The National Conference of Commissioners on Uniform State Laws developed the Uniform State Narcotic Drug Act in 1934 due to the lack of restrictions in the Harrison Act of 1914. The Harrison Act was a revenue-producing act and, while it provided penalties for violations, it did not give authority to the states to exercise police power regarding either seizure of drugs used in illicit trade or punishment of those responsible.

Harry J. Anslinger, head of the Federal Bureau of Narcotics, campaigned and lobbied for passage of the Uniform State Narcotic Act, and the Hearst newspaper media chain was an effective ally in his campaign for passage. The draft of the act was submitted to the American Bar Association at its meeting in Washington in 1932, and it was officially approved by that body and sent to various states the following year. The purpose of the act was to make the law uniform in various states with respect to controlling the sale and use of narcotic drugs. The Commissioners on Uniform State Laws intended to effectively safeguard and regulate narcotic drugs throughout all of the states.

Uniform State Narcotic Drug Act

Initially, only nine states adopted the uniform state statute. President Roosevelt supported adoption of the Act in many more states in a message on Columbia radio network in March 1935. Anslinger launched a nationwide media campaign declaring that marijuana causes temporary insanity. The advertisements featured young people smoking marijuana and then behaving recklessly, committing crimes, killing themselves and others, or dying from marijuana use. The propaganda campaign was a success and all states signed on.

Uniform State Narcotic Drug Act

Background

Prior to 1890, laws concerning opiates were strictly imposed on a local city or state-by-state basis. One of the first was in San Francisco in 1875, where it became illegal to smoke opium outside of opium dens. It did not ban the sale, import or use otherwise. In the next 25 years, different states enacted opium laws ranging from outlawing opium dens altogether to making possession of opium, morphine and heroin without a physician's prescription illegal.

Uniform State Narcotic Drug Act

The first Congressional act that levied taxes on morphine and opium passed in 1890. From that time on, the federal government has had a series of laws and acts directly aimed at opiate use, abuse, and control. These are outlined below.

Pure Food and Drug Act

The Pure Food and Drug Act was created in 1906 to prevent the manufacture, sale, or transportation of adulterated, misbranded, poisonous, or deleterious foods, drugs, medicines, and liquors. Violators, if caught, were punished with fines and/or prison time.

Smoking Opium Exclusion Act

The Smoking Opium Exclusion Act of 1909 banned the importation, possession, and use of "smoking opium." The act became the first federal law to ban the use of non-medical substances; however, the act did not regulate opium-based medications.

The Harrison Act

The Harrison Narcotics Act was passed in 1914. It was the first measure to control narcotics trafficking. The act approached control through a revenue path—requiring those who transported, sold, or possessed narcotics to report it to the Internal Revenue Service (IRS) and to pay taxes. The Harrison Act limited opium availability to only small amounts as prescribed by doctors, who were required to register and pay taxes on the amounts they prescribed.

Supreme Court

The United States Supreme Court ratified the Harrison Anti-Narcotic Act in Webb et al., v. United States and United States v. Doremus, then again in Jin Fuey Moy v. United States, in 1920, holding that doctors may not prescribe maintenance supplies of narcotics to people addicted to narcotics. However, it does not prohibit doctors from prescribing narcotics to wean a patient off of the drug.

It was also the opinion of the court that prescribing narcotics to habitual users was not considered "professional practice" - hence it was considered illegal for doctors to prescribe opioids for the purposes of maintaining an addiction. It can be argued that today's addiction medications are not intended to maintain an addiction but to facilitate addiction remission. In which case, this opinion of the court should not preclude practitioners from prescribing buprenorphine or methadone to patients suffering from an addictive disorder.

Heroin Act

The Heroin Act was passed as House bill on June 7, 1924. The Act prohibited the importation of crude opium for the manufacture and possession of heroin, including the medicinal use of the psychoactive drug.