Chapter 118

2012 -- H 7888 SUBSTITUTE A

Enacted 05/30/12

 

A N A C T

RELATING TO FOOD AND DRUGS - THE EDWARD O. HAWKINS AND THOMAS C.

SLATER MEDICAL MARIJUANA ACT

          

     Introduced By: Representatives Slater, Newberry, Ajello, Edwards, and Diaz

     Date Introduced: March 06, 2012

 

It is enacted by the General Assembly as follows:

 

     SECTION 1. Sections 21-28.6-3, 21-28.6-4, 21-28.6-5, 21-28.6-6, 21-28.6-10 and 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" are hereby amended to read as follows:

 

     21-28.6-3. Definitions. -- For the purposes of this chapter:

     (1) "Cardholder" means a qualifying patient, a primary caregiver, or a principal officer,

board member, employee, volunteer, or agent of a compassion center who has been issued and

possesses a valid registry identification card.

     (2) "Compassion center" means a not-for-profit entity corporation subject to the

provisions of chapter 7-6, and registered under § 21-28.6-12 that acquires, possesses, cultivates,

manufactures, delivers, transfers, transports, supplies or dispenses marijuana, and/or related

supplies and educational materials, to registered qualifying patients and/or their registered

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

     (3) "Debilitating medical condition" means:

     (i) Cancer, glaucoma, positive status for human immunodeficiency virus, acquired

immune deficiency syndrome, Hepatitis C, or the treatment of these conditions;

     (ii) A chronic or debilitating disease or medical condition or its treatment that produces

one or more of the following: cachexia or wasting syndrome; severe, debilitating, chronic pain;

severe nausea; seizures, including but not limited to, those characteristic of epilepsy; or severe

and persistent muscle spasms, including but not limited to, those characteristic of multiple

sclerosis or Crohn's disease; or agitation of Alzheimer's Disease; or

     (iii) Any other medical condition or its treatment approved by the department, as

provided for in § 21-28.6-5.

     (4) "Department" means the Rhode Island department of health or its successor agency.

     (5) "Marijuana" has the meaning given that term in § 21-28-1.02(26).

     (6) "Mature marijuana plant" means a marijuana plant which has flowers or buds that are

readily observable by an unaided visual examination.

     (7) "Medical use" means the acquisition, possession, cultivation, manufacture, use,

delivery, transfer, or transportation of marijuana or paraphernalia relating to the consumption of

marijuana to alleviate a registered qualifying patient's debilitating medical condition or symptoms

associated with the medical condition.

     (8) "Practitioner" means a person who is licensed with authority to prescribe drugs

pursuant to chapter 37 of title 5 or a physician licensed with authority to prescribe drugs in

Massachusetts or Connecticut.

     (9) "Primary caregiver" means either a natural person who is at least twenty-one (21)

years old or a compassion center. Unless the primary caregiver is a compassion center, a A

natural person primary caregiver may assist no more than five (5) qualifying patients with their

medical use of marijuana.

     (10) "Qualifying patient" means a person who has been diagnosed by a practitioner as

having a debilitating medical condition and is a resident of Rhode Island.

     (11) "Registry identification card" means a document issued by the department that

identifies a person as a registered qualifying patient, a registered primary caregiver, or a

registered principal officer, board member, employee, volunteer, or agent of a compassion center.

     (12) “Seedling” means a marijuana plant with no observable flowers or buds.

     (12)(13) "Unusable marijuana" means marijuana seeds, stalks, seedlings, and unusable

roots. "Seedling" means a marijuana plant with no observable flowers or buds.

     (13)(14) "Usable marijuana" means the dried leaves and flowers of the marijuana plant,

and any mixture or preparation thereof, but does not include the seeds, stalks, and roots of the

plant.

     (14)(15) "Written certification" means the qualifying patient's medical records, and a

statement signed by a practitioner, stating that in the practitioner's professional opinion the

potential benefits of the medical use of marijuana would likely outweigh the health risks for the

qualifying patient. A written certification shall be made only in the course of a bona fide

practitioner-patient relationship after the practitioner has completed a full assessment of the

qualifying patient's medical history. The written certification shall specify the qualifying patient's

debilitating medical condition or conditions.

 

     21-28.6-4. Protections for the medical use of marijuana. (a) A qualifying patient

who has in his or her possession a registry identification card shall not be subject to arrest,

prosecution, or penalty in any manner, or denied any right or privilege, including but not limited

to, civil penalty or disciplinary action by a business or occupational or professional licensing

board or bureau, for the medical use of marijuana; provided, that the qualifying patient possesses

an amount of marijuana that does not exceed twelve (12) mature marijuana plants and two and

one-half (2.5) ounces of usable marijuana. Said plants shall be stored in an indoor facility.

     (b) A registered qualifying patient, who has in his or her possession a registry

identification card, shall not be subject to arrest, prosecution, or penalty in any manner, or denied

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

business or occupational or professional licensing board or bureau, for selling, giving, or

distributing marijuana of the type and in an amount not to exceed that set forth in subsection (a)

above, that he or she has cultivated or manufactured pursuant to this chapter, to a registered

compassion center.

     (b)(c) No school, employer or landlord may refuse to enroll, employ or lease to or

otherwise penalize a person solely for his or her status as a cardholder.

     (c)(d) A primary caregiver, who has in his or her possession, a registry identification card

shall not be subject to arrest, prosecution, or penalty in any manner, or denied any right or

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

occupational or professional licensing board or bureau, for assisting a qualifying patient to whom

he or she is connected through the department's registration process with the medical use of

marijuana; provided, that the primary caregiver possesses an amount of marijuana which does not

exceed twelve (12) mature marijuana plants and two and one-half (2.5) ounces of usable

marijuana for each qualifying patient to whom he or she is connected through the department's

registration process.

     (d)(e) Registered primary caregivers and registered qualifying patients shall be allowed to

possess a reasonable amount of unusable marijuana, including up to twelve (12) seedlings, which

shall not be counted toward the limits in this section.

     (e)(f) There shall exist a presumption that a qualifying patient or primary caregiver is

engaged in the medical use of marijuana if the qualifying patient or primary caregiver:

     (1) Is in possession of a registry identification card; and

     (2) Is in possession of an amount of marijuana that does not exceed the amount permitted

under this chapter. Such presumption may be rebutted by evidence that conduct related to

marijuana was not for the purpose of alleviating the qualifying patient's debilitating medical

condition or symptoms associated with the medical condition.

     (f)(g) A primary caregiver may receive reimbursement for costs associated with assisting

a registered qualifying patient's medical use of marijuana. Compensation shall not constitute sale

of controlled substances.

     (h) A natural person registered as a primary caregiver who has in his or her possession a

registry identification card shall not be subject to arrest, prosecution, or penalty in any manner, or

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

business or occupational or professional licensing board or bureau, for selling, giving, or

distributing marijuana, of the type and in an amount not to exceed that set forth in subsection (d)

above, to a registered compassion center if:

     (1) The registered natural person primary caregiver cultivated the marijuana pursuant to

this chapter, not to exceed the limits of paragraph (d) above; and

     (2) Each qualified patient the caregiver is connected with through the department’s

registration process has been provided an adequate amount of the marijuana to meet his or her

medical needs, not to exceed the limits of subsection (a) above.

     (g)(i) A practitioner shall not be subject to arrest, prosecution, or penalty in any manner,

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

by the Rhode Island Board of Medical Licensure and Discipline or by any another other business

or occupational or professional licensing board or bureau solely for providing written

certifications or for otherwise stating that, in the practitioner's professional opinion, the potential

benefits of the medical marijuana would likely outweigh the health risks for a patient.

     (h)(j) Any interest in or right to property that is possessed, owned, or used in connection

with the medical use of marijuana, or acts incidental to such use, shall not be forfeited.

     (i)(k) No person shall be subject to arrest or prosecution for constructive possession,

conspiracy, aiding and abetting, being an accessory, or any other offense for simply being in the

presence or vicinity of the medical use of marijuana as permitted under this chapter or for

assisting a registered qualifying patient with using or administering marijuana.

     (j)(l) A practitioner nurse or pharmacist shall not be subject to arrest, prosecution or

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

or disciplinary action by a business or occupational or professional licensing board or bureau

solely for discussing the benefits or health risks of medical marijuana or its interaction with other

substances with a patient.

     (k)(m) A registry identification card, or its equivalent, issued under the laws of another

state, U.S. territory, or the District of Columbia to permit the medical use of marijuana by a

patient with a debilitating medical condition, or to permit a person to assist with the medical use

of marijuana by a patient with a debilitating medical condition, shall have the same force and

effect as a registry identification card issued by the department.

     (l)(n) Notwithstanding the provisions of subsection 21-28.6-3(6) 21-28.6-4(d) or

subsection 21-28.6-4(c) 21-28.6-4(e), no primary caregiver other than a compassion center shall

possess an amount of marijuana in excess of twenty-four (24) marijuana plants and five (5)

ounces of usable marijuana for qualifying patients to whom he or she is connected through the

department's registration process.

     (m)(o) A registered qualifying patient or registered primary caregiver may give marijuana

to another registered qualifying patient or registered primary caregiver to whom they are not

connected by the department's registration process, provided that no consideration is paid for the

marijuana, and that the recipient does not exceed the limits specified in § 21-28.6-4.

     (n)(p) For the purposes of medical care, including organ transplants, a registered

qualifying patient's authorized use of marijuana shall be considered the equivalent of the

authorized use of any other medication used at the direction of a physician, and shall not

constitute the use of an illicit substance.

 

     21-28.6-5. Department to issue regulations. -- (a) 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 petitions from the public to add debilitating medical conditions

to those included in this chapter. In considering such petitions, the department shall include

public notice of, and an opportunity to comment in a public hearing, upon such petitions. The

department shall, after hearing, approve or deny such petitions within one hundred eighty (180)

days of submission. The approval or denial of such a petition shall be considered a final

department action, subject to judicial review. Jurisdiction and venue for judicial review are vested

in the superior court. The denial of a petition shall not disqualify qualifying patients with that

condition, if they have a debilitating medical condition as defined in subdivision 21-28.6-3(3).

The denial of a petition shall not prevent a person with the denied condition from raising an

affirmative defense.

     (b) 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 and

renewals of registry identification cards for qualifying patients and primary caregivers. The

department's regulations shall establish application and renewal fees that generate revenues

sufficient to offset all expenses of implementing and administering this chapter. The department

may vary the application and renewal fees along a sliding scale that accounts for a qualifying

patient's or caregiver's income. The department may accept donations from private sources in

order to reduce the application and renewal fees.

 

      21-28.6-6. Administration of regulations. -- (a) The department shall issue registry

identification cards to qualifying patients who submit the following, in accordance with the

department's regulations:

     (1) Written certification as defined in § 21-28.6-3(14) of this chapter;

     (2) Application or renewal fee;

     (3) Name, address, and date of birth of the qualifying patient; provided, however, that if

the patient is homeless, no address is required;

     (4) Name, address, and telephone number of the qualifying patient's practitioner; and

     (5) Name, address, and date of birth of each primary caregiver of the qualifying patient, if

any.

     (b) The department shall not issue a registry identification card to a qualifying patient

under the age of eighteen (18) unless:

     (1) The qualifying patient's practitioner has explained the potential risks and benefits of

the medical use of marijuana to the qualifying patient and to a parent, guardian or person having

legal custody of the qualifying patient; and

     (2) A parent, guardian or person having legal custody consents in writing to:

     (i) Allow the qualifying patient's medical use of marijuana;

     (ii) Serve as one of the qualifying patient's primary caregivers; and

     (iii) Control the acquisition of the marijuana, the dosage, and the frequency of the

medical use of marijuana by the qualifying patient.

     (c) The department shall verify the information contained in an application or renewal

submitted pursuant to this section, and shall approve or deny an application or renewal within

fifteen (15) days of receiving it. The department may deny an application or renewal only if the

applicant did not provide the information required pursuant to this section, or if the department

determines that the information provided was falsified. Rejection of an application or renewal is

considered a final department action, subject to judicial review. Jurisdiction and venue for

judicial review are vested in the superior court.

     (d) The department shall issue a registry identification card to each primary caregiver, if

any, who is named in a qualifying patient's approved application, up to a maximum of two (2)

primary caregivers per qualifying patient. A person may not serve as a primary caregiver if he or

she has a felony drug conviction, unless the department waives this restriction in respect to a

specific individual at the department's discretion. Additionally, the department shall allow the

person to serve as a primary caregiver 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.

     (e) The department shall issue registry identification cards within five (5) days of

approving an application or renewal, which shall expire two (2) years after the date of issuance.

Registry identification cards shall contain:

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

     (2) A random registry identification number; and

     (3) A photograph; and

     (4) Any additional information as required by regulation or the department.

     (f) Persons issued registry identification cards shall be subject to the following:

     (1) A qualifying patient who has been issued a registry identification card shall notify the

department of any change in the qualifying patient's name, address, or primary caregiver; or if the

qualifying patient ceases to have his or her debilitating medical condition, within ten (10) days of

such change.

     (2) A registered qualifying patient who fails to notify the department of any of these

changes is responsible for a civil infraction, punishable by a fine of no more than one hundred

fifty dollars ($150). If the person has ceased to suffer from a debilitating medical condition, the

card shall be deemed null and void and the person shall be liable for any other penalties that may

apply to the person's nonmedical use of marijuana.

     (3) A registered primary caregiver, principal officer, board member, employee, volunteer,

or agent of a compassion center shall notify the department of any change in his or her name or

address within ten (10) days of such change. A primary caregiver, principal officer, board

member, employee, volunteer, or agent of a compassion center who fails to notify the department

of any of these changes is responsible for a civil infraction, punishable by a fine of no more than

one hundred fifty dollars ($150).

     (4) When a qualifying patient or primary caregiver notifies the department of any

changes listed in this subsection, the department shall issue the registered qualifying patient and

each primary caregiver a new registry identification card within ten (10) days of receiving the

updated information and a ten dollar ($10.00) fee. When a principal officer, board member,

employee, volunteer, or agent of a compassion center notifies the department of any changes

listed in this subsection, the department shall issue the cardholder a new registry identification

card within ten (10) days of receiving the updated information and a ten dollar ($10.00) fee.

     (5) When a qualifying patient who possesses a registry identification card changes his or

her primary caregiver, the department shall notify the primary caregiver within ten (10) days. The

primary caregiver's protections as provided in this chapter as to that patient shall expire ten (10)

days after notification by the department.

     (6) If a cardholder loses his or her registry identification card, he or she shall notify the

department and submit a ten dollar ($10.00) fee within ten (10) days of losing the card. Within

five (5) days, the department shall issue a new registry identification card with new random

identification number.

     (7) If a cardholder willfully violates any provision of this chapter as determined by the

department, his or her registry identification card may be revoked.

     (g) Possession of, or application for, a registry identification card shall not constitute

probable cause or reasonable suspicion, nor shall it be used to support the search of the person or

property of the person possessing or applying for the registry identification card, or otherwise

subject the person or property of the person to inspection by any governmental agency.

     (h) (1) Applications and supporting information submitted by qualifying patients,

including information regarding their primary caregivers and practitioners, are confidential and

protected under the federal Health Insurance Portability and Accountability Act of 1996, and shall

be exempt from the provisions of the RIGL chapter 38-2 et seq. the Rhode Island access to public

records act and not subject to disclosure, except to authorized employees of the department as

necessary to perform official duties of the department.

      (2) The application for qualifying patient’s registry identification card shall include a

question asking whether the patient would like the department to notify him or her of any clinical

studies about marijuana's risk or efficacy. The department shall inform those patients who answer

in the affirmative of any such studies it is notified of, that will be conducted in Rhode Island. The

department may also notify those patients of medical studies conducted outside of Rhode Island.

     (2)(3) The department shall maintain a confidential list of the persons to whom the

department has issued registry identification cards. Individual names and other identifying

information on the list shall be confidential, exempt from the provisions of Rhode Island Access

to Public Information, chapter 2 of title 38, and not subject to disclosure, except to authorized

employees of the department as necessary to perform official duties of the department.

     (i) The department shall verify to law enforcement personnel whether a registry

identification card is valid solely by confirming the random registry identification number.

     (j) It shall be a crime, punishable by up to one hundred eighty (180) days in jail and a one

thousand dollar ($1,000) fine, for any person, including an employee or official of the department

or another state agency or local government, to breach the confidentiality of information obtained

pursuant to this chapter. Notwithstanding this provision, the department employees may notify

law enforcement about falsified or fraudulent information submitted to the department.

     (k) On or before January 1 of each odd numbered year, the department shall report to the

House Committee on Health, Education and Welfare and to the Senate Committee on Health and

Human Services on the use of marijuana for symptom relief. The report shall provide:

     (1) The number of applications for registry identification cards, the number of qualifying

patients and primary caregivers approved, the nature of the debilitating medical conditions of the

qualifying patients, the number of registry identification cards revoked, and the number of

practitioners providing written certification for qualifying patients;

     (2) An evaluation of the costs permitting the use of marijuana for symptom relief,

including any costs to law enforcement agencies and costs of any litigation;

     (3) Statistics regarding the number of marijuana-related prosecutions against registered

patients and caregivers, and an analysis of the facts underlying those prosecutions;

     (4) Statistics regarding the number of prosecutions against physicians for violations of

this chapter; and

     (5) Whether the United States Food and Drug Administration has altered its position

regarding the use of marijuana for medical purposes or has approved alternative delivery systems

for marijuana.

     (6) The application for qualifying patients' registry identification card shall include a

question asking whether the patient would like the department to notify him or her of any clinical

studies about marijuana's risk or efficacy. The department shall inform those patients who answer

in the affirmative of any such studies it is notified of, that will be conducted in Rhode Island. The

department may also notify those patients of medical studies conducted outside of Rhode Island.

 

     21-28.6-10. Severability. -- Any section of this act being held invalid as to any person or

circumstances shall not affect the application of any other section of this act that can be given full

effect without the invalid section or application. If any provision of this chapter or its application

thereof to any person or circumstance is held invalid, such invalidity shall not affect other

provisions or applications of this chapter, which can be given effect without the invalid provision

or application, and to this end the provisions of this chapter are declared to be severable.

 

     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 act 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 act 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 act 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 act 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 act chapter.

      (5) If at any time after fifteen (15) months after the effective date of this act 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 act 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 act 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 wishes interests of qualifying patients regarding which applicant be granted a

registration certificate;

      (v) The wishes 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 or

employed by, 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,; and 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 may

conduct a background check of each principal officer, board member, agent, volunteer, or

employee in order to carry out this provision. 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 criminal

background check with fingerprints. 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 department has not ever suspended the The compassion center's registration has

never been suspended for violations of this act chapter or regulations issued pursuant to this act

chapter;

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

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 (j)

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) exist 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 act chapter or regulations issued pursuant to this act 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. The department shall give reasonable notice

of an inspection under this subsection. During an inspection, the department may review the

compassion center's confidential records, including its dispensing records, which may 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 five hundred feet (500') one thousand

feet (1,000’) 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 other

penalties that may apply to the person's 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 a new agent or employee begins working at 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 patients 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 a 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,

qualification 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 each volunteer that includes an application for employment or to volunteer 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 each

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;

     (2)(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 may shall not possess an amount of marijuana at any given time

that exceeds the following limitations: total of the allowable amount of marijuana for the

registered qualifying patients for whom the compassion center is a registered primary caregiver;

     (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.

      (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, and

such person's registry identification card shall be immediately revoked;

      (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

     (4)(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 and issued the person a registry identification card as

provided under subdivision (c)(7) 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 gross

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 and one representative of the law enforcement community.

      (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 2. Chapter 21-28.6 of the General Laws entitled "The Edward O. Hawkins and

Thomas C. Slater Medical Marijuana Act" is hereby amended by adding thereto the following

section:

 

     21-28.6-13. Construction. -- This chapter shall be liberally construed so as to effectuate

the purposes thereof.

 

     SECTION 3. This act shall take effect upon passage.

     

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LC01988/SUB A

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