2014 -- S 2987 | |
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LC005646 | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2014 | |
____________ | |
A N A C T | |
RELATING TO FOOD AND DRUGS - THE EDWARD O. HAWKINS AND THOMAS C. | |
SLATER MEDICAL MARIJUANA ACT | |
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Introduced By: Senators McCaffrey, Cote, Lombardi, and Nesselbush | |
Date Introduced: May 07, 2014 | |
Referred To: Senate Judiciary | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Sections 21-28.6-4, 21-28.6-6, 21-28.6-9 and 21-28.6-12 of the General |
2 | Laws in Chapter 21-28.6 entitled "The Edward O. Hawkins and Thomas C. Slater Medical |
3 | Marijuana Act" are hereby amended to read as follows: |
4 | 21-28.6-4. Protections for the medical use of marijuana. -- (a) A qualifying patient |
5 | who has in his or her possession a registry identification card shall not be subject to arrest, |
6 | prosecution, or penalty in any manner, or denied any right or privilege, including but not limited |
7 | to, civil penalty or disciplinary action by a business or occupational or professional licensing |
8 | board or bureau, for the medical use of marijuana; provided, that the qualifying patient possesses |
9 | an amount of marijuana that does not exceed twelve (12) three (3) mature marijuana plants per |
10 | residential dwelling unit and two and one-half (2.5) ounces of usable marijuana. Said plants shall |
11 | be stored in an indoor facility. |
12 | (b) A registered qualifying patient, who has in his or her possession a registry |
13 | identification card, shall not be subject to arrest, prosecution, or penalty in any manner, or denied |
14 | any right or privilege, including but not limited to, civil penalty or disciplinary action by a |
15 | business or occupational or professional licensing board or bureau, for selling, giving, or |
16 | distributing marijuana of the type and in an amount not to exceed that set forth in subsection (a) |
17 | above, that he or she has cultivated or manufactured pursuant to this chapter, to a registered |
18 | compassion center. |
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1 | (c) No school, employer or landlord may refuse to enroll, employ or lease to or otherwise |
2 | penalize a person solely for his or her status as a cardholder. |
3 | (d) A primary caregiver, who has in his or her possession, a registry identification card |
4 | shall not be subject to arrest, prosecution, or penalty in any manner, or denied any right or |
5 | privilege, including but not limited to, civil penalty or disciplinary action by a business or |
6 | occupational or professional licensing board or bureau, for assisting a qualifying patient to whom |
7 | he or she is connected through the department's registration process with the medical use of |
8 | marijuana; provided, that the primary caregiver possesses an amount of marijuana which does not |
9 | exceed twelve (12) three (3) mature marijuana plants per residential dwelling unit regardless of |
10 | the number of qualified patients the caregiver is assigned to, and two and one-half (2.5) ounces of |
11 | usable marijuana for each qualifying patient to whom he or she is connected through the |
12 | department's registration process. |
13 | (e) Registered primary caregivers under § 21-28.6-4(d) and registered qualifying patients |
14 | under § 21-28.6-4(a) shall be allowed to possess a reasonable amount of unusable marijuana, |
15 | including up to twelve (12) three (3) seedlings per residential dwelling unit regardless of the |
16 | number of qualified patients the caregiver is assigned to which shall not be counted toward the |
17 | limits in this section. |
18 | (f) There shall exist a presumption that a qualifying patient or primary caregiver is |
19 | engaged in the medical use of marijuana if the qualifying patient or primary caregiver: |
20 | (1) Is in possession of a registry identification card; and |
21 | (2) Is in possession of an amount of marijuana that does not exceed the amount permitted |
22 | under this chapter. Such presumption may be rebutted by evidence that conduct related to |
23 | marijuana was not for the purpose of alleviating the qualifying patient's debilitating medical |
24 | condition or symptoms associated with the medical condition. |
25 | (g) A primary caregiver may receive reimbursement for costs associated with assisting a |
26 | registered qualifying patient's medical use of marijuana. Compensation shall not constitute sale of |
27 | controlled substances. |
28 | (h) A natural person registered as a primary caregiver who has in his or her possession a |
29 | registry identification card shall not be subject to arrest, prosecution, or penalty in any manner, or |
30 | denied any right or privilege, including, but not limited to, civil penalty or disciplinary action by a |
31 | business or occupational or professional licensing board or bureau, for selling, giving, or |
32 | distributing marijuana, of the type and in an amount not to exceed that set forth in subsection (d) |
33 | above, to a registered compassion center if: |
34 | (1) The registered natural person primary caregiver cultivated the marijuana pursuant to |
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1 | this chapter, not to exceed the limits of paragraph (d) above; and |
2 | (2) Each qualified patient the caregiver is connected with through the department's |
3 | registration process has been provided an adequate amount of the marijuana to meet his or her |
4 | medical needs, not to exceed the limits of subsection (a) above. |
5 | (i) A practitioner shall not be subject to arrest, prosecution, or penalty in any manner, or |
6 | denied any right or privilege, including, but not limited to, civil penalty or disciplinary action by |
7 | the Rhode Island Board of Medical Licensure and Discipline or by any other business or |
8 | occupational or professional licensing board or bureau solely for providing written certifications |
9 | or for otherwise stating that, in the practitioner's professional opinion, the potential benefits of the |
10 | medical marijuana would likely outweigh the health risks for a patient. |
11 | (j) Any interest in or right to property that is possessed, owned, or used in connection |
12 | with the medical use of marijuana, or acts incidental to such use, shall not be forfeited. |
13 | (k) No person shall be subject to arrest or prosecution for constructive possession, |
14 | conspiracy, aiding and abetting, being an accessory, or any other offense for simply being in the |
15 | presence or vicinity of the medical use of marijuana as permitted under this chapter or for |
16 | assisting a registered qualifying patient with using or administering marijuana. |
17 | (l) A practitioner nurse or pharmacist shall not be subject to arrest, prosecution or |
18 | penalty in any manner, or denied any right or privilege, including, but not limited to, civil penalty |
19 | or disciplinary action by a business or occupational or professional licensing board or bureau |
20 | solely for discussing the benefits or health risks of medical marijuana or its interaction with other |
21 | substances with a patient. |
22 | (m) A registry identification card, or its equivalent, issued under the laws of another |
23 | state, U.S. territory, or the District of Columbia to permit the medical use of marijuana by a |
24 | patient with a debilitating medical condition, or to permit a person to assist with the medical use |
25 | of marijuana by a patient with a debilitating medical condition, shall have the same force and |
26 | effect as a registry identification card issued by the department. |
27 | (n) Notwithstanding the provisions of subsection 21-28.6-4(d), or subsection 21-28.6- |
28 | 4(e), or subsection 21-28.6-4(q) no primary caregiver other than a compassion center shall |
29 | possess in total an amount of marijuana in excess of twenty-four (24) marijuana plants and five |
30 | (5) ounces of usable marijuana for qualifying patients to whom he or she is connected through the |
31 | department's registration process. |
32 | (o) A registered qualifying patient or registered primary caregiver may give marijuana to |
33 | another registered qualifying patient or registered primary caregiver to whom they are not |
34 | connected by the department's registration process, provided that no consideration is paid for the |
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1 | marijuana, and that the recipient does not exceed the limits specified in section 21-28.6-4. |
2 | (p) For the purposes of medical care, including organ transplants, a registered qualifying |
3 | patient's authorized use of marijuana shall be considered the equivalent of the authorized use of |
4 | any other medication used at the direction of a physician, and shall not constitute the use of an |
5 | illicit substance. |
6 | (q) A primary caregiver, who has in his or her possession, a registry identification card |
7 | shall not be subject to arrest, prosecution, or penalty in any manner, or denied any right or |
8 | privilege, including, but not limited to, civil penalty or disciplinary action by a business or |
9 | occupational or professional licensing board or bureau, for assisting a qualifying patient to whom |
10 | he or she is connected through the department's registration process with the medical use of |
11 | marijuana; provided, that the primary caregiver has obtained a cultivation certificate from the |
12 | department of health, and possesses an amount of marijuana which does not exceed twelve (12) |
13 | mature marijuana plants, and a reasonable amount of unusable marijuana including twelve (12) |
14 | seedlings, and two and one-half (2.5) ounces of usable marijuana for each qualifying patient to |
15 | whom he or she is connected through the department's registration process. The cultivation |
16 | certificate required pursuant to this subsection shall be issued upon the payment of two hundred |
17 | dollars ($200) to the department, and must be renewed annually; provided, the caregiver's |
18 | location for the maintenance of the twelve (12) mature marijuana plants shall be located in a |
19 | nonresidential zone, more than one thousand feet (1000') from the property line of any pre- |
20 | existing public school, private school or daycare center. |
21 | 21-28.6-6. Administration of regulations. -- (a) The department shall issue registry |
22 | identification cards to qualifying patients who submit the following, in accordance with the |
23 | department's regulations: |
24 | (1) Written certification as defined in section 21-28.6-3(14) of this chapter; |
25 | (2) Application or renewal fee; |
26 | (3) Name, address, and date of birth of the qualifying patient; provided, however, that if |
27 | the patient is homeless, no address is required; |
28 | (4) Name, address, and telephone number of the qualifying patient's practitioner; and |
29 | (5) Name, address, and date of birth of each primary caregiver of the qualifying patient, |
30 | if any. |
31 | (b) The department shall not issue a registry identification card to a qualifying patient |
32 | under the age of eighteen (18) unless: |
33 | (1) The qualifying patient's practitioner has explained the potential risks and benefits of |
34 | the medical use of marijuana to the qualifying patient and to a parent, guardian or person having |
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1 | legal custody of the qualifying patient; and |
2 | (2) A parent, guardian or person having legal custody consents in writing to: |
3 | (i) Allow the qualifying patient's medical use of marijuana; |
4 | (ii) Serve as one of the qualifying patient's primary caregivers; and |
5 | (iii) Control the acquisition of the marijuana, the dosage, and the frequency of the |
6 | medical use of marijuana by the qualifying patient. |
7 | (c) The department shall verify the information contained in an application or renewal |
8 | submitted pursuant to this section, and shall approve or deny an application or renewal within |
9 | fifteen (15) days of receiving it. The department may deny an application or renewal only if the |
10 | applicant did not provide the information required pursuant to this section, or if the department |
11 | determines that the information provided was falsified. Rejection of an application or renewal is |
12 | considered a final department action, subject to judicial review. Jurisdiction and venue for |
13 | judicial review are vested in the superior court. |
14 | (d) The department shall issue a registry identification card to each primary caregiver, if |
15 | any, who is named in a qualifying patient's approved application, up to a maximum of two (2) |
16 | primary caregivers per qualifying patient. A person may not serve as a primary caregiver if he or |
17 | she has a felony drug conviction, unless the department waives this restriction in respect to a |
18 | specific individual at the department's discretion. Additionally, the department shall allow the |
19 | person to serve as a primary caregiver if the department determines that the offense was for |
20 | conduct that occurred prior to the enactment of the Edward O. Hawkins and Thomas C. Slater |
21 | Medical Marijuana Act or that was prosecuted by an authority other than the state of Rhode |
22 | Island and for which the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act |
23 | would otherwise have prevented a conviction. |
24 | (1) The primary caregiver applicant shall apply to the bureau of criminal identification of |
25 | the department of attorney general, state police or local police department for a national criminal |
26 | records check that shall include fingerprints submitted to the Federal Bureau of Investigation. |
27 | Upon the discovery of any disqualifying information as defined in § 21-28.6-6(d)(4), and in |
28 | accordance with the rules promulgated by the director, the bureau of criminal identification of the |
29 | department of attorney general, state police or the local police department shall inform the |
30 | applicant, in writing, of the nature of the disqualifying information; and, without disclosing the |
31 | nature of the disqualifying information, shall notify the department, in writing, that disqualifying |
32 | information has been discovered. |
33 | (2) In those situations in which no disqualifying information has been found, the bureau |
34 | of criminal identification of the department of attorney general, state police or the local police |
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1 | shall inform the applicant and the department, in writing, of this fact. |
2 | (3) The department shall maintain on file evidence that a criminal records check has been |
3 | initiated on all applicants seeking a primary caregiver registry identification card and the results |
4 | of the checks. |
5 | (4) Information produced by a criminal records check pertaining to a conviction for any |
6 | felony offense under chapter 28 of title 21 ("Rhode Island Controlled Substances Act") or a |
7 | similar offense from any other jurisdiction shall result in a letter to the applicant and the |
8 | department disqualifying the applicant. If disqualifying information has been found, the |
9 | department may use their discretion to issue a primary caregiver card if the applicant's connected |
10 | patient is an immediate family member and the card is restricted to that patient only. |
11 | (5) The primary caregiver applicant shall be responsible for any expense associated with |
12 | the national criminal records check. |
13 | (6) For purposes of this section "conviction" means, in addition, to judgments of |
14 | conviction entered by a court subsequent to a finding of guilty or a plea of guilty, those instances |
15 | where the defendant has entered a plea of nolo contendere and has received a sentence of |
16 | probation and those instances where a defendant has entered into a deferred sentence agreement |
17 | with the attorney general. |
18 | (e) The department shall issue registry identification cards within five (5) days of |
19 | approving an application or renewal, which shall expire two (2) years after the date of issuance. |
20 | Registry identification cards shall contain: |
21 | (1) The date of issuance and expiration date of the registry identification card; |
22 | (2) A random registry identification number; and |
23 | (3) A photograph; and |
24 | (4) Any additional information as required by regulation or the department. |
25 | (f) Persons issued registry identification cards shall be subject to the following: |
26 | (1) A qualifying patient who has been issued a registry identification card shall notify the |
27 | department of any change in the qualifying patient's name, address, or primary caregiver; or if the |
28 | qualifying patient ceases to have his or her debilitating medical condition, within ten (10) days of |
29 | such change. |
30 | (2) A registered qualifying patient who fails to notify the department of any of these |
31 | changes is responsible for a civil infraction, punishable by a fine of no more than one hundred |
32 | fifty dollars ($150). If the person has ceased to suffer from a debilitating medical condition, the |
33 | card shall be deemed null and void and the person shall be liable for any other penalties that may |
34 | apply to the person's nonmedical use of marijuana. |
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1 | (3) A registered primary caregiver, principal officer, board member, employee, |
2 | volunteer, or agent of a compassion center shall notify the department of any change in his or her |
3 | name or address within ten (10) days of such change. A primary caregiver, principal officer, |
4 | board member, employee, volunteer, or agent of a compassion center who fails to notify the |
5 | department of any of these changes is responsible for a civil infraction, punishable by a fine of no |
6 | more than one hundred fifty dollars ($150). |
7 | (4) When a qualifying patient or primary caregiver notifies the department of any |
8 | changes listed in this subsection, the department shall issue the registered qualifying patient and |
9 | each primary caregiver a new registry identification card within ten (10) days of receiving the |
10 | updated information and a ten dollar ($10.00) fee. When a principal officer, board member, |
11 | employee, volunteer, or agent of a compassion center notifies the department of any changes |
12 | listed in this subsection, the department shall issue the cardholder a new registry identification |
13 | card within ten (10) days of receiving the updated information and a ten dollar ($10.00) fee. |
14 | (5) When a qualifying patient who possesses a registry identification card changes his or |
15 | her primary caregiver, the department shall notify the primary caregiver within ten (10) days. The |
16 | primary caregiver's protections as provided in this chapter as to that patient shall expire ten (10) |
17 | days after notification by the department. |
18 | (6) If a cardholder loses his or her registry identification card, he or she shall notify the |
19 | department and submit a ten dollar ($10.00) fee within ten (10) days of losing the card. Within |
20 | five (5) days, the department shall issue a new registry identification card with new random |
21 | identification number. |
22 | (7) If a cardholder willfully violates any provision of this chapter as determined by the |
23 | department, his or her registry identification card may be revoked. |
24 | (g) Possession of, or application for, a registry identification card shall not constitute |
25 | probable cause or reasonable suspicion, nor shall it be used to support the search of the person or |
26 | property of the person possessing or applying for the registry identification card, or otherwise |
27 | subject the person or property of the person to inspection by any governmental agency. |
28 | (h) (1) Applications and supporting information submitted by qualifying patients, |
29 | including information regarding their primary caregivers and practitioners, are confidential and |
30 | protected under the federal Health Insurance Portability and Accountability Act of 1996, and shall |
31 | be exempt from the provisions of the RIGL chapter 38-2 et seq. the Rhode Island access to public |
32 | records act and not subject to disclosure, except to authorized employees of the department as |
33 | necessary to perform official duties of the department. |
34 | (2) The application for qualifying patient's registry identification card shall include a |
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1 | question asking whether the patient would like the department to notify him or her of any clinical |
2 | studies about marijuana's risk or efficacy. The department shall inform those patients who answer |
3 | in the affirmative of any such studies it is notified of, that will be conducted in Rhode Island. The |
4 | department may also notify those patients of medical studies conducted outside of Rhode Island. |
5 | (3) The department shall maintain a confidential list of the persons to whom the |
6 | department has issued registry identification cards. Individual names and other identifying |
7 | information on the list shall be confidential, exempt from the provisions of Rhode Island Access |
8 | to Public Information, chapter 2 of title 38, and not subject to disclosure, except to authorized |
9 | employees of the department as necessary to perform official duties of the department. |
10 | (i) The department shall verify to law enforcement personnel whether a registry |
11 | identification card is valid solely by confirming the random registry identification number. |
12 | (j) It shall be a crime, punishable by up to one hundred eighty (180) days in jail and a |
13 | one thousand dollar ($1,000) fine, for any person, including an employee or official of the |
14 | department or another state agency or local government, to breach the confidentiality of |
15 | information obtained pursuant to this chapter. Notwithstanding this provision, the department |
16 | employees may notify law enforcement about falsified or fraudulent information submitted to the |
17 | department. |
18 | (k) On or before January 1 of each odd numbered year, the department shall report to the |
19 | House Committee on Health, Education and Welfare and to the Senate Committee on Health and |
20 | Human Services on the use of marijuana for symptom relief. The report shall provide: |
21 | (1) The number of applications for registry identification cards, the number of qualifying |
22 | patients and primary caregivers approved, the nature of the debilitating medical conditions of the |
23 | qualifying patients, the number of registry identification cards revoked, and the number of |
24 | practitioners providing written certification for qualifying patients; |
25 | (2) An evaluation of the costs permitting the use of marijuana for symptom relief, |
26 | including any costs to law enforcement agencies and costs of any litigation; |
27 | (3) Statistics regarding the number of marijuana-related prosecutions against registered |
28 | patients and caregivers, and an analysis of the facts underlying those prosecutions; |
29 | (4) Statistics regarding the number of prosecutions against physicians for violations of |
30 | this chapter; and |
31 | (5) Whether the United States Food and Drug Administration has altered its position |
32 | regarding the use of marijuana for medical purposes or has approved alternative delivery systems |
33 | for marijuana. |
34 | 21-28.6-9. Enforcement. -- (a) If the department fails to adopt regulations to implement |
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1 | this chapter within one hundred twenty (120) days of the effective date of this act, a qualifying |
2 | patient may commence an action in a court of competent jurisdiction to compel the department to |
3 | perform the actions mandated pursuant to the provisions of this chapter. |
4 | (b) If the department fails to issue a valid registry identification card in response to a |
5 | valid application submitted pursuant to this chapter within thirty-five (35) days of its submission, |
6 | the registry identification card shall be deemed granted and a copy of the registry identification |
7 | application shall be deemed valid registry identification card. |
8 | (c) The department shall revoke and shall not reissue the registry identification card of |
9 | any cardholder who is convicted of, placed on probation, whose case is filed pursuant to § 12-10- |
10 | 12 where the defendant pleads nolo contendere or whose case is deferred pursuant to § 12-19-19 |
11 | where the defendant pleads nolo contendere for any felony offense under chapter 28 of title 21 |
12 | ("Rhode Island Controlled Substances Act") or a similar offense from any other jurisdiction. |
13 | 21-28.6-12. Compassion centers. -- (a) A compassion center registered under this |
14 | section may acquire, possess, cultivate, manufacture, deliver, transfer, transport, supply, or |
15 | dispense marijuana, or related supplies and educational materials, to registered qualifying patients |
16 | and their registered primary caregivers who have designated it as one of their primary caregivers. |
17 | A compassion center is a primary caregiver. Except as specifically provided to the contrary, all |
18 | provisions of the Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act, sections 21- |
19 | 28.6-1 -- 21-28.6-11, apply to a compassion center unless they conflict with a provision contained |
20 | in section 21-28.6-12. |
21 | (b) Registration of compassion centers--department authority: |
22 | (1) Not later than ninety (90) days after the effective date of this chapter, the department |
23 | shall promulgate regulations governing the manner in which it shall consider applications for |
24 | registration certificates for compassion centers, including regulations governing: |
25 | (i) The form and content of registration and renewal applications; |
26 | (ii) Minimum oversight requirements for compassion centers; |
27 | (iii) Minimum record-keeping requirements for compassion centers; |
28 | (iv) Minimum security requirements for compassion centers; and |
29 | (v) Procedures for suspending, revoking or terminating the registration of compassion |
30 | centers that violate the provisions of this section or the regulations promulgated pursuant to this |
31 | subsection. |
32 | (2) Within ninety (90) days of the effective date of this chapter, the department shall |
33 | begin accepting applications for the operation of a single compassion center. |
34 | (3) Within one hundred fifty (150) days of the effective date of this chapter, the |
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1 | department shall provide for at least one public hearing on the granting of an application to a |
2 | single compassion center. |
3 | (4) Within one hundred ninety (190) days of the effective date of this chapter, the |
4 | department shall grant a single registration certificate to a single compassion center, providing at |
5 | least one applicant has applied who meets the requirements of this chapter. |
6 | (5) If at any time after fifteen (15) months after the effective date of this chapter, there is |
7 | no operational compassion center in Rhode Island, the department shall accept applications, |
8 | provide for input from the public, and issue a registration certificate for a compassion center if a |
9 | qualified applicant exists. |
10 | (6) Within two (2) years of the effective date of this chapter, the department shall begin |
11 | accepting applications to provide registration certificates for two (2) additional compassion |
12 | centers. The department shall solicit input from the public, and issue registration certificates if |
13 | qualified applicants exist. |
14 | (7) Any time a compassion center registration certificate is revoked, is relinquished, or |
15 | expires, the department shall accept applications for a new compassion center. |
16 | (8) If at any time after three (3) years after the effective date of this chapter, fewer than |
17 | three (3) compassion centers are holding valid registration certificates in Rhode Island, the |
18 | department shall accept applications for a new compassion center. No more than three (3) |
19 | compassion centers may hold valid registration certificates at one time. |
20 | (9) Any compassion center application selected for approval by the department prior to |
21 | January 1, 2012, shall remain in full force and effect, notwithstanding any provisions of this |
22 | chapter to the contrary, and shall be subject to state law adopted herein and rules and regulations |
23 | adopted by the department subsequent to passage of this legislation. |
24 | (c) Compassion center and agent applications and registration: |
25 | (1) Each application for a compassion center shall include: |
26 | (i) A non-refundable application fee paid to the department in the amount of two |
27 | hundred fifty dollars ($250); |
28 | (ii) The proposed legal name and proposed articles of incorporation of the compassion |
29 | center; |
30 | (iii) The proposed physical address of the compassion center, if a precise address has |
31 | been determined, or, if not, the general location where it would be located. This may include a |
32 | second location for the cultivation of medical marijuana; |
33 | (iv) A description of the enclosed, locked facility that would be used in the cultivation of |
34 | marijuana; |
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1 | (v) The name, address, and date of birth of each principal officer and board member of |
2 | the compassion center; |
3 | (vi) Proposed security and safety measures which shall include at least one security |
4 | alarm system for each location, planned measures to deter and prevent the unauthorized entrance |
5 | into areas containing marijuana and the theft of marijuana, as well as a draft employee instruction |
6 | manual including security policies, safety and security procedures, personal safety and crime |
7 | prevention techniques; and |
8 | (vii) Proposed procedures to ensure accurate record keeping; |
9 | (2) Any time one or more compassion center registration applications are being |
10 | considered, the department shall also allow for comment by the public and shall solicit input from |
11 | registered qualifying patients, registered primary caregivers; and the towns or cities where the |
12 | applicants would be located; |
13 | (3) Each time a compassion center certificate is granted, the decision shall be based upon |
14 | the overall health needs of qualified patients and the safety of the public, including, but not |
15 | limited to, the following factors: |
16 | (i) Convenience to patients from throughout the state of Rhode Island to the compassion |
17 | centers if the applicant were approved; |
18 | (ii) The applicants' ability to provide a steady supply to the registered qualifying patients |
19 | in the state; |
20 | (iii) The applicants' experience running a non-profit or business; |
21 | (iv) The interests of qualifying patients regarding which applicant be granted a |
22 | registration certificate; |
23 | (v) The interests of the city or town where the dispensary would be located; |
24 | (vi) The sufficiency of the applicant's plans for record keeping and security, which |
25 | records shall be considered confidential health care information under Rhode Island law and are |
26 | intended to be deemed protected health care information for purposes of the Federal Health |
27 | Insurance Portability and Accountability Act of 1996, as amended; and |
28 | (vii) The sufficiency of the applicant's plans for safety and security, including proposed |
29 | location, security devices employed, and staffing; |
30 | (4) After a compassion center is approved, but before it begins operations, it shall submit |
31 | the following to the department: |
32 | (i) A fee paid to the department in the amount of five thousand dollars ($5,000); |
33 | (ii) The legal name and articles of incorporation of the compassion center; |
34 | (iii) The physical address of the compassion center; this may include a second address |
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1 | for the secure cultivation of marijuana; |
2 | (iv) The name, address, and date of birth of each principal officer and board member of |
3 | the compassion center; |
4 | (v) The name, address, and date of birth of any person who will be an agent of, employee |
5 | or volunteer of the compassion center at its inception; |
6 | (5) The department shall track the number of registered qualifying patients who |
7 | designate each compassion center as a primary caregiver, and issue a written statement to the |
8 | compassion center of the number of qualifying patients who have designated the compassion |
9 | center to serve as a primary caregiver for them. This statement shall be updated each time a new |
10 | registered qualifying patient designates the compassion center or ceases to designate the |
11 | compassion center and may be transmitted electronically if the department's regulations so |
12 | provide. The department may provide by regulation that the updated written statements will not |
13 | be issued more frequently than twice each week; |
14 | (6) Except as provided in subdivision (7), the department shall issue each principal |
15 | officer, board member, agent, volunteer and employee of a compassion center a registry |
16 | identification card or renewal card within ten (10) days of receipt of the person's name, address, |
17 | date of birth; a fee in an amount established by the department; and notification to the department |
18 | by the state police that the registry identification card applicant has not been convicted of a felony |
19 | drug offense or has not entered a plea of nolo contendere for a felony drug offense and received a |
20 | sentence of probation. Each card shall specify that the cardholder is a principal officer, board |
21 | member, agent, volunteer, or employee of a compassion center and shall contain the following: |
22 | (i) The name, address, and date of birth of the principal officer, board member, agent, |
23 | volunteer or employee; |
24 | (ii) The legal name of the compassion center to which the principal officer, board |
25 | member, agent, volunteer or employee is affiliated; |
26 | (iii) A random identification number that is unique to the cardholder; |
27 | (iv) The date of issuance and expiration date of the registry identification card; and |
28 | (v) A photograph, if the department decides to require one; |
29 | (7) Except as provided in this subsection, the department shall not issue a registry |
30 | identification card to any principal officer, board member, agent, volunteer, or employee of a |
31 | compassion center who has been convicted of a felony drug offense or has entered a plea of nolo |
32 | contendere for a felony drug offense and received a sentence of probation. The department shall |
33 | notify the compassion center in writing of the purpose for denying the registry identification card. |
34 | The department may grant such person a registry identification card if the department determines |
| LC005646 - Page 12 of 18 |
1 | that the offense was for conduct that occurred prior to the enactment of the Edward O. Hawkins |
2 | and Thomas C. Slater Medical Marijuana Act or that was prosecuted by an authority other than |
3 | the state of Rhode Island and for which the Edward O. Hawkins and Thomas C. Slater Medical |
4 | Marijuana Act would otherwise have prevented a conviction; |
5 | (i) All registry identification card applicants shall apply to the state police for a national |
6 | criminal identification records check that shall include fingerprints submitted to the federal |
7 | bureau of investigation. Upon the discovery of a felony drug offense conviction or a plea of nolo |
8 | contendere for a felony drug offense with a sentence of probation, and in accordance with the |
9 | rules promulgated by the director, the state police shall inform the applicant, in writing, of the |
10 | nature of the felony and the state police shall notify the department, in writing, without disclosing |
11 | the nature of the felony, that a felony drug offense conviction or a plea of nolo contendere for a |
12 | felony drug offense with probation has been found. |
13 | (ii) In those situations in which no felony drug offense conviction or plea of nolo |
14 | contendere for a felony drug offense with probation has been found, the state police shall inform |
15 | the applicant and the department, in writing, of this fact. |
16 | (iii) All registry identification card applicants shall be responsible for any expense |
17 | associated with the criminal background check with fingerprints. |
18 | (8) A registry identification card of a principal officer, board member, agent, volunteer, |
19 | or employee shall expire one year after its issuance, or upon the expiration of the registered |
20 | organization's registration certificate, or upon the termination of the principal officer, board |
21 | member, agent, volunteer or employee's relationship with the compassion center, whichever |
22 | occurs first. |
23 | (d) Expiration or termination of compassion center: |
24 | (1) A compassion center's registration shall expire two (2) years after its registration |
25 | certificate is issued. The compassion center may submit a renewal application beginning sixty |
26 | (60) days prior to the expiration of its registration certificate; |
27 | (2) The department shall grant a compassion center's renewal application within thirty |
28 | (30) days of its submission if the following conditions are all satisfied: |
29 | (i) The compassion center submits the materials required under subdivision (c)(4), |
30 | including a five thousand dollar ($5,000) fee; |
31 | (ii) The compassion center's registration has never been suspended for violations of this |
32 | chapter or regulations issued pursuant to this chapter; |
33 | (iii) The legislative oversight committee's report, if issued pursuant to subsection (4)(j), |
34 | indicates that the compassion center is adequately providing patients with access to medical |
| LC005646 - Page 13 of 18 |
1 | marijuana at reasonable rates; and |
2 | (iv) The legislative oversight committee's report, if issued pursuant to subsection (4)(j), |
3 | does not raise serious concerns about the continued operation of the compassion center applying |
4 | for renewal. |
5 | (3) If the department determines that any of the conditions listed in paragraphs (d)(2)(i) - |
6 | - (iv) have not been met, the department shall begin an open application process for the operation |
7 | of a compassion center. In granting a new registration certificate, the department shall consider |
8 | factors listed in subdivision (c)(3) of this section; |
9 | (4) The department shall issue a compassion center one or more thirty (30) day |
10 | temporary registration certificates after that compassion center's registration would otherwise |
11 | expire if the following conditions are all satisfied: |
12 | (i) The compassion center previously applied for a renewal, but the department had not |
13 | yet come to a decision; |
14 | (ii) The compassion center requested a temporary registration certificate; and |
15 | (iii) The compassion center has not had its registration certificate revoked due to |
16 | violations of this chapter or regulations issued pursuant to this chapter. |
17 | (5) A compassion center's registry identification card shall be subject to revocation if the |
18 | compassion center: |
19 | (i) Possesses an amount of marijuana exceeding the limits established by this chapter; |
20 | (ii) Is in violation of the laws of this state; |
21 | (iii) Is in violation of other departmental regulations; or |
22 | (iv) Employs or enters into a business relationship with a medical practitioner who |
23 | provides written certification of a qualifying patient's medical condition. |
24 | (e) Inspection. - Compassion centers are subject to reasonable inspection by the |
25 | department of health, division of facilities regulation. During an inspection, the department may |
26 | review the compassion center's confidential records, including its dispensing records, which shall |
27 | track transactions according to qualifying patients' registry identification numbers to protect their |
28 | confidentiality. |
29 | (f) Compassion center requirements: |
30 | (1) A compassion center shall be operated on a not-for-profit basis for the mutual benefit |
31 | of its patients. A compassion center need not be recognized as a tax-exempt organization by the |
32 | Internal Revenue Services; |
33 | (2) A compassion center may not be located within one thousand feet (1000') of the |
34 | property line of a preexisting public or private school; |
| LC005646 - Page 14 of 18 |
1 | (3) A compassion center shall notify the department within ten (10) days of when a |
2 | principal officer, board member, agent, volunteer or employee ceases to work at the compassion |
3 | center. His or her card shall be deemed null and void and the person shall be liable for any |
4 | penalties that may apply to any nonmedical possession or use of marijuana by the person; |
5 | (4) A compassion center shall notify the department in writing of the name, address, and |
6 | date of birth of any new principal officer, board member, agent, volunteer or employee and shall |
7 | submit a fee in an amount established by the department for a new registry identification card |
8 | before that person begins his or her relationship with the compassion center; |
9 | (5) A compassion center shall implement appropriate security measures to deter and |
10 | prevent the unauthorized entrance into areas containing marijuana and the theft of marijuana and |
11 | shall insure that each location has an operational security alarm system. Each compassion center |
12 | shall request that the Rhode Island state police visit the compassion center to inspect the security |
13 | of the facility and make any recommendations regarding the security of the facility and its |
14 | personnel within ten (10) days prior to the initial opening of each compassion center. Said |
15 | recommendations shall not be binding upon any compassion center, nor shall the lack of |
16 | implementation of said recommendations delay or prevent the opening or operation of any center. |
17 | If the Rhode Island state police do not inspect the compassion center within the ten (10) day |
18 | period there shall be no delay in the compassion center's opening. |
19 | (6) The operating documents of a compassion center shall include procedures for the |
20 | oversight of the compassion center and procedures to ensure accurate record keeping; |
21 | (7) A compassion center is prohibited from acquiring, possessing, cultivating, |
22 | manufacturing, delivering, transferring, transporting, supplying, or dispensing marijuana for any |
23 | purpose except to assist registered qualifying patients with the medical use of marijuana directly |
24 | or through the qualifying patient's other primary caregiver; |
25 | (8) All principal officers and board members of a compassion center must be residents of |
26 | the state of Rhode Island; |
27 | (9) Each time a new registered qualifying patient visits a compassion center, it shall |
28 | provide the patient with frequently asked questions sheet designed by the department, which |
29 | explains the limitations on the right to use medical marijuana under state law; |
30 | (10) Each compassion center shall develop, implement, and maintain on the premises |
31 | employee, volunteer and agent policies and procedures to address the following requirements: |
32 | (i) A job description or employment contract developed for all employees and agents and |
33 | a volunteer agreement for all volunteers, which includes duties, authority, responsibilities, |
34 | qualifications, and supervision; and |
| LC005646 - Page 15 of 18 |
1 | (ii) Training in and adherence to state confidentiality laws. |
2 | (11) Each compassion center shall maintain a personnel record for each employee, agent |
3 | and volunteer that includes an application and a record of any disciplinary action taken; |
4 | (12) Each compassion center shall develop, implement, and maintain on the premises an |
5 | on-site training curriculum, or enter into contractual relationships with outside resources capable |
6 | of meeting employee training needs, which includes, but is not limited to, the following topics: |
7 | (i) Professional conduct, ethics, and patient confidentiality; and |
8 | (ii) Informational developments in the field of medical use of marijuana. |
9 | (13) Each compassion center entity shall provide each employee, agent and volunteer, at |
10 | the time of his or her initial appointment, training in the following: |
11 | (i) The proper use of security measures and controls that have been adopted; and |
12 | (ii) Specific procedural instructions on how to respond to an emergency, including |
13 | robbery or violent accident; |
14 | (14) All compassion centers shall prepare training documentation for each employee and |
15 | volunteer and have employees and volunteers sign a statement indicating the date, time, and place |
16 | the employee and volunteer received said training and topics discussed, to include name and title |
17 | of presenters. The compassion center shall maintain documentation of an employee's and a |
18 | volunteer's training for a period of at least six (6) months after termination of an employee's |
19 | employment or the volunteer's volunteering. |
20 | (g) Maximum amount of usable marijuana to be dispensed: |
21 | (1) A compassion center or principal officer, board member, agent, volunteer or |
22 | employee of a compassion center may not dispense more than two and one half ounces (2.5 oz) of |
23 | usable marijuana to a qualifying patient directly or through a qualifying patient's other primary |
24 | caregiver during a fifteen (15) day period; |
25 | (2) A compassion center or principal officer, board member, agent, volunteer or |
26 | employee of a compassion center may not dispense an amount of usable marijuana or marijuana |
27 | plants to a qualifying patient or a qualifying patient's other primary caregiver that the compassion |
28 | center, principal officer, board member, agent, volunteer, or employee knows would cause the |
29 | recipient to possess more marijuana than is permitted under the Edward O. Hawkins and Thomas |
30 | C. Slater Medical Marijuana Act. |
31 | (h) Immunity: |
32 | (1) No registered compassion center shall be subject to prosecution; search, except by |
33 | the department pursuant to subsection (e); seizure; or penalty in any manner or denied any right |
34 | or privilege, including, but not limited to, civil penalty or disciplinary action by a business, |
| LC005646 - Page 16 of 18 |
1 | occupational, or professional licensing board or entity, solely for acting in accordance with this |
2 | section to assist registered qualifying patients to whom it is connected through the department's |
3 | registration process with the medical use of marijuana; |
4 | (2) No registered compassion center shall be subject to prosecution; seizure or penalty in |
5 | any manner or denied any right or privilege, including, but not limited to, civil penalty or |
6 | disciplinary action by a business, occupational, or professional licensing board or entity, for |
7 | selling, giving or distributing marijuana in whatever form and within the limits established by the |
8 | department to another registered compassion center; |
9 | (3) No principal officers, board members, agents, volunteers, or employees of a |
10 | registered compassion center shall be subject to arrest, prosecution, search, seizure, or penalty in |
11 | any manner or denied any right or privilege, including, but not limited to, civil penalty or |
12 | disciplinary action by a business, occupational, or professional licensing board or entity, solely |
13 | for working for or with a compassion center to engage in acts permitted by this section. |
14 | (4) No state employee shall be subject to arrest, prosecution or penalty in any manner, or |
15 | denied any right or privilege, including, but not limited to, civil penalty, disciplinary action, |
16 | termination, or loss of employee or pension benefits, for any and all conduct that occurs within |
17 | the scope of his or her employment regarding the administration, execution and/or enforcement of |
18 | this act, and the provisions of Rhode Island general laws, sections 9-31-8 and 9-31-9 shall be |
19 | applicable to this section. |
20 | (i) Prohibitions: |
21 | (1) A compassion center shall not possess an amount of marijuana at any given time that |
22 | exceeds the following limitations: |
23 | (i) One hundred fifty (150) Four hundred (400) marijuana plants of which no more than |
24 | ninety-nine (99) two hundred (200) shall be mature; and |
25 | (ii) One thousand five hundred ounces (1500 oz.) of usable marijuana. |
26 | (2) A compassion center may not dispense, deliver, or otherwise transfer marijuana to a |
27 | person other than a qualifying patient who has designated the compassion center as a primary |
28 | caregiver or to such patient's other primary caregiver; |
29 | (3) A person found to have violated paragraph (2) of this subsection may not be an |
30 | employee, agent, volunteer, principal officer, or board member of any compassion center; |
31 | (4) An employee, agent, volunteer, principal officer or board member of any compassion |
32 | center found in violation of paragraph (2) above shall have his or her registry identification |
33 | revoked immediately; and |
34 | (5) No person who has been convicted of a felony drug offense or has entered a plea of |
| LC005646 - Page 17 of 18 |
1 | nolo contendere for a felony drug offense with a sentence or probation may be the principal |
2 | officer, board member, agent, volunteer, or employee of a compassion center unless the |
3 | department has determined that the person's conviction was for the medical use of marijuana or |
4 | assisting with the medical use of marijuana in accordance with the terms and conditions of this |
5 | chapter. A person who is employed by or is an agent, volunteer, principal officer, or board |
6 | member of a compassion center in violation of this section is guilty of a civil violation punishable |
7 | by a fine of up to one thousand dollars ($1,000). A subsequent violation of this section is a |
8 | misdemeanor: |
9 | (j) Legislative oversight committee: |
10 | (1) The general assembly shall appoint a nine (9) member oversight committee |
11 | comprised of: one member of the house of representatives; one member of the senate; one |
12 | physician to be selected from a list provided by the Rhode Island medical society; one nurse to be |
13 | selected from a list provided by the Rhode Island state nurses association; two (2) registered |
14 | qualifying patients; one registered primary caregiver; one patient advocate to be selected from a |
15 | list provided by the Rhode Island patient advocacy coalition; and the superintendent of the Rhode |
16 | Island state police or his/her designee. |
17 | (2) The oversight committee shall meet at least six (6) times per year for the purpose of |
18 | evaluating and making recommendations to the general assembly regarding: |
19 | (i) Patients' access to medical marijuana; |
20 | (ii) Efficacy of compassion center; |
21 | (iii) Physician participation in the Medical Marijuana Program; |
22 | (iv) The definition of qualifying medical condition; |
23 | (v) Research studies regarding health effects of medical marijuana for patients. |
24 | (3) On or before January 1 of every even numbered year, the oversight committee shall |
25 | report to the general assembly on its findings. |
26 | SECTION 2. This act shall take effect upon passage. |
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LC005646 | |
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| LC005646 - Page 18 of 18 |
EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO FOOD AND DRUGS - THE EDWARD O. HAWKINS AND THOMAS C. | |
SLATER MEDICAL MARIJUANA ACT | |
*** | |
1 | This act would amend the Medical Marijuana Law to require that patients or caregivers |
2 | living in residential neighborhoods limit the number of plants they may grow to 3 mature |
3 | marijuana plants, unless they are located 1000 feet from an existing school, and agree to certain |
4 | inspections and background checks, and would authorize compassion centers to increase their |
5 | plant inventory from 150 to 400 total plants with no more than 200 mature marijuana plants. |
6 | This act would take effect upon passage. |
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LC005646 | |
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| LC005646 - Page 19 of 18 |