LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington St., Suite 301 Indianapolis, IN 46204 (317) 233-0696 iga.in.gov FISCAL IMPACT STATEMENT LS 6265 NOTE PREPARED: Dec 14, 2023 BILL NUMBER: HB 1146 BILL AMENDED: SUBJECT: Medical Marijuana. FIRST AUTHOR: Rep. Lucas BILL STATUS: As Introduced FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State & Local XDEDICATED FEDERAL Summary of Legislation: Serious Medical Conditions: The bill permits the use of medical marijuana by persons with serious medical conditions as determined by their physician. Medical Marijuana Program (MMP): The bill establishes a Medical Marijuana Program (MMP) to permit the cultivation, processing, testing, transportation, and dispensing of medical marijuana by holders of a valid permit. It requires the Indiana Department of Health (IDOH) to implement and enforce the MMP. Permit Holders and Packaging: The bill requires that permit holders undertake steps to prevent diversion of medical marijuana to unauthorized persons. It also requires that medical marijuana and medical marijuana products be properly labeled, placed in child resistant packaging, and tested by an independent testing laboratory before being made available for purchase. It prohibits packaging medical marijuana in a manner that is appealing to children. Research: The bill authorizes research on medical marijuana in accordance with rules set forth by the IDOH. Discrimination: The bill prohibits discrimination against medical marijuana users. The bill also prohibits harassment of medical marijuana users by law enforcement officers, and prohibits cooperation with federal law enforcement officials seeking to enforce federal laws that criminalize the use of marijuana authorized in Indiana. Medical Marijuana Oversight Board (Board): The bill establishes the Medical Marijuana Oversight Committee to review appeals and grievances concerning the MMP. Defenses: It provides a defense to prosecution for a person who operates a vehicle or motorboat with HB 1146 1 marijuana or its metabolite in the person's blood under certain conditions that involve medical marijuana. The bill makes conforming amendments. Effective Date: July 1, 2024. Explanation of State Expenditures: Summary - The bill could increase state costs between $493,500 and $663,500 in the initial years for the Indiana Department of Health (IDOH) to implement the MMP and for the advisory committee. Additional Information - Marijuana is federally classified as a Schedule I controlled drug with no medically indicated uses. Although 14 states have comprehensive medical marijuana programs and 24 states have combined adult and medical use regulatory programs, future federal responses to state initiatives is unknown. Medical Marijuana Program (MMP): In the initial years, the bill is estimated to increase annual state expenditures for the IDOH between $480,000 and $650,000 to establish and operate the MMP. After an indeterminate implementation period, the MMP’s total costs will depend on the number of employees needed to regulate medical marijuana. The costs may be at least partially offset with permit fees that are deposited in the state General Fund. The cost of the advisory committee will depend on the budget established by the Legislative Council. Recently, budgets for committees of similar size have been $13,500 per interim. The IDOH will establish a program that features individual identification cards and business permits. The IDOH is made up of established divisions operating federal, state, and combination programs. On average, the divisions have 7.3 executive or managerial staff with average annual salary and benefits of about $696,100 per division. This is similar to the average cost of other state regulatory agencies and divisions of state agencies with regulatory functions. The administrative costs are based on the Indiana Gaming Commission’s overhead costs and estimated costs for new equipment. Total regulatory expenses are determined by overall enforcement activities of the agency, the number of regulated entities, the complexity of items to be regulated, and the number of facilities to be inspected. Ultimately, the number of regulated entities under this bill may increase over time leading to increased expenditures by the IDOH in future years. Two new Level 6 felonies concerning discrimination against an MMP participant should have a minimal impact on the Department of Correction’s (DOC) offender population. As well, impaired operation of a motor vehicle, motorboat, or any other device or equipment while under the influence of cannabis are Class C misdemeanors, but may be charged as Level 4, Level 5, or Level 6 felonies depending upon the circumstance. The bill adds a defense to these offenses that will have an indeterminate impact on the number of people committed to a DOC facility. Between FY 2019 and FY 2023, a total of 17 individuals were committed to a DOC facility for felony impaired operation of a vehicle while under the influence of cannabis. A Level 6 felony is punishable by a prison term ranging from 6 to 30 months, with an advisory sentence of 1 year. The sentence depends on mitigating and aggravating circumstances. Assuming offenders can be housed in existing facilities with no additional staff, the marginal cost for medical care, food, and clothing is approximately $4,456 annually, or $12.21 daily, per prisoner. However, any additional expenditures are likely to be small. Explanation of State Revenues: Revenue to the state General Fund could increase between $11.1 M and HB 1146 2 $25.5 M in the initial year from Sales Tax and permit and identification fees. An estimated total between $17,172 and $39,200 from state Sales Tax revenue would be distributed to the Commuter Rail Service Fund and the Industrial Rail Service Fund per fiscal year. Additional Information - Sales Tax: Sales of medical cannabis would be subject to Sales Tax after marijuana is removed as a federal Schedule I controlled substance and after state permits for the sale of cannabis have been issued. Sales Tax revenue could increase by an estimated $10.6 M to $24.2 M in the first full year of sales. This estimate is based on data from other states that have implemented similar programs, adjusted for population and prevalence of marijuana use, as well as potential out-of-state sales. Sales Tax revenue is deposited in the state General Fund (99.838%), Commuter Rail Service Fund (0.131%), and Industrial Rail Service Fund (0.031%). Permit and Identification Fees: Permit fees will increase revenue to the state General Fund by an indeterminate, but potentially significant amount. Comparable agencies and programs have fee and fine revenue of between $4 M and $17 M, while similar new programs in other states received $0.5 M and $1.3 M in the early years. The Indiana Alcohol and Tobacco Commission, a mature program, received an average of $15.8 M from alcohol beverage permits between FY 2018 and FY 2022. The IDOH may assess a penalty of up to $10,000 per violation and an additional penalty of up to $1,000 for each day a violation continues. The IDOH may revoke an identification card or permit. An identification card for a patient or caregiver is $50 for issuance or renewal. Demonstrated financial hardship may reduce or waive the fee. The bill also requires the IDOH to conduct a national criminal history background check of each applicant for a caregiver identification card. The applicant is responsible for the $15 State Police Fee. Medical marijuana organization permit fees are listed in the following table. Fee Type Grower Processor Dispensory Testing Laboratory Application (nonrefundable) $10,000 $10,000 $5,000 $2,000 Permit (refundable) $50,000 $50,000 $20,000/location$10,000/location Permit renewal (refundable) $10,000 $10,000 $5,000/location$2,000/location Permit amendment (nonrefundable) $250 $250 $250 $250 Penalty Provision: The bill’s penalty provisions will have an indeterminate impact on revenues from fines and court fees, impacting the Common School Fund and the state General Fund. The bill adds the following criminal penalties: •Discrimination against a person authorized by the MMP, a Class C infraction or a Class B infraction for a subsequent offense; •Harassment of a medical marijuana user, a Class A misdemeanor or Level 6 felony for a subsequent offense; and •Aiding federal law enforcement officer in enforcing a criminal law or authorizing a forfeiture of an activity made legal by the bill, a Level 6 felony. HB 1146 3 The bill excludes patients, caregivers, medical marijuana organizations, testing laboratories, research facilities, and transporters from the following offenses: •Possession of paraphernalia, a Class C misdemeanor or Class A misdemeanor for a subsequent offense; •Dealing in paraphernalia, a Class A infraction or a Class A misdemeanor or Level 6 felony in certain circumstances; •Dealing in marijuana, hash oil, hashish, or salvia, a Class A misdemeanor or higher depending on the substance weight; and •Possession of marijuana, hash oil, hashish, or salvia, a Class B misdemeanor or higher depending on the substance weight. If additional court cases occur and fines are collected, revenue to both the Common School Fund (from criminal fines) and the state General Fund (from court fees) would increase. The maximum fine for felonies and misdemeanors in this bill are shown below: Penalty Maximum Fine/Judgement Deposited in Any felony $10,000 Common School Fund Class A misdemeanor $5,000 Common School Fund Class B misdemeanor $1,000 Common School Fund Class C misdemeanor $500 Common School Fund Class B infraction $1,000 State General Fund Class C infraction $500 State General Fund The total fee revenue per case would range between $113 and $135. The amount of court fees deposited will vary depending on whether the case is filed in a court of record or a municipal court. The following linked document describes the fees and distribution of the revenue: Court fees imposed in criminal, juvenile, and civil violation cases. Explanation of Local Expenditures: Penalty Provision: If more defendants are detained in county jails prior to their court hearings, local expenditures for jail operations may increase. However, any additional expenditures would likely be small. Explanation of Local Revenues: Penalty Provision: If additional court actions occur and a guilty verdict is entered, more revenue will be collected by certain local units. If the case is filed in a court of record, the county general fund will receive $47.40 and qualifying municipalities will receive a share of $3.60. If the case is filed in a municipal court, the county receives $30, and the municipality will receive $46. The following linked document describes the fees and distribution of the revenue: Court fees imposed in criminal, juvenile, and civil violation cases. State Agencies Affected: Indiana Department of Health; Department of Correction. Local Agencies Affected: Trial courts; local law enforcement agencies. HB 1146 4 Information Sources: Indiana Supreme Court, Indiana Trial Court Fee Manual; Department of Correction. Fiscal Analyst: Karen Rossen, 317-234-2106. HB 1146 5