Bill Text: IA SSB3222 | 2013-2014 | 85th General Assembly | Introduced


Bill Title: A study bill for an act creating the medical cannabidiol Act and providing penalties and including effective date provisions.

Spectrum: Unknown

Status: (N/A - Dead) 2014-04-23 - In Ways and Means [SSB3222 Detail]

Download: Iowa-2013-SSB3222-Introduced.html
Senate Study Bill 3222 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON WAYS AND MEANS BILL BY CHAIRPERSON BOLKCOM) A BILL FOR An Act creating the medical cannabidiol Act and providing 1 penalties and including effective date provisions. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 6227XC (2) 85 rh/rj
S.F. _____ Section 1. Section 124.401, subsection 5, Code 2014, is 1 amended by adding the following new unnumbered paragraph after 2 unnumbered paragraph 2: 3 NEW UNNUMBERED PARAGRAPH . A person may knowingly or 4 intentionally recommend, possess, use, dispense, deliver, 5 transport, or administer cannabidiol if the recommendation, 6 possession, use, dispensing, delivery, transporting, or 7 administering is in accordance with the provisions of chapter 8 124D. For purposes of this paragraph, “cannabidiol” means the 9 same as defined in section 124D.2. 10 Sec. 2. NEW SECTION . 124D.1 Short title. 11 This chapter shall be known and may be cited as the “Medical 12 Cannabidiol Act” . 13 Sec. 3. NEW SECTION . 124D.2 Definitions. 14 As used in this chapter: 15 1. “Cannabidiol” means a nonpsychoactive cannabinoid found 16 in the plant Cannabis sativa L. or Cannabis indica or any 17 other preparation thereof that is essentially free from plant 18 material, and has a tetrahydrocannabinol level of no more than 19 three percent. 20 2. “Department” means the department of public health. 21 3. Intractable epilepsy” means an epileptic seizure 22 disorder for which standard medical treatment does not prevent 23 or significantly ameliorate recurring, uncontrolled seizures or 24 for which standard medical treatment results in harmful side 25 effects. 26 4. “Neurologist” means an allopathic or osteopathic 27 physician board-certified in neurology in good standing and 28 licensed under chapter 148 or an allopathic or osteopathic 29 physician board-certified in neurology in good standing and 30 licensed in any other state. 31 5. a. “Primary caregiver” means a person, at least 32 eighteen years of age, who has been designated by a patient’s 33 neurologist or a person having custody of a patient, as being 34 necessary to take responsibility for managing the well-being 35 -1- LSB 6227XC (2) 85 rh/rj 1/ 12
S.F. _____ of the patient with respect to the medical use of cannabidiol 1 pursuant to the provisions of this chapter. A patient may have 2 one or more designated primary caregivers. 3 b. “Primary caregiver” includes but is not limited to the 4 following: 5 (1) An employee of a hospice program, if the employee meets 6 the definition of a primary caregiver under paragraph “a” . 7 (2) An individual providing home and community-based 8 services, and including a home health agency, licensed, 9 certified, or otherwise authorized or permitted by the law of 10 this state or another state to administer health care in the 11 ordinary course of business or in the practice of a profession, 12 if the individual meets the definition of a primary caregiver 13 under paragraph “a” . 14 Sec. 4. NEW SECTION . 124D.3 Neurologist recommendation —— 15 medical use of cannabidiol. 16 A neurologist who has examined and treated a patient 17 suffering from intractable epilepsy may provide but has no 18 duty to provide a written recommendation for the patient’s 19 medical use of cannabidiol to treat or alleviate symptoms of 20 intractable epilepsy if no other satisfactory alternative 21 treatment options exist for the patient and all of the 22 following conditions apply: 23 1. The patient is a permanent resident of this state. 24 2. The neurologist or another neurologist has treated the 25 patient for intractable epilepsy for at least six months. 26 3. The neurologist has tried alternative treatment options 27 that have not alleviated the patient’s symptoms. 28 4. The neurologist determines the risks of recommending 29 the medical use of cannabidiol are reasonable in light of the 30 potential benefit for the patient. 31 5. The neurologist maintains a patient treatment plan. 32 Sec. 5. NEW SECTION . 124D.4 Cannabidiol registration card. 33 1. Issuance to patient. The department may approve the 34 issuance of a cannabidiol registration card by the department 35 -2- LSB 6227XC (2) 85 rh/rj 2/ 12
S.F. _____ of transportation to a patient who: 1 a. Is at least eighteen years of age. 2 b. Is a permanent resident of this state. 3 c. Provides the department with a written recommendation 4 signed by a neurologist that the patient may benefit from the 5 medical use of cannabidiol pursuant to section 124D.3. 6 d. Submits an application to the department, on a form 7 created by the department, in consultation with the department 8 of transportation, that contains all of the following: 9 (1) The patient’s full name, Iowa residence address, date 10 of birth, and telephone number. 11 (2) A copy of the patient’s valid photo identification. 12 (3) Full name, address, and telephone number of the 13 patient’s neurologist. 14 (4) Full name, residence address, date of birth, and 15 telephone number of each primary caregiver of the patient, if 16 any. 17 (5) Any other information required by rule. 18 2. Patient card contents. A cannabidiol registration 19 card issued to a patient by the department of transportation 20 pursuant to subsection 1 shall contain, at a minimum, all of 21 the following: 22 a. The patient’s full name, Iowa residence address, and date 23 of birth. 24 b. The patient’s photo. 25 c. The date of issuance and expiration date of the 26 registration card. 27 d. Any other information required by rule. 28 3. Issuance to primary caregiver. For a patient in a 29 primary caregiver’s care, the department may approve the 30 issuance of a cannabidiol registration card by the department 31 of transportation to the primary caregiver who: 32 a. Is at least eighteen years of age. 33 b. Provides the department with a written recommendation 34 signed by a neurologist that a patient in the primary 35 -3- LSB 6227XC (2) 85 rh/rj 3/ 12
S.F. _____ caregiver’s care may benefit from the medical use of 1 cannabidiol pursuant to section 124D.3. 2 c. Submits an application to the department, on a form 3 created by the department, in consultation with the department 4 of transportation, that contains all of the following: 5 (1) The primary caregiver’s full name, residence address, 6 date of birth, and telephone number. 7 (2) The patient’s full name. 8 (3) A copy of the primary caregiver’s valid photo 9 identification. 10 (4) Full name, address, and telephone number of the 11 patient’s neurologist. 12 (5) Any other information required by rule. 13 4. Primary caregiver card contents. A cannabidiol 14 registration card issued by the department of transportation to 15 a primary caregiver pursuant to subsection 3 shall contain, at 16 a minimum, all of the following: 17 a. The primary caregiver’s full name, residence address, and 18 date of birth. 19 b. The primary caregiver’s photo. 20 c. The date of issuance and expiration date of the 21 registration card. 22 d. The full name of each patient in the primary caregiver’s 23 care. 24 e. Any other information required by rule. 25 5. Expiration date of card. A cannabidiol registration card 26 issued pursuant to this section shall expire one year after the 27 date of issuance and may be renewed. 28 6. Card issuance —— department of transportation. 29 The department may enter into a chapter 28E agreement with the 30 department of transportation to facilitate the issuance of a 31 cannabidiol registration card pursuant to subsections 1 and 3. 32 7. Validity of card issued in another jurisdiction. A 33 cannabidiol registration card, or its equivalent, that is 34 issued under the laws of another state, district, territory, 35 -4- LSB 6227XC (2) 85 rh/rj 4/ 12
S.F. _____ or possession of the United States that allows a patient to 1 possess or use cannabidiol for only intractable epilepsy in 2 the jurisdiction of issuance has the same force and effect 3 when held by the patient while in this state as a cannabidiol 4 registration card issued by the department of transportation 5 in this state. 6 Sec. 6. NEW SECTION . 124D.5 Department duties —— rules. 7 1. a. The department shall maintain a confidential file 8 of the names of each patient to or for whom the department 9 issues a cannabidiol registration card and the name of each 10 primary caregiver to whom the department issues a cannabidiol 11 registration card under section 124D.4. 12 b. Individual names contained in the file shall be 13 confidential and shall not be subject to disclosure, except as 14 provided in subparagraph (1). 15 (1) Information in the confidential file maintained 16 pursuant to paragraph “a” may be released to the following 17 persons under the following circumstances: 18 (a) To authorized employees or agents of the department and 19 the department of transportation as necessary to perform the 20 duties of the department and the department of transportation 21 pursuant to this chapter. 22 (b) To authorized employees of state or local law 23 enforcement agencies, but only for the purpose of verifying 24 that a person is lawfully in possession of a cannabidiol 25 registration card issued pursuant to this chapter. 26 (2) Release of information pursuant to subparagraph 27 (1) shall be consistent with the federal Health Insurance 28 Portability and Accountability Act of 1996, Pub. L. No. 29 104-191. 30 2. a. The department, in consultation with the department 31 of transportation, shall adopt administrative rules under 32 section 17A.4, subsection 3, and section 17A.5, subsection 2, 33 paragraph “b” , to implement the provisions of this chapter, 34 subject to the prior approval of the administrative rules 35 -5- LSB 6227XC (2) 85 rh/rj 5/ 12
S.F. _____ coordinator and the administrative rules review committee. 1 Such rules shall become effective July 1, 2014, unless the 2 effective date is delayed by the administrative rules review 3 committee and shall expire one hundred eighty days after the 4 effective date. 5 b. The rules adopted pursuant to this subsection shall 6 include but not be limited to rules to establish the manner in 7 which the department shall consider applications for new and 8 renewal cannabidiol registration cards. 9 Sec. 7. NEW SECTION . 124D.6 Medical use of cannabidiol —— 10 affirmative defense. 11 1. a. A recommendation for the possession or use of 12 cannabidiol as authorized by this chapter shall be provided 13 exclusively by a neurologist for a patient who has been 14 diagnosed with intractable epilepsy. 15 b. Cannabidiol provided exclusively pursuant to the 16 recommendation of a neurologist shall be obtained from an 17 out-of-state source and shall only be recommended for oral or 18 transdermal administration. 19 c. A neurologist shall be the sole authorized recommender 20 as part of the treatment plan by the neurologist of a patient 21 diagnosed with intractable epilepsy. A neurologist shall 22 have the sole authority to recommend the use or amount of 23 cannabidiol, if any, in the treatment plan of a patient 24 diagnosed with intractable epilepsy. 25 2. A neurologist, including any authorized agent thereof, 26 shall not be subject to prosecution for the unlawful 27 recommendation, possession, or administration of marijuana 28 under the laws of this state for activities arising directly 29 out of or directly related to the recommendation or use of 30 cannabidiol in the treatment of a patient diagnosed with 31 intractable epilepsy. 32 3. a. In a prosecution for the unlawful possession of 33 marijuana under the laws of this state, including but not 34 limited to chapters 124 and 453B, it is an affirmative and 35 -6- LSB 6227XC (2) 85 rh/rj 6/ 12
S.F. _____ complete defense to the prosecution that the patient has 1 been diagnosed with intractable epilepsy, used or possessed 2 cannabidiol pursuant to a recommendation by a neurologist as 3 authorized under this chapter, and, for a patient eighteen 4 years of age or older, is in possession of a valid cannabidiol 5 registration card. 6 b. In a prosecution for the unlawful possession of 7 marijuana under the laws of this state, including but not 8 limited to chapters 124 and 453B, it is an affirmative and 9 complete defense to the prosecution that the person possessed 10 cannabidiol because the person is a primary caregiver of a 11 patient who has been diagnosed with intractable epilepsy and 12 is in possession of a valid cannabidiol registration card, and 13 where the primary caregiver’s possession of the cannabidiol 14 is on behalf of the patient and for the patient’s use only as 15 authorized under this chapter. 16 c. If a patient or primary caregiver is charged with the 17 commission of a crime and is not in possession of the person’s 18 cannabidiol registration card, any charge or charges filed 19 against the person shall be dismissed by the court if the 20 person produces to the clerk of the district court, prior to 21 the initial court date, a cannabidiol registration card issued 22 to that person and valid at the time the person was charged. 23 4. An agency of this state or a political subdivision 24 thereof, including any law enforcement agency, shall not 25 remove or initiate proceedings to remove a patient under the 26 age of eighteen from the home of a parent based solely upon 27 the parent’s or patient’s possession or use of cannabidiol as 28 authorized under this chapter. 29 Sec. 8. NEW SECTION . 124D.7 Penalties. 30 A person who knowingly or intentionally possesses or uses 31 cannabidiol in violation of the requirements of this chapter is 32 subject to the penalties provided under chapters 124 and 453B. 33 Sec. 9. NEW SECTION . 124D.8 Repeal. 34 This chapter is repealed July 1, 2017. 35 -7- LSB 6227XC (2) 85 rh/rj 7/ 12
S.F. _____ Sec. 10. EFFECTIVE UPON ENACTMENT. The provision of this 1 Act enacting section 124D.5, subsection 2, being deemed of 2 immediate importance, takes effect upon enactment. 3 EXPLANATION 4 The inclusion of this explanation does not constitute agreement with 5 the explanation’s substance by the members of the general assembly. 6 This bill creates a medical cannabidiol Act and makes 7 penalties applicable. 8 The bill establishes new Code chapter 124D, the medical 9 cannabidiol Act, to allow for the medical use of cannabidiol 10 for alleviating symptoms caused by intractable epilepsy. 11 The bill defines “cannabidiol” to mean a nonpsychoactive 12 cannabinoid found in the plant Cannabis sativa L. or Cannabis 13 indica or any other preparation thereof that is essentially 14 free from plant material, and has a tetrahydrocannabinol 15 level of no more than 3 percent, “intractable epilepsy” 16 to mean an epileptic seizure disorder for which standard 17 medical treatment does not prevent or significantly ameliorate 18 recurring, uncontrolled seizures or for which standard medical 19 treatment results in harmful side effects, “neurologist” to 20 mean an allopathic or osteopathic physician board-certified 21 in neurology in good standing and licensed in Iowa or an 22 allopathic or osteopathic physician board-certified in 23 neurology in good standing and licensed in any other state, 24 and “primary caregiver” to mean a person, at least 18 years of 25 age, who has been designated by a patient’s neurologist or a 26 person having custody of a patient, as being necessary to take 27 responsibility for managing the well-being of the patient with 28 respect to the medical use of cannabidiol pursuant to the bill. 29 MEDICAL USE OF CANNABIDIOL —— WRITTEN RECOMMENDATION. The 30 bill provides that a neurologist who has examined and treated 31 a patient suffering from intractable epilepsy may provide 32 a written recommendation for the patient’s medical use of 33 cannabidiol to treat or alleviate symptoms of intractable 34 epilepsy if no other satisfactory alternative treatment 35 -8- LSB 6227XC (2) 85 rh/rj 8/ 12
S.F. _____ options exist for the patient and if the patient is a permanent 1 resident of this state, the neurologist or another neurologist 2 has treated the patient for intractable epilepsy for at least 3 six months, the neurologist has tried alternative treatment 4 options that have not alleviated the patient’s symptoms, the 5 neurologist determines the risks of recommending the medical 6 use of cannabidiol are reasonable in light of the potential 7 benefit for the patient, and the neurologist maintains a 8 patient treatment plan. 9 CANNABIDIOL REGISTRATION CARD. The bill provides that 10 the department of public health may approve the issuance 11 of a cannabidiol registration card by the department of 12 transportation to a patient who is at least 18 years of 13 age and is a permanent resident of this state, who provides 14 the department with a written recommendation signed by a 15 neurologist that the patient may benefit from the medical 16 use of cannabidiol pursuant to the bill, and who submits an 17 application to the department with certain information. The 18 department may also approve the issuance of a cannabidiol 19 registration card by the department of transportation to a 20 primary caregiver who is at least 18 years of age, provides 21 the department with a written recommendation signed by a 22 neurologist that a patient in the primary caregiver’s care may 23 benefit from the medical use of cannabidiol pursuant to the 24 bill, and submits an application to the department with certain 25 information. 26 A cannabidiol registration card shall expire one year after 27 the date of issuance and may be renewed. 28 RECIPROCITY. The bill provides that a cannabidiol 29 registration card, or its equivalent, that is issued under 30 the laws of another state, district, territory, or possession 31 of the United States that allows a patient to possess or use 32 cannabidiol for only intractable epilepsy in the jurisdiction 33 of issuance has the same force and effect when held by the 34 patient while in this state as a cannabidiol registration card 35 -9- LSB 6227XC (2) 85 rh/rj 9/ 12
S.F. _____ issued by the department of transportation. 1 CONFIDENTIALITY. The bill requires the department to 2 maintain a confidential file of the names of each patient to 3 or for whom the department issues a cannabidiol registration 4 card and the name of each primary caregiver who is issued a 5 cannabidiol registration card. Individual names contained 6 in the file shall be confidential and shall not be subject 7 to disclosure, except that information in the confidential 8 file may be released to authorized employees or agents of the 9 department and the department of transportation as necessary 10 to perform the duties of the department or the department of 11 transportation pursuant to the bill, to authorized employees 12 of state or local law enforcement agencies for the purpose 13 of verifying that a person is lawfully in possession of a 14 cannabidiol registration card. Release of information must 15 also be consistent with federal Health Insurance Portability 16 and Accountability Act regulations. 17 DEPARTMENT RULES. The bill provides that the department, 18 in consultation with the department of transportation, shall 19 adopt emergency rules to implement the provisions of the bill, 20 subject to the prior approval of the administrative rules 21 coordinator and the administrative rules review committee, to 22 be effective July 1, 2014, unless otherwise provided, and shall 23 expire six months after the effective date. The rules adopted 24 shall include but not be limited to rules to establish the 25 manner in which the department shall consider applications for 26 new and renewal cannabidiol registration cards. This provision 27 takes effect upon enactment. 28 MEDICAL USE OF CANNABIDIOL —— AFFIRMATIVE DEFENSE. The 29 bill provides that a recommendation for the possession or use 30 of cannabidiol as authorized by the bill shall be provided 31 exclusively by a neurologist for a patient who has been 32 diagnosed with intractable epilepsy. Cannabidiol provided 33 exclusively pursuant to a neurologist’s recommendation 34 shall be obtained from an out-of-state source and shall only 35 -10- LSB 6227XC (2) 85 rh/rj 10/ 12
S.F. _____ be recommended for oral or transdermal administration. A 1 neurologist shall be the sole authorized recommender as 2 part of the treatment plan by the neurologist of a patient 3 diagnosed with intractable epilepsy. A neurologist has the 4 sole authority to recommend the use or amount of cannabidiol, 5 if any, in the patient’s treatment plan. 6 The bill provides that a neurologist, including any 7 authorized agent thereof, shall not be subject to prosecution 8 for the unlawful recommendation, possession, or administration 9 of marijuana under the laws of this state for activities 10 arising directly out of or directly related to the 11 recommendation or use of cannabidiol in the treatment of a 12 patient diagnosed with intractable epilepsy. 13 In a prosecution for the unlawful possession of marijuana 14 under the laws of this state, it is an affirmative and complete 15 defense to the prosecution that the patient has been diagnosed 16 with intractable epilepsy, used or possessed cannabidiol 17 pursuant to a recommendation by a neurologist, and if the 18 patient is 18 years of age or older, is in possession of a valid 19 cannabidiol registration card. 20 In a prosecution for the unlawful possession of marijuana 21 under the laws of this state, it is an affirmative and 22 complete defense to the prosecution that the person possessed 23 cannabidiol because the person is the primary caregiver of 24 a patient who has been diagnosed with intractable epilepsy 25 and who has a recommendation for the possession and use 26 of cannabidiol as recommended by a neurologist and is in 27 possession of a valid cannabidiol registration card and where 28 the primary caregiver’s possession of the cannabidiol is on 29 behalf of the patient and for the patient’s use only. 30 An agency of this state or a political subdivision thereof, 31 including any law enforcement agency, shall not remove or 32 initiate proceedings to remove a patient from the home of a 33 parent based solely upon the parent’s or patient’s possession 34 or use of cannabidiol. 35 -11- LSB 6227XC (2) 85 rh/rj 11/ 12
S.F. _____ The bill amends Code section 124.401, relating to prohibited 1 acts involving controlled substances, to provide that it is 2 lawful for a person to knowingly or intentionally recommend, 3 possess, use, distribute, dispense, deliver, transport, 4 or administer marijuana if the recommendation, possession, 5 use, distribution, dispensing, delivery, transporting, or 6 administering is in accordance with the provisions of the bill. 7 The bill provides that a person who knowingly or 8 intentionally possesses or uses cannabidiol in violation of 9 the bill is subject to the penalties of Code chapters 124 10 (controlled substances Act) and 453B (excise tax on unlawful 11 dealing in certain substances). 12 The new Code chapter created by the bill is repealed July 1, 13 2017. 14 -12- LSB 6227XC (2) 85 rh/rj 12/ 12
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