In a bold move towards the uniform regulation of medication and drug testing in North American racing, the regulators of eight states in the Mid Atlantic and Northeast United States have committed to implement a uniform medication and drug testing program. The agreement, spearheaded by the Thoroughbred Horsemen’s Association (THA), represents the most dramatic change in medication regulation and testing in the last 50 years and could pave the way for national uniformity.

The participating states — New York, New Jersey, Pennsylvania, Delaware, Maryland, Virginia, West Virginia and Massachusetts — will implement the Mid Atlantic Uniform Medication Program.

The Program divides medications into two new categories — Controlled Therapeutic Substances and Prohibited Substances.

The Controlled Therapeutic Substances category will limit horsemen and veterinarians to 24 medications that have been recognized as appropriate for therapeutic use in racehorses to treat illness or injury. These medications were identified following intensive consultation among the American Association of Equine Practitioners (AAEP), the Racing Medication and Testing Consortium (RMTC), the Association of Racing Commissioners International (ARCI) and the industry’s chemists and pharmacologists. These medications will each have a specific published restricted administration time and uniform laboratory detection level which, when combined, will enable the therapeutic treatment of the horse while ensuring that no pharmacologically significant residue of the medication will be present in the horse during a race. The presence of these and any other medication or drug in a sample collected from a horse will be strictly prohibited.

The Controlled Therapeutic Substances are: Acepromazine, Betamethasone, Butorphanol, Clenbuterol, Dantrolene, Detomidine, Dexamethasone, Diclofenac, DMSO, Firocoxib, Flunixin, Furosemide, Glycopyrrolate, Ketoprofen, Lidocaine,Mepivacaine, Methocarbamol, Methylprednisolone, Omeprazole, Phenylbutazone, Prednisolone, Procaine Penicillin, Triamcinolone acetonide and Xylazine.

The testing laboratories of the participating states will uniformly test for these substances utilizing the same state-of-the-art technology and levels of detection. To ensure that the laboratories will be working uniformly and to the highest standard, each participating state will commit its laboratory to accreditation by the recently enacted RMTC Code of Standards for Drug Testing Laboratories.

The RMTC Code calls for laboratories conducting drug testing of equine samples to adhere to even stricter requirements than those mandated by international drug testing standards currently in place because it is specifically tailored to laboratories conducting equine drug testing. These laboratories will also begin participation in the RMTC’s External Quality Assurance Program as a condition of accreditation.

Under the Program, furosemide (Salix) will be the only medication permitted to be administered to a racehorse on race day. The regulators in the participating states have agreed to implement strict controls on the administration of this medication, including the requirement that it be administered uniformly and only by Commission designees.

Of particular note, the administration of clenbuterol will not be permitted within 14 days of a race. The intra-articular administration of a corticosteroid will not be permitted within seven days of a race. In this regard, horsemen and veterinarians will be specifically cautioned against the use of methylprednisolone acetate (DepoMedrol) within 21 days of a race.

The participating states are awaiting final approval of the restricted time limits and uniform detection levels for the 24 therapeutic medications by the RMTC and ARCI Boards, which is expected by April 1, 2013. Each state will direct its testing laboratory to apply for RMTC Code Accreditation by April 1, 2013.

The Program will require each participating state to either amend its current rules and procedures or enact statutes, depending upon how medication is regulated in the particular state. Because of the differing requirements from state to state and the need for uniform implementation, the regulators agreed to begin the adoption process immediately following RMTC and ARCI Board approval of the Controlled Therapeutic Substances list and have agreed to a uniform implementation date of January 1, 2014. (It should be noted that the abolition of anabolic steroids in racing was uniformly implemented in a similar fashion). During the period between April 1 and December 31, the regulators will be working with the horsemen and veterinarians to ensure compliance when implementation occurs. In addition, work is ongoing on a new penalty system that will discourage initial and repeat violations and identify repeat offenders who fail to comply with medication regulations.

“The largest concentration of racing in the United States on a daily basis is conducted in the Mid Atlantic and Northeast. Some 18 racetracks operate within a 200 mile radius. Many horsemen race in more than one state and, in some instances, on the same day. There is no region in the country where uniformity is more imperative than in the Mid Atlantic and Northeast. The horsemen have been asking for this for years, the time has come, and we are finally in a position to do it. I am extremely grateful to the THA member groups for taking the lead on this critical initiative and to the ARCI, RMTC, AAEP, The Jockey Club and other industry organizations for their collaborative approach and support to make this a reality,” said THA Chairman Alan M. Foreman.

Speaking on behalf of the regulators, Delaware Thoroughbred Racing Commission Chairman Duncan Patterson, who is also the current Chairman of ARCI, said, “This is indeed a historic moment for racing and long overdue. It demonstrates that the racing industry has the means and wherewithal to join together to protect the integrity of our sport and the welfare of our horses. I urge all racing jurisdictions outside the region to immediately join in this effort so that we can achieve long-elusive national medication and drug testing uniformity.”

The Program became a reality following years of scientific research by the RMTC, recommendations from the International Summit on Race Day Medication in 2011, meetings of the industry’s most respected chemists and pharmacologists during 2012, meetings among Mid Atlantic regulators since 2000, The Jockey Club’s work on Reformed Medication Rules in 2012 and the Report of the New York Task Force on Racehorse Health and Safety in September 2012. In addition to THA representatives and the regulators from the participating states and their staff, others who participated in the recent meetings to discuss the Program included the AAEP, TRA, The Jockey Club, ARCI, RMTC, NTRA and the Pennsylvania HBPA.

(THA)