25 SB 220/CSFA Senate Bill 220 By: Senators Brass of the 6th, Summers of the 13th, Hatchett of the 50th, Strickland of the 42nd, Jackson of the 41st and others AS PASSED SENATE A BILL TO BE ENTITLED AN ACT To amend various provisions of the Official Code of Georgia Annotated, so as to rename low 1 THC oil as medical cannabis; to amend Chapter 12 of Title 16, Article 2 of Chapter 13 of2 Title 16, and Article 1 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated,3 relating to offenses against the public health and morals, regulation of controlled substances,4 and general provisions relative to the Department of Public Health, respectively, so as to5 clarify and revise criminal penalties; to clarify and revise exemptions to criminal penalties;6 to revise the duties of the Georgia Access to Medical Cannabis Commission; to provide for7 the provision of certain information by licensees; to provide limitations on the provision of8 such information; to repeal the prohibition on certain manners of ingesting medical cannabis;9 to exclude the lawful possession and control of medical cannabis from the provisions of the10 Georgia Controlled Substances Act; to revise the list of diagnosed conditions for which a11 medical cannabis registration card can be issued; to provide for conforming changes; to12 provide for definitions; to provide a short title; to provide for related matters; to repeal13 conflicting laws; and for other purposes.14 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:15 S. B. 220 - 1 - 25 SB 220/CSFA PART I 16 SECTION 1-1.17 This Act shall be known and may be cited as the "Putting Georgia's Patients First Act."18 PART II19 SECTION 2-1.20 Title 2 of the Official Code of Georgia Annotated, relating to agriculture, is amended by21 replacing "low THC oil" and "Low THC oil" with "medical cannabis" and "Medical22 cannabis", respectively, wherever such terms occur in:23 (1) Code Section 2-11-36, relating to seeds used in production of low THC oil;24 (2) Code Section 2-23-9.2, relating to consumable hemp products, packaging, advertising,25 and distribution; and26 (3) Code Section 2-23-9.3, relating to location of retail establishments selling or27 distributing consumable hemp products.28 SECTION 2-2.29 Article 9 of Chapter 12 of Title 16 of the Official Code of Georgia Annotated, relating to30 access to medical cannabis, is amended by replacing "low THC oil" and "Low THC oil" with31 "medical cannabis" and "Medical cannabis", respectively, and by replacing "Low THC Oil32 Patient Registry" with "Medical Cannabis Patient Registry" wherever such terms occur in:33 (1) Code Section 16-12-201, relating to prohibition against producing, growing,34 manufacturing, or dispensing low THC oil or products;35 (2) Code Section 16-12-204, relating to nontransferable designated university licenses to36 produce low THC oil and products, research and reporting of collected information, and37 license revocation;38 S. B. 220 - 2 - 25 SB 220/CSFA (3) Code Section 16-12-206, relating to annual, nontransferable dispensing license, 39 adoption of rules, and fees;40 (4) Code Section 16-12-210, relating to powers, duties, and responsibilities of the Georgia41 Access to Medical Cannabis Commission, no undue burden on patients, and remission of42 fees;43 (5) Code Section 16-12-211, relating to class 1 production licenses, application fee,44 revocation, and limitation on ownership;45 (6) Code Section 16-12-212, relating to class 2 production licenses, application fees,46 revocation, and limitation on ownership;47 (7) Code Section 16-12-213, relating to tracking system requirements;48 (8) Code Section 16-12-216, relating to Bureau of Investigation, Access to Medical49 Cannabis Commission, and Composite Medical Board to jointly establish procedures to50 ensure compliance;51 (9) Code Section 16-12-217, relating to on-demand access to facilities, provision of52 samples, testing, and secured transportation;53 (10) Code Section 16-12-224, relating to limitation on ownership by member or former54 member of the Georgia Access to Medical Cannabis Commission, limitation on physician's55 involvement, and identification when contributing to political campaigns;56 (11) Code Section 16-12-226, relating to sales and use taxes applicable;57 (12) Code Section 16-12-230, relating to requirements for dispensing low THC oil and58 products;59 (13) Code Section 16-12-233, relating to contracts not against public policy;60 (14) Code Section 16-12-235, relating to research in compliance with federal regulations;61 and62 (15) Code Section 16-12-235.1, relating to possession of low THC oil and products by63 colleges and universities for research purposes, permitting requirements, and inspection.64 S. B. 220 - 3 - 25 SB 220/CSFA SECTION 2-3. 65 Article 1 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to66 general provisions relative to the Department of Public Health, is amended in Code Section67 31-2A-18, relating to low THC oil patient registry, registration cards, reports, waiver forms,68 and annual review and recommendations, by replacing "low THC oil" and "Low THC oil"69 with "medical cannabis" and "Medical cannabis", respectively, and by replacing "Low THC70 Oil Patient Registry" with "Medical Cannabis Patient Registry" wherever such terms occur.71 SECTION 2-4.72 Chapter 1 of Title 51 of the Official Code of Georgia Annotated, relating to general73 provisions relative to torts, is amended in Code Section 51-1-29.6, relating to liability of74 health care institutions and providers regarding low THC oil, by replacing "low THC oil" and75 "Low THC oil" with "medical cannabis" and "Medical cannabis", respectively.76 PART III77 SECTION 3-1.78 Chapter 12 of Title 16 of the Official Code of Georgia Annotated, relating to offenses against79 the public health and morals, is amended by revising Article 8, relating to regulation of low80 THC oil, as follows:81 "ARTICLE 882 16-12-190.83 As used in this article, the term: 84 (1) 'Medical cannabis' means any plant within the genus Cannabis and any part of such85 plant, including all derivatives, extracts, cannabinoids, isomers, acids, salts, and salts of86 S. B. 220 - 4 - 25 SB 220/CSFA isomers, whether growing or not, 'low THC oil' means an oil that contains an amount of87 cannabidiol and not more than 5 percent 50 percent by weight of tetrahydrocannabinol,88 tetrahydrocannabinolic acid, or a combination of tetrahydrocannabinol and89 tetrahydrocannabinolic acid which does not contain plant material exhibiting the external90 morphological features of the plant of the genus Cannabis. Such term shall not mean91 include:92 (A) Products products approved by the federal Food and Drug Administration under93 Section 505 of the federal Food, Drug, and Cosmetic Act; or94 (B) Hemp or hemp products, as defined in Code Section 2-23-3.95 (2) 'Product' shall have the same meaning as set forth in Code Section 16-12-200.96 (3) 'Registered patient' shall have the same meaning as set forth in Code97 Section 16-12-200.98 16-12-191.99 (a)(1) Notwithstanding any provision of Chapter 13 of this title, it shall be lawful for any100 person to possess, purchase, or have under his or her control 20 fluid ounces 2.0 ounces101 or less of low THC oil medical cannabis or a product or products containing an102 equivalent amount of medical cannabis if such substance medical cannabis or product or103 products is in a pharmaceutical container labeled by the manufacturer indicating the104 percentage of tetrahydrocannabinol therein and:105 (A) Such person is a registered patient with the Department of Public Health as set106 forth in Code Section 31-2A-18 and has in his or her possession a registration card107 issued by the Department of Public Health pursuant to Code Section 31-2A-18; or108 (B) Such person has in his or her possession a registration card issued by another state109 that allows the same possession of low THC oil medical cannabis as provided by this110 state's law; provided, however, that such registration card shall not be lawful authority111 when such person has been present in this state for 45 days or more.112 S. B. 220 - 5 - 25 SB 220/CSFA (2) Notwithstanding any provision of Chapter 13 of this title, any person registered113 patient who possesses, purchases, or has under his or her control 20 fluid ounces 2.0114 ounces or less of low THC oil medical cannabis or a product or products containing an115 equivalent amount of medical cannabis without complying with paragraph (1) of this116 subsection shall be punished as for a misdemeanor.117 (b)(1) Notwithstanding any provision of Chapter 13 of this title, it shall be lawful for any118 person to possess, purchase, or have under his or her control 20 fluid ounces 2.0 ounces119 or less of low THC oil medical cannabis or a product or products containing an120 equivalent amount of medical cannabis if:121 (A) Such person is involved in a clinical research program being conducted by the122 Board of Regents of the University System of Georgia or any authorized clinical trial123 or research study in this state or their authorized agent as:124 (i) A program participant;125 (ii) A parent, guardian, or legal custodian of a program participant;126 (iii) An employee of the board of regents designated to participate in the research127 program;128 (iv) A program agent;129 (v) A program collaborator and their designated employees;130 (vi) A program supplier and their designated employees;131 (vii) A program physician;132 (viii) A program clinical researcher;133 (ix) Program pharmacy personnel; or134 (x) Other program medical personnel; and135 (B) Such substance medical cannabis or product or products is in a pharmaceutical136 container labeled by the manufacturer indicating the percentage of tetrahydrocannabinol137 therein.138 S. B. 220 - 6 - 25 SB 220/CSFA (2) Notwithstanding any provision of Chapter 13 of this title, any such person who139 possesses, purchases, or has under his or her control 20 fluid ounces 2.0 ounces or less140 of low THC oil medical cannabis or a product or products containing an equivalent141 amount of medical cannabis without complying with subparagraphs (A), (B), and (C) of142 paragraph (1) of this subsection shall be punished as for a misdemeanor.143 (c) Notwithstanding any provision of Chapter 13 of this title, any person Any registered144 patient having possession of, purchasing, or having under his or her control more than 20145 fluid ounces 2.0 ounces of low THC oil but less than 160 fluid ounces of low THC oil or146 who manufactures, distributes, dispenses, sells, purchases, or possesses with the intent to147 distribute low THC oil shall be guilty of a felony and, upon conviction thereof, shall be148 punished by imprisonment for not less than one year nor more than ten years, a fine not to149 exceed $50,000.00, or both medical cannabis or a product or products containing an150 equivalent amount of medical cannabis shall be subject to the penalties set forth in Chapter151 13 of this title.152 (d) Notwithstanding any provision of Chapter 13 of this title, any person who sells,153 manufactures, delivers, brings into this state, purchases, or has possession of 160 or more154 fluid ounces of low THC oil shall be guilty of the felony offense of trafficking in low THC155 oil and, upon conviction thereof, shall be punished as follows:156 (1) If the quantity of low THC oil is at least 160 fluid ounces but less than 31,000 fluid157 ounces, by imprisonment for not less than five years nor more than ten years and a fine158 not to exceed $100,000.00;159 (2) If the quantity of low THC oil is at least 31,000 fluid ounces but less than 154,000160 fluid ounces, by imprisonment for not less than seven years nor more than 15 years and161 a fine not to exceed $250,000.00; and162 (3) If the quantity of low THC oil is 154,000 or more fluid ounces, by imprisonment for163 not less than ten years nor more than 20 years and a fine not to exceed $1 million.164 S. B. 220 - 7 - 25 SB 220/CSFA (e)(d) Subsection Subsections (c) and (d) of this Code section shall not apply to a person165 involved in a research program being conducted by the Board of Regents of the University166 System of Georgia or its authorized agent as an employee of the board of regents167 designated to participate in such program, a program agent, a program collaborator and168 their its designated employees, a program supplier and their its designated employees, a169 physician, clinical researcher, pharmacy personnel, or other medical personnel.170 (f) Subsections (c) and (d) of this Code section shall not apply to a designated university,171 pharmacy, or licensee under Article 9 of Chapter 12 of Title 16, provided that such172 possession, purchase, control, sale, manufacturing, distribution, or dispensing is solely173 conducted in accordance with the provisions of Article 9 of Chapter 12 of Title 16.174 (g)(e) Nothing in this article shall require an employer to permit or accommodate the use,175 consumption, possession, transfer, display, transportation, purchase, sale, or growing of176 marijuana in any form, or to affect the ability of an employer to have a written zero177 tolerance policy prohibiting the on-duty, and off-duty, use of marijuana, or prohibiting any178 employee from having a detectable amount of marijuana in such employee's system while179 at work."180 SECTION 3-2.181 Said chapter is further amended by revising Code Section 16-12-200, relating to definitions182 relative to access to medical cannabis, as follows:183 "16-12-200.184 As used in this article, the term:185 (1) 'Applicant' means a corporate entity applying for a license pursuant to this article.186 (2) 'Available capital' means corporate assets that are available to fund business187 operations in the event a license is awarded pursuant to Part 2 of this article.188 (3) 'Class 1 production license' means a license to produce and manufacture low THC189 oil medical cannabis and products issued pursuant to Code Section 16-12-211.190 S. B. 220 - 8 - 25 SB 220/CSFA (4) 'Class 2 production license' means a license to produce and manufacture low THC191 oil medical cannabis and products issued pursuant to Code Section 16-12-212.192 (5) 'Commission' means the Georgia Access to Medical Cannabis Commission created193 pursuant to Code Section 16-12-202.194 (6) 'Designated universities' means the University of Georgia and Fort Valley State195 University.196 (7) 'Designated university license' means a license issued by the commission pursuant197 to this article to a designated university to, separately or jointly, produce, manufacture,198 and purchase low THC oil medical cannabis and products in accordance with this article.199 (8) 'Dispense' means the sale or provision of low THC oil medical cannabis and products200 to registered patients by a dispensing licensee.201 (9) 'Dispensing license' means a specialty license issued by the State Board of Pharmacy202 or the commission pursuant to Code Section 16-12-206 to dispense low THC oil medical203 cannabis and products to registered patients.204 (10) 'Grow' means cultivating and harvesting cannabis for use in producing low THC oil205 medical cannabis and products.206 (11) 'Licensee' means any business, or owner of such business, with a valid license207 issued pursuant to this article.208 (12) 'Low THC oil' shall have the same meaning as set forth in Code Section 16-12-190.209 (13) 'Manufacture' means to process cannabis to produce low THC oil medical cannabis210 and products.211 (13) 'Medical cannabis' shall have the same meaning as set forth in Code212 Section 16-12-190.213 (14) 'Owner' means any person who directly or indirectly owns, actually or beneficially,214 or controls 5 percent or greater of interests of the applicant or any licensee. In the event215 that one person owns a beneficial right to interests and another person holds the voting216 S. B. 220 - 9 - 25 SB 220/CSFA rights with respect to such interests, then both shall be considered an owner of such 217 interests.218 (15) 'Product' means all products that are derived from, or made by, processing medical 219 cannabis and that are prepared in a form available for commercial sale, including medical220 cannabis low THC oil delivered through an oil, or tincture, transdermal patch, lotion, or221 capsule, except as prohibited by Code Section 16-12-234, but not including:222 (A) Hemp products;223 (B) Any any food products infused with low THC oil containing medical cannabis,224 including, but not limited to, cookies, and candies; or225 (C) Raw plant material or any products containing raw plant material, or edibles.226 (16) 'Registered patient' means an individual who is legally authorized to possess and use227 low THC oil medical cannabis and products pursuant to Code Section 31-2A-18.228 (17) 'Tracking system' means a seed-to-sale tracking system to track marijuana that is229 grown, processed, manufactured, transferred, stored, or disposed of and low THC oil230 medical cannabis and products that are transferred, stored, sold, dispensed, or disposed231 of pursuant to this article."232 SECTION 3-3.233 Said chapter is further amended by revising Code Section 16-12-203, relating to the powers,234 duties, and responsibilities of the Georgia Access to Medical Cannabis Commission, as235 follows:236 "16-12-203.237 The commission shall have the following powers, duties, and responsibilities:238 (1) To apply for, receive, and administer state funds appropriated to the commission,239 private grants and donations, and other funds and donations. The commission's annual240 distributions shall be capped and limited to funds received from the sources specified in241 S. B. 220 - 10 - 25 SB 220/CSFA this paragraph. The commission shall ensure that its funds are not used as a supplement 242 or secondary payor to any other third-party payor;243 (2) To execute a contract or contracts to purchase or obtain low THC oil medical244 cannabis, cannabis, cannabinoids, or any other derivative, compound, or substantially245 similar products from any available legal source and to provide logistics related thereto246 in accordance with this article. Such contract or contracts may be executed with one or247 more qualified corporations or with one or more governmental entities. Purchases made248 pursuant to this paragraph shall not be subject to state purchasing laws contained in249 Article 3 of Chapter 5 of Title 50 or in other provisions of the Official Code of Georgia250 Annotated;251 (3) To utilize funds appropriated to the commission as may be necessary to purchase and252 transport low THC oil medical cannabis and products to the State of Georgia for use by253 registered patients;254 (4) To develop, establish, maintain, and administer a low THC oil medical cannabis and255 products distribution network to obtain and distribute low THC oil medical cannabis and256 products to registered patients in this state and to coordinate the best use of facilities and257 resources to operate such distribution network;258 (5) To establish procedures for inspecting production facilities operated by designated259 universities;260 (6) To establish requirements and procedures to ensure quality control, security, and261 oversight of low THC oil medical cannabis and products production in this state,262 including, but not limited to, testing for purity and dosage levels and verification that263 product labels accurately reflect product content;264 (7) To provide for oversight of tracking systems;265 (8) To coordinate and assist in the collection of data to evaluate the provision of low266 THC oil medical cannabis and products in this state;267 S. B. 220 - 11 - 25 SB 220/CSFA (9) To study the provision of low THC oil medical cannabis and products in this state to268 determine the best practices and methods of providing such services, to determine what269 changes are needed to improve the provision of low THC oil medical cannabis and270 products, and to report any proposed legislative changes to the General Assembly each271 year;272 (10) To coordinate its activities with the Department of Public Health;273 (10.1) To engage in public awareness activities concerning the medical cannabis274 program in this state and effective uses of medical cannabis and products, including, but275 not limited to, publishing materials and conducting outreach and public education276 activities to inform members of the public, law enforcement, and healthcare providers277 about the medical cannabis program in this state and the potential benefits that medical278 cannabis and products may have to eligible patients;279 (11) To employ an executive director and other staff and to establish duties and280 responsibilities of such persons;281 (12) To employ and manage consultants, as deemed necessary, in order to fulfill its282 duties and responsibilities under this article;283 (13) To review new treatment and delivery methods for low THC oil medical cannabis284 and products that may result from medical research and are not otherwise inconsistent285 with this article, and recommend statutory changes to the General Assembly to authorize286 such treatment and delivery methods and products;287 (14) To be responsible for the noncriminal enforcement of the provisions of this article288 and to have all of the necessary duties, power, and authority to carry out such289 responsibility;290 (15) To be authorized to draft, adopt, amend, repeal, and enforce such rules and291 regulations as it deems necessary for the administration and enforcement of this article292 in the protection of public health, safety, and welfare;293 (16) To enforce qualifications for licensure; and294 S. B. 220 - 12 - 25 SB 220/CSFA (17) To levy fines for failure by a Class 1 production licensee, Class 2 production 295 licensee, or dispensing licensee to operate in accordance with rules and regulations296 established by the commission within 14 days of written notice by the commission of297 specific violations. Such fines shall not exceed $25,000.00 for a first offense, $50,000.00298 for a failure to remedy the offense within 60 days after written notice of a first offense,299 and $75,000.00 for subsequent failures to remedy noncompliance within 90 days after300 written notice of a first offense. Following a third written notice of a recurring violation,301 the commission may also order a licensee to cease operations for a period of up to 30302 days to correct the violation. Any such fines or orders to cease operations shall be subject303 to Chapter 13 of Title 50, the 'Georgia Administrative Procedure Act.'"304 SECTION 3-4.305 Said chapter is further amended by revising Code Section 16-12-215, relating to limitations306 on locations, advertising or marketing prohibited, and information available to physicians,307 as follows:308 "16-12-215.309 (a) No licensee shall operate in any location, whether for cultivation, harvesting, and310 processing of marijuana or for processing, manufacturing, packaging, or distributing low 311 THC oil medical cannabis or products, within a 3,000 foot radius of a covered entity,312 measured from property boundary to property boundary. No dispensing licensee may313 operate in any location within a 1,000 foot radius of a covered entity, measured from314 property boundary to property boundary. Notwithstanding the provisions of this315 subsection, local governments may, via use of existing zoning powers otherwise provided316 by law, allow dispensing licensees only to locate in places other than those provided in this317 subsection so long as such modification is needed to allow retail outlets to be established318 to service registered patients residing within such local jurisdiction. As used in this319 subsection, the term 'covered entity' means a public or private school; an early care and320 S. B. 220 - 13 - 25 SB 220/CSFA education program as defined in Code Section 20-1A-2; or a church, synagogue, or other 321 place of public religious worship, in existence prior to the date of licensure of such licensee322 by the commission or State Board of Pharmacy.323 (b)(1) Except as provided in paragraph (2) of this subsection, no No licensee shall324 advertise or market low THC oil medical cannabis or products to registered patients or325 the public; provided, however, that third party associations representing the medical326 cannabis industry shall not be subject to this prohibition.327 (2) A; provided, however, that a licensee shall be authorized to provide information:328 (A) Regarding regarding its low THC oil medical cannabis and products directly to329 physicians and healthcare providers; and330 (B) About the legal and safe uses of medical cannabis and products to registered331 patients or the public.332 (3) Any information provided by a licensee pursuant to paragraph (2) of this subsection333 shall not:334 (A) Include any medical claim, unless such claim is supported by reliable scientific335 evidence;336 (B) Make any false or misleading claim; or337 (C) Be attractive to children or otherwise directly or indirectly targeted to individuals338 under 21 years of age. For purposes of this subparagraph, the term 'attractive to339 children' shall have the same meaning as set forth in Code Section 2-23-3."340 SECTION 3-5A.341 Said chapter is further amended by revising subsection (a) of Code Section 16-12-230,342 relating to requirements for dispensing low THC oil and products, as follows:343 "(a) Low THC oil and Medical cannabis or products shall only be dispensed to registered344 patients or caregivers in this state by a dispensing licensee or directly from the commission345 pursuant to this article."346 S. B. 220 - 14 - 25 SB 220/CSFA SECTION 3-5. 347 Said chapter is further amended by revising Code Section 16-12-225, relating to criminal348 offenses and penalties, as follows:349 "16-12-225.350 (a) A licensee or licensee's employee who knowingly or willfully encourages, causes,351 abets, connives, conspires, or aids in the endangerment of patients, trafficking of low THC 352 oil medical cannabis, products, or its manufacturing by-products, or criminal distribution353 of raw materials and agricultural inputs, including but not limited to seeds, under this part354 shall be guilty of a felony and, upon conviction thereof, be punished by a fine not to exceed355 $100,000.00, imprisonment for not less than five nor more than ten years, or both.356 (b) Any person whose acts or omissions of gross, willful, or wanton negligence contribute357 to or cause the endangerment of patients, trafficking of low THC oil medical cannabis,358 products, or its manufacturing by-products, or criminal distribution of raw materials and359 agricultural inputs, including but not limited to seeds, under this part shall be guilty of a360 misdemeanor of a high and aggravated nature and, upon conviction thereof, be punished361 by a fine of up to $5,000.00, imprisonment for up to 12 months, or both.362 (c) Failure to comply with all other provisions of this part shall be punishable by a fine of363 up to $500.00 for the first offense. All persons convicted of a second or subsequent offense364 shall be guilty of a misdemeanor and, upon conviction thereof, be punished by a fine of up365 to $1,000.00, imprisonment for up to six months, or both, for each violation.366 (d) The provisions of this Code section shall not preclude prosecution and punishment for367 the commission of any offense otherwise provided by law."368 SECTION 3-6.369 Said chapter is further amended by revising Code Section 16-12-231, relating to exemptions370 from arrest, prosecutions, or penalty, as follows:371 S. B. 220 - 15 - 25 SB 220/CSFA "16-12-231. 372 The following persons and entities, when acting in accordance with the provisions of this373 article, shall not be subject to arrest, prosecution, or any civil or administrative penalty,374 including a civil penalty or disciplinary action by a professional licensing board, or be375 denied any right or privilege, for the medical use, prescription, administration,376 manufacture, distribution, or transport of low THC oil medical cannabis or products:377 (1) A registered patient who is in possession of an amount of low THC oil medical378 cannabis or products authorized under Code Section 16-12-191 or such patient's379 caregiver, parent, or guardian;380 (2) A physician who certifies a patient to the Department of Public Health as being381 diagnosed with a condition or in a hospice program and authorized to use low THC oil382 medical cannabis or products for treatment pursuant to Code Section 31-2A-18;383 (3) A pharmacist or pharmacy that dispenses or provides low THC oil medical cannabis384 or products to a registered patient; or products to a registered patient, or such patient's385 caregiver, parent, or guardian;386 (4) The commission or its employees or contractors associated with the production of387 low THC oil medical cannabis or products in accordance with this article;388 (5) A designated university, an employee of a designated university, or any other person389 associated with the production of low THC oil medical cannabis or products in390 accordance with this article; and391 (6) A licensee or an An employee, contractor, or agent of a licensee with proper392 identification associated with the production, manufacture, distribution, transport, or sale393 of low THC oil medical cannabis or products in accordance with this article."394 SECTION 3-7.395 S. B. 220 - 16 - 25 SB 220/CSFA Said chapter is further amended by repealing in its entirety Code Section 16-12-234, relating 396 to unlawful ways to ingest low THC oil or products, and designating such Code section as397 reserved.398 SECTION 3-8.399 Article 2 of Chapter 13 of Title 16 of the Official Code of Georgia Annotated, relating to400 regulation of controlled substances, is amended in Code Section 16-13-21, relating to401 definitions, by revising paragraph (16) as follows:402 "(16) 'Marijuana' means all parts of the plant of the genus Cannabis, whether growing or403 not, the seeds thereof, the resin extracted from any part of such plant, and every404 compound, manufacture, salt, derivative, mixture, or preparation of such plant, its seeds,405 or resin, but shall not include samples as described in subparagraph (P) of paragraph (3)406 of Code Section 16-13-25; shall not include the completely defoliated mature stalks of407 such plant, fiber produced from such stalks, oil, or cake, or the completely sterilized408 samples of seeds of the plant which are incapable of germination; and shall not include409 hemp or hemp products, as such terms are defined in Code Section 2-23-3, or medical410 cannabis or products, as such terms are defined in Code Sections 16-12-190 and411 16-12-200, respectively, when in the possession or control of a person authorized to412 possess and control such medical cannabis or products under the provisions of Article 8413 or Article 9 of Chapter 12 of this title. Such term shall not include products approved by414 the federal Food and Drug Administration under Section 505 of the federal Food, Drug,415 and Cosmetic Act."416 SECTION 3-9.417 Said article is further amended in Code Section 16-13-25, relating to Schedule I, by revising418 subparagraph (P) of paragraph (3) as follows:419 S. B. 220 - 17 - 25 SB 220/CSFA "(P) Tetrahydrocannabinol, tetrahydrocannabinolic acid, or a combination of 420 tetrahydrocannabinol and tetrahydrocannabinolic acid which does not contain plant421 material exhibiting the external morphological features of the plant of the genus422 Cannabis, but not including such substance when found in hemp or hemp products, as423 such terms are defined in Code Section 2-23-3, or in medical cannabis or products, as424 such terms are defined in Code Sections 16-12-190 and 16-12-200, respectively, when425 in the possession or control of a person authorized to possess or control such medical426 cannabis or products under the provisions of Article 8 or Article 9 of Chapter 12 of this427 title. Tetrahydrocannabinols do not include products approved by the federal Food and428 Drug Administration under Section 505 of the federal Food, Drug, and Cosmetic Act;"429 SECTION 3-10.430 Article 1 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to431 general provisions relative to the Department of Public Health, is amended in Code432 Section 31-2A-18, relating to low THC oil patient registry, registration cards, reports, waiver433 forms, and annual review and recommendations, by revising paragraph (3) of subsection (a)434 as follows: forms, and annual review and recommendations, by revising paragraphs (2) and435 (3) of subsection (a) as follows:436 "(2) 'Caregiver' means:437 (A) A the parent, guardian, or legal custodian of an individual who is less than 18 years438 of age or the legal guardian of an adult;439 (B) An adult who is designated by a patient as being an individual authorized to440 provide assistance, and who is willing to provide such assistance, with purchasing,441 possessing, and administering medical cannabis or products for such patient's use; or442 (C) A healthcare institution as defined in Code Section 51-1-29.6 where a patient is443 receiving health or medical care for a condition and where such institution agrees to444 S. B. 220 - 18 - 25 SB 220/CSFA allow such patient to possess and use medical cannabis or products on such institution's445 premises.446 "(3) 'Condition' means any of the following, provided that the patient's symptoms447 associated with any such condition can reasonably be expected to be relieved by the use448 of medical cannabis and the potential benefits of such use to the patient outweigh the449 potential health risks that such use might pose to the patient:450 (A) Any cancer except skin cancer, unless it is metastatic skin cancer Cancer when such451 disease is diagnosed as end stage or the treatment produces related wasting illness or452 recalcitrant nausea and vomiting;453 (B) Amyotrophic lateral sclerosis, when such disease is diagnosed as severe or end454 stage;455 (C) Seizure disorders related to a diagnosis of epilepsy or trauma related head injuries;456 (D) Multiple sclerosis, when such disease is diagnosed as severe or end stage;457 (E) Crohn's disease Inflammatory bowel disease;458 (F) Mitochondrial disease;459 (G) Parkinson's disease, when such disease is diagnosed as severe or end stage;460 (H) Sickle cell disease, when such disease is diagnosed as severe or end stage;461 (I) Tourette's syndrome, when such syndrome is diagnosed as severe;462 (J) Autism spectrum disorder, when such disorder is diagnosed for a patient who is at463 least 18 years of age, or severe autism, when diagnosed for a patient who is less than464 18 years of age;465 (K) Epidermolysis bullosa;466 (L) Alzheimer's disease, when such disease is diagnosed as severe or end stage;467 (M) Acquired immune deficiency syndrome, when such syndrome is diagnosed as468 severe or end stage;469 (N) Peripheral neuropathy, when such symptoms are diagnosed as severe or end stage;470 S. B. 220 - 19 - 25 SB 220/CSFA (O) Post-traumatic stress disorder resulting from direct exposure to or the witnessing 471 of a trauma for a patient who is at least 18 years of age; or 472 (P) Intractable pain; or473 (Q) Lupus."474 PART IV475 SECTION 4-1.476 All laws and parts of laws in conflict with this Act are repealed.477 S. B. 220 - 20 -