1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | HB 1585 2022 |
---|
4 | 4 | | |
---|
5 | 5 | | |
---|
6 | 6 | | |
---|
7 | 7 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
8 | 8 | | hb1585-00 |
---|
9 | 9 | | Page 1 of 4 |
---|
10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
11 | 11 | | |
---|
12 | 12 | | |
---|
13 | 13 | | |
---|
14 | 14 | | A bill to be entitled 1 |
---|
15 | 15 | | An act relating to physician certifications for the 2 |
---|
16 | 16 | | medical use of marijuana; amending s. 381.986, F.S.; 3 |
---|
17 | 17 | | deleting a requirement that qualified physicians be 4 |
---|
18 | 18 | | physically present in the same room as their patients 5 |
---|
19 | 19 | | when conducting an examination for physician 6 |
---|
20 | 20 | | certification for the medical use of marijuana; 7 |
---|
21 | 21 | | authorizing qualified physicians to conduct such 8 |
---|
22 | 22 | | examinations through telehealth; providing an 9 |
---|
23 | 23 | | effective date. 10 |
---|
24 | 24 | | 11 |
---|
25 | 25 | | Be It Enacted by the Legislature of the State of Florida: 12 |
---|
26 | 26 | | 13 |
---|
27 | 27 | | Section 1. Paragraph (a) of subsection (4) of section 14 |
---|
28 | 28 | | 381.986, Florida Statutes, is amended to read: 15 |
---|
29 | 29 | | 381.986 Medical use of marijuana. — 16 |
---|
30 | 30 | | (4) PHYSICIAN CERTIFICATION. — 17 |
---|
31 | 31 | | (a) A qualified physician may issue a physician 18 |
---|
32 | 32 | | certification only if the qualified physician: 19 |
---|
33 | 33 | | 1. Conducted an a physical examination of while physically 20 |
---|
34 | 34 | | present in the same room as the patient and a full assessment of 21 |
---|
35 | 35 | | the medical history of the patient. The examination of the 22 |
---|
36 | 36 | | patient may be conducted through telehealth as defined in s. 23 |
---|
37 | 37 | | 456.47. 24 |
---|
38 | 38 | | 2. Diagnosed the patient with at least one qualifying 25 |
---|
39 | 39 | | |
---|
40 | 40 | | HB 1585 2022 |
---|
41 | 41 | | |
---|
42 | 42 | | |
---|
43 | 43 | | |
---|
44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
45 | 45 | | hb1585-00 |
---|
46 | 46 | | Page 2 of 4 |
---|
47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
48 | 48 | | |
---|
49 | 49 | | |
---|
50 | 50 | | |
---|
51 | 51 | | medical condition. 26 |
---|
52 | 52 | | 3. Determined that the medical use of marijuana would 27 |
---|
53 | 53 | | likely outweigh the potential health risks for the patient, and 28 |
---|
54 | 54 | | such determination must be documented in the patient's medical 29 |
---|
55 | 55 | | record. If a patient is younger than 18 years of age, a second 30 |
---|
56 | 56 | | physician must concur with this determination, and such 31 |
---|
57 | 57 | | concurrence must be documented in the patient's medical record. 32 |
---|
58 | 58 | | 4. Determined whether the patient is pregnant and 33 |
---|
59 | 59 | | documented such determination in the patient's medical record. A 34 |
---|
60 | 60 | | physician may not issue a physician certification, except for 35 |
---|
61 | 61 | | low-THC cannabis, to a patient who is pregnant. 36 |
---|
62 | 62 | | 5. Reviewed the pat ient's controlled drug prescription 37 |
---|
63 | 63 | | history in the prescription drug monitoring program database 38 |
---|
64 | 64 | | established pursuant to s. 893.055. 39 |
---|
65 | 65 | | 6. Reviews the medical marijuana use registry and 40 |
---|
66 | 66 | | confirmed that the patient does not have an active physician 41 |
---|
67 | 67 | | certification from another qualified physician. 42 |
---|
68 | 68 | | 7. Registers as the issuer of the physician certification 43 |
---|
69 | 69 | | for the named qualified patient on the medical marijuana use 44 |
---|
70 | 70 | | registry in an electronic manner determined by the department, 45 |
---|
71 | 71 | | and: 46 |
---|
72 | 72 | | a. Enters into the registry the contents of the physician 47 |
---|
73 | 73 | | certification, including the patient's qualifying condition and 48 |
---|
74 | 74 | | the dosage not to exceed the daily dose amount determined by the 49 |
---|
75 | 75 | | department, the amount and forms of marijuana authorized for the 50 |
---|
76 | 76 | | |
---|
77 | 77 | | HB 1585 2022 |
---|
78 | 78 | | |
---|
79 | 79 | | |
---|
80 | 80 | | |
---|
81 | 81 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
82 | 82 | | hb1585-00 |
---|
83 | 83 | | Page 3 of 4 |
---|
84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
85 | 85 | | |
---|
86 | 86 | | |
---|
87 | 87 | | |
---|
88 | 88 | | patient, and any types of marij uana delivery devices needed by 51 |
---|
89 | 89 | | the patient for the medical use of marijuana. 52 |
---|
90 | 90 | | b. Updates the registry within 7 days after any change is 53 |
---|
91 | 91 | | made to the original physician certification to reflect such 54 |
---|
92 | 92 | | change. 55 |
---|
93 | 93 | | c. Deactivates the registration of the qualified patient 56 |
---|
94 | 94 | | and the patient's caregiver when the physician no longer 57 |
---|
95 | 95 | | recommends the medical use of marijuana for the patient. 58 |
---|
96 | 96 | | 8. Obtains the voluntary and informed written consent of 59 |
---|
97 | 97 | | the patient for medical u se of marijuana each time the qualified 60 |
---|
98 | 98 | | physician issues a physician certification for the patient, 61 |
---|
99 | 99 | | which shall be maintained in the patient's medical record. The 62 |
---|
100 | 100 | | patient, or the patient's parent or legal guardian if the 63 |
---|
101 | 101 | | patient is a minor, must sign the i nformed consent acknowledging 64 |
---|
102 | 102 | | that the qualified physician has sufficiently explained its 65 |
---|
103 | 103 | | content. The qualified physician must use a standardized 66 |
---|
104 | 104 | | informed consent form adopted in rule by the Board of Medicine 67 |
---|
105 | 105 | | and the Board of Osteopathic Medicine, which m ust include, at a 68 |
---|
106 | 106 | | minimum, information related to: 69 |
---|
107 | 107 | | a. The Federal Government's classification of marijuana as 70 |
---|
108 | 108 | | a Schedule I controlled substance. 71 |
---|
109 | 109 | | b. The approval and oversight status of marijuana by the 72 |
---|
110 | 110 | | Food and Drug Administration. 73 |
---|
111 | 111 | | c. The current state of research on the efficacy of 74 |
---|
112 | 112 | | marijuana to treat the qualifying conditions set forth in this 75 |
---|
113 | 113 | | |
---|
114 | 114 | | HB 1585 2022 |
---|
115 | 115 | | |
---|
116 | 116 | | |
---|
117 | 117 | | |
---|
118 | 118 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
119 | 119 | | hb1585-00 |
---|
120 | 120 | | Page 4 of 4 |
---|
121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
122 | 122 | | |
---|
123 | 123 | | |
---|
124 | 124 | | |
---|
125 | 125 | | section. 76 |
---|
126 | 126 | | d. The potential for addiction. 77 |
---|
127 | 127 | | e. The potential effect that marijuana may have on a 78 |
---|
128 | 128 | | patient's coordination, motor skills, and cognition, includin g a 79 |
---|
129 | 129 | | warning against operating heavy machinery, operating a motor 80 |
---|
130 | 130 | | vehicle, or engaging in activities that require a person to be 81 |
---|
131 | 131 | | alert or respond quickly. 82 |
---|
132 | 132 | | f. The potential side effects of marijuana use, including 83 |
---|
133 | 133 | | the negative health risks associated with smoking marijuana. 84 |
---|
134 | 134 | | g. The risks, benefits, and drug interactions of 85 |
---|
135 | 135 | | marijuana. 86 |
---|
136 | 136 | | h. That the patient's de -identified health information 87 |
---|
137 | 137 | | contained in the physician certification and medical marijuana 88 |
---|
138 | 138 | | use registry may be used for research purposes. 89 |
---|
139 | 139 | | Section 2. This act shall take effect July 1, 2022. 90 |
---|