Texas 2019 - 86th Regular

Texas House Bill HB4097 Compare Versions

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1-86R26070 JSC-D
2- By: Blanco, Moody, Romero, Jr. H.B. No. 4097
3- Substitute the following for H.B. No. 4097:
4- By: Zedler C.S.H.B. No. 4097
1+86R3599 JSC-D
2+ By: Blanco H.B. No. 4097
53
64
75 A BILL TO BE ENTITLED
86 AN ACT
97 relating to the use of medical cannabis by veterans for
108 post-traumatic stress disorder and the licensing of associated
119 cultivating or dispensing organizations; authorizing fees.
1210 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1311 SECTION 1. Subtitle C, Title 6, Health and Safety Code, is
1412 amended by adding Chapter 488 to read as follows:
1513 CHAPTER 488. MEDICAL CANNABIS FOR CERTAIN VETERANS
1614 SUBCHAPTER A. GENERAL PROVISIONS
1715 Sec. 488.001. DEFINITIONS. In this chapter:
1816 (1) "Commission" means the Health and Human Services
1917 Commission.
2018 (2) "Cultivating or dispensing facility" means a
2119 facility that:
2220 (A) cultivates, processes, manufactures, or
2321 dispenses medical cannabis under this chapter; and
2422 (B) is owned or operated by a cultivating or
2523 dispensing organization licensed under Subchapter C.
2624 (3) "Cultivating or dispensing organization" means an
2725 organization that cultivates, processes, manufactures, or
2826 dispenses medical cannabis under this chapter.
2927 (4) "Executive commissioner" means the executive
3028 commissioner of the Health and Human Services Commission.
3129 (5) "Historically underutilized business" has the
3230 meaning assigned by Section 2161.001, Government Code.
3331 (6) "Medical cannabis" means the plant Cannabis sativa
3432 L. and any part of that plant or any compound, manufacture, salt,
3533 derivative, mixture, preparation, resin, or oil of that plant.
3634 (7) "Post-traumatic stress disorder" means a disorder
3735 that:
3836 (A) meets the diagnostic criteria for
3937 posttraumatic stress disorder specified by the American
4038 Psychiatric Association in the Diagnostic and Statistical Manual of
4139 Mental Disorders, fifth edition, or a later edition adopted by the
4240 executive commissioner; and
4341 (B) results in an impairment of a person's
4442 functioning in the person's community, employment, family, school,
4543 or social group.
4644 (8) "Psychoactive medication" means a medication that
4745 is prescribed for the treatment of symptoms of psychosis or other
4846 severe mental or emotional disorders and that is used to exercise an
4947 effect on the central nervous system to influence and modify
5048 behavior, cognition, or affective state when treating the symptoms
5149 of mental illness. The term includes the following categories when
5250 used as described by this subdivision:
5351 (A) antipsychotics or neuroleptics;
5452 (B) antidepressants;
5553 (C) agents for control of mania or depression;
5654 (D) antianxiety agents;
5755 (E) sedatives, hypnotics, or other
5856 sleep-promoting drugs; and
5957 (F) psychomotor stimulants.
6058 (9) "Veteran" means an individual who has served in:
6159 (A) the army, navy, air force, coast guard, or
6260 marine corps of the United States;
6361 (B) the state military forces, as defined by
6462 Section 431.001, Government Code; or
6563 (C) a reserve component of the armed forces of
6664 the United States.
6765 Sec. 488.002. ADMINISTRATION BY COMMISSION; RULES. (a)
6866 The commission shall administer this chapter.
6967 (b) The executive commissioner shall adopt any rules
7068 necessary for the administration and enforcement of this chapter.
7169 SUBCHAPTER B. PURCHASE OF MEDICAL CANNABIS
7270 Sec. 488.051. ELIGIBILITY; PURCHASER PERMIT REQUIRED. A
7371 veteran suffering from post-traumatic stress disorder is eligible
7472 to purchase medical cannabis from a cultivating or dispensing
7573 facility if the veteran is issued a purchaser permit under this
7674 subchapter.
7775 Sec. 488.052. APPLICATION. A veteran may apply to the
7876 commission for a purchaser permit by submitting a completed
7977 application form as prescribed by the commission and:
8078 (1) proof of the veteran's military service; and
8179 (2) proof of the veteran's post-traumatic stress
8280 disorder, including:
8381 (A) a written diagnosis from a physician;
8482 (B) the veteran's current prescription for a
85- psychoactive medication; or
83+ psychoactive medication; and
8684 (C) any other proof acceptable to the commission
8785 as provided by rule of the executive commissioner.
8886 Sec. 488.053. ISSUANCE OF PERMIT. The commission shall
8987 issue a purchaser permit to a veteran who submits an application
9088 under Section 488.052 if the commission determines that the veteran
9189 is eligible for the permit.
9290 SUBCHAPTER C. CULTIVATING OR DISPENSING ORGANIZATION
9391 Sec. 488.101. LICENSE REQUIRED. A cultivating or
9492 dispensing organization may not cultivate, process, or dispense
9593 medical cannabis for purposes of this chapter without a license
9694 issued under this subchapter.
9795 Sec. 488.102. ELIGIBILITY FOR LICENSE. To qualify for a
9896 license under this subchapter, a cultivating or dispensing
9997 organization must:
100- (1) for the purposes of research described by Section
101- 488.103, have entered into a partnership with:
98+ (1) have entered into a partnership in connection with
99+ the establishment or operation of a cultivating or dispensing
100+ facility with:
102101 (A) a health system that owns or operates a
103102 health care facility with at least 200 beds;
104103 (B) a public university in this state; or
105104 (C) a registered clinical research organization;
106- (2) have sufficient net cash assets to ensure
107- financial stability and continued operations;
108- (3) have sufficient documented experience in the
109- cultivation, extraction, manufacturing, or dispensing of cannabis
110- in a jurisdiction in which cannabis is legal; and
111- (4) demonstrate experience in extraction and
105+ (2) show that a partnership described by Subdivision
106+ (1) has equity partners at least 50 percent of which must:
107+ (A) have experience in owning 15 or more private
108+ cannabis investments;
109+ (B) have experience in owning five or more
110+ private health care ventures; and
111+ (C) have resided in this state for five or more
112+ years;
113+ (3) have net cash assets that include an account with
114+ at least $5 million held at a financial institution as defined by
115+ Section 201.101, Finance Code; and
116+ (4) have a management and operations team that meets
117+ the requirements of Section 488.103.
118+ Sec. 488.103. ORGANIZATION OR FACILITY MANAGEMENT OR
119+ OPERATION TEAM. (a) At least one member of the cultivating or
120+ dispensing organization's governing authority or at least one
121+ manager of the organization's cultivating or dispensing facility
122+ must:
123+ (1) have at least three years' experience in legal
124+ cannabis operations;
125+ (2) have documented experience in the cultivation,
126+ extraction, manufacturing, or dispensing of cannabis in at least
127+ four jurisdictions in which cannabis is legal; and
128+ (3) with respect to an organization that cultivates or
129+ processes medical cannabis:
130+ (A) have experience overseeing at least five
131+ indoor or greenhouse cultivation and extraction facility
132+ operations with a total flowering canopy of not less than 100,000
133+ square feet; and
134+ (B) demonstrate experience in extraction and
112135 refinement of medical cannabis to create products in tightly
113136 controlled ratios of tetrahydrocannabinol and cannabidiol.
114- Sec. 488.103. MEDICAL CANNABIS RESEARCH. (a) To maintain
115- eligibility for a license under this subchapter, a cultivating or
116- dispensing organization in conjunction with the other entity in a
117- partnership described by Section 488.102(1) shall conduct research
118- on a continual basis to determine the potential risks and benefits
119- of medical cannabis as a treatment for post-traumatic stress
120- disorder.
121- (b) A cultivating or dispensing organization shall use the
122- research conducted under Subsection (a) to provide the optimal
123- ratios of tetrahydrocannabinol and cannabidiol for the treatment of
124- post-traumatic stress disorder.
125- (c) The cultivating or dispensing organization shall make
126- the findings, conclusions, data, and methodology of the research
127- conducted under Subsection (a) available for peer review.
137+ (b) The operating team of the cultivating or dispensing
138+ organization or a cultivating or dispensing facility of the
139+ organization must:
140+ (1) have at least six years' experience in legal
141+ cannabis operations, collectively; and
142+ (2) with respect to an organization that cultivates or
143+ processes medical cannabis, have overseen the growth of at least
144+ 75,000 pounds of dry cannabis flower.
128145 Sec. 488.104. LICENSE APPLICATION. (a) An eligible
129146 cultivating or dispensing organization may apply for a license
130147 under this subchapter by submitting an application, in the form
131148 provided by the commission, along with the application fee
132149 prescribed by Section 488.111.
133150 (b) The application must:
134151 (1) contain:
135152 (A) the name and address of the applicant; and
136153 (B) the name and address of each member of the
137154 applicant's governing authority, as defined by Section 1.002,
138155 Business Organizations Code;
139156 (2) include a plan to hire a workforce for its
140157 cultivating or dispensing facilities that, to the extent possible,
141158 is composed of at least 33 percent veterans;
142159 (3) include a plan to use technology and processes to
143160 minimize water and electricity uses by the applicant's cannabis
144161 cultivating and processing facilities while maintaining the
145162 production of high quality medical cannabis;
146163 (4) contain a detailed explanation of the applicant's
147164 capability to cultivate and manufacture a sufficient amount of
148165 quality-controlled medical cannabis to support the qualifying
149166 veteran base in this state; and
150167 (5) contain any other information considered
151168 necessary by the commission to determine the applicant's
152169 eligibility for the license.
153170 Sec. 488.105. CRIMINAL HISTORY BACKGROUND CHECK. (a) An
154171 applicant for the issuance or renewal of a license under this
155172 subchapter shall provide to the Department of Public Safety the
156173 applicant's name and the name of:
157174 (1) each person who has a 20 percent equity interest in
158175 the applicant; and
159176 (2) each employee or prospective employee of each of
160177 the applicant's cultivating or dispensing facilities.
161178 (b) The Department of Public Safety shall conduct a criminal
162179 history background check on each individual whose name is provided
163180 to the department under Subsection (a). The public safety director
164181 of the Department of Public Safety by rule shall:
165182 (1) determine the manner by which an individual is
166183 required to submit a complete set of fingerprints to the department
167184 for purposes of a criminal history background check under this
168185 section; and
169186 (2) establish criteria for determining whether an
170187 individual passes the criminal history background check for the
171188 purposes of this section.
172189 (c) After conducting a criminal history background check
173190 under this section, the Department of Public Safety shall notify
174191 the commission and the applicant organization or relevant facility
175192 of the organization and the individual who is the subject of the
176193 criminal history background check as to whether the individual
177194 passed the criminal history background check.
178195 Sec. 488.106. APPROVAL OR DENIAL OF APPLICATION. (a) The
179196 commission shall approve the application and issue to the applicant
180197 a license under this subchapter if the commission determines that:
181198 (1) the applicant meets the eligibility requirements
182199 of Section 488.102;
183200 (2) the applicant satisfies any additional criteria
184201 determined by the commission to be necessary to implement this
185202 chapter; and
186203 (3) issuance of the license is necessary to ensure
187204 reasonable statewide access to, and the availability of, medical
188205 cannabis for qualifying veterans under Subchapter B.
189206 (b) The commission shall approve or deny the application not
190207 later than the 120th day after the date of the filing of a completed
191208 application with payment of the required fees under Section
192209 488.111.
193210 (c) If the commission denies the application, the
194211 commission shall notify the applicant.
195212 (d) If an applicant requests a hearing on the application
196213 not later than the 30th day after the date of notification under
197214 Subsection (c), the applicant is entitled to a hearing not later
198215 than the 60th day after the date of the request.
199216 Sec. 488.107. ORGANIZATION PREFERENCES. The commission
200217 shall give preference to historically underutilized businesses in
201218 the issuance or renewal of licenses under this subchapter.
202219 Sec. 488.108. COMMENCEMENT OF OPERATIONS ON APPROVAL OF
203220 APPLICATION. If an organization's application is approved, a
204221 cultivating or dispensing facility owned or operated by the
205222 organization shall commence operations in this state not later than
206223 the 270th day after the date of the approval.
207224 Sec. 488.109. DUTY TO MAINTAIN ELIGIBILITY. Each license
208225 holder under this subchapter must maintain compliance at all times
209- with the eligibility requirements of Section 488.102 and continue
210- to perform the research required under Section 488.103.
226+ with the eligibility requirements of Section 488.102.
211227 Sec. 488.110. TERM OF LICENSE; RENEWAL. (a) A license
212228 issued or renewed under this subchapter expires on the second
213229 anniversary of the date of issuance or renewal, as applicable.
214230 (b) A license holder may apply for renewal of a license as
215231 prescribed by rule of the executive commissioner.
216- Sec. 488.111. FEES. The executive commissioner by rule
232+ Sec. 488.111. FEES. (a) The executive commissioner by rule
217233 shall set application and licensing fees under this subchapter in
218234 amounts sufficient to cover the cost of administering and enforcing
219235 this chapter.
236+ (b) In adopting rules under Subsection (a), the executive
237+ commissioner shall:
238+ (1) set an application fee in an amount that is at
239+ least $10,000 but not more than $25,000;
240+ (2) set an initial licensing fee in an amount that is
241+ at least $250,000 but not more than $1 million; and
242+ (3) set an annual licensing renewal fee in an amount
243+ that is at least $15,000 but not more than $25,000.
220244 Sec. 488.112. LICENSE SUSPENSION OR REVOCATION. (a) The
221245 commission may at any time suspend or revoke a license issued under
222246 this subchapter if the commission determines that:
223247 (1) the license holder has not maintained the
224- eligibility requirements described by Section 488.102 or continued
225- to perform research as required by Section 488.103;
248+ eligibility requirements described by Section 488.102;
226249 (2) the license holder has failed to comply with this
227250 chapter or a rule adopted under this chapter; or
228251 (3) the license holder's cultivating or dispensing
229252 facility has failed to comply with this chapter or a rule adopted
230253 under this chapter.
231254 (b) The commission shall give written notice to the license
232255 holder of a license suspension or revocation under this section and
233256 the grounds for the suspension or revocation. The notice must be
234257 sent by certified mail, return receipt requested.
235258 (c) After suspending or revoking a license issued under this
236259 subchapter, the commission shall notify the public safety director
237260 of the Department of Public Safety. The director may seize or place
238261 under seal all medical cannabis and drug paraphernalia owned or
239262 possessed by the license holder. If the commission orders the
240263 revocation of the license, a disposition may not be made of the
241264 seized or sealed medical cannabis or drug paraphernalia until the
242265 time for administrative appeal of the order has elapsed or until all
243266 appeals have been concluded. When a revocation order becomes
244267 final, all medical cannabis and drug paraphernalia may be forfeited
245268 to the state as provided under Subchapter E, Chapter 481.
246269 (d) Chapter 2001, Government Code, applies to a proceeding
247270 under this section.
248271 SUBCHAPTER D. CULTIVATING AND MANUFACTURING PRACTICES
249272 Sec. 488.151. POTENCY. Each medical cannabis product of a
250273 cultivating or dispensing facility must consistently test within
251274 five percent of the stated amount of tetrahydrocannabinol and
252275 cannabidiol on the label of the product.
253276 Sec. 488.152. SAFETY TESTING. (a) Medical cannabis
254277 products of a cultivating or dispensing facility must be tested for
255278 harmful substances, including microbials, pesticides, and residual
256279 solvents.
257280 (b) The executive commissioner shall consult with the
258281 Department of Agriculture in adopting rules setting safety
259282 standards for medical cannabis made available through a dispensary
260283 under this chapter.
261284 Sec. 488.153. GOOD MANUFACTURING PRACTICES. Medical
262285 cannabis to be dispensed under this chapter must be produced using
263286 good manufacturing practices, as defined by executive commissioner
264287 rule.
265288 SUBCHAPTER E. DISPENSING REGULATIONS
266289 Sec. 488.201. FORM OF CANNABIS. (a) Medical cannabis may
267290 be dispensed to veterans with a purchaser permit under Subchapter B
268291 only as a pill, patch, oil, or other derivative form that may be
269292 produced with consistent concentrations of tetrahydrocannabinol
270293 and cannabidiol.
271294 (b) Edible cannabis products may not be in shapes or forms
272295 appealing to children.
273296 Sec. 488.202. LABELING. Each product containing medical
274297 cannabis dispensed under this chapter must bear a label that
275298 clearly states the concentrations of tetrahydrocannabinol and
276299 cannabidiol in the product.
277- SUBCHAPTER F. REQUIREMENTS FOR LICENSE HOLDERS AND FACILITIES
300+ SUBCHAPTER F. REQUIREMENTS FOR LICENSEES AND FACILITIES
278301 Sec. 488.251. CHARITABLE DONATIONS. A license holder must
279302 annually donate at least five percent of the license holder's net
280303 profit to a nonprofit organization that focuses on getting veterans
281304 access to treatment for post-traumatic stress disorder.
282305 Sec. 488.252. LOCATION. A cultivating or dispensing
283306 facility owned or operated by a license holder may not be located
284307 within 1,000 feet of a primary or secondary school or day-care
285308 center that exists on the date of the license holder's initial
286309 application for licensure under Subchapter C.
287310 SECTION 2. Section 481.062(a), Health and Safety Code, is
288311 amended to read as follows:
289312 (a) The following persons may possess a controlled
290313 substance under this chapter without registering with the federal
291314 [Federal] Drug Enforcement Administration:
292315 (1) an agent or employee of a manufacturer,
293316 distributor, analyzer, or dispenser of the controlled substance who
294317 is registered with the federal [Federal] Drug Enforcement
295318 Administration and acting in the usual course of business or
296319 employment;
297320 (2) a common or contract carrier, a warehouseman, or
298321 an employee of a carrier or warehouseman whose possession of the
299322 controlled substance is in the usual course of business or
300323 employment;
301324 (3) an ultimate user or a person in possession of the
302325 controlled substance under a lawful order of a practitioner or in
303326 lawful possession of the controlled substance if it is listed in
304327 Schedule V;
305328 (4) an officer or employee of this state, another
306329 state, a political subdivision of this state or another state, or
307330 the United States who is lawfully engaged in the enforcement of a
308331 law relating to a controlled substance or drug or to a customs law
309332 and authorized to possess the controlled substance in the discharge
310333 of the person's official duties;
311334 (5) if the substance is tetrahydrocannabinol or one of
312335 its derivatives:
313336 (A) a Department of State Health Services
314337 official, a medical school researcher, or a research program
315338 participant possessing the substance as authorized under
316339 Subchapter G; or
317340 (B) a practitioner or an ultimate user possessing
318341 the substance as a participant in a federally approved therapeutic
319342 research program that the commissioner has reviewed and found, in
320343 writing, to contain a medically responsible research protocol; [or]
321344 (6) a dispensing organization licensed under Chapter
322- 487 that possesses low-THC cannabis;
345+ 487 that possesses low-THC cannabis; or
323346 (7) a cultivating or dispensing organization licensed
324- under Subchapter C, Chapter 488, that possesses medical cannabis;
325- or
326- (8) an entity described by Section 488.102(1) in
327- partnership with a cultivating or dispensing organization licensed
328- under Subchapter C, Chapter 488, that possesses medical cannabis
329- for the purpose of research conducted under Section 488.103.
347+ under Subchapter C, Chapter 488, that possesses medical cannabis.
330348 SECTION 3. Sections 481.111(e) and (f), Health and Safety
331349 Code, are amended to read as follows:
332350 (e) Sections 481.120, 481.121, 481.122, and 481.125 do not
333351 apply to a person who engages in the acquisition, possession,
334352 production, cultivation, delivery, or disposal of a raw material
335353 used in or by-product created by the production or cultivation of
336354 low-THC cannabis or medical cannabis if the person:
337355 (1) for an offense involving possession only of
338356 marihuana or drug paraphernalia, is a patient for whom low-THC
339357 cannabis is prescribed under Chapter 169, Occupations Code, or the
340358 patient's legal guardian, and the person possesses low-THC cannabis
341359 obtained under a valid prescription from a dispensing organization;
342360 [or]
343361 (2) is a director, manager, or employee of a low-THC
344362 cannabis dispensing organization and the person, solely in
345363 performing the person's regular duties at the organization,
346364 acquires, possesses, produces, cultivates, dispenses, or disposes
347365 of:
348366 (A) in reasonable quantities, any low-THC
349367 cannabis or raw materials used in or by-products created by the
350368 production or cultivation of low-THC cannabis; or
351369 (B) any drug paraphernalia used in the
352370 acquisition, possession, production, cultivation, delivery, or
353371 disposal of low-THC cannabis;
354372 (3) for an offense involving possession only of
355373 marihuana or drug paraphernalia, is a patient who holds a purchaser
356- permit under Subchapter B, Chapter 488;
374+ permit under Subchapter B, Chapter 488; or
357375 (4) is a member of the governing authority, as defined
358376 by Section 1.002, Business Organizations Code, or a manager or
359377 employee of a medical cannabis cultivating or dispensing
360378 organization or facility and the person, solely in performing the
361379 person's duties at the organization or facility, acquires,
362380 possesses, produces, cultivates, delivers, or disposes of:
363- (A) in reasonable quantities, any medical
364- cannabis or raw materials used in or by-products created by the
365- production or cultivation of medical cannabis; or
366- (B) any drug paraphernalia used in the
367- acquisition, possession, production, cultivation, delivery, or
368- disposal of medical cannabis; or
369- (5) is a person associated with an entity described by
370- Section 488.102(1) in partnership with a medical cannabis
371- cultivating or dispensing organization and solely in the
372- performance of the person's duties performing research under
373- Section 488.103, the person acquires, possesses, produces,
374- cultivates, delivers, or disposes of:
375381 (A) in reasonable quantities, any medical
376382 cannabis or raw materials used in or by-products created by the
377383 production or cultivation of medical cannabis; or
378384 (B) any drug paraphernalia used in the
379385 acquisition, possession, production, cultivation, delivery, or
380386 disposal of medical cannabis.
381387 (f) For purposes of Subsection (e):
382388 (1) ["Dispensing organization" has the meaning
383389 assigned by Section 487.001.
384390 [(2)] "Low-THC cannabis" has the meaning assigned by
385391 Section 169.001, Occupations Code.
386392 (2) "Low-THC cannabis dispensing organization" means
387393 a dispensing organization as defined by Section 487.001.
388394 (3) "Medical cannabis" has the meaning assigned by
389395 Section 488.001.
390396 (4) "Medical cannabis cultivating or dispensing
391397 organization" means an organization licensed under Subchapter C,
392398 Chapter 488.
393399 SECTION 4. Section 551.004, Occupations Code, is amended by
394400 amending Subsection (a) and adding Subsection (a-1) to read as
395401 follows:
396402 (a) This subtitle does not apply to:
397403 (1) a practitioner licensed by the appropriate state
398404 board who supplies a patient of the practitioner with a drug in a
399405 manner authorized by state or federal law and who does not operate a
400406 pharmacy for the retailing of prescription drugs;
401407 (2) a member of the faculty of a college of pharmacy
402408 recognized by the board who is a pharmacist and who performs the
403409 pharmacist's services only for the benefit of the college;
404410 (3) a person who procures prescription drugs for
405411 lawful research, teaching, or testing and not for resale;
406412 (4) a home and community support services agency that
407413 possesses a dangerous drug as authorized by Section 142.0061,
408414 142.0062, or 142.0063, Health and Safety Code; [or]
409415 (5) a low-THC cannabis dispensing organization[, as
410416 defined by Section 487.001, Health and Safety Code,] that
411417 cultivates, processes, and dispenses low-THC cannabis, as
412418 authorized by a license issued under Subchapter C, Chapter 487,
413419 Health and Safety Code, to a patient listed in the
414420 compassionate-use registry established under that chapter; or
415421 (6) a medical cannabis cultivating or dispensing
416422 organization that cultivates, manufactures, or dispenses medical
417423 cannabis, as authorized by a license issued under Subchapter C,
418424 Chapter 488, Health and Safety Code, to a patient who holds a
419425 purchaser permit under Subchapter B of that chapter.
420426 (a-1) For purposes of Subsections (a)(5) and (6):
421427 (1) "Low-THC cannabis dispensing organization" means
422428 a dispensing organization as defined by Section 487.001, Health and
423429 Safety Code.
424430 (2) "Medical cannabis cultivating or dispensing
425431 organization" means an organization licensed under Subchapter C,
426432 Chapter 488, Health and Safety Code.
427433 SECTION 5. Not later than July 1, 2020, the executive
428434 commissioner of the Health and Human Services Commission shall
429435 adopt all rules necessary to administer Chapter 488, Health and
430436 Safety Code, as added by this Act, and provide copies of
431437 applications for prospective cultivating or dispensing
432438 organization licensees.
433439 SECTION 6. After September 1, 2020, but not later than
434440 January 1, 2021, the Health and Human Services Commission shall
435441 begin accepting applications under Chapter 488, Health and Safety
436442 Code, as added by this Act.
437443 SECTION 7. This Act takes effect September 1, 2019.