Sunday, December 9, 2012
In The Land Of Unintended Consequences
by: Thomas Tony Vance
The recently implemented regulations arising from the new prescription drug bill are being misinterpreted. Doctors all across the Commonwealth are doing required urine testing, and the results, in many cases, are being used to justify the withholding of medications from patients. The Doctors claim that if they don’t withhold these medications based solely on the urine test, they will lose their jobs or licenses. The regulation they say that requires them to do this is 201 KAR 9:260 Professional Standards for Prescribing and Dispensing Controlled Substances, Page 12, line 19, through Page 13 line 4.
The regulation reads:
(4) The Physician shall obtain and document a baseline urine drug screen to
determine whether the medications that are being prescribed are in the patient’s
system and to determine whether any un-prescribed or illegal controlled
substances are in the patient’s system.
(5) If, after screening, the physician determines that the controlled
substances prescribed to the patient will be used, or are likely be used other
than medicinally or other than for an accepted therapeutic purpose, the Physician
Shall not prescribe controlled substances to that patient.
As anyone can see the regulation only requires the withholding of medications if the physician determines that the medication will not be used properly. It does not require the withholding of medications if illegal drugs are present, only if the Doctor thinks the medicine they are prescribing will be misused.
Based on this misinterpretation Doctors are withholding medications because of the presence of THC, the active ingredient in marijuana. Many of these patients use marijuana in combination with their prescribed drugs and have been using this combination for decades. In many cases, with the approval of their Doctors. Now they are being told to chose between two drugs when the effectiveness lies in the two drugs working together. For example, marijuana works very well in controlling neuropathic pain, but it works best in combination with a small amount of pain meds usually in the evening before bed. Now these patients will have to give up either their medical marijuana or their pain medications. Many patients when faced with this choice have said that the marijuana works too well to give up and if they lose their pain meds they will get them on the black market. The fear of addiction from using pain medications alone is a major factor in their decision. Patients are being told the Doctor will help them experiment to find a pharmaceutical to replace the withheld pain medications but that requires them to become guinea pigs to the Pharmaceutical industry all over again.
No one doubts the need to get a handle on our prescription drug problem but what the patients are hearing and what the regulation says are two different things. In this interpretation of the regulations we are creating more problems than we are solving.
I wonder if the Doctors are making these decisions about their patients or the bureaucrats are? I suspect since some Doctors cited losing their jobs, it’s the bureaucrats, the absolute last people who should be making medical decisions. Unintended consequences, when not addressed can neutralize any good that might have been accomplished.
Sunday, November 25, 2012
Time To Reclaim A Kentucky Industry
State Agriculture Commissioner James Comer is trying to get industrial hemp, (cannabis), legalized as an alternative crop for our farmers. State Senator Perry Clark wants to get marijuana, (cannabis), legalized for medical uses. Many of our citizens would like to see cannabis legalized for recreational uses. Maybe it’s time for our legislators to take back the cannabis industry.
At one time Kentucky had a lucrative cannabis market providing hemp fiber and medicines for retail sale. Kentuckians were fooled into voting this industry out of existence by a newspaper propaganda campaign that made cannabis out to be something different and foreign by calling it by it’s Mexican name, marijuana. The reason cannabis and the cannabis industry was suddenly vilified and driven out of the market place and into the black market had more to do with business interests eliminating the competition, than the idea of protecting Americans from what has turned out to be a relatively harmless and mostly beneficial plant. Even the American Medical Association spoke against making cannabis illegal but the fix was in and we have had 75 years of the failed policy of prohibition.
President Nixon who, against the recommendation of his own commission on drugs, used it to prove he was tough on crime by declaring the War On Drugs, and to harass war protesters. President Reagan said it was the number one enemy of America. H. W. Bush, Clinton, Carter and now Obama have all allowed this waste of 51 billion a year accomplishing nothing and inflicting misery and fear on the citizens to continue. Admittedly Carter said the law should be reformed and Obama has recently said it’s a debate worth having but nothing has been done at the Federal level, leaving it up to Congress and the State legislatures to change policy. Ironically our last 3 Presidents have used cannabis at one time or another.
Kentucky Legislators have a unique opportunity to reestablish the cannabis industry in Kentucky and position Kentucky to claim a huge portion of what is estimated to be a multibillion dollar industry. Our legislators should join forces and go for outright legalization across the board. The billions in economic activity to be realized from this action would lift the lives and improve the conditions of all our citizens. For our legislators to allow the failed policy of cannabis prohibition to continue and cause Kentucky’s businesses and farmers to miss out on this opportunity is unthinkable!
Now is the time for us to join the ranks of Colorado and Washington State. Now is the time to stand up to the Federal Authorities and do what’s best for Kentucky. Now is the time to bring the cannabis industry back to life in Kentucky!
by: Thomas Tony Vance
Tuesday, November 20, 2012
Can We Talk?
This is an open letter to the WAVE 3 commentator that did the piece on Industrial Hemp, you will find a link at the bottom.
Dear Sir
I'm a 64 year old retired salesman and I'm also a four year Air Force veteran with 18 months duty "in theater" during the Vietnam war.
It was during that war, while stationed in Thailand, that I tried cannabis for the first time. That was 1970 and I have smoked recreationally off and on ever since.
It wasn't until I met Gatewood Galbraith in 1990 that I and others realized there was more to smoking "marijuana" than just getting high. Sure we had heard about making rope but most where just jokes about smoking rope no one took them seriously. After meeting with Gatewood, Willie Nelson, Jack Herer and other cannabis activists I agreed to run Gatewood's primary campaign for him here in Louisville; in which by the way we got 13% of the vote for him.
I read Jack Herer's book "The Emperor Wears No Cloths" http://www.jackherer.com/thebook/ and have been an advocate ever since. In the '91 campaign we took that book along with other literature and we worked tirelessly spreading the word and educating people through out the commonwealth. We are the reason that people are even talking about Industrial Hemp today and now we have wealthy industrialist that wish to ignore our fight, our hard work for their own profit motive. I resent that.
Gatewood's name was never brought up in your documentary nor the work of thousands of volunteers but the most egregious part of your documentary was your emphasis on "mind altering drug". I take offense to that, that was uncalled for. There were a lot of good facts in there but I felt that tone of prejudice against medicinal and I suspect recreational use as well. I wish we could have a candid discussion about all the uses of Cannabis Sativa/Indica and maybe dispel some of the rumors and fears once and for all.
I started a grassroots group www.kentuckyveteransformedicalmarijuana.net and I have been working with Sen. Perry Clark on his legislation to legalize medical marijuana. I started this group because a decision was made by the Veterans Administration to allow patients, in states where it is legal, to have THC in their blood tests but in states where it isn't legal you could be taken off your medication. That's not right but then there is so much hypocrisy in this prohibition it's hard to put it all together.
I would welcome a dialog and I can bring in some experts. I have contacts with LEAP(Law Enforcement Against Prohibition) MPP (Marijuana Policy Project) and others. Can we talk candidly? I'm retired so I don't have to pass anyone's drug test to survive so I'm speaking out and not just for myself but my grandchildren as well. They deserve better.
Thank You
Kentucky Veterans for Medical Marijuana
attachment enclosed:
Sunday, November 18, 2012
Veterans To Consider Medical Marijuana Resolution
Veteran
members of the Veterans Of Foreign Wars in the Ninth District of Kentucky will
vote in January on a resolution supporting Veteran access to medical marijuana
thru the auspices of the Veterans Administration. The resolution
recommends that the Federal Government provide, thru the Veterans
Administration Health System, medical marijuana to Veterans with qualifying
conditions such as chronic pain, Post Traumatic Stress and a number of other
conditions for which medical marijuana is effective.
The
Government can accomplish this, the resolution states, “ by providing vouchers
to Veterans who live in medical marijuana States and by directly providing the
marijuana from the Government’s marijuana farm in Mississippi to Veterans who
do not live in medical marijuana States as is currently done for the survivors
of the old Compassionate Care Program. The resolution also states that
the Government should act post haste to provide this safe and effective
medicine for the care of our Veterans.
Justification
supporting the resolution sited the following points:
Thousands
of our Comrade Veterans use this medicine everyday and they report that it
works wonders in treating Post Traumatic Stress, chronic pain, phantom pain
from loss of a limb and a number of related conditions.
The
Doctors treating these Veterans agree that marijuana is effective in treating
these conditions and that it should be made available to these Veterans..
The American Medical Association, The American College of Physicians, The
American Nurses Association, The American Academy of Family Physicians and The
Federation of American Scientists all recognize medical marijuana as legitimate
medicine. Even the Veterans Administration now recognizes Veteran use of
medical marijuana.
The
need for action on this issue is tantamount as for some of our Veterans access
to this medicine can be a life or death issue. It has been noted that
states with medical marijuana laws in place are starting to experience lower
rates of suicide which has been attributed to the availability of medical
marijuana.
Since
the proposal of this resolution one more state has passed legislation
authorizing the use of medical marijuana and two states have legalized it’s use
for recreational purposes. Civilians can now use it for recreation but
Veterans cannot access it for medical needs. Something not right about
that we think.
Lastly,
we as Veterans are the leaders in our communities and in our nation as
well. As leaders we are the ones who can effect needed policy change and
as Americans and especially as Veterans we have a duty to do so, in service to
our country and in service to our wounded and disabled Veterans.
The
resolution will be voted on at the Ninth District of Kentucky meeting
January 20, 2013.
Thursday, November 15, 2012
R.I.P. Cash Hyde
I never met young Cash (Cashy) Hyde and now that he has passed on I wont get that chance at least not in this existence. Just four years old Cash was taken from us having fought cancer for most of his young life he finally fell victim to his disease.
He touched a lot of us in the cannabis community because his story was a story of hope for the future. His father tried, after doctors had given up hope of saving Cash's life, to save him. He would give Cash hemp oil in his feeding tube and for a while Cash's life was hopeful. However, as these diseases are want to do, it was false hope.
Until the day we rethink our prohibition on cannabis and restore it to it's rightful place, can we ever be certain that hemp didn't help Cashy, even if it made the few years he had on this earth more enjoyable, isn't it worth the try? When you look into this young mans eyes tell me his life wasn't worth the risk.
Great strides are being made in cancer research all over the world. Everywhere, it would seem, except here. Spain, Portugal, Israel all have aggressive cannabis research projects studying cannabis's effect on cancer cells and other ailments but here in the US we still regard it as addictive and with no medicinal value. We know better now!
We'll probably never know if Cashy could have been saved by the hemp oil but we do know that the quality of his life was made better and the few short years that he had with us were more enjoyable because of it. Rest In Peace little soldier you've done your part.
He touched a lot of us in the cannabis community because his story was a story of hope for the future. His father tried, after doctors had given up hope of saving Cash's life, to save him. He would give Cash hemp oil in his feeding tube and for a while Cash's life was hopeful. However, as these diseases are want to do, it was false hope.
Until the day we rethink our prohibition on cannabis and restore it to it's rightful place, can we ever be certain that hemp didn't help Cashy, even if it made the few years he had on this earth more enjoyable, isn't it worth the try? When you look into this young mans eyes tell me his life wasn't worth the risk.
Great strides are being made in cancer research all over the world. Everywhere, it would seem, except here. Spain, Portugal, Israel all have aggressive cannabis research projects studying cannabis's effect on cancer cells and other ailments but here in the US we still regard it as addictive and with no medicinal value. We know better now!
We'll probably never know if Cashy could have been saved by the hemp oil but we do know that the quality of his life was made better and the few short years that he had with us were more enjoyable because of it. Rest In Peace little soldier you've done your part.
Saturday, October 20, 2012
MedicalMarijuanaRadio.com
Showing some love to the Cannabis Warriors working the front lines in this War On Cannabis. One day we will have justice!
Click the link below...
MedicalMarijuanaRadio.com
Click the link below...
MedicalMarijuanaRadio.com
Thursday, October 18, 2012
Lets walk this back!
In the 1930's things were a bit different than today. Public education has improved markedly and we now can get news in an instant where they would sometimes have to wait days for news to travel. This would allow for all sorts of manipulation of the facts and back then people were lucky to ever get the facts. People would get their news from what they saw on the Newsreels at the local theater and facts were for the most part embellished or even fabricated to fit the mood they wanted the country in. So it's no wonder a movie such as "Reefer Madness" would scare people half to death. The cinema coupled with the Hearts "yellow journalism" campaign against marijuana was enough to brain wash a generation and we have over 70 years of prohibition propaganda to straighten out the lies.
It's frustrating to know what something does and be unable to refute it I remember all the negative propaganda of the early 60's when cannabis was first becoming popular I first smoked cannabis while in Thailand with some friends of mine I wasn't prepared for the effects and needless to say I was taken back by what I experienced. It was some very good quality herb and I wasn't for sure just what to expect from it so my first time was not all that pleasurable. After that however, I learned to enjoy the experience. It amazes me now at how many people could be brain washed into believe all the lies.
What bothers me most are how organizations such as the Kentucky State Police and the Family Foundation along with other anti-cannabis organizations can still get by with using out dated erroneous information to defend their positions and they are never questioned The media just allows them to question what legalization would do to the children without ever considering what the current prohibition is doing to them now They fear having to answer those uncomfortable questions about something they have ignored for so long "Daddy how come you always told me that pot was bad but now they say it cures cancer?" "Daddy who's lying?". They use "the children" like terrorist use women and children as human shields. Let me say this the figures haven't changed since Nixon threw the Shaffer report in the trash and started the war on cannabis. The only change is now we have synthetic cannabis that municipalities are scrambling to make illegal and when they do there will be something else. Of course with cannabis illegal there is money to be made by our "Prison Industrial Complex" and those folks who make money off counselling people.
I have honestly heard the "Gateway Theory" mentioned recently. That was debunked 20 years ago and they still bring it up and no one calls them on it. A "Gateway Theory" is a convenient store offering any size carbonated beverage for 99 cents. It's easy for people who have never been there, never gone out into the night and purchased a "bag of weed" to imagine anything goes on in such a transaction but that is just showing their ignorance. The first law on the street is your money talks your age, sex, religion nothing else matters and the street isn't like 7/11 you may go searching for one thing and all you find is something entirely different because everyone is out of weed So you've got money and you buy what is available. Cannabis is the Gateway only because that's what you went to get in the first place. But we let them get by with it. We let them call it a gateway drug only because we can't jump up and say your wrong without branding ourselves as pot smokers and as susceptible to ridicule.. We need to stand up to these lies.
The most offensive defense of prohibition comes from the Kentucky State police who insist that if cannabis were made legal, speaking of Industrial hemp, they wouldn't be able to tell whether someone is growing medicinal cannabis in the field illegally. I cannot believe that our State Police are that misinformed about cannabis. Cannabis is a plant that has two sexes. It's existence depends on the male pollinating the female at the right time in order to produce the seeds. The male produces the pollen and the female produces THC ( a sticky substance on the buds) to attract the pollen and produce seeds. Industrial hemp fields will contain both male and female plants and they will grow much taller and woody than a plants grown for medicinal purposes... Here's the key to this equation; to get the best medicinal cannabis buds the plants must be female and they must be unpolluted. If the buds get pollinated even the slightest bit they will go to seed and your smoking material wont have the same effect as if the plant were isolated and allowed to produce as much THC as possible In short only a fool would plant anything in a field of Hemp But they say these things and get by with it...
I guess I'm just tired of being 63, 64 next month and know what I know and still have to find someone who knows someone, who has a buddy, whose cousin scored a quarter pound last week and he'll sell you a bag as big as your pinky for a 100 bucks. It's insanity. There is no logical reason that I shouldn't be able to walk any father than I would have to to get a pack of cigarettes or six pack of beer and pick up something for the evening to smoke on, come back and watch the game, invite over some friends, work in your shop, do whatever you want to do but do it the way you want to. They shouldn't be allowed to lie like they have been and not be called on it. We need to start standing up and let them know we know they are lying.
It's frustrating to know what something does and be unable to refute it I remember all the negative propaganda of the early 60's when cannabis was first becoming popular I first smoked cannabis while in Thailand with some friends of mine I wasn't prepared for the effects and needless to say I was taken back by what I experienced. It was some very good quality herb and I wasn't for sure just what to expect from it so my first time was not all that pleasurable. After that however, I learned to enjoy the experience. It amazes me now at how many people could be brain washed into believe all the lies.
What bothers me most are how organizations such as the Kentucky State Police and the Family Foundation along with other anti-cannabis organizations can still get by with using out dated erroneous information to defend their positions and they are never questioned The media just allows them to question what legalization would do to the children without ever considering what the current prohibition is doing to them now They fear having to answer those uncomfortable questions about something they have ignored for so long "Daddy how come you always told me that pot was bad but now they say it cures cancer?" "Daddy who's lying?". They use "the children" like terrorist use women and children as human shields. Let me say this the figures haven't changed since Nixon threw the Shaffer report in the trash and started the war on cannabis. The only change is now we have synthetic cannabis that municipalities are scrambling to make illegal and when they do there will be something else. Of course with cannabis illegal there is money to be made by our "Prison Industrial Complex" and those folks who make money off counselling people.
I have honestly heard the "Gateway Theory" mentioned recently. That was debunked 20 years ago and they still bring it up and no one calls them on it. A "Gateway Theory" is a convenient store offering any size carbonated beverage for 99 cents. It's easy for people who have never been there, never gone out into the night and purchased a "bag of weed" to imagine anything goes on in such a transaction but that is just showing their ignorance. The first law on the street is your money talks your age, sex, religion nothing else matters and the street isn't like 7/11 you may go searching for one thing and all you find is something entirely different because everyone is out of weed So you've got money and you buy what is available. Cannabis is the Gateway only because that's what you went to get in the first place. But we let them get by with it. We let them call it a gateway drug only because we can't jump up and say your wrong without branding ourselves as pot smokers and as susceptible to ridicule.. We need to stand up to these lies.
The most offensive defense of prohibition comes from the Kentucky State police who insist that if cannabis were made legal, speaking of Industrial hemp, they wouldn't be able to tell whether someone is growing medicinal cannabis in the field illegally. I cannot believe that our State Police are that misinformed about cannabis. Cannabis is a plant that has two sexes. It's existence depends on the male pollinating the female at the right time in order to produce the seeds. The male produces the pollen and the female produces THC ( a sticky substance on the buds) to attract the pollen and produce seeds. Industrial hemp fields will contain both male and female plants and they will grow much taller and woody than a plants grown for medicinal purposes... Here's the key to this equation; to get the best medicinal cannabis buds the plants must be female and they must be unpolluted. If the buds get pollinated even the slightest bit they will go to seed and your smoking material wont have the same effect as if the plant were isolated and allowed to produce as much THC as possible In short only a fool would plant anything in a field of Hemp But they say these things and get by with it...
I guess I'm just tired of being 63, 64 next month and know what I know and still have to find someone who knows someone, who has a buddy, whose cousin scored a quarter pound last week and he'll sell you a bag as big as your pinky for a 100 bucks. It's insanity. There is no logical reason that I shouldn't be able to walk any father than I would have to to get a pack of cigarettes or six pack of beer and pick up something for the evening to smoke on, come back and watch the game, invite over some friends, work in your shop, do whatever you want to do but do it the way you want to. They shouldn't be allowed to lie like they have been and not be called on it. We need to start standing up and let them know we know they are lying.
Thursday, September 27, 2012
For All to See
For All to See
As the procession moved down the street, one of the children pointed and shouted, “He has no clothes on!”, and suddenly the spell was broken. There stood the real Mitt Romney naked before the Electorate!
Presidential Candidate Mitt Romney, in a glaringly honest bit of speechifying, bared his soul and revealed his true self and that of his wealthy supporters. The opinion Mr. Romney and his supporters hold of their fellow citizens is one of resentment and indignation that those on the low end of the financial spectrum should get the assistance of the Government to be successful or to just get by. That somehow wealth equals good people and poor equals bad, dependent and lazy people. Never mind the fact that almost all successful citizens have had the help of either their families or the Government in the creation of their success. There is even a video of Mr. Romney’s mother saying that Mitt’s father was grateful for the assistance he received from the Government when he first returned from Mexico.
Mr. Romney claimed that 47% of Americans pay no income tax, that these citizens are dependent on Government handouts, lazy and feel that things like food and housing are entitlements. Statistics show that of those in the 46.4% of the citizens Mr. Romney and his supporters disparage, 28.3% pay payroll taxes and of the 18.1% who pay no payroll taxes, 10.3% are elderly or Veterans and 6.9% are non-elderly but make less than 20,000 dollars a year. None of these citizens make enough money to pay income taxes. They do pay plenty in State, sales and local taxes but I guess these don’t count! As bad as all this is for the Romney Campaign and for the rest of America’s opinion of the wealthy there is a greater lesson to be learned for Americans living in the lower end of the financial pyramid.
The Republican Party in its current form is a wholly owned subsidiary of the wealthy elite and as such , the views of the leader of the Party are the views of the Party. Americans in the despised 47% who have traditionally voted Republican need to wake up and realize that this is not the Republican Party of Ronald Reagan anymore. This Republican Party could care less about you and yours, unless of course you make enough to pay Federal income taxes. All this Party wants is your vote. They will use any social issue they can to include religion to con you out of your vote. Mr. Romney’s utterances at his $50,000 a plate fundraiser are exactly how these wealthy people feel and are the same as that of the Republican Party. As much as one might feel traditional loyalty to the Republican Party the fact that remains is this; if you make less than $200,000 a year and vote Republican you are not only voting for people who don’t like you , but are voting against your own financial interests. The Party has abandoned you and will not represent you even if you vote for them. Why would you want to vote for them anyway?
Thomas Tony Vance
Wednesday, September 19, 2012
Gatewood Galbraith Memorial Medical Marijuana Act
AN ACT relating to medical
marijuana.
Be it enacted by the General Assembly of the Commonwealth
of Kentucky:
âSECTION 1. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
The General Assembly finds that:
(1) Marijuana’s
recorded use as a medicine goes back nearly five thousand (5,000) years. Modern
medical research has confirmed the beneficial uses for marijuana in treating or
alleviating the pain, nausea, and other symptoms associated with a variety of
debilitating medical conditions, including cancer, multiple sclerosis, and
HIV/AIDS, as found by the National Academy of Sciences' Institute of Medicine
in March 1999;
(2) Studies
published since the 1999 Institute of Medicine report have continued to show
the therapeutic value of marijuana in treating a wide array of debilitating
medical conditions. These include relief of the neuropathic pain caused by
multiple sclerosis, HIV/AIDS, other illnesses and injuries that often fail to
respond to conventional treatments, and relief of nausea, vomiting, and other
side effects of drugs used to treat HIV/AIDS and hepatitis C, increasing the
chances of patients continuing on life-saving treatment regimens;
(3) Marijuana has
many currently accepted medical uses in the United States, having been
recommended by thousands of licensed physicians to more than five hundred
thousand (500,000) patients in states with medical marijuana laws. Marijuana's
medical utility has been recognized by a wide range of medical and public health
organizations, including the American Academy of HIV Medicine, the American
College of Physicians, the American Nurses Association, the American Public
Health Association, the Leukemia & Lymphoma Society, and many others;
(4) Data from the
Federal Bureau of Investigation's Uniform Crime Reports and the Compendium of
Federal Justice Statistics show that approximately ninety-nine (99) out of
every one hundred (100) marijuana arrests in the United States are made under
state law, rather than under federal law. Consequently, changing state law will
have the practical effect of protecting from arrest the vast majority of
seriously ill patients who have a medical need to use marijuana;
(5) The states of
Alaska, Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Maine,
Michigan, Montana, Nevada, New Mexico, New Jersey, Oregon, Vermont, Rhode
Island, and Washington, as well as the District of Columbia, have removed
state-level criminal penalties from the medical use and cultivation of
marijuana. Kentucky joins in this effort for the health and welfare of its
citizens;
(6) States are not
required to enforce federal law or prosecute people for engaging in activities
prohibited by federal law. Therefore, compliance with Sections 1 to 24 of this
Act does not put the state of Kentucky in violation of federal law; and
(7) State law
should make a distinction between the medical and nonmedical uses of marijuana.
Therefore, the purpose of Sections 1 to 24 of this Act is to protect patients
with debilitating medical conditions, as well as their practitioners and
providers, from arrest and prosecution, criminal and other penalties, and
property forfeiture, if such patients engage in the medical use of marijuana.
âSECTION 2. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
For the purposes of Sections 1 to 24 of this Act, unless
the context otherwise requires:
(1) "Bona
fide practitioner-patient relationship" means that:
(a) A practitioner
and patient have a treatment or consulting relationship, during the course of
which the physician has completed an assessment of the patient's medical
history and current medical condition, including an appropriate personal
physical examination;
(b) The
practitioner has consulted with the patient with respect to the patient's
debilitating medical condition; and
(c) The physician
is available to or offers to provide follow-up care and treatment to the
patient, including but not limited to patient examinations;
(2) "Cardholder"
means a qualifying patient or a designated caregiver who has been issued and
possesses a valid registry identification card;
(3) "Compassion
center agent" means a principal officer, board member, employee, or agent
of a registered compassion center who is twenty-one (21) years of age or older
and has not been convicted of a disqualifying felony offense;
(4) "Debilitating
medical condition" means:
(a) Cancer,
glaucoma, positive status for human immunodeficiency virus, acquired immune
deficiency syndrome, hepatitis C, amyotrophic lateral sclerosis, Crohn's
disease, agitation of Alzheimer's disease, post-traumatic stress disorder, or
the treatment of these conditions;
(b) A chronic or
debilitating disease or medical condition or its treatment that produces one
(1) or more of the following: cachexia or wasting syndrome; severe,
debilitating pain; severe nausea; seizures; or severe and persistent muscle
spasms, including but not limited to those characteristic of multiple
sclerosis; or
(c) Any other
medical condition or its treatment added by the department, as provided for in
Section 6 of this Act;
(5) "Department"
means the Department for Public Health or its successor agency;
(6) "Designated
caregiver" means a person who:
(a) Is at least
twenty –one (21) years of age;
(b) Has agreed to
assist with a patient's medical use of marijuana;
(c) Has not been
convicted of a disqualifying felony offense; and
(d) Assists no
more than five (5) qualifying patients with their medical use of marijuana;
(7) "Disqualifying
felony offense" means:
(a) A felony
offense that would qualify the person as a violent offender under KRS 439.3401;
or
(b) A violation of
a state or federal controlled substance law that was classified as a felony in
the jurisdiction where the person was convicted, not including:
1. An offense for
which the sentence, including any term of probation, incarceration, or
supervised release, was completed ten (10) or more years earlier; or
2. An offense
that consisted of conduct for which Sections 1 to 24 of this Act would likely
have prevented a conviction, but the conduct either occurred prior to the
enactment of Sections 1 to 24 of this Act or was prosecuted by an authority
other than the Commonwealth of Kentucky;
(8) "Enclosed,
locked facility" means a closet, room, greenhouse, building, or other
enclosed area that is equipped with locks or other security devices that permit
access only by the cardholder allowed to cultivate the plants or, in the case
of a registered compassion center, the compassion center agents working for the
registered compassion center. Two (2) or more registered qualifying patients or
registered designated caregivers who reside in the same dwelling and have a
registry identification card that removes state penalties for marijuana
cultivation may share one (1) enclosed, locked facility for cultivation;
(9) "Marijuana"
has the same meaning as in KRS 218A.010;
(10) "Mature
marijuana plant" means a marijuana plant that has one (1) or more of the
following characteristics:
(a) The plant has
flowers;
(b) The plant is
twelve (12) or more inches in height; or
(c) The plant is
twelve (12) inches or greater in diameter;
(11) "Medical
use" includes the acquisition, administration, cultivation, or manufacture
in an enclosed, locked facility or the delivery, possession, transfer,
transportation, or use of marijuana or paraphernalia relating to the
administration of marijuana to treat or alleviate a registered qualifying
patient's debilitating medical condition or symptoms associated with the
patient's debilitating medical condition. It does not include cultivation by a
visiting qualifying patient or cultivation by a registered designated caregiver
or registered qualifying patient who is not designated as being allowed to
cultivate;
(12) "Practitioner"
has the same meaning as in KRS 218A.010 except that, if the qualifying
patient’s debilitating medical condition is post-traumatic stress disorder, the
practitioner shall only be a licensed psychiatrist. In relation to a visiting
qualifying patient, "practitioner" means a person who is licensed
with authority to prescribe controlled substances to humans in the state of the
patient’s residence;
(13) "Qualifying
patient" means a person who has been diagnosed by a practitioner as having
a debilitating medical condition;
(14) "Registered
compassion center" means a not-for-profit entity registered pursuant to
Section 14 of this Act that acquires, possesses, cultivates, manufactures,
delivers, transfers, transports, sells, supplies, or dispenses marijuana,
paraphernalia, or related supplies and educational materials to registered
qualifying patients;
(15) "Registry
identification card" means a document issued by the department that
identifies a person as a registered qualifying patient or registered designated
caregiver;
(16) "Registered
safety compliance facility" means an entity registered under Section 15 of
this Act by the department to provide one (1) or more of the following
services:
(a) Testing
marijuana produced for medical use, including for potency and contaminants; and
(b) Training
cardholders and compassion center agents. The training may include but need not
be limited to information related to one (1) or more of the following:
1. The safe and
efficient cultivation, harvesting, packaging, labeling, and distribution of
marijuana;
2. Security and
inventory accountability procedures; and
3. Up-to-date
scientific and medical research findings related to medical marijuana;
(17) "Safety
compliance facility agent" means a principal officer, board member,
employee, or agent of a registered safety compliance facility who is twenty-one
(21) years of age or older and has not been convicted of a disqualifying felony
offense;
(18) "Seedling"
means a marijuana plant that has no flowers, is less than twelve (12) inches in
height, and is less than twelve (12) inches in diameter;
(19) "Usable
marijuana" means the flowers of the marijuana plant and any mixture or
preparation thereof, but does not include the seeds, stalks, and roots of the
plant. It does not include the weight of any nonmarijuana ingredients combined
with marijuana, including ingredients added to prepare a topical
administration, food, or drink;
(20) "Verification
system" means a telephone-based or Web-based system established and
maintained by the department that is available to law enforcement personnel and
compassion center agents on a twenty-four (24) hour basis for verification of
registry identification cards;
(21) "Visiting
qualifying patient" means a person who:
(a) Has been
diagnosed with a debilitating medical condition;
(b) Possesses a
valid registry identification card, or its equivalent, that was issued pursuant
to the laws of another state, district, territory, commonwealth, insular
possession of the United States, or country recognized by the United States
that allows the person to use marijuana for medical purposes in the
jurisdiction of issuance; and
(c) Is not a
resident of Kentucky or who has been a resident of Kentucky for less than
thirty (30) days; and
(22) "Written
certification" means a document dated and signed by a practitioner,
stating that in the practitioner's professional opinion the patient is likely
to receive therapeutic or palliative benefit from the medical use of marijuana
to treat or alleviate the patient's debilitating medical condition or symptoms
associated with the debilitating medical condition. A written certification
shall affirm that it is made in the course of a bona fide practitioner-patient
relationship and shall specify the qualifying patient's debilitating medical
condition.
âSECTION 3. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) A registered
qualifying patient shall not be subject to arrest, prosecution, or denial of
any right or privilege, including but not limited to civil penalty or
disciplinary action by a court or occupational or professional licensing board,
for the medical use of marijuana pursuant to Sections 1 to 24 of this Act, if
the registered qualifying patient does not possess more than:
(a) Six (6) ounces
of usable marijuana; and
(b) Twelve (12)
mature marijuana plants and twelve (12) seedlings, if the qualifying patient
has not specified that a designated caregiver will be allowed under state law
to cultivate marijuana for the qualifying patient.
(2) A registered
designated caregiver shall not be subject to arrest, prosecution, or denial of
any right or privilege, including but not limited to civil penalty or
disciplinary action by a court or occupational or professional licensing board
for:
(a) Assisting a registered
qualifying patient to whom he or she is connected through the department's
registration process with the medical use of marijuana if the designated
caregiver does not possess more than:
1. Six (6) ounces
of usable marijuana for each qualifying patient to whom the registered
caregiver is connected through the department's registration process; and
2. Twelve (12)
mature marijuana plants and twelve (12) seedlings for each registered
qualifying patient who has specified that the designated caregiver will be
allowed under state law to cultivate marijuana for the qualifying patient; or
(b) Receiving
compensation for costs associated with assisting a registered qualifying
patient's medical use of marijuana if the registered designated caregiver is
connected to the registered qualifying patient through the department's
registration process.
(3) All mature
marijuana plants and seedlings possessed pursuant to this section shall be kept
in an enclosed, locked facility, unless they are being transported to a permissible
location, including because the cardholder is moving, the registered qualifying
patient has changed his or her designation of who can cultivate, or the plants
are being given to someone allowed to possess them pursuant to Sections 1 to 24
of this Act.
(4) A visiting
qualifying patient shall not be subject to arrest, prosecution, or denial of
any right or privilege, including but not limited to civil penalty or
disciplinary action by a court or occupational or professional licensing board,
for the medical use of marijuana pursuant to Sections 1 to 24 of this Act, if
the visiting qualifying patient does not possess more than six (6) ounces of
usable marijuana.
(5) A registered
qualifying patient, visiting qualifying patient, or registered designated caregiver
shall not be subject to arrest, prosecution, or denial of any right or
privilege, including but not limited to civil penalty or disciplinary action by
a court or occupational or professional licensing board for:
(a) Possession of
marijuana that is incidental to medical use, but is not mature marijuana
plants, seedlings, or usable marijuana;
(b) Selling,
transferring, or delivering marijuana seeds produced by the registered
qualifying patient, visiting qualifying patient, or registered designated
caregiver to a registered compassion center;
(c) Transferring
marijuana to a registered safety compliance facility for testing; or
(d) Giving
marijuana to a registered qualifying patient, a registered compassion center,
or a registered designated caregiver for a registered qualifying patient's
medical use where nothing of value is transferred in return, or for offering to
do the same, if the person giving the marijuana does not knowingly cause the
recipient to possess more marijuana than is permitted by this section.
(6) (a) There
shall be a presumption that a qualifying patient is engaged in, or a designated
caregiver is assisting with, the medical use of marijuana in accordance with
Sections 1 to 24 of this Act if the qualifying patient or designated caregiver:
1. Is in
possession of a valid registry identification card, or, in the case of a
visiting qualifying patient, its equivalent; and
2. Is in
possession of an amount of marijuana that does not exceed the amount allowed
under this section.
(b) The
presumption may be rebutted by evidence that conduct related to marijuana was
not for the purpose of treating or alleviating the qualifying patient's
debilitating medical condition or symptoms associated with the debilitating
medical condition in compliance with Sections 1 to 24 of this Act.
(7) 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 Kentucky Board of Medical Licensure or by any other
occupational or professional licensing board, solely for providing written
certifications or for otherwise stating that, in the practitioner's
professional opinion, a patient is likely to receive therapeutic or palliative
benefit from the medical use of marijuana to treat or alleviate the patient's
debilitating medical condition or symptoms associated with the debilitating
medical condition, except that nothing in Sections 1 to 24 of this Act shall
prevent a practitioner from being sanctioned for:
(a) Issuing a
written certification to a patient with whom the practitioner does not have a
bona fide practitioner-patient relationship; or
(b) Failing to
properly evaluate a patient's medical condition.
(8) No person may
be subject to arrest, prosecution, or denial of any right or privilege,
including but not limited to civil penalty or disciplinary action by a court or
occupational or professional licensing board, for:
(a) Selling
marijuana paraphernalia to a cardholder upon presentation of a registry
identification card in the recipient’s name that has not expired or to a
compassion center agent or registered safety compliance facility agent upon
presentation of an unexpired copy of the entity’s registration certificate;
(b) Being in the
presence or vicinity of the medical use of marijuana as allowed under Sections
1 to 24 of this Act; or
(c) Assisting a
registered qualifying patient with using or administering marijuana. For
purposes of illustration and not limitation, this includes preparing a
vaporizer for a registered qualifying patient’s use or brewing tea for a
registered qualifying patient. It does not include providing marijuana to a
patient that the patient did not already possess.
(9) A registered
compassion center shall not be subject to prosecution under state or local law,
to search or inspection except by the department pursuant to Section 19 of this
Act, to seizure or penalty in any manner, or be denied any right or privilege,
including but not limited to civil penalty or disciplinary action by a court or
business licensing board, for acting pursuant to Sections 1 to 24 of this Act
and the department's administrative regulations for:
(a) Selling
marijuana seeds to similar entities that are registered to dispense marijuana
for medical use in other jurisdictions; or
(b) Acquiring,
possessing, cultivating, manufacturing, delivering, transferring, transporting,
supplying, selling, or dispensing marijuana or related supplies and educational
materials to registered qualifying patients, visiting qualifying patients who
have designated the compassion center to provide for them, registered
designated caregivers on behalf of the registered qualifying patients who have
designated the registered compassion center, or to other registered compassion
centers.
(10) A registered
compassion center agent shall not be subject to prosecution, search, or penalty
in any manner, or be denied any right or privilege, including but not limited
to civil penalty or disciplinary action by a court or business licensing board,
for working for a registered compassion center pursuant to Sections 1 to 24 of
this Act and the department's administrative regulations to acquire, possess,
cultivate, manufacture, deliver, transfer, transport, supply, sell, or dispense
marijuana or related supplies and educational materials to registered
qualifying patients who have designated the registered compassion center to
provide for them, to registered designated caregivers on behalf of the
registered qualifying patients who have designated the registered compassion
center, or to other registered compassion centers.
(11) A registered
safety compliance facility and registered safety compliance facility agents
acting on behalf of a registered safety compliance facility shall not be
subject to prosecution, search except by the department pursuant to Section 19
of this Act, seizure, or penalty in any manner, or be denied any right or
privilege, including but not limited to civil penalty or disciplinary action by
a court or business licensing board, solely for acting in accordance with
Sections 1 to 24 of this Act and the department's administrative regulations to
provide the following services:
(a) Acquiring or
possessing marijuana obtained from registered cardholders or registered
compassion centers;
(b) Returning the
marijuana to registered cardholders or registered compassion centers;
(c) Transporting
marijuana that was produced by registered cardholders and registered compassion
centers to or from those registered cardholders and registered compassion
centers;
(d) The production
or sale of educational materials related to medical marijuana;
(e) The
production, sale, or transportation of equipment or materials other than
marijuana to registered compassion centers or cardholders, including lab
equipment and packaging materials, that are used by registered compassion
centers and cardholders;
(f) Testing of
medical marijuana samples, including for potency, pesticides, mold, and
contamination;
(g) Providing
training to cardholders and prospective compassion center agents, provided that
only cardholders may be allowed to possess or cultivate marijuana and any
possession or cultivation of marijuana must occur on the location registered
with the department; and
(h) Receiving
compensation for actions allowed under this section.
(12) Any marijuana,
marijuana paraphernalia, lawful property, or interest in lawful property that
is possessed, owned, or used in connection with the medical use of marijuana as
allowed under Sections 1 to 24 of this Act, or acts incidental to such use,
shall not be seized or forfeited. Sections 1 to 24 of this Act shall not
prevent the seizure or forfeiture of marijuana exceeding the amounts allowed
under Sections 1 to 24 of this Act, nor shall it prevent seizure or forfeiture
if the basis for the action is unrelated to the marijuana that is possessed,
manufactured, transferred, or used pursuant to Sections 1 to 24 of this Act.
(13) Mere possession
of, or application for, a registry identification card or registration
certificate shall not constitute probable cause or reasonable suspicion, nor
shall it be used to support the search of the person, property, or home of the
person possessing or applying for the registry identification card. The
possession of, or application for, a registry identification card shall not
preclude the existence of probable cause if probable cause exists on other
grounds.
(14) For the
purposes of Kentucky law and any provisions to the contrary of Sections 1 to 24
of this Act, the medical use of marijuana by a cardholder or registered
compassion center shall be considered lawful as long as it is in accordance
with Sections 1 to 24 of this Act.
(15) No law
enforcement officer employed by an agency which receives state or local
government funds shall expend any state or local resources, including the
officer’s time, to effect any arrest or seizure of marijuana, or conduct any
investigation, on the sole basis of activity the officer believes to constitute
a violation of the federal Controlled Substances Act, 21 U.S.C. secs. 801 et.
seq., if the officer has reason to believe that such activity is in compliance
with state medical marijuana laws, nor shall any such officer expend any state
or local resources, including the officer’s time, to provide any information or
logistical support related to such activity to any federal law enforcement
authority or prosecuting entity.
(16) An attorney
shall not be subject to disciplinary action by the Kentucky Bar Association or
other professional licensing association for providing legal assistance to
prospective or registered compassion centers, prospective or registered safety
compliance facilities, or others related to activity that is no longer subject
to criminal penalties under state law pursuant to Sections 1 to 24 of this Act.
âSECTION 4. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
This chapter does not authorize any person to engage in,
and does not prevent the imposition of any civil, criminal, or other penalties
for engaging in, the following conduct:
(1) Undertaking
any task under the influence of marijuana, when doing so would constitute
negligence or professional malpractice;
(2) Possessing
marijuana, or otherwise engaging in the medical use of marijuana:
(a) In a school
bus;
(b) On the grounds
of any preschool or primary or secondary school; or
(c) In any
correctional facility;
(3) Smoking
marijuana:
(a) On any form of
public transportation; or
(b) In any public
place;
(4) Operating,
navigating, or being in actual physical control of any motor vehicle, aircraft,
or motorboat or personal watercraft while under the influence of marijuana,
except that a registered qualifying patient or visiting qualifying patient shall
not be considered to be under the influence of marijuana solely because of the
presence of metabolites or components of marijuana that appear in insufficient
concentration to cause impairment; or
(5) Using
marijuana, if that person does not have a debilitating medical condition.
âSECTION 5. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Except as
provided in Sections 1 to 24 of this Act, a registered qualifying patient who
uses marijuana for medical purposes shall be afforded all the same rights under
state and local law, including those guaranteed under KRS Chapter 344, as the
individual would have been afforded if he or she were solely prescribed
pharmaceutical medications, as it pertains to:
(a) Any
interaction with a person's employer;
(b) Drug testing
by one's employer; or
(c) Drug testing
required by any state or local law, agency, or government official.
(2) (a) The
rights provided by this section do not apply to the extent that they conflict
with an employer’s obligations under federal law or regulations or to the
extent that they would disqualify an employer from a monetary or
licensing-related benefit under federal law or regulations.
(b) No employer is
required to allow the ingestion of marijuana in any workplace or to allow any
employee to work while under the influence of marijuana. A registered
qualifying patient shall not be considered to be under the influence of
marijuana solely because of the presence of metabolites or components of marijuana
that appear in insufficient concentration to cause impairment.
(3) No school or
landlord may refuse to enroll or lease to, or otherwise penalize, a person
solely for his or her status as a registered qualifying patient or a registered
designated caregiver, unless failing to do so would violate federal law or
regulations or cause the school or landlord to lose a monetary or
licensing-related benefit under federal law or regulations.
(4) For the
purposes of medical care, including organ transplants, a registered qualifying
patient’s authorized use of marijuana in accordance with Sections 1 to 24 of
this Act is 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 or otherwise disqualify a qualifying patient from needed medical
care.
(5) A person
otherwise entitled to custody of or visitation or parenting time with a minor
shall not be denied such a right, and there shall be no presumption of neglect
or child endangerment, for conduct allowed under Sections 1 to 24 of this Act,
unless the person's actions in relation to marijuana were such that they
created an unreasonable danger to the safety of the minor as established by
clear and convincing evidence.
(6) No school,
landlord, or employer may be penalized or denied any benefit under state law
for enrolling, leasing to, or employing a cardholder.
âSECTION 6. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
Any citizen may petition the department to add conditions
or treatments to the list of debilitating medical conditions listed in Section
2 of this Act. The department shall consider petitions in the manner required
by administrative regulations promulgated by the department, including public
notice and hearing. The department shall approve or deny a petition within one
hundred eighty (180) days of its submission. The approval or denial of any
petition is a final decision of the department subject to judicial review.
Jurisdiction and venue are vested in the Franklin Circuit Court.
âSECTION 7. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Nothing in
Sections 1 to 24 of this Act requires:
(a) A government
medical assistance program or private insurer to reimburse a person for costs
associated with the medical use of marijuana; or
(b) Any person or
establishment in lawful possession of property to allow a guest, client,
customer, or other visitor to smoke marijuana on or in that property.
(2) Nothing in
this chapter prohibits an employer from disciplining an employee for ingesting
marijuana in the workplace or working while under the influence of marijuana.
âSECTION 8. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The department
shall issue registry identification cards to qualifying patients who submit the
following, in accordance with the department's administrative regulations:
(a) A written
certification issued by a practitioner within ninety (90) days immediately preceding
the date of an application;
(b) If the patient
is not a visiting qualifying patient, documentation required to reasonably
establish proof of residency in Kentucky;
(c) If the patient
is a visiting qualifying patient, a copy of his or her registry identification
card or its equivalent that was issued pursuant to the laws of the jurisdiction
of the person’s residence;
(d) The
application or renewal fee;
(e) The name,
address, and date of birth of the qualifying patient, except that if the
applicant is homeless no address is required;
(f) The name,
address, and telephone number of the qualifying patient's practitioner;
(g) The name,
address, and date of birth of the designated caregiver, if any, chosen by the
qualifying patient, except that a visiting qualifying patient may not have a
designated caregiver;
(h) The name of
the registered compassion center the qualifying patient designates, if any;
(i) If the
qualifying patient designates a designated caregiver, a designation as to
whether the qualifying patient or designated caregiver will be allowed under
state law to possess and cultivate marijuana plants for the qualifying
patient's medical use;
(j) A statement,
signed by the qualifying patient, pledging not to divert marijuana to anyone
who is not allowed to possess marijuana pursuant to Sections 1 to 24 of this
Act; and
(k) A signed
statement from the designated caregiver, if any, agreeing to be designated as
the patient’s designated caregiver and pledging not to divert marijuana to
anyone who is not allowed to possess marijuana pursuant to Sections 1 to 24 of
this Act.
(2) The
application for qualifying patients' registry identification cards shall ask
whether the patient would like the department to notify him or her of any
clinical studies needing human subjects for research on the medical use of
marijuana. The department shall notify interested patients if it is notified of
studies that will be conducted in the United States.
âSECTION 9. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Except as
provided in subsection (2) of this section, the department shall:
(a) Verify the
information contained in an application or renewal submitted pursuant to
Section 8 of this Act, and approve or deny an application or renewal, within
fifteen (15) days of receiving a completed application or renewal application;
(b) Issue registry
identification cards to a qualifying patient and his or her designated
caregiver, if any, within five (5) days of approving the application or
renewal. A designated caregiver must have a registry identification card for
each of his qualifying patients; and
(c) Enter the
registry identification number of the registered compassion center the patient
designates into the verification system.
(2) The department
shall not issue a registry identification card to a qualifying patient who is
younger than eighteen (18) years of age unless:
(a) The qualifying
patient's practitioner has explained the potential risks and benefits of the
medical use of marijuana to the custodial parent or legal guardian with
responsibility for health care decisions for the qualifying patient; and
(b) The custodial
parent or legal guardian with responsibility for health care decisions for the
qualifying patient consents in writing to:
1. Allow the
qualifying patient's medical use of marijuana;
2. Serve as the
qualifying patient's designated caregiver; and
3. Control the
acquisition of the marijuana, the dosage, and the frequency of the medical use
of marijuana by the qualifying patient.
âSECTION 10. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The department
may deny an application or renewal of a qualifying patient’s registry
identification card only if the applicant:
(a) Did not
provide the required information or materials;
(b) Previously had
a registry identification card revoked; or
(c) Provided false
or falsified information.
(2) The department
may deny an application or renewal for a designated caregiver chosen by a
qualifying patient whose registry identification card was granted only if:
(a) The designated
caregiver does not meet the requirements of Section 2 of this Act;
(b) The applicant
did not provide the information required;
(c) The designated
caregiver previously had a registry identification card revoked; or
(d) The applicant
or the designated caregiver provides false or falsified information.
(3) The department
may conduct a background check of the prospective designated caregiver in order
to implement this section.
(4) The department
shall notify the qualifying patient who has designated someone to serve as his
or her designated caregiver if a registry identification card will not be
issued to the designated caregiver.
(5) Denial 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
Franklin Circuit Court.
âSECTION 11. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Registry
identification cards shall contain all of the following:
(a) The name of
the cardholder;
(b) A designation
of whether the cardholder is a designated caregiver or qualifying patient;
(c) The date of
issuance and expiration date of the registry identification card;
(d) A random ten
(10) character alphanumeric identification number, containing at least four (4)
numbers and at least four (4) letters, that is unique to the cardholder;
(e) If the
cardholder is a designated caregiver, the random ten (10) character alphanumeric
identification number of the qualifying patient the designated caregiver is
receiving the registry identification card to assist;
(f) A clear
designation as to whether the cardholder will be allowed under state law to
possess the marijuana plants for the qualifying patient's medical use, which
shall be determined based solely on the qualifying patient's preference;
(g) A photograph
of the cardholder, if the department’s administrative regulations require one;
and
(h) The telephone
number or Web address for the verification system.
(2) (a) Except
as provided in this subsection, the expiration date shall be one (1) year after
the date of issuance;
(b) If the
practitioner stated in the written certification that the qualifying patient
would benefit from marijuana until a specified earlier date, then the registry
identification card shall expire on that date.
(3) The department
may, at its discretion, electronically store in the card all of the information
listed in subsection (1) of this section, along with the address and date of
birth of the cardholder, to allow it to be read by law enforcement agents.
âSECTION 12. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The following
notifications and department responses are required:
(a) A registered
qualifying patient shall notify the department of any change in his or her name
or address, or if the registered qualifying patient ceases to have his or her
debilitating medical condition, within ten (10) days of the change;
(b) A registered
designated caregiver shall notify the department of any change in his or her
name or address, or if the designated caregiver becomes aware that the
qualifying patient has died, within ten (10) days of the change or of becoming aware
of the qualifying patient's death;
(c) Before a
registered qualifying patient changes his or her designated caregiver, the
qualifying patient shall notify the department of the change;
(d) When a
registered qualifying patient changes his or her preference as to who may
cultivate marijuana for the qualifying patient, the qualifying patient shall
notify the department of the change; and
(e) If a
cardholder loses his or her registry identification card, he or she shall
notify the department within ten (10) days of becoming aware the card has been
lost.
(2) When a
cardholder notifies the department of items listed in subsection (1) of this
section, but remains eligible under Sections 1 to 24 of this Act, the
department shall issue the cardholder a new registry identification card with a
new random ten (10) character alphanumeric identification number within ten
(10) days of receiving the updated information and a twenty dollar ($20) fee.
If the person notifying the department is a registered qualifying patient, the
department shall also issue his or her registered designated caregiver, if any,
a new registry identification card within ten (10) days of receiving the
updated information.
(3) If a
registered qualifying patient ceases to be a registered qualifying patient or
changes his or her registered designated caregiver, the department shall
promptly notify the designated caregiver. The registered designated caregiver's
protections under Sections 1 to 24 of this Act as to that qualifying patient
shall expire fifteen (15) days after notification by the department.
(4) A cardholder
who fails to make a notification to the department that is required by this
section is subject to a civil infraction, punishable by a penalty of no more
than one hundred fifty dollars ($150).
(5) A registered
qualifying patient shall notify the department before changing his or her
designated registered compassion center and pay a twenty dollar ($20) fee. The
department shall, within five (5) business days of receiving the notification,
update the registered qualifying patient’s entry in the identification registry
system to reflect the change in designation and notify the patient that the
change has been processed.
(6) If the
registered qualifying patient's certifying practitioner notifies the department
in writing that either the registered qualifying patient has ceased to suffer
from a debilitating medical condition or that the practitioner no longer
believes the patient would receive therapeutic or palliative benefit from the
medical use of marijuana, the card shall become void. However, the registered
qualifying patient shall have fifteen (15) days to dispose of or give away his
or her marijuana.
âSECTION 13. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Except as
provided in Section 4 of this Act and this section, an individual may assert a
medical purpose for using marijuana as a defense to any prosecution of an
offense involving marijuana intended for the patient’s medical use, and this
defense shall be presumed valid and the prosecution shall be dismissed if the
evidence shows that:
(a) A practitioner
states that, in the practitioner's professional opinion, after having completed
a full assessment of the individual's medical history and current medical
condition made in the course of a bona fide practitioner-patient relationship,
the patient is likely to receive therapeutic or palliative benefit from
marijuana to treat or alleviate the individual's debilitating medical condition
or symptoms associated with the individual's debilitating medical condition;
and
(b) The individual
and the individual's designated caregiver, if any, were collectively in
possession of a quantity of marijuana that was not more than was reasonably necessary
to ensure the uninterrupted availability of marijuana for the purpose of
treating or alleviating the individual's debilitating medical condition or
symptoms associated with the individual's debilitating medical condition; and
(c) The individual
was engaged in the acquisition, possession, cultivation, manufacture, use, or
transportation of marijuana, paraphernalia, or both marijuana and
paraphernalia, relating to the administration of marijuana to treat or
alleviate the individual's debilitating medical condition or symptoms
associated with the individual's debilitating medical condition; and
(d) Any
cultivation of marijuana occurred in an enclosed, locked area that only the
person asserting the defense could access.
(2) The defense
and motion to dismiss shall not prevail if either of the following are proven:
(a) The individual
had a registry identification card revoked for misconduct; or
(b) The purposes
for the possession or cultivation of marijuana were not solely for palliative
or therapeutic use by the individual with a debilitating medical condition who
raised the defense.
(3) An individual
is not required to possess a registry identification card to raise the
affirmative defense set forth in this section.
(4) If an
individual demonstrates the individual's medical purpose for using marijuana
pursuant to this section, except as provided in Section 4 of this Act, the
individual shall not be subject to the following for the individual's use of
marijuana for medical purposes:
(a) Disciplinary
action by an occupational or professional licensing board; or
(b) Forfeiture of
any interest in or right to nonmarijuana, lawful property.
âSECTION 14. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Compassion
centers may only operate if they have been issued a valid registration
certificate from the department. When applying for a compassion center
registration certificate, the applicant shall submit the following in
accordance with the department's administrative regulations:
(a) A
nonrefundable application fee in an amount not to exceed four thousand dollars
($4,000);
(b) The proposed
legal name of the compassion center;
(c) The proposed
physical address of the compassion center and the proposed physical address of
any additional locations, if any, where marijuana will be cultivated,
harvested, packaged, labeled, or otherwise prepared for distribution by the
compassion center;
(d) The name,
address, and date of birth of each principal officer and board member of the
compassion center, except that all such individuals shall be at least
twenty-one (21) years of age;
(e) Any instances
in which a business or not-for-profit entity that any of the prospective board
members managed or served on the board of was convicted, fined, censured, or
had a registration or license suspended or revoked in any administrative or
judicial proceeding; and
(f) Any
information required by the department to evaluate the applicant pursuant to
the competitive bidding process described in subsection (2) of this section.
(2) The department
shall evaluate applications for compassion center registration certificates
using an impartial and numerically scored competitive bidding process developed
by the department in accordance with Sections 1 to 24 of this Act. The
registration considerations shall consist of the following criteria:
(a) The
suitability of the proposed location or locations, including compliance with
any local zoning laws and the geographic convenience to patients from
throughout the Commonwealth to compassion centers should the applicant be
approved;
(b) The principal
officer and board members’ character and relevant experience, including any
training or professional licensing related to medicine, pharmaceuticals,
natural treatments, botany, or marijuana cultivation and preparation and their
experience running businesses or not-for-profit entities;
(c) The proposed
compassion center’s plan for operations and services, including its staffing
and training plans, whether it has sufficient capital to operate, and its
ability to provide an adequate supply of medical marijuana to the registered
patients in the state;
(d) The
sufficiency of the applicant’s plans for recordkeeping;
(e) The
sufficiency of the applicant’s plans for safety, security, and the prevention
of diversion, including proposed locations and security devices employed;
(f) The
applicant’s plan for making medical marijuana available on an affordable basis
to registered qualifying patients enrolled in Medicaid or receiving
Supplemental Security Income or Social Security Disability Insurance; and
(g) The
applicant’s plan for safe and accurate packaging and labeling of medical
marijuana, including the applicant’s plan for ensuring that all medical
marijuana is free of contaminants.
(3) No later than
one (1) year after the effective date of this Act, if at least five (5)
applications have been submitted, the department shall issue compassion center
registration certificates to the five (5) highest-scoring applicants, except
that the department may divide the state into geographical areas and grant a
registration to the highest scoring applicant in each geographical area.
(4) No later than
two (2) years after the effective date of this Act, the department shall issue
registration certifications to at least one (1) compassion center registration
certificate for each two hundred thousand (200,000) residents of Kentucky of
the highest-scoring applicants not already awarded a registration certificate, if
a sufficient number of additional applications have been submitted. The need to
ensure an adequate geographic distribution may supersede the requirement that
the approved applicants be granted registration certificates based solely on
which applicants receive the highest scores. If the department determines,
after reviewing the report issued pursuant to Section 22 of this Act, that
additional compassion centers are needed to meet the needs of registered
qualifying patients throughout the state, the department shall issue
registration certificates to the corresponding number of applicants who score
the highest.
(5) (a) At
any time after two (2) years after the effective date of this Act that the
number of outstanding and valid registered compassion center certificates is
lower than the number of registration certificates the department is required
to issue pursuant to subsections (3) and (4) of this section, the department
shall accept applications for compassion centers and issue registration
certificates to the corresponding number of additional applicants who score the
highest, or that score the highest in given geographic areas.
(b) Notwithstanding
this subsection, an application for a compassion center registration
certificate shall be denied if any of the following conditions are met:
1. The applicant
failed to submit the materials required by this section, including if the
applicant’s plans do not satisfy the security, oversight, or recordkeeping
administrative regulations promulgated by the department;
2. The applicant
would not be in compliance with local zoning regulations issued in accordance
with Section 17 of this Act;
3. The applicant
does not meet the requirements of Section 19 of this Act;
4. One (1) or
more of the prospective principal officers or board members has been convicted
of a disqualifying felony offense;
5. One (1) or
more of the prospective principal officers or board members has served as a
principal officer or board member for a registered compassion center that has
had its registration certificate revoked; and
6. One (1) or
more of the principal officers or board members is younger than twenty-one (21)
years of age.
(6) After a
compassion center is approved, but before it begins operations, it shall submit
a registration fee to the department in the amount determined by the
department’s administrative regulations and, if a physical address had not been
finalized when it applied, it shall submit a complete listing of all its
physical addresses.
(7) The department
shall issue each compassion center one (1) copy of its registration certificate
for each compassion center location. Registration certificates shall include
the compassion center’s identification number. The department shall also
provide each registered compassion center with the contact information for the
verification system.
âSECTION 15. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Safety
compliance facilities may only operate if they have been issued a valid
registration certificate from the department. When applying for a safety
compliance facility registration certificate, the applicant shall submit the
following in accordance with the department's administrative regulations:
(a) A
nonrefundable application fee in an amount not to exceed four thousand dollars
($4,000);
(b) The proposed
legal name of the safety compliance facility;
(c) The proposed
physical address of the safety compliance facility;
(d) The name,
address, and date of birth of each principal officer and board member of the
safety compliance facility, except that all such individuals shall be at least
twenty-one (21) years of age;
(e) Any instances
in which a business or not-for-profit entity that any of the prospective board
members managed or served on the board of was convicted, fined, censured, or
had a registration or license suspended or revoked in any administrative or
judicial proceeding; and
(f) Any
information required by the department to evaluate the applicant pursuant to
the competitive bidding process described in subsection (2) of this section.
(2) The department
shall evaluate applications for safety compliance facility registration
certificates using an impartial and numerically scored competitive bidding
process developed by the department in accordance with Sections 1 to 24 of this
Act. The registration considerations shall consist of the following criteria:
(a) The proposed
principal officers’ and board members’ relevant experience, including any
training or professional licensing related to analytical testing, medicine,
pharmaceuticals, natural treatments, botany, or marijuana cultivation,
preparation, and testing and their experience running businesses or
not-for-profit entities;
(b) The
suitability of the proposed location, including compliance with any local
zoning laws and the geographic convenience to cardholders and registered
compassion centers from throughout the Commonwealth to registered safety
compliance facilities should the applicant be approved;
(c) The
sufficiency of the applicant’s plans for safety, security, and the prevention
of diversion, including proposed locations and security devices employed; and
(d) The proposed
safety compliance facility’s plan for operations and services, including its
staffing and training plans, and whether it has sufficient capital to operate.
(3) The department
shall issue at least one (1) safety compliance facility registration
certificate to the highest-scoring applicant within one (1) year of the
effective date of this Act.
(4) (a) The
department may issue additional safety compliance facility registration
certificates to the highest-scoring applicant or applicants, or to the
highest-applicant or applicants in a given geographic area. If the department
determines, after reviewing the report issued pursuant to Section 22 of this
Act, that additional safety compliance facilities are needed to meet the needs
of cardholders and registered compassion centers throughout the state, the
department shall issue registration certificates to the corresponding number of
applicants who score the highest overall or in a geographic area.
(b) Notwithstanding
subsections (3) and (4) of this section, an application for a safety compliance
facility registration certificate shall be denied if any of the following
conditions are met:
1. The applicant
failed to submit the materials required by this section, including if the plans
do not satisfy the security, oversight, or recordkeeping administrative
regulations issued by the department;
2. The applicant
would not be in compliance with local zoning regulations issued in accordance
with Section 17 of this Act;
3. The applicant
does not meet the requirements of Section 19 of this Act;
4. One (1) or
more of the prospective principal officers or board members has been convicted
of a disqualifying felony offense;
5. One (1) or
more of the prospective principal officers or board members has served as a
principal officer or board member for a registered safety compliance facility
or registered compassion center that has had its registration certificate
revoked; and
6. One (1) or
more of the principal officers or board members is younger than twenty-one (21)
years of age.
(5) After a safety
compliance facility is approved, but before it begins operations, it shall
submit a registration fee paid to the department in the amount determined by
the department's administrative regulation and, if a physical address had not
been finalized when it applied, its physical address.
(6) The department
shall issue each safety compliance facility a registration certificate, which
shall include an identification number for the safety compliance facility. The
department shall also provide the registered safety compliance facility with
the contact information for the verification system.
âSECTION 16. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The department
may, on its own motion or on complaint, after investigation and opportunity for
a public hearing at which the compassion center or safety compliance facility
has been afforded an opportunity to be heard pursuant to KRS Chapter 13B,
suspend or revoke a registration certificate for multiple or serious violations
by the registrant or any of its agents of Sections 1 to 24 of this Act or any
administrative regulations promulgated pursuant to those sections.
(2) The department
shall provide notice of suspension, revocation, fine, or other sanction, as
well as the required notice of the hearing, by mailing the same in writing to
the compassion center or safety compliance facility at the address on the
registration certificate. A suspension shall not be for a longer period than
six (6) months.
(3) A registered
compassion center may continue to cultivate and possess marijuana plants during
a suspension, but it may not dispense, transfer, or sell marijuana.
âSECTION 17. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
Nothing shall prohibit local governments from enacting
ordinances not in conflict with Sections 1 to 24 of this Act or with the
department's administrative regulations regulating the time, place, and manner
of registered compassion center operations and registered safety compliance
facilities, except that no local government may prohibit registered compassion center
operation altogether, either expressly or though the enactment of ordinances
which make registered compassion center and registered safety compliance
facility operation unreasonably impracticable in the jurisdiction.
âSECTION 18. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Each
registered compassion center and registered safety compliance facility shall
conduct a background check into the criminal history of each person seeking to
become a principal officer, board member, agent, volunteer, or employee before
the person begins working at the registered compassion center or registered
safety compliance facility. A registered compassion center or registered safety
compliance facility may not employ any person who:
(a) Was convicted
of a disqualifying felony offense; or
(b) Is under
twenty-one (21) years of age.
(2) A registered
compassion center or safety compliance facility agent shall have documentation
when transporting marijuana on behalf of the registered safety compliance
facility or registered compassion center that specifies the amount of marijuana
being transported, the date the marijuana is being transported, the registry
identification certificate number of the registered compassion center or
registered safety compliance facility, and a contact number to verify that the
marijuana is being transported on behalf of the registered compassion center or
registered safety compliance facility.
âSECTION 19. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) A registered
compassion center shall be operated on a not-for-profit basis. The bylaws of a
registered compassion center shall contain such provisions relative to the
disposition of revenues to establish and maintain its not-for-profit character.
A registered compassion center need not be recognized as tax-exempt by the
Internal Revenue Service and is not required to incorporate pursuant to KRS
Chapter 271B.
(2) The operating
documents of a registered compassion center shall include procedures for the
oversight of the registered compassion center and procedures to ensure accurate
recordkeeping.
(3) A registered
compassion center and a registered safety compliance facility shall implement
appropriate security measures to deter and prevent the theft of marijuana and
unauthorized entrance into areas containing marijuana.
(4) A registered
compassion center and a registered safety compliance facility shall not be
located within five hundred (500) feet of the property line of a pre-existing
public or private school.
(5) A registered
compassion center is prohibited from acquiring, possessing, cultivating,
manufacturing, delivering, transferring, transporting, supplying, or dispensing
marijuana for the purposes of distributing marijuana to any person except
registered qualifying patients directly or through their designated caregivers.
(6) All
cultivation of marijuana for registered compassion centers shall take place in
an enclosed, locked location at the physical address or addresses provided to
the department during the registration process, which can only be accessed by
compassion center agents working on behalf of the registered compassion center.
(7) A registered
compassion center shall not acquire usable marijuana or mature marijuana plants
from any person other than another registered compassion center, a registered
qualifying patient, or a registered designated caregiver. A registered
compassion center may only acquire usable marijuana or mature marijuana plants
from a registered qualifying patient or a registered designated caregiver, if
the registered qualifying patient or registered designated caregiver receives
no compensation for the marijuana.
(8) Before
marijuana may be dispensed to a designated caregiver or a registered qualifying
patient, a registered compassion center agent shall make a diligent effort to
verify each of the following:
(a) That the
registry identification card presented to the registered compassion center is
valid, including by checking the verification system if it is operational;
(b) That the
person presenting the card is the person identified on the registry
identification card presented to the registered compassion center agent,
including by examining government-issued photo identification; and
(c) That the
registered compassion center for whom the compassion center agent is working is
the designated compassion center for the registered qualifying patient who is
obtaining the marijuana directly or through his or her designated caregiver.
(9) A registered
compassion center shall not dispense more than three (3) ounces of marijuana to
a registered qualifying patient, directly or through a designated caregiver, in
any fourteen (14) day period. Registered compassion centers shall ensure
compliance with this limitation by maintaining internal, confidential records
that include specific notations of how much marijuana is being dispensed to the
registered qualifying patient and whether it was dispensed directly to the
registered qualifying patient or to the designated caregiver. Each entry shall
include the date and time the marijuana was dispensed.
(10) A registered
compassion center or registered compassion center agent may only dispense
marijuana to a visiting qualifying patient if he or she possesses a valid
registry identification card and if the procedures in this section are
otherwise followed.
(11) No person may
advertise medical marijuana sales in printed materials, on radio or television,
or by paid in-person solicitation of customers. This shall not prevent
appropriate signs on the property of the registered compassion center, listings
in business directories including telephone books, listings in
marijuana-related or medical publications, or the sponsorship of health or
not-for-profit charity or advocacy events.
(12) A registered
compassion center shall not share office space with nor refer patients to a
practitioner.
(13) A practitioner
shall not refer patients to a registered compassion center or registered
designated caregiver, advertise in a registered compassion center, or, if the
practitioner issues written certifications, hold any financial interest in a
registered compassion center.
(14) No person who
has been convicted of a disqualifying felony offense may be a registered
compassion center agent.
(15) Registered
compassion centers and registered safety compliance facilities shall display
their registration certificates on the premises at all times.
(16) The department
may issue a civil fine of up to three thousand dollars ($3,000) for violations
of this section.
(17) The suspension
or revocation of a certificate is a final department action, subject to
judicial review. Jurisdiction and venue for judicial review are vested in the
Franklin Circuit Court.
(18) Any cardholder
who sells marijuana to a person who is not allowed to possess marijuana for
medical purposes under Sections 1 to 24 of this Act shall have his or her
registry identification card revoked and shall be subject to other penalties
for the unauthorized sale of marijuana.
(19) The department
may revoke the registry identification card of any cardholder who knowingly
commits multiple or serious violations of Sections 1 to 24 of this Act.
(20) Registered
compassion centers are subject to reasonable inspection pursuant to the
department's administrative regulations. The department shall give reasonable
notice of an inspection under this subsection.
âSECTION 20. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The following
information received and records kept pursuant to the department's
administrative regulations for purposes of administering Sections 1 to 24 of
this Act are confidential and exempt from the Open Records Act, and not subject
to disclosure to any individual or public or private entity, except as
necessary for authorized employees of the department to perform official duties
pursuant to Sections 1 to 24 of this Act:
(a) Applications
and renewals, their contents, and supporting information submitted by
qualifying patients and designated caregivers, including information regarding
their designated caregivers and practitioners;
(b) Applications
and renewals, their contents, and supporting information submitted by or on
behalf of compassion centers and safety compliance facilities in compliance
with Sections 1 to 24 of this Act, including their physical addresses;
(c) The individual
names and other information identifying persons to whom the department has
issued registry identification cards;
(d) Any dispensing
information required to be kept under Section 19 of this Act or the
department's administrative regulation which shall only identify cardholders
and registered compassion centers by their registry identification numbers and
shall not contain names or other personal identifying information; and
(e) Any department
hard drives or other data-recording media that are no longer in use and that
contain cardholder information shall be destroyed.
Data subject to this section shall not
be combined or linked in any manner with any other list or database and it
shall not be used for any purpose not provided for in Sections 1 to 24 of this
Act.
(2) Nothing in
this section precludes the following:
(a) Notification
by the department's employees to state or local law enforcement about falsified
or fraudulent information submitted to the department or of other apparently
criminal violations of Sections 1 to 24 of this Act if the employee who
suspects that falsified or fraudulent information has been submitted, conferred
with his or her supervisor, and both agree that circumstances exist that
warrant reporting;
(b) Notification
by the department's employees to the Kentucky Board of Medical Licensure or
other appropriate licensure board if the department has reasonable suspicion to
believe a practitioner did not have a bona fide practitioner-patient
relationship with a patient for whom he or she signed a written certification,
if the department has reasonable suspicion to believe the practitioner violated
the standard of care, or for other suspected violations of this act by a
practitioner;
(c) Notification
by compassion center agents to the department of a suspected violation or
attempted violation of Sections 1 to 24 of this Act or the administrative
regulations issued thereunder;
(d) Verification
by the department of registry identification cards pursuant to Section 22 of
this Act; and
(e) The submission
of the report required by Section 22 of this Act to the General Assembly.
(3) It shall be a
misdemeanor 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 Sections 1 to 24 of this
Act.
âSECTION 21. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) The department
shall maintain a confidential list of the persons to whom the department has
issued registry identification cards and their addresses, telephone numbers,
and registry identification numbers. This confidential list shall not be
combined or linked in any manner with any other list or database, nor shall it
be used for any purpose not provided for in Sections 1 to 24 of this Act.
(2) Within one
hundred twenty (120) days of the effective date of this Act, the department
shall establish a verification system. The verification system shall allow law
enforcement personnel, compassion center agents, and safety compliance facility
agents to enter a registry identification number to determine whether or not
the number corresponds with a current, valid registry identification card. The
system shall only disclose whether the identification card is valid, whether
the cardholder is a registered qualifying patient or a registered designated
caregiver, whether the cardholder is permitted to cultivate marijuana under
Sections 1 to 24 of this Act, and the registry identification number of the
registered compassion center designated to serve the registered qualifying
patient who holds the card or the registry identification number of the patient
who is assisted by the registered designated caregiver who holds the card.
(3) The department
shall, at a cardholder’s request, confirm his or her status as a registered
qualifying patient or registered designated caregiver to a third party, such as
a landlord, employer, school, medical professional, or court.
(4) The department
shall disclose the fact that a registry identification card was revoked to a
prosecutor or court personnel in any case where the prosecutor or court
personnel inquires about a specific person who is seeking to assert the
protections of Section 13 of this Act. The prosecutor or court personnel shall
provide the department with the person’s name and date of birth.
âSECTION 22. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) (a) The
department shall appoint a nine (9) member oversight committee composed of: one
(1) member of the House of Representatives; one (1) member of the Senate; one
(1) representative of the department; one (1) physician with experience in
medical marijuana issues; one (1) nurse; one (1) board member or principal
officer of a registered safety compliance facility; one (1) individual with
experience in policy development or implementation in the field of medical
marijuana; and three (3) registered patients.
(b) The oversight
committee shall meet at least two (2) times per year for the purpose of
evaluating and making recommendations to the General Assembly and the
department regarding:
1. The ability of
qualifying patients in all areas of the state to obtain timely access to
high-quality medical marijuana;
2. The
effectiveness of the registered compassion centers, individually and together,
in serving the needs of qualifying patients, including the provision of
educational and support services, the reasonableness of their fees, whether
they are generating any complaints or security problems, and the sufficiency of
the number operating to serve the registered qualifying patients of the
Commonwealth;
3. The
effectiveness of the registered safety compliance facility or facilities,
including whether a sufficient number is operating;
4. The
sufficiency of the regulatory and security safeguards contained in Sections 1
to 24 of this Act and adopted by the department to ensure that access to and
use of marijuana cultivated is provided only to cardholders;
5. Any
recommended additions or revisions to the department's administrative
regulations or Sections 1 to 24 of this Act, including those relating to
security, safe handling, labeling, and nomenclature; and
6. Any research
studies regarding health effects of medical marijuana for patients.
(2) The department
shall submit to the Legislative Research Commission an annual report that does
not disclose any identifying information about cardholders, registered
compassion centers, or practitioners, but does contain, at a minimum, all of
the following information:
(a) The number of
applications and renewals filed for registry identification cards;
(b) The number of
registered qualifying patients who are residents of Kentucky at the time of the
report;
(c) The number of
registry identification cards that were issued to visiting qualifying patients
at the time of the report;
(d) The nature of
the debilitating medical conditions of the qualifying patients;
(e) The number of
registry identification cards revoked for misconduct;
(f) The number of
practitioners providing written certifications for qualifying patients; and
(g) The number of
registered compassion centers.
âSECTION 23. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) Not later than
one hundred twenty (120) days after the effective date of this Act, the department
shall promulgate administrative regulations:
(a) Governing the
manner in which the department shall consider petitions from the public to add
debilitating medical conditions or treatments to the list of debilitating
medical conditions set forth in Section 2 of this Act, including public notice
of and an opportunity to comment in public hearings on the petitions;
(b) Establishing
the form and content of registration and renewal applications submitted under
Sections 1 to 24 of this Act;
(c) Governing the manner
in which it shall consider applications for and renewals of registry
identification cards, which may include creating a standardized written
certification form;
(d) Governing the
following matters related to registered compassion centers, with the goal of
protecting against diversion and theft, without imposing an undue burden on the
registered compassion centers or compromising the confidentiality of
cardholders:
1. Oversight
requirements for registered compassion centers;
2. Recordkeeping
requirements for registered compassion centers;
3. Security
requirements for registered compassion centers, which shall include, at a
minimum, lighting, video security, alarm requirements, on-site parking, and
measures to prevent loitering;
4. Electrical
safety requirements;
5. The
competitive scoring process addressed in Section 14 of this Act;
6. Procedures for
suspending or terminating the registration certificates or registry
identification cards of cardholders, registered compassion centers, and
registered safety compliance facilities that commit multiple or serious
violations of the provisions of Sections 1 to 24 of this Act or the
administrative regulations promulgated thereunder; and
7. Labeling
requirements for marijuana and marijuana products sold by compassion centers;
and
(e) Application
and renewal fees for registry identification cards, and application and
registration fees for compassion center and safety compliance facility
certificates, according to the following:
1. The total fees
collected shall generate revenues sufficient to offset all expenses of
implementing and administering Sections 1 to 24 of this Act, except that fee
revenues may be offset or supplemented by private donations;
2. The department
may establish a sliding scale of patient application and renewal fees based
upon a qualifying patient's household income; and
3. The department
may accept donations from private sources to reduce application and renewal
fees.
âSECTION 24. A NEW SECTION OF KRS CHAPTER 218A IS CREATED
TO READ AS FOLLOWS:
(1) If the
department fails to promulgate administrative regulations to implement Sections
1 to 24 of this Act within the times provided for in Sections 1 to 24 of this
Act, any citizen may commence an action in the Franklin Circuit Court to compel
the department to perform the actions mandated pursuant to the provisions of
Sections 1 to 24 of this Act.
(2) If the
department fails to issue a valid registry identification card in response to a
valid application or renewal submitted pursuant to Sections 1 to 24 of this Act
within twenty (20) days of its submission, the registry identification card
shall be deemed granted, and a copy of the registry identification application
or renewal and proof of receipt of the mailing shall be deemed a valid registry
identification card.
(3) If, at any
time after one hundred forty (140) days following the effective date of this
Act, the department has not established a process for accepting and approving
or denying applications, a notarized statement by a qualifying patient
containing the information required in an application pursuant to Section 8 of
this Act, together with a written certification issued by a practitioner within
ninety (90) days immediately preceding the notarized statement, shall be deemed
a valid registry identification card for all purposes under Sections 1 to 24 of
this Act.
âSection 25. KRS 218A.040 is amended to read as follows:
The Cabinet for Health and Family
Services shall place a substance in Schedule I if it finds that the substance:
(1) Has high potential for abuse; and
(2) Except
for marijuana, has no accepted medical use in treatment in the United
States or lacks accepted safety for use in treatment under medical supervision.
âSection 26. This Act shall be known and may be cited as
the Gatewood Galbraith Memorial Medical Marijuana Act.
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