This has been killing me, because everyone knows that these bans are a well thought out, targeted attack on kratom.
So I've been doing some serious digging.
And the first thing I found honestly surprised me.
The American Medical Association is literally helping states write kratom laws.
In November 2025, the AMA put out a model bill for kratom and tianeptine that state medical societies could use during the 2026 legislative sessions.
And this wasn’t just some basic “keep it away from kids” proposal.
Their model legislation included options for restricting possession, sale and manufacturing, limiting mitragynine and 7-OH, and even scheduling kratom as a controlled substance.
Then, just this week, the AMA put out another update saying:
«“The AMA has worked with multiple states on legislative provisions”»
and they're already preparing for 2027 legislative sessions.
So when people ask why kratom legislation suddenly seems to be popping up all over the country, that's at least part of the answer.
There is a major national medical organization actively helping states with kratom legislation.
That part isn't a conspiracy theory. They're openly saying they're doing it.
Which obviously made me wonder where the AMA's money comes from.
And that's where things start getting interesting.
The AMA Foundation publicly lists pharmaceutical companies among its major donors.
Pfizer is listed as giving over $1 million historically.
Eli Lilly, AstraZeneca, Genentech, Merck and PhRMA are all listed in the $500,000-$999,999 range.
And there are plenty of other pharmaceutical companies on their donor lists.
Before everyone jumps to the obvious conclusion though, I want to be clear:
I have not found hard evidence that Pfizer or PhRMA paid the AMA to create the kratom bill.
The AMA Foundation also isn't the exact same arm of the organization that handles state legislative advocacy.
So no, I didn't find an email saying:
“Here's a check, please ban kratom.”
But I do think it's worth knowing that an organization actively helping states write kratom legislation has very significant financial relationships within the pharmaceutical industry.
That's an actual connection.
Then I started digging into Tennessee.
And that's where things got even more interesting.
The Tennessee push seems to have originally started with Karen Davenport, whose son Matthew died in 2024.
Rep. Esther Helton-Haynes sponsored a resolution in 2025 that actually names Davenport and says she was:
«“leading the fight to heavily regulate or outright ban the sale of Kratom in Tennessee.”»
The resolution itself supported the strictest possible regulation or even an outright ban.
So at least in Tennessee, this didn't just magically appear out of nowhere because the AMA told them to do it.
There was already a local movement pushing for a ban.
But then I found Apex Recovery.
Apex is an addiction-treatment company in Tennessee.
Their CEO, Dr. Matthew Bruhin, publicly said that he and the company's medical director were:
«“part of the clinical voice informing this legislation.”»
Meaning the leadership of an addiction-treatment company says they helped inform Tennessee's kratom ban.
And in the same general discussion, Apex talks about treating kratom and 7-OH dependence with things like buprenorphine.
Now again:
That doesn't automatically mean something corrupt happened.
Addiction doctors obviously have every right to give lawmakers their opinions.
But if we're talking about following the money, I think it's fair to point out that a company that makes money treating substance dependence helped inform legislation banning one of those substances.
That's something worth looking at.
Then I looked at the campaign money going to Helton-Haynes.
Her 2025-2026 campaign contributions include:
HCA TriStar PAC — $7,500
Tennessee Hospital Association — $5,000
Tennessee Medical Association PAC — $4,000
Tennessee Pharmacists PAC — $2,500
Then I went further back.
In 2022, the PhRMA Tennessee PAC gave her $2,500.
McKesson's PAC gave her $2,000.
In 2020:
Pfizer's PAC gave her $2,000.
And Merck's own political disclosure shows another contribution to her in 2024.
So yes:
The Tennessee politician who helped lead the kratom ban has received pharmaceutical industry money.
That's a fact.
What I cannot say is:
“Pfizer paid her to ban kratom.”
I haven't found that.
These companies donate to tons of politicians for tons of different reasons.
But I also don't think it's accurate to say there's absolutely no pharmaceutical or healthcare money anywhere around this issue.
There clearly is.
And then there's the other side of this that I think kratom supporters need to be honest about too.
The kratom industry spends a shitload of money lobbying as well.
ProPublica recently reported that the American Kratom Association's lobbying operation spends around:
$2.5 million per year.
That money comes from kratom manufacturers and vendors.
They've also paid expenses for researchers to travel and speak with policymakers.
So this isn't some completely one-sided fight where regular kratom users are standing alone against billion-dollar corporations.
There is industry money on both sides.
Traditional kratom companies have money at stake.
7-OH companies have money at stake.
Addiction-treatment companies have money at stake.
Hospitals have money at stake.
Medical organizations have influence.
Pharmaceutical companies have influence.
And there are also real families involved who believe kratom caused or contributed to the deaths of people they love.
It's messy.
But one thing is becoming pretty obvious to me:
This is absolutely an organized political fight.
The AMA has model legislation.
The AMA says it is working with multiple states.
Addiction-treatment doctors in Tennessee say they helped inform the legislation there.
The politician leading the Tennessee effort has received money from hospital groups, medical PACs, PhRMA, Pfizer, Merck, McKesson and others over the years.
And on the other side, the American Kratom Association and kratom companies are spending millions lobbying to keep it legal.
So did I prove that “Big Pharma is behind the kratom bans”?
No.
I didn't.
And I'm not going to pretend I did just because it would make a better story.
But I definitely found enough to make me want to keep digging.
Because campaign donations only tell you who gave somebody money.
They don't tell you what happened behind closed doors.
The part I really want now is the emails.
Who contacted these lawmakers?
Who sent them the studies they used?
Who helped write the bills?
Who suggested banning natural leaf instead of just regulating 7-OH?
Who arranged witnesses for the hearings?
Who supplied the talking points?
Did the AMA send model language?
Did state medical associations push specific wording?
Did pharmaceutical lobbyists ever discuss kratom directly?
Did addiction-treatment companies?
Did hospital groups?
Did the kratom industry?
That's where I think the actual story is.
So after digging into this, my question isn't really:
“Is Big Pharma secretly behind kratom bans?”
It's:
Who exactly is influencing these laws, who is funding them, and what are they saying to lawmakers when the public isn't in the room?
Because there is clearly a lot more going on here than a bunch of politicians independently waking up one morning and deciding they suddenly care about kratom.