25.0503.01001
Title.02000
Adopted by the Human Services
Committee
Sixty-ninth
January 27, 2025
Legislative Assembly
of North Dakota
Introduced by
Representatives Vetter, Dobervich, M. Ruby, Steiner, Frelich, Christianson, Christy, Bahl
Senators Cory, Meyer
A BILL for an Act to create and enact section 19-24.1-24.1 and a new subsection to section
19-24.1-36 of the North Dakota Century Code, relating to regulating edible medical marijuana
products; and to amend and reenact section 19-24.1-01 of the North Dakota Century Code,
relating to definitions of medical marijuana products.
BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA:
SECTION 1. AMENDMENT. Section 19-24.1-01 of the North Dakota Century Code is
amended and reenacted as follows:
19-24.1-01. Definitions.
As used in this chapter, unless the context indicates otherwise:
1."Advanced practice registered nurse" means an advanced practice registered nurse
defined under section 43-12.1-02.
2."Agent" means an individual who is authorized to act for, in place of, or on behalf of a
compassion center.
3."Allowable amount of usable marijuana" means the amount of usable marijuana a
registered qualifying patient or registered designated caregiver may purchase in a
thirty-day period under this chapter.
a.Except as provided under subdivision b:
(1)During a thirty-day period, a registered qualifying patient may not purchase
or have purchased by a registered designated caregiver more than two and
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HOUSE BILL NO. 1203
PROPOSED AMENDMENTS TO
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one-half ounces [70.87 grams] of dried leaves or flowers of the plant of the
genus cannabis in a combustible delivery form.
(2)At any time a registered qualifying patient, or a registered designated
caregiver on behalf of a registered qualifying patient, may not possess more
than three ounces [85.05 grams] of dried leaves or flowers of the plant of
the genus cannabis in a combustible delivery form.
(3)At any time, a registered qualifying patient, or a registered designated
caregiver on behalf of a registered qualifying patient, may not possess more
than five hundred milligrams of an a cannabinoid edible marijuana product.
b.Notwithstanding subdivision a, if a registered qualifying patient has a registry
identification card authorizing an enhanced allowable amount:
(1)During a thirty-day period a registered qualifying patient may not purchase
or have purchased by a registered designated caregiver more than six
ounces [170.01 grams] of dried leaves or flowers of the plant of genus
cannabis in a combustible delivery form.
(2)At any time a registered qualifying patient, or a registered designated
caregiver on behalf of a registered qualifying patient, may not possess more
than seven and one-half ounces [212.62 grams] of dried leaves or flowers of
the plant of the genus cannabis in a combustible delivery form.
(3)At any time, a registered qualifying patient, or a registered designated
caregiver on behalf of a registered qualifying patient, may not possess more
than five hundred milligrams of an a cannabinoid edible marijuana product.
c.A registered qualifying patient may not purchase or have purchased by a
registered designated caregiver more than the maximum concentration or
amount of tetrahydrocannabinol permitted in a thirty-day period. The maximum
concentration or amount of tetrahydrocannabinol permitted in a thirty-day period
for a cannabinoid concentrate or medical cannabinoid product, or the cumulative
total of both, is six thousand milligrams. At any time, a registered qualifying
patient, or a registered designated caregiver on behalf of a registered qualifying
patient, may not purchase or possess more than three hundred ten milligrams of
tetrahydrocannabinol in the form of a cannabinoid edible product.
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4."Bona fide provider-patient relationship" means a treatment or counseling relationship
between a health care provider and patient in which all the following are present:
a.The health care provider has reviewed the patient's relevant medical records and
completed a full assessment of the patient's medical history and current medical
condition, including a relevant, in-person, medical evaluation of the patient.
b.The health care provider has created and maintained records of the patient's
condition in accordance with medically accepted standards.
c.The patient is under the health care provider's continued care for the debilitating
medical condition that qualifies the patient for the medical use of marijuana.
d.The health care provider has a reasonable expectation that provider will continue
to provide followup care to the patient to monitor the medical use of marijuana as
a treatment of the patient's debilitating medical condition.
e.The relationship is not for the sole purpose of providing written certification for the
medical use of marijuana.
5."Cannabinoid" means a chemical compound that is one of the active constituents of
marijuana.
6."Cannabinoid capsule" means a small, soluble container, usually made of gelatin,
which encloses a dose of a cannabinoid product or a cannabinoid concentrate
intended for consumption. The maximum concentration of amount of
tetrahydrocannabinol permitted in a serving of a cannabinoid capsule is fifty
milligrams.
7."Cannabinoid concentrate" means a concentrate or extract obtained by separating
cannabinoids from marijuana by a mechanical, chemical, or other process.
8."Cannabinoid edible product" means a food or potable liquidsoft or hard lozenge in a
geometric square shape into which a cannabinoid concentrate or the dried leaves or
flowers of the plant of the genus cannabis is incorporated.
a.The maximum concentration or amount of tetrahydrocannabinol permitted in a
serving of a cannabinoid edible product is ten milligrams.
b.The term does not include a hard or soft lozenge in a geometric square shape
into which a cannabinoid concentrate or the dried leaves or flowers of the plant of
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the genus cannabis is incorporated if the form, packaging, or labeling is target
marketed to minors.
9."Cannabinoid solution" means a solution consisting of a mixture created from
cannabinoid concentrate and other ingredients. A container holding a cannabinoid
solution for dispensing may not exceed thirty milliliters.
10."Cannabinoid topical" means a cannabinoid product intended to be applied to the skin
or hair. The maximum concentration or amount of tetrahydrocannabinol permitted in a
cannabinoid topical is six percent.
11."Cannabinoid transdermal patch" means an adhesive substance applied to the skin
which contains a cannabinoid product or cannabinoid concentrate for absorption into
the bloodstream. The maximum concentration or amount of tetrahydrocannabinol
permitted in a serving of a cannabinoid transdermal patch is fifty milligrams.
12."Cardholder" means a qualifying patient, designated caregiver, or compassion center
agent who has been issued and possesses a valid registry identification card.
13."Compassion center" means a manufacturing facility or dispensary.
14."Compassion center agent" means a principal officer, board member, member,
manager, governor, employee, volunteer, or agent of a compassion center. The term
does not include a lawyer representing a compassion center in civil or criminal
litigation or in an adversarial administrative proceeding.
15."Contaminated" means made impure or inferior by extraneous substances.
16."Debilitating medical condition" means one of the following:
a.Cancer;
b.Positive status for human immunodeficiency virus;
c.Acquired immune deficiency syndrome;
d.Decompensated cirrhosis caused by hepatitis C;
e.Amyotrophic lateral sclerosis;
f.Posttraumatic stress disorder;
g.Agitation of Alzheimer's disease or related dementia;
h.Crohn's disease;
i.Fibromyalgia;
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j.Spinal stenosis or chronic back pain, including neuropathy or damage to the
nervous tissue of the spinal cord with objective neurological indication of
intractable spasticity;
k.Glaucoma;
l.Epilepsy;
m.Anorexia nervosa;
n.Bulimia nervosa;
o.Anxiety disorder;
p.Tourette syndrome;
q.Ehlers-Danlos syndrome;
r.Endometriosis;
s.Interstitial cystitis;
t.Neuropathy;
u.Migraine;
v.Rheumatoid arthritis;
w.Autism spectrum disorder;
x.A brain injury;
y.A terminal illness; or
z.A chronic or debilitating disease or medical condition or treatment for such
disease or medical condition that produces one or more of the following:
(1)Cachexia or wasting syndrome;
(2)Severe debilitating pain that has not responded to previously prescribed
medication or surgical measures for more than three months or for which
other treatment options produced serious side effects;
(3)Intractable nausea;
(4)Seizures; or
(5)Severe and persistent muscle spasms, including those characteristic of
multiple sclerosis.
17."Department" means the department of health and human services.
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18."Designated caregiver" means an individual who agrees to manage the well-being of a
registered qualifying patient with respect to the qualifying patient's medical use of
marijuana.
19."Dispensary" means an entity registered by the department as a compassion center
authorized to dispense usable marijuana to a registered qualifying patient and a
registered designated caregiver.
20."Enclosed, locked facility" means a closet, room, greenhouse, building, or other
enclosed area equipped with locks or other security devices that permit access limited
to individuals authorized under this chapter or rules adopted under this chapter.
21."Health care provider" means a physician, a physician assistant, or an advanced
practice registered nurse.
22."Manager'' means an individual who administers or supervises the day-to-day
operations and affairs of a compassion center.
23."Manufacturing facility" means an entity registered by the department as a compassion
center authorized to produce and process and to sell usable marijuana to a
dispensary.
24."Marijuana" means all parts of the plant of the genus cannabis; the seeds of the plant;
the resin extracted from any part of the plant; and every compound, manufacture, salt,
derivative, mixture, or preparation of the plant, the seeds of the plant, or the resin
extracted from any part of the plant. The term marijuana does not include:
a.Hemp as regulated under section 4.1-18.1-01; or
b.A prescription drug approved by the United States food and drug administration
under section 505 of the Federal Food, Drug, and Cosmetic Act [21 U.S.C. 355].
25."Maximum concentration or amount of tetrahydrocannabinol" means the total amount
of tetrahydrocannabinol and tetrahydrocannabinolic acid in a medical cannabinoid
product or a cannabinoid concentrate.
26."Medical cannabinoid product" means a product intended for human consumption or
use which contains cannabinoids.
a.Medical cannabinoid products are limited to the following forms:
(1)Cannabinoid solution;
(2)Cannabinoid capsule;
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(3)Cannabinoid transdermal patch; and
(4)Cannabinoid topical; and
(5)Cannabinoid edible products.
b."Medical cannabinoid product" does not include:
(1)A cannabinoid edible product;
(2)A cannabinoid concentrate by itself; or
(3)(2)The dried leaves or flowers of the plant of the genus cannabis by itself.
27."Medical marijuana product" means a cannabinoid concentrate or a medical
cannabinoid product.
28."Medical marijuana waste" means unused, surplus, returned, or out-of-date usable
marijuana; recalled usable marijuana; unused marijuana; or plant debris of the plant of
the genus cannabis, including dead plants and all unused plant parts and roots.
29."Medical use of marijuana" means the acquisition, use, and possession of usable
marijuana to treat or alleviate a qualifying patient's debilitating medical condition.
30."Member" means an individual who has a ten percent or more ownership interest in
the compassion center limited liability company, limited liability partnership, or
partnership.
31."Minor" means an individual under the age of nineteen.
32."North Dakota identification" means a North Dakota driver's license or comparable
state of North Dakota or federal issued photo identification card verifying North Dakota
residence.
33."Owner" means an individual or an organization with an ownership interest in a
compassion center.
34."Ownership interest" means an aggregate ownership interest of five percent or more in
a compassion center, unless the interest is solely a security, lien, or encumbrance, or
an individual who will be participating in the direction, control, or management of the
compassion center.
35."Pediatric medical marijuana" means a medical marijuana product containing
cannabidiol which may not contain a maximum concentration or amount of
tetrahydrocannabinol of more than six percent.
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36."Physician" means a physician licensed under chapter 43-17 to practice medicine in
the state of North Dakota.
37."Physician assistant" means an individual licensed under chapter 43-17 to practice as
a physician assistant in the state.
38."Posttraumatic stress disorder" means a patient meets the diagnostic criteria for
posttraumatic stress disorder under the "Diagnostic and Statistical Manual of Mental
Disorders", American psychiatric association, fifth edition, text revision (2013).
39."Processing" or "process" means the compounding or conversion of marijuana into a
medical marijuana product.
40."Producing", "produce", or "production" mean the planting, cultivating, growing,
trimming, or harvesting of the plant of the genus cannabis or the drying of the leaves
or flowers of the plant of the genus cannabis.
41."Qualifying patient" means an individual who has been diagnosed by a health care
provider as having a debilitating medical condition.
42."Registry identification card" means a document issued by the department which
identifies an individual as a registered qualifying patient, registered designated
caregiver, or registered compassion center agent.
43."Substantial corporate change" means:
a.For a corporation, a change of ten percent or more of the officers or directors, or
a transfer of ten percent or more of the stock of the corporation, or an existing
stockholder obtaining ten percent or more of the stock of the corporation;
b.For a limited liability company, a change of ten percent or more of the managing
members of the company, or a transfer of ten percent or more of the ownership
interest in the company, or an existing member obtaining a cumulative of ten
percent or more of the ownership interest in the company; or
c.For a partnership, a change of ten percent or more of the managing partners of
the company, or a transfer of ten percent or more of the ownership interest in the
company, or an existing member obtaining a cumulative of ten percent or more of
the ownership interest in the company.
44."Terminal illness" means a disease, illness, or condition of a patient:
a.For which there is not a reasonable medical expectation of recovery;
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b.Which as a medical probability, will result in the death of the patient, regardless of
the use or discontinuance of medical treatment implemented for the purpose of
sustaining life or the life processes; and
c.As a result of which, the patient's health care provider would not be surprised if
death were to occur within six months.
45."Tetrahydrocannabinol" means tetrahydrocannabinols naturally contained in a plant of
the genus cannabis, and synthetic equivalents of the substances contained in the
cannabis plant, or in the resinous extractives of the plant, including synthetic
substances, derivatives, and their isomers with similar chemical structure and
pharmacological activity to those substances contained in the plant, including:
a.(1)Delta-1 cis or trans tetrahydrocannabinol, and their optical isomers. Other
names: Delta-9-tetrahydrocannabinol.
(2)Delta-6 or trans tetrahydrocannabinol, and their optical isomers. Other
names: Delta-8 tetrahydrocannabinol.
(3)Delta-3, 4 cis or trans tetrahydrocannabinol, and its optical isomers.
(Since nomenclature of these substances is not intentionally standardized, compounds
of these structures, regardless of numerical designation or atomic positions covered.)
b.Tetrahydrocannabinol does not include:
(1)The allowable amount of total tetrahydrocannabinol found in hemp as
defined in chapter 4.1-18.1; or
(2)A prescription drug approved by the United States food and drug
administration under section 505 of the Federal Food, Drug, and Cosmetic
Act [21 U.S.C. 355].
46."Total tetrahydrocannabinol" means the sum of the percentage by weight of
tetrahydrocannabinolic acid multiplied by eight hundred seventy-seven thousandths
plus the percentage of weight of tetrahydrocannabinol.
47."Usable marijuana" means a medical marijuana product or the dried leaves or flowers
of the plant of the genus cannabis in a combustible delivery form. However, the term
does not include a cannabinoid edible product. In the case of a registered qualifying
patient who is a minor, "usable marijuana" is limited to pediatric medical marijuana.
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48."Verification system" means the system maintained by the department under section
19-24.1-31 for verification of registry identification cards.
49."Written certification" means a form established by the department which is executed,
dated, and signed by a health care provider within ninety calendar days of the date of
application, stating the patient has a debilitating medical condition. A health care
provider may authorize an enhanced amount of dried leaves or flowers of the plant of
the genus cannabis in a combustible delivery form to treat or alleviate the patient's
debilitating medical condition of cancer. A written certification may not be made except
in the course of a bona fide provider-patient relationship.
SECTION 2. Section 19-24.1-24.1 of the North Dakota Century Code is created and
enacted as follows:
19-24.1-24.1. Compassion centers - Cannabinoid edible products.
1.A manufacturing facility may not manufacture a cannabinoid edible product unless the
manufacturing facility has received the prior approval of the department.
2.A dispensary may not possess, market, or sell a cannabinoid edible product unless the
dispensary has received the prior approval of the department.
3.The department may not approve the manufacturing, possession, marketing, or sale of
a cannabinoid edible product unless the department has reviewed and approved the
form, manufacturing, packaging, labeling, and marketing of the cannabinoid edible
product.
a.Manufacturing of a cannabinoid edible product must take place in a department
licensed commercial kitchen that is inspected annually by the department.
b.Packaging of a cannabinoid edible product must be resealable, must be child
resistant, and may not be transparent. The maximum concentration or amount of
tetrahydrocannabinol permitted in a package is one hundred milligrams.
c. b. Labeling of a cannabinoid edible product must be in black arial font which
provides the name of the product, manufacturer's information, ingredient list,
milligrams of tetrahydrocannabinol per serving, and number of servings per
package. The labeling may not include an image other than text.
d. c. Marketing may not target market to minors.
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SECTION 3. A new subsection to section 19-24.1-36 of the North Dakota Century Code is
created and enacted as follows:
The department shall adopt rules to regulate the form, manufacturing, packaging,
labeling, and marketing of a cannabinoid edible product. The rules must prohibit the
marketing of a cannabinoid edible product to a minor.
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