2020 Legislative Priorities



NCADA’s top legislative priority for 2020 is ensuring that Amendment 2, Missouri’s medical marijuana program, is implemented in a way that promotes transparency, legitimacy, and the public health. The General Assembly should, at the least, pass legislation regulating marketing, tracking of sales, dispensary staff training, and limits on edibles.


NCADA supports legislation designed to reduce the initiation of opioid use by building community and individual resiliency skills and working to address risk factors. We will advocate for state legislation that establishes the Narcotics Control Act, funding for treatment, and the establishment of evidence based harm reduction strategies. We stand opposed to legislation that promotes discriminatory or ineffective practices that inhibit treatment or the wellbeing of those suffering from substance use disorders.


NCADA recognizes that the most effective way to address substance use disorder is to prevent it in the first place. Dedicated funding to school and community based prevention is the most efficient means to stemming the growing tide of substance use.


NCADA supports legislation that decreases a minor’s exposure to cigarette, cigar, and hookah smoke, as well as vapor from e-cigarettes and vaporizers. This includes a statewide version of Tobacco 21, an ordinance passed by many municipalities to limit the purchase of nicotine products to people 21 and older. Additionally, legislation that toughens penalties for selling or providing nicotine products to minors is a proven strategy for delaying the age of first use and reducing rates of addiction.


Public health practices recommend the outright ban on the sale of kratom. There are not medically recognized benefits to the supplement, however kratom can cause death and has other deleterious health impacts. Click here to view the full kratom policy statement.


NCADA supports policies that toughen penalties for sales and serving to minors, deters parents from providing, ensures minors don’t have access to easily concealable, easily misused products like powdered alcohol, and raises alcohol excise taxes. These steps are essential to fighting underage drinking. Earlier age of initial use is highly correlated to alcohol related problems later in life, and NCADA supports efforts to reduce underage alcohol consumption.


Due to Missouri’s inaction on Medicaid expansion, most federal dollars meant to address the opioid crisis are being used to fund treatment for uninsured or underinsured individuals. Medicaid expansion would create access to treatment and allow those funds to support other priorities including prevention, harm reduction, and recovery support services.