Missouri 2022 Regular Session

Missouri House Bill HJR142 Compare Versions

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11 SECONDREGULARSESSION
2-HOUSECOMMITTEESUBSTITUTEFOR
32 HOUSEJOINTRESOLUTION NO.
43 142
54 101STGENERALASSEMBLY
6-5732H.02C DANARADEMANMILLER,ChiefClerk
5+INTRODUCEDBYREPRESENTATIVECHIPMAN.
6+5732H.01I DANARADEMANMILLER,ChiefClerk
77 JOINTRESOLUTION
88 SubmittingtothequalifiedvotersofMissourianamendmentrepealingSection1ofArticle
99 XIVoftheConstitutionofMissouri,andadoptingonenewsectioninlieuthereof
1010 relatingtomedicalmarijuana.
1111 BeitresolvedbytheHouseofRepresentatives,theSenateconcurringtherein:
1212 ThatatthenextgeneralelectiontobeheldinthestateofMissouri,onTuesdaynext
1313 2followingthefirstMondayinNovember,2022,orataspecialelectiontobecalledbythe
1414 3governorforthatpurpose,thereisherebysubmittedtothequalifiedvotersofthisstate,for
1515 4adoptionorrejection,thefollowingamendmenttoArticleXIVoftheConstitutionofthestate
1616 5ofMissouri:
1717 SectionA.Section1,ArticleXIV,ConstitutionofMissouri,isrepealedandonenew
1818 2sectionadoptedinlieuthereof,tobeknownasSection1,toreadasfollows:
1919 Section1.1.Purposes.
2020 2 Thissectionisintendedtopermitstate-licensedphysicianstorecommendmarijuana
2121 3formedicalpurposestopatientswithseriousillnessesandmedicalconditions.Thesection
2222 4allowspatientswithqualifyingmedicalconditionstherighttodiscussfreelywiththeir
2323 5physiciansthepossiblebenefitsofmedicalmarijuanause,therightoftheirphysiciansto
2424 6provideprofessionaladviceconcerningthesame,andtherighttousemedicalmarijuanafor
2525 7treatmentunderthesupervisionofaphysician.
2626 8 ThissectionisintendedtomakeonlythosechangestoMissourilawsthatare
2727 9necessarytoprotectpatients,theirprimarycaregivers,andtheirphysiciansfromciviland
28-10criminalpenalties,andtoallowforthelimitedlegalproduction,distribution,saleand
28+EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
29+intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 10criminalpenalties,andtoallowforthelimitedlegalproduction,distribution,saleand
2930 11purchaseofmarijuanaformedicaluse.Thissectionisnotintendedtochangecurrentcivil
30-EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
31-intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 12andcriminallawsgoverningtheuseofmarijuanafornonmedicalpurposes.Thesectiondoes
31+12andcriminallawsgoverningtheuseofmarijuanafornonmedicalpurposes.Thesectiondoes
3232 13notallowforthepublicuseofmarijuanaanddrivingundertheinfluenceofmarijuana.
3333 14 2.Definitions.
3434 15 (1)"Administer"meansthedirectapplicationofmarijuanatoaqualifyingpatientby
3535 16wayofanyofthefollowingmethods:
3636 17 (a)Ingestionofcapsules,teas,oils,andothermarijuana-infusedproducts;
3737 18 (b)Vaporizationorsmokingofdriedflowers,buds,plantmaterial,extracts,oroils;
3838 19 (c)Applicationofointmentsorbalms;
3939 20 (d)Transdermalpatchesandsuppositories;
4040 21 (e)Consumingmarijuana-infusedfoodproducts;or
4141 22 (f)Anyothermethodrecommendedbyaqualifyingpatient'sphysician.
4242 23 (2)"Department"meansthedepartmentofhealthandseniorservices,oritssuccessor
4343 24agency.
4444 25 (3)"Entity"meansanaturalperson,corporation,professionalcorporation,nonprofit
4545 26corporation,cooperativecorporation,unincorporatedassociation,businesstrust,limited
4646 27liabilitycompany,generalorlimitedpartnership,limitedliabilitypartnership,jointventure,or
4747 28anyotherlegalentity.
4848 29 (4)"Floweringplant"meansamarijuanaplantfromthetimeitexhibitsthefirstsigns
4949 30ofsexualmaturitythroughharvest.
5050 31 (5)"Marijuana"or"marihuana"meansCannabisindica,Cannabissativa,and
5151 32Cannabisruderalis,hybridsofsuchspecies,andanyotherstrainscommonlyunderstood
5252 33withinthescientificcommunitytoconstitutemarijuana,aswellasresinextractedfromthe
5353 34plantandmarijuana-infusedproducts."Marijuana"or"marihuana"donotincludeindustrial
5454 35hempcontainingacropwideaveragetetrahydrocannabinolconcentrationthatdoesnotexceed
5555 36three-tenthsofonepercentonadryweightbasis,orcommoditiesorproductsmanufactured
5656 37fromindustrialhemp.
5757 38 (6)"Marijuana-infusedproducts"meansproductsthatareinfusedwithmarijuanaor
5858 39anextractthereofandareintendedforuseorconsumptionotherthanbysmoking,including,
5959 40butnotlimitedto,edibleproducts,ointments,tincturesandconcentrates.
6060 41 (7)"Medicalmarijuanacultivationfacility"meansafacilitylicensedbythe
6161 42departmenttoacquire,cultivate,process,store,transport,andsellmarijuanatoamedical
6262 43marijuanadispensaryfacility,medicalmarijuanatestingfacility,ortoamedicalmarijuana-
6363 44infusedproductsmanufacturingfacility.
6464 45 (8)"Medicalmarijuanadispensaryfacility"meansafacilitylicensedbythe
6565 46departmenttoacquire,store,sell,transport,anddelivermarijuana,marijuana-infused
66-47products,anddrugparaphernaliausedtoadministermarijuanaasprovidedforinthissection
66+HJR142 2 47products,anddrugparaphernaliausedtoadministermarijuanaasprovidedforinthissection
6767 48toaqualifyingpatient,aprimarycaregiver,anothermedicalmarijuanadispensaryfacility,a
68-HCSHJR142 2 49medicalmarijuanatestingfacility,oramedicalmarijuana-infusedproductsmanufacturing
68+49medicalmarijuanatestingfacility,oramedicalmarijuana-infusedproductsmanufacturing
6969 50facility.
7070 51 (9)"Medicalmarijuana-infusedproductsmanufacturingfacility"meansafacility
7171 52licensedbythedepartmenttoacquire,store,manufacture,transport,andsellmarijuana-
7272 53infusedproductstoamedicalmarijuanadispensaryfacility,amedicalmarijuanatesting
7373 54facility,ortoanothermedicalmarijuana-infusedproductsmanufacturingfacility.
7474 55 (10)"Medicalmarijuanatestingfacility"meansafacilitycertifiedbythedepartment
7575 56toacquire,test,certify,andtransportmarijuana.
7676 57 (11)"Medicaluse"meanstheproduction,possession,delivery,distribution,
7777 58transportation,oradministrationofmarijuanaoramarijuana-infusedproduct,ordrug
7878 59paraphernaliausedtoadministermarijuanaoramarijuana-infusedproduct,forthebenefitof
7979 60aqualifyingpatienttomitigatethesymptomsoreffectsofthepatient'squalifyingmedical
8080 61condition.
8181 62 (12)"Physician"meansanindividualwhoislicensedandingoodstandingtopractice
8282 63medicineorosteopathyunderMissourilaw.
8383 64 (13)"Physiciancertification"meansadocument,whetherhandwritten,electronicor
8484 65inanothercommonlyusedformat,signedbyaphysicianandstatingthat,inthephysician's
8585 66professionalopinion,thepatientsuffersfromaqualifyingmedicalcondition.
8686 67 (14)"Primarycaregiver"meansanindividualtwenty-oneyearsofageorolderwho
8787 68hassignificantresponsibilityformanagingthewell-beingofaqualifyingpatientandwhois
8888 69designatedassuchontheprimarycaregiver'sapplicationforanidentificationcardunderthis
8989 70sectionorinotherwrittennotificationtothedepartment.
9090 71 (15)"Qualifyingmedicalcondition"meanstheconditionof,symptomsrelatedto,or
9191 72side-effectsfromthetreatmentof:
9292 73 (a)Cancer;
9393 74 (b)Epilepsy;
9494 75 (c)Glaucoma;
9595 76 (d)Intractablemigrainesunresponsivetoothertreatment;
9696 77 (e)Achronicmedicalconditionthatcausessevere,persistentpainorpersistent
9797 78musclespasms,includingbutnotlimitedtothoseassociatedwithmultiplesclerosis,seizures,
9898 79Parkinson'sdisease,andTourette'ssyndrome;
9999 80 (f)Debilitatingpsychiatricdisorders,including,butnotlimitedto,posttraumatic
100100 81stressdisorder,ifdiagnosedbyastatelicensedpsychiatrist;
101101 82 (g)Humanimmunodeficiencyvirusoracquiredimmunedeficiencysyndrome;
102-83 (h)Achronicmedicalconditionthatisnormallytreatedwithaprescription
102+HJR142 3 83 (h)Achronicmedicalconditionthatisnormallytreatedwithaprescription
103103 84medicationthatcouldleadtophysicalorpsychologicaldependence,whenaphysician
104-HCSHJR142 3 85determinesthatmedicaluseofmarijuanacouldbeeffectiveintreatingthatconditionand
104+85determinesthatmedicaluseofmarijuanacouldbeeffectiveintreatingthatconditionand
105105 86wouldserveasasaferalternativetotheprescriptionmedication;
106106 87 (i)Anyterminalillness;or
107107 88 (j)Intheprofessionaljudgmentofaphysician,anyotherchronic,debilitatingorother
108108 89medicalcondition,including,butnotlimitedto,hepatitisC,amyotrophiclateralsclerosis,
109109 90inflammatoryboweldisease,Crohn'sdisease,Huntington'sdisease,autism,neuropathies,
110110 91sicklecellanemia,agitationofAlzheimer'sdisease,cachexia,andwastingsyndrome.
111111 92 (16)"Qualifyingpatient"meansaMissouriresidentdiagnosedwithatleastone
112112 93qualifyingmedicalcondition.
113113 94 3.CreatingPatientAccesstoMedicalMarijuana.
114114 95 (1)Incarryingouttheimplementationofthissection,thedepartmentshallhavethe
115115 96authorityto:
116116 97 (a)Grantorrefusestatelicensesandcertificationsforthecultivation,manufacture,
117117 98dispensing,sale,testing,tracking,andtransportationofmarijuanaformedicaluseasprovided
118118 99bylaw;suspend,fine,restrict,orrevokesuchlicensesandcertificationsuponaviolationof
119119 100thissectionorarulepromulgatedpursuanttothissection;andimposeanyadministrative
120120 101penaltyauthorizedbythissectionoranyrulepromulgatedpursuanttothissection.
121121 102 (b)Promulgaterulesandemergencyrulesnecessaryfortheproperregulationand
122122 103controlofthecultivation,manufacture,dispensing,andsaleofmarijuanaformedicaluseand
123123 104fortheenforcementofthissectionsolongaspatientaccessisnotrestrictedunreasonablyand
124124 105suchrulesarereasonablynecessaryforpatientsafetyortorestrictaccesstoonlylicensees
125125 106andqualifyingpatients.
126126 107 (c)Developsuchforms,certificates,licenses,identificationcards,andapplicationsas
127127 108arenecessaryfor,orreasonablyrelatedto,theadministrationofthissectionoranyofthe
128128 109rulespromulgatedunderthissection;
129129 110 (d)Requireaseed-to-saletrackingsystemthattracksmedicalmarijuanafromeither
130130 111theseedorimmatureplantstageuntilthemedicalmarijuanaormedicalmarijuana-infused
131131 112productissoldtoaqualifyingpatientorprimarycaregivertoensurethatnomedical
132132 113marijuanagrownbyamedicalmarijuanacultivationfacilityormanufacturedbyamedical
133133 114marijuana-infusedproductsmanufacturingfacilityissoldorotherwisetransferredexceptbya
134134 115medicalmarijuanadispensaryfacility.Thedepartmentshallcertify,ifpossible,atleasttwo
135135 116commerciallyavailablesystemstolicenseesascompliantwithitstrackingstandardsand
136136 117issuestandardsforthecreationoruseofothersystemsbylicensees.
137137 118 (e)Issuestandardsforthesecuretransportationofmarijuanaandmarijuana-infused
138138 119products.Thedepartmentshallcertifyentitieswhichdemonstratecompliancewithits
139-120transportationstandardstotransportmarijuanaandmarijuana-infusedproductstoamedical
139+HJR142 4 120transportationstandardstotransportmarijuanaandmarijuana-infusedproductstoamedical
140140 121marijuanacultivationfacility,amedicalmarijuana-infusedproductsmanufacturingfacility,a
141-HCSHJR142 4 122medicalmarijuanadispensaryfacility,amedicalmarijuanatestingfacility,oranotherentity
141+122medicalmarijuanadispensaryfacility,amedicalmarijuanatestingfacility,oranotherentity
142142 123withatransportationcertification.Thedepartmentshalldeveloporadoptfromanyother
143143 124governmentalagencysuchsafetyandsecuritystandardsasarereasonablynecessaryforthe
144144 125transportationofmarijuana.Anyentitylicensedorcertifiedpursuanttothissectionshallbe
145145 126allowedtotransportcannabis.
146146 127 (f)Thedepartmentmaychargeafeenottoexceed$5,000foranycertificationissued
147147 128pursuanttothissection.
148148 129 (g)Prepareandtransmitannuallyapubliclyavailablereportaccountingtothe
149149 130governorfortheefficientdischargeofallresponsibilitiesassignedtothedepartmentunder
150150 131thissection;
151151 132 (h)Establishasystemtonumericallyscorecompetingmedicalmarijuanalicensee
152152 133andcertificateapplicants,onlyincaseswheremoreapplicantsapplythantheminimum
153153 134numberoflicensesorcertificatesascalculatedbythissection,whichscoringshallbelimited
154154 135toananalysisofthefollowing:
155155 136 (i)thecharacter,veracity,background,qualifications,andrelevantexperienceof
156156 137principalofficersormanagers;
157157 138 (ii)thebusinessplanproposedbytheapplicant,whichinthecaseofcultivation
158158 139facilitiesanddispensariesshallincludetheabilitytomaintainanadequatesupplyof
159159 140marijuana,planstoensuresafetyandsecurityofqualifyingpatientsandthecommunity,
160160 141procedurestobeusedtopreventdiversion,andanyplanformakingmarijuanaavailableto
161161 142low-incomequalifyingpatients;
162162 143 (iii)sitesecurity;
163163 144 (iv)experienceinalegalcannabismarket;
164164 145 (v)inthecaseofmedicalmarijuanatestingfacilities,theexperienceoftheirpersonnel
165165 146withtestingmarijuana,foodordrugsfortoxinsand/orpotencyandhealthcareindustry
166166 147experience;
167167 148 (vi)thepotentialforpositiveeconomicimpactinthesitecommunity;
168168 149 (vii)inthecaseofmedicalmarijuanacultivationfacilities,capacityorexperiencewith
169169 150agriculture,horticulture,andhealthcare;
170170 151 (viii)inthecaseofmedicalmarijuanadispensaryfacilities,capacityorexperience
171171 152withhealthcare,thesuitabilityoftheproposedlocation,anditsaccessibilityforpatients;
172172 153 (ix)inthecaseofmedicalmarijuana-infusedproductsmanufacturingfacilities,
173173 154capacityorexperiencewithfoodandbeveragemanufacturing;and
174174 155 (x)maintainingcompetitivenessinthemarijuanaformedicalusemarketplace.
175-156 Inrankingapplicantsandawardinglicensesandcertificates,thedepartmentmay
175+HJR142 5 156 Inrankingapplicantsandawardinglicensesandcertificates,thedepartmentmay
176176 157consultorcontractwithotherpublicagencieswithrelevantexpertiseregardingthesefactors.
177-HCSHJR142 5 158Thedepartmentshallliftoreaseanylimitonthenumberoflicenseesorcertificateholdersin
177+158Thedepartmentshallliftoreaseanylimitonthenumberoflicenseesorcertificateholdersin
178178 159ordertomeetthedemandformarijuanaformedicalusebyqualifyingpatients.
179179 160 (2)Thedepartmentshallissueanyrulesoremergencyrulesnecessaryforthe
180180 161implementationandenforcementofthissectionandtoensuretherightto,availability,and
181181 162safeuseofmarijuanaformedicalusebyqualifyingpatients.Indevelopingsuchrulesor
182182 163emergencyrules,thedepartmentmayconsultwithotherpublicagencies.Inadditiontoany
183183 164otherrulesoremergencyrulesnecessarytocarryoutthemandatesofthissection,the
184184 165departmentmayissuerulesoremergencyrulesrelatingtothefollowingsubjects:
185185 166 (a)Compliancewith,enforcementof,orviolationofanyprovisionofthissectionor
186186 167anyruleissuedpursuanttothissection,includingproceduresandgroundsfordenying,
187187 168suspending,fining,restricting,orrevokingastatelicenseorcertificationissuedpursuantto
188188 169thissection;
189189 170 (b)Specificationsofdutiesofofficersandemployeesofthedepartment;
190190 171 (c)Instructionsorguidanceforlocalauthoritiesandlawenforcementofficers;
191191 172 (d)Requirementsforinspections,investigations,searches,seizures,andsuch
192192 173additionalenforcementactivitiesasmaybecomenecessaryfromtimetotime;
193193 174 (e)Creationofarangeofadministrativepenaltiesforusebythedepartment;
194194 175 (f)Prohibitionofmisrepresentationandunfairpractices;
195195 176 (g)Controlofinformationalandproductdisplaysonlicensedpremisesprovidedthat
196196 177therulesmaynotpreventorunreasonablyrestrictappropriatesignsonthepropertyofthe
197197 178medicalmarijuanadispensaryfacility,productdisplayandexaminationbythequalifying
198198 179patientand/orprimarycaregiver,listingsinbusinessdirectoriesincludingphonebooks,
199199 180listingsinmarijuana-relatedormedicalpublications,orthesponsorshipofhealthornotfor
200200 181profitcharityoradvocacyevents;
201201 182 (h)Developmentofindividualidentificationcardsforowners,officers,managers,
202202 183contractors,employees,andothersupportstaffofentitieslicensedorcertifiedpursuanttothis
203203 184section,includingafingerprint-basedfederalandstatecriminalrecordcheckinaccordance
204204 185withU.S.PublicLaw92-544,oritssuccessorprovisions,asmayberequiredbythe
205205 186departmentpriortoissuingacardandprocedurestoensurethatcardsfornewapplicantsare
206206 187issuedwithinfourteendays.Applicantslicensedpursuanttothissectionshallsubmit
207207 188fingerprintstotheMissouristatehighwaypatrolforthepurposeofconductingastateand
208208 189federalfingerprint-basedcriminalbackgroundcheck.TheMissouristatehighwaypatrol,if
209209 190necessary,shallforwardthefingerprintstotheFederalBureauofInvestigation(FBI)forthe
210210 191purposeofconductingafingerprint-basedcriminalbackgroundcheck.Fingerprintsshallbe
211211 192submittedpursuantto43.543andfeesshallbepaidpursuantto43.530;
212-193 (i)Securityrequirementsforanypremiseslicensedorcertifiedpursuanttothis
212+HJR142 6 193 (i)Securityrequirementsforanypremiseslicensedorcertifiedpursuanttothis
213213 194section,including,ataminimum,lighting,physicalsecurity,video,alarmrequirements,and
214-HCSHJR142 6 195otherminimumproceduresforinternalcontrolasdeemednecessarybythedepartmentto
214+195otherminimumproceduresforinternalcontrolasdeemednecessarybythedepartmentto
215215 196properlyadministerandenforcetheprovisionsofthissection,includingreporting
216216 197requirementsforchanges,alterations,ormodificationstothepremises;
217217 198 (j)Regulationofthestorageof,warehousesfor,andtransportationofmarijuanafor
218218 199medicaluse;
219219 200 (k)Sanitaryrequirementsfor,including,butnotlimitedto,thepreparationofmedical
220220 201marijuana-infusedproducts;
221221 202 (l)Thespecificationofacceptableformsofpictureidentificationthatamedical
222222 203marijuanadispensaryfacilitymayacceptwhenverifyingasale;
223223 204 (m)Labelingandpackagingstandards;
224224 205 (n)Recordstobekeptbylicenseesandtherequiredavailabilityoftherecords;
225225 206 (o)Statelicensingprocedures,includingproceduresforrenewals,reinstatements,
226226 207initiallicenses,andthepaymentoflicensingfees;
227227 208 (p)Thereportingandtransmittaloftaxpayments;
228228 209 (q)Authorizationforthedepartmentofrevenuetohaveaccesstolicensing
229229 210informationtoensuretaxpaymentandtheeffectiveadministrationofthissection;and
230230 211 (r)Suchothermattersasarenecessaryforthefair,impartial,stringent,and
231231 212comprehensiveadministrationofthissection.
232232 213 (3)Thedepartmentshallissuerulesoremergencyrulesforamedicalmarijuanaand
233233 214medicalmarijuana-infusedproductsindependenttestingandcertificationprogramfor
234234 215medicalmarijuanalicenseesandrequiringlicenseestotestmedicalmarijuanausingoneor
235235 216moreimpartial,independentlaboratoriestoensure,ataminimum,thatproductssoldfor
236236 217humanconsumptiondonotcontaincontaminantsthatareinjurioustohealth,toensurecorrect
237237 218labelingandmeasurepotency.Thedepartmentshallnotrequireanymedicalmarijuanaor
238238 219medicalmarijuana-infusedproductstobetestedmorethanoncepriortosale.
239239 220 (4)Thedepartmentshallissuerulesoremergencyrulestoprovideforthe
240240 221certificationofandstandardsformedicalmarijuanatestingfacilities,includingthe
241241 222requirementsforequipmentandqualificationsforpersonnel,butshallnotrequire
242242 223certificateholderstohaveanyfederalagencylicensingorhaveanyrelationshipwitha
243243 224federallylicensedtestingfacility.Thedepartmentshallcertify,ifpossible,atleasttwo
244244 225entitiesasmedicalmarijuanatestingfacilities.Nomedicalmarijuanatestingfacilityshallbe
245245 226ownedbyanentityundersubstantiallycommoncontrol,ownership,ormanagementasa
246246 227medicalmarijuanacultivationfacility,medicalmarijuana-infusedproductmanufacturing
247247 228facility,ormedicalmarijuanadispensaryfacility.
248-229 (5)Thedepartmentshallmaintaintheconfidentialityofreportsorotherinformation
248+HJR142 7 229 (5)Thedepartmentshallmaintaintheconfidentialityofreportsorotherinformation
249249 230obtainedfromanapplicantorlicenseecontaininganyindividualizeddata,information,or
250250 231recordsrelatedtothelicenseeoritsoperation,includingsalesinformation,financialrecords,
251-HCSHJR142 7 232taxreturns,creditreports,cultivationinformation,testingresults,andsecurityinformation
251+232taxreturns,creditreports,cultivationinformation,testingresults,andsecurityinformation
252252 233andplans,orrevealinganypatientinformation,oranyotherrecordsthatareexemptfrom
253253 234publicinspectionpursuanttostateorfederallaw.Suchreportsorotherinformationmaybe
254254 235usedonlyforapurposeauthorizedbythissection.Anyinformationreleasedrelatedto
255255 236patientsmaybeusedonlyforapurposeauthorizedbyfederallawandthissection,including
256256 237verifyingthatapersonwhopresentedapatientidentificationcardtoastateorlocallaw
257257 238enforcementofficialislawfullyinpossessionofsuchcard.
258258 239 (6)WithinonehundredeightydaysofDecember6,2018,thedepartmentshallmake
259259 240availabletothepubliclicenseapplicationformsandapplicationinstructionsformedical
260260 241marijuanacultivationfacilities,medicalmarijuanatestingfacilities,medicalmarijuana
261261 242dispensaryfacilities,andmedicalmarijuana-infusedproductsmanufacturingfacilities.
262262 243 (7)WithinonehundredeightydaysofDecember6,2018,thedepartmentshallmake
263263 244availabletothepublicapplicationformsandapplicationinstructionsforqualifyingpatient,
264264 245qualifyingpatientcultivation,andprimarycaregiveridentificationcards.Withintwohundred
265265 246tendaysofDecember6,2018,thedepartmentshallbeginacceptingapplicationsforsuch
266266 247identificationcards.
267267 248 (8)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
268268 249growmarijuanaasamedicalmarijuanacultivationfacility.Eachfacilityinoperationshall
269269 250requireaseparatelicense,butmultiplelicensesmaybeutilizedinasinglefacility.Each
270270 251indoorfacilityutilizingartificiallightingmaybelimitedbythedepartmenttothirtythousand
271271 252squarefeetoffloweringplantcanopyspace.Eachoutdoorfacilityutilizingnaturallighting
272272 253maybelimitedbythedepartmenttotwothousandeighthundredfloweringplants.Each
273273 254greenhousefacilityusingacombinationofnaturalandartificiallightingmaybelimitedby
274274 255thedepartment,attheelectionofthelicensee,totwothousandeighthundredfloweringplants
275275 256orthirtythousandsquarefeetoffloweringplantcanopy.Thelicenseshallbevalidforthree
276276 257yearsfromitsdateofissuanceandshallberenewable,exceptforgoodcause.The
277277 258departmentshallchargeeachapplicantanonrefundablefeeoftenthousanddollarsperlicense
278278 259applicationorrenewalforallapplicantsfilinganapplicationwithinthreeyearsofDecember
279279 2606,2018,andshallchargeeachapplicantanonrefundablefeeoffivethousanddollarsper
280280 261licenseapplicationorrenewalthereafter.Oncegranted,thedepartmentshallchargeeach
281281 262licenseeanannualfeeoftwenty-fivethousanddollarsperfacilitylicense.Applicationand
282282 263licensefeesshallbeincreasedordecreasedeachyearbythepercentageofincreaseor
283283 264decreasefromtheendofthepreviouscalendaryearoftheConsumerPriceIndex,or
284284 265successorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessoragency.No
285-266morethanthreemedicalmarijuanacultivationfacilitylicensesshallbeissuedtoanyentity
285+HJR142 8 266morethanthreemedicalmarijuanacultivationfacilitylicensesshallbeissuedtoanyentity
286286 267undersubstantiallycommoncontrol,ownership,ormanagement.
287-HCSHJR142 8 268 (9)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
287+268 (9)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
288288 269operateamedicalmarijuanadispensaryfacility.Eachfacilityinoperationshallrequirea
289289 270separatelicense.Alicenseshallbevalidforthreeyearsfromitsdateofissuanceandshallbe
290290 271renewable,exceptforgoodcause.Thedepartmentshallchargeeachapplicanta
291291 272nonrefundablefeeofsixthousanddollarsperlicenseapplicationorrenewalforeach
292292 273applicantfilinganapplicationwithinthreeyearsofDecember6,2018,andshallchargeeach
293293 274applicantanonrefundablefeeofthreethousanddollarsperlicenseapplicationorrenewal
294294 275thereafter.Oncegranted,thedepartmentshallchargeeachlicenseeanannualfeeoften
295295 276thousanddollarsperfacilitylicense.Applicationandlicensefeesshallbeincreasedor
296296 277decreasedeachyearbythepercentageofincreaseordecreasefromtheendoftheprevious
297297 278calendaryearoftheConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.
298298 279DepartmentofLabor,oritssuccessoragency.Nomorethanfivemedicalmarijuana
299299 280dispensaryfacilitylicensesshallbeissuedtoanyentityundersubstantiallycommoncontrol,
300300 281ownership,ormanagement.
301301 282 (10)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
302302 283operateamedicalmarijuana-infusedproductsmanufacturingfacility.Eachfacilityin
303303 284operationshallrequireaseparatelicense.Alicenseshallbevalidforthreeyearsfromitsdate
304304 285ofissuanceandshallberenewable,exceptforgoodcause.Thedepartmentshallchargeeach
305305 286applicantanonrefundablefeeofsixthousanddollarsperlicenseapplicationorrenewalfor
306306 287eachapplicantfilinganapplicationwithinthreeyearsofDecember6,2018,andshallcharge
307307 288eachapplicantanonrefundablefeeofthreethousanddollarsperlicenseapplicationor
308308 289renewalthereafter.Oncegranted,thedepartmentshallchargeeachlicenseeanannualfeeof
309309 290tenthousanddollarsperfacilitylicense.Applicationandlicensefeesshallbeincreasedor
310310 291decreasedeachyearbythepercentageofincreaseordecreasefromtheendoftheprevious
311311 292calendaryearoftheConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.
312312 293DepartmentofLabor,oritssuccessoragency.Nomorethanthreemedicalmarijuana-infused
313313 294productsmanufacturingfacilitylicensesshallbeissuedtoanyentityundersubstantially
314314 295commoncontrol,ownership,ormanagement.
315315 296 (11)Anyapplicantforalicenseauthorizedbythissectionmayprefiletheir
316316 297applicationfeewiththedepartmentbeginning30daysafterDecember6,2018.
317317 298 (12)Exceptforgoodcause,aqualifyingpatientorhisorherprimarycaregivermay
318318 299obtainanidentificationcardfromthedepartmenttocultivateuptosixfloweringmarijuana
319319 300plantsfortheexclusiveuseofthatqualifyingpatient.Thecardshallbevalidfortwelve
320320 301monthsfromitsdateofissuanceandshallberenewablewiththeannualsubmittalofanewor
321321 302updatedphysician'scertification.Thedepartmentshallchargeanannualfeeforthecardof
322-303onehundreddollars,withsuchratetobeincreasedordecreasedeachyearbythepercentage
322+HJR142 9 303onehundreddollars,withsuchratetobeincreasedordecreasedeachyearbythepercentage
323323 304ofincreaseordecreasefromtheendofthepreviouscalendaryearoftheConsumerPrice
324-HCSHJR142 9 305Index,orsuccessorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessor
324+305Index,orsuccessorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessor
325325 306agency.
326326 307 (13)Thedepartmentmaysetalimitontheamountofmarijuanathatmaybe
327327 308purchasedbyoronbehalfofasinglequalifyingpatientinathirty-dayperiod,providedthat
328328 309limitisnotlessthanfourouncesofdried,unprocessedmarijuana,oritsequivalent.Anysuch
329329 310limitshallnotapplytoaqualifyingpatientwithwrittencertificationfromtwoindependent
330330 311physiciansthattherearecompellingreasonswhythequalifyingpatientneedsagreater
331331 312amountthanthelimitestablishedbythedepartment.
332332 313 (14)Thedepartmentmaysetalimitontheamountofmarijuanathatmaybe
333333 314possessedbyoronbehalfofeachqualifyingpatient,providedthatlimitisnotlessthana
334334 315sixty-daysupplyofdried,unprocessedmarijuana,oritsequivalent.Aprimarycaregivermay
335335 316possessaseparatelegallimitforeachqualifyingpatientundertheircareandaseparatelegal
336336 317limitforthemselvesiftheyareaqualifyingpatient.Qualifyingpatientscultivatingmarijuana
337337 318formedicalusemaypossessuptoaninety-daysupply,solongasthesupplyremainson
338338 319propertyundertheircontrol.Anysuchlimitshallnotapplytoaqualifyingpatientwith
339339 320writtencertificationfromtwoindependentphysiciansthattherearecompellingreasonsfor
340340 321additionalamounts.Possessionofbetweenthelegallimitanduptotwicethelegallimitshall
341341 322subjectthepossessortodepartmentsanctions,includinganadministrativepenaltyandlossof
342342 323theirpatientidentificationcardforuptoayear.Purposefullypossessingamountsinexcessof
343343 324twicethelegallimitshallbepunishablebyimprisonmentofuptooneyearandafineofupto
344344 325twothousanddollars.
345345 326 (15)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
346346 327medicalmarijuanacultivationfacilities,provided,however,thatthenumbermaynotbe
347347 328limitedtofewerthanonelicensepereveryonehundredthousandinhabitants,oranyportion
348348 329thereof,ofthestateofMissouri,accordingtothemostrecentcensusoftheUnitedStates.A
349349 330decreaseinthenumberofinhabitantsinthestateofMissourishallhavenoimpact.
350350 331 (16)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
351351 332marijuana-infusedproductsmanufacturingfacilities,provided,however,thatthenumbermay
352352 333notbelimitedtofewerthanonelicensepereveryseventythousandinhabitants,orany
353353 334portionthereof,ofthestateofMissouri,accordingtothemostrecentcensusoftheUnited
354354 335States.AdecreaseinthenumberofinhabitantsinthestateofMissourishallhavenoimpact.
355355 336 (17)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
356356 337medicalmarijuanadispensaryfacilities,provided,however,thatthenumbermaynotbe
357357 338limitedtofewerthantwenty-fourlicensesineachUnitedStatescongressionaldistrictinthe
358358 339stateofMissouripursuanttothemapofeachoftheeightcongressionaldistrictsasdrawnand
359-340effectiveonDecember6,2018.Futurechangestotheboundariesoforthenumberof
359+HJR142 10 340effectiveonDecember6,2018.Futurechangestotheboundariesoforthenumberof
360360 341congressionaldistrictsshallhavenoimpact.
361-HCSHJR142 10 342 (18)Thedepartmentshallbeginacceptinglicenseandcertificationapplicationsfor
361+342 (18)Thedepartmentshallbeginacceptinglicenseandcertificationapplicationsfor
362362 343medicalmarijuanadispensaryfacilities,medicalmarijuanatestingfacilities,medical
363363 344marijuanacultivationfacilities,medicalmarijuana-infusedproductsmanufacturing
364364 345facilities,seed-to-saletrackingsystems,andfortransportationofmarijuananolaterthan
365365 346twohundredfortydaysafterDecember6,2018.Applicationsforlicensesandcertifications
366366 347underthissectionshallbeapprovedordeniedbythedepartmentnolaterthanonehundred
367367 348fiftydaysaftertheirsubmission.Ifthedepartmentfailstocarryoutitsnondiscretionaryduty
368368 349toapproveordenyanapplicationwithinonehundredfiftydaysofsubmission,anapplicant
369369 350mayimmediatelyseekacourtordercompellingthedepartmenttoapproveordenythe
370370 351application.
371371 352 (19)Qualifyingpatientsunderthissectionshallobtainandannuallyrenewan
372372 353identificationcardorcardsfromthedepartment.Thedepartmentshallchargeafeeof
373373 354twenty-fivedollarsperyearpercardwithsuchfeetobeincreasedordecreasedeachyearby
374374 355thepercentageofincreaseordecreasefromtheendofthepreviouscalendaryearofthe
375375 356ConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.DepartmentofLaboror
376376 357itssuccessoragency.Uponreceivinganapplicationforaqualifyingpatientidentification
377377 358cardorqualifyingpatientcultivationidentificationcard,thedepartmentshall,withinthirty
378378 359days,eitherissuethecardorprovideawrittenexplanationforitsdenial.Ifthedepartment
379379 360failstodenyandfailstoissueacardtoaneligiblequalifyingpatientwithinthirtydays,then
380380 361theirphysiciancertificationshallserveastheirqualifyingpatientidentificationcardor
381381 362qualifyingpatientcultivationidentificationcardforuptooneyearfromthedateofphysician
382382 363certification.Allinitialapplicationsfororrenewalsofaqualifyingpatientidentificationcard
383383 364orqualifyingpatientcultivationidentificationcardshallbeaccompaniedbyaphysician
384384 365certificationthatislessthanthirtydaysold.
385385 366 (20)Primarycaregiversunderthissectionshallobtainandannuallyrenewan
386386 367identificationcardfromthedepartment.Thedepartmentshallchargeafeeoftwenty-five
387387 368dollarsperyear,withsuchfeetobeincreasedordecreasedeachyearbythepercentageof
388388 369increaseordecreasefromtheendofthepreviouscalendaryearoftheConsumerPriceIndex,
389389 370orsuccessorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessoragency.
390390 371Uponreceivinganapplicationforaprimarycaregiveridentificationcard,thedepartment
391391 372shall,withinthirtydays,eitherissuethecardorprovideawrittenexplanationforitsdenial.
392392 373 (21)AllmarijuanaformedicalusesoldinMissourishallbecultivatedinalicensed
393393 374medicalmarijuanacultivationfacilitylocatedinMissouri.
394394 375 (22)Allmarijuana-infusedproductsformedicalusesoldinthestateofMissourishall
395395 376bemanufacturedinamedicalmarijuana-infusedproductsmanufacturingfacility.
396-377 (23)Thedenialofalicense,licenserenewal,oridentificationcardbythedepartment
396+HJR142 11 377 (23)Thedenialofalicense,licenserenewal,oridentificationcardbythedepartment
397397 378shallbeappealabletotheadministrativehearingcommission,oritssuccessorentity.
398-HCSHJR142 11 379Followingtheexhaustionofadministrativereview,denialofalicense,licenserenewal,or
398+379Followingtheexhaustionofadministrativereview,denialofalicense,licenserenewal,or
399399 380identificationcardbythedepartmentshallbesubjecttojudicialreviewasprovidedbylaw.
400400 381 (24)Noelectedofficialshallinterferedirectlyorindirectlywiththedepartment's
401401 382obligationsandactivitiesunderthissection.
402402 383 (25)Thedepartmentshallnothavetheauthoritytoapplyorenforceanyruleor
403403 384regulationthatwouldimposeanundueburdenonanyoneormorelicenseesorcertificate
404404 385holders,anyqualifyingpatients,oracttounderminethepurposesofthissection.
405405 386 4.TaxationandReporting.
406406 387 (1)Ataxisleviedupontheretailsaleofmarijuanaformedicalusesoldatmedical
407407 388marijuanadispensaryfacilitieswithinthestate.Thetaxshallbeatarateoffourpercentof
408408 389theretailprice.Thetaxshallbecollectedbyeachlicensedmedicalmarijuanadispensary
409409 390facilityandpaidtothedepartmentofrevenue.Afterretainingnomorethanfivepercentfor
410410 391itsactualcollectioncosts,amountsgeneratedbythetaxleviedinthissectionshallbe
411411 392depositedbythedepartmentofrevenueintotheMissouriveterans'healthandcarefund.
412412 393Licensedentitiesmakingretailsaleswithinthestateshallbeallowedapprovedcreditfor
413413 394returnsprovidedthetaxwaspaidonthereturneditemandthepurchaserwasgiventherefund
414414 395orcredit.
415415 396 (2)Thereisherebycreatedinthestatetreasurythe"MissouriVeterans'Healthand
416416 397CareFund",whichshallconsistoftaxesandfeescollectedunderthissection.Thestate
417417 398treasurershallbecustodianofthefund,andheorsheshallinvestmoniesinthefundinthe
418418 399samemannerasotherfundsareinvested.Anyinterestandmoniesearnedonsuch
419419 400investmentsshallbecreditedtothefund.Notwithstandinganyotherprovisionoflaw,any
420420 401moniesremaininginthefundattheendofabienniumshallnotreverttothecreditofthe
421421 402generalrevenuefund.Thecommissionerofadministrationisauthorizedtomakecash
422422 403operatingtransferstothefundforpurposesofmeetingthecashrequirementsofthe
423423 404departmentinadvanceofitreceivingannualapplication,licensing,andtaxrevenue,withany
424424 405suchtransferstoberepaidasprovidedbylaw.Thefundshallbeadedicatedfundandshall
425425 406[standappropriatedwithoutfurtherlegislativeaction] bedistributedasfollows:
426426 407 (a)First,tothedepartment,anamountnecessaryforthedepartmenttocarryoutthis
427-408section,includingrepaymentofanycashoperatingtransfers,paymentsmadethroughcontract
428-409oragreementwithotherstateandpublicagenciesnecessarytocarryoutthissection,anda
429-410reservefundtomaintainareasonableworkingcashbalanceforthepurposeofcarryingout
430-411thissection;
427+408sectionbutnottoexceedtwopercentoftaxesandfeescollected, includingrepaymentof
428+409anycashoperatingtransfers,paymentsmadethroughcontractoragreementwithotherstate
429+410andpublicagenciesnecessarytocarryoutthissection,andareservefundtomaintaina
430+411reasonableworkingcashbalanceforthepurposeofcarryingoutthissection;
431431 412 (b)Next,theremainderofsuchfundsshallbetransferredtotheMissouriveterans
432432 413commissionforhealthandcareservicesformilitaryveterans,includingthefollowing
433-414purposes:operations,maintenance, andcapitalimprovementsoftheMissouriveteranshomes
433+HJR142 12 414purposes:operations,maintenance, andcapitalimprovementsoftheMissouriveteranshomes
434434 415andconstructionofadditionalveteranshomes, theMissouriserviceofficer'sprogram,and
435-HCSHJR142 12 416otherservicesforveteransapprovedbythecommission,including,butnotlimitedto,health
435+416otherservicesforveteransapprovedbythecommission,including,butnotlimitedto,health
436436 417careservices,mentalhealthservices,suicideprevention,drugrehabilitationservices,
437437 418housingassistance,jobtraining,tuitionassistance,andhousingassistancetoprevent
438438 419homelessness.TheMissouriveteranscommissionshallcontractwithotherpublicagencies
439439 420forthedeliveryofservicesbeyonditsexpertise.
440440 421 (c)Allmoniesfromthetaxesauthorizedunderthissubsectionshallprovide
441441 422additionaldedicatedfundingforthepurposesenumeratedaboveandshallnotreplaceexisting
442442 423dedicatedfunding.
443443 424 (3)Forallretailsalesofmarijuanaformedicaluse,arecordshallbekeptbytheseller
444444 425whichidentifies,bysecureandencryptedpatientnumberissuedbythesellertothequalifying
445445 426patientinvolvedinthesale,allamountsandtypesofmarijuanainvolvedinthesaleandthe
446446 427totalamountofmoneyinvolvedinthesale,includingitemizations,taxescollectedandgrand
447447 428totalsaleamounts.Allsuchrecordsshallbekeptonthepremisesinareadilyavailable
448448 429formatandbemadeavailableforreviewbythedepartmentandthedepartmentofrevenue
449449 430uponrequest.Suchrecordsshallberetainedforfiveyearsfromthedateofthesale.
450450 431 (4)Thetaxleviedpursuanttothissubsectionisseparatefrom,andinadditionto,any
451451 432generalstateandlocalsalesandusetaxesthatapplytoretailsales,whichshallcontinuetobe
452452 433collectedanddistributedasprovidedbygenerallaw.
453453 434 (5)Exceptasauthorizedinthissubsection,noadditionaltaxesshallbeimposedon
454454 435thesaleofmarijuanaformedicaluse.
455455 436 (6)ThefeesandtaxesprovidedforinthisArticleXIV,Section1shallbefully
456456 437enforceablenotwithstandinganyotherprovisioninthisConstitutionpurportedlyprohibiting
457457 438orrestrictingthetaxesandfeesprovidedforherein.
458458 439 (7)Theunexpendedbalanceexistinginthefundshallbeexemptfromtheprovisions
459459 440ofsection33.080relatingtothetransferofunexpendedbalancestothegeneralrevenuefund.
460460 441 5.AdditionalPatient,Physician,CaregiverandProviderProtections.
461461 442 (1)Exceptasprovidedinthissection,thepossessionofmarijuanainquantitiesless
462462 443thanthelimitsofthissection,orestablishedbythedepartment,andtransportationof
463463 444marijuanafromamedicalmarijuanadispensaryfacilitytothequalifyingpatient'sresidence
464464 445shallnotsubjectthepossessortoarrest,criminalorcivilliability,orsanctionsunderMissouri
465465 446law,providedthatthepossessorproducesondemandtotheappropriateauthorityavalid
466466 447qualifyingpatientidentificationcard;avalidqualifyingpatientcultivationidentificationcard;
467467 448avalidphysiciancertificationwhilemakingapplicationforanidentificationcard;oravalid
468468 449primarycaregiveridentificationcard.Productionoftherespectiveequivalentidentification
469-450cardorauthorizationissuedbyanotherstateorpoliticalsubdivisionofanotherstateshallalso
469+HJR142 13 450cardorauthorizationissuedbyanotherstateorpoliticalsubdivisionofanotherstateshallalso
470470 451meettherequirementsofthissubdivision.
471-HCSHJR142 13 452 (2)Nopatientshallbedeniedaccesstoorpriorityforanorgantransplantbecause
471+452 (2)Nopatientshallbedeniedaccesstoorpriorityforanorgantransplantbecause
472472 453theyholdaqualifyingpatientidentificationcardorusemarijuanaformedicaluse.
473473 454 (3)Aphysicianshallnotbesubjecttocriminalorcivilliabilityorsanctionsunder
474474 455MissourilawordisciplinebytheMissouristateboardofregistrationforthehealingarts,or
475475 456itssuccessoragency,forowning,operating,investingin,beingemployedby,orcontracting
476476 457withanyentitylicensedorcertifiedpursuanttothissectionorissuingaphysiciancertification
477477 458toapatientdiagnosedwithaqualifyingmedicalconditioninamannerconsistentwiththis
478478 459sectionandlegalstandardsofprofessionalconduct.
479479 460 (4)Ahealthcareprovidershallnotbesubjecttocivilorcriminalprosecutionunder
480480 461Missourilaw,denialofanyrightorprivilege,civiloradministrativepenaltyorsanction,or
481481 462disciplinaryactionbyanyaccreditationorlicensingboardorcommissionforowning,
482482 463operating,investingin,beingemployedby,orcontractingwithanyentitylicensedorcertified
483483 464pursuanttothissectionorprovidinghealthcareservicesthatinvolvethemedicaluseof
484484 465marijuanaconsistentwiththissectionandlegalstandardsofprofessionalconduct.
485485 466 (5)Amedicalmarijuanatestingfacilityshallnotbesubjecttocivilorcriminal
486486 467prosecutionunderMissourilaw,denialofanyrightorprivilege,civiloradministrative
487487 468penaltyorsanction,ordisciplinaryactionbyanyaccreditationorlicensingboardor
488488 469commissionforprovidinglaboratorytestingservicesthatrelatetothemedicaluseof
489489 470marijuanaconsistentwiththissectionandotherwisemeetinglegalstandardsofprofessional
490490 471conduct.
491491 472 (6)Ahealthcareprovidershallnotbesubjecttomandatoryreportingrequirements
492492 473forthemedicaluseofmarijuanabynonemancipatedqualifyingpatientsundereighteenyears
493493 474ofageinamannerconsistentwiththissectionandwithconsentofaparentorguardian.
494494 475 (7)Aprimarycaregivershallnotbesubjecttocriminalorcivilliabilityorsanctions
495495 476underMissourilawforpurchasing,transporting,oradministeringmarijuanaformedicaluse
496496 477toaqualifyingpatientorparticipatinginthepatientcultivationofuptosixflowering
497497 478marijuanaplantsperpatientinamannerconsistentwiththissectionandgenerallyestablished
498498 479legalstandardsofpersonalorprofessionalconduct.
499499 480 (8)Anattorneyshallnotbesubjecttodisciplinaryactionbythestatebarassociation
500500 481orotherprofessionallicensingbodyforowning,operating,investingin,beingemployedby,
501501 482contractingwith,orprovidinglegalassistancetoprospectiveorlicensedmedicalmarijuana
502502 483testingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuanadispensary
503503 484facilities,medicalmarijuana-infusedproductsmanufacturingfacilities,qualifyingpatients,
504504 485primarycaregivers,physicians,healthcareprovidersorothersrelatedtoactivitythatisno
505505 486longersubjecttocriminalpenaltiesunderstatelawpursuanttothissection.
506-487 (9)Actionsandconductbyqualifyingpatients,primarycaregivers,medical
506+HJR142 14 487 (9)Actionsandconductbyqualifyingpatients,primarycaregivers,medical
507507 488marijuanatestingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuana-
508-HCSHJR142 14 489infusedproductsmanufacturingfacilities,ormedicalmarijuanadispensaryfacilitieslicensed
508+489infusedproductsmanufacturingfacilities,ormedicalmarijuanadispensaryfacilitieslicensed
509509 490orregisteredwiththedepartment,ortheiremployeesoragents,aspermittedbythissection
510510 491andincompliancewithdepartmentregulationsandotherstandardsoflegalconduct,shallnot
511511 492besubjecttocriminalorcivilliabilityorsanctionsunderMissourilaw,exceptasprovidedfor
512512 493bythissection.
513513 494 (10)Nothinginthissectionshallprovideimmunityfornegligence,eithercommon
514514 495laworstatutorilycreated,norcriminalimmunitiesforoperatingavehicle,aircraft,dangerous
515515 496device,ornavigatingaboatundertheinfluenceofmarijuana.
516516 497 (11)ItisthepublicpolicyofthestateofMissourithatcontractsrelatedtomarijuana
517517 498formedicalusethatareenteredintobyqualifyingpatients,primarycaregivers,medical
518518 499marijuanatestingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuana-
519519 500infusedproductsmanufacturingfacilities,ormedicalmarijuanadispensaryfacilitiesand
520520 501thosewhoallowpropertytobeusedbythoseentities,shouldbeenforceable.Itisthepublic
521521 502policyofthestateofMissourithatnocontractenteredintobyqualifyingpatients,primary
522522 503caregivers,medicalmarijuanatestingfacilities,medicalmarijuanacultivationfacilities,
523523 504medicalmarijuana-infusedproductsmanufacturingfacilities,ormedicalmarijuana
524524 505dispensaryfacilities,orbyapersonwhoallowspropertytobeusedforactivitiesthatare
525525 506exemptfromstatecriminalpenaltiesbythissection,shallbeunenforceableonthebasisthat
526526 507activitiesrelatedtomedicalmarijuanamaybeprohibitedbyfederallaw.
527527 508 6.Legislation.
528528 509 Nothinginthissectionshalllimitthegeneralassemblyfromenactinglawsconsistent
529529 510withthissection,orotherwiseeffectuatingthepatientrightsofthissection.Thelegislature
530530 511shallnotenactlawsthathindertherightofqualifyingpatientstoaccessmarijuanaformedical
531531 512useasgrantedbythissection.
532532 513 7.AdditionalProvisions.
533533 514 (1)Nothinginthissectionpermitsapersonto:
534534 515 (a)Consumemarijuanaformedicaluseinajailorcorrectionalfacility;
535535 516 (b)Undertakeanytaskundertheinfluenceofmarijuanawhendoingsowould
536536 517constitutenegligenceorprofessionalmalpractice;or
537537 518 (c)Operate,navigate,orbeinactualphysicalcontrolofanydangerousdeviceor
538538 519motorvehicle,aircraftormotorboatwhileundertheinfluenceofmarijuana;or
539539 520 (d)Bringaclaimagainstanyemployer,formeremployer,orprospectiveemployer
540540 521forwrongfuldischarge,discrimination,oranysimilarcauseofactionorremedy,basedonthe
541541 522employer,formeremployer,orprospectiveemployerprohibitingtheemployee,former
542542 523employee,orprospectiveemployeefrombeingundertheinfluenceofmarijuanawhileat
543-524workordiscipliningtheemployeeorformeremployee,uptoandincludingterminationfrom
543+HJR142 15 524workordiscipliningtheemployeeorformeremployee,uptoandincludingterminationfrom
544544 525employment,forworkingorattemptingtoworkwhileundertheinfluenceofmarijuana.
545-HCSHJR142 15 526 (2)Nomedicalmarijuanacultivationfacility,medicalmarijuanatestingfacility,
545+526 (2)Nomedicalmarijuanacultivationfacility,medicalmarijuanatestingfacility,
546546 527medicalmarijuanadispensaryfacility,ormedicalmarijuana-infusedproductsmanufacturing
547547 528facility,orentitywithatransportationcertificationshallbeowned,inwholeorinpart,or
548548 529haveasanofficer,director,boardmember,manager,oremployee,anyindividualwitha
549549 530disqualifyingfelonyoffense.A"disqualifyingfelonyoffense"isaviolationof,and
550550 531convictionorguiltypleato,stateorfederallawthatis,orwouldhavebeen,afelonyunder
551551 532Missourilaw,regardlessofthesentenceimposed,unlessthedepartmentdeterminesthat:
552552 533 (a)Theperson'sconvictionwasforthemedicaluseofmarijuanaorassistinginthe
553553 534medicaluseofmarijuana;or
554554 535 (b)Theperson'sconvictionwasforanonviolentcrimeforwhichheorshewasnot
555555 536incarceratedandthatismorethanfiveyearsold;or
556556 537 (c)Morethanfiveyearshavepassedsincethepersonwasreleasedfromparoleor
557557 538probation,andheorshehasnotbeenconvictedofanysubsequentcriminaloffenses.
558558 539 Thedepartmentmayconsultwithandrelyontherecords,adviceand
559559 540recommendationsoftheattorneygeneralandthedepartmentofpublicsafety,ortheir
560560 541successorentities,inapplyingthissubdivision.
561561 542 (3)Allmedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
562562 543andmedicalmarijuana-infusedproductsmanufacturingfacilitylicenses,entitieswithmedical
563563 544marijuanatestingfacilitycertifications,andentitieswithtransportationcertificationsshallbe
564564 545heldbyentitiesthataremajorityownedbynaturalpersonswhohavebeencitizensofthestate
565565 546ofMissouriforatleastoneyearpriortotheapplicationforsuchlicenseorcertification.
566566 547Notwithstandingtheforegoing,entitiesoutsidethestateofMissourimayownaminority
567567 548stakeinsuchentities.
568568 549 (4)Nomedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
569569 550ormedicalmarijuana-infusedproductsmanufacturingfacilityshallmanufacture,packageor
570570 551labelmarijuanaormarijuana-infusedproductsinafalseormisleadingmanner.Noperson
571571 552shallsellanyproductinamannerdesignedtocauseconfusionbetweenamarijuanaor
572572 553marijuana-infusedproductandanyproductnotcontainingmarijuana.Aviolationofthis
573573 554subdivisionshallbepunishablebyanappropriateandproportionaldepartmentsanction,upto
574574 555andincludinglossoflicense.
575575 556 (5)Allediblemarijuana-infusedproductsshallbesoldinindividual,child-resistant
576576 557containersthatarelabeledwithdosageamounts,instructionsforuse,andestimatedlengthof
577577 558effectiveness.Allmarijuanaandmarijuana-infusedproductsshallbesoldincontainers
578578 559clearlyandconspicuouslylabeled,inafontsizeatleastaslargeasthelargestotherfontsize
579579 560usedonthepackage,ascontaining"Marijuana",ora"Marijuana-InfusedProduct".Violation
580-561ofthisprohibitionshallsubjecttheviolatortodepartmentsanctions,includingan
580+HJR142 16 561ofthisprohibitionshallsubjecttheviolatortodepartmentsanctions,includingan
581581 562administrativepenalty.
582-HCSHJR142 16 563 (6)Noindividualshallserveastheprimarycaregiverformorethanthreequalifying
582+563 (6)Noindividualshallserveastheprimarycaregiverformorethanthreequalifying
583583 564patients.
584584 565 (7)Noqualifyingpatientshallconsumemarijuanaformedicaluseinapublicplace,
585585 566unlessprovidedbylaw.Violationofthisprohibitionshallsubjecttheviolatortosanctionsas
586586 567providedbygenerallaw.
587587 568 (8)Nopersonshallextractresinsfrommarijuanausingdangerousmaterialsor
588588 569combustiblegaseswithoutamedicalmarijuana-infusedproductsmanufacturingfacility
589589 570license.Violationofthisprohibitionshallsubjecttheviolatortodepartmentsanctions,
590590 571includinganadministrativepenaltyand,ifapplicable,lossoftheiridentificationcard,
591591 572certificate,orlicenseforuptooneyear.
592592 573 (9)Allqualifyingpatientcultivationshalltakeplaceinanenclosed,lockedfacility
593593 574thatisequippedwithsecuritydevicesthatpermitaccessonlybythequalifyingpatientorby
594594 575suchpatient'sprimarycaregiver.Twoqualifyingpatients,whobothholdvalidqualifying
595595 576patientcultivationidentificationcards,mayshareoneenclosed,lockedfacility.Nomorethan
596596 577twelvequalifyingpatientorprimarycaregivercultivatedfloweringmarijuanaplantsmaybe
597597 578cultivatedinasingle,enclosedlockedfacility,exceptwhenaprimarycaregiveralsoholdsa
598598 579qualifyingpatientcultivationidentificationcard,inwhichcasenomorethaneighteen
599599 580floweringmarijuanaplantsmaybecultivatedinasingle,enclosed,lockedfacility.
600600 581 (10)Nomedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
601601 582medicalmarijuana-infusedproductsmanufacturingfacility,medicalmarijuanatestingfacility,
602602 583orentitywithatransportationcertificationshallassign,sell,give,lease,sublicense,or
603603 584otherwisetransferitslicenseorcertificatetoanyotherentitywithouttheexpressconsentof
604604 585thedepartment,nottobeunreasonablywithheld.
605605 586 (11)Unlessallowedbythelocalgovernment,nonewmedicalmarijuanacultivation
606606 587facility,medicalmarijuanatestingfacility,medicalmarijuanadispensaryfacility,ormedical
607607 588marijuana-infusedproductsmanufacturingfacilityshallbeinitiallysitedwithinonethousand
608608 589feetofanythen-existingelementaryorsecondaryschool,childday-carecenter,orchurch.
609609 590Nolocalgovernmentshallprohibitmedicalmarijuanacultivationfacilities,medical
610610 591marijuanatestingfacilities,medicalmarijuana-infusedproductsmanufacturingfacilities,or
611611 592medicalmarijuanadispensaryfacilities,orentitieswithatransportationcertificationeither
612612 593expresslyorthroughtheenactmentofordinancesorregulationsthatmaketheiroperation
613613 594undulyburdensomeinthejurisdiction.However,localgovernmentsmayenactordinancesor
614614 595regulationsnotinconflictwiththissection,orwithregulationsenactedpursuanttothis
615615 596section,governingthetime,place,andmannerofoperationofsuchfacilitiesinthelocality.
616616 597Alocalgovernmentmayestablishcivilpenaltiesforviolationofanordinanceorregulations
617-598governingthetime,place,andmannerofoperationofamedicalmarijuanacultivationfacility,
617+HJR142 17 598governingthetime,place,andmannerofoperationofamedicalmarijuanacultivationfacility,
618618 599medicalmarijuanatestingfacility,medicalmarijuana-infusedproductsmanufacturingfacility,
619-HCSHJR142 17 600medicalmarijuanadispensaryfacility,orentityholdingatransportationcertificationthatmay
619+600medicalmarijuanadispensaryfacility,orentityholdingatransportationcertificationthatmay
620620 601operateinsuchlocality.
621621 602 (12)UnlesssupersededbyfederallaworanamendmenttothisConstitution,a
622622 603physicianshallnotcertifyaqualifyingconditionforapatientbyanymeansotherthan
623623 604providingaphysiciancertificationforthepatient,whetherhandwritten,electronic,orin
624624 605anothercommonlyusedformat.Aqualifyingpatientmustobtainanewphysician
625625 606certificationatleastannually.
626626 607 (13)Aphysicianshallnotissueacertificationforthemedicaluseofmarijuanafora
627627 608nonemancipatedqualifyingpatientundertheageofeighteenwithoutthewrittenconsentof
628628 609thequalifyingpatient'sparentorlegalguardian.Thedepartmentshallnotissueaqualifying
629629 610patientidentificationcardonbehalfofanonemancipatedqualifyingpatientundertheageof
630630 611eighteenwithoutthewrittenconsentofthequalifyingpatient'sparentorlegalguardian.Such
631631 612cardshallbeissuedtooneoftheparentsorguardiansandnotdirectlytothepatient.Onlya
632632 613parentorguardianmayserveasaprimarycaregiverforanonemancipatedqualifyingpatient
633633 614undertheageofeighteen.Onlythequalifyingpatient'sparentorguardianshallpurchaseor
634634 615possessmedicalmarijuanaforanonemancipatedqualifyingpatientundertheageofeighteen.
635635 616Aparentorguardianshallsupervisetheadministrationofmedicalmarijuanatoa
636636 617nonemancipatedqualifyingpatientundertheageofeighteen.
637637 618 (14)Nothinginthissectionshallbeconstruedasmandatinghealthinsurance
638638 619coverageofmedicalmarijuanaforqualifyingpatientuse.
639639 620 (15)Realandpersonalpropertyusedinthecultivation,manufacture,transport,
640640 621testing,distribution,sale,andadministrationofmarijuanaformedicaluseorforactivities
641641 622otherwiseincompliancewiththissectionshallnotbesubjecttoassetforfeituresolely
642642 623becauseofthatuse.
643643 624 8.Severability.
644644 625 Theprovisionsofthissectionareseverable,andifanyclause,sentence,paragraphor
645645 626sectionofthismeasure,oranapplicationthereof,isadjudgedinvalidbyanycourtof
646646 627competentjurisdiction,theotherprovisionsshallcontinuetobeineffecttothefullestextent
647647 628possible.
648648 629 9.EffectiveDate.
649649 630 TheprovisionsofthissectionshallbecomeeffectiveonDecember6,2018.
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651+HJR142 18