The Georgian Parliament has begun expedited discussions on a bill that would transfer the import of psychotropic drugs and opioid substitution therapy programs under full state control.
The proposed amendments to the Law on Narcotic Drugs, Psychotropic Substances, Precursors, and Narcotic Assistance would designate state-established institutions as the sole authorized bodies for importing and wholesaling narcotics and psychotropic substances, as well as for implementing opioid substitution treatment (OST).
According to the explanatory note, the initiative aims to strengthen oversight, reduce risks, and bring the current treatment and supply systems under unified control.
Currently, OST services are provided by LLC “Center for Mental Health and Drug Prevention” and eight private entities. The reform would limit the role of private providers, shifting responsibility to the state. As of now, 11,401 individuals are registered users of services provided by the state-run center, while the number served by private clinics will be determined during the implementation phase.
The bill also notes a financial benefit for patients, who currently pay around 1,000 GEL per month for substitution therapy. Once state-managed, these services will be fully funded by the government.
If adopted, the main provisions of the law will take effect on March 1, 2026.
