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I don’t know the actual answer, but here are the excuses that I get when I have asked this question previously.
These sound like some pretty silly excuses, but I am just a layman. I fail to see why the federal government couldn’t test confiscated Fentanyl until they find something pure and resell it to the states for this purpose.
The government siezes lots of illegal fentanyl. Just put it in the condemned’s cell. Could do the same with heroin. There’d have to be exceptions made to the current law to be able to do this legally, but if the prisoner wants to go out on their own terms, let them.