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Rep. Steve Cohen Thinks the DEA Shouldn't Be Practicing Medicine

29 October 2026 at 18:45
A man wearing glasses and a suit & tie speaks into a small microphone with a placard in front of him that says "Mr. Cohen." | Photo: Michael Brochstein/Sipa USA/Newscom

For more than half a century, federal officials have classified drugs into legal categories that determine who can manufacture, prescribe, or study them, and who goes to prison for possessing or selling them. Those classifications carry enormous consequences. They also reflect decades of political pressure, moralization, myth, and stigma.

Rep. Steve Cohen (D–Tenn.) proposes to change that. His Public Health and Research Reforms in Controlled Substances Act of 2026 would substantially overhaul federal drug scheduling, shift key decisions from law enforcement to health officials, ease research restrictions, deschedule marijuana, and reduce mandatory prison penalties.

While the proposal preserves too much of the drug prohibition infrastructure, it represents a major step toward a more rational, evidence-based, and humane drug policy.

The Controlled Substances Act currently combines judgments about a drug's potential for abuse with judgments about its medical usefulness. Congress vested scheduling authority in the attorney general, who generally exercises it through the Drug Enforcement Administration (DEA). The Department of Health and Human Services (HHS) evaluates the scientific and medical evidence, but the DEA makes the ultimate legal determination of whether a drug has a "currently accepted medical use" for scheduling purposes, as the Justice Department explained in a 2024 legal opinion. Schedule I, the most restrictive category, includes substances deemed to have a high potential for abuse and no currently accepted medical use. These restrictions impede research, while officials cite insufficient evidence of medical usefulness to justify continued restrictions.

Cohen's bill would transfer authority to assess medical usefulness and drug-related risks—and to make scheduling decisions—from law enforcement to HHS, where those judgments more rationally belong. Under the new system, controlled substances would receive two classifications: a Roman numeral, I through IV, reflecting risks associated with misuse, substance use disorder, and threats to public health; and a letter, A through E, reflecting therapeutic value.

A substance could therefore be classified as high risk while still recognized for substantial medical benefits. That reflects an everyday reality of medical practice. Fentanyl, for example, can cause fatal respiratory depression and remains an indispensable anesthetic and analgesic. A drug's dangers do not erase its benefits.

The bill would also replace the vague "potential for abuse" standard for adding substances to the schedules with a standard based on the potential to develop a substance use disorder, expressly excluding isolated or occasional nontherapeutic use. Taking a substance for pleasure would no longer, by itself, satisfy that threshold.

Among the proposal's most consequential provisions is a requirement that officials consider whether scheduling a substance would itself threaten public health, including by encouraging people to substitute other drugs. They must also consider whether people use a substance to help control problematic use of another scheduled drug, as well as the harms associated with that other drug.

That would force federal officials to confront consequences that drug warriors routinely ignore. Banning a substance does not eliminate demand. Consumers may turn to underground suppliers, face uncertain potency and contamination, or switch to more dangerous products. Making a particular drug harder to obtain can leave its users worse off.

These requirements could be critical in disputes over kratom and its alkaloids, such as 7-hydroxymitragynine (7-OH), which some consumers report using for pain or to reduce their use of other opioids. Such reports should be part of an honest assessment of what consumers stand to lose when the government closes a legal supply channel.

An expert committee would evaluate each substance and publish its evidence and reasoning, making scheduling decisions more transparent and easier to challenge.

HHS would also assume from the DEA responsibility for registering researchers who study controlled substances. Qualifying researchers would gain an expedited registration pathway, with faster decisions for eligible small preclinical pilot studies. Federal officials currently demand evidence that these drugs have medical benefits while imposing restrictions that make it harder for researchers to obtain the drugs and conduct the studies needed to generate that evidence.

Cohen would require officials to reconsider existing classifications, setting a two-year deadline for 32 named substances and an eight-year deadline for most others. If officials miss those deadlines, statutory fallback classifications would apply.

The bill would also repeal the legal obligation of the director of the Office of National Drug Control Policy, the "drug czar," to oppose specified legalization efforts—a remarkable requirement for an office supposedly focused on evaluating drug policy.

Marijuana and tetrahydrocannabinols (THCs) would come off the controlled substance schedules altogether. The bill expressly makes that change retroactive, extending it to past offenses, pending cases, convictions, and juvenile adjudications.

Its sentencing reforms also merit praise. The proposal would remove the quantity-based trafficking provisions that impose five- and 10-year mandatory minimums and eliminate specified mandatory penalties when death or serious injury results. The bill would also limit certain repeat-offender sentencing enhancements to prior convictions that meet the narrower definition of a "serious drug felony." Among other requirements, the person must have served more than a year in prison and been released within 15 years of the new offense. Eligible prisoners could receive reduced sentences, and the Bureau of Prisons would be required to identify them, notify them, and file motions on their behalf.

These changes could spare people years of imprisonment. They deserve support even from those of us who would go much further.

The shortcomings remain significant.

First, the bill preserves criminal penalties for peaceful conduct involving drugs that remain controlled. It leaves the general federal simple-possession statute intact, including mandatory minimum jail terms for repeat offenses. Congress would continue to authorize imprisonment for possessing a substance without government permission.

Second, transferring power to HHS offers no guarantee against political interference. The secretary would appoint the expert committee in consultation with the drug czar. Its required membership emphasizes addiction medicine, toxicology, and substance-use services, without expressly reserving seats for pain patients, ordinary consumers, or civil liberties advocates.

The bill would allow emergency scheduling to bypass the new expert committee's review. It would also retain features of the current system: Temporary restrictions could last two years, with a possible one-year extension, and the statute would expressly exclude those orders from judicial review.

The bill would also transfer production quotas to HHS rather than abolish them. As I have argued before, presuming to know how much of each opioid more than 320 million Americans will need in the coming year exemplifies what economist Friedrich Hayek called the "fatal conceit." These quotas have contributed to shortages of injectable opioids in hospitals, jeopardizing care for surgical patients and those on ventilators. Transferring that power to a health agency does not solve the underlying knowledge problem. Congress should abolish the quotas.

The proposal substantially increases many maximum fines even as it reduces mandatory prison penalties. For an individual convicted of Schedule I or II trafficking without a qualifying prior conviction, the fine ceiling would rise from $1 million to $10 million. Congress should question this punitive expansion.

Finally, marijuana descheduling would leave Food and Drug Administration (FDA) authority intact. The bill expressly preserves the agency's powers under federal food and drug law, allowing it to regulate cannabis products that qualify as drugs, foods, or other products within its jurisdiction. It provides no explicit protection for a recreational cannabis market from FDA restrictions.

Those weaknesses warrant amendments. Scientific evidence can help people understand risks, but it cannot, by itself, justify depriving competent adults of the freedom to decide which risks they will accept. Autonomous adults should remain free to make informed choices about what they put into their bodies.

Cohen, who is retiring from Congress at the end of his term, is unlikely to see this sweeping reform pass during the brief post-election lame duck session. But his proposal can serve as a benchmark for reforming the Controlled Substances Act in the next Congress. Providing his successors with a framework that places greater weight on scientific evidence, recognizes the harms of prohibition, and reduces unjust punishment would leave Cohen with a substantial drug policy reform legacy.

The post Rep. Steve Cohen Thinks the DEA Shouldn't Be Practicing Medicine appeared first on Reason Magazine.

RFK Jr. Institutes Backdoor Approval of 6 Peptides

29 October 2026 at 18:29
RFK Jr. | BONNIE CASH/UPI/Newscom/Sataporn Jiwjalaen/Dreamstime.

The Department of Health and Human Services (HHS) will let pharmacies produce and sell treatments involving six peptides that aren't specifically approved by the Food and Drug Administration (FDA). The move is meant to provide a "controlled alternative" to buying peptides from possibly sketchy foreign pharmacies, HHS said.

Under the new HHS policy, the agency will not "take enforcement action against a State-licensed pharmacy, Federal facility, or licensed physician compounding a drug product" using one of six named "peptide bulk drug substance[s]."

This is a major win for peptide proponents, compounding pharmacies, and health freedom—and hints that HHS Secretary Robert F. Kennedy Jr. may be feeling frustration with the slow pace of things at the FDA.

The six peptides in question—BPC-157, Epitalon, KPV, MOTS-c, Semax, and TB-500—were the subject of a summer meeting of the FDA's Pharmacy Compounding Advisory Committee (PCAC).

Up for debate was whether these six "bulk drug substances" and another, Emideltide, should be put on the FDA's Section 503A Bulks List. That list governs which substances licensed physicians and specialty pharmacies can compound into drug products without them being a component of an already FDA-approved drug or having "an applicable United States Pharmacopeia (USP) or National Formulary (NF) monograph."

In July, the panel voted to put six of the seven peptide-related substances under consideration (all except Emideltide) on the bulks list. But the panel's vote is not binding.

It's ultimately up to FDA authorities to decide whether they accept the advisory committee's recommendations. So far, no decision has been released.

But yesterday, HHS unveiled an "Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances." And it effectively puts the committee's recommendations into practice by proxy.

Kennedy can't ensure FDA approval, of course. But he can—and will—stop HHS from taking action against physicians or pharmacies that compound and distribute these substances under his prescribed rules.

In an explainer about the new policy, HHS notes that "compounded drugs are not FDA-approved, which means FDA does not review their safety, effectiveness, or quality before they are marketed." Nonetheless, "compounded drugs can serve an important medical need for certain patients" and "there is significant interest in the use of these peptides in compounding," it says.

Opponents of allowing more peptide-based treatments to be compounded by licensed U.S. pharmacies often focus on the fact that these products don't have FDA approval and may not have the extensive experimental backing required of FDA-approved treatments.

But people are already taking BPC-157, MOTS-c, and other peptides anyway, buying them from companies selling them under "for research use only" labels or obtaining them from foreign distributors. Peptides can even be found on discount everything-marketplaces like the China-based AliExpress.

Allowing licensed physicians and pharmacies in the U.S. to compound these substances without fear of being punished gives people access to safer options than they might otherwise have.

Pharmacies compounding peptide-based products under the rules set forth by federal law still have to be licensed in the states where they operate and follow certain rules, including a requirement that active ingredients used for compounding must be "accompanied by valid certificates of analysis" and "be compounded based on the receipt of a valid patient-specific prescription." Per the new HHS policy, they must also follow several other rules regarding the packaging and labeling of these peptides.

"The Secretary of HHS has determined that this limited enforcement-discretion policy will discourage the continued, widespread use of certain research-use-only peptides supplied by foreign manufacturers that pose a safety risk to US patients," notes the HHS explainer. "By allowing limited compounding of the substances addressed in this guidance under appropriate safeguards, the policy provides patients with a more controlled alternative."

It's an astoundingly reality-based policy for government health officials, who often act as if matters like this come down to a binary between perfect health and safety on one hand and certain danger on the other.

Rather than relegating peptides to gray or black markets until they (may be) pronounced all clear by the FDA, RFK Jr.'s HHS has chosen to balance safety with "patient choice and freedom," as the HHS states.

The post RFK Jr. Institutes Backdoor Approval of 6 Peptides appeared first on Reason Magazine.

Coroner calls for TGA to review unapproved peptides after death of Australian actor

Richard Norton, 75, went into cardiac arrest in March 2025 after injecting prescribed but unapproved CJC1295 and ipamorelin

The death of an Australian actor after injecting unapproved peptides could result in tougher restrictions on the substances.

Richard Norton, 75, an experienced film industry fight choreographer, stuntman and martial artist, went into cardiac arrest in March 2025 after injecting a prescribed but unapproved peptide.

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© Photograph: Aivolie/Getty Images

© Photograph: Aivolie/Getty Images

© Photograph: Aivolie/Getty Images

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