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art.015/3/015/2/022/2/022/1

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     ARTICLE 15 AS AMENDED

RELATING TO HEALTH AND HUMAN SERVICES

     SECTION 1. Section 40-6-27.2 of the General Laws in Chapter 40-6 entitled "Public

Assistance Act" is hereby amended to read as follows:

     40-6-27.2. Supplementary cash assistance payment for certain supplemental security

income recipients. -- There is hereby established a $206 monthly payment for disabled and

elderly individuals who, on or after July 1, 2012, receive the state supplementary assistance

payment for an individual in state licensed assisted living residence under section 40-6-27 and

further reside in an assisted living facility that is not eligible to receive funding under Title XIX

of the Social Security Act, 42 U.S.C. section 1381 et seq. or reside in any assisted living facility

financed by the Rhode Island housing and mortgage finance corporation prior to January 1, 2006,

and receive a payment under § 40-6-27.

     SECTION 2. Section 40-5.2-20 of the General Laws in Chapter 40-5.2 entitled "The

Rhode Island Works Program" is hereby amended to read as follows:

     40-5.2-20. Child care assistance. -- Families or assistance units eligible for childcare

assistance.

      (a) The department shall provide appropriate child care to every participant who is

eligible for cash assistance and who requires child care in order to meet the work requirements in

accordance with this chapter.

      (b) Low-Income child care. - The department shall provide child care to all other

working families with incomes at or below one hundred eighty percent (180%) of the federal

poverty level, if and to the extent such other families require child care in order to work at paid

employment as defined in the department's rules and regulations. Beginning October 1, 2013, and

until January 1, 2015, the department shall also provide child care to families with income below

one hundred eighty percent (180%) of the federal poverty level if and to the extent such families

require child care to participate on a short term basis, as defined in the department's rules and

regulations, in training, apprenticeship, internship, on-the-job training, work experience, work

immersion, or other job readiness/job attachment program sponsored or funded by the human

resource investment council (governor's workforce board) or state agencies that are part of the

coordinated program system pursuant to sections 42-102-9 and 42-102-11.

      (c) No family/assistance unit shall be eligible for child care assistance under this chapter

if the combined value of its liquid resources exceeds ten thousand dollars ($10,000). Liquid

resources are defined as any interest(s) in property in the form of cash or other financial

instruments or accounts which are readily convertible to cash or cash equivalents. These include,

but are not limited to, cash, bank, credit union, or other financial institution savings, checking and

money market accounts, certificates of deposit or other time deposits, stocks, bonds, mutual

funds, and other similar financial instruments or accounts. These do not include educational

savings accounts, plans, or programs; retirement accounts, plans, or programs; or accounts held

jointly with another adult, not including a spouse. The department is authorized to promulgate

rules and regulations to determine the ownership and source of the funds in the joint account.

      (d) As a condition of eligibility for child care assistance under this chapter, the parent or

caretaker relative of the family must consent to and must cooperate with the department in

establishing paternity, and in establishing and/or enforcing child support and medical support

orders for all children in the family in accordance with title 15 of the general laws, as amended,

unless the parent or caretaker relative is found to have good cause for refusing to comply with the

requirements of this subsection.

      (e) For purposes of this section "appropriate child care" means child care, including

infant, toddler, pre-school, nursery school, school-age, which is provided by a person or

organization qualified, approved, and authorized to provide such care by the department of

children, youth, and families, or by the department of elementary and secondary education, or

such other lawful providers as determined by the department of human services, in cooperation

with the department of children, youth and families and the department of elementary and

secondary education.

      (f) (1) Families with incomes below one hundred percent (100%) of the applicable

federal poverty level guidelines shall be provided with free childcare. Families with incomes

greater than one hundred percent (100%) and less than one hundred eighty (180%) of the

applicable federal poverty guideline shall be required to pay for some portion of the childcare

they receive, according to a sliding fee scale adopted by the department in the department's rules.

      (2) For a twelve (12) thirty-six (36) month period beginning October 1, 2013, the Child

Care Subsidy Transition Program shall function within the department of human services. Under

this program, families who are already receiving childcare assistance and who become ineligible

for childcare assistance as a result of their incomes exceeding one hundred eighty percent (180%)

of the applicable federal poverty guidelines shall continue to be eligible for childcare assistance

from October 1, 2013 to September 30, 2014 2016 or until their incomes exceed two hundred

twenty-five percent (225%) of the applicable federal poverty guidelines, whichever occurs first.

To be eligible, such families must continue to pay for some portion of the childcare they receive,

as indicated in a sliding fee scale adopted in the department's rules and in accordance with all

other eligibility standards.

      (g) In determining the type of childcare to be provided to a family, the department shall

take into account the cost of available childcare options, the suitability of the type of care

available for the child, and the parent's preference as to the type of child care.

      (h) For purposes of this section "income" for families receiving cash assistance under

section 40-5.2-11 means gross earned income and unearned income, subject to the income

exclusions in subdivisions 40-5.2-10(g)(2) and 40-5.2-10(g)(3) and income for other families

shall mean gross earned and unearned income as determined by departmental regulations.

      (i) The caseload estimating conference established by chapter 17 of title 35 shall forecast

the expenditures for childcare in accordance with the provisions of section 35-17-1.

      (j) In determining eligibility for child care assistance for children of members of reserve

components called to active duty during a time of conflict, the department shall freeze the family

composition and the family income of the reserve component member as it was in the month prior

to the month of leaving for active duty. This shall continue until the individual is officially

discharged from active duty.

     SECTION 3. Section 21-28.6-12 of the General Laws in Chapter 21-28.6 entitled "The

Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act" is hereby amended to read as

follows:

     21-28.6-12. Compassion centers. -- (a) A compassion center registered under this

section may acquire, possess, cultivate, manufacture, deliver, transfer, transport, supply, or

dispense marijuana, or related supplies and educational materials, to registered qualifying patients

and their registered primary caregivers who have designated it as one of their primary caregivers.

A compassion center is a primary caregiver. Except as specifically provided to the contrary, all

provisions of the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act, sections 21-

28.6-1 -- 21-28.6-11, apply to a compassion center unless they conflict with a provision contained

in section 21-28.6-12.

      (b) Registration of compassion centers--department authority:

      (1) Not later than ninety (90) days after the effective date of this chapter, the department

shall promulgate regulations governing the manner in which it shall consider applications for

registration certificates for compassion centers, including regulations governing:

      (i) The form and content of registration and renewal applications;

      (ii) Minimum oversight requirements for compassion centers;

      (iii) Minimum record-keeping requirements for compassion centers;

      (iv) Minimum security requirements for compassion centers; and

      (v) Procedures for suspending, revoking or terminating the registration of compassion

centers that violate the provisions of this section or the regulations promulgated pursuant to this

subsection.

      (2) Within ninety (90) days of the effective date of this chapter, the department shall

begin accepting applications for the operation of a single compassion center.

      (3) Within one hundred fifty (150) days of the effective date of this chapter, the

department shall provide for at least one public hearing on the granting of an application to a

single compassion center.

      (4) Within one hundred ninety (190) days of the effective date of this chapter, the

department shall grant a single registration certificate to a single compassion center, providing at

least one applicant has applied who meets the requirements of this chapter.

      (5) If at any time after fifteen (15) months after the effective date of this chapter, there is

no operational compassion center in Rhode Island, the department shall accept applications,

provide for input from the public, and issue a registration certificate for a compassion center if a

qualified applicant exists.

      (6) Within two (2) years of the effective date of this chapter, the department shall begin

accepting applications to provide registration certificates for two (2) additional compassion

centers. The department shall solicit input from the public, and issue registration certificates if

qualified applicants exist.

      (7) Any time a compassion center registration certificate is revoked, is relinquished, or

expires, the department shall accept applications for a new compassion center.

      (8) If at any time after three (3) years after the effective date of this chapter, fewer than

three (3) compassion centers are holding valid registration certificates in Rhode Island, the

department shall accept applications for a new compassion center. No more than three (3)

compassion centers may hold valid registration certificates at one time.

      (9) Any compassion center application selected for approval by the department prior to

January 1, 2012, shall remain in full force and effect, notwithstanding any provisions of this

chapter to the contrary, and shall be subject to state law adopted herein and rules and regulations

adopted by the department subsequent to passage of this legislation.

      (c) Compassion center and agent applications and registration:

      (1) Each application for a compassion center shall include:

      (i) A non-refundable application fee paid to the department in the amount of two

hundred fifty dollars ($250);

      (ii) The proposed legal name and proposed articles of incorporation of the compassion

center;

      (iii) The proposed physical address of the compassion center, if a precise address has

been determined, or, if not, the general location where it would be located. This may include a

second location for the cultivation of medical marijuana;

      (iv) A description of the enclosed, locked facility that would be used in the cultivation of

marijuana;

      (v) The name, address, and date of birth of each principal officer and board member of

the compassion center;

      (vi) Proposed security and safety measures which shall include at least one security

alarm system for each location, planned measures to deter and prevent the unauthorized entrance

into areas containing marijuana and the theft of marijuana, as well as a draft employee instruction

manual including security policies, safety and security procedures, personal safety and crime

prevention techniques; and

      (vii) Proposed procedures to ensure accurate record keeping;

      (2) Any time one or more compassion center registration applications are being

considered, the department shall also allow for comment by the public and shall solicit input from

registered qualifying patients, registered primary caregivers; and the towns or cities where the

applicants would be located;

      (3) Each time a compassion center certificate is granted, the decision shall be based upon

the overall health needs of qualified patients and the safety of the public, including, but not

limited to, the following factors:

      (i) Convenience to patients from throughout the state of Rhode Island to the compassion

centers if the applicant were approved;

      (ii) The applicants' ability to provide a steady supply to the registered qualifying patients

in the state;

      (iii) The applicants' experience running a non-profit or business;

      (iv) The interests of qualifying patients regarding which applicant be granted a

registration certificate;

      (v) The interests of the city or town where the dispensary would be located;

      (vi) The sufficiency of the applicant's plans for record keeping and security, which

records shall be considered confidential health care information under Rhode Island law and are

intended to be deemed protected health care information for purposes of the Federal Health

Insurance Portability and Accountability Act of 1996, as amended; and

      (vii) The sufficiency of the applicant's plans for safety and security, including proposed

location, security devices employed, and staffing;

      (4) After a compassion center is approved, but before it begins operations, it shall submit

the following to the department:

      (i) A fee paid to the department in the amount of five thousand dollars ($5,000);

      (ii) The legal name and articles of incorporation of the compassion center;

      (iii) The physical address of the compassion center; this may include a second address

for the secure cultivation of marijuana;

      (iv) The name, address, and date of birth of each principal officer and board member of

the compassion center;

      (v) The name, address, and date of birth of any person who will be an agent of, employee

or volunteer of the compassion center at its inception;

      (5) The department shall track the number of registered qualifying patients who

designate each compassion center as a primary caregiver, and issue a written statement to the

compassion center of the number of qualifying patients who have designated the compassion

center to serve as a primary caregiver for them. This statement shall be updated each time a new

registered qualifying patient designates the compassion center or ceases to designate the

compassion center and may be transmitted electronically if the department's regulations so

provide. The department may provide by regulation that the updated written statements will not

be issued more frequently than twice each week;

      (6) Except as provided in subdivision (7), the department shall issue each principal

officer, board member, agent, volunteer and employee of a compassion center a registry

identification card or renewal card within ten (10) days of receipt of the person's name, address,

date of birth; a fee in an amount established by the department; and notification to the department

by the state police that the registry identification card applicant has not been convicted of a felony

drug offense or has not entered a plea of nolo contendere for a felony drug offense and received a

sentence of probation. Each card shall specify that the cardholder is a principal officer, board

member, agent, volunteer, or employee of a compassion center and shall contain the following:

      (i) The name, address, and date of birth of the principal officer, board member, agent,

volunteer or employee;

      (ii) The legal name of the compassion center to which the principal officer, board

member, agent, volunteer or employee is affiliated;

      (iii) A random identification number that is unique to the cardholder;

      (iv) The date of issuance and expiration date of the registry identification card; and

      (v) A photograph, if the department decides to require one;

      (7) Except as provided in this subsection, the department shall not issue a registry

identification card to any principal officer, board member, agent, volunteer, or employee of a

compassion center who has been convicted of a felony drug offense or has entered a plea of nolo

contendere for a felony drug offense and received a sentence of probation. The department shall

notify the compassion center in writing of the purpose for denying the registry identification card.

The department may grant such person a registry identification card if the department determines

that the offense was for conduct that occurred prior to the enactment of the Edward O. Hawkins

and Thomas C. Slater Medical Marijuana Act or that was prosecuted by an authority other than

the state of Rhode Island and for which the Edward O. Hawkins and Thomas C. Slater Medical

Marijuana Act would otherwise have prevented a conviction;

      (i) All registry identification card applicants shall apply to the state police for a national

criminal identification records check that shall include fingerprints submitted to the federal

bureau of investigation. Upon the discovery of a felony drug offense conviction or a plea of nolo

contendere for a felony drug offense with a sentence of probation, and in accordance with the

rules promulgated by the director, the state police shall inform the applicant, in writing, of the

nature of the felony and the state police shall notify the department, in writing, without disclosing

the nature of the felony, that a felony drug offense conviction or a plea of nolo contendere for a

felony drug offense with probation has been found.

      (ii) In those situations in which no felony drug offense conviction or plea of nolo

contendere for a felony drug offense with probation has been found, the state police shall inform

the applicant and the department, in writing, of this fact.

      (iii) All registry identification card applicants shall be responsible for any expense

associated with the criminal background check with fingerprints.

      (8) A registry identification card of a principal officer, board member, agent, volunteer,

or employee shall expire one year after its issuance, or upon the expiration of the registered

organization's registration certificate, or upon the termination of the principal officer, board

member, agent, volunteer or employee's relationship with the compassion center, whichever

occurs first.

      (d) Expiration or termination of compassion center:

      (1) A compassion center's registration shall expire two (2) years after its registration

certificate is issued. The compassion center may submit a renewal application beginning sixty

(60) days prior to the expiration of its registration certificate;

      (2) The department shall grant a compassion center's renewal application within thirty

(30) days of its submission if the following conditions are all satisfied:

      (i) The compassion center submits the materials required under subdivision (c)(4),

including a five thousand dollar ($5,000) fee;

      (ii) The compassion center's registration has never been suspended for violations of this

chapter or regulations issued pursuant to this chapter;

      (iii) The legislative oversight committee's report, if issued pursuant to subsection (4)(j),

indicates that the compassion center is adequately providing patients with access to medical

marijuana at reasonable rates; and

      (iv) The legislative oversight committee's report, if issued pursuant to subsection (4)(j),

does not raise serious concerns about the continued operation of the compassion center applying

for renewal.

      (3) If the department determines that any of the conditions listed in paragraphs (d)(2)(i) -

- (iv) have not been met, the department shall begin an open application process for the operation

of a compassion center. In granting a new registration certificate, the department shall consider

factors listed in subdivision (c)(3) of this section;

      (4) The department shall issue a compassion center one or more thirty (30) day

temporary registration certificates after that compassion center's registration would otherwise

expire if the following conditions are all satisfied:

      (i) The compassion center previously applied for a renewal, but the department had not

yet come to a decision;

      (ii) The compassion center requested a temporary registration certificate; and

      (iii) The compassion center has not had its registration certificate revoked due to

violations of this chapter or regulations issued pursuant to this chapter.

      (5) A compassion center's registry identification card shall be subject to revocation if the

compassion center:

      (i) Possesses an amount of marijuana exceeding the limits established by this chapter;

      (ii) Is in violation of the laws of this state;

      (iii) Is in violation of other departmental regulations; or

      (iv) Employs or enters into a business relationship with a medical practitioner who

provides written certification of a qualifying patient's medical condition.

      (e) Inspection. - Compassion centers are subject to reasonable inspection by the

department of health, division of facilities regulation. During an inspection, the department may

review the compassion center's confidential records, including its dispensing records, which shall

track transactions according to qualifying patients' registry identification numbers to protect their

confidentiality.

      (f) Compassion center requirements:

      (1) A compassion center shall be operated on a not-for-profit basis for the mutual benefit

of its patients. A compassion center need not be recognized as a tax-exempt organization by the

Internal Revenue Services;

      (2) A compassion center may not be located within one thousand feet (1000') of the

property line of a preexisting public or private school;

      (3) A compassion center shall notify the department within ten (10) days of when a

principal officer, board member, agent, volunteer or employee ceases to work at the compassion

center. His or her card shall be deemed null and void and the person shall be liable for any

penalties that may apply to any nonmedical possession or use of marijuana by the person;

      (4) A compassion center shall notify the department in writing of the name, address, and

date of birth of any new principal officer, board member, agent, volunteer or employee and shall

submit a fee in an amount established by the department for a new registry identification card

before that person begins his or her relationship with the compassion center;

      (5) A compassion center shall implement appropriate security measures to deter and

prevent the unauthorized entrance into areas containing marijuana and the theft of marijuana and

shall insure that each location has an operational security alarm system. Each compassion center

shall request that the Rhode Island state police visit the compassion center to inspect the security

of the facility and make any recommendations regarding the security of the facility and its

personnel within ten (10) days prior to the initial opening of each compassion center. Said

recommendations shall not be binding upon any compassion center, nor shall the lack of

implementation of said recommendations delay or prevent the opening or operation of any center.

If the Rhode Island state police do not inspect the compassion center within the ten (10) day

period there shall be no delay in the compassion center's opening.

      (6) The operating documents of a compassion center shall include procedures for the

oversight of the compassion center and procedures to ensure accurate record keeping;

      (7) A compassion center is prohibited from acquiring, possessing, cultivating,

manufacturing, delivering, transferring, transporting, supplying, or dispensing marijuana for any

purpose except to assist registered qualifying patients with the medical use of marijuana directly

or through the qualifying patient's other primary caregiver;

      (8) All principal officers and board members of a compassion center must be residents of

the state of Rhode Island;

      (9) Each time a new registered qualifying patient visits a compassion center, it shall

provide the patient with frequently asked questions sheet designed by the department, which

explains the limitations on the right to use medical marijuana under state law;

      (10) Each compassion center shall develop, implement, and maintain on the premises

employee, volunteer and agent policies and procedures to address the following requirements:

      (i) A job description or employment contract developed for all employees and agents and

a volunteer agreement for all volunteers, which includes duties, authority, responsibilities,

qualifications, and supervision; and

      (ii) Training in and adherence to state confidentiality laws.

      (11) Each compassion center shall maintain a personnel record for each employee, agent

and volunteer that includes an application and a record of any disciplinary action taken;

      (12) Each compassion center shall develop, implement, and maintain on the premises an

on-site training curriculum, or enter into contractual relationships with outside resources capable

of meeting employee training needs, which includes, but is not limited to, the following topics:

      (i) Professional conduct, ethics, and patient confidentiality; and

      (ii) Informational developments in the field of medical use of marijuana.

      (13) Each compassion center entity shall provide each employee, agent and volunteer, at

the time of his or her initial appointment, training in the following:

      (i) The proper use of security measures and controls that have been adopted; and

      (ii) Specific procedural instructions on how to respond to an emergency, including

robbery or violent accident;

      (14) All compassion centers shall prepare training documentation for each employee and

volunteer and have employees and volunteers sign a statement indicating the date, time, and place

the employee and volunteer received said training and topics discussed, to include name and title

of presenters. The compassion center shall maintain documentation of an employee's and a

volunteer's training for a period of at least six (6) months after termination of an employee's

employment or the volunteer's volunteering.

      (g) Maximum amount of usable marijuana to be dispensed:

      (1) A compassion center or principal officer, board member, agent, volunteer or

employee of a compassion center may not dispense more than two and one half ounces (2.5 oz) of

usable marijuana to a qualifying patient directly or through a qualifying patient's other primary

caregiver during a fifteen (15) day period;

      (2) A compassion center or principal officer, board member, agent, volunteer or

employee of a compassion center may not dispense an amount of usable marijuana or marijuana

plants to a qualifying patient or a qualifying patient's other primary caregiver that the compassion

center, principal officer, board member, agent, volunteer, or employee knows would cause the

recipient to possess more marijuana than is permitted under the Edward O. Hawkins and Thomas

C. Slater Medical Marijuana Act.

      (h) Immunity:

      (1) No registered compassion center shall be subject to prosecution; search, except by

the department pursuant to subsection (e); seizure; or penalty in any manner or denied any right

or privilege, including, but not limited to, civil penalty or disciplinary action by a business,

occupational, or professional licensing board or entity, solely for acting in accordance with this

section to assist registered qualifying patients to whom it is connected through the department's

registration process with the medical use of marijuana;

      (2) No registered compassion center shall be subject to prosecution; seizure or penalty in

any manner or denied any right or privilege, including, but not limited to, civil penalty or

disciplinary action by a business, occupational, or professional licensing board or entity, for

selling, giving or distributing marijuana in whatever form and within the limits established by the

department to another registered compassion center;

      (3) No principal officers, board members, agents, volunteers, or employees of a

registered compassion center shall be subject to arrest, prosecution, search, seizure, or penalty in

any manner or denied any right or privilege, including, but not limited to, civil penalty or

disciplinary action by a business, occupational, or professional licensing board or entity, solely

for working for or with a compassion center to engage in acts permitted by this section.

      (4) No state employee shall be subject to arrest, prosecution or penalty in any manner, or

denied any right or privilege, including, but not limited to, civil penalty, disciplinary action,

termination, or loss of employee or pension benefits, for any and all conduct that occurs within

the scope of his or her employment regarding the administration, execution and/or enforcement of

this act, and the provisions of Rhode Island general laws, sections 9-31-8 and 9-31-9 shall be

applicable to this section.

      (i) Prohibitions:

      (1) A compassion center shall not possess an amount of marijuana at any given time that

exceeds the following limitations:

      (i) One hundred fifty (150) marijuana plants of which no more than ninety-nine (99)

shall be mature; and

      (ii) One thousand five hundred ounces (1500 oz.) of usable marijuana must limit its

inventory of seedlings, plants, and usable marijuana to reflect the projected needs of registered

qualifying patients.

      (2) A compassion center may not dispense, deliver, or otherwise transfer marijuana to a

person other than a qualifying patient who has designated the compassion center as a primary

caregiver or to such patient's other primary caregiver;

      (3) A person found to have violated paragraph (2) of this subsection may not be an

employee, agent, volunteer, principal officer, or board member of any compassion center;

      (4) An employee, agent, volunteer, principal officer or board member of any compassion

center found in violation of paragraph (2) above shall have his or her registry identification

revoked immediately; and

      (5) No person who has been convicted of a felony drug offense or has entered a plea of

nolo contendere for a felony drug offense with a sentence or probation may be the principal

officer, board member, agent, volunteer, or employee of a compassion center unless the

department has determined that the person's conviction was for the medical use of marijuana or

assisting with the medical use of marijuana in accordance with the terms and conditions of this

chapter. A person who is employed by or is an agent, volunteer, principal officer, or board

member of a compassion center in violation of this section is guilty of a civil violation punishable

by a fine of up to one thousand dollars ($1,000). A subsequent violation of this section is a

misdemeanor:

      (j) Legislative oversight committee:

      (1) The general assembly shall appoint a nine (9) member oversight committee

comprised of: one member of the house of representatives; one member of the senate; one

physician to be selected from a list provided by the Rhode Island medical society; one nurse to be

selected from a list provided by the Rhode Island state nurses association; two (2) registered

qualifying patients; one registered primary caregiver; one patient advocate to be selected from a

list provided by the Rhode Island patient advocacy coalition; and the superintendent of the Rhode

Island state police or his/her designee.

      (2) The oversight committee shall meet at least six (6) times per year for the purpose of

evaluating and making recommendations to the general assembly regarding:

      (i) Patients' access to medical marijuana;

      (ii) Efficacy of compassion center;

      (iii) Physician participation in the Medical Marijuana Program;

      (iv) The definition of qualifying medical condition;

      (v) Research studies regarding health effects of medical marijuana for patients.

      (3) On or before January 1 of every even numbered year, the oversight committee shall

report to the general assembly on its findings.

     SECTION 4. Section 1 of this article shall take effect on October 1, 2014. The remainder

of this article shall take effect upon passage.