On November 3, 2003 New York Governor George Pataki signed legislation banning most ephedra products. New York is the second state to ban ephedra. According to a press release from Pataki's office, the law does not apply to over-the-counter drugs that fall under the U.S. Food and Drug Administration jurisdiction. The law also does not apply to ma huang that is sold or dispensed by practitioners of acupuncture or Chinese medicine. The New York ban follows recent ephedra-related deaths of high-profile athletes and a recent Rand Corp. report that linked ephedra to higher risks of side effects such as heart palpitations, psychiatric and upper-gastrointestinal effects, tremors, and insomnia.