, haloalkyl, amino, or 
        nitro groups.
            ``(iii) By substitution in or on the piperidine ring with 
        alkyl, alkenyl, alkoxyl, ester, ether, hydroxyl, halo, 
        haloalkyl, amino, or nitro groups.
            ``(iv) By replacement of the aniline ring with any aromatic 
        monocycle whether or not further substituted in or on the 
        aromatic monocycle.
            ``(v) By replacement of the N-propionyl group with another 
        acyl group.
    ``(B) A substance that satisfies the definition of the term 
`fentanyl-related substance' in subparagraph (A) shall nonetheless not 
be treated as a fentanyl-related substance if the substance is 
controlled by action of the Secretary under section 201.
    ``(C) The Secretary may by order publish in the Federal Register a 
list of substances that satisfy the definition of the term `fentanyl-
related substance' in subparagraph (A).
    ``(60) The term `drug-specific mortality' means the risk of death 
associated with single use consumption of a drug or other substance.
    ``(61) The term `drug-related mortality' means the extent to which 
life is shortened by the use of a drug or other substance.
    ``(62) The term `drug-specific damage' means the extent to which 
use of a drug or other substance damages a person's physical health.
    ``(63) The term `drug-related damage' means the extent to which use 
of a drug or substance contributes to damage to a person's physical 
health, including consequences of use.
    ``(64) The term `withdrawal' means a group of behavioral and 
physical signs and symptoms that occur upon discontinuation of drug or 
other substance consumption that may have resulted from physical 
dependence or precipitation by a reversal agent for the drug or other 
substance's pharmacological target.
    ``(65) The term `economic cost' means--
            ``(A) a direct cost (such as a cost related to health care, 
        police interaction, social services, or crime); and
            ``(B) an indirect cost (such as loss of productivity or 
        absenteeism).
    ``(66)(A) The term `therapeutic value' means the extent to which a 
drug or other substance provides a measurable improvement in patient 
health.
    ``(B) The Secretary, through notice and comment rulemaking, shall 
provide (and periodically update to incorporate new scientific 
evidence) additional specificity to the definition in subparagraph (A) 
and provide corresponding evaluation criteria. In so doing, the 
Secretary shall consider--
            ``(i) severity of the conditions and existence of 
        efficacious alternative interventions, which may be influenced 
        by the tolerability and accessibility of the drug or other 
        substance;
            ``(ii) improvements in health or health-related metrics, 
        which may include--
                    ``(I) survival;
                    ``(II) relief of pain;
                    ``(III) reduction in anxiety, as measured by the 
                Generalized Anxiety Disorder 7-Item (or any successor 
                test) or such other tests;
                    ``(IV) reduction in depression symptoms, as 
                assessed by the Patient Health Questionnaire-9 (or any 
                successor test) or such other tests;
                    ``(V) reduction in post-traumatic stress disorder 
                symptoms, as assessed by the Clinician-Administered 
                PTSD Scale for DSM-5 (or any successor test) or such 
                other tests;
                    ``(VI) reduction in substance use disorder 
                symptoms, as defined by the Diagnostic and Statistical 
                Manual of Mental Disorders; and
                    ``(VII) patient-reported quality of life;
            ``(iii) safety profile, tolerability, and patient adherence 
        related to the administration of the drug or other substance as 
        prescribed; and
            ``(iv) such other facts as the Secretary determines 
        appropriate.
    ``(C) The existence of an effective alternative drug or other 
substance for a medical need shall not substantially reduce the 
therapeutic value of a drug or other substance.
    ``(67) The term `benefit to society' means, with respect to a drug 
or other substance, any medical, scientific, or other uses of the drug 
or other substance that may improve public health or quality of life, 
as influenced by the therapeutic value of the drug or other substance, 
or improve social cohesion.
    ``(68) The term `multicriteria decision analysis' means a 
mathematically driven model that scores options across multiple 
criteria, assigns numerical weights to those criteria, and aggregates 
the weighted scores through a defined calculation to yield a 
comparative ranking for decision making in an outcome with multiple 
objectives.
    ``(69)(A) The term `threat to public health' means, with respect to 
a drug or other substance, the relative likelihood that development of 
a substance use disorder, misuse, or nonmedical use of the drug or 
other substance would cause or contribute to harm to others, either 
individually or collectively, and the chronicity and severity of such 
harm.
    ``(B) The Secretary, through notice and comment rulemaking, shall 
provide (and periodically update to incorporate new scientific 
evidence) additional specificity to the definition in subparagraph (A) 
and provide corresponding evaluation criteria. In so doing, the 
Secretary shall consider health problems associated with substance use 
disorder, misuse, or nonmedical use of the drug or other substance, 
including--
            ``(i) the rates of fatal and nonfatal overdoses and 
        poisonings;
            ``(ii) potentially fatal withdrawal syndromes;
            ``(iii) the relative frequency of emergency medical service 
        encounters (in comparison to other substances);
            ``(iv) emergency department visits including 
        hospitalization;
            ``(v) development of diagnosable substance-related clinical 
        illness;
            ``(vi) the relative frequency of drug treatment admissions;
            ``(vii) comparisons of national and subnational trends; and
            ``(viii) other relevant public health or public safety 
        factors.
    ``(70) The term `substance use disorder' means the pattern of 
behavior from the recurrent use of drugs or other substances that cause 
the criteria defined in the Diagnostic and Statistical Manual of Mental 
Disorders, 5th edition, text revision (or any successor manual).
    ``(71) The term `misuse' means the use of prescription drugs in a 
manner or dose other than as prescribed.
    ``(72) The term `nonmedical use'--
            ``(A) means the use of a drug or other substance in a 
        manner not directed by a health care provider; and
            ``(B) includes misuse.''.

SEC. 103. AUTHORITY AND CRITERIA FOR CLASSIFICATION OF SUBSTANCES.

    Section 201 of the Controlled Substances Act (21 U.S.C. 811) is 
amended--
            (1) in subsection (a)--
                    (A) by striking ``Attorney General'' each place it 
                appears and inserting ``Secretary'';
                    (B) in paragraph (1)--
                            (i) in subparagraph (A), by striking ``a 
                        potential for abuse'' and inserting ``the 
                        potential for development of a substance use 
                        disorder (not including isolated or occasional 
                        nontherapeutic purposes)''; and
                            (ii) in subparagraph (B), by striking 
                        ``schedule'' and inserting ``schedules''; and
                    (C) in the matter following paragraph (2), by 
                striking ``request of the Secretary, or (3)'' and 
                inserting ``request of the Attorney General, (3) at the 
                request of the Director of the Office of National Drug 
                Control Policy, or (4)'';
            (2) by striking subsection (b) and inserting the following:
    ``(b)(1) The Secretary shall, before initiating proceedings under 
subsection (a) to control a drug or other substance or to remove a drug 
or other substance entirely from the schedules--
            ``(A) request from the Attorney General a law enforcement 
        evaluation with respect to such drug or other substance of the 
        factor described in subsection (c)(10);
            ``(B) make publicly available a scientific and medical 
        evaluation of the drug or other substance, using the factors 
        described in subsection (c), which shall include the 
        recommendations of the Secretary with respect to the 
        appropriate schedule, if any, under which such drug or other 
        substance should be listed; and
            ``(C) after completion of such evaluation, request from the 
        Committee established under paragraph (3) a multicriteria 
        decision analysis, which shall--
                    ``(i) include the recommendations of the Committee 
                with respect to the appropriate schedule, if any, under 
                which such drug or other substance should be listed;
                    ``(ii) descriptions of--
                            ``(I) the evidence and data sources used;
                            ``(II) the numerical weights and the 
                        reasons for choosing them;
                            ``(III) the score assigned to each 
                        criterion before the scores are aggregated; and
                            ``(IV) uncertainty ranges and sensitivity 
                        analyses showing whether reasonable changes in 
                        weights alter the result; and
                    ``(iii) be made publicly available.
    ``(2) If the Committee recommends that a drug or other substance 
not be controlled or not be removed, the Secretary shall not so control 
or remove the drug or other substance. Subject to the previous 
sentence, if the Secretary determines that these facts and all other 
relevant data constitute substantial evidence such as to warrant 
control or substantial evidence that the drug or other substance should 
be removed entirely from the schedules, the Secretary shall initiate 
proceedings for control or removal, as the case may be, under 
subsection (a).
    ``(3)(A) The Secretary shall establish a Committee for the purpose 
of conducting the evaluation and providing the recommendations 
described in paragraph (1).
    ``(B) The Committee shall be composed of at least 15 and not more 
than 25 members, who shall be appointed by the Secretary in 
consultation with the Director of the Office of National Drug Control 
Policy. Such members shall include the following:
            ``(i) At least 6 members with substantial expertise in 
        behavioral, molecular, or clinical pharmacology, selected from 
        the membership of--
                    ``(I) the American Society for Pharmacology and 
                Experimental Therapeutics;
                    ``(II) the College on Problems of Drug Dependence;
                    ``(III) the American College of 
                Neuropsychopharmacology;
                    ``(IV) the American Society of Addiction Medicine;
                    ``(V) the Society of Biological Psychiatry; and
                    ``(VI) the American College of Medical Toxicology.
            ``(ii) At least 5 members who--
                    ``(I) are licensed, registered, or otherwise 
                permitted, by the United States or the jurisdiction in 
                which they practice, to prescribe controlled substances 
                in the course of professional practice;
                    ``(II) have significant expertise in addiction 
                medicine or medical toxicology; and
                    ``(III) hold--
                            ``(aa) a subspecialty board certification 
                        in addiction medicine from the American Board 
                        of Preventive Medicine;
                            ``(bb) a board certification in addiction 
                        medicine from the American Board of Addiction 
                        Medicine;
                            ``(cc) a subspecialty board certification 
                        in addiction psychiatry from the American Board 
                        of Psychiatry and Neurology;
                            ``(dd) a subspecialty board certification 
                        in addiction medicine from the American 
                        Osteopathic Association; or
                            ``(ee) a subspecialty board certification 
                        in medical toxicology from the American College 
                        of Medical Toxicology.
            ``(iii) At least 2 members who work for a nonprofit 
        organization that advocates for persons with substance use 
        disorders.
            ``(iv) At least 2 members who have a significant 
        publication record on epidemiological trends in emerging or 
        existing drugs.
            ``(v) At least 2 members who--
                    ``(I) have significant experience in providing 
                intensive case management to persons with substance use 
                disorders; and
                    ``(II) hold State certifications in substance use 
                counseling.
    ``(C)(i) The Secretary shall ensure that the Committee meets 
regularly and at appropriate intervals so that any matter to be 
reviewed can be presented to the Committee not more than 60 days after 
the matter is ready for such review.
    ``(ii) Meetings of the Committee may be held using electronic 
communication.
    ``(iii) The Secretary shall, as appropriate, provide education and 
training to each new Committee member before such member participates 
in the Committee's activities, including education regarding--
            ``(I) requirements under this title and related regulations 
        of the Secretary; and
            ``(II) the administrative processes and procedures related 
        to Committee meetings.
    ``(iv) Committee members (other than officers or employees of the 
United States), while attending meetings or conferences of the 
Committee or otherwise engaged in its business, shall be entitled to 
receive compensation for each day so engaged, including travel time, at 
rates to be fixed by the Secretary, but not to exceed the daily 
equivalent of the rate in effect for positions classified above grade 
GS-15 of the General Schedule.
    ``(v) While serving away from their homes or regular places of 
business, Committee members may be allowed travel expenses (including 
per diem in lieu of subsistence) as authorized by section 5703 of title 
5, for persons in the Government service employed intermittently.'';
            (3) by striking subsection (c) and inserting the following:
    ``(c) In making any finding under subsection (a) of this section or 
under subsection (b) of section 202, the Secretary shall consider the 
following factors with respect to each drug or other substance proposed 
to be controlled or removed from the schedules:
            ``(1) The state of current scientific knowledge regarding 
        the drug or other substance, including routes of administration 
        and pharmacological effects, if known.
            ``(2) Its actual or relative pattern or potential for 
        nonmedical use, misuse, and developments of substance use 
        disorders.
            ``(3) Its history and current trends of nonmedical use, 
        misuse, and developments of substance use disorders, including 
        subnational geographical trends.
            ``(4) The nature of, and actual (or, if unknown, the 
        potential) magnitude of, threats to public health related to 
        misuse, nonmedical use, and developments of substance use 
        disorders, including drug-specific mortality, drug-related 
        mortality, drug-specific damage, and drug-related damage.
            ``(5) Its therapeutic applications, including self-reported 
        therapeutic use, and extent of therapeutic use and epidemiology 
        of therapeutic use.
            ``(6) Prevalence of medical conditions or disease that the 
        drug or substance is used in, or has the potential for use for, 
        treatment for a currently met or unmet therapeutic utility.
            ``(7) Whether the drug or other substance is an immediate 
        precursor of a substance already controlled under this title.
            ``(8) Its marketing authorizations as a medicinal product.
            ``(9) Its industrial, agricultural, and veterinary use.
            ``(10) Its illicit manufacture and traffic and related 
        information.
            ``(11) What threat to public health, if any, from 
        scheduling the drug or other substance, including replacement 
        by alternative drugs or substances.
            ``(12) The extent to which the drug or other substance is 
        used to reduce the severity of an individual's substance use 
        disorder with respect to the use of another scheduled drug or 
        substance, along with harms to the individual and society 
        associated with use of that other scheduled drug or substance.
            ``(13) Other medical and scientific matters relevant for a 
        recommendation on scheduling of the drug or other substance.
            ``(14) Other such factors which relate to harms to one's 
        self or society, benefits to self or society, including 
        economic costs.'';
            (4) in subsection (d)--
                    (A) in paragraph (1), by striking ``Attorney 
                General'' and inserting ``Secretary'';
                    (B) in paragraph (2), by striking ``Secretary of 
                Health, Education, and Welfare'' each place it appears 
                and inserting ``Secretary of Health and Human 
                Services'';
                    (C) in paragraph (3)--
                            (i) by striking ``Secretary of Health, 
                        Education, and Welfare'' each place it appears 
                        and inserting ``Secretary of Health and Human 
                        Services'';
                            (ii) in the matter preceding subparagraph 
                        (A), by striking ``, after consultation with 
                        the Attorney General,'';
                            (iii) in subparagraph (A), by striking 
                        ``recommend to the Attorney General that he 
                        initiate proceedings for scheduling the drug or 
                        substance, pursuant to subsections (a) and (b) 
                        of this section,'' and inserting ``prepare an 
                        analysis'';
                            (iv) in subparagraph (B), by striking 
                        ``recommend to the Attorney General that he''; 
                        and
                            (v) in subparagraph (C)(i), by striking 
                        ``if he deems that additional controls are 
                        necessary to protect the public health and 
                        safety, recommend to the Attorney General that 
                        he'';
                    (D) in paragraph (4)--
                            (i) by striking ``Attorney General'' each 
                        place it appears and inserting ``Secretary of 
                        Health and Human Services'';
                            (ii) in subparagraph (A)--
                                    (I) by striking ``, after 
                                consultation with the Secretary of 
                                Health, Education, and Welfare,'';
                                    (II) by striking ``, after 
                                consultation with the Secretary and'' 
                                and inserting a comma;
                                    (III) by striking ``or V, whichever 
                                is most appropriate'' and inserting ``, 
                                as appropriate''; and
                                    (IV) by striking ``, after 
                                consultation with the Secretary,''; and
                            (iii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i)--
                                            (aa) by striking ``, after 
                                        consultation with the Secretary 
                                        of Health, Education, and 
                                        Welfare and'';
                                            (bb) by striking ``or V, 
                                        whichever is most appropriate'' 
                                        and inserting ``, as 
                                        appropriate''; and
                                            (cc) by striking ``, after 
                                        consultation with the 
                                        Secretary,'';
                                    (II) in clause (ii), by striking 
                                ``or V''; and
                                    (III) in the matter following 
                                clause (ii), by striking ``or V''; and
                    (E) in paragraph (5), by striking ``Secretary of 
                Health, Education, and Welfare or the Attorney 
                General'' and inserting ``Secretary of Health and Human 
                Services'';
            (5) in subsection (e), by striking ``Attorney General'' 
        each place it appears and inserting ``Secretary'';
            (6) by striking subsection (f);
            (7) by striking subsection (j);
            (8) by redesignating subsections (g) through (i) as 
        subsections (f) through (h), respectively;
            (9) in subsection (f), as so redesignated--
                    (A) by striking ``Attorney General'' each place it 
                appears and inserting ``Secretary'';
                    (B) in paragraph (1), by striking ``titles II and 
                III of the Comprehensive Drug Abuse Prevention and 
                Control Act (21 U.S.C. 802 et seq.)'' and inserting 
                ``this title and title III of this Act''; and
                    (C) in paragraph (3)--
                            (i) by striking ``abuse'' each place it 
                        appears and inserting ``the development of a 
                        substance use disorder''; and
                            (ii) in subparagraph (C), by striking 
                        ``Upon the recommendation of the Secretary of 
                        Health and Human Services, a'' and inserting 
                        ``A'';
            (10) in subsection (g), as so redesignated--
                    (A) by striking paragraph (1) and inserting the 
                following:
    ``(1) Upon recommendation by the Director of the Office of National 
Drug Control Policy, the Secretary may, by order, place a drug or other 
substance in schedules E and I, II, III, or IV on a temporary basis as 
necessary to avoid an imminent significant threat to public health. 
Such drug or other substance may be so placed in schedules E and I, II, 
III, or IV without regard to the requirements of subsection (b) 
relating to the Secretary of Health and Human Services if the substance 
is not listed in any other schedule in section 202 or if no exemption 
or approval is in effect for the substance under section 505 of the 
Federal Food, Drug, and Cosmetic Act. Such an order may not be issued 
before the expiration of 30 days from--
            ``(A) the date of the publication by the Secretary of a 
        notice in the Federal Register of the intention to issue such 
        order and the grounds upon which such order is to be issued, 
        and
            ``(B) the date the Director of the Office of National Drug 
        Control Policy has transmitted the notice required by paragraph 
        (4).'';
                    (B) in paragraph (2)--
                            (i) by striking ``Attorney General'' and 
                        inserting ``Secretary''; and
                            (ii) by adding at the end the following: 
                        ``The Director of the Office of National Drug 
                        Control Policy may terminate such order if the 
                        Director finds that the scheduling is no longer 
                        necessary to protect the public health.'';
                    (C) in paragraph (3)--
                            (i) by striking ``Attorney General'' and 
                        inserting ``Secretary''; and
                            (ii) by striking ``paragraphs (4), (5), and 
                        (6) of subsection (c), including actual abuse, 
                        diversion from legitimate channels, and 
                        clandestine importation, manufacture, or 
                        distribution'' and inserting ``paragraphs (3), 
                        (4), (6), (11), and (12) of subsection (c)''; 
                        and
                    (D) in paragraph (4)--
                            (i) by striking ``Attorney General shall 
                        transmit notice of an order proposed to be 
                        issued under paragraph (1)'' and inserting 
                        ``Director of the Office of National Drug 
                        Control Policy shall transmit notice of a 
                        recommendation of the Director for an order 
                        under paragraph (1)'';
                            (ii) by striking ``Attorney General shall 
                        take'' and inserting ``Secretary shall take''; 
                        and
                            (iii) by striking ``Secretary in response'' 
                        and inserting ``Director of the Office of 
                        National Drug Control Policy in response''; and
            (11) in subsection (h), as so redesignated--
                    (A) in paragraph (1)--
                            (i) by striking ``Attorney General'' each 
                        place it appears and inserting ``Secretary''; 
                        and
                            (ii) in subparagraph (B), by striking 
                        ``abuse'' and inserting ``the development of a 
                        substance use disorder, nonmedical use,'';
                    (B) in paragraph (2), by striking ``Attorney 
                General'' each place it appears and inserting 
                ``Secretary'';
                    (C) by striking paragraph (3);
                    (D) by redesignating paragraphs (4) through (6) as 
                paragraphs (3) through (5), respectively; and
                    (E) in paragraph (5), as so redesignated, by 
                striking ``Attorney General'' and inserting 
                ``Secretary''.

SEC. 104. SCHEDULES OF CONTROLLED SUBSTANCES.

    Section 202 of the Controlled Substances Act (21 U.S.C. 812) is 
amended--
            (1) in subsection (a)--
                    (A) by striking the first sentence and inserting 
                the following: ``There are established four schedules 
                of controlled substances, to be known as schedules I, 
                II, III, and IV, and five additional schedules, to be 
                known as schedules A, B, C, D, and E.''; and
                    (B) by striking ``the two-year period beginning one 
                year after the date of enactment of this title'' and 
                inserting ``the two-year period beginning on May 24, 
                2028,'';
            (2) by striking subsection (b) and inserting the following:
    ``(b) Except where control is required by United States obligations 
under an international treaty, convention, or protocol, in effect on 
the date of enactment of the Public Health and Research Reforms in 
Controlled Substances Act of 2026, and except in the case of an 
immediate precursor, a drug or other substance may not be placed in any 
schedule unless the findings required for such schedule are made with 
respect to such drug or other substance. The placement of an immediate 
precursor, a drug, or other substance in any of the schedules shall be 
made to reasonably balance public health and safety with therapeutic 
value. Each drug or other substance placed in a schedule described in 
paragraph (1) shall also be placed in a schedule described in paragraph 
(2). The findings required for each of the schedules are as follows:
            ``(1) Schedules for potential risks to users and society.--
                    ``(A) Schedule i.--The drug or other substance 
                presents a high risk of misuse or development of a 
                substance use disorder and the consequences of the use 
                of the drug or other substance pose a particularly high 
                threat to public health.
                    ``(B) Schedule ii.--The drug or other substance 
                presents a lower risk of misuse or development of a 
                substance use disorder than those in schedule I and the 
                consequences of the use of the drug or other substance 
                pose a threat to public health less than the 
                particularly high threat to public health referred to 
                in subparagraph (A).
                    ``(C) Schedule iii.--The drug or other substance 
                presents a lower risk of misuse or development of a 
                substance use disorder than those in schedule II and 
                the consequences of the use of the drug or other 
                substance pose a threat to public health less than the 
                threat to public health referred to in subparagraph 
                (B).
                    ``(D) Schedule iv.--The drug or substance presents 
                a risk of misuse or development of a substance use 
                disorder lower than those in schedule III and the 
                consequences of the use of the drug or other substance 
                pose a threat to public health less than the threat to 
                public health referred to in subparagraph (B).
            ``(2) Schedules for therapeutic value.--
                    ``(A) Schedule a.--The drug or other substance has 
                high therapeutic value.
                    ``(B) Schedule b.--The drug or other substance has 
                moderate therapeutic value.
                    ``(C) Schedule c.--The drug or other substance has 
                low therapeutic value.
                    ``(D) Schedule d.--The drug or other substance is 
                of limited therapeutic value.
                    ``(E) Schedule e.--The drug or other substance is 
                of unknown or has no therapeutic value.''; and
            (3) by striking subsection (c) and inserting the following:
    ``(c)(1) Except as otherwise provided in this subsection, the 
Secretary shall reevaluate each drug or other substance placed in a 
schedule pursuant to this title, as in effect on the day before the 
date of enactment of the Public Health and Research Reforms in 
Controlled Substances Act of 2026, to determine whether such drug or 
other substance shall--
            ``(A) be placed in the schedules described in subsection 
        (b) pursuant to this title; or
            ``(B) be removed from the schedules under this title.
    ``(2) Before a drug or other substance is placed in, or removed 
from, a schedule under paragraph (1), the Secretary shall publish the 
proposed placement or removal in the Federal Register and accept public 
comments and provide opportunity for a hearing on the proposed 
placement or removal for a period of not less than 60 days.
    ``(3) Not later than 2 years after the date of enactment of the 
Public Health and Research Reforms in Controlled Substances Act of 
2026, the Secretary shall conduct the reevaluation described in 
paragraph (1) for each of the following:
            ``(A) Fentanyl.
            ``(B) Cocaine.
            ``(C) Amphetamine.
            ``(D) Methylphenidate.
            ``(E) Methadone.
            ``(F) Methamphetamine.
            ``(G) Phencyclidine.
            ``(H) Ketamine.
            ``(I) 3,4-methylenedioxymethylamphetamine.
            ``(J) Buprenorphine.
            ``(K) Diazepam.
            ``(L) Flurazepam.
            ``(M) Anabolic steroids.
            ``(N) Lysergic acid diethylamide.
            ``(O) Psilocybin.
            ``(P) Psilocin.
            ``(Q) N,N-dimethyltryptamine.
            ``(R) 2,5-dimethoxy-4-methylamphetamine.
            ``(S) 4-Bromo-2,5-dimethoxyphenethylamine.
            ``(T) Zolpidem.
            ``(U) Phenobarbital.
            ``(V) Mescaline.
            ``(W) Ibogaine.
            ``(X) Diacetylmorphine.
            ``(Y) Morphine.
            ``(Z) Codeine.
            ``(AA) Oxycodone.
            ``(BB) Oxymorphone.
            ``(CC) Hydromorphone.
            ``(DD) Hydrocodone.
            ``(EE) Alprazolam.
            ``(FF) Clonazepam.
    ``(4)(A) Not later than 8 years after the date of enactment of the 
Public Health and Research Reforms in Controlled Substances Act of 
2026, the Secretary shall conduct the reevaluation described in 
paragraph (1) for each drug or other substance not listed in paragraphs 
(3) or (6).
    ``(B) With respect to each drug or other substance described in 
paragraph (1) but not listed in paragraph (3) or (6), the Secretary 
shall designate the drug or other substance as--
            ``(i) a high-priority substance; or
            ``(ii) a low-priority substance.
    ``(C) In conducting the reevaluations required by paragraph (1), 
the Secretary shall prioritize the reevaluations of high-priority 
substances designated under subparagraph (B).
    ``(D) For the purpose of designating drugs and other substances 
under subparagraph (B), not later than 1 year after the date of 
enactment of the Public Health and Research Reforms in Controlled 
Substances Act of 2026, the Secretary shall establish, by rule, a 
process for such designation. Such process shall include--
            ``(i) the criteria that the Secretary will consider in 
        making such designations;
            ``(ii) cost-benefit analysis, where appropriate; and
            ``(iii) a consideration of the relative potential for the 
        development of a substance use disorder from the use of each 
        drug or other substance, its therapeutic value, and its 
        potential utility for treatment based on animal models or an 
        application for an investigational new drug under section 
        505(i) of the Federal Food, Drug, and Cosmetic Act.
    ``(5) In the case that the Secretary fails to fulfill the 
requirements of paragraph (3) or (4)(A) with respect to a drug or other 
substance, the drug or other substance shall be placed in schedule I, 
II, III, or IV and schedule A, B, C, D, or E as follows:

 
 
----------------------------------------------------------------------------------------------------------------
``                 Schedule I                  Schedule II           Schedule III          Schedule IV
----------------------------------------------------------------------------------------------------------------
 
Schedule A         Fentanyl                    Amphetamine, its      Ketamine              Lysergic acid
                                                salts, optical                              diethylamide
                                                isomers, and salts
                                                of its optical
                                                isomers
 
                   ..........................  Methylphenidate       3,4-methylenedioxy    Psilocybin
                                                                      methylamphetamine
 
                   ..........................  Methadone             ....................  Psilocin
 
                   ..........................  Hydrocodone           ....................  Buprenorphine
 
                   ..........................  Hydromorphone         ....................  Codeine
 
                   ..........................  Oxymorphone           ....................  .....................
 
                   ..........................  Oxycodone             ....................  .....................
 
                   ..........................  Methamphetamine       ....................  .....................
----------------------------------------------------------------------------------------------------------------
 
Schedule B         Cocaine                     Alprazolam            Diazepam              Zolpidem
 
                   Diacetylmorphine            ....................  Ibogaine              Any substance in
                                                                                            schedule V of
                                                                                            section 202(c), as
                                                                                            in effect on the day
                                                                                            before the date of
                                                                                            enactment of the
                                                                                            Public Health and
                                                                                            Research Reforms in
                                                                                            Controlled
                                                                                            Substances Act of
                                                                                            2026
 
                   Morphine                    ....................  Flurazepam            Any substance in
                                                                                            subsection (d) of
                                                                                            schedule III of
                                                                                            section 202(c), as
                                                                                            in effect on the day
                                                                                            before the date of
                                                                                            enactment of the
                                                                                            Public Health and
                                                                                            Research Reforms in
                                                                                            Controlled
                                                                                            Substances Act of
                                                                                            2026
 
                   ..........................  ....................  Phenobarbital         .....................
 
                   ..........................  ....................  Clonazepam            .....................
----------------------------------------------------------------------------------------------------------------
 
Schedule C         ..........................  ....................  Anabolic steroids     .....................
----------------------------------------------------------------------------------------------------------------
 
Schedule D         ..........................  Phencyclidine         ....................  .....................
----------------------------------------------------------------------------------------------------------------
 
Schedule E         2 benzylbenzimidazole       Any novel analog of   Any novel analog of   Any substance in
                    opioid and its salts        a schedule II         a schedule III        subsection (d) of
                                                substance not         substance not         schedule I of
                                                placed in another     placed in another     section 202(c), as
                                                schedule, as in       schedule, as in       in effect on the day
                                                effect on the day     effect on the day     before the date of
                                                before the date of    before the date of    enactment of the
                                                enactment of the      enactment of the      Public Health and
                                                Public Health and     Public Health and     Research Reforms in
                                                Research Reforms in   Research Reforms in   Controlled
                                                Controlled            Controlled            Substances Act of
                                                Substances Act of     Substances Act of     2026
                                                2026                  2026
 
                   Any substance in            ....................  ....................  N, N-
                    paragraphs (1) or (2) of                                                Dimethyltryptamine
                    subsection (e) of
                    schedule I of section
                    202(c), as in effect on
                    the day before the date
                    of enactment of the
                    Public Health and
                    Research Reforms in
                    Controlled Substances Act
                    of 2026
 
                   ..........................  ....................  ....................  4-Bromo
 
                   ..........................  ....................  ....................  2,5-
                                                                                            dimethoxyphenethylam
                                                                                            ine
 
                   ..........................  ....................  ....................  Mescaline
 
                   ..........................  ....................  ....................  Peyote
----------------------------------------------------------------------------------------------------------------

    ``(6) The Secretary shall remove marihuana and 
tetrahydrocannabinols from the schedules under this title. The previous 
sentence is retroactive and shall apply to any offense committed, case 
pending, conviction entered, and, in the case of a juvenile, any 
offense committed, case pending, or adjudication of juvenile 
delinquency entered before, on, or after the date of enactment of the 
Public Health and Research Reforms in Controlled Substances Act of 
2026. For the purposes of this title, marihuana and 
tetrahydrocannabinols shall each be deemed to be a drug or other 
substance that does not meet the requirements for inclusion in any 
schedule.
    ``(7) The Secretary may request the submission from an interested 
entity of relevant information concerning a drug or other substance as 
necessary to fulfill the requirements of this subsection. Such entity 
shall have 60 days to comply with any such request.
    ``(8) In scheduling or rescheduling a controlled substance analogue 
under this section, the Secretary shall--
            ``(A) place such substance in the same or lesser numerical 
        schedule as the parent substance; and
            ``(B) place such substance in schedule E if the therapeutic 
        value of such analog is not established.''.

SEC. 105. TREATMENT OF CONTROLLED SUBSTANCE ANALOGUES.

    Section 203(a) of the Controlled Substances Act (21 U.S.C. 813(a)) 
is amended by striking ``in schedule I'' and inserting the following: 
``in--
            ``(1) whichever of schedules I, II, III, and IV is placed 
        the drug or other substance from which the controlled substance 
        analogue is derived, as determined by the Secretary; and
            ``(2) schedule E.''.

SEC. 106. RULES AND REGULATIONS.

    Section 301 of the Controlled Substances Act (21 U.S.C. 821) is 
amended to read as follows:

                        ``rules and regulations

    ``Sec. 301. 
    ``(a) Except with respect to the registration of scientific 
investigators under section 302, the Attorney General is authorized to 
promulgate rules and regulations and to charge reasonable fees relating 
to the registration and control of the manufacture, distribution, and 
dispensing of controlled substances and to listed chemicals.
    ``(b) The Secretary is authorized to promulgate rules and 
regulations and to charge reasonable fees relating to the registration 
of scientific investigators under section 302.''.

SEC. 107. PERSONS REQUIRED TO REGISTER.

    Section 302 of the Controlled Substances Act (21 U.S.C. 822) is 
amended--
            (1) in subsection (e)(4)--
                    (A) in subparagraph (A)(ii), by striking ``Attorney 
                General'' and inserting ``Secretary'';
                    (B) in subparagraph (B), by striking ``Attorney 
                General'' and inserting ``Secretary''; and
                    (C) in subparagraph (C), by striking ``Attorney 
                General may, in consultation with the Secretary'' and 
                inserting ``Secretary may, in consultation with the 
                Attorney General'';
            (2) in subsection (f)(2)(A), by striking ``the same 
        schedule as the first controlled substance, or is in a schedule 
        with a higher numerical designation'' and inserting ``another 
        schedule with another numerical or alphabetical designation'';
            (3) by striking subsection (h);
            (4) by redesignating subsection (i) as subsection (h);
            (5) in subsection (h), as so redesignated--
                    (A) in paragraph (1)(B)--
                            (i) in clause (i), by striking ``Attorney 
                        General'' and inserting ``Secretary''; and
                            (ii) in clause (iii), by striking 
                        ``Attorney General'' and inserting 
                        ``Secretary'';
                    (B) in paragraph (2)(A)(i), by striking ``Attorney 
                General'' and inserting ``Secretary''; and
                    (C) by striking paragraph (3); and
            (6) by adding at the end the following:
    ``(i) Nothing in this section shall be construed to prevent an 
institution of higher education from applying for a registration for 
the purposes of conducting scientific research.''.

SEC. 108. REGISTRATION REQUIREMENTS.

    Section 303 of the Controlled Substances Act (21 U.S.C. 823) is 
amended--
            (1) by striking subsection (c);
            (2) by redesignating subsections (d) through (o) as 
        subsections (c) through (n), respectively;
            (3) in subsection (d), as so redesignated--
                    (A) in the matter preceding paragraph (1), by 
                striking ``, IV, or V'' and inserting ``or IV''; and
                    (B) in paragraph (1), by striking ``, IV, or V'' 
                and inserting ``or IV'';
            (4) in subsection (e), as so redesignated, by striking ``, 
        IV, or V'' and inserting ``or IV'';
            (5) in subsection (f), as so redesignated--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``The Attorney 
                                General shall register practitioners 
                                (including pharmacies, as distinguished 
                                from pharmacists) to dispense, or 
                                conduct research with,'' and inserting 
                                ``The Attorney General shall register 
                                practitioners (including pharmacies, as 
                                distinguished from pharmacists) who are 
                                not scientific investigators to 
                                dispense, and the Secretary shall 
                                register practitioners who are 
                                scientific investigators to conduct 
                                research with,'';
                                    (II) by striking ``II, III, IV, or 
                                V'' and inserting ``I, II, III, or 
                                IV'';
                                    (III) by striking ``and shall 
                                modify'' and inserting ``, and the 
                                Attorney General shall modify'';
                                    (IV) by striking ``Attorney General 
                                may deny'' and inserting ``Attorney 
                                General (or Secretary, as applicable) 
                                may deny''; and
                                    (V) by striking ``Attorney General 
                                determines'' and inserting ``Attorney 
                                General (or Secretary, as applicable) 
                                determines''; and
                            (ii) in the matter following subparagraph 
                        (E), by striking ``II, III, IV, or V'' and 
                        inserting ``I, II, III, or IV'';
                    (B) by striking paragraph (2); and
                    (C) by redesignating paragraph (3) as paragraph 
                (2);
            (6) in subsection (g), as so redesignated, by striking 
        ``III, IV, or V'' and inserting ``II, III, or IV'';
            (7) in subsection (i), by striking ``(e)'' and inserting 
        ``(d)'';
            (8) in subsection (j), as so redesignated--
                    (A) in paragraph (1)--
                            (i) in the matter preceding paragraph (A), 
                        by striking ``II, III, IV, or V'' and inserting 
                        ``I, II, III, or IV''; and
                            (ii) in subparagraph (B), by striking 
                        ``(g)'' and inserting ``(f)'';
                    (B) in paragraph (3), by striking ``(g)'' and 
                inserting ``(f)'';
                    (C) in paragraph (4), by striking ``II, III, IV, or 
                V'' and inserting ``I, II, III, or IV''; and
                    (D) in paragraph (13)--
                            (i) in subparagraph (H), by striking 
                        ``(g)'' and inserting ``(f)'';
                            (ii) in subparagraph (J)(ii), by striking 
                        ``(g)'' and inserting ``(f)''; and
                            (iii) in subparagraph (K), by striking 
                        ``(g)'' and inserting ``(f)'';
            (9) in subsection (l), as so redesignated--
                    (A) in paragraph (1)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``II, III, IV, or 
                                V'' and inserting ``I, II, III, or 
                                IV''; and
                                    (II) by inserting ``and Secretary'' 
                                after ``Attorney General''; and
                            (ii) in subparagraph (B), in the matter 
                        preceding clause (i), by striking ``II, III, 
                        IV, or V'' and inserting ``I, II, III, or IV'';
                    (B) in paragraph (2)(A), by inserting ``and 
                Secretary'' after ``Attorney General''; and
                    (C) in paragraph (3)(B), by striking ``II, III, IV, 
                or V'' and inserting ``I, II, III, or IV'';
            (10) in subsection (m), as so redesignated--
                    (A) by striking the subsection heading and 
                inserting the following: ``Special Provisions for 
                Continuity of Research for Newly Scheduled 
                Substances'';
                    (B) in paragraph (1)--
                            (i) by striking ``schedule I'' and 
                        inserting ``scheduled substances''; and
                            (ii) by striking ``subparagraph (A) or (B) 
                        of'';
                    (C) by striking paragraph (3) and inserting the 
                following:
            ``(3) Expedited procedures for researcher without a current 
        research registration.--
                    ``(A) In general.--Subject to subsection (C), a 
                practitioner who is a scientific investigator may 
                conduct research under this subsection on and after the 
                date that is 45 days after the date on which the 
                practitioner sends a notice to the Secretary containing 
                the following information, with respect to each 
                substance with which the practitioner will conduct 
                research:
                            ``(i) The chemical name of the substance.
                            ``(ii) The quantity of the substance to be 
                        used in the research.
                            ``(iii) Demonstration that the research is 
                        in the category described in paragraph (2), 
                        which demonstration may be satisfied--
                                    ``(I) in the case of a grant, 
                                contract, cooperative agreement, other 
                                transaction, or intramural research 
                                project, by identifying the sponsoring 
                                agency and supplying the number of the 
                                grant, contract, cooperative agreement, 
                                other transaction, or project; or
                                    ``(II) in the case of an 
                                application under section 505(i) of the 
                                Federal Food, Drug, and Cosmetic Act, 
                                by supplying the application number and 
                                the sponsor of record on the 
                                application.
                            ``(iv) Demonstration that the researcher is 
                        authorized to conduct research with respect to 
                        the substance under the laws of the State in 
                        which the research will take place.
                    ``(B) Secretary action.--The Secretary shall--
                            ``(i) treat notice received under 
                        subparagraph (A) as a sufficient application 
                        for a research registration; and
                            ``(ii) not later than 45 days of receiving 
                        such a notice that contains all information 
                        required under subparagraph (A)--
                                    ``(I) register the applicant; or
                                    ``(II) serve an order to show cause 
                                upon the applicant in accordance with 
                                section 304(c).
                    ``(C) Research with limited amounts for pilot 
                studies.--
                            ``(i) In general.--The Secretary shall 
                        establish, within the National Institute on 
                        Drug Abuse, a process for expedited approval of 
                        a registration under this paragraph for well-
                        qualified persons seeking to conduct 
                        preclinical, nonhuman research described in 
                        paragraph (2) with 1 or more scheduled 
                        substances--
                                    ``(I) using only a limited amount 
                                of such substances (as the Secretary 
                                may determine appropriate); and
                                    ``(II) consisting of only a single 
                                set of experiments (as determined by 
                                the Secretary).
                            ``(ii) Description of storage.--To be 
                        eligible for expedited approval under this 
                        subparagraph, a person shall submit to the 
                        Secretary a description of how the person will 
                        store the scheduled substances referred to in 
                        clause (i). The Secretary shall establish 
                        guidelines for storage and recordkeeping 
                        requirements that may be less stringent than 
                        guidelines for storage and recordkeeping 
                        requirements with respect to other controlled 
                        substance registrations.
                            ``(iii) Timeline.--The Secretary shall 
                        approve or deny a request that is eligible for 
                        expedited approval under this subparagraph not 
                        later than 15 days after the Secretary receives 
                        such request.
                            ``(iv) Provision by national institute on 
                        drug abuse.--The Secretary, acting through the 
                        Director of the National Institute on Drug 
                        Abuse, shall provide to a person whose 
                        registration is approved under this 
                        subparagraph the amounts of substances 
                        necessary to conduct the research for which the 
                        registration was approved.'';
                    (D) in paragraph (4), by striking ``Attorney 
                General'' and inserting ``Secretary''; and
                    (E) in paragraph (5)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by striking ``a schedule I'' 
                                and inserting ``the scheduled''; and
                                    (II) by striking ``of schedule I'' 
                                and inserting ``such''; and
                            (ii) in subparagraph (A), by striking 
                        ``Attorney General'' and inserting 
                        ``Secretary''; and
            (11) in subsection (n), as so redesignated--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A)--
                            (i) by striking ``Attorney General'' each 
                        place it appears and inserting ``Secretary''; 
                        and
                            (ii) by striking ``Drug Enforcement 
                        Administration'' and inserting ``Department of 
                        Health and Human Services''; and
                    (B) in paragraph (2), by striking ``Attorney 
                General'' and inserting ``Secretary''.

SEC. 109. DENIAL, REVOCATION, OR SUSPENSION OF REGISTRATION.

    Section 304 of the Controlled Substances Act (21 U.S.C. 824) is 
amended--
            (1) in subsection (a), in the matter preceding paragraph 
        (1), by inserting after ``Attorney General'' the following: 
        ``(or with respect to a practitioner who is a scientific 
        investigator, the Secretary)''; and
            (2) in subsections (b) through (h), by inserting after 
        ``Attorney General'' each place it appears the following: ``(or 
        Secretary, as applicable)''.

SEC. 110. QUOTAS APPLICABLE TO CERTAIN SUBSTANCES.

    Section 306 of the Controlled Substances Act (21 U.S.C. 826) is 
amended--
            (1) in subsections (a) through (f), by striking ``Attorney 
        General'' each place it appears and inserting ``Secretary'';
            (2) in subsection (h)(1)--
                    (A) by striking ``Attorney General'' each place it 
                appears and inserting ``Secretary''; and
                    (B) in subparagraph (B)(ii)--
                            (i) by inserting ``to the public'' after 
                        ``written response''; and
                            (ii) by striking ``Attorney General's'' and 
                        inserting ``Secretary's''; and
            (3) in subsection (i)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``Attorney General by regulation'' and 
                        inserting ``Secretary by regulation'';
                            (ii) in subparagraph (B)(i), by inserting 
                        ``and the Director of the Office of National 
                        Drug Control Policy'' after ``Secretary of 
                        Health and Human Services''; and
                            (iii) in subparagraph (C)--
                                    (I) by striking ``Attorney 
                                General'' each place it appears and 
                                inserting ``Secretary''; and
                                    (II) by striking ``reductions'' and 
                                inserting ``alterations'';
                    (B) in paragraph (2)--
                            (i) in subparagraph (A), by striking 
                        ``Attorney General, in consultation with the 
                        Secretary of Health and Human Services'' and 
                        inserting ``Secretary, in consultation with the 
                        Attorney General''; and
                            (ii) in subparagraph (B), by striking 
                        ``Attorney General'' and inserting 
                        ``Secretary''; and
                    (C) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``Attorney General'' each 
                        place it appears and inserting ``Secretary''; 
                        and
                            (ii) in subparagraph (B), by striking 
                        ``Secretary of Health and Human Services'' and 
                        inserting ``Attorney General''.

SEC. 111. RECORDS AND REPORTS OF REGISTRANTS.

    Section 307 of the Controlled Substances Act (21 U.S.C. 827) is 
amended--
            (1) in subsection (a)(2), by striking ``Attorney General'' 
        and inserting ``Secretary''; and
            (2) in subsection (c)(1)--
                    (A) in subparagraph (A), by striking ``II, III, IV, 
                or V'' and inserting ``I, II, III, or IV''; and
                    (B) in subparagraph (B), by striking ``II, III, IV, 
                or V'' and inserting ``I, II, III, or IV''.

SEC. 112. ORDER FORMS.

    Section 308(d) of the Controlled Substances Act (21 U.S.C. 828(d)) 
is amended--
            (1) in paragraph (1)--
                    (A) by striking ``The Attorney General shall 
                issue'' and inserting ``With respect to scientific 
                investigators conducting research with a controlled 
                substance, the Secretary, and with respect to any other 
                person, the Attorney General, shall issue''; and
                    (B) by striking ``the Attorney General shall, 
                before'' and inserting ``the Secretary or Attorney 
                General, as applicable, shall, before''; and
            (2) in paragraph (2), by striking ``Attorney General'' and 
        inserting ``Secretary or Attorney General, as applicable,''.

SEC. 113. PRESCRIPTIONS.

    Section 309 of the Controlled Substances Act (21 U.S.C. 829) is 
amended--
            (1) in subsection (a), by striking ``schedule II'' each 
        place it appears and inserting ``schedule I or II'';
            (2) by striking subsection (c);
            (3) by redesignating subsections (d) through (f) as 
        subsections (c) through (e), respectively;
            (4) in subsection (c), as so redesignated, by striking 
        ``abuse potential'' and inserting ``potential for the 
        development of a substance use disorder''; and
            (5) in subsection (e), as so redesignated--
                    (A) in the subsection heading, by striking 
                ``Schedule II'' and inserting ``Schedule I or II''; and
                    (B) by striking ``schedule II'' each place it 
                appears and inserting ``schedule I or II''.

SEC. 114. PROHIBITED ACTS A--PENALTIES.

    Section 401 of the Controlled Substances Act (21 U.S.C. 841) is 
amended--
            (1) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) by striking subparagraphs (A), (B), and 
                        (D);
                            (ii) by redesignating subparagraphs (C) and 
                        (E) as subparagraphs (A) and (B), respectively;
                            (iii) in subparagraph (A), as so 
                        redesignated--
                                    (I) by striking ``, except as 
                                provided in subparagraphs (A), (B), and 
                                (D)'';
                                    (II) by striking ``less than twenty 
                                years or'';
                                    (III) by striking ``$1,000,000'' 
                                and inserting ``$10,000,000'';
                                    (IV) by striking ``$5,000,000'' and 
                                inserting ``$50,000,000'';
                                    (V) by striking ``prior conviction 
                                for a felony drug offense'' and 
                                inserting ``prior conviction for a 
                                serious drug felony'';
                                    (VI) by striking ``if death or 
                                serious bodily injury results from the 
                                use of such substance shall be 
                                sentenced to life imprisonment'' and 
                                inserting ``if death or serious bodily 
                                injury results from the use of such 
                                substance shall be sentenced to not 
                                more than life imprisonment'';
                                    (VII) by striking ``$2,000,000'' 
                                and inserting ``$20,000,000'';
                                    (VIII) by striking ``is an 
                                individual or $10,000,000'' and 
                                inserting ``is an individual or 
                                $75,000,000''; and
                                    (IX) by striking the last sentence; 
                                and
                            (iv) in subparagraph (B), as so 
                        redesignated--
                                    (I) in clause (i)--
                                            (aa) by striking ``Except 
                                        as provided in subparagraphs 
                                        (C) and (D), in'' and inserting 
                                        ``In'';
                                            (bb) by striking 
                                        ``$500,000'' and inserting 
                                        ``$5,000,000''; and
                                            (cc) by striking 
                                        ``$2,500,000'' and inserting 
                                        ``$25,000,000''; and
                                    (II) in clause (ii)--
                                            (aa) by striking 
                                        ``$1,000,000'' and inserting 
                                        ``$10,000,000''; and
                                            (bb) by striking 
                                        ``$5,000,000'' and inserting 
                                        ``$50,000,000'';
                    (B) in paragraph (2)--
                            (i) by striking ``$250,000'' and inserting 
                        ``$5,000,000'';
                            (ii) by striking ``$1,000,000'' and 
                        inserting ``$25,000,000'';
                            (iii) by striking ``$500,000'' and 
                        inserting ``$10,000,000''; and
                            (iv) by striking ``$2,000,000'' and 
                        inserting ``$50,000,000'';
                    (C) by striking paragraphs (3) and (4);
                    (D) by redesignating paragraphs (5) through (7) as 
                paragraphs (3) through (5), respectively;
                    (E) in paragraph (3), as so redesignated--
                            (i) in subparagraph (C), by striking 
                        ``$500,000'' and inserting ``$5,000,000''; and
                            (ii) in subparagraph (D), by striking 
                        ``$1,000,000'' and inserting ``$25,000,000'';
                    (F) in paragraph (4), as so redesignated, by 
                striking ``in accordance with title 18, United States 
                Code,'' and inserting ``an amount not to exceed the 
                amount authorized in accordance with title 18, United 
                Stated Code, $5,000,000 if the defendant is an 
                individual, or $25,000,000 if the defendant is not an 
                individual,''; and
                    (G) in paragraph (5), as so redesignated--
                            (i) by amending the paragraph heading to 
                        read as follows: ``Distribution to facilitate a 
                        crime of violence'';
                            (ii) by striking ``section 16 of title 18'' 
                        and inserting ``section 16(a) of title 18, 
                        United States Code''; and
                            (iii) by striking ``shall be imprisoned not 
                        more than 20 years and fined in accordance with 
                        title 18, United States Code'' and inserting 
                        ``shall be fined an amount not to exceed the 
                        amount authorized in accordance with title 18, 
                        United States Code, $5,000,000 if the defendant 
                        is an individual, or $25,000,000 if the 
                        defendant is not an individual, imprisoned not 
                        more than 20 years, or both''; and
            (2) by adding at the end the following:
    ``(i) Prior Schedule V Substances.--
            ``(1) In general.--Notwithstanding any other provision of 
        this title or other Federal law, no person shall be subject to 
        a sentence for an offense under this section or section 1010 
        with respect to a prior schedule V substance that is greater 
        than the maximum sentence which was applicable on the day 
        before the date of enactment of the Public Health and Research 
        Reforms in Controlled Substances Act of 2026.
            ``(2) Prior schedule v substance described.--In this 
        subsection, the term `prior schedule V substance' means a drug 
        or other substance in schedule V on the day before the date of 
        enactment of the Public Health and Research Reforms in 
        Controlled Substances Act of 2026.''.

SEC. 115. PROHIBITED ACTS B--PENALTIES.

    Section 402(c)(2)(B) of the Controlled Substances Act (21 U.S.C. 
842(c)(2)(B)) is amended by striking ``, marihuana,''.

SEC. 116. PROHIBITED ACTS C--PENALTIES.

    Section 403(d)(1) of the Controlled Substances Act (21 U.S.C. 
843(d)(1)) is amended by striking ``, marihuana,''.

SEC. 117. DISTRIBUTION TO PERSONS UNDER AGE TWENTY-ONE.

    Section 418(a) of the Controlled Substances Act (21 U.S.C. 859(a)) 
is amended by striking the last sentence.

SEC. 118. DISTRIBUTION IN OR NEAR SCHOOLS.

    Section 419(a) of the Controlled Substances Act (21 U.S.C. 860(a)) 
is amended by striking the last sentence.

SEC. 119. DENIAL OF FEDERAL BENEFITS TO DRUG TRAFFICKERS AND 
              POSSESSORS.

    Section 421 of the Controlled Substances Act (21 U.S.C. 862) is 
amended by striking ``an addict'' each place it appears and inserting 
``a person with a substance use disorder''.

SEC. 120. DRUG PARAPHERNALIA.

    Section 422(d) of the Controlled Substances Act (21 U.S.C. 863(d)) 
is amended--
            (1) in the matter preceding paragraph (1), by striking 
        ``marijuana,''; and
            (2) in paragraph (5), by striking ``, such as a marihuana 
        cigarette,''.

SEC. 121. ADMINISTRATIVE HEARINGS.

    Section 505(a) of the Controlled Substances Act (21 U.S.C. 875(a)) 
is amended--
            (1) by striking ``his'' and inserting ``their''; and
            (2) by inserting ``and Secretary of Health and Human 
        Services'' after ``Attorney General''.

SEC. 122. JUDICIAL REVIEW.

    Section 507 of the Controlled Substances Act (21 U.S.C. 877) is 
amended by inserting ``or Secretary of Health and Human Services'' 
after ``Attorney General'' each place it appears.

  TITLE II--AMENDMENTS TO CONTROLLED SUBSTANCES IMPORT AND EXPORT ACT

SEC. 201. EXPORTATION OF CONTROLLED SUBSTANCES.

    Section 1003(e) of the Controlled Substances Import and Export Act 
(21 U.S.C. 953(e)) is amended--
            (1) in the matter preceding paragraph (1), by striking ``or 
        any controlled substances in schedule V''; and
            (2) in paragraph (3), by striking ``or V''.

SEC. 202. EXEMPTION AUTHORITY.

    Section 1006 of the Controlled Substances Import and Export Act (21 
U.S.C. 956) is amended--
            (1) in subsection (a), by striking ``(except a substance in 
        schedule I)'' each place it appears; and
            (2) in subsection (b), by striking ``or V''.

SEC. 203. REGISTRATION REQUIREMENTS.

    Section 1008(c)(1) of the Controlled Substances Import and Export 
Act (21 U.S.C. 958(c)(1)) is amended by striking ``, IV, or V'' and 
inserting ``or IV''.

SEC. 204. PROHIBITED ACTS A--PENALTIES.

    Section 1010 of the Controlled Substances Import and Export Act (21 
U.S.C. 960) is amended--
            (1) in subsection (b)--
                    (A) by striking paragraphs (1), (2), (4), and (7);
                    (B) by redesignating paragraphs (3), (5), and (6) 
                as paragraphs (1) through (3), respectively; and
                    (C) in paragraph (1), as so redesignated--
                            (i) by striking ``, except as provided in 
                        paragraphs (1), (2), and (4)'';
                            (ii) by striking ``if death or serious 
                        bodily injury results from the use of such 
                        substance shall be sentenced to a term of 
                        imprisonment of not less than twenty years and 
                        not more than life'' and inserting ``if death 
                        or serious bodily injury results from the use 
                        of such substance shall be sentenced to a term 
                        of imprisonment of not more than life'';
                            (iii) by striking ``$1,000,000'' and 
                        inserting ``$10,000,000'';
                            (iv) by striking ``$5,000,000'' and 
                        inserting ``$50,000,000'';
                            (v) by striking ``prior conviction for a 
                        felony drug offense'' and inserting ``prior 
                        conviction for a serious drug felony'';
                            (vi) by striking ``if death or serious 
                        bodily injury results from the use of such 
                        substance shall be sentenced to life 
                        imprisonment'' and inserting ``if death or 
                        serious bodily injury results from the use of 
                        such substance shall be sentenced to a term of 
                        imprisonment of not more than life'';
                            (vii) by striking ``$2,000,000'' and 
                        inserting ``$20,000,000'';
                            (viii) by striking ``$10,000,000 if the 
                        defendant is other than an individual'' and 
                        inserting ``$75,000,000 if the defendant is 
                        other than an individual''; and
                            (ix) by striking the last sentence;
            (2) by striking subsection (c);
            (3) by redesignating subsection (d) as subsection (c); and
            (4) in subsection (c), as so redesignated--
                    (A) in paragraph (7), by striking ``section 959 of 
                this title.'' and inserting ``section 1009,''; and
                    (B) in the matter following paragraph (7), by 
                striking ``fined in accordance with title 18'' and 
                inserting ``fined an amount not to exceed the amount 
                authorized in accordance with title 18, United States 
                Code, $5,000,000 if the defendant is an individual, or 
                $25,000,000 if the defendant is not an individual,''.

    TITLE III--AMENDMENTS TO OFFICE OF NATIONAL DRUG CONTROL POLICY 
                      REAUTHORIZATION ACT OF 1998

SEC. 301. DEFINITIONS.

    Section 702 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1701) is amended--
            (1) by redesignating paragraph (3) through (17) as 
        paragraphs (4) through (8) and (12) through (20), respectively;
            (2) by inserting after paragraph (2) the following:
            ``(3) Covered drug-related threat.--The term `covered drug-
        related threat' means any substance-related or drug-market 
        development that may warrant coordinated Federal monitoring or 
        response, including a threat involving a new chemical entity, 
        known chemical entity, class, combination, adulterant, 
        contaminant, precursor, formulation, manufacturing or 
        trafficking practice, route of administration, or pattern of 
        use or exposure.'';
            (3) by striking paragraph (8), as so redesignated, and 
        inserting the following:
            ``(7) Evolving or emerging drug threat.--The term `evolving 
        or emerging drug threat' means a new, growing, changing, 
        geographically expanding, increasing in severity, or otherwise 
        material threat to public health or public safety involving a 
        drug, class, combination, adulterant, contaminant, precursor 
        chemical, formulation, method of manufacture, distribution, 
        marketing, administration, use, co-use, or pattern of 
        exposure.''; and
            (4) by inserting after paragraph (8), as so redesignated, 
        the following:
            ``(9) Federal classification.--The term `Federal 
        classification' means a classification issued under section 
        709(c) identifying a covered drug-related threat as a threat 
        being monitored, a threat of interest, a threat of concern, or 
        a threat of high consequence.
            ``(10) Federal designation.--The term `Federal designation' 
        means a designation by the Director under section 709(d) that a 
        covered drug-related threat constitutes an evolving or emerging 
        drug threat in the United States.
            ``(11) Federal criteria.--The term `Federal criteria' means 
        the criteria, metrics, standards, and procedures established 
        under section 709(b)(6).''.

SEC. 302. APPOINTMENT AND DUTIES OF DIRECTOR AND DEPUTY DIRECTOR.

    Section 704(b) of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1703(b)) is amended--
            (1) by striking paragraph (12); and
            (2) by redesignating paragraphs (14) through (16) and (18) 
        through (21) as paragraphs (12) through (18), respectively.

SEC. 303. DEVELOPMENT, SUBMISSION, IMPLEMENTATION, AND ASSESSMENT OF 
              NATIONAL DRUG CONTROL STRATEGY.

    Section 706(a)(2) of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1705(a)(2)) is amended by adding 
at the end the following: ``Such Strategy shall identify 
classifications, designations, agency compliance, missed deadlines, 
resource constraints, funding, data gaps, and corrective actions.''.

SEC. 304. FEDERAL EVOLVING OR EMERGING DRUG THREAT CLASSIFICATION AND 
              RESPONSE SYSTEM; MEDIA CAMPAIGN.

    Section 709 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1708) is amended--
            (1) by striking the section heading and inserting ``federal 
        evolving or emerging drug threat classification and response 
        system; media campaign'';
            (2) in subsection (a), after the first sentence, by 
        inserting the following: ``The Coordinator shall administer the 
        Federal classification system established under subsection (c), 
        coordinate preparation and implementation of Emerging Threat 
        Response Plans, facilitate interagency information sharing, and 
        monitor adherence to actions and deadlines established under 
        this section.'';
            (3) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) by striking subparagraph (B) and 
                        inserting the following:
                    ``(B) identify, assess, and recommend Federal 
                classifications and Federal designations for covered 
                drug-related threats using the Federal criteria 
                required under paragraph (6);'';
                            (ii) in subparagraph (C), by striking 
                        ``(d)'' and inserting ``(f)'';
                            (iii) in subparagraph (D), by striking 
                        ``and'' at the end;
                            (iv) in subparagraph (E), by striking the 
                        period at the end and inserting a semicolon; 
                        and
                            (v) by adding at the end the following:
                    ``(F) coordinate collection, validation, 
                integration, and dissemination of public-health, 
                scientific, regulatory, intelligence, enforcement, 
                treatment, prevention, and supply-chain information;
                    ``(G) identify gaps in surveillance, toxicology, 
                laboratory testing, epidemiology, clinical guidance, 
                research, treatment, prevention, enforcement, and 
                regulatory capacity; and
                    ``(H) recommend lead and supporting agencies for 
                actions under this section.'';
                    (B) in paragraph (3), by striking subparagraphs (A) 
                through (C) and inserting the following:
                    ``(A) senior representatives of the Office, 
                Department of Justice, Drug Enforcement Administration, 
                Department of Health and Human Services, Centers for 
                Disease Control and Prevention, Food and Drug 
                Administration, National Institutes of Health, 
                Substance Abuse and Mental Health Services 
                Administration, Centers for Medicare & Medicaid 
                Services, Department of Homeland Security, U.S. Customs 
                and Border Protection, Department of State, Department 
                of Defense, Department of Veterans Affairs, Indian 
                Health Service, and such other agencies as the Director 
                determines appropriate;
                    ``(B) representatives of State, local, Tribal, and 
                territorial governments; and
                    ``(C) representatives of poison control centers, 
                medical examiner and coroner systems, forensic 
                laboratories, health systems, academic institutions, 
                nonprofit organizations that primarily serve impacted 
                populations, and other entities with relevant 
                expertise.'';
                    (C) in paragraph (4)--
                            (i) by striking ``calendar year, before 
                        June 1'' and inserting ``quarter''; and
                            (ii) by adding at the end the following: 
                        ``Members may participate in meetings through 
                        secure electronic means.''; and
                    (D) by striking paragraph (6) and inserting the 
                following:
            ``(6) Federal criteria and procedures.--
                    ``(A) In general.--The Director, acting through the 
                Committee and in consultation with relevant Federal 
                agencies, shall establish, publish, and periodically 
                update Federal criteria and procedures for--
                            ``(i) identifying and monitoring covered 
                        drug-related threats;
                            ``(ii) assigning, elevating, reducing, or 
                        removing Federal classifications;
                            ``(iii) making or terminating Federal 
                        designations; and
                            ``(iv) conducting expedited review of 
                        urgent threats.
                    ``(B) Required components.--The Federal criteria 
                and procedures described in subparagraph (A) shall 
                require consideration, as applicable, of--
                            ``(i) fatal and nonfatal overdoses;
                            ``(ii) poisonings;
                            ``(iii) emergency medical services 
                        encounters;
                            ``(iv) emergency department visits;
                            ``(v) hospitalizations;
                            ``(vi) clinical illness;
                            ``(vii) prevalence of use and substance use 
                        disorder;
                            ``(viii) treatment admissions;
                            ``(ix) drug seizures;
                            ``(x) forensic identifications;
                            ``(xi) potency;
                            ``(xii) price;
                            ``(xiii) availability;
                            ``(xiv) geographic spread;
                            ``(xv) pharmacology and toxicology;
                            ``(xvi) dependence potential;
                            ``(xvii) adulteration;
                            ``(xviii) chemical conversion;
                            ``(xix) manufacturing and formulation 
                        changes;
                            ``(xx) youth and vulnerable-population 
                        exposure; and
                            ``(xxi) other relevant public-health or 
                        public-safety evidence.
                    ``(C) Increase of threshold percentage.--An 
                increase by a threshold percentage (as determined by 
                the Director) or more during an appropriate 12-month 
                period in one or more designated measures, occurring in 
                at least 3 of the 4 census regions (as in effect on the 
                date of enactment of the Public Health and Research 
                Reforms in Controlled Substances Act of 2026), shall 
                require review by the Emerging Threats Committee for 
                Federal classification or Federal designation.
                    ``(D) No required threshold for federal action.--
                The Director has the authority to make an individual 
                determination that no numerical, temporal, or 
                geographic threshold shall be required where credible 
                evidence (as the Director shall define and make 
                publicly available) demonstrates that severity, 
                potency, speed of spread, novelty, concealment, impact 
                on a particular population, or lack of detection or 
                treatment capacity warrants Federal action without 
                meeting the requirements set forth in the Federal 
                criteria and procedures described in subparagraph (A).
                    ``(E) Public comment; interim criteria.--Before 
                finalizing or materially revising the Federal criteria 
                and procedures described in subparagraph (A), the 
                Director shall provide an opportunity for public 
                comment and appropriate scientific, public-health, 
                regulatory, and law-enforcement review, except that 
                interim criteria may be issued for not more than 180 
                days to address an urgent threat.'';
            (4) by redesignating subsections (c) through (g) as 
        subsections (d), (f) through (h), and (n), respectively;
            (5) by inserting after subsection (b) the following:
    ``(c) Federal Classification System.--
            ``(1) Authority.--The Director, in consultation with the 
        Coordinator, Committee, and the heads of relevant National Drug 
        Control Program agencies, may assign a Federal classification 
        to a covered drug-related threat, as follows:
                    ``(A) Threat being monitored.--A covered drug-
                related threat for which there is a potential or 
                documented risk of harm, but available information is 
                limited, preliminary, geographically restricted, or 
                insufficient to determine likely scope or severity. The 
                Director shall require, as appropriate, enhanced 
                surveillance, identification of data gaps, designation 
                of a lead analytical agency, and criteria for elevation 
                or removal.
                    ``(B) Threat of interest.--A covered drug-related 
                threat associated with developing evidence of overdose, 
                poisoning, toxicity, dependence, morbidity, mortality, 
                interaction with other substances, or other material 
                harm, where national extent or causation remains 
                uncertain. The Director shall require, as appropriate, 
                a preliminary interagency assessment, priority research 
                and testing, consultation with State and local 
                partners, and measurable indicators for possible 
                elevation.
                    ``(C) Threat of concern.--
                            ``(i) In general.--A covered drug-related 
                        threat for which clear and convincing evidence 
                        demonstrates at least 2 of the following:
                                    ``(I) Increasing prevalence.
                                    ``(II) Increasing morbidity and 
                                mortality.
                                    ``(III) Geographic expansion.
                                    ``(IV) Increased clinical 
                                encounters.
                                    ``(V) Increased treatment demand.
                                    ``(VI) Increased availability or 
                                seizures.
                                    ``(VII) Meaningful effects within a 
                                particular population.
                            ``(ii) Requirements.--The Director shall 
                        require, as appropriate, a formal interagency 
                        assessment (which may include conducting or 
                        supporting a study), standardized detection, 
                        clinical and public-health guidance, prevention 
                        and treatment planning, supply and enforcement 
                        analysis, and consideration of formal 
                        designation.
                    ``(D) Threat of high consequence.--A covered drug-
                related threat having, or presenting a substantial risk 
                of, a major, rapidly escalating, severe, or sustained 
                effect on overdose, addiction, morbidity, health-system 
                utilization, public safety, community well-being, or 
                quality of life. The Director shall require, as 
                appropriate, an emergency Committee meeting, an interim 
                whole-of-government action memorandum within 30 days, 
                identification of immediately available authorities and 
                resources, and formal designation unless the Director 
                publishes reasons for declining designation.
            ``(2) Written determination and review.--Each 
        classification or reclassification pursuant to this subsection 
        shall be supported by a written determination identifying the 
        evidence considered, material data limitations, required 
        actions, responsible agencies, review date, and conditions for 
        elevation, reduction, or removal. Threats being monitored or of 
        interest shall be reviewed at least once every 6 months, and 
        threats of concern or high consequence shall be reviewed at 
        least once every 90 days.'';
            (6) in subsection (d), as so redesignated--
                    (A) in paragraph (1), by striking ``an emerging 
                drug threat'' and inserting ``a covered drug-related 
                threat as an evolving or emerging drug threat'';
                    (B) by redesignating paragraphs (2) and (3) as 
                paragraphs (3) and (4), respectively; and
                    (C) by inserting after paragraph (1) the following:
            ``(2) Scope.--A designation under paragraph (1) may apply 
        with respect to a substance, class, combination, mixture, 
        adulterant, contaminant, precursor chemical, formulation, 
        method of manufacture or administration, trafficking or 
        marketing practice, or pattern of use or exposure.'';
            (7) by inserting after subsection (d), as so redesignated, 
        the following:
    ``(e) Government-Wide Effect and Uniformity.--
            ``(1) Exclusive formal system.--Notwithstanding any other 
        provision of law, the system established under this section 
        shall be the exclusive mechanism for issuing a formal, 
        government-wide Federal classification or designation of an 
        evolving or emerging drug threat.
            ``(2) Controlling effect.--A Federal classification or 
        Federal designation issued under this section shall control for 
        Federal interagency terminology, identification of the official 
        Federal threat level, interagency planning, response 
        priorities, National Drug Control Program budget submissions, 
        implementation reporting, performance measurement, and 
        coordinated government-wide public communications.
            ``(3) Agency referral.--A Federal agency identifying a 
        covered drug-related threat that may warrant coordinated 
        government-wide action shall promptly refer the matter and 
        supporting information to the Director.
            ``(4) Agency-specific products.--A Federal agency may issue 
        an intelligence assessment, scientific evaluation, public-
        health advisory, regulatory notice, enforcement alert, or other 
        agency-specific product describing a substance or trend as 
        emerging or threatening, but may not represent that product as 
        the formal government-wide Federal classification or 
        designation unless issued under this section.
            ``(5) Nonpreemption.--Nothing in this section shall be 
        construed to preempt any law, action, or authority of a State, 
        a territory, a political subdivision of a State or territory, 
        the District of Columbia, or an Indian Tribe.'';
            (8) in subsection (f), as so redesignated--
                    (A) in paragraph (1), by striking ``(c)'' and 
                inserting ``(d)'';
                    (B) in paragraph (2), by striking ``(c)(3)'' and 
                inserting ``(d)(3)'';
                    (C) in paragraph (3)--
                            (i) in subparagraph (E)--
                                    (I) by striking ``(f)'' and 
                                inserting ``(h)''; and
                                    (II) by striking ``and'' at the 
                                end;
                            (ii) by redesignating subparagraph (F) as 
                        subparagraph (G); and
                            (iii) by inserting after subparagraph (E) 
                        the following:
                    ``(F) additional measures, including descriptions 
                of--
                            ``(i) agency-specific assignments, lead and 
                        supporting agencies, and completion deadlines;
                            ``(ii) data-sharing requirements and 
                        procedures for resolving material data 
                        conflicts;
                            ``(iii) testing, toxicology, reference 
                        standards, and laboratory capacity;
                            ``(iv) epidemiology, surveillance, 
                        prevention, treatment, recovery, clinical 
                        guidance, source and supply intelligence, 
                        interdiction, regulatory and scheduling 
                        options, and research;
                            ``(v) legal, scientific, workforce, 
                        appropriations, and operational barriers;
                            ``(vi) procedures for monitoring adherence, 
                        missed deadlines, and corrective action; and
                            ``(vii) criteria for updating or 
                        terminating the plan; and'';
                    (D) in paragraph (4)--
                            (i) in subparagraph (A), by striking 
                        ``(c)'' and inserting ``(d)''; and
                            (ii) in subparagraph (C), by striking 
                        ``(c)'' and inserting ``(d)''; and
                    (E) by adding at the end the following:
            ``(5) Requirements of officials and agencies.--A Federal 
        official or agency shall complete all actions required of such 
        official or agency in an Emerging Threat Response Plan under 
        this subsection. If a Federal official or agency is unable to 
        complete such an action, the Federal official or agency shall, 
        not later than 15 days before the deadline required under such 
        Plan, submit to the Director a written explanation explaining 
        the inability.''; and
            (9) by inserting after subsection (h), as so redesignated, 
        the following:
    ``(i) Information Sharing and Public Dashboard.--
            ``(1) Information sharing.--In carrying out this section, 
        the Director shall facilitate timely information sharing, 
        subject to privacy, civil-liberties, law-enforcement-sensitive, 
        proprietary, and national-security protections.
            ``(2) Public dashboard.--The Director shall maintain a 
        public dashboard identifying each current Federal 
        classification and Federal designation, its basis, known 
        distribution, data limitations, lead agencies, required 
        actions, review date, and response-plan status. Sensitive 
        information may be maintained in a nonpublic annex to such 
        public dashboard.
    ``(j) Requests for Prioritization.--Upon classification of a threat 
of interest, concern, or high consequence, the Director may request 
that relevant agencies prioritize research, testing, surveillance, 
clinical guidance, reference standards, and other necessary activities.
    ``(k) Reduction, Termination, and Continued Monitoring.--
            ``(1) Reduction, termination.--The Director may reduce a 
        Federal classification or terminate a Federal designation under 
        this section if the Committee submits to the Director a report 
        that such classification or designation is no longer warranted.
            ``(2) Continued monitoring.--A threat reduced or terminated 
        under paragraph (1) shall remain subject to monitoring for at 
        least 1 year unless the Director determines that such continued 
        monitoring is unnecessary.
    ``(l) Rule of Construction.--A Federal classification or Federal 
designation under this section shall not be construed to schedule a 
substance, establish criminal liability, determine any Food and Drug 
Administration regulatory status, create a private right of action, or 
authorize the Office to compel a decision committed by law to another 
Federal agency.
    ``(m) Emerging Drug Threat Rapid Response Fund.--
            ``(1) Establishment.--There is established in the Treasury 
        an Emerging Drug Threat Rapid Response Fund (in this subsection 
        referred to as the `Fund').
            ``(2) Authorization of appropriations.--There is authorized 
        to be appropriated $5,000,000 into the Fund, to remain 
        available until expended.
            ``(3) Grants.--The Director may, in consultation with the 
        Coordinator and the heads of relevant Federal agencies, using 
        amounts in the Fund, make grants for the purpose of assisting 
        in the research and rapid response measures inserted or added 
        into this section by the Public Health and Research Reforms in 
        Controlled Substances Act of 2026.''.

                    TITLE IV--MARIJUANA DESCHEDULING

SEC. 401. CONFORMING AMENDMENTS TO OTHER LAWS.

    (a) National Forest System Drug Control Act of 1986.--The National 
Forest System Drug Control Act of 1986 (16 U.S.C. 559b et seq.) is 
amended--
            (1) in section 15002(a) (16 U.S.C. 559b(a)) by striking 
        ``marijuana and other'';
            (2) in section 15003(2) (16 U.S.C. 559c(2)) by striking 
        ``marijuana and other''; and
            (3) in section 15004(2) (16 U.S.C. 559d(2)) by striking 
        ``marijuana and other''.
    (b) Interception of Communications.--Section 2516 of title 18, 
United States Code, is amended--
            (1) in subsection (1)(e), by striking ``, marihuana,''; and
            (2) in subsection (2) by striking ``, marihuana''.
    (c) FMCSA Provisions.--
            (1) Conforming amendment.--Section 31301(5) of title 49, 
        United States Code, is amended by striking ``section 31306,'' 
        and inserting ``sections 31306, 31306a, and subsections (b) and 
        (c) of section 31310,''.
            (2) Definition.--Section 31306(a) of title 49, United 
        States Code, is amended--
                    (A) by striking ``means any substance'' and 
                inserting the following: ``means--
                    ``(A) any substance''; and
                    (B) by striking the period at the end and inserting 
                ``; and
                    ``(B) any substance not covered under subparagraph 
                (A) that was a substance under such section as of 
                December 1, 2018, and specified by the Secretary of 
                Transportation.''.
            (3) Disqualifications.--Section 31310(b) of title 49, 
        United States Code, is amended by adding at the end the 
        following:
    ``(3) In this subsection and subsection (c), the term `controlled 
substance' has the meaning given such term in section 31306(a).''.
    (d) FAA Provisions.--Section 45101 of title 49, United States Code, 
is amended--
            (1) by striking ``means any substance'' and inserting the 
        following: ``means--
                    ``(A) any substance''; and
            (2) by striking the period at the end and inserting ``; and
                    ``(B) any substance not covered under subparagraph 
                (A) that was a substance under such section as of 
                December 1, 2018, and specified by the Secretary of 
                Transportation.''.
    (e) FRA Provisions.--Section 20140(a) of title 49, United States 
Code, is amended--
            (1) by striking ``means any substance'' and inserting the 
        following: ``means--
                    ``(A) any substance''; and
            (2) by striking the period at the end and inserting ``; and
                    ``(B) any substance not covered under subparagraph 
                (A) that was a substance under such section as of 
                December 1, 2018, and specified by the Secretary of 
                Transportation.''.
    (f) FTA Provisions.--Section 5331(a)(1) of title 49, United States 
Code, is amended--
            (1) by striking ``means any substance'' and inserting the 
        following: ``means--
                    ``(A) any substance''; and
            (2) by striking the period at the end and inserting ``; and
                    ``(B) any substance not covered under subparagraph 
                (A) that was a substance under such section as of 
                December 1, 2018, and whose use the Secretary of 
                Transportation decides has a risk to transportation 
                safety.''.

SEC. 402. EFFECT ON OTHER LAW.

    Nothing in title I or this title relating to marihuana or 
tetrahydrocannabinols (including any amendments made by such titles) 
shall affect or modify--
            (1) the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 
        et seq.);
            (2) section 351 of the Public Health Service Act (42 U.S.C. 
        262); or
            (3) the authority of the Commissioner of Food and Drugs and 
        the Secretary of Health and Human Services--
                    (A) under--
                            (i) the Federal Food, Drug, and Cosmetic 
                        Act (21 U.S.C. 301 et seq.); or
                            (ii) section 351 of the Public Health 
                        Service Act (42 U.S.C. 262); or
                    (B) to promulgate Federal regulations and 
                guidelines that relate to products containing cannabis 
                or cannabis-derived compounds under the Act described 
                in paragraph (1) or the section described in paragraph 
                (2).

SEC. 403. PUBLIC MEETINGS.

    Not later than 1 year after the date of enactment of this Act, the 
Secretary of Health and Human Services, acting through the Commissioner 
of Food and Drugs, shall hold not fewer than 3 public meetings to 
address the regulation, safety, manufacturing, product quality, 
marketing, labeling, and sale of products containing cannabis or 
cannabis-derived compounds.

SEC. 404. SPECIAL RULE FOR FEDERAL EMPLOYEE TESTING.

    Section 503 of the Supplemental Appropriations Act, 1987 (Public 
Law 100-71; 5 U.S.C. 7301 note) is amended by adding at the end the 
following:
    ``(h) Marijuana.--
            ``(1) Continued testing.--Notwithstanding the Public Health 
        and Research Reforms in Controlled Substances Act of 2026 and 
        the amendments made thereby, the Secretary of Health and Human 
        Services may continue to include marijuana for purposes of drug 
        testing of Federal employees subject to this section, Executive 
        Order 12564, or other applicable Federal laws and orders.
            ``(2) Definition.--The term `marijuana' has the meaning 
        given to the term `marihuana' in section 102 of the Controlled 
        Substances Act (21 6 U.S.C. 802).''.

        TITLE V--REVISION OF UNITED STATES SENTENCING GUIDELINES

SEC. 501. REVISION OF UNITED STATES SENTENCING GUIDELINES REGARDING 
              SENTENCING FOR DRUG OFFENSES.

    (a) Guidelines.--During the period described in subsection (b), 
pursuant to its authority under section 994 of title 28, United States 
Code, the United States Sentencing Commission shall review and amend 
Federal sentencing guidelines, including section 2D1.1 (relating to 
unlawful manufacturing, importing, exporting, or trafficking (including 
possession with intent to commit these offenses); attempt or 
conspiracy) of the United States Sentencing Guidelines Manual, to be 
consistent with the amendments made by this Act.
    (b) Period Described.--The period described in this subsection is--
            (1) not later than 180 days after the date on which a 
        substance is rescheduled, in the case of any substance 
        rescheduled pursuant to this Act, or the amendments made by 
        this Act, during the 3-year period beginning after the date of 
        enactment of this Act; or
            (2) not later than 180 days after the date of enactment of 
        this Act in every other case.
    (c) Emergency Authority.--The United States Sentencing Commission 
shall carry out this section in accordance with the procedure set forth 
in section 21(a) of the Sentencing Act of 1987 (28 U.S.C. 994 note), as 
though the authority under that Act had not expired.

SEC. 502. RESENTENCING.

    (a) Motion.--In the case of a defendant who has been sentenced for 
a criminal offense for which the penalties have been reduced by this 
Act, or amendments made by this Act, the court may, upon motion of the 
defendant, the Director of the Bureau of Prisons, the attorney for the 
Government, or the court, impose a reduced sentence as if this Act, and 
the amendments made by this Act, were in effect at the time the offense 
was committed.
    (b) BOP Resentencing List.--
            (1) In general.--Not later than 90 days after the date of 
        enactment of this Act, the Director of the Bureau of Prisons 
        shall--
                    (A) produce a list of individuals in the custody or 
                under the supervision of the Bureau of Prisons who are 
                eligible for a sentence reduction under subsection (a);
                    (B) notify the individuals on the list of such 
                eligibility; and
                    (C) with respect to each individual, file a motion 
                for such sentence reduction in the appropriate court of 
                jurisdiction.
            (2) Rule of construction.--Nothing in this subsection may 
        be construed to prohibit an individual who is not on the list 
        produced under paragraph (1) from filing a motion for a 
        sentence reduction for which the individual is eligible under 
        subsection (a).

                        TITLE VI--EFFECTIVE DATE

SEC. 601. EFFECTIVE DATE.

    (a) In General.--Except as specified in subsection (b), this Act 
and the amendments made by this Act shall take effect on the date of 
enactment of this Act.
    (b) Special Rule.--A drug or other substance placed in a schedule 
pursuant to the Controlled Substances Act (21 U.S.C. 801 et seq.), as 
in effect on the day before the date of enactment of this Act, shall 
continue to be subject to the provisions of the Controlled Substance 
Act (and any regulations thereunder) as in effect on such day until 
such time that the drug or other substance is, pursuant to this Act and 
the amendments made by this Act--
            (1) placed in schedule I, II, III, or IV and schedule A, B, 
        C, D, or E of section 202(b) of the Controlled Substances Act 
        (21 U.S.C. 812(b)), as amended by this Act; or
            (2) removed from the schedules of controlled substances.
                                 <all>