Florida Senate - 2014 COMMITTEE AMENDMENT Bill No. SB 1030 Ì480078<Î480078 LEGISLATIVE ACTION Senate . House Comm: RCS . 03/11/2014 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— following: 1 Senate Amendment (with title amendment) 2 3 Delete lines 25 - 147 4 and insert: 5 456.60 Compassionate use of low-THC marijuana.— 6 (1) DEFINITIONS.—As used in this section, the term: 7 (a) “Dispensing organization” means an organization 8 approved by the department to cultivate, process, and dispense 9 low-THC marijuana pursuant to this section. 10 (b) “Low-THC marijuana” means a substance that contains no 11 more than 0.5 percent of any tetrahydrocannabinol and at least 12 15 percent cannabidiol and that is dispensed only from a 13 dispensing organization. 14 (c) “Medical use” means administration of the ordered 15 amount of low-THC marijuana. The term does not include the 16 possession, use, or administration by smoking. The term also 17 does not include the transfer of low-THC marijuana to a person 18 other than the qualified patient for whom it was ordered or the 19 qualified patient’s legal representative on behalf of the 20 qualified patient. 21 (d) “Qualified patient” means a resident of this state who 22 has been added to the compassionate use registry by a physician 23 licensed under chapter 458 or chapter 459 to receive low-THC 24 marijuana from a dispensing organization. 25 (e) “Smoking” means burning or igniting a substance and 26 inhaling the smoke. Smoking does not include the use of a 27 vaporizer. 28 (2) PHYSICIAN ORDERING.—A physician licensed under chapter 29 458 or chapter 459 who has examined and treated a patient 30 suffering from a physical medical condition, or from treatment 31 for a medical condition, which chronically produces symptoms of 32 seizures or severe and persistent muscle spasms may order for 33 the patient’s medical use low-THC marijuana to treat or 34 alleviate such symptoms if no other satisfactory alternative 35 treatment options exist for that patient and all of the 36 following conditions apply: 37 (a) The patient is a permanent resident of this state. 38 39 (b) The physician has treated the patient for his or her 40 symptoms or a medical condition in which his or her symptoms 41 were present for at least 6 months. 42 (c) The physician has tried alternate treatment options 43 that have not alleviated the patient’s symptoms. 44 (d) The physician determines the risks of ordering low-THC 45 marijuana are reasonable in light of the potential benefit for 46 that patient. If a patient is younger than 18 years of age, a 47 second physician must concur with this determination, and such 48 determination must be documented in the patient’s medical 49 record. 50 (e) The physician registers as the orderer of low-THC 51 marijuana for the named patient on the compassionate use 52 registry maintained by the department and updates the registry 53 to reflect the contents of the order. The physician shall 54 inactivate the patient’s registration when treatment is 55 discontinued. 56 (f) The physician maintains a patient treatment plan that 57 includes the dose, route of administration, planned duration, 58 and monitoring of the patient’s symptoms and other indicators of 59 tolerance or reaction to the low-THC marijuana. 60 (g) The physician submits the patient treatment plan 61 quarterly to the University of Florida College of Pharmacy for 62 research on the safety and efficacy of low-THC marijuana on 63 patients with such symptoms. 64 (3) DUTIES OF THE DEPARTMENT.—The department shall: 65 (a) Create a secure, electronic, and online compassionate 66 use registry for the registration of physicians and patients as 67 provided under this section. The registry must be accessible to 68 law enforcement agencies and to a dispensing organization in 69 order to verify patient authorization for low-THC marijuana and 70 record the low-THC marijuana dispensed. The registry must 71 prevent an active registration of a patient by multiple 72 physicians. 73 (b) Authorize at least one, but no more than four, 74 dispensing organizations, to ensure reasonable statewide 75 accessibility and availability as necessary for patients 76 registered in the compassionate use registry and who are ordered 77 low-THC marijuana under this section. The department shall 78 develop an application form and impose an initial application 79 and biennial renewal fee that is sufficient to cover the costs 80 of administering this section. An applicant for approval as a 81 dispensing organization must be able to demonstrate: 82 1. The technical and technological ability to cultivate and 83 produce low-THC marijuana. 84 2. The ability to secure the premises, resources, and 85 personnel necessary to operate as a dispensing organization. 86 3. The ability to maintain accountability of all raw 87 materials, finished product, and any byproducts to prevent 88 diversion or unlawful access to or possession of these 89 substances. 90 4. An infrastructure reasonably located to dispense low-THC 91 marijuana to registered patients statewide or regionally as 92 determined by the department. 93 5. The financial ability to maintain operations for the 94 duration of the 2-year approval cycle. 95 6. That all owners, managers, and employees have been 96 fingerprinted and successfully passed background screening 97 pursuant to s. 435.04. 98 7. Additional criteria determined by the department to be 99 necessary to safely implement this section. 100 (c) Monitor physician registration and ordering of low-THC 101 marijuana for ordering practices which could facilitate unlawful 102 diversion or misuse of low-THC marijuana, and take disciplinary 103 action as indicated. 104 (4) DISPENSING ORGANIZATION.—An approved dispensing 105 organization shall maintain compliance with the criteria 106 demonstrated for selection and approval under subsection (3) as 107 a dispensing organization at all times. Before dispensing low 108 THC marijuana to a qualified patient, the dispensing 109 organization shall verify that the patient has an active 110 registration in the compassionate use registry, the order 111 presented matches the order contents as recorded in the 112 registry, and the order has not already been filled. Upon 113 dispensing the low-THC marijuana, the dispensing organization 114 shall record in the registry the date, time, quantity, and form 115 of low-THC marijuana dispensed. 116 (5) EXCEPTIONS TO OTHER SECTIONS OF LAW.— 117 (a) Notwithstanding any other section of law, but subject 118 to the requirements of this section, a qualified patient and the 119 qualified patient’s legal representative may purchase, acquire, 120 and possess for the patient’s medical use up to the amount of 121 low-THC marijuana ordered to the patient. 122 (b) Notwithstanding any other section of law, but subject 123 to the requirements of this section, an approved dispensing 124 organization and its owners, managers, and employees may 125 acquire, possess, cultivate, and lawfully dispose of excess 126 product in reasonable quantities to produce low-THC marijuana 127 and possess, process, and dispense low-THC marijuana. 128 129 130 ================= T I T L E A M E N D M E N T ================ 131 And the title is amended as follows: 132 Delete lines 2 - 5 133 and insert: 134 135 An act relating to low-THC marijuana and cannabis; 136 creating s. 456.60, F.S.; defining terms; authorizing 137 specified physicians to order low-THC marijuana for 138 use by specified patients; providing