SECTION 1.
The Legislature finds and declares all of the following:
(a) California is home to over 1,500,000 United States military veterans, with the largest veteran population of any state in the nation.
(b) Since 2001, over 125,000 veterans have died by suicide, and 29 percent of veterans of the Global War on Terrorism are known to suffer from post-traumatic stress disorder (PTSD). The disproportionate incidence of serious health conditions, including PTSD, treatment-resistant depression, substance use disorders, and traumatic brain injuries, among veterans is also a driver of the disproportionate incidence of suicide among them. We lose between 17 and 44 veterans to suicide every day in the United States. Suicide is also a leading cause of violent death in California and our state loses veterans to suicide at a rate significantly more than double the rate that other Californians are lost to suicide each year.
(c) According to the most recent data available from the United States Department of Veterans Affairs, California’s veterans accounted for 449 of the 4,193 Californians, and 6,407 of all veterans, lost to suicide in the same year.
(d) California’s veterans are overrepresented among our state’s unhoused population, and disproportionately impacted by substance use disorders.
(e) The mental health crisis experienced by veterans in our state and across our nation has reached staggering proportions. Our great state needs to redouble efforts to address the mental health needs of these brave and unselfish Californians.
(f) There is a mental health emergency severely impacting California’s military veterans and it is necessary for the state to initiate ongoing and urgent action to address the veteran mental health emergency in California, until the rate of veteran suicide in California is no greater than the rate of suicide impacting all Californians.
(g) The United States Food and Drug Administration (FDA) has granted breakthrough therapy designation (BTD) to CYB003, a novel, proprietary, and synthetic psilocybin analog designed to provide the therapeutic benefits of classical psychedelics. The FDA’s BTD is reserved for drugs that substantially improve over existing therapies in treating severe or life-threatening conditions. BTD status not only accelerates the development and review process, but it also facilitates closer collaboration between the drug developer and the FDA. The ultimate goal is to bring promising treatments to patients more quickly and efficiently. In awarding BTD status to a psilocybin analog in the treatment of major depressive disorder, the FDA recognized not only the revolutionary potential of psychedelic-assisted therapies in treating medical and psychiatric conditions that disproportionately impact veterans, they also recognized the urgent need to make access to these therapies broadly available in the United States.
(h) Veterans exploring treatment solutions are currently forced to leave our country in order to access novel medicines and psychedelic assisted therapies. This crisis necessitates swift action and coordination by the federal and state governments to explore and develop these novel treatments for service-related health conditions fueling the disproportionate incidence of suicide among veterans. However, FDA regulations and guidelines for approving investigational new drug research strongly discourage research protocols permitting trial participants with certain comorbidities, the overlapping occurrence of two or more medical or psychiatric conditions in a single subject, effectively deeming veterans with severe and life-threatening psychiatric conditions ineligible from participating in FDA-approved clinical trials, and leaving critical gaps in clinical research on the safety and efficacy of psychedelic-assisted therapies. At the same time, growing scientific evidence shows that psychedelics may be especially effective in treating patients with the types of comorbidities that are fueling the disproportionate incidence of veteran suicide, requiring a different approach to clinical trials of psychedelic compounds. Both the scale and immediacy of the crisis require concerted state and federal government action to address.
(i) Psychedelic medicines can help lay the foundation for further healing, and the approval of these new treatments would represent a revolutionary advance in care for those suffering from these health conditions. This advance has the potential to save the lives of countless veterans in California, and others throughout our great country, who might otherwise be lost to suicide.
(j) Our veterans need both state and federal laws to enable urgent clinical research of psychedelic treatments that actually includes veteran subjects. Veterans have largely been excluded from participating in FDA-regulated clinical trials due to the incidence of multiple overlapping mental health conditions commonly experienced by our veterans returning from war zones. Despite these barriers, the research is critical to advancing safe and effective treatments through the FDA’s drug approval process, so that veterans can access them through the Department of Veterans Affairs and their medical facilities.
(k) In order to facilitate urgently needed clinical research with veteran participants, and facilitate clinical research with readily available, nonproprietary botanical forms of breakthrough treatments, and thereby provide veterans with debilitating or life-threatening mental health indications with timely, lawful, and medically supervised access to FDA-designated breakthrough therapies, it is necessary to provide the state’s public hospitals and research institutions with the ability to conduct that research in compliance with state law. In order to provide this critical ability, the Legislature finds it is necessary to pass this act to amend Sections 11213 and 11392 of the Health and Safety Code, and add Article 1.5 (commencing with Section 11214) to Chapter 5 of Division 10 of the Health and Safety Code.