Parliament has started discussions on a legislative proposal that would give the Georgian government exclusive authority over importing psychotropic drugs and managing opioid substitution therapy (OST) programs.
The explanatory note mentions that the law aims to unify control, tighten oversight, and reduce systemic risks.
Under proposed amendments to the Law on Narcotic Drugs, Psychotropic Substances, Precursors, and Narcotic Assistance, only state-established institutions would be permitted to import and sell these substances. They would also become solely responsible for administering OST programs, currently provided by both state and private entities.
Currently, OST is delivered by the state-run ‘Center for Mental Health and Drug Prevention’ and eight private clinics. The reform would kick out private sector involvement. At the moment, 11,401 patients use services at the state facility, while the number receiving treatment through private providers will be confirmed during implementation.
The most important part of the reform is financial relief for patients. Many currently pay about 1,000 GEL per month for substitution therapy. If the law passes, the government will fully fund these services.
If adopted, the proposed law will go into effect on March 1, 2026.
