Louisiana 2016 2016 Regular Session

Louisiana Senate Bill SB271 Comm Sub / Analysis

                    RÉSUMÉ DIGEST
ACT 96 (SB 271) 2016 Regular Session	Mills
Prior law provides for medical marijuana to be prescribed. New law changes prescribed to
recommended. 
Prior law provided that medical marijuana can be prescribed for glaucoma, symptoms
resulting from the administration of chemotherapy cancer treatment and spastic quadriplegia.
New law changes the disease states to debilitating medical conditions (cancer, positive status
for human immunodeficiency virus, acquired immune deficiency syndrome, cachexia or
wasting syndrome, seizure disorders, epilepsy, spasticity, Crohn's disease, muscular
dystrophy, or multiple sclerosis).
New law will no longer apply to any debilitating medical condition covered by new law for
which the U.S. Food and Drug Administration (U.S. FDA) approves the use of medical
marijuana in the same form provided for in new law.  
New law will continue to apply to any debilitating medical condition covered by new law
for which the U.S. FDA approves the use of medical marijuana or a derivative in a form not
provided for in new law.  New law requires a patient to first be treated by the approved form
or derivative of medical marijuana through utilization of step therapy or fail first protocols. 
If the physician determines that the preferred treatment required under step therapy or fail
first protocol has been ineffective in the treatment of the patient's debilitating medical
condition, he may prescribe the form of medical marijuana pursuant to new law for use by
the patient as medically necessary.
New law adds a definition of "recommend" or "recommended" as an order from a physician
domiciled in La. and licensed and in good standing with the La. State Board of Medical
Examiners and authorized by the board to recommend medical marijuana that is patient-
specific and disease-specific in accordance with prior law and is communicated by any
means allowed by the La. Board of Pharmacy to a La.-licensed pharmacist in a La.-permitted
dispensing pharmacy as described in prior law and is preserved on file as required by La. law
or federal law regarding medical marijuana.
Prior law requires the recommending physician to be licensed to practice medicine in this
state. New law requires the recommending physician to be licensed by the La. State Board
of Medical Examiners, in good standing with the board, and domiciled in La.
New law clarifies that the LSU Agricultural Center and the Southern University Agricultural
Center shall have separate licenses if they exercise their right of first refusal and that they
need to make that determination by Sept. 1, 2016. Further authorizes these agricultural
centers to conduct research on marijuana for therapeutic use if licensed as a production
facility.
New law adds authorization for the Dept. of Agriculture and Forestry to obtain criminal
history record information on applicants for licensure as a producer of therapeutic marijuana.
Prior law provides for reporting and rule promulgation deadlines that have passed. New law
repeals deadlines that have passed and instructs the boards to update their rules to reflect the
change in new law from prescribed to recommended.
New law requires rules promulgated by the Dept. of Agriculture to require  food- grade
ethanol extraction to be used in order to mitigate the risk of bacterial contamination.  New
law further requires the rules to require the extraction and refining process to produce a
product that is food safe and capable of producing pharmaceutical-grade products.
Provides a separate effective date for certain provisions of the law that if the U.S. DEA
reclassifies marijuana from a Schedule I drug to a Schedule II drug, new law will change
from authorizing the recommendation by a physician for use of medical marijuana to a
prescription by a physician for use of medical marijuana.
Certain provisions of new law authorizing the recommendation by a physician for use of
medical marijuana will be effective upon signature of the governor. (Amends R.S. 40:1046; adds R.S. 40:1047)