Pharmacists role in Cannabis-Based Patient Care
|
|
- Augusta Paul
- 5 years ago
- Views:
Transcription
1 Pharmacist Learning Objectives Pharmacists role in Cannabis-Based Patient Care At the completion of this activity, the participant will be able to: Describe the timeline of medical cannabis programs in the United States. Discuss the implementation and status of the Illinois Medical Cannabis pilot program. Explain current proposals regarding recreational cannabis use in Illinois. Discuss the opportunities and roles for pharmacists in cannabisbased patient care. 1 2 Technician Learning Objectives Disclosures At the completion of this activity, the participant will be able to: Describe the timeline of medical cannabis programs in the United States. Discuss the implementation and status of the Illinois Medical Cannabis pilot program. Explain current proposals regarding recreational cannabis use in Illinois. Discuss the opportunities and roles for pharmacists in cannabisbased patient care. I do not have any relevant financial disclosures and/or commercial interests that conflict with the objectives and/or content of this program. 3 4
2 The United States Pharmacopeia (USP) officially listed cannabis up until what year? A) 1983 B) 1880 C) 1920 D) 1941 Which Department has statutory oversight for the dispensing organizations in the Illinois MCPP? A) Department of Financial and Professional Regulation B) Department of Public Health C) Department of Human Services D) Department of Health and Family Services 5 6 Are Pharmacists able to participate in the Illinois MCPP? A) No, it is a violation of the Pharmacy Practice Act. B) Yes, as long as MCPP business activities occur outside of the Pharmacy Department. C) Yes, as long as a pharmacist registers with the Department of Public Health. D) Yes, as long as a pharmacist applies for an additional license. From Marijuana to Medical Cannabis 7 8
3 Regulation of Marijuana 1870: USP publishes official monograph 1937: Marijuana Tax Act 1941: USP removes official monograph 1970: Controlled Substance Act 1996: Medical Marijuana established-proposition 200 (Arizona)/ Proposition 215 (California) 2012: Recreational Legalization Colorado 2013: Illinois Medical Cannabis Pilot Program established Current Status of Medical Marijuana (United States) 46 States and District of Columbia Connecticut-Pharmacists Dispensing Role (2012) Illinois-Medical Cannabis Pilot Program (2013)
4 HB1 Compassionate Use of Medical Cannabis Pilot Program Act Medical Cannabis Pilot Program (MCPP) Sponsor: Rep. Lou Lang (D-Skokie) Creates the Compassionate Use of Medical Cannabis Pilot Program Act Allows for legal possession of up to 2.5 ounces of medical cannabis by a registered qualifying patient. Allows registered non-profit medical cannabis organizations to acquire, possess, cultivate, manufacture, deliver, transfer, transport, sell, supply, or dispense cannabis, paraphernalia, or related educational materials to registered qualifying patients. Status: Public Act /01/ MCPP Agencies Department of Agriculture Department of Agriculture Department of Financial and Professional Regulation Department of Public Health Department of Revenue Illinois State Police Involved in oversight and regulation of the cannabis cultivators 1 cultivator will be licensed per State Police District 22 State Police Districts 15 16
5 Department of Financial and Professional Regulation Involved in oversight and regulation of the cannabis dispensing organizations 1 dispensing organization per each Legislative (Senate) District 59 Legislative Districts plus 1 additional Separate from Medical and Pharmacy Board oversight Department of Public Health Involved in oversight and regulation of patient registration and physician procedures Established criteria for patients Creates application process for patients Annual fee of $100 A written letter of necessity is required from a physician (not a prescription) Department of Revenue Illinois State Police Is responsible for regulation and administration of all related taxes on the State Level Taxes are imposed through this program Cultivators, Dispensing Organizations, Patients 7% Service Occupation Tax (SOT) that applies to all prescriptions applies Includes Municipal/County authority for additional tax Is responsible for oversight of the entire program through all Departments to ensure legal authority and control Maintains that MCPP does not violate Federal Law 19 20
6 Debilitating Medical Conditions SB2636 Amends the MCPP Agitation of Alzheimer s disease Myoclonus HIV/AIDS Nail-patella syndrome Amyotrophic lateral sclerosis (ALS) Arnold-Chiari malformation Cancer Causalgia Chronic inflammatory demyelinating polyneuropathy Crohn s disease CRPS (complex regional pain syndrome Type II) Dystonia Fibrous dysplasia Glaucoma Hepatitis C Hydrocephalus Hydromyelia Interstitial cystitis Lupus Neurofibromatosis Parkinson s disease Post-concussion syndrome Post-Traumatic Stress Disorder (PTSD) Reflex sympathetic dystrophy Residual limb pain Rheumatoid arthritis Seizures (including those characteristic of Epilepsy) Severe fibromyalgia Sjogren s syndrome Spinal cord disease Spinal cord injury Spinocerebellar ataxia Syringomyelia Tarlov cysts Sen. Iris Martinez, D-Chicago Adds seizures (including those characteristic of epilepsy) to list of debilitating medical conditions Would allow persons under the age of 18 to be registered for medical cannabis use if they suffer from seizures Status: Public Act Multiple sclerosis Tourette syndrome Muscular dystrophy Traumatic brain injury Myasthenia Gravis Cachexia/wasting syndrome SB33 Amends the MCPP MCPP Patient Requirements Sen. Michael Hastings, D-Matteson Adds PTSD (post-traumatic stress disorder) to list of debilitating medical conditions Status: 2 nd Reading Senate (03/12/2015) Be a resident of the state of Illinois at the time of application and remain a resident during participation Have a qualifying medical condition; Have a signed physician certification for the use of medical cannabis; Can not have been convicted of an excluded offense (a felony under the Illinois Controlled Substances Act, Cannabis Control Act or Methamphetamine Control and Community Protection Act, or similar provisions in a local ordinance or other jurisdiction), unless the Department waives such a conviction(s); and Be at least 18 years of age 23 24
7 MCPP Dispensing Organizations MCPP Cultivators Provide information in the following areas: Suitability of Proposed Dispensing Organization Business and Operations Plan Security Plan Recordkeeping and Inventory Plan Financial Disclosures Misc.: such as Research Plan and Substance Abuse Prevention Plan Application Fee: $35,000 initial, $25,000 renewal Provide information in the following areas: Suitability of Proposed Facility Staffing and Operations Plan Security Plan Product Safety and Labeling Plan Business Plan Application fee: $25, Pharmacist Role in MCPP Role of the Pharmacist in Medical Cannabis No official role per statute/rule Board of Pharmacy encouragespharmacists to be involved with their patients that are in the program Pharmacists may participate or apply to become a dispensing organization Related business activity not to occur in Pharmacy Department 27 28
8 APhA Policy on Role of the Pharmacist in the Care of Patients Using Cannabis-2015 APhA Policy on Role of the Pharmacist in the Care of Patients Using Cannabis-2015 APhA advocates for the resolution of the federal and state conflicts surrounding the legal status of cannabis and its various components. APhA supports regulatory changes to further facilitate clinical research related to the clinical efficacy and safety associated with the use of cannabis and its various components APhA encourages health care provider education related to the clinical efficacy, safety, and management of patients using cannabis and its various components APhA advocates that the pharmacist collect and document information in the pharmacy patient profile about patient use of cannabis and its various components and provide appropriate patient counseling. APhA supports pharmacist participation in furnishing cannabis and its various components when scientific data support the legitimate medical use of the products and delivery mechanisms and federal, state, or territory laws or regulations permit pharmacists to furnish them. APhA opposes the furnishing of cannabis and its various components for medical purposes unless performed by licensed health care professionals whose scope of practice includes the dispensing of prescription medications and who comply with state and federal regulations. APhA supports the clinical judgment of pharmacists to decide whether to furnish cannabis and its various components for medical use where allowed by law. APhA opposes pharmacist involvement in furnishing cannabis and its various components for recreational use IPhA Policy on Marijuana Recommendations for Pharmacists IPhA supports that pharmacies be the only mechanism for medical and recreational cannabis to be distributed to the public utilizing the same legislative manner used currently to store, record, and distribute controlled substances. IPhA supports pharmacist direct involvement in furnishing cannabis and its various components for medical and recreational use. IPhA supports the development and promotion of healthcare provider education related to the clinical efficacy, safety, and management of patients using cannabis and its various components. IPhA supports that pharmacists provide cannabis-related pharmacist-delivered patient care services in accordance with the Joint Commission of Pharmacy Practitioners Pharmacists Patient Care Process. IPhA supports legislative and regulatory changes to further facilitate clinical research related to the clinical efficacy and safety associated with the use of cannabis and its various components. Engage your patients that are enrolled and participating in the program. Perform a Comprehensive Medication Review and complete an Action Plan for the patient. Communicate with the patient s physician on recommendations for any treatment adjustments
9 Recommendations of American Society of Addiction Medicine (ASAM) regarding medical marijuana If legalized, marijuana should be produced, controlled, and stocked like other prescription drugs (e.g., standardized production by pharmaceutical companies and limited to sale by pharmacies). Marijuana should undergo FDA approval like other drugs Smoking should not be used as route of marijuana delivery States and local ballot initiatives should not interfere with federal drug approval process Medical use of marijuana should be restricted to prescription by physicians who: Adhere to the same professional standards for patient care as for other drugs and conditions Are trained to recognize and treat substance abuse addiction Do not prescribe for children without knowledge/consent of parents Opioid Alternative Pilot Program OAPP requirements Goals and background information Must be at least 21 years old Must be a resident of Illinois Licensed physicians must certify the patient has a medical condition for which an opioid has been or could be prescribed based on generally accepted standards of care Long term goal: reduce opioid deaths Registered patients may purchase 2.5 ounces of medical cannabis every 14 days Physician certifications are valid for 90 days but can be renewed $10 fee required for each 90 day registration period A patient is not required to surrender their opioid prescription unless a physician requires it based on their treatment plan
10 Cannabis use disorder (DSM5) Disorders, Risk factors and Complications of cannabis use Taking the substance in larger amounts or for longer than meaning to Wanting to cut down or stop using the substance but not able to Spending a lot of time getting, using, or recovering from use Cravings and urges to use Not managing to do work, home, or school activities Continuing to use, even when it causes relationship problems Giving up important social, occupational, or recreational activities because of use Continuing to use, even when it causes dangerous situations Continuing to use, even with physical or psychological problems that could have been caused or made worse by use Needing more to get the desired effect (tolerance) Development of withdrawal symptoms, which can be relieved by taking more of the substance Risk factors for addiction or polydrug use Begin in adolescence as the brain is not fully developed until early to mid-20s Weekly cannabis use Hookah use History of mental health problems Complications of cannabis use Withdrawal syndrome (DSM5) Cannabis intoxication (DSM5) Amotivational syndrome Polydrug use 39 40
11 Withdrawal syndrome Cannabis intoxication Develops when ceasing or dramatically decreasing heavy use of cannabis results in some of the following Irritability Anger/aggression Anxiety Depression Restless/ness Sleep difficulty Decreased appetite/weight loss Cannabis withdrawal is typically shorter and milder than nicotine withdrawal Symptoms appear within 2 hours of cannabis use At least 2 symptoms: Sharp increase in heart rate Dry mouth Increase in appetite Conjunctival injections (edema of eye lids) PLUS Dysfunctional changes (usually disruptive) in physiological or psychological functioning, mood or cognition stemming from CNS impairment due to cannabis use without another logical explanation for symptoms Amotivational syndrome and polydrug use Amotivational syndrome: a pattern of behavior with apathy/reduced goal-directed behavior, dullness, impaired judgment, decreased concentration and memory, and loss of interest in personal hygiene Polydrug use (AKA gateway for other drugs of abuse): especially when starting as adolescents Cocaine, prescription drug abuse Tobacco/alcohol use and abuse Illinois Legislation regarding recreational marijuana 43 44
12 SB 316/HB 2353: Cannabis legalization Avenues for Restorative Justice Illinois residents age 21+ may purchase/possess 30 grams (1 ounce) Adults (21+) may indoor cultivate up to 5 plants per household Municipalities, employers, and landlords can restrict or prohibit use Revenue from cannabis sales will support law enforcement and pay for public education campaigns, substance abuse treatment and programs to repair harms to communities adversely affected by the War on Drugs Public consumption of cannabis, including driving and driving under the influence of cannabis remains illegal Cannabis businesses must abide by rules for location, security, packaging and advertising Products sold by dispensaries must be labeled for safety and potency Expunge criminal records Expand Illinois model by adding more categories of license. These will have varying points of capital entry and will give victims of the War on Drugs the opportunity to access and participate in this nascent cannabis industry Promote investment in communities most impacted by the War on Drugs. Restoring Our Communities will provide a mechanism to direct resources to human service providers and community-based organizations in the neighborhoods most impacted by prohibition Summary of proposal for SB 316/ HB 2353 Legalization of marijuana is proposed to help tax and regulate adult-use cannabis; as marijuana is already being used illegally in Illinois. Illinoisans believe that prohibition has simply not worked Municipalities, employers, and landlords have the right to deny use. Public consumption of cannabis will remain illegal. Revenue from cannabis sales will directly go towards law enforcement, education, and substance abuse treatment programs in Illinois. Federal Legislation regarding marijuana 47 48
13 HR 420: Regulate Marijuana Like Alcohol Act Decriminalization of Marijuana Removal of marijuana in any form from all schedules of controlled substances Legalizes the use of marijuana as it would no longer be considered a controlled substance Exception: It s unlawful to ship or transport marijuana from any place outside the U.S. or its territories Must have a permit issued by the Secretary of Treasury to sell, contract to sell, ship, cultivate, produce, manufacture, or package Review Questions and References The United States Pharmacopeia (USP) officially listed cannabis up until what year? A) 1983 B) 1880 C) 1920 D)1941 The United States Pharmacopeia (USP) officially listed cannabis up until what year? A) 1983 B) 1880 C) 1920 D)
14 Which Department has statutory oversight for the dispensing organizations in the Illinois MCPP? A) Department of Financial and Professional Regulation B) Department of Public Health C) Department of Human Services D) Department of Health and Family Services Which Department has statutory oversight for the dispensing organizations in the Illinois MCPP? A) Department of Financial and Professional Regulation B) Department of Public Health C) Department of Human Services D) Department of Health and Family Services Are Pharmacists able to participate in the MCPP? A) No, it is a violation of the Pharmacy Practice Act B) Yes, as long as MCPP business activities occur outside of the Pharmacy Department C) Yes, as long as a pharmacist registers with the Department of Public Health D) Yes, as long as a pharmacist applies for an additional license Are Pharmacist able to participate in the MCPP? A) No, it is a violation of the Pharmacy Practice Act B) Yes, as long as MCPP business activities occur outside of the Pharmacy Department C) Yes, as long as a pharmacist registers with the Department of Public Health D) Yes, as long as a pharmacist applies for an additional license 55 56
15 References References HB1: SB2636: Medical Cannabis Pilot Program Site: Illinois General Assembly: Proposed Controlled Substances Act Rules (DFPR): df Proposed Controlled Substances Act and PMP Rules (DHS): df Proposed Pharmacy Practice Act Rules: df HR420: How pharmacists can counsel patients on medical marijuana : Medical marijuana and the developing role of the pharmacist : uana.pdf Using Medical Marijuana Safely : df The Pharmacologic and Clinical Effects of Medical Cannabis : Cannabis for therapeutic purposes: Patient characteristics, access, and reasons for use : The Marijuana Policy Project: NORML: Opioid Alternative Pilot Program:
Be it enacted by the People of the State of Illinois,
SB Enrolled LRB0 0 RPM 0 b AN ACT concerning public health. Be it enacted by the People of the State of Illinois, represented in the General Assembly: Section. The Compassionate Use of Medical Cannabis
More informationMaine s Medical Marijuana Law. 40 th Annual ASMAC Fall Conference Ritz Carlton Lake Tahoe October 26, 2014
Maine s Medical Marijuana Law 40 th Annual ASMAC Fall Conference Ritz Carlton Lake Tahoe October 26, 2014 Medical Marijuana Laws Alaska (1998) Arizona (1996, 2010) California (1996) Colorado (2000) Delaware
More informationINSTITUTIONAL PROCEDURE
INSTITUTIONAL PROCEDURE APPROVED BY: Dana Grove, President EFFECTIVE DATE: 7/1/14 REVISION DATE: SUBJECT: Tobacco Free Campus Morton College institutes this procedure to comply with the Smoke Free Illinois
More informationMedical Marijuana: Hype versus Evidence
Medical Marijuana: Hype versus Evidence Monica Malec, MD The University of Chicago, Department of Medicine Section of Geriatrics and Palliative Medicine Objectives Understand the requirements for physician
More informationInsight. Marijuana Legalization Efforts Enjoy Success, Demonstrating Major Shift in Approach to Drug Regulation and Use NOVEMBER 9, 2016
IN-DEPTH DISCUSSION NOVEMBER 9, 2016 Marijuana Legalization Efforts Enjoy Success, Demonstrating Major Shift in Approach to Drug Regulation and Use BY NANCY DELOGU AND EUNJU PARK Election Day 2016 proved
More informationSenator Mark B. Madsen proposes the following substitute bill:
LEGISLATIVE GENERAL COUNSEL 6 Approved for Filing: S.C. Johnston 6 6 03-03-15 4:49 PM 6 S.B. 259 2nd Sub. (Salmon) Senator Mark B. Madsen proposes the following substitute bill: 1 MEDICAL CANNABIS AMENDMENTS
More informationMedical Marijuana and Student Health. New England College Health Association Gordon H. Smith, Esq. October 30, 2014
Medical Marijuana and Student Health New England College Health Association Gordon H. Smith, Esq. October 30, 2014 Medical Marijuana Laws Alaska (1998) Arizona (1996, 2010) California (1996) Colorado (2000)
More informationWorkplace Issues Associated with Legalized Marijuana. James B. Yates, Esq., SHRM-SCP, SPHR
Workplace Issues Associated with Legalized Marijuana James B. Yates, Esq., SHRM-SCP, SPHR jbyates@eastmansmith.com Agenda: Nationwide legalization efforts Ohio s medical marijuana law The impact of medical
More informationMedical Marijuana Update
Health Services Department Medical Marijuana Update March 7, 2017 Presentation Outline Florida Compassionate Medical Cannabis Act Legalization of Medical Cannabis Amendment 2 Department of Health Rulemaking
More informationThe Sale of Cannabis in Pharmacies. Michael H. Ghobrial, PharmD, JD Associate Director, Health Policy American Pharmacists Association
The Sale of Cannabis in Pharmacies Michael H. Ghobrial, PharmD, JD Associate Director, Health Policy American Pharmacists Association Development This activity was developed by the American Pharmacists
More informationSubstitute HB 523 Outline
Substitute HB 523 Outline 1. Creates Medical Marijuana Control Commission under the auspice of the Department of Commerce 9 member commission No more than 4 members of the Commission shall be from 1 political
More informationTEXAS COMPASSIONATE-USE ACT
Ch. 301, 1 MEDICAL USE OF LOW-THC CANNABIS AND THE REGULATION OF RELATED ORGANIZATIONS AND INDIVIDUALS; REQUIRING A DISPENSING ORGANIZATION TO OBTAIN A LICENSE TO DISPENSE LOW-THC CANNABIS AND ANY EMPLOYEE
More informationPolicy \ \ Medical (Palliative) Use of Marijuana
Policy 5131.601\4118.236\4218.236 Medical (Palliative) Use of Marijuana DATE: February 13, 2017 PREVIOUS ITEM: None ENCLOSURES: CABE s Suggested Policy 5131.601\4118.236\4218.236 CABE s July 15, 2016 Policy
More informationThe Legalization of Medical Marijuana and the Impact on the Workplace
The Legalization of Medical Marijuana and the Impact on the Workplace Presented by Cassandra L. Manna Thursday, October 12, 2017 Roetzel & Andress LPA 2016 Before We Get Started... Three Rules Supreme
More informationCity of Coral Gables Planning and Zoning Staff Recommendation
City of Coral Gables Planning and Zoning Staff Recommendation Applicant: Application: Public Hearing - Dates/Time/ Location: City of Coral Gables Zoning Code Text Amendment- Article 8, Definitions, Article
More informationSmoke and Mirrors: Navigating Medical Marijuana in the Workplace
Smoke and Mirrors: Navigating Medical Marijuana in the Workplace Douglas P. Currier Elizabeth Connellan Smith dcurrier@verrilldana.com esmith@verrilldana.com (207) 253-4450 (207) 253-4460 Some Statistics
More informationOhio s Medical Marijuana Control Program
Ohio s Medical Marijuana Control Program Timeline September 8, 2016 House Bill 523 Effective November 5, 2016 Deadline for first Medical Marijuana Advisory Committee meeting May 6, 2017 Cultivator rules
More informationThe Twenty-Three States and One Federal District With Effective Medical Marijuana Laws
The Twenty-Three States and One Federal District With Effective Medical Marijuana Laws Twenty-three U.S. states and the District of Columbia have enacted laws that remove criminal sanctions for the medical
More informationQuestion 2 made some recreational marijuana legal under Nevada state law.
Nevada The Nevada Marijuana Legalization Initiative, also known as Question 2, was on the November 8, 2016, ballot in Nevada as an indirect initiated state statute. It was approved. Status of marijuana
More information78th OREGON LEGISLATIVE ASSEMBLY Regular Session. Senate Bill 964 SUMMARY
Sponsored by Senators BURDICK, KRUSE th OREGON LEGISLATIVE ASSEMBLY-- Regular Session Senate Bill SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body
More informationUnderstanding Maine s Medical Marijuana Law
Understanding Maine s Medical Marijuana Law Maine Pharmacy Association May 20, 2011 Background 1999: Maine Medical Marijuana Act passes as initiated bill (I.B.) Authorizes medical use of marijuana for
More informationMARIJUANA POLICY PROGRAM COMMUNITY TOWN HALL
MARIJUANA POLICY PROGRAM COMMUNITY TOWN HALL Víctor Salinas, Marijuana Policy Program Coordinator Phone: (503)823-4411 Email: marijuana@portlandoregon.gov RECREATIONAL MARIJUANA LAWS & PERSONAL USE Q:
More informationMarijuana Legalization Update
Marijuana Legalization Update PJ McCann, Esq. Deputy General Counsel February 14, 2018 1 Context Many moving parts in Cannabis Control Commission (CNB) regulatory process Information and recommendations
More informationMEMORANDUM INTRODUCTION. DATE: July 28, 2016; Revised August 3, 2016 TO:
MEMORANDUM DATE: July 28, 2016; Revised August 3, 2016 TO: Lehigh Valley Planning Commission FROM: Becky Bradley, AICP, Executive Director CC: Staff REGARDING: Land Use Implications of the Medical Marijuana
More informationWhat Cities Need to Know about the Arkansas Medical Marijuana Amendment ( AMMA ) 1
June 2017 1 2 What Cities Need to Know about the Arkansas Medical Marijuana Amendment ( AMMA ) 1 Mark R. Hayes, Director of Legal Services, and Lanny Richmond II, Staff Attorney Introduction In 2016, the
More informationNew Mexico. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile New Mexico Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More informationMEDICAL MARIJUANA USE
AOM Chapter P-158 MEDICAL MARIJUANA USE GENERAL CONSIDERATIONS AND GUIDELINES: Massachusetts voters decided that this Commonwealth should join a growing number of other states that currently have laws
More informationArkansas Municipal League. What Cities Need to Know about the Arkansas Medical Marijuana Amendment
Arkansas Municipal League What Cities Need to Know about the Arkansas Medical Marijuana Amendment «ARKANSAS MUNICIPAL LEAGUE«GREAT CITIES MAKE A GREAT STATE May 2018 What Cities Need to Know about the
More informationMICHIGAN MEDICAL MARIJUANA REGULATION: From Home Remedy to Criminalization. to State Regulated Industry. March 22, Stephen K.
MICHIGAN MEDICAL MARIJUANA REGULATION: From Home Remedy to Criminalization to State Regulated Industry Presentation to the Michigan Municipal League Capital Conference March 22, 2017 Stephen K. Postema
More informationMedical Cannabis Ordinances. Tuesday, December 20, 2016
Medical Cannabis Ordinances Tuesday, December 20, 2016 Pre Amendment 2 Law In 2014, the Florida Legislature passed, and Gov. Rick Scott signed, a bill that attempted to exempt a limited class of individuals
More informationThe Department must establish a minimum of three regions within the state for the purpose of granting permits to growers/processors and dispensaries.
PA Medical Marijuana Act 1 The Medical Marijuana Act, Act 16 of 2016, establishes a Medical Marijuana Program within the Department of Health ( Department ). Under this program, patients with a serious
More informationMedical Cannabis Program. Dr. Maureen Small Co Medical Director Andrea Sundberg Program Coordinator
Medical Cannabis Program Dr. Maureen Small Co Medical Director Andrea Sundberg Program Coordinator Disclaimer The following information is based upon research of current studies. The Department of Health
More informationCITY OF BEVERLY HILLS POLICY AND MANAGEMENT MEMORANDUM
CITY OF BEVERLY HILLS POLICY AND MANAGEMENT MEMORANDUM TO: FROM: Health and Safety Commissioners Cynthia Owens, Senior Management Analyst DATE: June 26, 2017 SUBJECT: ATTACHMENTS: Overview of the Adult
More informationPolicy / Drug and Alcohol-Free Workshops
Policy 4118.235/4218.235 Drug and Alcohol-Free Workshops DATE: February 13, 2017 PREVIOUS ITEM: None ENCLOSURES: CABE s Suggested Policy 4118.235/4218.235 CABE s July 15, 2016 Policy Update REASON: To
More informationOffice of University Counsel and Secretary of the Board of Regents
To: From: University of Colorado Research Faculty President Bruce D. Benson University Counsel Patrick T. O Rourke Date: March 11, 2014 Re: Legality of Marijuana Research Colorado is one of twenty states
More informationDiane E. Hoffmann, J.D., M.S. University of Maryland School of Law
Diane E. Hoffmann, J.D., M.S. University of Maryland School of Law States that have decriminalized medical marijuana Characteristics of State Laws Allow patients to use and possess (and in most states
More informationFrom heroin to medical marijuana: what districts need to know Megan Greulich, Staff Attorney Hot Topics in School Law October 5, 2016
From heroin to medical marijuana: what districts need to know Megan Greulich, Staff Attorney Hot Topics in School Law October 5, 2016 OSBA leads the way to educational excellence by serving Ohio s public
More informationMarijuana Legalization: Issues and Questions for Municipalities Lincoln County Regional Planning Commission January 25, 2017
Marijuana Legalization: Issues and Questions for Municipalities Lincoln County Regional Planning Commission January 25, 2017 Ted Kelleher Amy Tchao 800.772.1941 dwmlaw.com Page 1 Copyright 2015 Drummond
More informationCHAPTER Committee Substitute for Committee Substitute for Senate Bill No. 1030
CHAPTER 2014-157 Committee Substitute for Committee Substitute for Senate Bill No. 1030 An act relating to cannabis; providing a short title; creating s. 381.986, F.S.; defining terms; authorizing specified
More informationCALIFORNIA AND MEDICAL MARIJUANA
CALIFORNIA AND MEDICAL MARIJUANA OVERVIEW The history of California s medical marijuana laws Dispensaries: the law, the facts, the fiction Legalization and Decriminalization LEGAL BACKGROUND The Federal
More informationNorth Central Florida Regional Planning Council
North Central Florida Regional Planning Council 1 Medical Marijuana Sandra Joseph, Senior Planner Local Government Comprehensive Planning June 16, 2017 2 Overview Compassionate Medical Cannabis Act (2014
More informationOREGON MEDICAL MARIJUANA ACT
OREGON MEDICAL MARIJUANA ACT 475.300 Findings. The people of the state of Oregon hereby find that: (1) Patients and doctors have found marijuana to be an effective treatment for suffering caused by debilitating
More informationMINNESOTA S MEDICAL CANNABIS PROGRAM
MINNESOTA S MEDICAL CANNABIS PROGRAM DARIN TESKE LEGAL AND POLICY ADVISOR OFFICE OF MEDICAL CANNABIS AUGUST 25, 2016 2014: MN became 22 nd state with full medical cannabis program Recreational and Medical
More informationTOWN OF KENNEBUNK MORATORIUM ORDINANCE ON RETAIL MARIJUANA ESTABLISHMENTS AND RETAIL MARIJUANA SOCIAL CLUBS
TOWN OF KENNEBUNK MORATORIUM ORDINANCE ON RETAIL MARIJUANA ESTABLISHMENTS AND RETAIL MARIJUANA SOCIAL CLUBS WHEREAS, a ballot initiative to legalize, regulate and tax marijuana for nonmedicinal purposes
More informationLegalized Cannabis: The Summit. Nancy E. O Malley District Attorney Alameda County, California
Legalized Cannabis: The Summit Nancy E. O Malley District Attorney Alameda County, California Nancy.omalley@acgov.org 510-272--6222 This Presentation will cover the following: Reduction of convictions
More informationMinnesota. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile Minnesota Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More informationAN ACT. relating to the medical use of low-thc cannabis and the regulation. of related organizations and individuals; requiring a dispensing
Chapter 0 S.B. No. AN ACT relating to the medical use of low-thc cannabis and the regulation of related organizations and individuals; requiring a dispensing organization to obtain a license to dispense
More informationCity of Calistoga Staff Report
City of Calistoga Staff Report 9 TO: FROM: DATE: August 1, 2017 SUBJECT: Honorable Mayor and City Council Lynn Goldberg, Planning and Building Director Potential Initiation of Municipal Code Amendments
More informationCannabis Legalization August 22, Ministry of Attorney General Ministry of Finance
Cannabis Legalization August 22, 2018 Ministry of Attorney General Ministry of Finance Federal Cannabis Legalization and Regulation The federal Cannabis Act received Royal Assent on June 21, 2018 and will
More informationSeattle City Attorney Peter S. Holmes
Seattle City Attorney Peter S. Holmes January 20, 2011 Members of the Health & Long Term Care Committee Washington State Senate 466 J.A. Cherberg Building P.O. Box 40466 Olympia, WA 98504 0466 Re: SB 5073
More informationQuestionnaire 1 of 5: Cannabis Plant and Cannabis Resin. Introduction
Introduction This is one of five questionnaires that Member States are invited to complete ahead of the 40th WHO Expert Committee on Drug Dependence. This questionnaire will ask you about cannabis plant
More information2017 Legislative Update Marijuana Regulation. MACC Meeting May 26, 2017
2017 Legislative Update Marijuana Regulation MACC Meeting May 26, 2017 Colorado Pot Snapshot Statistics Medical MJ Businesses as of 5/1/17: 1560 Retail MJ Businesses as of 5/1/17: 1416 Active Occupational
More informationOregon Medical Marijuana Dispensary Program. Thomas A. Burns Director Pharmacy Programs Oregon Health Authority
Oregon Medical Marijuana Dispensary Program Thomas A. Burns Director Pharmacy Programs Oregon Health Authority 1 Passed as a Ballot Initiative in Nov 1998 vote of 54.6% to 45.4%. Provides legal protections
More informationENROLLED 2014 Legislature CS for CS for SB 1030, 1st Engrossed
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 An act relating to cannabis; providing a short title; creating s. 381.986, F.S.; defining terms; authorizing specified physicians
More informationFACT SHEET PREPARED BY THE MINISTRY OF JUSTICE ON THE DANGEROUS DRUGS (AMENDMENT) ACT 2015 OVERVIEW 1. This Fact Sheet sets out the main changes that have been made to the Dangerous Drugs Act (the DDA
More informationThis Chapter shall be known as the Marijuana Use and Regulation Ordinance for the City of Palm Desert.
PDMC SECTION: 25.34.120 Marijuana Use and Regulations This Chapter shall be known as the Marijuana Use and Regulation Ordinance for the City of Palm Desert. A. Purpose and Intent It is the purpose and
More informationAN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA Codification District of Columbia Official Code 2001 Edition 2010 Fall Supp. West Group Publisher To amend the Legalization of Marijuana for Medical Treatment
More informationSUBJECT: Cannabis legislation and implications for the City of Burlington
Page 1 of Report CM-11-17 SUBJECT: Cannabis legislation and implications for the City of Burlington TO: FROM: Committee of the Whole City Manager's Office Report Number: CM-11-17 Wards Affected: All File
More informationORDINANCE NO. BE IT ORDAINED BY THE MAYOR AND COUNCIL OF THE CITY OF. SECTION 1. The Mayor and Council make the following legislative findings:
ADOPTED BY THE MAYOR AND COUNCIL ON ORDINANCE NO. RELATING TO PLANNING AND ZONING; LIMITING THE USE OF LAND FOR REGISTERED NONPROFIT MEDICAL MARIJUANA DISPENSARIES AND THE GROWTH AND CULTIVATION OF MEDICAL
More informationORDINANCE NO
ORDINANCE NO. 01-2017 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF SEMINOLE, FLORIDA, REGARDING MEDICAL CANNABIS; IMPOSING A TEMPORARY MORATORIUM ON THE SALE OF MEDICAL CANNABIS AND ON THE ESTABLISHMENT
More informationBarbara Brohl Executive Director & State Licensing Authority Colorado Department of Revenue
Barbara Brohl Executive Director & State Licensing Authority Colorado Department of Revenue 1 Background and History Colorado Industry Segments Legislative Process Rulemaking Process Regulatory & Enforcement
More informationPennsylvania s Medical Marijuana Act. William Roark, Esq. HRMM&L
Pennsylvania s Medical Marijuana Act William Roark, Esq. HRMM&L MEDICAL MARIJUANA (MMJ) IN THE U.S. 24 States, D.C. & Guam currently allow some form of MMJ Alaska, Arizona, California, Colorado, Connecticut,
More informationAZ s Medical Marijuana Law Overview and Considerations. Ryan Hurley Partner, Chair of MMJ Dept. Rose Law Group pc
AZ s Medical Marijuana Law Overview and Considerations Ryan Hurley Partner, Chair of MMJ Dept. Rose Law Group pc Overview and Disclaimer National Background AZ s Proposition 203 and DHS Rules Legal Liabilities
More informationWeeding Through the Workplace Impact of Medical Marijuana
Weeding Through the Workplace Impact of Medical Marijuana Steven T. Boell, Shareholder The Landscape in General Medical Marijuana is Big Business In 2015 estimated legal U.S. cannabis sales were $5.7 billion,
More informationPISMO BEACH COUNCIL AGENDA REPORT
PISMO BEACH COUNCIL AGENDA REPORT Agenda Item #7.C SUBJECT/TITLE: URGENCY ORDINANCE PROHIBITING MANUFACTURING, PROCESSING, LABORATORY TESTING, LABELING, STORING AND WHOLESALE AND RETAIL DISTRIBUTION OF
More informationSeeing through the Smoke: Preparing Your Workplace for Legalized Marijuana. October 23, 2018
Seeing through the Smoke: Preparing Your Workplace for Legalized Marijuana October 23, 2018 Let s Be Blunt... With the many new state laws being passed legalizing medical and recreational marijuana, employers
More informationMarijuana Law. Selected Legal Issues. Brian N. Morrow, Esq.
Marijuana Law Selected Legal Issues Brian N. Morrow, Esq. Disclosures & Conflicts None Here in my personal capacity Overview Federal law and state law are inconsistent why? Colorado as a case study Differences
More informationSTAFF REPORT City of Lancaster NB 2
STAFF REPORT City of Lancaster NB 2 12/13/16 MVB Date: December 13, 2016 To: From: Subject: Mayor Parris and City Council Members Mark V. Bozigian, City Manager Allison E. Burns, City Attorney Ordinance
More informationM E M O R A N D U M. Members of the Castro Valley Municipal Advisory Council
M E M O R A N D U M October 4, 2016 TO: FROM: Members of the Castro Valley Municipal Advisory Council Medical Cannabis Interdepartmental Work Group MEETING DATE: October 10, 2016 SUBJECT: Medical Cannabis
More informationCounty of San Mateo. Inter-Departmental Correspondence. Department: COUNTY MANAGER File #: TMP-0716 Board Meeting Date: 7/11/2017
County of San Mateo Inter-Departmental Correspondence Department: COUNTY MANAGER File #: TMP-0716 Board Meeting Date: 7/11/2017 Special Notice / Hearing: None Vote Required: Majority To: From: Subject:
More informationLEGAL ASPECTS of MEDICAL MARIJUANA Florida Nurse Practitioner Network Annual Conference September 17, 2018
LEGAL ASPECTS of MEDICAL MARIJUANA Florida Nurse Practitioner Network Annual Conference September 17, 2018 DISCLAIMER The material presented is general legal information and is not legal advice. Specific
More informationASSEMBLY APPROPRIATIONS COMMITTEE STATEMENT TO. ASSEMBLY COMMITTEE SUBSTITUTE FOR ASSEMBLY, No STATE OF NEW JERSEY DATED: APRIL 5, 2018
ASSEMBLY APPROPRIATIONS COMMITTEE STATEMENT TO ASSEMBLY COMMITTEE SUBSTITUTE FOR ASSEMBLY, No. 3421 STATE OF NEW JERSEY DATED: APRIL 5, 2018 The Assembly Appropriations Committee reports favorably an Assembly
More informationCannabis Legalization and Regulation in British Columbia Discussion Paper
Cannabis Legalization and Regulation in British Columbia Discussion Paper Introduction In 2015, the federal government committed to legalizing non-medical cannabis in Canada. On June 30, 2016, it established
More informationMedical Marijuana: Current Policies and Consideration. By Michael Bertaut Healthcare Economist, BCBSLA 2019
1 Medical Marijuana: Current Policies and Consideration By Michael Bertaut Healthcare Economist, BCBSLA 2019 2 What are the States Doing? 10 States and Washington DC have legalized Marijuana for recreational
More informationLegalization of Cannabis- Overview
Legalization of Cannabis- Overview Presentation to Regional Council Education Workshop February 15, 2018 Joy Hulton, Regional Solicitor 1 Overview Background Federal Cannabis Framework Provincial Legislation
More informationORDINANCE NO
ORDINANCE NO. 02011-05 AN ORDINANCE OF THE TOWN OF CAVE CREEK ARIZONA, AMENDING THE TOWN CODE BY THE ADDITION OF A NEW TITLE XV, CHAPTER 155 ENTITLED "MEDICAL MARIJUANA DISPENSARIES AND CULTIVATION FACILITIES"
More informationMEMORANDUM. DATE: November 19, Senator Kohl-Welles. Kathleen Buchli, Counsel medical marijuana proposal
MEMORANDUM DATE: November 19, 2014 TO: Senator Kohl-Welles FROM: Kathleen Buchli, Counsel SUBJECT: 2015 medical marijuana proposal You requested an outline that describes your 2015 proposal that addresses
More informationPlease note that this draft is incomplete and likely to change before and/or after City Planning Commission review.
M E M O R A N D U M To: From: City Planning Commission Ordinance Review Committee Jill Thacher, City Planner Date: August 8, 2017 Re: DRAFT Medical Marijuana Zoning Ordinance Staff has drafted an ordinance
More informationARIZONA MEDICAL MARIJUANA PROGRAM. Tina Wesoloskie, MPA Office of Medical Marijuana Card Registry Arizona Department of Health Services
ARIZONA MEDICAL MARIJUANA PROGRAM Tina Wesoloskie, MPA Office of Medical Marijuana Card Registry Arizona Department of Health Services Learning Objectives: List two medical conditions that qualify for
More informationSUNRISE, FLORIDA ORDINANCE NO.
SUNRISE, FLORIDA ORDINANCE NO. AN ORDINANCE OF THE CITY OF SUNRISE, FLORIDA, AMENDING CHAPTER 7 LOCAL BUSINESS TAX; LOCAL BUSINESS TAX RECEIPTS, AND BUSINESS REGULATIONS*; BY ADDING ARTICLE XIV MISCELLANEOUS
More informationCANNABIS IN YOUR COMMUNITY. A Presentation to CPAA Conference May 2017
CANNABIS IN YOUR COMMUNITY A Presentation to CPAA Conference May 2017 WE LL BE THERE FOR YOUR HIGHS AND LOWS! Presented by: MUNICIPAL Charlotte A. St. Dennis Senior Associate Edmonton Office cstdennis@brownleelaw.com
More informationThis questionnaire will ask you about approved medical use of extracts and tinctures of cannabis at national level.
Introduction This questionnaire will ask you about approved medical use of extracts and tinctures of cannabis at national level. Definition: The term "extracts and tinctures" refers to substances that
More informationCity Commission Agenda Cover Memorandum
City Commission Agenda Cover Memorandum Originating Department: Planning & Zoning (PZ) Meeting Type: Regular Agenda Date: 10/10/2017 Advertised: Required?: Yes No ACM#: 21615 Subject: Public Hearing and
More informationPursuant to the authority vested in the Commissioner of Health by section 3369-a of the Public
Medical Use of Marihuana Effective date: 7/12/18 Pursuant to the authority vested in the Commissioner of Health by section 3369-a of the Public Health Law (PHL), Section 1004.2 of Title 10 (Health) of
More informationFirst Regular Session Seventy-first General Assembly STATE OF COLORADO INTRODUCED SENATE SPONSORSHIP HOUSE SPONSORSHIP
First Regular Session Seventy-first General Assembly STATE OF COLORADO INTRODUCED LLS NO. 1-0.01 Michael Dohr x SENATE BILL 1-0 Marble, SENATE SPONSORSHIP Melton, HOUSE SPONSORSHIP Senate Committees Business,
More informationMARIJUANA LEGALIZATION. INITIATIVE STATUTE.
PROPOSITION MARIJUANA LEGALIZATION. OFFICIAL TITLE AND SUMMARY Legalizes marijuana under state law, for use by adults 21 or older. Designates state agencies to license and regulate marijuana industry.
More informationORDINANCE NO
ORDINANCE NO. 02011-06 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF YUMA, ARIZONA, AMENDING CHAPTER 154 OF THE YUMA CITY CODE, AS AMENDED, RELATING TO ZONING REGULATIONS, PROVIDING FOR CHANGES TO THE
More informationLocal Land Use Tools to Address Retail Marijuana( RMJ ) by Rachel Allen, staff attorney
Local Land Use Tools to Address Retail Marijuana( RMJ ) by Rachel Allen, staff attorney Amendment 64 Regulate the growth, manufacture, and sale of marijuana in a system of licensed establishments overseen
More informationOur Mission. We take pride in the professionalism, compassion, security and privacy we provide to pa8ents and caregivers.
Our Mission PharmaCannis strives to enhance the lives of pa3ents through quality products and impeccable service, while maintaining a clean, safe, and peaceful environment. We seek to improve our community
More informationSB 1262 (Correa): Medical Marijuana Regulation and Local Control Informational Webinar February 25, 2014
SB 1262 (Correa): Medical Marijuana Regulation and Local Control Informational Webinar February 25, 2014 Webinar Moderator Bismarck Obando Public Affairs Director, League of California Cities Agenda Introduction,
More informationThese documents were created to support the work of the Coalition of Colorado Campus Alcohol and Drug Educators. We welcome prevention teams at
These documents were created to support the work of the Coalition of Colorado Campus Alcohol and Drug Educators. We welcome prevention teams at institutions of higher education to utilize these documents
More informationCalifornia. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile California Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More information77th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. House Bill 3460
77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session Enrolled House Bill 3460 Sponsored by Representative BUCKLEY, Senator PROZANSKI; Representative FREDERICK, Senator DINGFELDER CHAPTER... AN ACT Relating
More informationTaxing and Regulating Marijuana: A Public Health Approach?
Taxing and Regulating Marijuana: A Public Health Approach? Art Way State Director, Colorado Drug Policy Alliance away@drugpolicy.org November 22, 2013 Implementation of Marijuana Reform in Colorado 1 History
More informationMarijuana Regulation Community Meeting. September 12, 2016
Marijuana Regulation Community Meeting September 12, 2016 Format Presentations from Staff Group based Exercises Wrap Up El Cerrito Regulations - current January 2016 Ban on Cultivation, Dispensing and
More informationLegalization of Cannabis: The Way Forward
Percent 2018/05/03 Legalization of Cannabis: The Way Forward W. O. McCormick Academic Day Hon. A. Anne McLellan, PC, OC, AOE Friday, April 27 2018 Current Context 40 Past year cannabis use, by age group,
More informationNew York. Prescribing and Dispensing Profile. Research current through November 2015.
Prescribing and Dispensing Profile New York Research current through November 2015. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office of National Drug Control Policy. Points
More informationDecember 2018 Brief Explanation of Proposition 2 and Compromise Bill Passage
December 2018 Brief Explanation of Proposition 2 and Compromise Bill Passage You are probably already getting calls from patients about medical marijuana. You probably have many questions about how it
More informationCANNABIS STAKEHOLDER MEETING. August 2, pm
CANNABIS STAKEHOLDER MEETING August 2, 2017 2 4pm Summary of Law and Legislation Committee Recomemendations to City Council 1. Proposed Amendment to Ordinance on Residential Cultivation of Cannabis Forward
More informationSTATE OF COLORADO REREVISED
Second Regular Session Seventy-first General Assembly STATE OF COLORADO REREVISED This Version Includes All Amendments Adopted in the Second House LLS NO. 1-000.01 Jerry Barry x1 HOUSE BILL 1- HOUSE SPONSORSHIP
More information