HB 314 Mississippi House · 2026 Regular Session

Ibogaine; authorize SDH to select a consortium to conduct a drug development clinical trial with, to secure FDA's approval of.

HB 314 authorizes Mississippi's Department of Health to select a consortium (comprising a drug developer, university, and hospital) to conduct clinical trials using ibogaine. The goal is to secure U.S. Food and Drug Administration (FDA) approval for ibogaine as a treatment for opioid use disorder, co-occurring substance use disorders, and other neurological or mental health conditions. The bill requires the selected consortium to provide matching non-state funds, coordinate with other states' trials, and submit detailed proposals covering trial design, safety protocols, and FDA application strategies. It also mandates plans for future treatment access, provider training, and commercialization of any resulting intellectual property.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Jan 27, 2026 Signed Mar 26, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

As Passed the lower Current version · 6 edits
MODERATE
The Senate version of HB 314 introduces a 'lead consortium' concept that fundamentally restructures Mississippi's role in ibogaine drug development. Instead of independently filing its own FDA Investigational New Drug (IND) application and seeking breakthrough therapy designation, Mississippi's consortium must now enter into an agreement with the first out-of-state consortium to do so, use the same drug developer as that lead consortium, and coordinate rather than act independently on FDA submissions.
DEFINITION

A new definition of 'lead consortium' is added in Section 2(f), meaning the consortium first established by the government of another state. This creates a designated primary actor in the multi-state ibogaine effort.

REQUIREMENT

Section 3(a) now requires that the drug developer in Mississippi's consortium 'shall be the same drug developer that is part of the lead consortium,' tying Mississippi's effort to a specific existing out-of-state entity rather than allowing independent selection.

The old Section 8 required Mississippi's selected consortium to independently submit an IND application to the FDA and seek breakthrough therapy designation. This requirement is entirely removed in the new version.

Section 8 is retitled from 'Investigational new drug application' to 'Agreement with lead consortium.' The Mississippi consortium must now enter into an agreement with the lead consortium after that lead consortium has submitted the IND and sought breakthrough therapy designation, rather than doing so itself.

Section 5(2)(d) changes from requiring 'a detailed plan to seek a breakthrough therapy designation' to 'a plan to coordinate with the lead consortium to seek a breakthrough therapy designation,' shifting Mississippi from an independent actor to a coordinating partner.

SCOPE

Coordination requirements in Section 8(2) now specify coordination with trials 'conducted by the lead consortium and in other states' rather than simply 'in other states,' further anchoring Mississippi's role to the lead consortium's activities.

Floor votes · Senate Mar 5, 2026 · House Jan 21, 2026

How they voted

511
Passed
Total votes 52
Mar 5, 2026
D Democratic18
18 Yea
100% Yea
R Republican34
33 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
9
Committee
4
Amendments
2
Mar 26, 2026
Signed into law
Approved by Governor
executive
Mar 17, 2026
Lower · Passed
Concurred in Amend From Senate
lower
Mar 10, 2026
Upper · Passed
Passed As Amended
upper
Mar 10, 2026
Upper · Passed
Amended
upper
Mar 5, 2026
Upper · Passed
Passed As Amended
upper
Mar 5, 2026
Upper · Passed
Amended
upper
Feb 25, 2026
Upper · Passed
Title Suff Do Pass
upper
Feb 13, 2026
Committee
Referred To Public Health and Welfare
upper
Jan 27, 2026
Introduced
Transmitted To Senate
lower
Jan 21, 2026
Lower · Passed
Passed
lower
Jan 20, 2026
Lower · Passed
Title Suff Do Pass
lower
Jan 8, 2026
Committee
Referred To Public Health and Human Services
lower
1 primary · 3 co-sponsors

Sponsors