South Dakota 2025 Regular Session

South Dakota House Bill HB1101 Compare Versions

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11 25.357.9 100th Legislative Session 1101
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44 2025 South Dakota Legislature
55 House Bill 1101
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1212 Introduced by: Representative Ismay
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1414 Underscores indicate new language.
1515 Overstrikes indicate deleted language.
1616 An Act to repeal provisions related to medical marijuana. 1
1717 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA: 2
1818 Section 1. That § 34-20E-2 be AMENDED: 3
1919 34-20E-2. The board shall establish and maintain a prescription drug monitoring 4
2020 program to monitor the prescribing and dispensing of all controlled substances. The 5
2121 program shall must utilize a central repository, to which each dispenser shall submit, by 6
2222 electronic means, information regarding each prescription dispensed for a controlled 7
2323 substance. The information submitted for each prescription must include specifically 8
2424 identified data elements adopted by the board and contained in the 2011 version of the 9
2525 electronic reporting standard for prescription monitoring programs, version 4.2 of the 10
2626 American Society for Automation in Pharmacy. 11
2727 The program must include the names of qualifying patients who receive a registry 12
2828 identification card, as defined in § 34-20G-1, submitted by the Department of Health 13
2929 American Society for Automation in Pharmacy Version 4.2 Standard for Prescription Drug 14
3030 Monitoring Programs. 15
3131 Section 2. That § 34-20G-1 be REPEALED. 16
3232 Terms used in this chapter mean: 17
3333 (1) "Allowable amount of cannabis,": 18
3434 (a) Three ounces of cannabis or less; 19
3535 (b) The quantity of cannabis products as established by rules promulgated by 20
3636 the department under § 34-20G-72; 21
3737 (c) If the cardholder has a registry identification card allowing cultivation, two 22
3838 flowering cannabis plants and two cannabis plants that are not flowering; 23
3939 and 24 25.357.9 2 1101
4040 Underscores indicate new language.
4141 Overstrikes indicate deleted language.
4242 (d) If the cardholder has a registry identification card allowing cultivation, the 1
4343 amount of cannabis and cannabis products that were produced from the 2
4444 cardholder's allowable plants, if the cannabis and cannabis products are 3
4545 possessed at the same property where the plants were cultivated; 4
4646 (2) "Bona fide practitioner-patient relationship," a treatment or consulting relationship 5
4747 between a practitioner and patient, during which: 6
4848 (a) The practitioner completes, at the initial visit, an assessment of the patient's 7
4949 medical history and current medical condition, including an appropriate in-8
5050 person physical examination; 9
5151 (b) The patient is under the practitioner's care for the debilitating medical 10
5252 condition that qualifies the patient for the medical use of cannabis or has 11
5353 been referred by the practitioner caring for the patient's debilitating medical 12
5454 condition that qualifies the patient for the medical use of cannabis to 13
5555 another practitioner; 14
5656 (c) The patient has a reasonable expectation that the practitioner providing the 15
5757 written certification will continue to provide follow-up care to the patient to 16
5858 monitor the medical use of cannabis; and 17
5959 (d) The relationship is not for the sole purpose of providing a written 18
6060 certification for the medical use of cannabis unless the patient has been 19
6161 referred by a practitioner providing care for the debilitating medical 20
6262 condition that qualifies the patient for the medical use of cannabis; 21
6363 (3) "Cannabis products," any concentrated cannabis, cannabis extracts, and products 22
6464 that are infused with cannabis or an extract thereof, and are intended for use or 23
6565 consumption by humans. The term includes edible cannabis products, beverages, 24
6666 topical products, ointments, oils, and tinctures; 25
6767 (4) "Cannabis product manufacturing facility," an entity registered with the 26
6868 department pursuant to this chapter that acquires, possesses, manufactures, 27
6969 delivers, transfers, transports, supplies, or sells cannabis products to a medical 28
7070 cannabis dispensary; 29
7171 (5) "Cannabis testing facility" or "testing facility," an independent entity registered 30
7272 with the department pursuant to this chapter to analyze the safety and potency of 31
7373 cannabis; 32
7474 (6) "Cardholder," a qualifying patient or a designated caregiver who has been issued 33
7575 and possesses a valid registry identification card; 34 25.357.9 3 1101
7676 Underscores indicate new language.
7777 Overstrikes indicate deleted language.
7878 (7) "Cultivation facility," an entity registered with the department pursuant to this 1
7979 chapter that acquires, possesses, cultivates, delivers, transfers, transports, 2
8080 supplies, or sells cannabis and related supplies to a medical cannabis 3
8181 establishment; 4
8282 (8) "Debilitating medical condition,": 5
8383 (a) A chronic or debilitating disease or medical condition or its treatment that 6
8484 produces one or more of the following: cachexia or wasting syndrome; 7
8585 severe, debilitating pain; severe nausea, except nausea associated with 8
8686 pregnancy; seizures; or severe and persistent muscle spasms; 9
8787 (b) Acquired immune deficiency syndrome or positive status for human 10
8888 immunodeficiency virus; 11
8989 (c) Amyotrophic lateral sclerosis; 12
9090 (d) Multiple sclerosis; 13
9191 (e) Cancer or its treatment, if associated with severe or chronic pain, nausea 14
9292 or severe vomiting, or cachexia or severe wasting; 15
9393 (f) Crohn's disease; 16
9494 (g) Epilepsy and seizures; or 17
9595 (h) Post-traumatic stress disorder; 18
9696 (9) "Department," the Department of Health; 19
9797 (10) "Designated caregiver," an individual who: 20
9898 (a) Is at least twenty-one years of age; 21
9999 (b) Has agreed to assist with a qualifying patient's medical use of cannabis; 22
100100 (c) Has not been convicted of a disqualifying felony offense; and 23
101101 (d) Assists no more than five qualifying patients with the medical use of 24
102102 cannabis, unless the designated caregiver's qualifying patients each reside 25
103103 in or are admitted to a health care facility, as defined in § 34-12-1.1, an 26
104104 accredited prevention or treatment facility, as defined in § 34-20A-2, a 27
105105 mental health center, as defined in § 27A-1-1, a child welfare agency, as 28
106106 defined in § 26-6-1, or a community support provider or community 29
107107 services provider, as defined in § 27B-1-17, where the designated caregiver 30
108108 is employed; 31
109109 (11) "Disqualifying felony offense," a violent crime that was classified as a felony in the 32
110110 jurisdiction where the person was convicted; 33
111111 (12) "Edible cannabis products," any product that: 34
112112 (a) Contains or is infused with cannabis or an extract thereof; 35 25.357.9 4 1101
113113 Underscores indicate new language.
114114 Overstrikes indicate deleted language.
115115 (b) Is intended for human consumption by oral ingestion; and 1
116116 (c) Is presented in the form of foodstuffs, beverages, oils, tinctures, or other 2
117117 similar products; 3
118118 (13) "Enclosed, locked facility," any closet, room, greenhouse, building, or other 4
119119 enclosed area that is equipped with locks or other security devices that permit 5
120120 access only by a cardholder or a person allowed to cultivate the plants. Two or 6
121121 more cardholders who reside in the same dwelling may share one enclosed, locked 7
122122 facility for cultivation; 8
123123 (14) "Flowering cannabis plant," the reproductive state of the cannabis plant in which 9
124124 the plant shows physical signs of flower budding out of the nodes of the stem; 10
125125 (15) "Medical cannabis" or "cannabis," marijuana as defined in § 22-42-1; 11
126126 (16) "Medical cannabis dispensary" or "dispensary," an entity registered with the 12
127127 department pursuant to this chapter that acquires, possesses, stores, delivers, 13
128128 transfers, transports, sells, supplies, or dispenses cannabis, cannabis products, 14
129129 paraphernalia, or related supplies and educational materials to cardholders; 15
130130 (17) "Medical cannabis establishment," a cultivation facility, a cannabis testing facility, 16
131131 a cannabis product manufacturing facility, or a dispensary; 17
132132 (18) "Medical cannabis establishment agent," an owner, officer, board member, 18
133133 employee, or volunteer at a medical cannabis establishment; 19
134134 (19) "Medical use," includes the acquisition, administration, cultivation, manufacture, 20
135135 delivery, harvest, possession, preparation, transfer, transportation, or use of 21
136136 cannabis or paraphernalia relating to the administration of cannabis to treat or 22
137137 alleviate a registered qualifying patient's debilitating medical condition or symptom 23
138138 associated with the patient's debilitating medical condition. The term does not 24
139139 include: 25
140140 (a) The cultivation of cannabis by a nonresident cardholder; 26
141141 (b) The cultivation of cannabis by a cardholder who is not designated as being 27
142142 allowed to cultivate on the cardholder's registry identification card; or 28
143143 (c) The extraction of resin from cannabis by solvent extraction unless the 29
144144 extraction is done by a cannabis product manufacturing facility; 30
145145 (20) "Nonresident cardholder," a person who: 31
146146 (a) Has been diagnosed with a debilitating medical condition, or is the parent, 32
147147 guardian, conservator, or other person with authority to consent to the 33
148148 medical treatment of a person who has been diagnosed with a debilitating 34
149149 medical condition; 35 25.357.9 5 1101
150150 Underscores indicate new language.
151151 Overstrikes indicate deleted language.
152152 (b) Is not a resident of this state or who has been a resident of this state for 1
153153 fewer than forty-five days; 2
154154 (c) Was issued a currently valid registry identification card or its equivalent by 3
155155 another state, district, territory, commonwealth, insular possession of the 4
156156 United States, or country recognized by the United States that allows the 5
157157 person to use cannabis for medical purposes in the jurisdiction of issuance; 6
158158 and 7
159159 (d) Has submitted any documentation required by the department, and has 8
160160 received confirmation of registration; 9
161161 (21) "Practitioner," a physician, physician assistant, or advanced practice registered 10
162162 nurse, who is licensed with authority to prescribe drugs to humans. In relation to 11
163163 a nonresident cardholder, the term means a person who is licensed with authority 12
164164 to prescribe drugs to humans in the state of the patient's residence; 13
165165 (22) "Qualifying patient," a person who has been diagnosed by a practitioner as having 14
166166 a debilitating medical condition; 15
167167 (23) "Registry identification card," a document issued by the department that identifies 16
168168 a person as a registered qualifying patient or registered designated caregiver, or 17
169169 documentation that is deemed a registry identification card pursuant to §§ 34-20G-18
170170 29 to 34-20G-42, inclusive; 19
171171 (24) "Safety-sensitive job," any position with tasks or duties that an employer 20
172172 reasonably believes could: 21
173173 (a) Cause the illness, injury, or death of an individual; or 22
174174 (b) Result in serious property damage; 23
175175 (25) "Under the influence of cannabis," any abnormal mental or physical condition that 24
176176 tends to deprive a person of clearness of intellect and control that the person would 25
177177 otherwise possess, as the result of consuming any degree of cannabis or cannabis 26
178178 products; and 27
179179 (26) "Written certification," a document dated and signed by a practitioner: 28
180180 (a) Stating that the patient has a qualifying debilitating medical condition or 29
181181 symptom associated with the debilitating medical condition; 30
182182 (b) Affirming that the document is made in the course of a bona fide 31
183183 practitioner-patient relationship; 32
184184 (c) Specifying the qualifying patient's debilitating medical condition; and 33
185185 (d) Specifying the expiration date of the qualifying patient's written 34
186186 certification, pursuant to § 34-20G-43; and 35 25.357.9 6 1101
187187 Underscores indicate new language.
188188 Overstrikes indicate deleted language.
189189 (e) Specifying whether the practitioner has previously issued the patient a 1
190190 written certification and the date of that written certification. 2
191191 Section 3. That § 34-20G-2 be REPEALED. 3
192192 A cardholder is not subject to arrest, prosecution, or penalty of any kind, or denial 4
193193 of any right or privilege, including any civil penalty or disciplinary action by a court or 5
194194 occupational or professional licensing board or bureau, for: 6
195195 (l) The medical use of cannabis in accordance with this chapter, if the cardholder does 7
196196 not possess more than the allowable amount of cannabis, and if any cannabis plant 8
197197 is either cultivated in an enclosed, locked facility or is being transported; 9
198198 (2) Reimbursement by a registered qualifying patient to the patient's registered 10
199199 designated caregiver for direct costs incurred by the registered designated 11
200200 caregiver for assisting with the registered qualifying patient's medical use of 12
201201 cannabis; 13
202202 (3) Transferring the cannabis to a testing facility; 14
203203 (4) Compensating a dispensary or a testing facility for goods or services provided; 15
204204 (5) Selling, transferring, or delivering cannabis seeds produced by the cardholder to a 16
205205 cultivation facility or dispensary; or 17
206206 (6) Offering or providing cannabis to a cardholder for a registered qualifying patient's 18
207207 medical use, to a nonresident cardholder, or to a dispensary if nothing of value is 19
208208 transferred in return and the person giving the cannabis does not knowingly cause 20
209209 the recipient to possess more than the allowable amount of cannabis. 21
210210 Section 4. That § 34-20G-3 be REPEALED. 22
211211 No nonresident cardholder is subject to arrest, prosecution, or penalty in any 23
212212 manner, or denied any right or privilege, including civil penalty or disciplinary action by a 24
213213 business or occupational or professional licensing board or entity, for transporting, 25
214214 purchasing, possessing, or using medical cannabis in accordance with this chapter if the 26
215215 nonresident cardholder does not possess more than three ounces of cannabis and the 27
216216 quantity of cannabis products established by rules promulgated by the department under 28
217217 § 34-20G-72. 29
218218 Section 5. That § 34-20G-4 be REPEALED. 30 25.357.9 7 1101
219219 Underscores indicate new language.
220220 Overstrikes indicate deleted language.
221221 There is a presumption that a qualifying patient or designated caregiver is engaged 1
222222 in the medical use of cannabis in accordance with this chapter if the cardholder is in 2
223223 possession of a registry identification card and an amount of cannabis that does not exceed 3
224224 the allowable amount of cannabis. The presumption may be rebutted by evidence that 4
225225 conduct related to cannabis was not for the purpose of treating or alleviating a qualifying 5
226226 patient's debilitating medical condition or symptom associated with the qualifying patient's 6
227227 debilitating medical condition under this chapter. 7
228228 Section 6. That § 34-20G-5 be REPEALED. 8
229229 No practitioner is subject to arrest, prosecution, or penalty of any kind, or denied 9
230230 any right or privilege, including civil penalty or disciplinary action by the South Dakota 10
231231 Board of Medical and Osteopathic Examiners or by any other occupational or professional 11
232232 licensing board or bureau, solely for providing written certifications or for otherwise stating 12
233233 that, in the practitioner's professional opinion, a patient is likely to receive therapeutic or 13
234234 palliative benefit from the medical use of cannabis to treat or alleviate the patient's serious 14
235235 or debilitating medical condition or symptoms associated with the serious or debilitating 15
236236 medical condition. Nothing in this chapter prevents a practitioner from being sanctioned 16
237237 for: 17
238238 (1) Issuing a written certification to a patient with whom the practitioner does not have 18
239239 a bona fide practitioner-patient relationship; or 19
240240 (2) Failing to properly evaluate a patient's medical condition. 20
241241 Section 7. That § 34-20G-5.1 be REPEALED. 21
242242 Nothing in this chapter authorizes a practitioner to provide a written certification 22
243243 to a patient who is pregnant or breastfeeding. 23
244244 Section 8. That § 34-20G-5.2 be REPEALED. 24
245245 If a practitioner issues a written certification under this chapter, and if the 25
246246 practitioner is neither the patient's primary care provider nor a specialty provider caring 26
247247 for the patient's debilitating medical condition, the practitioner shall, upon issuing the 27
248248 certification, provide electronic notification of the issuance: 28
249249 (1) To the patient's primary care provider; or 29
250250 (2) To the referring practitioner, if that individual is caring for the patient's debilitating 30
251251 medical condition. 31 25.357.9 8 1101
252252 Underscores indicate new language.
253253 Overstrikes indicate deleted language.
254254 The patient's primary care provider or the referring practitioner shall include any 1
255255 notification received in accordance with this section in the patient's medical file. 2
256256 Section 9. That § 34-20G-6 be REPEALED. 3
257257 No person licensed by the state or any other governmental entity to engage in any 4
258258 profession, occupation, or other activity is subject to disciplinary action, denial of the rights 5
259259 and privileges of such license, or otherwise penalized by the licensing authority for lawfully 6
260260 engaging in any activity authorized under this chapter or providing any service to a person 7
261261 engaged in activity that is authorized by this chapter merely because that activity is 8
262262 prohibited by federal law. 9
263263 Section 10. That § 34-20G-7 be REPEALED. 10
264264 No person is subject to arrest, prosecution, or penalty of any kind, or may be 11
265265 denied any right or privilege, including any civil penalty or disciplinary action by a court 12
266266 or occupational or professional licensing board or bureau, for: 13
267267 (1) Providing or selling cannabis paraphernalia to a cardholder, nonresident 14
268268 cardholder, or to a medical cannabis establishment; 15
269269 (2) Being in the presence or vicinity of the medical use of cannabis that is exempt from 16
270270 criminal or civil penalty by this chapter; 17
271271 (3) Allowing the person's property to be used for an activity that is exempt from 18
272272 criminal or civil penalty by this chapter; or 19
273273 (4) Assisting a registered qualifying patient with the act of using or administering 20
274274 cannabis. 21
275275 Section 11. That § 34-20G-12 be REPEALED. 22
276276 A cardholder, nonresident cardholder, or the equivalent of a medical cannabis 23
277277 establishment that is registered in another jurisdiction may sell or donate cannabis seeds 24
278278 to a cultivation facility in this state. 25
279279 Section 12. That § 34-20G-13 be REPEALED. 26
280280 Any cannabis, cannabis product, cannabis paraphernalia, or other interest in or 27
281281 right to property that is possessed, owned, or used in connection with the medical use of 28
282282 cannabis as allowed under this chapter, or acts incidental to such use, may not be seized 29
283283 or forfeited. This chapter does not prevent the seizure or forfeiture of cannabis exceeding 30 25.357.9 9 1101
284284 Underscores indicate new language.
285285 Overstrikes indicate deleted language.
286286 the amount allowed under this chapter, or prevent seizure or forfeiture if the basis for the 1
287287 action is unrelated to the cannabis that is possessed, manufactured, transferred, or used 2
288288 in accordance with this chapter. 3
289289 Section 13. That § 34-20G-14 be REPEALED. 4
290290 Possession of, or application for, a registry identification card does not constitute 5
291291 probable cause or reasonable suspicion, nor may it be used to support a search of the 6
292292 person or property of the person possessing or applying for the registry identification card, 7
293293 or otherwise subject the person or property of the person to inspection by any 8
294294 governmental agency. 9
295295 Section 14. That § 34-20G-15 be REPEALED. 10
296296 For the purposes of state law, an activity related to medical cannabis is lawful as 11
297297 long as it is conducted in accordance with this chapter. 12
298298 Section 15. That § 34-20G-17 be REPEALED. 13
299299 No contract entered into by a cardholder, a medical cannabis establishment, or 14
300300 medical cannabis establishment agent, or by a person who allows property to be used for 15
301301 an activity that is exempt from state criminal penalties by this chapter is unenforceable 16
302302 on the basis that activity related to cannabis is prohibited by federal law. 17
303303 Section 16. That § 34-20G-18 be REPEALED. 18
304304 This chapter does not authorize any person to engage in, and does not prevent the 19
305305 imposition of any civil, criminal, or other penalty for engaging in, the following conduct: 20
306306 (1) Undertaking any task under the influence of cannabis, when doing so would 21
307307 constitute negligence or professional malpractice; 22
308308 (2) Possessing cannabis or otherwise engaging in the medical use of cannabis in any 23
309309 correctional facility; 24
310310 (3) Smoking or vaping cannabis: 25
311311 (a) On any form of public transportation; 26
312312 (b) In any public place or any place that is open to the public; or 27
313313 (c) If under the age of twenty-one; 28
314314 (4) Operating, navigating, or being in actual physical control of any motor vehicle, 29
315315 aircraft, train, or motorboat while under the influence of cannabis; or 30 25.357.9 10 1101
316316 Underscores indicate new language.
317317 Overstrikes indicate deleted language.
318318 (5) Performing any safety-sensitive job under the influence of cannabis. 1
319319 Section 17. That § 34-20G-19 be REPEALED. 2
320320 A cardholder may not be refused enrollment by a school or a lease by a landlord, 3
321321 or otherwise be penalized by a school or landlord solely for the person's status as a 4
322322 cardholder, unless failing to do so would violate federal law or regulations or cause the 5
323323 school or landlord to lose a monetary or licensing-related benefit under federal law or 6
324324 regulation. This section does not prevent a landlord from imposing reasonable restrictions 7
325325 on the medical use of cannabis by a cardholder who resides at the landlord's property. 8
326326 Section 18. That § 34-20G-20 be REPEALED. 9
327327 For the purposes of medical care, including organ and tissue transplants, a 10
328328 registered qualifying patient's use of cannabis in accordance with this chapter is 11
329329 considered the equivalent of the authorized use of any other medication used at the 12
330330 discretion of a practitioner and does not constitute the use of an illicit substance or 13
331331 otherwise disqualify a qualifying patient from needed medical care. 14
332332 Section 19. That § 34-20G-21 be REPEALED. 15
333333 No person may be denied custody of, visitation rights with, or parenting time with 16
334334 a minor solely because the person is a cardholder. There is no presumption of neglect or 17
335335 child endangerment for conduct allowed under this chapter, unless the person's behavior 18
336336 creates an unreasonable danger to the safety of the minor. Nothing in this chapter 19
337337 supersedes or otherwise affects custody decisions, visitation rights, or parenting time 20
338338 based upon the best interests of the child. 21
339339 Section 20. That § 34-20G-22 be REPEALED. 22
340340 Except as otherwise provided in this chapter, a registered qualifying patient who 23
341341 uses cannabis for a medical purpose must be afforded the same rights under state and 24
342342 local law, as the person would be afforded if the person were solely prescribed a 25
343343 pharmaceutical medication, as it pertains to: 26
344344 (1) Any interaction with a person's employer; 27
345345 (2) Drug testing by a person's employer; or 28
346346 (3) Drug testing required by any state or local law, agency, or government official. 29 25.357.9 11 1101
347347 Underscores indicate new language.
348348 Overstrikes indicate deleted language.
349349 Nothing in this section prohibits adverse employment action, based solely on a 1
350350 positive test result for cannabis metabolites, if the person is employed in a safety-sensitive 2
351351 job. 3
352352 Nothing in this section prohibits an employer from refusing to hire a person, based 4
353353 solely on a positive test result for cannabis metabolites, if the person is seeking 5
354354 employment in a safety-sensitive job. 6
355355 Section 21. That § 34-20G-23 be REPEALED. 7
356356 The rights provided by §§ 34-20G-19 to 34-20G-25, inclusive, do not apply to the 8
357357 extent that they conflict with an employer's obligations under federal law or regulation or 9
358358 to the extent that they would disqualify an employer from a monetary or licensing-related 10
359359 benefit under federal law or regulation. 11
360360 Section 22. That § 34-20G-24 be REPEALED. 12
361361 No employer is required to allow the ingestion, possession, transfer, display, or 13
362362 transportation of cannabis in any workplace or to allow any employee to work while under 14
363363 the influence of cannabis. 15
364364 No employer is prohibited from establishing and enforcing a drug-free workplace 16
365365 policy, which may include a drug testing program that complies with state and federal law, 17
366366 or acting with respect to an applicant or employee under the policy. 18
367367 No cause of action is created for employment discrimination or wrongful 19
368368 termination arising from an employer's enforcement of a drug -free workplace policy in 20
369369 compliance with this chapter. 21
370370 Section 23. That § 34-20G-25 be REPEALED. 22
371371 No school, landlord, or employer may be penalized or denied any benefit under 23
372372 state law for enrolling, leasing to, or employing a cardholder. 24
373373 Section 24. That § 34-20G-25.1 be REPEALED. 25
374374 A health care facility, as defined in § 34-12-1.1, an accredited prevention or 26
375375 treatment facility, as defined in § 34-20A-2, a mental health center, as defined in § 27A-27
376376 1-1, a child welfare agency, as defined in § 26-6-1, or a community support provider or 28
377377 community services provider, as defined in § 27B-1-17, may adopt restrictions on the use 29
378378 of medical cannabis by a cardholder who resides at, is actively receiving treatment or care 30 25.357.9 12 1101
379379 Underscores indicate new language.
380380 Overstrikes indicate deleted language.
381381 from, or is visiting the facility. The restrictions may include a provision that the facility will 1
382382 not store or maintain the cardholder's supply of medical cannabis, that the facility is not 2
383383 responsible for providing the medical cannabis for cardholders, and that the medical 3
384384 cannabis be used only in a place specified by the facility. Nothing in this section requires 4
385385 a facility to adopt such restrictions or requires a facility to allow the consumption of 5
386386 medical cannabis on the grounds of the facility. 6
387387 No employee or agent of a facility may be subject to arrest, prosecution, or penalty 7
388388 of any kind, or may be denied any right or privilege, including any civil penalty or 8
389389 disciplinary action by a court or occupational or professional licensing board for possession 9
390390 of medical cannabis while carrying out employment duties, including providing or 10
391391 supervising care to a cardholder, or distribution of medical cannabis to a cardholder who 11
392392 resides at or is actively receiving treatment or care at the facility with which the employee 12
393393 or agent is affiliated. 13
394394 Section 25. That § 34-20G-27 be REPEALED. 14
395395 Nothing in this chapter requires: 15
396396 (1) A government medical assistance program or private health insurer, workers' 16
397397 compensation insurance carrier, or self-insured employer providing workers' 17
398398 compensation benefits, to reimburse a person for costs associated with the medical 18
399399 use of cannabis; 19
400400 (2) Any person or establishment in lawful possession of property to allow a guest, 20
401401 client, customer, or other visitor to smoke or vape cannabis on or in that property; 21
402402 (3) A landlord to allow the cultivation of cannabis on the rental property; or 22
403403 (4) A state or local government to allow any conduct otherwise permitted by this 23
404404 chapter within a building owned, leased, or occupied by the state or local 24
405405 government. 25
406406 Section 26. That § 34-20G-28 be REPEALED. 26
407407 Nothing in this chapter prohibits an employer from disciplining an employee for 27
408408 ingesting cannabis in the workplace or for working while under the influence of cannabis. 28
409409 Section 27. That § 34-20G-28.1 be REPEALED. 29
410410 Each application for a registry identification card and each application for a card 30
411411 renewal must include a notice that: 31 25.357.9 13 1101
412412 Underscores indicate new language.
413413 Overstrikes indicate deleted language.
414414 (1) The Gun Control Act of 1968, 18 U.S.C. § 922 (January 1, 2024), prohibits any 1
415415 person who is an unlawful user of or addicted to any controlled substance, as 2
416416 defined by the Controlled Substances Act of 1970, 21 U.S.C. § 801, et seq., 3
417417 (January 1, 2024), from shipping, transporting, receiving, or possessing a firearm 4
418418 or ammunition; 5
419419 (2) Until marijuana is legalized under federal law, an individual who is a current user 6
420420 of marijuana is, under federal law, an unlawful user of a controlled substance; and 7
421421 (3) Federal law does not exempt the use of marijuana for medicinal purposes. 8
422422 Section 28. That § 34-20G-29 be REPEALED. 9
423423 The department shall issue a registry identification card to a qualifying patient who 10
424424 submits the following, in accordance with rules promulgated by the department: 11
425425 (1) A written certification issued by a practitioner within ninety days immediately 12
426426 preceding the date of an application; 13
427427 (2) The application or renewal fee; 14
428428 (3) The name, address, and date of birth of the qualifying patient, except that if the 15
429429 applicant is homeless, no address is required; 16
430430 (4) The name, address, and telephone number of the qualifying patient's practitioner; 17
431431 (5) The name, address, and date of birth of the designated caregiver, or designated 18
432432 caregivers, chosen by the qualifying patient; 19
433433 (6) If more than one designated caregiver is designated at any given time, 20
434434 documentation demonstrating that a greater number of designated caregivers are 21
435435 needed due to the patient's age or medical condition; 22
436436 (7) The name of no more than two dispensaries that the qualifying patient designates, 23
437437 if any; and 24
438438 (8) If the qualifying patient designates a designated caregiver, a designation as to 25
439439 whether the qualifying patient or designated caregiver will be allowed under state 26
440440 law to possess and cultivate cannabis plants for the qualifying patient's medical 27
441441 use. 28
442442 When a practitioner conducts a follow-up assessment with a patient, within sixty 29
443443 days of issuing the patient a written certification, and the purpose of the follow -up 30
444444 assessment is to assess the patient's response to the use of medical cannabis and to 31
445445 determine whether to issue the patient a second written certification, the fee required 32
446446 under subdivision (2) is waived, if the patient reapplies for the second registry 33 25.357.9 14 1101
447447 Underscores indicate new language.
448448 Overstrikes indicate deleted language.
449449 identification card. A patient may only receive one fee waiver under this section per 1
450450 calendar year. 2
451451 Section 29. That § 34-20G-30 be REPEALED. 3
452452 If the qualifying patient is unable to submit the information required by § 34-20G-4
453453 29 due to the person's age or medical condition, the person responsible for making medical 5
454454 decisions for the qualifying patient may do so on behalf of the qualifying patient. 6
455455 Section 30. That § 34-20G-31 be REPEALED. 7
456456 Except as provided in § 34-20G-32, the department shall: 8
457457 (1) Verify the information contained in an application or renewal submitted pursuant 9
458458 to this chapter and approve or deny an application or renewal within fifteen days 10
459459 of receiving a completed application or renewal application; 11
460460 (2) Issue registry identification cards to a qualifying patient and to a qualifying 12
461461 patient's designated caregivers, if any, within five days of approving the application 13
462462 or renewal. A designated caregiver shall have a registry identification card for each 14
463463 of the qualifying patients; and 15
464464 (3) Enter the registry identification number of any dispensary the patient designates 16
465465 into the verification system. 17
466466 Section 31. That § 34-20G-32 be REPEALED. 18
467467 The department may conduct a background check of a designated caregiver in 19
468468 order to carry out the provisions of § 34-20G-31. 20
469469 Section 32. That § 34-20G-33 be REPEALED. 21
470470 The department may not issue a registry identification card to a qualifying patient 22
471471 who is younger than eighteen years of age unless: 23
472472 (1) The qualifying patient's practitioner has explained the potential risks and benefits 24
473473 of the medical use of cannabis to the custodial parent or legal guardian with 25
474474 responsibility for health care decisions for the qualifying patient; and 26
475475 (2) The custodial parent or legal guardian with responsibility for health care decisions 27
476476 for the qualifying patient consents in writing to: 28
477477 (a) Allow the qualifying patient's medical use of cannabis; 29
478478 (b) Serve as the qualifying patient's designated caregiver; and 30 25.357.9 15 1101
479479 Underscores indicate new language.
480480 Overstrikes indicate deleted language.
481481 (c) Control the acquisition of the cannabis, the dosage, and the frequency of 1
482482 the medical use of cannabis by the qualifying patient. 2
483483 Section 33. That § 34-20G-34 be REPEALED. 3
484484 The department may deny an application or renewal of a qualifying patient’s 4
485485 registry identification card only if the applicant: 5
486486 (1) Does not provide the required information, fee, or materials; 6
487487 (2) Does not meet the requirement to obtain a registry identification card as defined 7
488488 in § 34-20G-1; 8
489489 (3) Previously had a registry identification card revoked; or 9
490490 (4) Provided false information. 10
491491 Section 34. That § 34-20G-35 be REPEALED. 11
492492 The department may deny an application or renewal for a designated caregiver 12
493493 chosen by a qualifying patient whose registry identification card was granted only if: 13
494494 (l) The designated caregiver does not meet the requirements of a designated 14
495495 caregiver as defined in § 34-20G-l; 15
496496 (2) The applicant does not provide the information required; 16
497497 (3) The designated caregiver previously had a registry identification card revoked; or 17
498498 (4) The applicant or the designated caregiver provide false information. 18
499499 Section 35. That § 34-20G-36 be REPEALED. 19
500500 The department shall give written notice to the qualifying patient of the reason for: 20
501501 (1) Denying a registry identification card to the qualifying patient or to the qualifying 21
502502 patient's designated caregiver; or 22
503503 (2) Revoking the registry identification card of the qualifying patient or the qualifying 23
504504 patient's designated caregiver. 24
505505 Section 36. That § 34-20G-37 be REPEALED. 25
506506 Denial of an application or renewal under § 34-20G-34 or 34-20G-35 is considered 26
507507 a final department action, subject to judicial review. 27
508508 Section 37. That § 34-20G-42 be REPEALED. 28
509509 A registry identification card shall contain all of the following: 29 25.357.9 16 1101
510510 Underscores indicate new language.
511511 Overstrikes indicate deleted language.
512512 (1) The name of the cardholder; 1
513513 (2) A designation of whether the cardholder is a qualifying patient or a designated 2
514514 caregiver; 3
515515 (3) The date of issuance and expiration date of the registry identification card; 4
516516 (4) A random ten-digit alphanumeric identification number, containing at least four 5
517517 numbers and at least four letters, that is unique to the cardholder; 6
518518 (5) If the cardholder is a designated caregiver, the random identification number of 7
519519 the qualifying patient the designated caregiver will assist; 8
520520 (6) A clear indication of whether the cardholder has been designated to cultivate 9
521521 cannabis plants for the qualifying patient's medical use; 10
522522 (7) A photograph of the cardholder; and 11
523523 (8) The phone number or website address where the card can be verified. 12
524524 Section 38. That § 34-20G-43 be REPEALED. 13
525525 The registry identification card of a qualifying patient and designated caregiver, if 14
526526 any, expires on the date noted by the practitioner in the qualifying patient's written 15
527527 certification, not to exceed one year after the date of issue. 16
528528 Section 39. That § 34-20G-44 be REPEALED. 17
529529 The department shall maintain a confidential list of: 18
530530 (a) The name, address, phone number, and registry identification card number of each 19
531531 person to whom the department has issued a registry identification card; and 20
532532 (b) The name, address, and phone number of a registered qualifying patient's parent 21
533533 or legal guardian if the patient is under age eighteen. 22
534534 The list may not be combined or linked in any manner with any other list or 23
535535 database, nor may it be used for any purpose not provided for in this chapter. 24
536536 Section 40. That § 34-20G-45 be REPEALED. 25
537537 Within one hundred twenty days of July 1, 2021, the department shall establish a 26
538538 secure phone or web-based verification system. The verification system shall allow law 27
539539 enforcement personnel and medical cannabis establishments to enter a registry 28
540540 identification number and determine whether the number corresponds with a current, valid 29
541541 registry identification card. The system may disclose only: 30
542542 (1) Whether the identification card is valid; 31 25.357.9 17 1101
543543 Underscores indicate new language.
544544 Overstrikes indicate deleted language.
545545 (2) The name of the cardholder; 1
546546 (3) Whether the cardholder is a qualifying patient or a designated caregiver; 2
547547 (4) Whether the cardholder is permitted to cultivate cannabis plants; 3
548548 (5) The registry identification number of any affiliated registered qualifying patient; 4
549549 and 5
550550 (6) The registry identification of the qualifying patient's dispensary or dispensaries, if 6
551551 any. 7
552552 Section 41. That § 34-20G-46 be REPEALED. 8
553553 The following notifications are required: 9
554554 (1) A registered qualifying patient shall notify the department of any change in the 10
555555 applicant’s name or address, or if the patient ceases to have a debilitating medical 11
556556 condition, within ten days of the change; 12
557557 (2) A registered designated caregiver shall notify the department of any change in the 13
558558 caregiver’s name or address, or if the caregiver becomes aware the qualifying 14
559559 patient passed away, within ten days of the change; 15
560560 (3) Before a registered qualifying patient changes a designated caregiver, the patient 16
561561 shall notify the department; 17
562562 (4) If a registered qualifying patient changes a preference as to who may cultivate 18
563563 cannabis for the patient, the patient shall notify the department; 19
564564 (5) If a cardholder loses a registry identification card, the cardholder shall notify the 20
565565 department within ten days of becoming aware the card has been lost; and 21
566566 (6) Before a registered qualifying patient changes a designated dispensary, the patient 22
567567 shall notify the department. 23
568568 Section 42. That § 34-20G-47 be REPEALED. 24
569569 Any notification that a registered qualifying patient is required to make under this 25
570570 chapter may be made by the patient's designated caregiver if the qualifying patient is 26
571571 unable to make the notification due to age or medical condition. 27
572572 Section 43. That § 34-20G-48 be REPEALED. 28
573573 If a cardholder notifies the department of any item listed in § 34-20G-46, but 29
574574 remains eligible under this chapter, the department shall issue the cardholder a new 30
575575 registry identification card with a new random ten -digit alphanumeric identification 31 25.357.9 18 1101
576576 Underscores indicate new language.
577577 Overstrikes indicate deleted language.
578578 number within ten days of receiving the updated information and a twenty dollar fee. If 1
579579 the person notifying the department is a registered qualifying patient, the department 2
580580 shall also issue the patient's registered designated caregiver, if any, a new registry 3
581581 identification card within ten days of receiving the updated information. 4
582582 Section 44. That § 34-20G-49 be REPEALED. 5
583583 A registry identification card is void if the certifying practitioner notifies the 6
584584 department in writing that: 7
585585 (1) The registered qualifying patient has ceased to suffer from a debilitating medical 8
586586 condition; or 9
587587 (2) The practitioner no longer believes the patient would receive therapeutic or 10
588588 palliative benefit from the medical use of cannabis. 11
589589 The registered qualifying patient has fifteen days to dispose of any cannabis in the 12
590590 registered qualifying patient's possession. 13
591591 Section 45. That § 34-20G-50 be REPEALED. 14
592592 A medical cannabis establishment shall notify the department within one business 15
593593 day of any theft or significant loss of cannabis. 16
594594 Section 46. That § 34-20G-51 be REPEALED. 17
595595 Except as provided in § 34-20G-18 and this section, a person may assert the 18
596596 medical purpose for using cannabis as a defense to any prosecution involving cannabis, 19
597597 and such defense is presumed valid where the evidence shows that: 20
598598 (1) A practitioner has stated that, in the practitioner's professional opinion, after 21
599599 having completed a full assessment of the person's medical history and current 22
600600 medical condition made in the course of a bona fide practitioner -patient 23
601601 relationship, the patient has a debilitating medical condition and the potential 24
602602 benefits of using cannabis for medical purposes would likely outweigh the health 25
603603 risks for the person; 26
604604 (2) The person was in possession of no more than three ounces of cannabis, the 27
605605 amount of cannabis products allowed by department rules, two flowering cannabis 28
606606 plants, two cannabis plants that are not flowering, and the cannabis produced by 29
607607 those plants; 30 25.357.9 19 1101
608608 Underscores indicate new language.
609609 Overstrikes indicate deleted language.
610610 (3) The person was engaged in the acquisition, possession, use, manufacture, 1
611611 cultivation, or transportation of cannabis, paraphernalia, or both, relating to the 2
612612 administration of cannabis to treat or alleviate the person's debilitating medical 3
613613 condition or symptoms associated with the person's debilitating medical condition; 4
614614 and 5
615615 (4) Any cultivation of cannabis and storage of more than three ounces of cannabis 6
616616 occurred in a secure location that only the person asserting the defense could 7
617617 access. 8
618618 Section 47. That § 34-20G-52 be REPEALED. 9
619619 An affirmative defense and motion to dismiss shall fail if the prosecution proves 10
620620 that: 11
621621 (1) The person had a registry identification card revoked for misconduct; or 12
622622 (2) The purpose for the possession or cultivation of cannabis was not solely for 13
623623 palliative or therapeutic use by the person with a debilitating medical condition who 14
624624 raised the defense. 15
625625 Section 48. That § 34-20G-53 be REPEALED. 16
626626 A person is not required to possess a registry identification card to raise the 17
627627 affirmative defense set forth in § 34-20G-51. 18
628628 Section 49. That § 34-20G-54 be REPEALED. 19
629629 If a person demonstrates the person's medical purpose for using cannabis pursuant 20
630630 to this chapter, except as provided in § 34-20G-18, the person is not subject to the 21
631631 following for the person's use of cannabis for medical purposes: 22
632632 (1) Disciplinary action by an occupational or professional licensing board or bureau; or 23
633633 (2) Forfeiture of any interest in or right to any property other than cannabis. 24
634634 Section 50. That § 34-20G-55 be REPEALED. 25
635635 Not later than ninety days after receiving an application for a medical cannabis 26
636636 establishment, the department shall register the prospective medical cannabis 27
637637 establishment and issue a registration certificate and a random ten-digit alphanumeric 28
638638 identification number if all of the following conditions are satisfied: 29
639639 (1) The prospective medical cannabis establishment has submitted all of the following: 30 25.357.9 20 1101
640640 Underscores indicate new language.
641641 Overstrikes indicate deleted language.
642642 (a) The application fee; 1
643643 (b) An application, including: 2
644644 (i) The legal name of the prospective medical cannabis establishment; 3
645645 (ii) The physical address of the prospective medical cannabis 4
646646 establishment that is not within one thousand feet of a public or 5
647647 private school existing before the date of the medical cannabis 6
648648 establishment application; 7
649649 (iii) The name and date of birth of each principal officer and board 8
650650 member of the proposed medical cannabis establishment; and 9
651651 (iv) Any additional information requested by the department; 10
652652 (c) Operating procedures consistent with rules for oversight of the proposed 11
653653 medical cannabis establishment, including procedures to ensure accurate 12
654654 record keeping and adequate security measures; 13
655655 (d) If the city or county where the proposed medical cannabis establishment 14
656656 would be located has enacted zoning restrictions, a sworn statement 15
657657 certifying that the proposed medical cannabis establishment does not 16
658658 violate the restrictions; 17
659659 (e) If the city or county where the proposed medical cannabis establishment 18
660660 requires a local registration, license, or permit, a copy of the registration, 19
661661 license, or permit; 20
662662 (2) None of the principal officers or board members has served as a principal officer or 21
663663 board member for a medical cannabis establishment that has had its registration 22
664664 certificate revoked; 23
665665 (3) None of the principal officers or board members is under twenty-one years of age; 24
666666 and 25
667667 (4) At least one principal officer is a resident of this state. 26
668668 Section 51. That § 34-20G-56 be REPEALED. 27
669669 If the governing body of a county has enacted a numerical limit on the number of 28
670670 medical cannabis establishments in the county and a greater number of applicants seek 29
671671 registration, the department shall solicit and consider input from the county as to its 30
672672 preference for registration. 31
673673 If the governing body of a municipality has enacted a numerical limit on the number 32
674674 of medical cannabis establishments in the municipality, and a greater number of applicants 33 25.357.9 21 1101
675675 Underscores indicate new language.
676676 Overstrikes indicate deleted language.
677677 seek registration, the department shall solicit and consider input from the municipality as 1
678678 to its preference for registration. 2
679679 Section 52. That § 34-20G-57 be REPEALED. 3
680680 The department shall issue a renewal registration certificate within forty-five days 4
681681 of receipt of the prescribed renewal application and renewal fee from a medical cannabis 5
682682 establishment. 6
683683 Section 53. That § 34-20G-58 be REPEALED. 7
684684 The governing body of a municipality may enact an ordinance not in conflict with 8
685685 this chapter, regardless of whether it has enacted a zoning ordinance pursuant to title 11, 9
686686 imposing: 10
687687 (1) Restrictions on a medical cannabis establishment to govern the time, place, and 11
688688 manner of operation; 12
689689 (2) A limit on the number of medical cannabis establishments in the municipality; 13
690690 (3) Reasonable setback requirements; 14
691691 (4) Limitations on the proximity of a medical cannabis establishment to: 15
692692 (a) Any sensitive land-use area, including a childcare facility, park, public 16
693693 service facility, recreational facility, religious facility, school, and any 17
694694 location frequented by individuals under the age of twenty-one; or 18
695695 (b) Any other medical cannabis establishment; 19
696696 (5) Requirements for a medical cannabis establishment to obtain a local license, 20
697697 permit, or registration to operate; or 21
698698 (6) Reasonable fees for any local license, permit, or registration. 22
699699 The governing body of a county may enact an ordinance governing all matters set 23
700700 forth in this section. The county ordinance applies throughout its jurisdiction, except within 24
701701 the boundaries of a municipality that has enacted an ordinance in accordance with this 25
702702 section. 26
703703 A county or municipality may impose a civil penalty for the violation of an ordinance 27
704704 enacted in accordance with this section. 28
705705 Section 54. That § 34-20G-59 be REPEALED. 29 25.357.9 22 1101
706706 Underscores indicate new language.
707707 Overstrikes indicate deleted language.
708708 No county or municipality may prohibit a dispensary, either expressly or through 1
709709 the enactment of an ordinance that makes the operation of the dispensary impracticable 2
710710 in the county or municipality. 3
711711 Section 55. That § 34-20G-61 be REPEALED. 4
712712 Each medical cannabis establishment shall conduct a background check into the 5
713713 criminal history of each person seeking to become a principal officer, board member, 6
714714 agent, volunteer, or employee before the person begins working at the medical cannabis 7
715715 establishment. 8
716716 Section 56. That § 34-20G-62 be REPEALED. 9
717717 A medical cannabis establishment may not employ any person who: 10
718718 (1) Was convicted of a disqualifying felony offense; or 11
719719 (2) Is under twenty-one years of age. 12
720720 Section 57. That § 34-20G-63 be REPEALED. 13
721721 Each medical cannabis establishment shall have operating documents that include 14
722722 procedures for the oversight of the medical cannabis establishment and procedures to 15
723723 ensure accurate record keeping. 16
724724 Section 58. That § 34-20G-64 be REPEALED. 17
725725 A medical cannabis establishment shall implement appropriate security measures 18
726726 designed to deter and prevent the theft of cannabis and unauthorized entrance into any 19
727727 area containing cannabis. 20
728728 Section 59. That § 34-20G-65 be REPEALED. 21
729729 All cultivation, harvesting, manufacturing and packaging of cannabis shall take 22
730730 place in a secure facility at a physical address provided to the department during the 23
731731 registration process. The secure facility may only be accessed by agents of the medical 24
732732 cannabis establishment, emergency personnel, and adults who are twenty -one years of 25
733733 age and older and who are accompanied by a medical cannabis establishment agent. 26
734734 Section 60. That § 34-20G-65.1 be REPEALED. 27 25.357.9 23 1101
735735 Underscores indicate new language.
736736 Overstrikes indicate deleted language.
737737 A sample of cannabis or cannabis products submitted to a testing facility must be 1
738738 collected by a designated representative of the testing facility. 2
739739 A medical cannabis establishment shall ensure that testing is conducted on a 3
740740 sample of cannabis or cannabis product immediately prior to the transfer of the cannabis 4
741741 for retail sale or cannabis product in final form to another medical cannabis establishment. 5
742742 Section 61. That § 34-20G-66 be REPEALED. 6
743743 No medical cannabis establishment other than a cannabis product manufacturer 7
744744 may produce cannabis concentrates, cannabis extractions, or other cannabis products. 8
745745 Section 62. That § 34-20G-67 be REPEALED. 9
746746 A medical cannabis establishment may not share office space with or refer a patient 10
747747 to a practitioner. 11
748748 Section 63. That § 34-20G-68 be REPEALED. 12
749749 A medical cannabis establishment may not permit any person to consume cannabis 13
750750 on the property of a medical cannabis establishment. 14
751751 Section 64. That § 34-20G-69 be REPEALED. 15
752752 A medical cannabis establishment is subject to inspection by the department during 16
753753 business hours. 17
754754 Section 65. That § 34-20G-70 be REPEALED. 18
755755 A dispensary may not dispense more than three ounces of cannabis or a cannabis 19
756756 product to a registered qualifying patient or a nonresident cardholder, directly or via a 20
757757 designated caregiver, in any fourteen-day period. 21
758758 Before cannabis or a cannabis product may be dispensed to a cardholder or 22
759759 nonresident cardholder, a dispensary agent must verify: 23
760760 (1) That the registry identification card or registration presented to the dispensary is 24
761761 valid; 25
762762 (2) The identity of the person by requiring the person to present a valid photographic 26
763763 identification document issued by this state, another state, tribe, or the federal 27
764764 government; and 28 25.357.9 24 1101
765765 Underscores indicate new language.
766766 Overstrikes indicate deleted language.
767767 (3) Through the department's inventory tracking system, that the registered qualifying 1
768768 patient or nonresident cardholder has not exceeded the allowable limit of cannabis 2
769769 or cannabis product in the applicable fourteen-day period. 3
770770 A dispensary agent may not dispense an amount of cannabis or cannabis product 4
771771 to a person that would cause the person to possess more than the allowable amount of 5
772772 cannabis. 6
773773 Section 66. That § 34-20G-71 be REPEALED. 7
774774 A dispensary shall maintain internal, confidential records specifying how much 8
775775 cannabis is dispensed to a nonresident cardholder or registered qualifying patient and 9
776776 whether it is dispensed directly to a registered qualifying patient or to the designated 10
777777 caregiver. 11
778778 Section 67. That § 34-20G-72 be REPEALED. 12
779779 The department shall promulgate rules pursuant to chapter 1-26: 13
780780 (1) Establishing the form and content of registration and renewal applications 14
781781 submitted under this chapter and include the notice requirements set forth in § 34-15
782782 20G-28.1; 16
783783 (2) Establishing a system to numerically score competing medical cannabis 17
784784 establishment applicants, in cases where more applicants apply than are allowed 18
785785 by the local government, that includes analysis of: 19
786786 (a) The preference of the local government; 20
787787 (b) In the case of dispensaries, the suitability of the proposed location and its 21
788788 accessibility for patients; 22
789789 (c) The character, veracity, background, qualifications, and relevant experience 23
790790 of principal officers and board members; and 24
791791 (d) The business plan proposed by the applicant, that in the case of a cultivation 25
792792 facility or dispensary shall include the ability to maintain an adequate supply 26
793793 of cannabis, plans to ensure safety and security of patrons and the 27
794794 community, procedures to be used to prevent diversion, and any plan for 28
795795 making cannabis available to low-income registered qualifying patients; 29
796796 (3) Governing the manner in which the department shall consider applications for and 30
797797 renewals of registry identification cards, that may include creating a standardized 31
798798 written certification form; 32 25.357.9 25 1101
799799 Underscores indicate new language.
800800 Overstrikes indicate deleted language.
801801 (4) Governing medical cannabis establishments to ensure the health and safety of 1
802802 qualifying patients and prevent diversion and theft without imposing an undue 2
803803 burden or compromising the confidentiality of a cardholder, including: 3
804804 (a) Oversight requirements; 4
805805 (b) Record-keeping requirements; 5
806806 (c) Security requirements, including lighting, physical security, and alarm 6
807807 requirements; 7
808808 (d) Health and safety regulations, including restrictions on the use of pesticides 8
809809 that are injurious to human health; 9
810810 (e) Standards for the manufacture of cannabis products and both the indoor 10
811811 and outdoor cultivation of cannabis by a cultivation facility; 11
812812 (f) Requirements for the transportation and storage of cannabis by a medical 12
813813 cannabis establishment; 13
814814 (g) Employment and training requirements, including requiring that each 14
815815 medical cannabis establishment create an identification badge for each 15
816816 agent; 16
817817 (h) Standards for the safe manufacture of cannabis products, including extracts 17
818818 and concentrates; 18
819819 (i) Restrictions on the advertising, signage, and display of medical cannabis, 19
820820 provided that the restrictions may not prevent appropriate signs on the 20
821821 property of a dispensary, listings in business directories including phone 21
822822 books, listings in marijuana-related or medical publications, or the 22
823823 sponsorship of health or not-for-profit charity or advocacy events; 23
824824 (j) Requirements and procedures for the safe and accurate packaging, labeling, 24
825825 distribution, and tracking of medical cannabis; 25
826826 (k) Certification standards for testing facilities, including requirements for 26
827827 equipment and qualifications for personnel; and 27
828828 (l) Requirements for samples of cannabis and cannabis products submitted to 28
829829 testing facilities, including batch sizes to not exceed fifty pounds of cannabis 29
830830 intended for retail sale, batch sizes for homogenous cannabis products 30
831831 intended for retail sale, and procedures to ensure representative sampling; 31
832832 (5) Establishing procedures for the suspension and termination of the registry 32
833833 identification cards of cardholders who commit multiple or serious violations of this 33
834834 chapter; 34
835835 (6) Establishing procedures for: 35 25.357.9 26 1101
836836 Underscores indicate new language.
837837 Overstrikes indicate deleted language.
838838 (a) The imposition of fines, not to exceed ten thousand dollars per inspection, 1
839839 on a medical cannabis establishment that is found to have committed 2
840840 multiple or serious violations of this chapter; and 3
841841 (b) The probation, suspension, and termination of the registration certificate of 4
842842 a medical cannabis establishment that commits multiple or serious 5
843843 violations of this chapter; 6
844844 (7) Establishing labeling requirements for cannabis and cannabis products, including 7
845845 requiring cannabis product labels to include the following: 8
846846 (a) The length of time it typically takes for a product to take effect; 9
847847 (b) Disclosing ingredients and possible allergens; 10
848848 (c) A nutritional fact panel; and 11
849849 (d) Requiring that edible cannabis products be clearly identifiable, when 12
850850 practicable, with a standard symbol indicating that it contains cannabis; 13
851851 (8) Establishing procedures for the registration of nonresident cardholders and the 14
852852 cardholder's designation of no more than two dispensaries, which shall require the 15
853853 submission of: 16
854854 (a) A practitioner's statement confirming that the patient has a debilitating 17
855855 medical condition; and 18
856856 (b) Documentation demonstrating that the nonresident cardholder is allowed to 19
857857 possess cannabis or cannabis preparations in the jurisdiction where the 20
858858 nonresident cardholder resides; 21
859859 (9) Establishing the amount of cannabis products, including the amount of 22
860860 concentrated cannabis, each cardholder and nonresident cardholder may possess; 23
861861 and 24
862862 (10) Establishing application and renewal fees for registration certificates, not to exceed 25
863863 twenty thousand dollars, with this upper limit adjusted annually for inflation, with 26
864864 the total fees collected sufficient to offset all costs related to program 27
865865 implementation and administration; and 28
866866 (11) Establishing application and renewal fees for registry identification cards and 29
867867 nonresident cardholder registration as follows: 30
868868 (a) Using a sliding scale of patient application and renewal fees based upon a 31
869869 qualifying patient's household income; 32
870870 (b) The fees charged to qualifying patients, nonresident cardholders, and 33
871871 caregivers may not be greater than the costs of processing the application 34
872872 and issuing a registry identification card or registration; and 35 25.357.9 27 1101
873873 Underscores indicate new language.
874874 Overstrikes indicate deleted language.
875875 (c) The department may accept donations from private sources to reduce 1
876876 application and renewal fees. 2
877877 A violation of a required or prohibited action under any rule authorized by this 3
878878 section is a Class 2 misdemeanor. 4
879879 Section 68. That § 34-20G-73 be REPEALED. 5
880880 A cardholder or medical cannabis establishment who fails to provide a notice 6
881881 required by this chapter is subject to a civil penalty of no more than one hundred fifty 7
882882 dollars. Any civil penalty collected shall be deposited in the state general fund. 8
883883 Section 69. That § 34-20G-74 be REPEALED. 9
884884 In addition to any other penalty under law, a medical cannabis establishment or 10
885885 an agent of a medical cannabis establishment who intentionally sells or otherwise transfers 11
886886 cannabis in exchange for anything of value to a person other than a cardholder, a 12
887887 nonresident cardholder, or to a medical cannabis establishment or its agent is guilty of a 13
888888 Class 6 felony. A person convicted under this section may not continue to be affiliated with 14
889889 the medical cannabis establishment and is disqualified from any future affiliation with any 15
890890 medical cannabis establishment under this chapter. 16
891891 Section 70. That § 34-20G-75 be REPEALED. 17
892892 In addition to any other penalty under law, a cardholder or nonresident cardholder 18
893893 who intentionally sells or otherwise transfers cannabis in exchange for anything of value 19
894894 to a person other than a cardholder, a nonresident cardholder, or to a medical cannabis 20
895895 establishment or its agent is guilty of a Class 6 felony. 21
896896 Section 71. That § 34-20G-76 be REPEALED. 22
897897 A person who intentionally makes a false statement to a law enforcement official 23
898898 about any fact or circumstance relating to the medical use of cannabis to avoid arrest or 24
899899 prosecution is guilty of a Class 2 misdemeanor. The penalty is in addition to any other 25
900900 penalty that may apply for making a false statement or for the possession, cultivation, or 26
901901 sale of cannabis not protected by this chapter. If a person convicted of violating this 27
902902 section is a cardholder, the person is disqualified from being a cardholder under this 28
903903 chapter. 29 25.357.9 28 1101
904904 Underscores indicate new language.
905905 Overstrikes indicate deleted language.
906906 Section 72. That § 34-20G-77 be REPEALED. 1
907907 A person who knowingly submits false records or documentation required by the 2
908908 department to certify a medical cannabis establishment under this chapter is guilty of 3
909909 Class 6 felony. 4
910910 Section 73. That § 34-20G-78 be REPEALED. 5
911911 A practitioner is guilty of a Class 2 misdemeanor if the practitioner: 6
912912 (1) Knowingly refers a patient to a medical cannabis establishment or to a designated 7
913913 caregiver in exchange for financial consideration; 8
914914 (2) Advertises in a medical cannabis establishment; 9
915915 (3) Issues written certifications while holding a financial interest in a medical cannabis 10
916916 establishment; 11
917917 (4) Offers a discount, deal, or other financial incentive for making an appointment with 12
918918 the practitioner for the purpose of receiving a written certification; 13
919919 (5) Conducts the medical assessment required for a bona fide practitioner -patient 14
920920 relationship in a space licensed for the sale of alcoholic beverages; or 15
921921 (6) Charges a patient based on the term of a written certification issued to the patient. 16
922922 Section 74. That § 34-20G-78.1 be REPEALED. 17
923923 An entity is guilty of a Class 2 misdemeanor if the entity: 18
924924 (1) Offers a discount, deal, or other financial incentive for making an appointment with 19
925925 a practitioner for the purpose of receiving a written certification; or 20
926926 (2) Charges a practitioner's patient based on the duration of a written certification 21
927927 issued to the patient. 22
928928 Section 75. That § 34-20G-78.2 be REPEALED. 23
929929 If a practitioner or an immediate family member of the practitioner has a financial 24
930930 relationship with a medical cannabis clinic, the practitioner may not knowingly refer a 25
931931 patient to that clinic for the purpose of receiving a written certification under this chapter. 26
932932 For purposes of this section, a "financial relationship" means an ownership or 27
933933 investment interest in the medical cannabis clinic, or a compensation arrangement 28
934934 between the practitioner or the practitioner's immediate family member and the clinic. 29 25.357.9 29 1101
935935 Underscores indicate new language.
936936 Overstrikes indicate deleted language.
937937 An ownership or investment interest may be through equity, debt, or other means 1
938938 and includes an interest in an entity that holds an ownership or investment interest in the 2
939939 medical cannabis clinic. 3
940940 The prohibition of this section does not apply: 4
941941 (1) If the services offered at the medical cannabis clinic are being provided by another 5
942942 practitioner in the same group practice as the referring practitioner; 6
943943 (2) To a compensation arrangement, between the practitioner or the practitioner's 7
944944 immediate family member and the medical cannabis clinic, consisting of payments 8
945945 under the terms of a written lease that: 9
946946 (a) Is signed by all the parties; 10
947947 (b) Specifies the premises covered by the lease, provided the premises do not 11
948948 exceed the space that is reasonable and necessary for the legitimate 12
949949 business purposes of the lease and further provided that the premises, aside 13
950950 from common areas, are used exclusively by the lessee; 14
951951 (c) Has a duration of at least twelve months; and 15
952952 (d) Specifies the rental charges over the term of the lease, provided the charges 16
953953 are consistent with fair market value, and are not determined in a manner 17
954954 that takes into account the volume or value of any referrals or other 18
955955 business generated between the parties; 19
956956 (3) To a bona fide employment relationship under which an immediate family member 20
957957 of the practitioner is employed by the clinic for identifiable services, and receives 21
958958 remuneration for those services in an amount that: 22
959959 (a) Is consistent with the fair market value of the services; and 23
960960 (b) Is not determined in a manner that takes into account, directly or indirectly, 24
961961 the volume or value of any referrals by the referring practitioner; and 25
962962 (4) To an isolated transaction, such as a one-time sale of property. 26
963963 Any practitioner who knowingly refers a patient to a medical cannabis clinic, with 27
964964 which the practitioner or an immediate family member of the practitioner has a financial 28
965965 relationship, is guilty of a Class 2 misdemeanor. 29
966966 Section 76. That § 34-20G-79 be REPEALED. 30
967967 It is a Class 2 misdemeanor for any person, including an employee or official of the 31
968968 department or another state agency or local government, to breach the confidentiality of 32
969969 information obtained under this chapter. 33 25.357.9 30 1101
970970 Underscores indicate new language.
971971 Overstrikes indicate deleted language.
972972 Section 77. That § 34-20G-80 be REPEALED. 1
973973 The department may, after notice and hearing in accordance with chapter 1-26, 2
974974 impose probation, impose a fine, suspend, or revoke a registration certificate for multiple 3
975975 negligent or knowing violations of this chapter, or for a serious and knowing violation of 4
976976 this chapter, by the registrant or any of its agents. 5
977977 The department may not: 6
978978 (1) Impose a probation period that exceeds six months; or 7
979979 (2) Suspend a registration certificate for a period that exceeds six months, except for 8
980980 a serious violation of patient health and safety, in which case the suspension may 9
981981 not exceed one year. 10
982982 Section 78. That § 34-20G-81 be REPEALED. 11
983983 The department shall provide notice of probation, fine, suspension, or revocation 12
984984 by mailing the same in writing to the medical cannabis establishment at the address on 13
985985 the registration certificate. 14
986986 Section 79. That § 34-20G-82 be REPEALED. 15
987987 A medical cannabis establishment may continue to possess cannabis during a 16
988988 suspension, but it may not dispense, transfer, or sell cannabis. A cultivation facility may 17
989989 continue to cultivate and possess cannabis plants during a suspension, but it may not 18
990990 dispense, transfer, or sell cannabis. 19
991991 Section 80. That § 34-20G-83 be REPEALED. 20
992992 The department shall immediately revoke the registry identification card of any 21
993993 cardholder who sells cannabis to a person who is not allowed to possess cannabis for 22
994994 medical purposes under this chapter, and the cardholder is disqualified from being a 23
995995 cardholder under this chapter. 24
996996 Section 81. That § 34-20G-84 be REPEALED. 25
997997 The department may revoke the registry identification card of any cardholder who 26
998998 knowingly commits multiple unintentional violations or a serious knowing violation of this 27
999999 chapter. 28
10001000 Section 82. That § 34-20G-85 be REPEALED. 29 25.357.9 31 1101
10011001 Underscores indicate new language.
10021002 Overstrikes indicate deleted language.
10031003 Revocation under § 34-20G-80, 34-20G-83, or 34-20G-84 is a final decision of the 1
10041004 department subject to judicial review. 2
10051005 Section 83. That § 34-20G-86 be REPEALED. 3
10061006 Data in a registration application and supporting data submitted by a qualifying 4
10071007 patient, designated caregiver, nonresident cardholder, or medical cannabis establishment, 5
10081008 including data on designated caregiver or practitioner, is not a public record open to public 6
10091009 access, inspection, or copying under chapter 1-27. All other public records concerning 7
10101010 registered medical cannabis establishments are governed by chapter 1-27. 8
10111011 Section 84. That § 34-20G-87 be REPEALED. 9
10121012 Except as provided in § 34-20E-2, data kept or maintained by the department may 10
10131013 not be used for any purpose not provided for in this chapter and may not be combined or 11
10141014 linked in any manner with any other list or database. 12
10151015 Section 85. That § 34-20G-88 be REPEALED. 13
10161016 Confidential data or data that is not a public record kept or maintained by the 14
10171017 department may only be disclosed as necessary to: 15
10181018 (1) Verify a registration certificate or registry identification card pursuant to this 16
10191019 chapter; 17
10201020 (2) Notify law enforcement of an apparent criminal violation of this chapter or respond 18
10211021 to law enforcement or prosecutorial officials engaged in the investigation or 19
10221022 enforcement of the criminal provisions of this chapter; 20
10231023 (3) Notify state and local law enforcement about falsified or fraudulent information 21
10241024 submitted for the purpose of obtaining or renewing a registry identification card; 22
10251025 (4) Notify the applicable licensing board if there is reason to believe that a practitioner 23
10261026 has violated the standard of care for evaluating a medical condition; or respond to 24
10271027 the board, if the board is seeking data relevant to an investigation of a person who 25
10281028 holds a license issued by the board; 26
10291029 (5) Any judicial authority under grand jury subpoena or court order or equivalent 27
10301030 judicial process for investigation of criminal, civil, or administrative violations 28
10311031 related to the use of medical cannabis; 29
10321032 (6) An authorized employee of the department performing official duties associated 30
10331033 with the medical cannabis program; 31 25.357.9 32 1101
10341034 Underscores indicate new language.
10351035 Overstrikes indicate deleted language.
10361036 (7) A practitioner to determine if a person in the practitioner's care engages in the 1
10371037 medical use of cannabis so the practitioner may assess possible drug interactions 2
10381038 or assess other medically necessary concerns; or 3
10391039 (8) Comply with the reporting requirement in § 34-20G-88.1. 4
10401040 Section 86. That § 34-20G-88.1 be REPEALED. 5
10411041 The department shall submit the name and date of birth of a qualifying patient who 6
10421042 receives a registry identification card to the prescription drug monitoring program 7
10431043 authorized pursuant to chapter 34-20E. 8
10441044 Section 87. That § 34-20G-89 be REPEALED. 9
10451045 Except as otherwise provided in this section, information kept or maintained by a 10
10461046 medical cannabis establishment may identify a cardholder only by registry identification 11
10471047 number and may not contain names or other personally identifiable information. 12
10481048 A cardholder may, in writing, authorize an establishment to maintain the 13
10491049 cardholder's name and other personally identifiable information, for the limited purpose 14
10501050 of receiving direct communication regarding the cardholder's: 15
10511051 (1) Individual medical needs; or 16
10521052 (2) Use of a specific product. 17
10531053 Section 88. That § 34-20G-90 be REPEALED. 18
10541054 At the cardholder's request, the department may confirm the cardholder's status 19
10551055 as a registered qualifying patient or a registered designated caregiver to a third party, 20
10561056 such as a landlord, school, medical professional, or court. 21
10571057 Section 89. That § 34-20G-91 be REPEALED. 22
10581058 Any department hard drive or other data-recording media that is no longer in use 23
10591059 and that contains cardholder information shall be destroyed. 24
10601060 Section 90. That § 34-20G-92 be REPEALED. 25
10611061 The Executive Board of the Legislative Research Council shall appoint an oversight 26
10621062 committee consisting of: 27
10631063 (1) Two members of the Senate; 28
10641064 (2) Two members of the House of Representatives; 29 25.357.9 33 1101
10651065 Underscores indicate new language.
10661066 Overstrikes indicate deleted language.
10671067 (3) One physician licensed in accordance with chapter 36-4; 1
10681068 (4) One physician assistant licensed in accordance with chapter 36-4A; 2
10691069 (5) One certified nurse practitioner licensed in accordance with chapter 36-9A; 3
10701070 (6) One chief of police for a municipality having a population in excess of fifty -4
10711071 thousand, or a representative of the police department designated by the chief; 5
10721072 (7) One sheriff of a county or a representative of the sheriff's office designated by the 6
10731073 sheriff; 7
10741074 (8) One professional counselor licensed in accordance with chapter 36-32 or one 8
10751075 addiction counselor licensed in accordance with chapter 36-34; and 9
10761076 (9) One qualifying patient. 10
10771077 Each appointee shall serve for a term of two years and may be reappointed. 11
10781078 Section 91. That § 34-20G-92.1 be REPEALED. 12
10791079 Beginning in 2023, and every two years thereafter, the oversight committee shall 13
10801080 select from among itself one legislator to serve as the chair and one legislator, from the 14
10811081 opposite chamber, to serve as the vice chair. 15
10821082 Beginning in 2025, the legislators selected to serve as the chair and vice chair may 16
10831083 not be from the same chamber as their immediate predecessors. 17
10841084 Section 92. That § 34-20G-93 be REPEALED. 18
10851085 The oversight committee shall meet at least two times per year for the purpose of 19
10861086 evaluating and making recommendations to the Legislature and the department 20
10871087 regarding: 21
10881088 (1) The ability of qualifying patients in all areas of the state to obtain timely access to 22
10891089 high-quality medical cannabis; 23
10901090 (2) The effectiveness of the dispensaries and cultivation facilities, individually and 24
10911091 together, in serving the needs of qualifying patients, including the provision of 25
10921092 educational and support services by dispensaries, the reasonableness of their 26
10931093 prices, whether they are generating any complaints or security problems, and the 27
10941094 sufficiency of the number operating to serve the state's registered qualifying 28
10951095 patients; 29
10961096 (3) The effectiveness of the cannabis testing facilities, including whether a sufficient 30
10971097 number are operating; 31 25.357.9 34 1101
10981098 Underscores indicate new language.
10991099 Overstrikes indicate deleted language.
11001100 (4) The sufficiency of the regulatory and security safeguards contained in this chapter 1
11011101 and adopted by the department to ensure that access to and use of cannabis 2
11021102 cultivated is provided only to cardholders; 3
11031103 (5) Any recommended additions or revisions to the department regulations or this 4
11041104 chapter, including recommendations relating to security, safe handling, labeling, 5
11051105 and nomenclature; 6
11061106 (6) Any research studies regarding health effects of medical cannabis for patients; and 7
11071107 (7) Any medical and clinical aspects of the medical cannabis program. 8
11081108 The oversight committee shall ensure that it seeks relevant input from qualifying 9
11091109 patients; designated caregivers; pharmacists; school boards and administrators; parents; 10
11101110 municipal representatives; state agencies, including the Department of Health, the South 11
11111111 Dakota Division of Criminal Investigation, and the Department of Public Safety; and 12
11121112 medical cannabis establishments. 13
11131113 Section 93. That § 34-20G-94 be REPEALED. 14
11141114 The department shall report annually to the Legislature on the number of 15
11151115 applications for registry identification cards received; the number of qualifying patients 16
11161116 and designated caregivers approved; the number of registry identification cards revoked; 17
11171117 the number of each type of medical cannabis establishment registered; the expenses 18
11181118 incurred and revenues generated from the medical cannabis program; the number of 19
11191119 patient cardholders by medical condition; qualifying patient demographics by age and sex; 20
11201120 the number and specialty of the practitioners providing written certifications; the number 21
11211121 of medical cannabis establishments by type; the number of licensing violations determined 22
11221122 by the department; the impact of medical cannabis on public safety, public health, and 23
11231123 behavioral health services; any other information regarding the effects of medical 24
11241124 cannabis on the public; and any recommendations. The department may not include 25
11251125 identifying information on a qualifying patient, designated caregiver, or practitioner in the 26
11261126 report. 27
11271127 Section 94. That § 34-20G-95 be REPEALED. 28
11281128 The Department of Education and the department shall establish policy to allow 29
11291129 students who are medical cannabis cardholders to have their medicine administered in 30
11301130 school in accordance with their physician's recommendation. This policy shall be 31
11311131 implemented the first day of the new school year following passage of this chapter. The 32 25.357.9 35 1101
11321132 Underscores indicate new language.
11331133 Overstrikes indicate deleted language.
11341134 departments shall implement substantively identical provisions to Colorado Revised 1
11351135 Statute 22-1-119.3 as of January 1, 2019. 2
11361136 Section 95. That § 34-20G-96 be REPEALED. 3
11371137 In order for an individual who is serving a probationary sentence under the 4
11381138 supervision of the Unified Judicial System or who is on conditional release or parole from 5
11391139 a state correctional facility under the legal custody of the Department of Corrections to 6
11401140 utilize medical cannabis, the individual's practitioner must attest that the use of medical 7
11411141 cannabis is: 8
11421142 (1) Consistent with the medical standard of care for the treatment of the individual’s 9
11431143 documented debilitating medical condition and any symptoms associated with the 10
11441144 debilitating medical condition; 11
11451145 (2) Reasonable in light of the practitioner’s observation and the individual's physical 12
11461146 examination, diagnostic test results, medical history, and reported symptoms; and 13
11471147 (3) Reasonable in light of the risks and benefits of medical cannabis as compared to 14
11481148 the risks and benefits of other treatment options for the individual’s debilitating 15
11491149 medical condition and any symptoms associated with the debilitating medical 16
11501150 condition. 17