Missouri 2022 Regular Session

Missouri House Bill HJR142 Latest Draft

Bill / Comm Sub Version Filed 03/31/2022

                            SECONDREGULARSESSION
HOUSECOMMITTEESUBSTITUTEFOR
HOUSEJOINTRESOLUTION NO.
142
101STGENERALASSEMBLY
5732H.02C	DANARADEMANMILLER,ChiefClerk
JOINTRESOLUTION
SubmittingtothequalifiedvotersofMissourianamendmentrepealingSection1ofArticle
XIVoftheConstitutionofMissouri,andadoptingonenewsectioninlieuthereof
relatingtomedicalmarijuana.
BeitresolvedbytheHouseofRepresentatives,theSenateconcurringtherein:
ThatatthenextgeneralelectiontobeheldinthestateofMissouri,onTuesdaynext
2followingthefirstMondayinNovember,2022,orataspecialelectiontobecalledbythe
3governorforthatpurpose,thereisherebysubmittedtothequalifiedvotersofthisstate,for
4adoptionorrejection,thefollowingamendmenttoArticleXIVoftheConstitutionofthestate
5ofMissouri:
SectionA.Section1,ArticleXIV,ConstitutionofMissouri,isrepealedandonenew
2sectionadoptedinlieuthereof,tobeknownasSection1,toreadasfollows:
Section1.1.Purposes.
2 Thissectionisintendedtopermitstate-licensedphysicianstorecommendmarijuana
3formedicalpurposestopatientswithseriousillnessesandmedicalconditions.Thesection
4allowspatientswithqualifyingmedicalconditionstherighttodiscussfreelywiththeir
5physiciansthepossiblebenefitsofmedicalmarijuanause,therightoftheirphysiciansto
6provideprofessionaladviceconcerningthesame,andtherighttousemedicalmarijuanafor
7treatmentunderthesupervisionofaphysician.
8 ThissectionisintendedtomakeonlythosechangestoMissourilawsthatare
9necessarytoprotectpatients,theirprimarycaregivers,andtheirphysiciansfromciviland
10criminalpenalties,andtoallowforthelimitedlegalproduction,distribution,saleand
11purchaseofmarijuanaformedicaluse.Thissectionisnotintendedtochangecurrentcivil
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 12andcriminallawsgoverningtheuseofmarijuanafornonmedicalpurposes.Thesectiondoes
13notallowforthepublicuseofmarijuanaanddrivingundertheinfluenceofmarijuana.
14 2.Definitions.
15 (1)"Administer"meansthedirectapplicationofmarijuanatoaqualifyingpatientby
16wayofanyofthefollowingmethods:
17 (a)Ingestionofcapsules,teas,oils,andothermarijuana-infusedproducts;
18 (b)Vaporizationorsmokingofdriedflowers,buds,plantmaterial,extracts,oroils;
19 (c)Applicationofointmentsorbalms;
20 (d)Transdermalpatchesandsuppositories;
21 (e)Consumingmarijuana-infusedfoodproducts;or
22 (f)Anyothermethodrecommendedbyaqualifyingpatient'sphysician.
23 (2)"Department"meansthedepartmentofhealthandseniorservices,oritssuccessor
24agency.
25 (3)"Entity"meansanaturalperson,corporation,professionalcorporation,nonprofit
26corporation,cooperativecorporation,unincorporatedassociation,businesstrust,limited
27liabilitycompany,generalorlimitedpartnership,limitedliabilitypartnership,jointventure,or
28anyotherlegalentity.
29 (4)"Floweringplant"meansamarijuanaplantfromthetimeitexhibitsthefirstsigns
30ofsexualmaturitythroughharvest.
31 (5)"Marijuana"or"marihuana"meansCannabisindica,Cannabissativa,and
32Cannabisruderalis,hybridsofsuchspecies,andanyotherstrainscommonlyunderstood
33withinthescientificcommunitytoconstitutemarijuana,aswellasresinextractedfromthe
34plantandmarijuana-infusedproducts."Marijuana"or"marihuana"donotincludeindustrial
35hempcontainingacropwideaveragetetrahydrocannabinolconcentrationthatdoesnotexceed
36three-tenthsofonepercentonadryweightbasis,orcommoditiesorproductsmanufactured
37fromindustrialhemp.
38 (6)"Marijuana-infusedproducts"meansproductsthatareinfusedwithmarijuanaor
39anextractthereofandareintendedforuseorconsumptionotherthanbysmoking,including,
40butnotlimitedto,edibleproducts,ointments,tincturesandconcentrates.
41 (7)"Medicalmarijuanacultivationfacility"meansafacilitylicensedbythe
42departmenttoacquire,cultivate,process,store,transport,andsellmarijuanatoamedical
43marijuanadispensaryfacility,medicalmarijuanatestingfacility,ortoamedicalmarijuana-
44infusedproductsmanufacturingfacility.
45 (8)"Medicalmarijuanadispensaryfacility"meansafacilitylicensedbythe
46departmenttoacquire,store,sell,transport,anddelivermarijuana,marijuana-infused
47products,anddrugparaphernaliausedtoadministermarijuanaasprovidedforinthissection
48toaqualifyingpatient,aprimarycaregiver,anothermedicalmarijuanadispensaryfacility,a
HCSHJR142	2 49medicalmarijuanatestingfacility,oramedicalmarijuana-infusedproductsmanufacturing
50facility.
51 (9)"Medicalmarijuana-infusedproductsmanufacturingfacility"meansafacility
52licensedbythedepartmenttoacquire,store,manufacture,transport,andsellmarijuana-
53infusedproductstoamedicalmarijuanadispensaryfacility,amedicalmarijuanatesting
54facility,ortoanothermedicalmarijuana-infusedproductsmanufacturingfacility.
55 (10)"Medicalmarijuanatestingfacility"meansafacilitycertifiedbythedepartment
56toacquire,test,certify,andtransportmarijuana.
57 (11)"Medicaluse"meanstheproduction,possession,delivery,distribution,
58transportation,oradministrationofmarijuanaoramarijuana-infusedproduct,ordrug
59paraphernaliausedtoadministermarijuanaoramarijuana-infusedproduct,forthebenefitof
60aqualifyingpatienttomitigatethesymptomsoreffectsofthepatient'squalifyingmedical
61condition.
62 (12)"Physician"meansanindividualwhoislicensedandingoodstandingtopractice
63medicineorosteopathyunderMissourilaw.
64 (13)"Physiciancertification"meansadocument,whetherhandwritten,electronicor
65inanothercommonlyusedformat,signedbyaphysicianandstatingthat,inthephysician's
66professionalopinion,thepatientsuffersfromaqualifyingmedicalcondition.
67 (14)"Primarycaregiver"meansanindividualtwenty-oneyearsofageorolderwho
68hassignificantresponsibilityformanagingthewell-beingofaqualifyingpatientandwhois
69designatedassuchontheprimarycaregiver'sapplicationforanidentificationcardunderthis
70sectionorinotherwrittennotificationtothedepartment.
71 (15)"Qualifyingmedicalcondition"meanstheconditionof,symptomsrelatedto,or
72side-effectsfromthetreatmentof:
73 (a)Cancer;
74 (b)Epilepsy;
75 (c)Glaucoma;
76 (d)Intractablemigrainesunresponsivetoothertreatment;
77 (e)Achronicmedicalconditionthatcausessevere,persistentpainorpersistent
78musclespasms,includingbutnotlimitedtothoseassociatedwithmultiplesclerosis,seizures,
79Parkinson'sdisease,andTourette'ssyndrome;
80 (f)Debilitatingpsychiatricdisorders,including,butnotlimitedto,posttraumatic
81stressdisorder,ifdiagnosedbyastatelicensedpsychiatrist;
82 (g)Humanimmunodeficiencyvirusoracquiredimmunedeficiencysyndrome;
83 (h)Achronicmedicalconditionthatisnormallytreatedwithaprescription
84medicationthatcouldleadtophysicalorpsychologicaldependence,whenaphysician
HCSHJR142	3 85determinesthatmedicaluseofmarijuanacouldbeeffectiveintreatingthatconditionand
86wouldserveasasaferalternativetotheprescriptionmedication;
87 (i)Anyterminalillness;or
88 (j)Intheprofessionaljudgmentofaphysician,anyotherchronic,debilitatingorother
89medicalcondition,including,butnotlimitedto,hepatitisC,amyotrophiclateralsclerosis,
90inflammatoryboweldisease,Crohn'sdisease,Huntington'sdisease,autism,neuropathies,
91sicklecellanemia,agitationofAlzheimer'sdisease,cachexia,andwastingsyndrome.
92 (16)"Qualifyingpatient"meansaMissouriresidentdiagnosedwithatleastone
93qualifyingmedicalcondition.
94 3.CreatingPatientAccesstoMedicalMarijuana.
95 (1)Incarryingouttheimplementationofthissection,thedepartmentshallhavethe
96authorityto:
97 (a)Grantorrefusestatelicensesandcertificationsforthecultivation,manufacture,
98dispensing,sale,testing,tracking,andtransportationofmarijuanaformedicaluseasprovided
99bylaw;suspend,fine,restrict,orrevokesuchlicensesandcertificationsuponaviolationof
100thissectionorarulepromulgatedpursuanttothissection;andimposeanyadministrative
101penaltyauthorizedbythissectionoranyrulepromulgatedpursuanttothissection.
102 (b)Promulgaterulesandemergencyrulesnecessaryfortheproperregulationand
103controlofthecultivation,manufacture,dispensing,andsaleofmarijuanaformedicaluseand
104fortheenforcementofthissectionsolongaspatientaccessisnotrestrictedunreasonablyand
105suchrulesarereasonablynecessaryforpatientsafetyortorestrictaccesstoonlylicensees
106andqualifyingpatients.
107 (c)Developsuchforms,certificates,licenses,identificationcards,andapplicationsas
108arenecessaryfor,orreasonablyrelatedto,theadministrationofthissectionoranyofthe
109rulespromulgatedunderthissection;
110 (d)Requireaseed-to-saletrackingsystemthattracksmedicalmarijuanafromeither
111theseedorimmatureplantstageuntilthemedicalmarijuanaormedicalmarijuana-infused
112productissoldtoaqualifyingpatientorprimarycaregivertoensurethatnomedical
113marijuanagrownbyamedicalmarijuanacultivationfacilityormanufacturedbyamedical
114marijuana-infusedproductsmanufacturingfacilityissoldorotherwisetransferredexceptbya
115medicalmarijuanadispensaryfacility.Thedepartmentshallcertify,ifpossible,atleasttwo
116commerciallyavailablesystemstolicenseesascompliantwithitstrackingstandardsand
117issuestandardsforthecreationoruseofothersystemsbylicensees.
118 (e)Issuestandardsforthesecuretransportationofmarijuanaandmarijuana-infused
119products.Thedepartmentshallcertifyentitieswhichdemonstratecompliancewithits
120transportationstandardstotransportmarijuanaandmarijuana-infusedproductstoamedical
121marijuanacultivationfacility,amedicalmarijuana-infusedproductsmanufacturingfacility,a
HCSHJR142	4 122medicalmarijuanadispensaryfacility,amedicalmarijuanatestingfacility,oranotherentity
123withatransportationcertification.Thedepartmentshalldeveloporadoptfromanyother
124governmentalagencysuchsafetyandsecuritystandardsasarereasonablynecessaryforthe
125transportationofmarijuana.Anyentitylicensedorcertifiedpursuanttothissectionshallbe
126allowedtotransportcannabis.
127 (f)Thedepartmentmaychargeafeenottoexceed$5,000foranycertificationissued
128pursuanttothissection.
129 (g)Prepareandtransmitannuallyapubliclyavailablereportaccountingtothe
130governorfortheefficientdischargeofallresponsibilitiesassignedtothedepartmentunder
131thissection;
132 (h)Establishasystemtonumericallyscorecompetingmedicalmarijuanalicensee
133andcertificateapplicants,onlyincaseswheremoreapplicantsapplythantheminimum
134numberoflicensesorcertificatesascalculatedbythissection,whichscoringshallbelimited
135toananalysisofthefollowing:
136 (i)thecharacter,veracity,background,qualifications,andrelevantexperienceof
137principalofficersormanagers;
138 (ii)thebusinessplanproposedbytheapplicant,whichinthecaseofcultivation
139facilitiesanddispensariesshallincludetheabilitytomaintainanadequatesupplyof
140marijuana,planstoensuresafetyandsecurityofqualifyingpatientsandthecommunity,
141procedurestobeusedtopreventdiversion,andanyplanformakingmarijuanaavailableto
142low-incomequalifyingpatients;
143 (iii)sitesecurity;
144 (iv)experienceinalegalcannabismarket;
145 (v)inthecaseofmedicalmarijuanatestingfacilities,theexperienceoftheirpersonnel
146withtestingmarijuana,foodordrugsfortoxinsand/orpotencyandhealthcareindustry
147experience;
148 (vi)thepotentialforpositiveeconomicimpactinthesitecommunity;
149 (vii)inthecaseofmedicalmarijuanacultivationfacilities,capacityorexperiencewith
150agriculture,horticulture,andhealthcare;
151 (viii)inthecaseofmedicalmarijuanadispensaryfacilities,capacityorexperience
152withhealthcare,thesuitabilityoftheproposedlocation,anditsaccessibilityforpatients;
153 (ix)inthecaseofmedicalmarijuana-infusedproductsmanufacturingfacilities,
154capacityorexperiencewithfoodandbeveragemanufacturing;and
155 (x)maintainingcompetitivenessinthemarijuanaformedicalusemarketplace.
156 Inrankingapplicantsandawardinglicensesandcertificates,thedepartmentmay
157consultorcontractwithotherpublicagencieswithrelevantexpertiseregardingthesefactors.
HCSHJR142	5 158Thedepartmentshallliftoreaseanylimitonthenumberoflicenseesorcertificateholdersin
159ordertomeetthedemandformarijuanaformedicalusebyqualifyingpatients.
160 (2)Thedepartmentshallissueanyrulesoremergencyrulesnecessaryforthe
161implementationandenforcementofthissectionandtoensuretherightto,availability,and
162safeuseofmarijuanaformedicalusebyqualifyingpatients.Indevelopingsuchrulesor
163emergencyrules,thedepartmentmayconsultwithotherpublicagencies.Inadditiontoany
164otherrulesoremergencyrulesnecessarytocarryoutthemandatesofthissection,the
165departmentmayissuerulesoremergencyrulesrelatingtothefollowingsubjects:
166 (a)Compliancewith,enforcementof,orviolationofanyprovisionofthissectionor
167anyruleissuedpursuanttothissection,includingproceduresandgroundsfordenying,
168suspending,fining,restricting,orrevokingastatelicenseorcertificationissuedpursuantto
169thissection;
170 (b)Specificationsofdutiesofofficersandemployeesofthedepartment;
171 (c)Instructionsorguidanceforlocalauthoritiesandlawenforcementofficers;
172 (d)Requirementsforinspections,investigations,searches,seizures,andsuch
173additionalenforcementactivitiesasmaybecomenecessaryfromtimetotime;
174 (e)Creationofarangeofadministrativepenaltiesforusebythedepartment;
175 (f)Prohibitionofmisrepresentationandunfairpractices;
176 (g)Controlofinformationalandproductdisplaysonlicensedpremisesprovidedthat
177therulesmaynotpreventorunreasonablyrestrictappropriatesignsonthepropertyofthe
178medicalmarijuanadispensaryfacility,productdisplayandexaminationbythequalifying
179patientand/orprimarycaregiver,listingsinbusinessdirectoriesincludingphonebooks,
180listingsinmarijuana-relatedormedicalpublications,orthesponsorshipofhealthornotfor
181profitcharityoradvocacyevents;
182 (h)Developmentofindividualidentificationcardsforowners,officers,managers,
183contractors,employees,andothersupportstaffofentitieslicensedorcertifiedpursuanttothis
184section,includingafingerprint-basedfederalandstatecriminalrecordcheckinaccordance
185withU.S.PublicLaw92-544,oritssuccessorprovisions,asmayberequiredbythe
186departmentpriortoissuingacardandprocedurestoensurethatcardsfornewapplicantsare
187issuedwithinfourteendays.Applicantslicensedpursuanttothissectionshallsubmit
188fingerprintstotheMissouristatehighwaypatrolforthepurposeofconductingastateand
189federalfingerprint-basedcriminalbackgroundcheck.TheMissouristatehighwaypatrol,if
190necessary,shallforwardthefingerprintstotheFederalBureauofInvestigation(FBI)forthe
191purposeofconductingafingerprint-basedcriminalbackgroundcheck.Fingerprintsshallbe
192submittedpursuantto43.543andfeesshallbepaidpursuantto43.530;
193 (i)Securityrequirementsforanypremiseslicensedorcertifiedpursuanttothis
194section,including,ataminimum,lighting,physicalsecurity,video,alarmrequirements,and
HCSHJR142	6 195otherminimumproceduresforinternalcontrolasdeemednecessarybythedepartmentto
196properlyadministerandenforcetheprovisionsofthissection,includingreporting
197requirementsforchanges,alterations,ormodificationstothepremises;
198 (j)Regulationofthestorageof,warehousesfor,andtransportationofmarijuanafor
199medicaluse;
200 (k)Sanitaryrequirementsfor,including,butnotlimitedto,thepreparationofmedical
201marijuana-infusedproducts;
202 (l)Thespecificationofacceptableformsofpictureidentificationthatamedical
203marijuanadispensaryfacilitymayacceptwhenverifyingasale;
204 (m)Labelingandpackagingstandards;
205 (n)Recordstobekeptbylicenseesandtherequiredavailabilityoftherecords;
206 (o)Statelicensingprocedures,includingproceduresforrenewals,reinstatements,
207initiallicenses,andthepaymentoflicensingfees;
208 (p)Thereportingandtransmittaloftaxpayments;
209 (q)Authorizationforthedepartmentofrevenuetohaveaccesstolicensing
210informationtoensuretaxpaymentandtheeffectiveadministrationofthissection;and
211 (r)Suchothermattersasarenecessaryforthefair,impartial,stringent,and
212comprehensiveadministrationofthissection.
213 (3)Thedepartmentshallissuerulesoremergencyrulesforamedicalmarijuanaand
214medicalmarijuana-infusedproductsindependenttestingandcertificationprogramfor
215medicalmarijuanalicenseesandrequiringlicenseestotestmedicalmarijuanausingoneor
216moreimpartial,independentlaboratoriestoensure,ataminimum,thatproductssoldfor
217humanconsumptiondonotcontaincontaminantsthatareinjurioustohealth,toensurecorrect
218labelingandmeasurepotency.Thedepartmentshallnotrequireanymedicalmarijuanaor
219medicalmarijuana-infusedproductstobetestedmorethanoncepriortosale.
220 (4)Thedepartmentshallissuerulesoremergencyrulestoprovideforthe
221certificationofandstandardsformedicalmarijuanatestingfacilities,includingthe
222requirementsforequipmentandqualificationsforpersonnel,butshallnotrequire
223certificateholderstohaveanyfederalagencylicensingorhaveanyrelationshipwitha
224federallylicensedtestingfacility.Thedepartmentshallcertify,ifpossible,atleasttwo
225entitiesasmedicalmarijuanatestingfacilities.Nomedicalmarijuanatestingfacilityshallbe
226ownedbyanentityundersubstantiallycommoncontrol,ownership,ormanagementasa
227medicalmarijuanacultivationfacility,medicalmarijuana-infusedproductmanufacturing
228facility,ormedicalmarijuanadispensaryfacility.
229 (5)Thedepartmentshallmaintaintheconfidentialityofreportsorotherinformation
230obtainedfromanapplicantorlicenseecontaininganyindividualizeddata,information,or
231recordsrelatedtothelicenseeoritsoperation,includingsalesinformation,financialrecords,
HCSHJR142	7 232taxreturns,creditreports,cultivationinformation,testingresults,andsecurityinformation
233andplans,orrevealinganypatientinformation,oranyotherrecordsthatareexemptfrom
234publicinspectionpursuanttostateorfederallaw.Suchreportsorotherinformationmaybe
235usedonlyforapurposeauthorizedbythissection.Anyinformationreleasedrelatedto
236patientsmaybeusedonlyforapurposeauthorizedbyfederallawandthissection,including
237verifyingthatapersonwhopresentedapatientidentificationcardtoastateorlocallaw
238enforcementofficialislawfullyinpossessionofsuchcard.
239 (6)WithinonehundredeightydaysofDecember6,2018,thedepartmentshallmake
240availabletothepubliclicenseapplicationformsandapplicationinstructionsformedical
241marijuanacultivationfacilities,medicalmarijuanatestingfacilities,medicalmarijuana
242dispensaryfacilities,andmedicalmarijuana-infusedproductsmanufacturingfacilities.
243 (7)WithinonehundredeightydaysofDecember6,2018,thedepartmentshallmake
244availabletothepublicapplicationformsandapplicationinstructionsforqualifyingpatient,
245qualifyingpatientcultivation,andprimarycaregiveridentificationcards.Withintwohundred
246tendaysofDecember6,2018,thedepartmentshallbeginacceptingapplicationsforsuch
247identificationcards.
248 (8)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
249growmarijuanaasamedicalmarijuanacultivationfacility.Eachfacilityinoperationshall
250requireaseparatelicense,butmultiplelicensesmaybeutilizedinasinglefacility.Each
251indoorfacilityutilizingartificiallightingmaybelimitedbythedepartmenttothirtythousand
252squarefeetoffloweringplantcanopyspace.Eachoutdoorfacilityutilizingnaturallighting
253maybelimitedbythedepartmenttotwothousandeighthundredfloweringplants.Each
254greenhousefacilityusingacombinationofnaturalandartificiallightingmaybelimitedby
255thedepartment,attheelectionofthelicensee,totwothousandeighthundredfloweringplants
256orthirtythousandsquarefeetoffloweringplantcanopy.Thelicenseshallbevalidforthree
257yearsfromitsdateofissuanceandshallberenewable,exceptforgoodcause.The
258departmentshallchargeeachapplicantanonrefundablefeeoftenthousanddollarsperlicense
259applicationorrenewalforallapplicantsfilinganapplicationwithinthreeyearsofDecember
2606,2018,andshallchargeeachapplicantanonrefundablefeeoffivethousanddollarsper
261licenseapplicationorrenewalthereafter.Oncegranted,thedepartmentshallchargeeach
262licenseeanannualfeeoftwenty-fivethousanddollarsperfacilitylicense.Applicationand
263licensefeesshallbeincreasedordecreasedeachyearbythepercentageofincreaseor
264decreasefromtheendofthepreviouscalendaryearoftheConsumerPriceIndex,or
265successorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessoragency.No
266morethanthreemedicalmarijuanacultivationfacilitylicensesshallbeissuedtoanyentity
267undersubstantiallycommoncontrol,ownership,ormanagement.
HCSHJR142	8 268 (9)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
269operateamedicalmarijuanadispensaryfacility.Eachfacilityinoperationshallrequirea
270separatelicense.Alicenseshallbevalidforthreeyearsfromitsdateofissuanceandshallbe
271renewable,exceptforgoodcause.Thedepartmentshallchargeeachapplicanta
272nonrefundablefeeofsixthousanddollarsperlicenseapplicationorrenewalforeach
273applicantfilinganapplicationwithinthreeyearsofDecember6,2018,andshallchargeeach
274applicantanonrefundablefeeofthreethousanddollarsperlicenseapplicationorrenewal
275thereafter.Oncegranted,thedepartmentshallchargeeachlicenseeanannualfeeoften
276thousanddollarsperfacilitylicense.Applicationandlicensefeesshallbeincreasedor
277decreasedeachyearbythepercentageofincreaseordecreasefromtheendoftheprevious
278calendaryearoftheConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.
279DepartmentofLabor,oritssuccessoragency.Nomorethanfivemedicalmarijuana
280dispensaryfacilitylicensesshallbeissuedtoanyentityundersubstantiallycommoncontrol,
281ownership,ormanagement.
282 (10)Anentitymayapplytothedepartmentforandobtainoneormorelicensesto
283operateamedicalmarijuana-infusedproductsmanufacturingfacility.Eachfacilityin
284operationshallrequireaseparatelicense.Alicenseshallbevalidforthreeyearsfromitsdate
285ofissuanceandshallberenewable,exceptforgoodcause.Thedepartmentshallchargeeach
286applicantanonrefundablefeeofsixthousanddollarsperlicenseapplicationorrenewalfor
287eachapplicantfilinganapplicationwithinthreeyearsofDecember6,2018,andshallcharge
288eachapplicantanonrefundablefeeofthreethousanddollarsperlicenseapplicationor
289renewalthereafter.Oncegranted,thedepartmentshallchargeeachlicenseeanannualfeeof
290tenthousanddollarsperfacilitylicense.Applicationandlicensefeesshallbeincreasedor
291decreasedeachyearbythepercentageofincreaseordecreasefromtheendoftheprevious
292calendaryearoftheConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.
293DepartmentofLabor,oritssuccessoragency.Nomorethanthreemedicalmarijuana-infused
294productsmanufacturingfacilitylicensesshallbeissuedtoanyentityundersubstantially
295commoncontrol,ownership,ormanagement.
296 (11)Anyapplicantforalicenseauthorizedbythissectionmayprefiletheir
297applicationfeewiththedepartmentbeginning30daysafterDecember6,2018.
298 (12)Exceptforgoodcause,aqualifyingpatientorhisorherprimarycaregivermay
299obtainanidentificationcardfromthedepartmenttocultivateuptosixfloweringmarijuana
300plantsfortheexclusiveuseofthatqualifyingpatient.Thecardshallbevalidfortwelve
301monthsfromitsdateofissuanceandshallberenewablewiththeannualsubmittalofanewor
302updatedphysician'scertification.Thedepartmentshallchargeanannualfeeforthecardof
303onehundreddollars,withsuchratetobeincreasedordecreasedeachyearbythepercentage
304ofincreaseordecreasefromtheendofthepreviouscalendaryearoftheConsumerPrice
HCSHJR142	9 305Index,orsuccessorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessor
306agency.
307 (13)Thedepartmentmaysetalimitontheamountofmarijuanathatmaybe
308purchasedbyoronbehalfofasinglequalifyingpatientinathirty-dayperiod,providedthat
309limitisnotlessthanfourouncesofdried,unprocessedmarijuana,oritsequivalent.Anysuch
310limitshallnotapplytoaqualifyingpatientwithwrittencertificationfromtwoindependent
311physiciansthattherearecompellingreasonswhythequalifyingpatientneedsagreater
312amountthanthelimitestablishedbythedepartment.
313 (14)Thedepartmentmaysetalimitontheamountofmarijuanathatmaybe
314possessedbyoronbehalfofeachqualifyingpatient,providedthatlimitisnotlessthana
315sixty-daysupplyofdried,unprocessedmarijuana,oritsequivalent.Aprimarycaregivermay
316possessaseparatelegallimitforeachqualifyingpatientundertheircareandaseparatelegal
317limitforthemselvesiftheyareaqualifyingpatient.Qualifyingpatientscultivatingmarijuana
318formedicalusemaypossessuptoaninety-daysupply,solongasthesupplyremainson
319propertyundertheircontrol.Anysuchlimitshallnotapplytoaqualifyingpatientwith
320writtencertificationfromtwoindependentphysiciansthattherearecompellingreasonsfor
321additionalamounts.Possessionofbetweenthelegallimitanduptotwicethelegallimitshall
322subjectthepossessortodepartmentsanctions,includinganadministrativepenaltyandlossof
323theirpatientidentificationcardforuptoayear.Purposefullypossessingamountsinexcessof
324twicethelegallimitshallbepunishablebyimprisonmentofuptooneyearandafineofupto
325twothousanddollars.
326 (15)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
327medicalmarijuanacultivationfacilities,provided,however,thatthenumbermaynotbe
328limitedtofewerthanonelicensepereveryonehundredthousandinhabitants,oranyportion
329thereof,ofthestateofMissouri,accordingtothemostrecentcensusoftheUnitedStates.A
330decreaseinthenumberofinhabitantsinthestateofMissourishallhavenoimpact.
331 (16)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
332marijuana-infusedproductsmanufacturingfacilities,provided,however,thatthenumbermay
333notbelimitedtofewerthanonelicensepereveryseventythousandinhabitants,orany
334portionthereof,ofthestateofMissouri,accordingtothemostrecentcensusoftheUnited
335States.AdecreaseinthenumberofinhabitantsinthestateofMissourishallhavenoimpact.
336 (17)Thedepartmentmayrestricttheaggregatenumberoflicensesgrantedfor
337medicalmarijuanadispensaryfacilities,provided,however,thatthenumbermaynotbe
338limitedtofewerthantwenty-fourlicensesineachUnitedStatescongressionaldistrictinthe
339stateofMissouripursuanttothemapofeachoftheeightcongressionaldistrictsasdrawnand
340effectiveonDecember6,2018.Futurechangestotheboundariesoforthenumberof
341congressionaldistrictsshallhavenoimpact.
HCSHJR142	10 342 (18)Thedepartmentshallbeginacceptinglicenseandcertificationapplicationsfor
343medicalmarijuanadispensaryfacilities,medicalmarijuanatestingfacilities,medical
344marijuanacultivationfacilities,medicalmarijuana-infusedproductsmanufacturing
345facilities,seed-to-saletrackingsystems,andfortransportationofmarijuananolaterthan
346twohundredfortydaysafterDecember6,2018.Applicationsforlicensesandcertifications
347underthissectionshallbeapprovedordeniedbythedepartmentnolaterthanonehundred
348fiftydaysaftertheirsubmission.Ifthedepartmentfailstocarryoutitsnondiscretionaryduty
349toapproveordenyanapplicationwithinonehundredfiftydaysofsubmission,anapplicant
350mayimmediatelyseekacourtordercompellingthedepartmenttoapproveordenythe
351application.
352 (19)Qualifyingpatientsunderthissectionshallobtainandannuallyrenewan
353identificationcardorcardsfromthedepartment.Thedepartmentshallchargeafeeof
354twenty-fivedollarsperyearpercardwithsuchfeetobeincreasedordecreasedeachyearby
355thepercentageofincreaseordecreasefromtheendofthepreviouscalendaryearofthe
356ConsumerPriceIndex,orsuccessorindexaspublishedbytheU.S.DepartmentofLaboror
357itssuccessoragency.Uponreceivinganapplicationforaqualifyingpatientidentification
358cardorqualifyingpatientcultivationidentificationcard,thedepartmentshall,withinthirty
359days,eitherissuethecardorprovideawrittenexplanationforitsdenial.Ifthedepartment
360failstodenyandfailstoissueacardtoaneligiblequalifyingpatientwithinthirtydays,then
361theirphysiciancertificationshallserveastheirqualifyingpatientidentificationcardor
362qualifyingpatientcultivationidentificationcardforuptooneyearfromthedateofphysician
363certification.Allinitialapplicationsfororrenewalsofaqualifyingpatientidentificationcard
364orqualifyingpatientcultivationidentificationcardshallbeaccompaniedbyaphysician
365certificationthatislessthanthirtydaysold.
366 (20)Primarycaregiversunderthissectionshallobtainandannuallyrenewan
367identificationcardfromthedepartment.Thedepartmentshallchargeafeeoftwenty-five
368dollarsperyear,withsuchfeetobeincreasedordecreasedeachyearbythepercentageof
369increaseordecreasefromtheendofthepreviouscalendaryearoftheConsumerPriceIndex,
370orsuccessorindexaspublishedbytheU.S.DepartmentofLabor,oritssuccessoragency.
371Uponreceivinganapplicationforaprimarycaregiveridentificationcard,thedepartment
372shall,withinthirtydays,eitherissuethecardorprovideawrittenexplanationforitsdenial.
373 (21)AllmarijuanaformedicalusesoldinMissourishallbecultivatedinalicensed
374medicalmarijuanacultivationfacilitylocatedinMissouri.
375 (22)Allmarijuana-infusedproductsformedicalusesoldinthestateofMissourishall
376bemanufacturedinamedicalmarijuana-infusedproductsmanufacturingfacility.
377 (23)Thedenialofalicense,licenserenewal,oridentificationcardbythedepartment
378shallbeappealabletotheadministrativehearingcommission,oritssuccessorentity.
HCSHJR142	11 379Followingtheexhaustionofadministrativereview,denialofalicense,licenserenewal,or
380identificationcardbythedepartmentshallbesubjecttojudicialreviewasprovidedbylaw.
381 (24)Noelectedofficialshallinterferedirectlyorindirectlywiththedepartment's
382obligationsandactivitiesunderthissection.
383 (25)Thedepartmentshallnothavetheauthoritytoapplyorenforceanyruleor
384regulationthatwouldimposeanundueburdenonanyoneormorelicenseesorcertificate
385holders,anyqualifyingpatients,oracttounderminethepurposesofthissection.
386 4.TaxationandReporting.
387 (1)Ataxisleviedupontheretailsaleofmarijuanaformedicalusesoldatmedical
388marijuanadispensaryfacilitieswithinthestate.Thetaxshallbeatarateoffourpercentof
389theretailprice.Thetaxshallbecollectedbyeachlicensedmedicalmarijuanadispensary
390facilityandpaidtothedepartmentofrevenue.Afterretainingnomorethanfivepercentfor
391itsactualcollectioncosts,amountsgeneratedbythetaxleviedinthissectionshallbe
392depositedbythedepartmentofrevenueintotheMissouriveterans'healthandcarefund.
393Licensedentitiesmakingretailsaleswithinthestateshallbeallowedapprovedcreditfor
394returnsprovidedthetaxwaspaidonthereturneditemandthepurchaserwasgiventherefund
395orcredit.
396 (2)Thereisherebycreatedinthestatetreasurythe"MissouriVeterans'Healthand
397CareFund",whichshallconsistoftaxesandfeescollectedunderthissection.Thestate
398treasurershallbecustodianofthefund,andheorsheshallinvestmoniesinthefundinthe
399samemannerasotherfundsareinvested.Anyinterestandmoniesearnedonsuch
400investmentsshallbecreditedtothefund.Notwithstandinganyotherprovisionoflaw,any
401moniesremaininginthefundattheendofabienniumshallnotreverttothecreditofthe
402generalrevenuefund.Thecommissionerofadministrationisauthorizedtomakecash
403operatingtransferstothefundforpurposesofmeetingthecashrequirementsofthe
404departmentinadvanceofitreceivingannualapplication,licensing,andtaxrevenue,withany
405suchtransferstoberepaidasprovidedbylaw.Thefundshallbeadedicatedfundandshall
406[standappropriatedwithoutfurtherlegislativeaction] bedistributedasfollows:
407 (a)First,tothedepartment,anamountnecessaryforthedepartmenttocarryoutthis
408section,includingrepaymentofanycashoperatingtransfers,paymentsmadethroughcontract
409oragreementwithotherstateandpublicagenciesnecessarytocarryoutthissection,anda
410reservefundtomaintainareasonableworkingcashbalanceforthepurposeofcarryingout
411thissection;
412 (b)Next,theremainderofsuchfundsshallbetransferredtotheMissouriveterans
413commissionforhealthandcareservicesformilitaryveterans,includingthefollowing
414purposes:operations,maintenance, andcapitalimprovementsoftheMissouriveteranshomes
415andconstructionofadditionalveteranshomes, theMissouriserviceofficer'sprogram,and
HCSHJR142	12 416otherservicesforveteransapprovedbythecommission,including,butnotlimitedto,health
417careservices,mentalhealthservices,suicideprevention,drugrehabilitationservices,
418housingassistance,jobtraining,tuitionassistance,andhousingassistancetoprevent
419homelessness.TheMissouriveteranscommissionshallcontractwithotherpublicagencies
420forthedeliveryofservicesbeyonditsexpertise.
421 (c)Allmoniesfromthetaxesauthorizedunderthissubsectionshallprovide
422additionaldedicatedfundingforthepurposesenumeratedaboveandshallnotreplaceexisting
423dedicatedfunding.
424 (3)Forallretailsalesofmarijuanaformedicaluse,arecordshallbekeptbytheseller
425whichidentifies,bysecureandencryptedpatientnumberissuedbythesellertothequalifying
426patientinvolvedinthesale,allamountsandtypesofmarijuanainvolvedinthesaleandthe
427totalamountofmoneyinvolvedinthesale,includingitemizations,taxescollectedandgrand
428totalsaleamounts.Allsuchrecordsshallbekeptonthepremisesinareadilyavailable
429formatandbemadeavailableforreviewbythedepartmentandthedepartmentofrevenue
430uponrequest.Suchrecordsshallberetainedforfiveyearsfromthedateofthesale.
431 (4)Thetaxleviedpursuanttothissubsectionisseparatefrom,andinadditionto,any
432generalstateandlocalsalesandusetaxesthatapplytoretailsales,whichshallcontinuetobe
433collectedanddistributedasprovidedbygenerallaw.
434 (5)Exceptasauthorizedinthissubsection,noadditionaltaxesshallbeimposedon
435thesaleofmarijuanaformedicaluse.
436 (6)ThefeesandtaxesprovidedforinthisArticleXIV,Section1shallbefully
437enforceablenotwithstandinganyotherprovisioninthisConstitutionpurportedlyprohibiting
438orrestrictingthetaxesandfeesprovidedforherein.
439 (7)Theunexpendedbalanceexistinginthefundshallbeexemptfromtheprovisions
440ofsection33.080relatingtothetransferofunexpendedbalancestothegeneralrevenuefund.
441 5.AdditionalPatient,Physician,CaregiverandProviderProtections.
442 (1)Exceptasprovidedinthissection,thepossessionofmarijuanainquantitiesless
443thanthelimitsofthissection,orestablishedbythedepartment,andtransportationof
444marijuanafromamedicalmarijuanadispensaryfacilitytothequalifyingpatient'sresidence
445shallnotsubjectthepossessortoarrest,criminalorcivilliability,orsanctionsunderMissouri
446law,providedthatthepossessorproducesondemandtotheappropriateauthorityavalid
447qualifyingpatientidentificationcard;avalidqualifyingpatientcultivationidentificationcard;
448avalidphysiciancertificationwhilemakingapplicationforanidentificationcard;oravalid
449primarycaregiveridentificationcard.Productionoftherespectiveequivalentidentification
450cardorauthorizationissuedbyanotherstateorpoliticalsubdivisionofanotherstateshallalso
451meettherequirementsofthissubdivision.
HCSHJR142	13 452 (2)Nopatientshallbedeniedaccesstoorpriorityforanorgantransplantbecause
453theyholdaqualifyingpatientidentificationcardorusemarijuanaformedicaluse.
454 (3)Aphysicianshallnotbesubjecttocriminalorcivilliabilityorsanctionsunder
455MissourilawordisciplinebytheMissouristateboardofregistrationforthehealingarts,or
456itssuccessoragency,forowning,operating,investingin,beingemployedby,orcontracting
457withanyentitylicensedorcertifiedpursuanttothissectionorissuingaphysiciancertification
458toapatientdiagnosedwithaqualifyingmedicalconditioninamannerconsistentwiththis
459sectionandlegalstandardsofprofessionalconduct.
460 (4)Ahealthcareprovidershallnotbesubjecttocivilorcriminalprosecutionunder
461Missourilaw,denialofanyrightorprivilege,civiloradministrativepenaltyorsanction,or
462disciplinaryactionbyanyaccreditationorlicensingboardorcommissionforowning,
463operating,investingin,beingemployedby,orcontractingwithanyentitylicensedorcertified
464pursuanttothissectionorprovidinghealthcareservicesthatinvolvethemedicaluseof
465marijuanaconsistentwiththissectionandlegalstandardsofprofessionalconduct.
466 (5)Amedicalmarijuanatestingfacilityshallnotbesubjecttocivilorcriminal
467prosecutionunderMissourilaw,denialofanyrightorprivilege,civiloradministrative
468penaltyorsanction,ordisciplinaryactionbyanyaccreditationorlicensingboardor
469commissionforprovidinglaboratorytestingservicesthatrelatetothemedicaluseof
470marijuanaconsistentwiththissectionandotherwisemeetinglegalstandardsofprofessional
471conduct.
472 (6)Ahealthcareprovidershallnotbesubjecttomandatoryreportingrequirements
473forthemedicaluseofmarijuanabynonemancipatedqualifyingpatientsundereighteenyears
474ofageinamannerconsistentwiththissectionandwithconsentofaparentorguardian.
475 (7)Aprimarycaregivershallnotbesubjecttocriminalorcivilliabilityorsanctions
476underMissourilawforpurchasing,transporting,oradministeringmarijuanaformedicaluse
477toaqualifyingpatientorparticipatinginthepatientcultivationofuptosixflowering
478marijuanaplantsperpatientinamannerconsistentwiththissectionandgenerallyestablished
479legalstandardsofpersonalorprofessionalconduct.
480 (8)Anattorneyshallnotbesubjecttodisciplinaryactionbythestatebarassociation
481orotherprofessionallicensingbodyforowning,operating,investingin,beingemployedby,
482contractingwith,orprovidinglegalassistancetoprospectiveorlicensedmedicalmarijuana
483testingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuanadispensary
484facilities,medicalmarijuana-infusedproductsmanufacturingfacilities,qualifyingpatients,
485primarycaregivers,physicians,healthcareprovidersorothersrelatedtoactivitythatisno
486longersubjecttocriminalpenaltiesunderstatelawpursuanttothissection.
487 (9)Actionsandconductbyqualifyingpatients,primarycaregivers,medical
488marijuanatestingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuana-
HCSHJR142	14 489infusedproductsmanufacturingfacilities,ormedicalmarijuanadispensaryfacilitieslicensed
490orregisteredwiththedepartment,ortheiremployeesoragents,aspermittedbythissection
491andincompliancewithdepartmentregulationsandotherstandardsoflegalconduct,shallnot
492besubjecttocriminalorcivilliabilityorsanctionsunderMissourilaw,exceptasprovidedfor
493bythissection.
494 (10)Nothinginthissectionshallprovideimmunityfornegligence,eithercommon
495laworstatutorilycreated,norcriminalimmunitiesforoperatingavehicle,aircraft,dangerous
496device,ornavigatingaboatundertheinfluenceofmarijuana.
497 (11)ItisthepublicpolicyofthestateofMissourithatcontractsrelatedtomarijuana
498formedicalusethatareenteredintobyqualifyingpatients,primarycaregivers,medical
499marijuanatestingfacilities,medicalmarijuanacultivationfacilities,medicalmarijuana-
500infusedproductsmanufacturingfacilities,ormedicalmarijuanadispensaryfacilitiesand
501thosewhoallowpropertytobeusedbythoseentities,shouldbeenforceable.Itisthepublic
502policyofthestateofMissourithatnocontractenteredintobyqualifyingpatients,primary
503caregivers,medicalmarijuanatestingfacilities,medicalmarijuanacultivationfacilities,
504medicalmarijuana-infusedproductsmanufacturingfacilities,ormedicalmarijuana
505dispensaryfacilities,orbyapersonwhoallowspropertytobeusedforactivitiesthatare
506exemptfromstatecriminalpenaltiesbythissection,shallbeunenforceableonthebasisthat
507activitiesrelatedtomedicalmarijuanamaybeprohibitedbyfederallaw.
508 6.Legislation.
509 Nothinginthissectionshalllimitthegeneralassemblyfromenactinglawsconsistent
510withthissection,orotherwiseeffectuatingthepatientrightsofthissection.Thelegislature
511shallnotenactlawsthathindertherightofqualifyingpatientstoaccessmarijuanaformedical
512useasgrantedbythissection.
513 7.AdditionalProvisions.
514 (1)Nothinginthissectionpermitsapersonto:
515 (a)Consumemarijuanaformedicaluseinajailorcorrectionalfacility;
516 (b)Undertakeanytaskundertheinfluenceofmarijuanawhendoingsowould
517constitutenegligenceorprofessionalmalpractice;or
518 (c)Operate,navigate,orbeinactualphysicalcontrolofanydangerousdeviceor
519motorvehicle,aircraftormotorboatwhileundertheinfluenceofmarijuana;or
520 (d)Bringaclaimagainstanyemployer,formeremployer,orprospectiveemployer
521forwrongfuldischarge,discrimination,oranysimilarcauseofactionorremedy,basedonthe
522employer,formeremployer,orprospectiveemployerprohibitingtheemployee,former
523employee,orprospectiveemployeefrombeingundertheinfluenceofmarijuanawhileat
524workordiscipliningtheemployeeorformeremployee,uptoandincludingterminationfrom
525employment,forworkingorattemptingtoworkwhileundertheinfluenceofmarijuana.
HCSHJR142	15 526 (2)Nomedicalmarijuanacultivationfacility,medicalmarijuanatestingfacility,
527medicalmarijuanadispensaryfacility,ormedicalmarijuana-infusedproductsmanufacturing
528facility,orentitywithatransportationcertificationshallbeowned,inwholeorinpart,or
529haveasanofficer,director,boardmember,manager,oremployee,anyindividualwitha
530disqualifyingfelonyoffense.A"disqualifyingfelonyoffense"isaviolationof,and
531convictionorguiltypleato,stateorfederallawthatis,orwouldhavebeen,afelonyunder
532Missourilaw,regardlessofthesentenceimposed,unlessthedepartmentdeterminesthat:
533 (a)Theperson'sconvictionwasforthemedicaluseofmarijuanaorassistinginthe
534medicaluseofmarijuana;or
535 (b)Theperson'sconvictionwasforanonviolentcrimeforwhichheorshewasnot
536incarceratedandthatismorethanfiveyearsold;or
537 (c)Morethanfiveyearshavepassedsincethepersonwasreleasedfromparoleor
538probation,andheorshehasnotbeenconvictedofanysubsequentcriminaloffenses.
539 Thedepartmentmayconsultwithandrelyontherecords,adviceand
540recommendationsoftheattorneygeneralandthedepartmentofpublicsafety,ortheir
541successorentities,inapplyingthissubdivision.
542 (3)Allmedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
543andmedicalmarijuana-infusedproductsmanufacturingfacilitylicenses,entitieswithmedical
544marijuanatestingfacilitycertifications,andentitieswithtransportationcertificationsshallbe
545heldbyentitiesthataremajorityownedbynaturalpersonswhohavebeencitizensofthestate
546ofMissouriforatleastoneyearpriortotheapplicationforsuchlicenseorcertification.
547Notwithstandingtheforegoing,entitiesoutsidethestateofMissourimayownaminority
548stakeinsuchentities.
549 (4)Nomedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
550ormedicalmarijuana-infusedproductsmanufacturingfacilityshallmanufacture,packageor
551labelmarijuanaormarijuana-infusedproductsinafalseormisleadingmanner.Noperson
552shallsellanyproductinamannerdesignedtocauseconfusionbetweenamarijuanaor
553marijuana-infusedproductandanyproductnotcontainingmarijuana.Aviolationofthis
554subdivisionshallbepunishablebyanappropriateandproportionaldepartmentsanction,upto
555andincludinglossoflicense.
556 (5)Allediblemarijuana-infusedproductsshallbesoldinindividual,child-resistant
557containersthatarelabeledwithdosageamounts,instructionsforuse,andestimatedlengthof
558effectiveness.Allmarijuanaandmarijuana-infusedproductsshallbesoldincontainers
559clearlyandconspicuouslylabeled,inafontsizeatleastaslargeasthelargestotherfontsize
560usedonthepackage,ascontaining"Marijuana",ora"Marijuana-InfusedProduct".Violation
561ofthisprohibitionshallsubjecttheviolatortodepartmentsanctions,includingan
562administrativepenalty.
HCSHJR142	16 563 (6)Noindividualshallserveastheprimarycaregiverformorethanthreequalifying
564patients.
565 (7)Noqualifyingpatientshallconsumemarijuanaformedicaluseinapublicplace,
566unlessprovidedbylaw.Violationofthisprohibitionshallsubjecttheviolatortosanctionsas
567providedbygenerallaw.
568 (8)Nopersonshallextractresinsfrommarijuanausingdangerousmaterialsor
569combustiblegaseswithoutamedicalmarijuana-infusedproductsmanufacturingfacility
570license.Violationofthisprohibitionshallsubjecttheviolatortodepartmentsanctions,
571includinganadministrativepenaltyand,ifapplicable,lossoftheiridentificationcard,
572certificate,orlicenseforuptooneyear.
573 (9)Allqualifyingpatientcultivationshalltakeplaceinanenclosed,lockedfacility
574thatisequippedwithsecuritydevicesthatpermitaccessonlybythequalifyingpatientorby
575suchpatient'sprimarycaregiver.Twoqualifyingpatients,whobothholdvalidqualifying
576patientcultivationidentificationcards,mayshareoneenclosed,lockedfacility.Nomorethan
577twelvequalifyingpatientorprimarycaregivercultivatedfloweringmarijuanaplantsmaybe
578cultivatedinasingle,enclosedlockedfacility,exceptwhenaprimarycaregiveralsoholdsa
579qualifyingpatientcultivationidentificationcard,inwhichcasenomorethaneighteen
580floweringmarijuanaplantsmaybecultivatedinasingle,enclosed,lockedfacility.
581 (10)Nomedicalmarijuanacultivationfacility,medicalmarijuanadispensaryfacility,
582medicalmarijuana-infusedproductsmanufacturingfacility,medicalmarijuanatestingfacility,
583orentitywithatransportationcertificationshallassign,sell,give,lease,sublicense,or
584otherwisetransferitslicenseorcertificatetoanyotherentitywithouttheexpressconsentof
585thedepartment,nottobeunreasonablywithheld.
586 (11)Unlessallowedbythelocalgovernment,nonewmedicalmarijuanacultivation
587facility,medicalmarijuanatestingfacility,medicalmarijuanadispensaryfacility,ormedical
588marijuana-infusedproductsmanufacturingfacilityshallbeinitiallysitedwithinonethousand
589feetofanythen-existingelementaryorsecondaryschool,childday-carecenter,orchurch.
590Nolocalgovernmentshallprohibitmedicalmarijuanacultivationfacilities,medical
591marijuanatestingfacilities,medicalmarijuana-infusedproductsmanufacturingfacilities,or
592medicalmarijuanadispensaryfacilities,orentitieswithatransportationcertificationeither
593expresslyorthroughtheenactmentofordinancesorregulationsthatmaketheiroperation
594undulyburdensomeinthejurisdiction.However,localgovernmentsmayenactordinancesor
595regulationsnotinconflictwiththissection,orwithregulationsenactedpursuanttothis
596section,governingthetime,place,andmannerofoperationofsuchfacilitiesinthelocality.
597Alocalgovernmentmayestablishcivilpenaltiesforviolationofanordinanceorregulations
598governingthetime,place,andmannerofoperationofamedicalmarijuanacultivationfacility,
599medicalmarijuanatestingfacility,medicalmarijuana-infusedproductsmanufacturingfacility,
HCSHJR142	17 600medicalmarijuanadispensaryfacility,orentityholdingatransportationcertificationthatmay
601operateinsuchlocality.
602 (12)UnlesssupersededbyfederallaworanamendmenttothisConstitution,a
603physicianshallnotcertifyaqualifyingconditionforapatientbyanymeansotherthan
604providingaphysiciancertificationforthepatient,whetherhandwritten,electronic,orin
605anothercommonlyusedformat.Aqualifyingpatientmustobtainanewphysician
606certificationatleastannually.
607 (13)Aphysicianshallnotissueacertificationforthemedicaluseofmarijuanafora
608nonemancipatedqualifyingpatientundertheageofeighteenwithoutthewrittenconsentof
609thequalifyingpatient'sparentorlegalguardian.Thedepartmentshallnotissueaqualifying
610patientidentificationcardonbehalfofanonemancipatedqualifyingpatientundertheageof
611eighteenwithoutthewrittenconsentofthequalifyingpatient'sparentorlegalguardian.Such
612cardshallbeissuedtooneoftheparentsorguardiansandnotdirectlytothepatient.Onlya
613parentorguardianmayserveasaprimarycaregiverforanonemancipatedqualifyingpatient
614undertheageofeighteen.Onlythequalifyingpatient'sparentorguardianshallpurchaseor
615possessmedicalmarijuanaforanonemancipatedqualifyingpatientundertheageofeighteen.
616Aparentorguardianshallsupervisetheadministrationofmedicalmarijuanatoa
617nonemancipatedqualifyingpatientundertheageofeighteen.
618 (14)Nothinginthissectionshallbeconstruedasmandatinghealthinsurance
619coverageofmedicalmarijuanaforqualifyingpatientuse.
620 (15)Realandpersonalpropertyusedinthecultivation,manufacture,transport,
621testing,distribution,sale,andadministrationofmarijuanaformedicaluseorforactivities
622otherwiseincompliancewiththissectionshallnotbesubjecttoassetforfeituresolely
623becauseofthatuse.
624 8.Severability.
625 Theprovisionsofthissectionareseverable,andifanyclause,sentence,paragraphor
626sectionofthismeasure,oranapplicationthereof,isadjudgedinvalidbyanycourtof
627competentjurisdiction,theotherprovisionsshallcontinuetobeineffecttothefullestextent
628possible.
629 9.EffectiveDate.
630 TheprovisionsofthissectionshallbecomeeffectiveonDecember6,2018.
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HCSHJR142	18