1 | 1 | | 89R4874 LHC-D |
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2 | 2 | | By: Menéndez S.B. No. 734 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to authorizing the possession, use, cultivation, |
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10 | 10 | | distribution, delivery, sale, and research of medical cannabis for |
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11 | 11 | | medical use by patients with certain medical conditions and the |
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12 | 12 | | licensing of medical cannabis organizations; authorizing a fee. |
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13 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 14 | | ARTICLE 1. CHANGES TO TEXAS COMPASSIONATE USE PROGRAM |
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15 | 15 | | SECTION 1.01. Section 487.001, Health and Safety Code, is |
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16 | 16 | | amended to read as follows: |
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17 | 17 | | Sec. 487.001. DEFINITIONS. In this chapter: |
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18 | 18 | | (1) "Caregiver" means a person who has a significant |
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19 | 19 | | responsibility for managing the well-being of a registered patient. |
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20 | 20 | | A caregiver may be either an individual or an organization or other |
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21 | 21 | | entity, including a long-term care facility, other health care |
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22 | 22 | | organization, or public institution. |
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23 | 23 | | (2) "Department" means the Department of Public |
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24 | 24 | | Safety. |
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25 | 25 | | (3) [(2)] "Director" means the public safety director |
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26 | 26 | | of the department. |
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27 | 27 | | [(3) "Dispensing organization" means an organization |
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28 | 28 | | licensed by the department to cultivate, process, and dispense |
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29 | 29 | | low-THC cannabis to a patient for whom low-THC cannabis is |
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30 | 30 | | prescribed under Chapter 169, Occupations Code.] |
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31 | 31 | | (4) "Medical [Low-THC] cannabis" has the meaning |
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32 | 32 | | assigned by Section 169.001, Occupations Code. |
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33 | 33 | | (5) "Medical cannabis organization" means any |
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34 | 34 | | organization that cultivates, processes, manufactures, |
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35 | 35 | | distributes, researches, tests, dispenses, or conducts other |
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36 | 36 | | business regarding medical cannabis as authorized by a license |
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37 | 37 | | issued by the department under this chapter. |
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38 | 38 | | (6) "Medical cannabis product" means a product, other |
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39 | 39 | | than cannabis itself, which contains or is derived from cannabis. |
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40 | 40 | | The term does not include a product derived from hemp, as defined by |
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41 | 41 | | Section 121.001, Agriculture Code, or a consumable hemp product, as |
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42 | 42 | | defined by Section 443.001 of this code. |
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43 | 43 | | (7) "Medical use" has the meaning assigned by Section |
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44 | 44 | | 169.001, Occupations Code. |
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45 | 45 | | SECTION 1.02. Subchapter A, Chapter 487, Health and Safety |
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46 | 46 | | Code, is amended by adding Section 487.002 to read as follows: |
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47 | 47 | | Sec. 487.002. ALLOWABLE AMOUNT OF MEDICAL CANNABIS. The |
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48 | 48 | | allowable amount of medical cannabis for a person for whom medical |
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49 | 49 | | use is recommended under Chapter 169, Occupations Code, is an |
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50 | 50 | | amount of cannabis in any form approved by the physician possessed |
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51 | 51 | | by a qualified patient or collectively possessed by a qualified |
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52 | 52 | | patient and the qualified patient's caregiver that is: |
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53 | 53 | | (1) not more than reasonably necessary to ensure the |
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54 | 54 | | uninterrupted availability of cannabis for a period of three months |
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55 | 55 | | based on the individual patient's recommended amount of medical |
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56 | 56 | | cannabis; and |
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57 | 57 | | (2) obtained solely from a medical cannabis |
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58 | 58 | | organization. |
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59 | 59 | | SECTION 1.03. Chapter 487, Health and Safety Code, is |
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60 | 60 | | amended by adding Subchapter A-1 to read as follows: |
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61 | 61 | | SUBCHAPTER A-1. PROTECTIONS RELATED TO MEDICAL USE OF CANNABIS |
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62 | 62 | | Sec. 487.021. PROTECTION FROM LEGAL ACTION. (a) This |
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63 | 63 | | section applies to a person who is: |
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64 | 64 | | (1) a patient for whom medical use is recommended |
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65 | 65 | | under Chapter 169, Occupations Code, or the parent, legal guardian, |
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66 | 66 | | or caregiver of a patient; |
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67 | 67 | | (2) a medical cannabis organization; |
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68 | 68 | | (3) a director, manager, or employee of a medical |
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69 | 69 | | cannabis organization who is registered with the department under |
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70 | 70 | | Section 487.053; or |
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71 | 71 | | (4) a person participating as a researcher or patient |
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72 | 72 | | in an approved research program under Subchapter G, Chapter 481. |
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73 | 73 | | (b) Notwithstanding any other law, a person described by |
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74 | 74 | | Subsection (a) is not subject to arrest, prosecution, or penalty in |
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75 | 75 | | any manner, or denial of any right or privilege, including any civil |
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76 | 76 | | penalty or disciplinary action by a court or occupational or |
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77 | 77 | | professional licensing board or bureau, for conduct involving |
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78 | 78 | | medical use that is authorized under this chapter, Subchapter G, |
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79 | 79 | | Chapter 481, of this code, Chapter 169, Occupations Code, or |
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80 | 80 | | department rule. |
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81 | 81 | | Sec. 487.022. NO PRESUMPTION OF CHILD ABUSE, NEGLECT, OR |
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82 | 82 | | ENDANGERMENT. A person described by Section 487.021(a) may not be |
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83 | 83 | | presumed to have engaged in conduct constituting child abuse, |
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84 | 84 | | neglect, or endangerment solely because the person engaged in |
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85 | 85 | | conduct involving medical use that is authorized under this |
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86 | 86 | | chapter, Subchapter G, Chapter 481, of this code, Chapter 169, |
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87 | 87 | | Occupations Code, or department rule. |
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88 | 88 | | Sec. 487.023. NO DENIAL OF PARENTAL RIGHTS. The fact that a |
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89 | 89 | | person described by Section 487.021(a) engages in conduct |
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90 | 90 | | authorized under this chapter, Subchapter G, Chapter 481, of this |
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91 | 91 | | code, Chapter 169, Occupations Code, or department rule, does not |
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92 | 92 | | in itself constitute grounds for denying, limiting, or restricting |
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93 | 93 | | conservatorship or possession of or access to a child under Title 5, |
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94 | 94 | | Family Code. |
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95 | 95 | | Sec. 487.024. NO SEIZURE OR FORFEITURE. Property used in |
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96 | 96 | | the cultivation, research, testing, processing, distribution, |
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97 | 97 | | transportation, and delivery of medical cannabis for medical use |
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98 | 98 | | that is authorized under this chapter, Subchapter G, Chapter 481, |
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99 | 99 | | of this code, Chapter 169, Occupations Code, or department rule, is |
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100 | 100 | | not contraband for purposes of Chapter 59, Code of Criminal |
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101 | 101 | | Procedure, and is not subject to seizure or forfeiture under that |
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102 | 102 | | chapter or other law solely for the use of the property in those |
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103 | 103 | | authorized activities. |
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104 | 104 | | Sec. 487.025. NO PROSECUTION FOR PROVISION OF |
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105 | 105 | | PARAPHERNALIA. A person is not subject to arrest, prosecution, or |
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106 | 106 | | the imposition of any sentence or penalty for the delivery, |
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107 | 107 | | possession with intent to deliver, or manufacture of any item that |
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108 | 108 | | meets the definition of drug paraphernalia, as defined by Section |
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109 | 109 | | 481.002, if that item is delivered, possessed with intent to |
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110 | 110 | | deliver, or manufactured for the sole purpose of providing that |
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111 | 111 | | item to: |
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112 | 112 | | (1) a patient for whom medical use is recommended |
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113 | 113 | | under Chapter 169, Occupations Code, or the parent, legal guardian, |
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114 | 114 | | or caregiver of a patient; |
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115 | 115 | | (2) a medical cannabis organization; |
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116 | 116 | | (3) a director, manager, or employee of a medical |
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117 | 117 | | cannabis organization who is registered with the department under |
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118 | 118 | | Section 487.053; or |
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119 | 119 | | (4) a person participating as a researcher or patient |
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120 | 120 | | in an approved research program under Subchapter G, Chapter 481. |
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121 | 121 | | Sec. 487.026. NO PUNISHMENT FOR STUDENT PATIENTS AND THEIR |
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122 | 122 | | CAREGIVERS. Notwithstanding any other law: |
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123 | 123 | | (1) a student enrolled in any school, junior college, |
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124 | 124 | | college, university, or other educational institution for whom |
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125 | 125 | | medical cannabis was recommended under Chapter 169, Occupations |
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126 | 126 | | Code, may not be subject to suspension, expulsion, placement in a |
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127 | 127 | | disciplinary alternative education program, or any other form of |
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128 | 128 | | discipline solely because the student possessed, used, or received |
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129 | 129 | | a valid recommendation for medical cannabis; and |
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130 | 130 | | (2) a health care professional providing services at |
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131 | 131 | | any school, junior college, college, university, or other |
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132 | 132 | | educational institution may not be subject to any discipline solely |
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133 | 133 | | for assisting a student in the administration of medical cannabis. |
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134 | 134 | | SECTION 1.04. Section 487.052, Health and Safety Code, is |
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135 | 135 | | amended to read as follows: |
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136 | 136 | | Sec. 487.052. RULES; FEES. (a) The director shall adopt |
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137 | 137 | | any rules necessary for the administration and enforcement of this |
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138 | 138 | | chapter. |
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139 | 139 | | (b) The director shall adopt [, including] rules imposing |
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140 | 140 | | reasonable fees under this chapter in amounts sufficient to cover |
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141 | 141 | | the cost of administering this chapter. The department shall also |
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142 | 142 | | use revenue from fees to establish a cannabis testing and quality |
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143 | 143 | | control fund for the purpose of assisting law enforcement, |
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144 | 144 | | including accredited crime laboratories, to purchase instruments, |
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145 | 145 | | establish methods, and obtain resources needed to conduct forensic |
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146 | 146 | | analysis necessary to enforce this subtitle and to protect the |
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147 | 147 | | health and safety of medical cannabis patients and the public. |
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148 | 148 | | (c) The fees adopted under Subsection (b) may not exceed: |
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149 | 149 | | (1) $5,000 for application fees; |
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150 | 150 | | (2) $100 for registration fees under Subchapter D; and |
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151 | 151 | | (3) reasonable amounts for the issuance or renewal of |
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152 | 152 | | each class of license. |
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153 | 153 | | (d) The director may not adopt rules establishing a total |
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154 | 154 | | limit on the number of medical cannabis organization licenses by |
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155 | 155 | | class that may be granted nor set the price of or production |
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156 | 156 | | quantity of medical cannabis. |
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157 | 157 | | SECTION 1.05. Subchapter B, Chapter 487, Health and Safety |
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158 | 158 | | Code, is amended by adding Sections 487.0521 and 487.0522 to read as |
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159 | 159 | | follows: |
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160 | 160 | | Sec. 487.0521. SAFETY. (a) The director by rule shall |
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161 | 161 | | adopt packaging and labeling requirements for medical cannabis to |
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162 | 162 | | ensure patients are informed and protected. In adopting packaging |
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163 | 163 | | and labeling requirements, the director shall ensure that: |
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164 | 164 | | (1) each medical cannabis package is labeled with the |
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165 | 165 | | cannabinoid potency and terpenes profile of medical cannabis or |
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166 | 166 | | medical cannabis product as determined by an independent testing |
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167 | 167 | | laboratory; |
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168 | 168 | | (2) each medical cannabis product and medical cannabis |
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169 | 169 | | package is labeled with the required warnings as determined by the |
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170 | 170 | | department; and |
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171 | 171 | | (3) the packaging and label of medical cannabis or a |
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172 | 172 | | medical cannabis product: |
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173 | 173 | | (A) do not contain any false or misleading |
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174 | 174 | | statements; and |
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175 | 175 | | (B) are not designed to appeal to children. |
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176 | 176 | | (b) The director shall adopt necessary rules to allow the |
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177 | 177 | | department to monitor the safety and efficacy of medical cannabis |
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178 | 178 | | or medical cannabis products, including rules: |
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179 | 179 | | (1) requiring accurate reporting to consumers |
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180 | 180 | | regarding the content of medical cannabis or medical cannabis |
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181 | 181 | | products; |
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182 | 182 | | (2) providing for random testing by the department or |
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183 | 183 | | the department's designee to ensure compliance with labeling and |
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184 | 184 | | reporting requirements; and |
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185 | 185 | | (3) providing for health and safety regulations and |
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186 | 186 | | standards for the manufacture and cultivation of medical cannabis |
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187 | 187 | | and medical cannabis products. |
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188 | 188 | | (c) The director may collect data from medical cannabis |
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189 | 189 | | organizations and health care providers as necessary to enable the |
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190 | 190 | | department to monitor the safety and efficacy of medical cannabis. |
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191 | 191 | | The director may adopt rules for the data collection under this |
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192 | 192 | | subsection. |
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193 | 193 | | Sec. 487.0522. MEDICAL CANNABIS INVENTORY SYSTEM. (a) The |
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194 | 194 | | department shall establish and maintain a medical cannabis |
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195 | 195 | | inventory system that oversees the tracking, tracing, testing, and |
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196 | 196 | | quality control and quality assurance certification of medical |
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197 | 197 | | cannabis and medical cannabis products. |
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198 | 198 | | (b) The department may contract with other entities to |
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199 | 199 | | establish and maintain all or part of the medical cannabis |
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200 | 200 | | inventory system on behalf of the department. |
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201 | 201 | | (c) A medical cannabis organization shall use the medical |
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202 | 202 | | cannabis inventory system approved by the department to keep |
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203 | 203 | | records throughout the cannabis supply chain, including for every |
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204 | 204 | | transaction between license holders and between license holders and |
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205 | 205 | | patients. A medical cannabis organization may additionally use its |
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206 | 206 | | own system for keeping records under this chapter provided the |
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207 | 207 | | organization's system can integrate with the department's medical |
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208 | 208 | | cannabis inventory system as required under this chapter and rules |
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209 | 209 | | adopted under this chapter. |
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210 | 210 | | (d) The records in the medical cannabis inventory system |
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211 | 211 | | must include for each transaction: |
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212 | 212 | | (1) the name, license number, and assigned |
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213 | 213 | | identification number of the license holder that cultivated, |
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214 | 214 | | manufactured, tested, or sold the product; |
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215 | 215 | | (2) the address and phone number of the license holder |
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216 | 216 | | that cultivated, manufactured, tested, or sold the product; |
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217 | 217 | | (3) the type and weight of medical cannabis or medical |
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218 | 218 | | cannabis product transferred or received during the transaction; |
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219 | 219 | | (4) the batch number of the medical cannabis or |
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220 | 220 | | medical cannabis product used; |
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221 | 221 | | (5) the date of the transaction; |
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222 | 222 | | (6) the total spent in dollars; and |
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223 | 223 | | (7) any additional information the department |
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224 | 224 | | requires. |
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225 | 225 | | (e) The records in the medical cannabis inventory system |
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226 | 226 | | must include for each license holder: |
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227 | 227 | | (1) the amount of any medical cannabis waste, in |
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228 | 228 | | pounds; |
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229 | 229 | | (2) all point-of-sale records; and |
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230 | 230 | | (3) any additional information the department |
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231 | 231 | | requires. |
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232 | 232 | | (f) Notwithstanding Subsection (c), before the department |
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233 | 233 | | establishes the medical cannabis inventory system described by that |
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234 | 234 | | subsection, each license holder shall use its own inventory system |
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235 | 235 | | that meets the requirements of this section. |
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236 | 236 | | (g) Each medical cannabis organization has a continuing |
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237 | 237 | | responsibility to maintain records on site that are readily |
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238 | 238 | | available to the department regardless of the functionality of the |
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239 | 239 | | medical cannabis inventory system, including the criteria |
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240 | 240 | | established by this section and any requirements established by |
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241 | 241 | | rule. |
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242 | 242 | | (h) The director shall adopt rules necessary for the |
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243 | 243 | | implementation and enforcement of this section, including rules |
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244 | 244 | | ensuring: |
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245 | 245 | | (1) the department has 24-hour access to the medical |
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246 | 246 | | cannabis inventory system; and |
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247 | 247 | | (2) all inventory records containing patient |
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248 | 248 | | information comply with Chapter 181 and the Health Insurance |
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249 | 249 | | Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d |
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250 | 250 | | et seq.). |
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251 | 251 | | SECTION 1.06. The heading to Section 487.053, Health and |
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252 | 252 | | Safety Code, is amended to read as follows: |
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253 | 253 | | Sec. 487.053. LICENSING OF MEDICAL CANNABIS [DISPENSING] |
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254 | 254 | | ORGANIZATIONS AND REGISTRATION OF CERTAIN ASSOCIATED INDIVIDUALS. |
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255 | 255 | | SECTION 1.07. Section 487.053(a), Health and Safety Code, |
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256 | 256 | | is amended to read as follows: |
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257 | 257 | | (a) The department shall: |
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258 | 258 | | (1) issue or renew a license under Subchapter C to |
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259 | 259 | | operate as a medical cannabis [dispensing] organization to each |
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260 | 260 | | applicant who satisfies the requirements established under this |
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261 | 261 | | chapter for licensure under that class of medical cannabis |
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262 | 262 | | organization; [and] |
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263 | 263 | | (2) register directors, managers, and employees under |
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264 | 264 | | Subchapter D of each medical cannabis [dispensing] organization; |
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265 | 265 | | (3) issue a permit for an additional location to a |
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266 | 266 | | dispensing cannabis organization license holder on application if |
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267 | 267 | | the license holder is in compliance with all eligibility |
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268 | 268 | | requirements and the proposed location complies with any local |
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269 | 269 | | zoning requirements and will assist with ensuring reasonable |
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270 | 270 | | statewide access; |
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271 | 271 | | (4) to ensure reasonable statewide access, issue not |
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272 | 272 | | fewer than the following number of licenses or permits, as |
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273 | 273 | | applicable, for each type of medical cannabis organization provided |
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274 | 274 | | the department receives an adequate number of qualified |
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275 | 275 | | applications: |
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276 | 276 | | (A) dispensing cannabis organization licenses or |
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277 | 277 | | permits for an additional location for a dispensing cannabis |
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278 | 278 | | organization license holder, as applicable, based on population |
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279 | 279 | | within each of the 11 public health regions established by the |
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280 | 280 | | Health and Human Services Commission, as follows: |
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281 | 281 | | (i) 9 in public health region 1; |
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282 | 282 | | (ii) 6 in public health region 2; |
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283 | 283 | | (iii) 82 in public health region 3; |
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284 | 284 | | (iv) 12 in public health region 4; |
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285 | 285 | | (v) 8 in public health region 5; |
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286 | 286 | | (vi) 75 in public health region 6; |
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287 | 287 | | (vii) 37 in public health region 7; |
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288 | 288 | | (viii) 31 in public health region 8; |
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289 | 289 | | (ix) 7 in public health region 9; |
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290 | 290 | | (x) 9 in public health region 10; and |
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291 | 291 | | (xi) 24 in public health region 11; |
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292 | 292 | | (B) one cultivation cannabis organization |
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293 | 293 | | license for every four dispensing cannabis organization licenses; |
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294 | 294 | | (C) one processing cannabis organization license |
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295 | 295 | | for every three dispensing cannabis organization licenses; and |
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296 | 296 | | (D) the number of independent testing cannabis |
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297 | 297 | | organization licenses necessary to meet demand; |
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298 | 298 | | (5) when the number of registered medical cannabis |
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299 | 299 | | patients reaches 100,000, issue not fewer than 24 additional |
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300 | 300 | | dispensing cannabis organization licenses or location permits, as |
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301 | 301 | | applicable, and the appropriate number of other medical cannabis |
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302 | 302 | | organization license types as prescribed by Subdivision (4); and |
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303 | 303 | | (6) for each additional 100,000 registered medical |
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304 | 304 | | cannabis patients beyond the first 100,000 patients described by |
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305 | 305 | | Subdivision (5), issue not fewer than 24 additional dispensing |
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306 | 306 | | cannabis organization licenses or location permits, as applicable, |
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307 | 307 | | and the appropriate number of other medical cannabis organization |
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308 | 308 | | license types as prescribed by Subdivision (4). |
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309 | 309 | | SECTION 1.08. Section 487.054, Health and Safety Code, is |
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310 | 310 | | amended to read as follows: |
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311 | 311 | | Sec. 487.054. COMPASSIONATE-USE REGISTRY. (a) The |
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312 | 312 | | department shall establish and maintain a secure online |
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313 | 313 | | compassionate-use registry that contains: |
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314 | 314 | | (1) the name of each physician who registers as a |
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315 | 315 | | physician recommending medical cannabis and for each patient for |
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316 | 316 | | whom the physician has registered: |
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317 | 317 | | (A) [the prescriber for a patient under Section |
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318 | 318 | | 169.004, Occupations Code,] the patient's name, and any caregivers' |
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319 | 319 | | names, if applicable; |
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320 | 320 | | (B) the patient's [and] date of birth; |
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321 | 321 | | (C) the nature of the patient's eligible medical |
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322 | 322 | | condition; |
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323 | 323 | | (D) [of the patient,] the dosage recommended; |
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324 | 324 | | (E) [prescribed,] the means of administration |
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325 | 325 | | ordered; [,] and |
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326 | 326 | | (F) the total amount of medical [low-THC] |
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327 | 327 | | cannabis required to fill the patient's recommendation |
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328 | 328 | | [prescription]; and |
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329 | 329 | | (2) a record of each amount of medical [low-THC] |
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330 | 330 | | cannabis dispensed by a medical cannabis [dispensing] organization |
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331 | 331 | | to a patient under a recommendation [prescription]. |
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332 | 332 | | (b) The department shall ensure the registry: |
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333 | 333 | | (1) is designed to prevent more than one qualified |
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334 | 334 | | physician from registering as the recommending physician |
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335 | 335 | | [prescriber] for a single patient; |
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336 | 336 | | (2) is accessible to law enforcement agencies and |
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337 | 337 | | medical cannabis [dispensing] organizations licensed to dispense |
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338 | 338 | | medical cannabis for the purpose of verifying whether a patient is |
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339 | 339 | | one for whom medical [low-THC] cannabis is recommended [prescribed] |
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340 | 340 | | and whether the patient's recommendations [prescriptions] have |
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341 | 341 | | been filled; [and] |
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342 | 342 | | (3) allows a physician [qualified to prescribe low-THC |
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343 | 343 | | cannabis under Section 169.002, Occupations Code,] to input safety |
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344 | 344 | | and efficacy data derived from the treatment of patients for whom |
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345 | 345 | | medical [low-THC] cannabis is recommended [prescribed] under |
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346 | 346 | | Chapter 169, Occupations Code, including any severe adverse effects |
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347 | 347 | | due to the medical use of medical cannabis; and |
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348 | 348 | | (4) ensures that all application records and |
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349 | 349 | | information are sealed to protect the privacy of patients. |
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350 | 350 | | (c) The handling of any records maintained in the registry |
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351 | 351 | | must comply with all relevant state and federal privacy laws, |
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352 | 352 | | including Chapter 181. |
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353 | 353 | | SECTION 1.09. Subchapter B, Chapter 487, Health and Safety |
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354 | 354 | | Code, is amended by adding Section 487.055 to read as follows: |
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355 | 355 | | Sec. 487.055. DESIGNATION OF CAREGIVER. (a) A patient |
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356 | 356 | | listed in the compassionate-use registry may designate a caregiver. |
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357 | 357 | | A caregiver designated under this subsection may be either an |
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358 | 358 | | individual or an organization or other entity, including a |
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359 | 359 | | long-term care facility, other health care organization, or public |
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360 | 360 | | institution. |
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361 | 361 | | (b) The department shall develop a form for a patient listed |
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362 | 362 | | in the registry to designate a caregiver under Subsection (a). The |
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363 | 363 | | form must require the patient to provide the full name, home |
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364 | 364 | | address, and date of birth of the patient's caregiver or, in the |
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365 | 365 | | case of a caregiver that is an entity, the entity's name and |
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366 | 366 | | address. |
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367 | 367 | | (c) A caregiver may possess medical cannabis and medical |
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368 | 368 | | cannabis products up to the sum of the possession limits for all |
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369 | 369 | | patients under the caregiver's care. |
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370 | 370 | | (d) The director shall adopt rules necessary to implement |
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371 | 371 | | this section, including rules to provide identification cards for |
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372 | 372 | | designated caregivers. |
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373 | 373 | | SECTION 1.10. The heading to Subchapter C, Chapter 487, |
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374 | 374 | | Health and Safety Code, is amended to read as follows: |
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375 | 375 | | SUBCHAPTER C. LICENSE TO OPERATE AS MEDICAL CANNABIS [DISPENSING] |
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376 | 376 | | ORGANIZATION |
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377 | 377 | | SECTION 1.11. Section 487.101, Health and Safety Code, is |
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378 | 378 | | amended to read as follows: |
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379 | 379 | | Sec. 487.101. LICENSE REQUIRED. (a) A license issued by |
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380 | 380 | | the department under this chapter is required to operate a medical |
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381 | 381 | | cannabis [dispensing] organization. |
---|
382 | 382 | | (b) The director by rule shall adopt application and |
---|
383 | 383 | | licensing requirements and privileges of each medical cannabis |
---|
384 | 384 | | organization license type. |
---|
385 | 385 | | (c) Medical cannabis organization license types shall |
---|
386 | 386 | | include the following: |
---|
387 | 387 | | (1) a cultivating cannabis organization that |
---|
388 | 388 | | cultivates medical cannabis for sale and distribution to other |
---|
389 | 389 | | medical cannabis organizations and may process and package medical |
---|
390 | 390 | | cannabis for individual sale so long as the cannabis is not |
---|
391 | 391 | | subjected to any chemical alteration; |
---|
392 | 392 | | (2) a processing cannabis organization that extracts |
---|
393 | 393 | | medical cannabis and manufactures, prepares, and packages medical |
---|
394 | 394 | | cannabis products for sale and distribution to other medical |
---|
395 | 395 | | cannabis organizations; |
---|
396 | 396 | | (3) a dispensing cannabis organization that sells |
---|
397 | 397 | | medical cannabis and medical cannabis products to patients; |
---|
398 | 398 | | (4) an independent testing cannabis organization that |
---|
399 | 399 | | tests medical cannabis and medical cannabis products for potency, |
---|
400 | 400 | | safety, and efficacy; and |
---|
401 | 401 | | (5) any other class of medical cannabis organization |
---|
402 | 402 | | that the department finds warranted to safely and securely ensure |
---|
403 | 403 | | reasonable statewide access of medical cannabis for medical use. |
---|
404 | 404 | | SECTION 1.12. Section 487.102, Health and Safety Code, is |
---|
405 | 405 | | amended to read as follows: |
---|
406 | 406 | | Sec. 487.102. ELIGIBILITY FOR LICENSE. An applicant for a |
---|
407 | 407 | | license to operate as a medical cannabis [dispensing] organization |
---|
408 | 408 | | is eligible for the license if: |
---|
409 | 409 | | (1) as determined by the department, the applicant |
---|
410 | 410 | | possesses: |
---|
411 | 411 | | (A) the technical and technological ability |
---|
412 | 412 | | appropriate for that class of license [to cultivate and produce |
---|
413 | 413 | | low-THC cannabis]; |
---|
414 | 414 | | (B) the ability to secure: |
---|
415 | 415 | | (i) the resources and personnel necessary |
---|
416 | 416 | | to operate as a medical cannabis [dispensing] organization; and |
---|
417 | 417 | | (ii) for distribution or |
---|
418 | 418 | | dispensing premises reasonably located to allow patients listed on |
---|
419 | 419 | | the compassionate-use registry access to the organization through |
---|
420 | 420 | | existing infrastructure; |
---|
421 | 421 | | (C) the ability to maintain accountability for |
---|
422 | 422 | | the raw materials, the finished product, and any by-products used |
---|
423 | 423 | | or produced in the cultivation or production of medical [low-THC] |
---|
424 | 424 | | cannabis to prevent unlawful access to or unlawful diversion or |
---|
425 | 425 | | possession of those materials, products, or by-products; [and] |
---|
426 | 426 | | (D) the financial ability to maintain operations |
---|
427 | 427 | | for not less than two years from the date of application; and |
---|
428 | 428 | | (E) any specific qualifications for licensure |
---|
429 | 429 | | for each class of license the department requires by rule under this |
---|
430 | 430 | | chapter that are demonstrably related to the operations authorized |
---|
431 | 431 | | and duties imposed under that class of license to safely and |
---|
432 | 432 | | securely provide medical cannabis for medical use to patients; |
---|
433 | 433 | | (2) each director, manager, or employee of the |
---|
434 | 434 | | applicant is registered under Subchapter D; and |
---|
435 | 435 | | (3) the applicant satisfies any additional criteria |
---|
436 | 436 | | determined by the director to be necessary to safely implement this |
---|
437 | 437 | | chapter. |
---|
438 | 438 | | SECTION 1.13. Subchapter C, Chapter 487, Health and Safety |
---|
439 | 439 | | Code, is amended by adding Section 487.1021 to read as follows: |
---|
440 | 440 | | Sec. 487.1021. ELIGIBILITY FOR LICENSE TO OPERATE AS AN |
---|
441 | 441 | | INDEPENDENT CANNABIS TESTING ORGANIZATION. In addition to the |
---|
442 | 442 | | criteria described by Section 487.102, an applicant for a license |
---|
443 | 443 | | to operate as an independent cannabis testing organization is |
---|
444 | 444 | | eligible for the license if the applicant: |
---|
445 | 445 | | (1) submits proof of accreditation by an independent |
---|
446 | 446 | | accreditation body in accordance with the International |
---|
447 | 447 | | Organization for Standardization ISO/IEC 17025 or a comparable or |
---|
448 | 448 | | successor standard designated by department rule; |
---|
449 | 449 | | (2) submits proof that it does not share ownership |
---|
450 | 450 | | interest or joint management with any medical cannabis organization |
---|
451 | 451 | | whose product the applicant may test except for less than 10 percent |
---|
452 | 452 | | ownership in a publicly traded company; and |
---|
453 | 453 | | (3) satisfies any additional criteria determined by |
---|
454 | 454 | | the department to be necessary for the operation of a cannabis |
---|
455 | 455 | | testing facility. |
---|
456 | 456 | | SECTION 1.14. Section 487.103(a), Health and Safety Code, |
---|
457 | 457 | | is amended to read as follows: |
---|
458 | 458 | | (a) A person may apply for an initial or renewal license to |
---|
459 | 459 | | operate as a medical cannabis [dispensing] organization by |
---|
460 | 460 | | submitting a form prescribed by the department along with the |
---|
461 | 461 | | application fee in an amount set by the director for that class of |
---|
462 | 462 | | license. |
---|
463 | 463 | | SECTION 1.15. Section 487.104(a), Health and Safety Code, |
---|
464 | 464 | | is amended to read as follows: |
---|
465 | 465 | | (a) The department shall issue or renew a license to operate |
---|
466 | 466 | | as a medical cannabis [dispensing] organization [only] if: |
---|
467 | 467 | | (1) the department determines the applicant meets the |
---|
468 | 468 | | eligibility requirements described by Section 487.102 or 487.1021, |
---|
469 | 469 | | as applicable; and |
---|
470 | 470 | | (2) issuance or renewal of the license would assist |
---|
471 | 471 | | [is necessary to ensure] reasonable statewide access to, and the |
---|
472 | 472 | | availability of, medical [low-THC] cannabis for patients |
---|
473 | 473 | | registered in the compassionate-use registry and for whom medical |
---|
474 | 474 | | [low-THC] cannabis is recommended [prescribed] under Chapter 169, |
---|
475 | 475 | | Occupations Code. |
---|
476 | 476 | | SECTION 1.16. Sections 487.105(a) and (b), Health and |
---|
477 | 477 | | Safety Code, are amended to read as follows: |
---|
478 | 478 | | (a) An applicant for the issuance or renewal of a license |
---|
479 | 479 | | under this subchapter [to operate as a dispensing organization] |
---|
480 | 480 | | shall provide the department with the applicant's name and the name |
---|
481 | 481 | | of each of the applicant's directors, managers, and employees. |
---|
482 | 482 | | (b) Before a medical cannabis [dispensing] organization |
---|
483 | 483 | | license holder [licensee] hires a manager or employee for the |
---|
484 | 484 | | organization, the license holder [licensee] must provide the |
---|
485 | 485 | | department with the name of the prospective manager or employee. |
---|
486 | 486 | | The license holder [licensee] may not transfer the license to |
---|
487 | 487 | | another person before that prospective applicant and the |
---|
488 | 488 | | applicant's directors, managers, and employees pass a criminal |
---|
489 | 489 | | history background check and any other requirements established by |
---|
490 | 490 | | the director by rule, and are registered as required by Subchapter |
---|
491 | 491 | | D. |
---|
492 | 492 | | SECTION 1.17. Section 487.106, Health and Safety Code, is |
---|
493 | 493 | | amended to read as follows: |
---|
494 | 494 | | Sec. 487.106. DUTY TO MAINTAIN ELIGIBILITY. (a) Each |
---|
495 | 495 | | license holder under this subchapter [A dispensing organization] |
---|
496 | 496 | | must maintain compliance at all times with the eligibility |
---|
497 | 497 | | requirements described by Section 487.102 or 487.1021, as |
---|
498 | 498 | | applicable. |
---|
499 | 499 | | (b) On request of the department, a license holder must |
---|
500 | 500 | | provide to the department a reasonably sized sample suitable for |
---|
501 | 501 | | testing of medical cannabis. |
---|
502 | 502 | | SECTION 1.18. Section 487.107, Health and Safety Code, is |
---|
503 | 503 | | amended to read as follows: |
---|
504 | 504 | | Sec. 487.107. DUTIES RELATING TO DISPENSING MEDICAL |
---|
505 | 505 | | CANNABIS [PRESCRIPTION]. (a) Before dispensing medical [low-THC] |
---|
506 | 506 | | cannabis to a person for whom the medical [low-THC] cannabis is |
---|
507 | 507 | | recommended [prescribed] under Chapter 169, Occupations Code, the |
---|
508 | 508 | | medical cannabis [dispensing] organization must verify that the |
---|
509 | 509 | | recommendation [prescription] presented: |
---|
510 | 510 | | (1) is for a person listed as a patient in the |
---|
511 | 511 | | compassionate-use registry; |
---|
512 | 512 | | (2) matches the entry in the compassionate-use |
---|
513 | 513 | | registry with respect to the total amount of medical [low-THC] |
---|
514 | 514 | | cannabis required to fill the recommendation [prescription]; and |
---|
515 | 515 | | (3) has not previously been filled by a medical |
---|
516 | 516 | | cannabis [dispensing] organization as indicated by an entry in the |
---|
517 | 517 | | compassionate-use registry. |
---|
518 | 518 | | (b) After dispensing medical [low-THC] cannabis to a |
---|
519 | 519 | | patient for whom the medical [low-THC] cannabis is recommended |
---|
520 | 520 | | [prescribed] under Chapter 169, Occupations Code, the medical |
---|
521 | 521 | | cannabis [dispensing] organization shall record in the |
---|
522 | 522 | | compassionate-use registry the form and quantity of medical |
---|
523 | 523 | | [low-THC] cannabis dispensed and the date and time of dispensation. |
---|
524 | 524 | | SECTION 1.19. Sections 487.108(a), (b), and (c), Health and |
---|
525 | 525 | | Safety Code, are amended to read as follows: |
---|
526 | 526 | | (a) The department may at any time suspend or revoke a |
---|
527 | 527 | | license issued under this subchapter [chapter] if the department |
---|
528 | 528 | | determines that the license holder [licensee] has not maintained |
---|
529 | 529 | | the eligibility requirements described by Section 487.102 or |
---|
530 | 530 | | 487.1021, as applicable, or has failed to comply with a duty imposed |
---|
531 | 531 | | under this chapter. |
---|
532 | 532 | | (b) The director shall give written notice to the license |
---|
533 | 533 | | holder [dispensing organization] of a license suspension or |
---|
534 | 534 | | revocation under this section and the grounds for the suspension or |
---|
535 | 535 | | revocation. The notice must be sent by certified mail, return |
---|
536 | 536 | | receipt requested. |
---|
537 | 537 | | (c) After suspending or revoking a license issued under this |
---|
538 | 538 | | subchapter [chapter], the director may seize or place under seal |
---|
539 | 539 | | all medical [low-THC] cannabis and drug paraphernalia owned or |
---|
540 | 540 | | possessed by the license holder [dispensing organization]. If the |
---|
541 | 541 | | director orders the revocation of the license, a disposition may |
---|
542 | 542 | | not be made of the seized or sealed medical [low-THC] cannabis or |
---|
543 | 543 | | drug paraphernalia until the time for administrative appeal of the |
---|
544 | 544 | | order has elapsed or until all appeals have been concluded. When a |
---|
545 | 545 | | revocation order becomes final, all medical [low-THC] cannabis and |
---|
546 | 546 | | drug paraphernalia may be forfeited to the state as provided under |
---|
547 | 547 | | Subchapter E, Chapter 481. |
---|
548 | 548 | | SECTION 1.20. Section 487.151(a), Health and Safety Code, |
---|
549 | 549 | | is amended to read as follows: |
---|
550 | 550 | | (a) An individual who is a director, manager, or employee of |
---|
551 | 551 | | a license holder under Subchapter C [dispensing organization] must |
---|
552 | 552 | | apply for and obtain a registration under this section. |
---|
553 | 553 | | SECTION 1.21. Section 487.201, Health and Safety Code, is |
---|
554 | 554 | | amended to read as follows: |
---|
555 | 555 | | Sec. 487.201. COUNTIES AND MUNICIPALITIES MAY NOT PROHIBIT |
---|
556 | 556 | | MEDICAL [LOW-THC] CANNABIS. A municipality, county, or other |
---|
557 | 557 | | political subdivision may not enact, adopt, or enforce a rule, |
---|
558 | 558 | | ordinance, order, resolution, or other regulation that prohibits |
---|
559 | 559 | | the cultivation, production, dispensing, researching, testing, or |
---|
560 | 560 | | possession of medical [low-THC] cannabis, as authorized by this |
---|
561 | 561 | | chapter. |
---|
562 | 562 | | SECTION 1.22. Subchapter F, Chapter 487, Health and Safety |
---|
563 | 563 | | Code, is repealed. |
---|
564 | 564 | | ARTICLE 2. RECOMMENDATION OF MEDICAL CANNABIS BY PHYSICIAN |
---|
565 | 565 | | SECTION 2.01. The heading to Chapter 169, Occupations Code, |
---|
566 | 566 | | is amended to read as follows: |
---|
567 | 567 | | CHAPTER 169. AUTHORITY TO RECOMMEND MEDICAL [PRESCRIBE LOW-THC] |
---|
568 | 568 | | CANNABIS TO CERTAIN PATIENTS FOR COMPASSIONATE USE |
---|
569 | 569 | | SECTION 2.02. Section 169.001, Occupations Code, is amended |
---|
570 | 570 | | to read as follows: |
---|
571 | 571 | | Sec. 169.001. DEFINITIONS. In this chapter: |
---|
572 | 572 | | (1) "Department" means the Department of Public |
---|
573 | 573 | | Safety. |
---|
574 | 574 | | (2) [(1-a) "Incurable neurodegenerative disease" |
---|
575 | 575 | | means a disease designated as an incurable neurodegenerative |
---|
576 | 576 | | disease by rule of the executive commissioner of the Health and |
---|
577 | 577 | | Human Services Commission, adopted in consultation with the |
---|
578 | 578 | | National Institutes of Health. |
---|
579 | 579 | | [(3)] "Medical [Low-THC] cannabis" means the plant |
---|
580 | 580 | | Cannabis sativa L., and any part of that plant or any compound, |
---|
581 | 581 | | manufacture, salt, derivative, mixture, preparation, resin, or oil |
---|
582 | 582 | | of that plant. The term does not include hemp, as defined by |
---|
583 | 583 | | Section 121.001, Agriculture Code, or a consumable hemp product, as |
---|
584 | 584 | | defined by Section 443.001, Health and Safety Code [that contains |
---|
585 | 585 | | not more than one percent by weight of tetrahydrocannabinols]. |
---|
586 | 586 | | (3) [(4)] "Medical use" means the administration of |
---|
587 | 587 | | medical cannabis to a registered patient for treatment of an |
---|
588 | 588 | | eligible medical condition or symptoms as recommended by a |
---|
589 | 589 | | physician [ingestion by a means of administration other than by |
---|
590 | 590 | | smoking of a prescribed amount of low-THC cannabis by a person for |
---|
591 | 591 | | whom low-THC cannabis is prescribed] under this chapter. |
---|
592 | 592 | | (4) "Severe adverse event" means an adverse event |
---|
593 | 593 | | that: |
---|
594 | 594 | | (A) results in death; |
---|
595 | 595 | | (B) results in an illness requiring |
---|
596 | 596 | | hospitalization; |
---|
597 | 597 | | (C) is considered life-threatening; or |
---|
598 | 598 | | (D) results in a persistent or significant |
---|
599 | 599 | | disability, incapacity, or medically important condition. |
---|
600 | 600 | | [(5) "Smoking" means burning or igniting a substance |
---|
601 | 601 | | and inhaling the smoke.] |
---|
602 | 602 | | SECTION 2.03. Chapter 169, Occupations Code, is amended by |
---|
603 | 603 | | adding Section 169.0012 to read as follows: |
---|
604 | 604 | | Sec. 169.0012. BONA FIDE PHYSICIAN-PATIENT RELATIONSHIP. |
---|
605 | 605 | | For purposes of this chapter, a bona fide physician-patient |
---|
606 | 606 | | relationship exists when there is a treatment or counseling |
---|
607 | 607 | | relationship between a physician and patient in which all of the |
---|
608 | 608 | | following are present: |
---|
609 | 609 | | (1) the physician has reviewed the patient's relevant |
---|
610 | 610 | | medical records and completed a full assessment of the patient's |
---|
611 | 611 | | medical history and current medical condition, including a relevant |
---|
612 | 612 | | medical evaluation of the patient; |
---|
613 | 613 | | (2) the physician has created and continues to |
---|
614 | 614 | | maintain records of the patient's condition in accordance with |
---|
615 | 615 | | medically accepted standards; |
---|
616 | 616 | | (3) the physician has a reasonable expectation that |
---|
617 | 617 | | the physician will provide follow-up care to the patient to monitor |
---|
618 | 618 | | the efficacy of the use of medical cannabis as a treatment of the |
---|
619 | 619 | | patient's medical condition; and |
---|
620 | 620 | | (4) if the patient has given permission, the physician |
---|
621 | 621 | | has notified the patient's primary care physician of the patient's |
---|
622 | 622 | | medical condition and certification for the medical use of medical |
---|
623 | 623 | | cannabis to treat that condition. |
---|
624 | 624 | | SECTION 2.04. Section 169.002, Occupations Code, is amended |
---|
625 | 625 | | to read as follows: |
---|
626 | 626 | | Sec. 169.002. PHYSICIAN QUALIFIED TO RECOMMEND MEDICAL |
---|
627 | 627 | | [PRESCRIBE LOW-THC] CANNABIS [TO PATIENTS WITH CERTAIN MEDICAL |
---|
628 | 628 | | CONDITIONS]. (a) Only a physician qualified with respect to a |
---|
629 | 629 | | patient's particular medical condition [as provided by this |
---|
630 | 630 | | section] may recommend medical [prescribe low-THC] cannabis in |
---|
631 | 631 | | accordance with this chapter to treat the applicable medical |
---|
632 | 632 | | condition. |
---|
633 | 633 | | (b) A physician is qualified to recommend medical |
---|
634 | 634 | | [prescribe low-THC] cannabis with respect to a patient's particular |
---|
635 | 635 | | medical condition if the physician: |
---|
636 | 636 | | (1) is licensed under this subtitle; |
---|
637 | 637 | | (2) has a bona fide physician-patient relationship |
---|
638 | 638 | | with the patient [is board certified in a medical specialty |
---|
639 | 639 | | relevant to the treatment of the patient's particular medical |
---|
640 | 640 | | condition by a specialty board approved by the American Board of |
---|
641 | 641 | | Medical Specialties or the Bureau of Osteopathic Specialists]; and |
---|
642 | 642 | | (3) dedicates a significant portion of clinical |
---|
643 | 643 | | practice to the evaluation and treatment of the patient's |
---|
644 | 644 | | particular medical condition. |
---|
645 | 645 | | [(c) A physician is qualified to prescribe low-THC cannabis |
---|
646 | 646 | | for the treatment of a patient with a medical condition approved by |
---|
647 | 647 | | rule of the executive commissioner of the Health and Human Services |
---|
648 | 648 | | Commission for treatment in an approved research program conducted |
---|
649 | 649 | | under Subchapter F, Chapter 487, Health and Safety Code, if the |
---|
650 | 650 | | physician is: |
---|
651 | 651 | | [(1) licensed under this subtitle; and |
---|
652 | 652 | | [(2) certified by a compassionate-use institutional |
---|
653 | 653 | | review board created under Section 487.253, Health and Safety Code, |
---|
654 | 654 | | that oversees patient treatment undertaken as part of that approved |
---|
655 | 655 | | research program.] |
---|
656 | 656 | | SECTION 2.05. Section 169.003, Occupations Code, is amended |
---|
657 | 657 | | to read as follows: |
---|
658 | 658 | | Sec. 169.003. RECOMMENDATION [PRESCRIPTION] OF MEDICAL |
---|
659 | 659 | | [LOW-THC] CANNABIS. A physician described by Section 169.002 may |
---|
660 | 660 | | recommend medical [prescribe low-THC] cannabis to a patient if: |
---|
661 | 661 | | (1) the patient is a permanent resident of the state; |
---|
662 | 662 | | (2) the physician complies with the registration |
---|
663 | 663 | | requirements of Section 169.004; and |
---|
664 | 664 | | (3) the physician certifies to the department that: |
---|
665 | 665 | | (A) there is a bona fide physician-patient |
---|
666 | 666 | | relationship; |
---|
667 | 667 | | (B) the patient has a diagnosis or symptoms such |
---|
668 | 668 | | that, in the physician's professional judgment and review of past |
---|
669 | 669 | | treatments, the patient is likely to receive therapeutic or |
---|
670 | 670 | | palliative benefit from medical cannabis [is diagnosed with: |
---|
671 | 671 | | [(i) epilepsy; |
---|
672 | 672 | | [(ii) a seizure disorder; |
---|
673 | 673 | | [(iii) multiple sclerosis; |
---|
674 | 674 | | [(iv) spasticity; |
---|
675 | 675 | | [(v) amyotrophic lateral sclerosis; |
---|
676 | 676 | | [(vi) autism; |
---|
677 | 677 | | [(vii) cancer; |
---|
678 | 678 | | [(viii) an incurable neurodegenerative |
---|
679 | 679 | | disease; |
---|
680 | 680 | | [(ix) post-traumatic stress disorder; or |
---|
681 | 681 | | [(x) a medical condition that is approved |
---|
682 | 682 | | for a research program under Subchapter F, Chapter 487, Health and |
---|
683 | 683 | | Safety Code, and for which the patient is receiving treatment under |
---|
684 | 684 | | that program]; and |
---|
685 | 685 | | (C) [(B)] the physician determines the risk of |
---|
686 | 686 | | the medical use of medical [low-THC] cannabis by the patient is |
---|
687 | 687 | | reasonable in light of the potential benefit for the patient. |
---|
688 | 688 | | SECTION 2.06. The heading to Section 169.004, Occupations |
---|
689 | 689 | | Code, is amended to read as follows: |
---|
690 | 690 | | Sec. 169.004. MEDICAL [LOW-THC] CANNABIS RECOMMENDATION |
---|
691 | 691 | | [PRESCRIBER] REGISTRATION. |
---|
692 | 692 | | SECTION 2.07. Section 169.004(a), Occupations Code, is |
---|
693 | 693 | | amended to read as follows: |
---|
694 | 694 | | (a) Before a physician [qualified to prescribe low-THC |
---|
695 | 695 | | cannabis under Section 169.002] may recommend [prescribe] or renew |
---|
696 | 696 | | a recommendation [prescription] for medical [low-THC] cannabis for |
---|
697 | 697 | | a patient under this chapter, the physician must register [as the |
---|
698 | 698 | | prescriber for that patient] in the compassionate-use registry |
---|
699 | 699 | | maintained by the department under Section 487.054, Health and |
---|
700 | 700 | | Safety Code. The physician's registration must indicate: |
---|
701 | 701 | | (1) the physician's name; and |
---|
702 | 702 | | (2) for each patient: |
---|
703 | 703 | | (A) the patient's name and date of birth; |
---|
704 | 704 | | (B) the nature of the patient's diagnosis or |
---|
705 | 705 | | symptom being treated by medical cannabis; |
---|
706 | 706 | | (C) [(3)] the dosage recommended for [prescribed |
---|
707 | 707 | | to] the patient; |
---|
708 | 708 | | (D) [(4)] the means of administration ordered |
---|
709 | 709 | | for the patient; |
---|
710 | 710 | | (E) [and |
---|
711 | 711 | | [(5)] the total amount of medical [low-THC] cannabis |
---|
712 | 712 | | required to fill the patient's recommendation; and |
---|
713 | 713 | | (F) any severe adverse events the patient may |
---|
714 | 714 | | experience due to the medical use of medical cannabis |
---|
715 | 715 | | [prescription]. |
---|
716 | 716 | | SECTION 2.08. Section 169.005, Occupations Code, is amended |
---|
717 | 717 | | to read as follows: |
---|
718 | 718 | | Sec. 169.005. PATIENT TREATMENT PLAN. A physician |
---|
719 | 719 | | described by Section 169.002 who recommends medical [prescribes |
---|
720 | 720 | | low-THC] cannabis for a patient's medical use under this chapter |
---|
721 | 721 | | must maintain a patient treatment plan that indicates: |
---|
722 | 722 | | (1) the dosage, means of administration, and planned |
---|
723 | 723 | | duration of treatment for the medical [low-THC] cannabis; |
---|
724 | 724 | | (2) a plan for monitoring the patient's symptoms; and |
---|
725 | 725 | | (3) a plan for monitoring indicators of tolerance or |
---|
726 | 726 | | reaction to medical [low-THC] cannabis. |
---|
727 | 727 | | SECTION 2.09. Section 169.0011, Occupations Code, is |
---|
728 | 728 | | repealed. |
---|
729 | 729 | | ARTICLE 3. CONFORMING AMENDMENTS |
---|
730 | 730 | | SECTION 3.01. Section 161.001(c), Family Code, is amended |
---|
731 | 731 | | to read as follows: |
---|
732 | 732 | | (c) Evidence of one or more of the following does not |
---|
733 | 733 | | constitute clear and convincing evidence sufficient for a court to |
---|
734 | 734 | | make a finding under Subsection (b) and order termination of the |
---|
735 | 735 | | parent-child relationship: |
---|
736 | 736 | | (1) the parent homeschooled the child; |
---|
737 | 737 | | (2) the parent is economically disadvantaged; |
---|
738 | 738 | | (3) the parent has been charged with a nonviolent |
---|
739 | 739 | | misdemeanor offense other than: |
---|
740 | 740 | | (A) an offense under Title 5, Penal Code; |
---|
741 | 741 | | (B) an offense under Title 6, Penal Code; or |
---|
742 | 742 | | (C) an offense that involves family violence, as |
---|
743 | 743 | | defined by Section 71.004 of this code; |
---|
744 | 744 | | (4) the parent provided or administered medical |
---|
745 | 745 | | [low-THC] cannabis to a child for whom the medical [low-THC] |
---|
746 | 746 | | cannabis was recommended [prescribed] under Chapter 169, |
---|
747 | 747 | | Occupations Code; |
---|
748 | 748 | | (5) the parent declined immunization for the child for |
---|
749 | 749 | | reasons of conscience, including a religious belief; |
---|
750 | 750 | | (6) the parent sought an opinion from more than one |
---|
751 | 751 | | medical provider relating to the child's medical care, transferred |
---|
752 | 752 | | the child's medical care to a new medical provider, or transferred |
---|
753 | 753 | | the child to another health care facility; or |
---|
754 | 754 | | (7) the parent allowed the child to engage in |
---|
755 | 755 | | independent activities that are appropriate and typical for the |
---|
756 | 756 | | child's level of maturity, physical condition, developmental |
---|
757 | 757 | | abilities, or culture. |
---|
758 | 758 | | SECTION 3.02. Section 262.116(a), Family Code, is amended |
---|
759 | 759 | | to read as follows: |
---|
760 | 760 | | (a) The Department of Family and Protective Services may not |
---|
761 | 761 | | take possession of a child under this subchapter based on evidence |
---|
762 | 762 | | that the parent: |
---|
763 | 763 | | (1) homeschooled the child; |
---|
764 | 764 | | (2) is economically disadvantaged; |
---|
765 | 765 | | (3) has been charged with a nonviolent misdemeanor |
---|
766 | 766 | | offense other than: |
---|
767 | 767 | | (A) an offense under Title 5, Penal Code; |
---|
768 | 768 | | (B) an offense under Title 6, Penal Code; or |
---|
769 | 769 | | (C) an offense that involves family violence, as |
---|
770 | 770 | | defined by Section 71.004 of this code; |
---|
771 | 771 | | (4) provided or administered medical [low-THC] |
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772 | 772 | | cannabis to a child for whom the medical [low-THC] cannabis was |
---|
773 | 773 | | recommended [prescribed] under Chapter 169, Occupations Code; |
---|
774 | 774 | | (5) declined immunization for the child for reasons of |
---|
775 | 775 | | conscience, including a religious belief; |
---|
776 | 776 | | (6) sought an opinion from more than one medical |
---|
777 | 777 | | provider relating to the child's medical care, transferred the |
---|
778 | 778 | | child's medical care to a new medical provider, or transferred the |
---|
779 | 779 | | child to another health care facility; |
---|
780 | 780 | | (7) allowed the child to engage in independent |
---|
781 | 781 | | activities that are appropriate and typical for the child's level |
---|
782 | 782 | | of maturity, physical condition, developmental abilities, or |
---|
783 | 783 | | culture; or |
---|
784 | 784 | | (8) tested positive for marihuana, unless the |
---|
785 | 785 | | department has evidence that the parent's use of marihuana has |
---|
786 | 786 | | caused significant impairment to the child's physical or mental |
---|
787 | 787 | | health or emotional development. |
---|
788 | 788 | | SECTION 3.03. Section 411.0891(a), Government Code, is |
---|
789 | 789 | | amended to read as follows: |
---|
790 | 790 | | (a) The department may obtain as provided by Subsection |
---|
791 | 791 | | (a-1) criminal history record information that relates to a person |
---|
792 | 792 | | who: |
---|
793 | 793 | | (1) is an applicant for or holds a registration issued |
---|
794 | 794 | | by the director under Subchapter C, Chapter 481, Health and Safety |
---|
795 | 795 | | Code, that authorizes the person to manufacture, distribute, |
---|
796 | 796 | | analyze, or conduct research with a controlled substance; |
---|
797 | 797 | | (2) is an applicant for or holds a registration issued |
---|
798 | 798 | | by the department under Chapter 487, Health and Safety Code, to be a |
---|
799 | 799 | | director, manager, or employee of a medical cannabis [dispensing] |
---|
800 | 800 | | organization, as defined by Section 487.001, Health and Safety |
---|
801 | 801 | | Code; |
---|
802 | 802 | | (3) is an applicant for or holds an authorization |
---|
803 | 803 | | issued by the department under Section 521.2476, Transportation |
---|
804 | 804 | | Code, to do business in this state as a vendor of ignition interlock |
---|
805 | 805 | | devices; |
---|
806 | 806 | | (4) is an applicant for or holds certification by the |
---|
807 | 807 | | department as an inspection station or an inspector under |
---|
808 | 808 | | Subchapter G, Chapter 548, Transportation Code, holds an inspection |
---|
809 | 809 | | station or inspector certificate issued under that subchapter, or |
---|
810 | 810 | | is the owner of an inspection station operating under that chapter; |
---|
811 | 811 | | (5) is an applicant for or holds a certificate of |
---|
812 | 812 | | registration issued by the department under Chapter 1956, |
---|
813 | 813 | | Occupations Code, to act as a metal recycling entity; |
---|
814 | 814 | | (6) is an applicant for or holds a license to carry a |
---|
815 | 815 | | handgun issued by the department under Subchapter H, or is an |
---|
816 | 816 | | applicant for or holds a certification as an instructor issued by |
---|
817 | 817 | | the department under this chapter; |
---|
818 | 818 | | (7) is an applicant for or holds a Capitol access pass |
---|
819 | 819 | | issued by the department under Section 411.0625; or |
---|
820 | 820 | | (8) is an applicant for or holds a license or |
---|
821 | 821 | | commission issued by the department under Chapter 1702, Occupations |
---|
822 | 822 | | Code. |
---|
823 | 823 | | SECTION 3.04. Section 443.202(a), Health and Safety Code, |
---|
824 | 824 | | is amended to read as follows: |
---|
825 | 825 | | (a) This section does not apply to medical [low-THC] |
---|
826 | 826 | | cannabis regulated under Chapter 487. |
---|
827 | 827 | | SECTION 3.05. Section 443.2025(a), Health and Safety Code, |
---|
828 | 828 | | is amended to read as follows: |
---|
829 | 829 | | (a) This section does not apply to medical [low-THC] |
---|
830 | 830 | | cannabis regulated under Chapter 487. |
---|
831 | 831 | | SECTION 3.06. Section 481.062(a), Health and Safety Code, |
---|
832 | 832 | | is amended to read as follows: |
---|
833 | 833 | | (a) The following persons may possess a controlled |
---|
834 | 834 | | substance under this chapter without registering with the Federal |
---|
835 | 835 | | Drug Enforcement Administration: |
---|
836 | 836 | | (1) an agent or employee of a manufacturer, |
---|
837 | 837 | | distributor, analyzer, or dispenser of the controlled substance who |
---|
838 | 838 | | is registered with the Federal Drug Enforcement Administration and |
---|
839 | 839 | | acting in the usual course of business or employment; |
---|
840 | 840 | | (2) a common or contract carrier, a warehouseman, or |
---|
841 | 841 | | an employee of a carrier or warehouseman whose possession of the |
---|
842 | 842 | | controlled substance is in the usual course of business or |
---|
843 | 843 | | employment; |
---|
844 | 844 | | (3) an ultimate user or a person in possession of the |
---|
845 | 845 | | controlled substance under a lawful order of a practitioner or in |
---|
846 | 846 | | lawful possession of the controlled substance if it is listed in |
---|
847 | 847 | | Schedule V; |
---|
848 | 848 | | (4) an officer or employee of this state, another |
---|
849 | 849 | | state, a political subdivision of this state or another state, or |
---|
850 | 850 | | the United States who is lawfully engaged in the enforcement of a |
---|
851 | 851 | | law relating to a controlled substance or drug or to a customs law |
---|
852 | 852 | | and authorized to possess the controlled substance in the discharge |
---|
853 | 853 | | of the person's official duties; |
---|
854 | 854 | | (5) if the substance is tetrahydrocannabinol or one of |
---|
855 | 855 | | its derivatives: |
---|
856 | 856 | | (A) a Department of State Health Services |
---|
857 | 857 | | official, a medical school researcher, or a research program |
---|
858 | 858 | | participant possessing the substance as authorized under |
---|
859 | 859 | | Subchapter G; or |
---|
860 | 860 | | (B) a practitioner or an ultimate user possessing |
---|
861 | 861 | | the substance as a participant in a federally approved therapeutic |
---|
862 | 862 | | research program that the commissioner has reviewed and found, in |
---|
863 | 863 | | writing, to contain a medically responsible research protocol; or |
---|
864 | 864 | | (6) a medical cannabis [dispensing] organization |
---|
865 | 865 | | licensed under Subchapter C, Chapter 487, that possesses medical |
---|
866 | 866 | | [low-THC] cannabis. |
---|
867 | 867 | | SECTION 3.07. Sections 481.111(e) and (f), Health and |
---|
868 | 868 | | Safety Code, are amended to read as follows: |
---|
869 | 869 | | (e) Sections 481.120, 481.121, 481.122, and 481.125 do not |
---|
870 | 870 | | apply to a person who engages in the acquisition, possession, |
---|
871 | 871 | | production, cultivation, delivery, or disposal of a raw material |
---|
872 | 872 | | used in or by-product created by the production or cultivation of |
---|
873 | 873 | | medical [low-THC] cannabis if the person: |
---|
874 | 874 | | (1) for an offense involving possession only of |
---|
875 | 875 | | marihuana or drug paraphernalia: |
---|
876 | 876 | | (A) [,] is a patient for whom medical [low-THC] |
---|
877 | 877 | | cannabis is recommended [prescribed] under Chapter 169, |
---|
878 | 878 | | Occupations Code, or the patient's parent, legal guardian, or |
---|
879 | 879 | | caregiver;[,] and |
---|
880 | 880 | | (B) [the person] possesses medical [low-THC] |
---|
881 | 881 | | cannabis obtained under a valid recommendation [prescription] from |
---|
882 | 882 | | a medical cannabis [dispensing] organization; or |
---|
883 | 883 | | (2) is a director, manager, or employee of a medical |
---|
884 | 884 | | cannabis [dispensing] organization and the person, solely in |
---|
885 | 885 | | performing the person's regular duties at the organization, |
---|
886 | 886 | | acquires, possesses, produces, cultivates, dispenses, or disposes |
---|
887 | 887 | | of: |
---|
888 | 888 | | (A) in reasonable quantities, any medical |
---|
889 | 889 | | [low-THC] cannabis or raw materials used in or by-products created |
---|
890 | 890 | | by the production or cultivation of medical [low-THC] cannabis; or |
---|
891 | 891 | | (B) any drug paraphernalia used in the |
---|
892 | 892 | | acquisition, possession, production, cultivation, delivery, or |
---|
893 | 893 | | disposal of medical [low-THC] cannabis. |
---|
894 | 894 | | (f) For purposes of Subsection (e): |
---|
895 | 895 | | (1) ["Dispensing organization" has the meaning |
---|
896 | 896 | | assigned by Section 487.001. |
---|
897 | 897 | | [(2)] "Medical [Low-THC] cannabis" has the meaning |
---|
898 | 898 | | assigned by Section 169.001, Occupations Code. |
---|
899 | 899 | | (2) "Medical cannabis organization" has the meaning |
---|
900 | 900 | | assigned by Section 487.001. |
---|
901 | 901 | | SECTION 3.08. Section 490.001(3), Health and Safety Code, |
---|
902 | 902 | | is amended to read as follows: |
---|
903 | 903 | | (3) "Investigational drug, biological product, or |
---|
904 | 904 | | device" means a drug, biological product, or device that has |
---|
905 | 905 | | successfully completed phase one of a clinical trial but the United |
---|
906 | 906 | | States Food and Drug Administration or its international equivalent |
---|
907 | 907 | | has not yet approved for general use and that remains under |
---|
908 | 908 | | investigation in the clinical trial. The term does not include |
---|
909 | 909 | | medical [low-THC] cannabis, as defined by Section 169.001, |
---|
910 | 910 | | Occupations Code, or a product containing marihuana, as defined by |
---|
911 | 911 | | Section 481.002, regardless of whether the cannabis or product |
---|
912 | 912 | | successfully completed phase one of a clinical trial. |
---|
913 | 913 | | SECTION 3.09. Section 551.004(a), Occupations Code, is |
---|
914 | 914 | | amended to read as follows: |
---|
915 | 915 | | (a) This subtitle does not apply to: |
---|
916 | 916 | | (1) a practitioner licensed by the appropriate state |
---|
917 | 917 | | board who supplies a patient of the practitioner with a drug in a |
---|
918 | 918 | | manner authorized by state or federal law and who does not operate a |
---|
919 | 919 | | pharmacy for the retailing of prescription drugs; |
---|
920 | 920 | | (2) a member of the faculty of a college of pharmacy |
---|
921 | 921 | | recognized by the board who is a pharmacist and who performs the |
---|
922 | 922 | | pharmacist's services only for the benefit of the college; |
---|
923 | 923 | | (3) a person who procures prescription drugs for |
---|
924 | 924 | | lawful research, teaching, or testing and not for resale; |
---|
925 | 925 | | (4) a home and community support services agency that |
---|
926 | 926 | | possesses a dangerous drug as authorized by Section 142.0061, |
---|
927 | 927 | | 142.0062, or 142.0063, Health and Safety Code; or |
---|
928 | 928 | | (5) a medical cannabis [dispensing] organization, as |
---|
929 | 929 | | defined by Section 487.001, Health and Safety Code, that |
---|
930 | 930 | | cultivates, processes, tests, and dispenses medical [low-THC] |
---|
931 | 931 | | cannabis, as authorized by a license issued under Subchapter C, |
---|
932 | 932 | | Chapter 487, Health and Safety Code, to a patient listed in the |
---|
933 | 933 | | compassionate-use registry established under that chapter. |
---|
934 | 934 | | ARTICLE 4. TRANSITIONS AND EFFECTIVE DATE |
---|
935 | 935 | | SECTION 4.01. Not later than December 31, 2025, the public |
---|
936 | 936 | | safety director of the Department of Public Safety shall adopt |
---|
937 | 937 | | rules as required to implement, administer, and enforce this Act. |
---|
938 | 938 | | SECTION 4.02. (a) A license to operate as a dispensing |
---|
939 | 939 | | organization issued under Chapter 487, Health and Safety Code, |
---|
940 | 940 | | before the effective date of this Act continues to be valid after |
---|
941 | 941 | | the effective date of this Act until that license expires. |
---|
942 | 942 | | (b) The registration of a director, manager, or employee of |
---|
943 | 943 | | a dispensing organization under Subchapter D, Chapter 487, Health |
---|
944 | 944 | | and Safety Code, continues to be valid after the effective date of |
---|
945 | 945 | | this Act until that registration expires. |
---|
946 | 946 | | SECTION 4.03. (a) Not later than April 1, 2026, the |
---|
947 | 947 | | Department of Public Safety shall license cannabis cultivation |
---|
948 | 948 | | organizations in accordance with Subchapter C, Chapter 487, Health |
---|
949 | 949 | | and Safety Code, as amended by this Act, provided that the |
---|
950 | 950 | | applicants for a license have met all requirements for approval |
---|
951 | 951 | | under that subchapter. |
---|
952 | 952 | | (b) Not later than June 1, 2026, the Department of Public |
---|
953 | 953 | | Safety shall license other classes of medical cannabis |
---|
954 | 954 | | organizations in accordance with Subchapter C, Chapter 487, Health |
---|
955 | 955 | | and Safety Code, as amended by this Act, provided that the |
---|
956 | 956 | | applicants for a license have met all requirements for approval |
---|
957 | 957 | | under that subchapter. |
---|
958 | 958 | | SECTION 4.04. This Act takes effect September 1, 2025. |
---|