03-07 10:17 2nd Sub. (Gray) H.B. 54 Evan J. Vickers proposes the following substitute bill: 1 Cannabinoid Amendments 2025 GENERAL SESSION STATE OF UTAH Chief Sponsor: Jennifer Dailey-Provost Senate Sponsor: Evan J. Vickers 2 3 LONG TITLE 4 General Description: 5 This bill amends provisions related to hemp and medical cannabis regulation. 6 Highlighted Provisions: 7 This bill: 8 ▸ defines terms; 9 ▸ prohibits certain cannabinoids from being used in cannabinoid products; 10 ▸ allows the Department of Agriculture and Food to limit certain types of cannabinoids that 11 are found in a cannabinoid product; 12 ▸ amends background check requirements for cannabinoid processor licenses; 13 ▸ amends qualifications for obtaining a cannabinoid processor license; 14 ▸ requires industrial hemp retailers to maintain a video surveillance system; 15 ▸ amends provisions related to cannabinoid product enforcement; 16 ▸ requires a person to have a cannabis processor license to transport hemp concentrate; 17 ▸ removes the requirement that certain cannabinoid products be in a medicinal dosage form; 18 ▸ allows for additional medical cannabis pharmacies; 19 ▸ creates a new medical cannabis pharmacy license for independent medical cannabis 20 pharmacies; 21 ▸ creates ownership restrictions for independent medical cannabis pharmacies; 22 ▸ adjusts fees for certain medical cannabis pharmacy licenses; 23 ▸ amends provisions regarding cannabis production and sanitation; 24 ▸ modifies provisions related to enforcement and appeals; 25 ▸ amends provisions related to closed-door medical cannabis pharmacies; 26 ▸ allows a cannabis processing facility to have a website that includes product information; 27 ▸ amends provisions regarding when the department may seize products and test products; 28 ▸ amends provisions related to information a medical cannabis pharmacy must have 2nd Sub. H.B. 54 2nd Sub. (Gray) H.B. 54 03-07 10:17 29 available to a patient purchasing medical cannabis; 30 ▸ creates a reporting requirement for the department; 31 ▸ repeals sections related to the state central patient portal; and 32 ▸ makes technical and conforming changes. 33 Money Appropriated in this Bill: 34 None 35 Other Special Clauses: 36 None 37 Utah Code Sections Affected: 38 AMENDS: 39 4-41-102, as last amended by Laws of Utah 2024, Chapter 35 40 4-41-103.2, as last amended by Laws of Utah 2023, Chapter 146 41 4-41-103.3, as last amended by Laws of Utah 2023, Chapters 146, 327 42 4-41-105, as last amended by Laws of Utah 2024, Chapter 35 43 4-41-404, as last amended by Laws of Utah 2019, Chapter 23 44 4-41a-102, as last amended by Laws of Utah 2024, Chapters 217, 238 and 240 45 4-41a-403, as last amended by Laws of Utah 2023, Chapter 327 46 4-41a-501, as last amended by Laws of Utah 2023, Chapter 313 47 4-41a-701, as last amended by Laws of Utah 2023, Chapters 313, 317 48 4-41a-801, as renumbered and amended by Laws of Utah 2018, Third Special Session, 49 Chapter 1 50 4-41a-802, as last amended by Laws of Utah 2024, Chapter 217 51 4-41a-1001, as last amended by Laws of Utah 2024, Chapters 217, 238 and 240 52 4-41a-1003, as last amended by Laws of Utah 2023, Chapter 435 and renumbered and 53 amended by Laws of Utah 2023, Chapters 273, 307 and last amended by Coordination Clause, 54 Laws of Utah 2023, Chapter 307 55 4-41a-1005, as last amended by Laws of Utah 2024, Chapter 217 56 4-41a-1101, as last amended by Laws of Utah 2024, Chapter 217 57 4-41a-1201, as enacted by Laws of Utah 2023, Chapter 273 58 4-41a-1202, as last amended by Laws of Utah 2024, Chapters 217, 240 59 4-41a-1203, as renumbered and amended by Laws of Utah 2023, Chapters 273, 307 and 60 last amended by Coordination Clause, Laws of Utah 2023, Chapter 307 61 4-41a-1206, as enacted by Laws of Utah 2024, Chapter 238 62 26B-1-435, as last amended by Laws of Utah 2024, Chapters 238, 240 - 2 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 63 26B-4-201, as last amended by Laws of Utah 2024, Chapters 217, 240 64 26B-4-202, as last amended by Laws of Utah 2024, Chapters 217, 240 65 26B-4-214, as last amended by Laws of Utah 2024, Chapter 240 66 26B-4-222, as last amended by Laws of Utah 2024, Chapter 240 67 58-37-3.6, as last amended by Laws of Utah 2024, Chapter 35 68 58-85-102, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1 69 63N-3-1301, as enacted by Laws of Utah 2024, Chapter 35 70 77-39-101, as last amended by Laws of Utah 2024, Chapter 35 71 ENACTS: 72 4-41-405, Utah Code Annotated 1953 73 4-41a-1006, Utah Code Annotated 1953 74 REPEALS: 75 26B-4-236, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered 76 and amended by Laws of Utah 2023, Chapter 307 and last amended by Coordination Clause, 77 Laws of Utah 2023, Chapter 307 78 79 Be it enacted by the Legislature of the state of Utah: 80 Section 1. Section 4-41-102 is amended to read: 81 4-41-102 . Definitions. 82 As used in this chapter: 83 (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may be 84 injurious to human health, including: 85 (a) pesticides; 86 (b) heavy metals; 87 (c) solvents; 88 (d) microbial life; 89 (e) artificially derived cannabinoids; 90 (f) toxins; or 91 (g) foreign matter. 92 (2)(a) "Artificially derived cannabinoid" means a chemical substance that is created by a 93 chemical reaction that changes the molecular structure of any chemical substances 94 derived from the cannabis plant. 95 (b) "Artificially derived cannabinoid" does not include: 96 (i) a naturally occurring chemical substance that is separated from the cannabis plant - 3 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 97 by a chemical or mechanical extraction process; or 98 (ii) cannabinoids that are produced by decarboxylation from a naturally occurring 99 cannabinoid acid without the use of a chemical catalyst. 100 (3) "Cannabidiol" or "CBD" means the cannabinoid identified as CAS# 13956-29-1. 101 (4) "Cannabidiolic acid" or "CBDA" means the cannabinoid identified as CAS# 1244-58-2. 102 (5) "Cannabinoid processor license" means a license that the department issues to a person 103 for the purpose of processing a cannabinoid product. 104 (6) "Cannabinoid product" means a product that: 105 (a) contains or is represented to contain one or more naturally occurring cannabinoids; 106 (b) contains less than the cannabinoid product THC level, by dry weight; 107 (c) contains a combined amount of total THC and any THC analog that does not exceed 108 10% of the total cannabinoid content; 109 (d) does not exceed a total of THC and any THC analog that is greater than: 110 (i) 5 milligrams per serving; and 111 (ii) 150 milligrams per package; and 112 (e) unless the product is in an oil based suspension, has a serving size that: 113 (i) is an integer; and 114 (ii) is a discrete unit of the cannabinoid product. 115 (7) "Cannabinoid product class" means a group of cannabinoid products that: 116 (a) have all ingredients in common; and 117 (b) are produced by or for the same company. 118 (8) "Cannabinoid product THC level" means a combined concentration of total THC and 119 any THC analog of less than 0.3% on a dry weight basis if laboratory testing confirms a 120 result within a measurement of uncertainty that includes the combined concentration of 121 0.3%. 122 (9) "Cannabis" means the same as that term is defined in Section 26B-4-201. 123 (10) "Delta-9-tetrahydrocannabinol" or "delta-9-THC" means the cannabinoid identified as 124 CAS# 1972-08-3, the primary psychotropic cannabinoid in cannabis. 125 (11) "Industrial hemp" means any part of a cannabis plant, whether growing or not, with a 126 concentration of less than 0.3% tetrahydrocannabinol by dry weight. 127 (12) "Industrial hemp producer registration" means a registration that the department issues 128 to a person for the purpose of processing industrial hemp or an industrial hemp product. 129 (13)(a) "Industrial hemp product" means a product made by processing industrial hemp 130 plants or industrial hemp parts. - 4 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 131 (b) "Industrial hemp product" does not include cannabinoid material or a cannabinoid 132 product. 133 [(13)] (14) "Industrial hemp retailer permit" means a permit that the department issues to a 134 retailer who sells any viable industrial hemp seed or cannabinoid product. 135 [(14)(a) "Industrial hemp product" means a product made by processing industrial hemp 136 plants or industrial hemp parts.] 137 [(b) "Industrial hemp product" does not include cannabinoid material.] 138 (15) "Key participant" means any of the following: 139 (a) a licensee; 140 (b) an operation manager; 141 (c) a site manager; or 142 (d) an employee who has access to any industrial hemp material with a THC 143 concentration above 0.3%. 144 (16) "Licensee" means a person possessing a cannabinoid processor license that the 145 department issues under this chapter. 146 (17) "Newly identified cannabinoid" means a cannabinoid that: 147 (a) is not expressly identified by chemical name or CAS number in this chapter; and 148 (b) is identified by the department under Section 4-41-405. 149 [(17)] (18) "Non-compliant material" means: 150 (a) a hemp plant that does not comply with this chapter, including a cannabis plant with 151 a concentration of 0.3% tetrahydrocannabinol or greater by dry weight;[ and] 152 (b) a cannabinoid product, chemical, or compound with a concentration that exceeds the 153 cannabinoid product THC level[.] ; and 154 (c) a cannabinoid product containing any of the following: 155 (i) delta-9-tetrahydrocannabiphorol (THCP), the cannabinoid identified as CAS# 156 54763-99-4; 157 (ii) delta-8-tetrahydrocannabiphorol (THCP), the cannabinoid identified as CAS# 158 51768-60-6; 159 (iii) delta-9-tetrahyrdocannabinol (THC) acetate, the cannabinoid identified as CAS# 160 23132-17-4; 161 (iv) delta-8-tetrahydrocannabinol (THC) acetate, the cannabinoid identified as CAS# 162 23050-54-6; 163 (v) 9(s)-hexahydrocannabinol (HHC), the cannabinoid identified as CAS# 164 36403-91-5; or - 5 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 165 (vi) 9(r)-hexahyrdocannabinol (HHC), the cannabinoid identified as CAS# 166 36403-90-4. 167 [(18)] (19) "Permittee" means a person possessing a permit that the department issues under 168 this chapter. 169 [(19)] (20) "Person" means: 170 (a) an individual, partnership, association, firm, trust, limited liability company, or 171 corporation; and 172 (b) an agent or employee of an individual, partnership, association, firm, trust, limited 173 liability company, or corporation. 174 [(20)] (21) "Retailer permittee" means a person possessing an industrial hemp retailer permit 175 that the department issues under this chapter. 176 [(21)] (22) "Tetrahydrocannabinol" or "THC" means a delta-9-tetrahydrocannabinol, the 177 cannabinoid identified as CAS# 1972-08-3. 178 [(22)] (23)(a) "THC analog" means a substance that is structurally or pharmacologically 179 substantially similar to, or is represented as being similar to, delta-9-THC. 180 (b) "THC analog" does not include the following substances or the naturally occurring 181 acid forms of the following substances: 182 (i) cannabichromene (CBC), the cannabinoid identified as CAS# 20675-51-8; 183 (ii) cannabicyclol (CBL), the cannabinoid identified as CAS# 21366-63-2; 184 (iii) cannabidiol (CBD), the cannabinoid identified as CAS# 13956-29-1; 185 (iv) cannabidivarol (CBDV), the cannabinoid identified as CAS# 24274-48-4; 186 (v) cannabielsoin (CBE), the cannabinoid identified as CAS# 52025-76-0; 187 (vi) cannabigerol (CBG), the cannabinoid identified as CAS# 25654-31-3; 188 (vii) cannabigerovarin (CBGV), the cannabinoid identified as CAS# 55824-11-8; 189 (viii) cannabinol (CBN), the cannabinoid identified as CAS# 521-35-7; 190 (ix) cannabivarin (CBV), the cannabinoid identified as CAS# 33745-21-0; or 191 (x) delta-9-tetrahydrocannabivarin (THCV), the cannabinoid identified as CAS# 192 31262-37-0. 193 [(23)] (24) "Total cannabidiol" or "total CBD" means the combined amounts of cannabidiol 194 and cannabidiolic acid, calculated as "total CBD = CBD + (CBDA x 0.877)". 195 [(24)] (25) "Total tetrahydrocannabinol" or "total THC" means the sum of the determined 196 amounts of delta-9-THC, tertrahydrocannabinolic acid, calculated as "total THC = 197 delta-9-THC + (THCA x 0.877)". 198 [(25)] (26) "Transportable industrial hemp concentrate" means any amount of a natural - 6 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 199 cannabinoid in a purified state that: 200 (a) is the product of any chemical or physical process applied to naturally occurring 201 biomass that concentrates or isolates the cannabinoids contained in the biomass; 202 (b) is derived from a cannabis plant that, based on sampling that was collected no more 203 than 30 days before the day on which the cannabis plant was harvested, contains a 204 combined concentration of total THC and any THC analog of less than 0.3% on a dry 205 weight basis; 206 (c) has a THC and THC analog concentration total that is less than 20% when 207 concentrated from the cannabis plant to the purified state; and 208 (d) is intended to be processed into a cannabinoid product. 209 Section 2. Section 4-41-103.2 is amended to read: 210 4-41-103.2 . Cannabinoid processor license. 211 (1) The department or a licensee of the department may process a cannabinoid product. 212 (2) A person seeking a cannabinoid processor license shall provide to the department: 213 (a) the legal description and global positioning coordinates sufficient for locating the 214 facility the person uses to process industrial hemp; and 215 (b) written consent allowing a representative of the department and local law 216 enforcement to enter all premises where the person processes or stores industrial 217 hemp for the purpose of: 218 (i) conducting a physical inspection; or 219 (ii) ensuring compliance with the requirements of this chapter. 220 [(3) An individual who has been convicted of a drug-related felony within the last 10 years 221 is not eligible to obtain a cannabinoid processor license.] 222 [(4)] (3) The department may set a fee in accordance with Subsection 4-2-103(2) for the 223 application for a cannabinoid processor license. 224 [(5)] (4) A licensee may only market a cannabinoid product that the licensee processes. 225 (5)(a) An applicant for a cannabis processor license shall: 226 (i) be at least 18 years old; and 227 (ii) submit a nationwide criminal history from the Federal Bureau of Investigation to 228 the department. 229 (b) The department shall reject an individual's application for a cannabis processor 230 license if the criminal history described in Subsection (5)(a)(ii) was not completed in 231 the previous 90 days before the day the applicant submits the license application to 232 the department. - 7 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 233 (6) An applicant is not eligible to receive a cannabis processor license if the applicant has: 234 (a) been convicted of a felony; or 235 (b) been convicted of a drug-related misdemeanor within the previous ten years. 236 [(6)(a) Each applicant for a license to process cannabinoid products shall submit to the 237 department, at the time of application, from each key participant:] 238 [(i) a fingerprint card in a form acceptable to the Department of Public Safety;] 239 [(ii) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the 240 registration of the individual's fingerprints in the Federal Bureau of Investigation 241 Next Generation Identification System's Rap Back Service; and] 242 [(iii) consent to a fingerprint background check by:] 243 [(A) the Bureau of Criminal Identification; and] 244 [(B) the Federal Bureau of Investigation.] 245 [(b) The Bureau of Criminal Identification shall:] 246 [(i) check the fingerprints the applicant submits under Subsection (6)(a) against the 247 applicable state, regional, and national criminal records databases, including the 248 Federal Bureau of Investigation Next Generation Identification System;] 249 [(ii) report the results of the background check to the department;] 250 [(iii) maintain a separate file of fingerprints that applicants submit under Subsection 251 (6)(a) for search by future submissions to the local and regional criminal records 252 databases, including latent prints;] 253 [(iv) request that the fingerprints be retained in the Federal Bureau of Investigation 254 Next Generation Identification System's Rap Back Service for search by future 255 submissions to national criminal records databases, including the Next Generation 256 Identification System and latent prints; and] 257 [(v) establish a privacy risk mitigation strategy to ensure that the department only 258 receives notifications for an individual with whom the department maintains an 259 authorizing relationship.] 260 [(c) The department shall:] 261 [(i) assess an individual who submits fingerprints under Subsection (6)(a) a fee in an 262 amount that the department sets in accordance with Section 63J-1-504 for the 263 services that the Bureau of Criminal Identification or another authorized agency 264 provides under this section; and] 265 [(ii) remit the fee described in Subsection (6)(c)(i) to the Bureau of Criminal 266 Identification.] - 8 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 267 Section 3. Section 4-41-103.3 is amended to read: 268 4-41-103.3 . Industrial hemp retailer permit. 269 (1) Except as provided in Subsection [(4)] (5), a retailer permittee of the department may 270 market or sell a cannabinoid product or a viable industrial hemp seed. 271 (2) A person seeking an industrial hemp retailer permit shall provide to the department: 272 (a) the name of the person that is seeking to market or sell a cannabinoid product or a 273 viable industrial hemp seed; 274 (b) the address of each location where a cannabinoid product or a viable industrial hemp 275 seed will be sold; and 276 (c) written consent allowing a representative of the department to enter all premises 277 where the person is selling a cannabinoid product or a viable industrial hemp seed for 278 the purpose of: 279 (i) conducting a physical inspection; or 280 (ii) ensuring compliance with the requirements of this chapter. 281 (3) Beginning January 1, 2026, an industrial hemp retailer permittee shall: 282 (a) maintain a video surveillance system that: 283 (i) is able to monitor who purchases a cannabinoid product from the permittee; 284 (ii) is tamper proof; and 285 (iii) stores a video record for at least 45 days; and 286 (b) provide the department access to the video surveillance system upon request. 287 [(3)] (4) The department may set a fee in accordance with Subsection 4-2-103(2) for the 288 application for an industrial hemp retailer permit. 289 [(4)] (5) Any marketing for a cannabinoid product or a viable industrial hemp seed shall 290 include a notice to consumers that the product is hemp and is not cannabis or medical 291 cannabis, as those terms are defined in Section 26B-4-201. 292 Section 4. Section 4-41-105 is amended to read: 293 4-41-105 . Unlawful acts. 294 (1) It is unlawful for a person to handle, process, or market living industrial hemp plants, 295 viable hemp seeds, leaf materials, or floral materials derived from industrial hemp 296 without the appropriate license or permit issued by the department under this chapter. 297 (2)(a) It is unlawful for any person to: 298 (i) distribute, sell, or market a cannabinoid product that is: 299 (A) not registered with the department under Section 4-41-104; or 300 (B) noncompliant material; - 9 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 301 (ii) except as provided in Subsection (2)(b), transport into or out of the state extracted 302 material or final product that contains 0.3% or more of total THC and any THC 303 analog; 304 (iii) sell or use a cannabinoid product that is: 305 (A) added to a conventional food or beverage, as the department further defines in 306 rules described in Section 4-41-403; 307 (B) marketed or manufactured to be enticing to children, as further defined in 308 rules described in Section 4-41-403; or 309 (C) smokable flower; or 310 (iv) knowingly or intentionally sell or give a cannabinoid product that contains THC 311 or a THC analog in the course of business to an individual who is not at least 21 312 years old. 313 (b) A person may transport transportable industrial hemp concentrate if the person: 314 (i) complies with rules created by the department under Section 4-41-103.1 related to 315 transportable industrial hemp concentrate; and 316 (ii)(A) has [an industrial hemp producer registration] a cannabinoid processor 317 license; or 318 (B) the equivalent to [an industrial hemp producer registration] a cannabinoid 319 processor license from another state. 320 (3) The department may seize and destroy non-compliant material. 321 (4) Nothing in this chapter authorizes any person to violate federal law, regulation, or any 322 provision of this title. 323 Section 5. Section 4-41-404 is amended to read: 324 4-41-404 . Department duties. 325 The department [shall assess the fine described in Subsection 4-41-403(4) ] may take an 326 enforcement action in accordance with Section 4-41-106 against any person who offers an 327 unregistered cannabinoid product for sale in this state. 328 Section 6. Section 4-41-405 is enacted to read: 329 4-41-405 . Newly identified cannabinoid. 330 (1) For a newly identified cannabinoid, the department may: 331 (a) establish a maximum allowable concentration that a cannabinoid product may 332 contain of the newly identified cannabinoid; 333 (b) prohibit the newly identified cannabinoid from appearing in a cannabinoid product; 334 or - 10 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 335 (c) modify the maximum allowable concentration described in Subsection (1)(a) as 336 necessary if it would not create a threat to public health. 337 (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 338 department shall make rules to implement Subsection (1). 339 Section 7. Section 4-41a-102 is amended to read: 340 4-41a-102 . Definitions. 341 As used in this chapter: 342 (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may be 343 injurious to health, including: 344 (a) pesticides; 345 (b) heavy metals; 346 (c) solvents; 347 (d) microbial life; 348 (e) artificially derived cannabinoid; 349 (f) toxins; or 350 (g) foreign matter. 351 (2) "Advertise" or "advertising" means information provided by a person in any medium: 352 (a) to the public; and 353 (b) that is not age restricted to an individual who is at least 21 years old. 354 (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created in 355 Section 26B-1-435. 356 (4)(a) "Anticompetitive business practice" means any practice that reduces the amount 357 of competition in the medical cannabis market that would be considered an attempt to 358 monopolize, as defined in Section 76-10-3103. 359 (b) "Anticompetitive business practice" may include: 360 (i) agreements that may be considered unreasonable when competitors interact to the 361 extent that they are: 362 (A) no longer acting independently; or 363 (B) when collaborating are able to wield market power together; 364 (ii) monopolizing or attempting to monopolize trade by: 365 (A) acting to maintain or acquire a dominant position in the market; or 366 (B) preventing new entry into the market; or 367 (iii) other conduct outlined in rule. 368 (5)(a) "Artificially derived cannabinoid" means a chemical substance that is created by a - 11 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 369 chemical reaction that changes the molecular structure of any chemical substance 370 derived from the cannabis plant. 371 (b) "Artificially derived cannabinoid" does not include: 372 (i) a naturally occurring chemical substance that is separated from the cannabis plant 373 by a chemical or mechanical extraction process; or 374 (ii) a cannabinoid that is produced by decarboxylation from a naturally occurring 375 cannabinoid acid without the use of a chemical catalyst. 376 (6) "Batch" means a quantity of: 377 (a) cannabis extract produced on a particular date and time and produced between 378 completion of equipment and facility sanitation protocols until the next required 379 sanitation cycle during which lots of cannabis are used; 380 (b) cannabis product produced on a particular date and time and produced between 381 completion of equipment and facility sanitation protocols until the next required 382 sanitation cycle during which cannabis extract is used; or 383 (c) cannabis flower packaged on a particular date and time and produced between 384 completion of equipment and facility sanitation protocols until the next required 385 sanitation cycle during which lots of cannabis are being used. 386 [(6)] (7) "Cannabis Research Review Board" means the Cannabis Research Review Board 387 created in Section 26B-1-420. 388 [(7)] (8) "Cannabis" means the same as that term is defined in Section 26B-4-201. 389 [(8)] (9) "Cannabis concentrate" means: 390 (a) the product of any chemical or physical process applied to naturally occurring 391 biomass that concentrates or isolates the cannabinoids contained in the biomass; and 392 (b) any amount of a natural cannabinoid or artificially derived cannabinoid in an 393 artificially derived cannabinoid's purified state. 394 [(9)] (10) "Cannabis cultivation byproduct" means any portion of a cannabis plant that is not 395 intended to be sold as a cannabis plant product. 396 [(10)] (11) "Cannabis cultivation facility" means a person that: 397 (a) possesses cannabis; 398 (b) grows or intends to grow cannabis; and 399 (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis 400 processing facility, or a medical cannabis research licensee. 401 [(11)] (12) "Cannabis cultivation facility agent" means an individual who 402 holds a valid cannabis production establishment agent registration card with a cannabis - 12 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 403 cultivation facility designation. 404 [(12)] (13) "Cannabis derivative product" means a product made using cannabis concentrate. 405 [(13)] (14) "Cannabis plant product" means any portion of a cannabis plant intended to be 406 sold in a form that is recognizable as a portion of a cannabis plant. 407 [(14)] (15) "Cannabis processing facility" means a person that: 408 (a) acquires or intends to acquire cannabis from a cannabis production establishment; 409 (b) possesses cannabis with the intent to manufacture a cannabis product; 410 (c) manufactures or intends to manufacture a cannabis product from unprocessed 411 cannabis or a cannabis extract; and 412 (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a 413 medical cannabis research licensee. 414 [(15)] (16) "Cannabis processing facility agent" means an individual who 415 holds a valid cannabis production establishment agent registration card with a cannabis 416 processing facility designation. 417 [(16)] (17) "Cannabis product" means the same as that term is defined in Section 26B-4-201. 418 [(17)] (18) "Cannabis production establishment" means a cannabis cultivation facility, a 419 cannabis processing facility, or an independent cannabis testing laboratory. 420 [(18)] (19) "Cannabis production establishment agent" means a cannabis cultivation facility 421 agent, a cannabis processing facility agent, or an independent cannabis testing laboratory 422 agent. 423 [(19)] (20) "Cannabis production establishment agent registration card" means a registration 424 card that the department issues that: 425 (a) authorizes an individual to act as a cannabis production establishment agent; and 426 (b) designates the type of cannabis production establishment for which an individual is 427 authorized to act as an agent. 428 [(20)] (21) "Closed-door medical cannabis pharmacy" means a facility operated by a home 429 delivery medical cannabis pharmacy for delivering [cannabis or a medical cannabis 430 product] medical cannabis. 431 [(21)] (22) "Community location" means a public or private elementary or secondary school, 432 a church, a public library, a public playground, or a public park. 433 [(22)] (23) "Cultivation space" means, quantified in square feet, the horizontal area in which 434 a cannabis cultivation facility cultivates cannabis, including each level of horizontal area 435 if the cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants 436 above other plants in multiple levels. - 13 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 437 [(23)] (24) "Delivery address" means: 438 (a) for a medical cannabis cardholder who is not a facility: 439 (i) the medical cannabis cardholder's home address; or 440 (ii) an address designated by the medical cannabis cardholder that: 441 (A) is the medical cannabis cardholder's workplace; and 442 (B) is not a community location; or 443 (b) for a medical cannabis cardholder that is a facility, the facility's address. 444 [(24)] (25) "Department" means the Department of Agriculture and Food. 445 [(25)] (26) "Family member" means a parent, step-parent, spouse, child, sibling, 446 step-sibling, uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law, 447 brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild. 448 [(26)] (27) "Government issued photo identification" means the same as that term is defined 449 in Section 26B-4-201, including expired identification in accordance with Section 450 26B-4-244. 451 [(27)] (28) "Home delivery medical cannabis pharmacy" means a medical cannabis 452 pharmacy that the department authorizes, as part of the pharmacy's license, to deliver 453 medical cannabis shipments to a delivery address to fulfill electronic orders[ that the 454 state central patient portal facilitates]. 455 [(28)] (29)(a) "Independent cannabis testing laboratory" means a person that: 456 (i) conducts a chemical or other analysis of cannabis or a cannabis product; or 457 (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent 458 to conduct a chemical or other analysis of the cannabis or cannabis product. 459 (b) "Independent cannabis testing laboratory" includes a laboratory that the department 460 or a research university operates in accordance with Subsection 4-41a-201(14). 461 [(29)] (30) "Independent cannabis testing laboratory agent" means an individual who 462 holds a valid cannabis production establishment agent registration card with an 463 independent cannabis testing laboratory designation. 464 [(30)] (31) "Inventory control system" means a system described in Section 4-41a-103. 465 [(31)] (32) "Licensing board" or "board" means the Cannabis Production Establishment and 466 Pharmacy Licensing Advisory Board created in Section 4-41a-201.1. 467 [(32)] (33) "Medical cannabis" or "medical cannabis product" means the same as that term is 468 defined in Section 26B-4-201. 469 [(33)] (34) "Medical cannabis card" means the same as that term is defined in Section 470 26B-4-201. - 14 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 471 [(34)] (35) "Medical cannabis courier" means a courier that: 472 (a) the department licenses in accordance with Section 4-41a-1201; and 473 (b) contracts with a home delivery medical cannabis pharmacy to deliver medical 474 cannabis shipments to fulfill electronic orders[ that the state central patient portal 475 facilitates]. 476 [(35)] (36) "Medical cannabis courier agent" means an individual who: 477 (a) is an employee of a medical cannabis courier; and 478 (b) who holds a valid medical cannabis courier agent registration card. 479 [(36)] (37) "Medical cannabis pharmacy" means the same as that term is defined in Section 480 26B-4-201. 481 [(37)] (38) "Medical cannabis pharmacy agent" means the same as that term is defined in 482 Section 26B-4-201. 483 [(38)] (39) "Medical cannabis research license" means a license that the department issues to 484 a research university for the purpose of obtaining and possessing medical cannabis for 485 academic research. 486 [(39)] (40) "Medical cannabis research licensee" means a research university that the 487 department licenses to obtain and possess medical cannabis for academic research, in 488 accordance with Section 4-41a-901. 489 [(40)] (41) "Medical cannabis shipment" means a shipment of medical cannabis that a home 490 delivery medical cannabis pharmacy or a medical cannabis courier delivers to a delivery 491 address to fulfill an electronic medical cannabis order[ that the state central patient portal 492 facilitates]. 493 [(41)] (42) "Medical cannabis treatment" means the same as that term is defined in Section 494 26B-4-201. 495 [(42)] (43) "Medicinal dosage form" means the same as that term is defined in Section 496 26B-4-201. 497 [(43)] (44) "Pharmacy ownership limit" means an amount equal to 30% of the total number 498 of medical cannabis pharmacy licenses issued by the department rounded down to the 499 nearest whole number. 500 [(44)] (45) "Pharmacy medical provider" means the same as that term is defined in Section 501 26B-4-201. 502 [(45)] (46) "Qualified medical provider" means the same as that term is defined in Section 503 26B-4-201. 504 [(46)] (47) "Qualified Production Enterprise Fund" means the fund created in Section - 15 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 505 4-41a-104. 506 [(47)] (48) "Recommending medical provider" means the same as that term is defined in 507 Section 26B-4-201. 508 [(48)] (49) "Research university" means the same as that term is defined in Section 509 53B-7-702 and a private, nonprofit college or university in the state that: 510 (a) is accredited by the Northwest Commission on Colleges and Universities; 511 (b) grants doctoral degrees; and 512 (c) has a laboratory containing or a program researching a schedule I controlled 513 substance described in Section 58-37-4. 514 [(49)] (50) "State electronic verification system" means the system described in Section 515 26B-4-202. 516 [(50)] (51) "Targeted marketing" means the promotion of [a cannabis product,] medical 517 cannabis, a medical cannabis brand, or a medical cannabis device using any of the 518 following methods: 519 (a) electronic communication to an individual who is at least 21 years old and has 520 requested to receive promotional information; 521 (b) an in-person marketing event that is: 522 (i) held inside a medical cannabis pharmacy; and 523 (ii) in an area where only a medical cannabis cardholder may access the event; 524 (c) other marketing material that is physically available or digitally displayed in a 525 medical cannabis pharmacy; or 526 (d) a leaflet a medical cannabis pharmacy places in the opaque package or box that is 527 provided to an individual when obtaining medical cannabis: 528 (i) in the medical cannabis pharmacy; 529 (ii) at the medical cannabis pharmacy's drive-through pick up window; or 530 (iii) in a medical cannabis shipment. 531 [(51)] (52) "Tetrahydrocannabinol" or "THC" means the same as that term is defined in 532 Section 4-41-102. 533 [(52)] (53) "THC analog" means the same as that term is defined in Section 4-41-102. 534 [(53)] (54) "Total composite tetrahydrocannabinol" means all detectable forms of 535 tetrahydrocannabinol. 536 [(54)] (55) "Total tetrahydrocannabinol" or "total THC" means the same as that term is 537 defined in Section 4-41-102. 538 Section 8. Section 4-41a-403 is amended to read: - 16 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 539 4-41a-403 . Advertising. 540 (1) Except as provided in this section and Section 4-41a-604, a cannabis production 541 establishment may not advertise to the general public in any medium. 542 (2) A cannabis production establishment may advertise an employment opportunity at the 543 cannabis production establishment. 544 (3)(a) A cannabis production establishment may maintain a website that: 545 [(a)] (i) contains information about the establishment and employees; and 546 [(b)] (ii) except as provided in Subsection (3)(b), does not advertise any medical 547 cannabis, cannabis products, or medical cannabis devices. 548 (b) A cannabis processing facility may: 549 (i) if the website has age verification mechanisms that effectively prevent access by 550 individuals under 21 years of age, maintain a website that contains: 551 (A) educational information regarding medical cannabis produced by the cannabis 552 processing facility, including the certificate of analysis that is created by an 553 independent cannabis testing facility; and 554 (B) where medical cannabis produced by the cannabis processing facility may be 555 purchased in the state; and 556 (ii) engage in targeted marketing in accordance with Section 4-41a-604 for 557 advertising a particular medical cannabis product, medical cannabis device, or 558 medical cannabis brand. 559 (4)(a) Notwithstanding any municipal or county ordinance prohibiting signage, a 560 cannabis production establishment may use signage on the outside of the cannabis 561 production establishment that: 562 (i) includes only: 563 (A) in accordance with Subsection (4)(b), the cannabis production establishment's 564 name, logo, and hours of operation; and 565 (B) a green cross; and 566 (ii) complies with local ordinances regulating signage. 567 (b) The department shall define standards for a cannabis production establishment's 568 name and logo to ensure a medical rather than recreational disposition. 569 (5)(a) A cannabis production establishment may hold an educational event for the public 570 or medical providers in accordance with this Subsection (5) and the rules described in 571 Subsection (5)(c). 572 (b) A cannabis production establishment may not include in an educational event - 17 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 573 described in Subsection (5)(a): 574 (i) any topic that conflicts with this chapter or Title 26B, Chapter 4, Part 2, 575 Cannabinoid Research and Medical Cannabis; 576 (ii) any gift items or merchandise other than educational materials, as those terms are 577 defined by the department; 578 (iii) any marketing for a specific product from the cannabis production establishment 579 or any other statement, claim, or information that would violate the federal Food, 580 Drug, and Cosmetic Act, 21 U.S.C. Sec. 301, et seq.; or 581 (iv) a presenter other than the following: 582 (A) a cannabis production establishment agent; 583 (B) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act; 584 (C) an advanced practice registered nurse licensed under Title 58, Chapter 31b, 585 Nurse Practice Act; 586 (D) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or 587 Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; 588 (E) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician 589 Assistant Act; or 590 (F) a state employee. 591 (c) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah 592 Administrative Rulemaking Act, to define the elements of and restrictions on the 593 educational event described in Subsection (5)(a), including a minimum age of 21 594 years old for attendees. 595 Section 9. Section 4-41a-501 is amended to read: 596 4-41a-501 . Cannabis cultivation facility -- Operating requirements. 597 (1) A cannabis cultivation facility shall ensure that any cannabis growing at the cannabis 598 cultivation facility is not visible from the ground level of the cannabis cultivation facility 599 perimeter. 600 (2) A cannabis cultivation facility shall use a unique identifier that is connected to the 601 facility's inventory control system to identify: 602 (a) beginning at the time a cannabis plant is eight inches tall and has a root ball, each 603 cannabis plant; 604 (b) each unique harvest of cannabis plants; 605 (c) each batch of cannabis the facility transfers to a medical cannabis pharmacy, a 606 cannabis processing facility, or an independent cannabis testing laboratory; and - 18 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 607 (d) any excess, contaminated, or deteriorated cannabis of which the cannabis cultivation 608 facility disposes. 609 (3) A cannabis cultivation facility shall identify cannabis biomass as cannabis byproduct or 610 cannabis plant product before transferring the cannabis biomass from the facility. 611 (4) A cannabis cultivation facility shall either: 612 (a) ensure that a cannabis processing facility chemically or physically processes 613 cannabis cultivation byproduct to produce a cannabis concentrate for incorporation 614 into cannabis derivative products; or 615 (b) destroy cannabis cultivation byproduct in accordance with Section 4-41a-405. 616 (5) A cannabis cultivation facility may utilize radiation-based methods and equipment for 617 quality assurance or remediation purposes. 618 (6) The department shall make rules establishing: 619 (a) the records a cannabis cultivation facility must keep regarding each batch, amount of 620 product treated, and the methods used; and 621 (b) disclosure requirements to a cannabis processor receiving the material subject to the 622 radiation including the methods and equipment used. 623 Section 10. Section 4-41a-701 is amended to read: 624 4-41a-701 . Cannabis and cannabis product testing. 625 (1) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 626 department may make rules to: 627 (a) determine required adulterant tests for a cannabis plant product, cannabis 628 concentrate, or cannabis product; 629 (b) determine the amount of any adulterant that is safe for human consumption; 630 (c) immediately ban or limit the presence of any ingredient in a medical cannabis 631 product after receiving a recommendation to do so from a public health authority 632 under Section 26B-1-102; 633 (d) establish protocols for a recall of [cannabis or a cannabis product] medical cannabis 634 by a cannabis production establishment; or 635 (e) allow the propagation of testing results forward to derived product if the processing 636 steps the cannabis production establishment uses to produce the product are unlikely 637 to change the results of the test. 638 (2)(a) The department may require testing for a toxin if: 639 [(a)] (i) the department receives information indicating the potential presence of a 640 toxin; or - 19 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 641 [(b)] (ii) the department's inspector has reason to believe a toxin may be present based 642 on the inspection of a facility. 643 (b) The department may not require a cannabis processor to test a cannabis batch or a 644 cannabis product batch a third time if the cannabis batch or cannabis product has 645 previously met all testing requirements after being tested by: 646 (i) an independent cannabis testing laboratory that is not the department; and 647 (ii) the department. 648 (3)(a) A cannabis production establishment may not: 649 (i) incorporate cannabis concentrate into a cannabis derivative product until an 650 independent cannabis testing laboratory tests the cannabis concentrate in 651 accordance with department rule; or 652 (ii) transfer cannabis or a cannabis product to a medical cannabis pharmacy until an 653 independent cannabis testing laboratory tests a representative sample of the 654 cannabis or cannabis product in accordance with department rule. 655 (b) A medical cannabis pharmacy may not offer any cannabis or cannabis product for 656 sale unless an independent cannabis testing laboratory has tested a representative 657 sample of the cannabis or cannabis product in accordance with department rule. 658 (4) Before the sale of a medical cannabis product, an independent cannabis testing 659 laboratory shall: 660 (a) identify and quantify any cannabinoid known to be present in [a] the medical 661 cannabis product; and 662 (b) test terpene profiles for the following products: 663 (i) raw cannabis; or 664 (ii) a cannabis product: 665 (A) contained in a vaporizer cartridge; or 666 (B) in concentrate form; and 667 (c) record the five highest terpene profiles tested under Subsection (4)(b). 668 (5) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah 669 Administrative Rulemaking Act, the standards, methods, practices, and procedures for 670 the testing of cannabis and cannabis products by independent cannabis testing 671 laboratories. 672 (6) The department may require an independent cannabis testing laboratory to participate in 673 a proficiency evaluation that the department conducts or that an organization that the 674 department approves conducts. - 20 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 675 Section 11. Section 4-41a-801 is amended to read: 676 4-41a-801 . Enforcement -- Fine -- Citation. 677 (1) If a person that is a cannabis production establishment or a cannabis production 678 establishment agent violates this chapter, the department may: 679 (a) revoke the person's license or cannabis production establishment agent registration 680 card; 681 (b) decline to renew the person's license or cannabis production establishment agent 682 registration card; or 683 (c) assess the person an administrative penalty that the department establishes by rule in 684 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. 685 (2) The department shall deposit an administrative penalty imposed under this section into 686 the General Fund. 687 (3)(a) The department may take an action described in Subsection (3)(b) if the 688 department concludes, upon investigation, that, for a person that is a cannabis 689 production establishment or a cannabis production establishment agent: 690 (i) the person has violated the provisions of this chapter, a rule made under this 691 chapter, or an order issued under this chapter; or. 692 (ii) the person produced cannabis or a cannabis product batch that contains a 693 substance, other than cannabis, that poses a significant threat to human health. 694 (b) If the department makes the determination about a person described in Subsection 695 (3)(a), the department shall: 696 (i) issue the person a written administrative citation; 697 (ii) attempt to negotiate a stipulated settlement; 698 [(iii) seize, embargo, or destroy the cannabis or cannabis product batch;] 699 [(iv)] (iii) order the person to cease and desist from the action that creates a violation; [ 700 and] or 701 [(v)] (iv) direct the person to appear before an adjudicative proceeding conducted 702 under Title 63G, Chapter 4, Administrative Procedures Act. 703 (c) If the department concludes, upon investigation, that a cannabis production 704 establishment or a cannabis production establishment agent has produced a cannabis 705 batch or a cannabis product batch that contains a substance that poses a significant 706 threat to human health, the department shall seize, embargo, or destroy the cannabis 707 batch or cannabis product batch. 708 (4) The department may, for a person subject to an uncontested citation, a stipulated - 21 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 709 settlement, or a finding of a violation in an adjudicative proceeding under this section, 710 for a fine amount not already specified in law, assess the person, who is not an 711 individual, a fine of up to $5,000 per violation, in accordance with a fine schedule that 712 the department establishes by rule in accordance with Title 63G, Chapter 3, Utah 713 Administrative Rulemaking Act. 714 (5) The department may not revoke a [cannabis production establishment's ]license without 715 first directing the [cannabis production establishment] licensee to appear before an 716 adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative 717 Procedures Act. 718 (6) If within [20] 30 calendar days after the day on which a department serves a citation for 719 a violation of this chapter, the person that is the subject of the citation fails to request a 720 hearing to contest the citation, the citation becomes the department's final order. 721 (7) The department may, for a person who fails to comply with a citation under this section: 722 (a) refuse to issue or renew the person's license or cannabis production establishment 723 agent registration card; or 724 (b) suspend, revoke, or place on probation the person's license or cannabis production 725 establishment registration card. 726 (8)(a) Except where a criminal penalty is expressly provided for a specific violation of 727 this chapter, if an individual: 728 (i) violates a provision of this chapter, the individual is: 729 (A) guilty of an infraction; and 730 (B) subject to a $100 fine; or 731 (ii) intentionally or knowingly violates a provision of this chapter or violates this 732 chapter three or more times, the individual is: 733 (A) guilty of a class B misdemeanor; and 734 (B) subject to a $1,000 fine. 735 (b) An individual who is guilty of a violation described in Subsection (8)(a) is not guilty 736 of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the 737 conduct underlying the violation described in Subsection (8)(a). 738 (9) Nothing in this section prohibits the department from referring potential criminal 739 activity to law enforcement. 740 (10) An appeal of administrative action taken under this chapter shall be heard by an 741 administrative law judge as an informal proceeding in accordance with Title 63G, 742 Chapter 4, Administrative Procedures Act. - 22 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 743 Section 12. Section 4-41a-802 is amended to read: 744 4-41a-802 . Report. 745 (1) At or before the November interim meeting each year, the department shall report to the 746 Health and Human Services Interim Committee on: 747 (a) the number of applications and renewal applications that the department receives 748 under this chapter; 749 (b) the number of each type of cannabis production facility that the department licenses 750 in each county; 751 (c) the amount of cannabis that licensees grow; 752 (d) the amount of cannabis that licensees manufacture into cannabis products; 753 (e) the number of licenses the department revokes under this chapter; 754 (f) the department's operation of an independent cannabis testing laboratory under 755 Section 4-41a-201, including: 756 (i) the cannabis and cannabis products the department tested; and 757 (ii) the results of the tests the department performed; 758 (g) the expenses incurred and revenues generated under this chapter; and 759 (h) an analysis of product availability in medical cannabis pharmacies in consultation 760 with the Department of Health and Human Services. 761 (2) The department may not include personally identifying information in the report 762 described in this section. 763 (3) The department shall report to the working group described in Section 36-12-8.2 as 764 requested by the working group. 765 (4)(a) Before August 1, of each year, the department shall provide a report to the 766 working group described in Section 36-12-8.2 that provides the following for each 767 fine issued by the department under this chapter: 768 (i) the date of the fine; 769 (ii) the reference to the statute or rule that was violated for each fine issued; and 770 (iii) a short description explaining why the fine was issued. 771 (b) The report described in Subsection (4)(a) may not include identifying information of 772 the person that was subject to the fine. 773 Section 13. Section 4-41a-1001 is amended to read: 774 4-41a-1001 . Medical cannabis pharmacy -- License -- Eligibility. 775 (1) A person may not: 776 (a) operate as a medical cannabis pharmacy without a license that the department issues - 23 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 777 under this part; 778 (b) obtain a medical cannabis pharmacy license if obtaining the license would cause the 779 person to exceed the pharmacy ownership limit; 780 (c) obtain a partial ownership share of a medical cannabis pharmacy if obtaining the 781 partial ownership share would cause the person to exceed the pharmacy ownership 782 limit; or 783 (d) enter into any contract or agreement that allows the person to directly or indirectly 784 control the operations of a medical cannabis pharmacy if the person's control of the 785 medical cannabis pharmacy would cause the person to effectively exceed the 786 pharmacy ownership limit. 787 (2)(a)(i) Subject to Subsections (4) and (5) and to Section 4-41a-1005, the department 788 shall issue a license to operate a medical cannabis pharmacy through the licensing 789 board created under Section 4-41a-201.1. 790 (ii) The department may not issue a license to operate a medical cannabis pharmacy 791 to an applicant who is not eligible for a license under this section. 792 (b) An applicant is eligible for a license under this section if the applicant submits to the 793 department: 794 (i) subject to Subsection (2)(c), a proposed name and address where the applicant will 795 operate the medical cannabis pharmacy; 796 (ii) the name and address of an individual who: 797 (A) for a publicly traded company, has a financial or voting interest of 10% or 798 greater in the proposed medical cannabis pharmacy; 799 (B) for a privately held company, a financial or voting interest in the proposed 800 medical cannabis pharmacy; or 801 (C) has the power to direct or cause the management or control of a proposed 802 medical cannabis pharmacy; 803 (iii) for each application that the applicant submits to the department, a statement 804 from the applicant that the applicant will obtain and maintain: 805 (A) a performance bond in the amount of $100,000 issued by a surety authorized 806 to transact surety business in the state; or 807 (B) a liquid cash account in the amount of $100,000 with a financial institution; 808 (iv) an operating plan that: 809 (A) complies with Section 4-41a-1004; 810 (B) includes operating procedures to comply with the operating requirements for a - 24 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 811 medical cannabis pharmacy described in this part and with a relevant municipal 812 or county law that is consistent with Section 4-41a-1106; and 813 (C) the department approves; 814 (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the 815 department sets in accordance with Section 63J-1-504; and 816 (vi) a description of any investigation or adverse action taken by any licensing 817 jurisdiction, government agency, law enforcement agency, or court in any state for 818 any violation or detrimental conduct in relation to any of the applicant's 819 cannabis-related operations or businesses. 820 (c)(i) A person may not locate a medical cannabis pharmacy: 821 (A) within 200 feet of a community location; or 822 (B) in or within 600 feet of a district that the relevant municipality or county has 823 zoned as primarily residential. 824 (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured 825 from the nearest entrance to the medical cannabis pharmacy establishment by 826 following the shortest route of ordinary pedestrian travel to the property boundary 827 of the community location or residential area. 828 (iii) The department may grant a waiver to reduce the proximity requirements in 829 Subsection (2)(c)(i) by up to 20% if the department determines that it is not 830 reasonably feasible for the applicant to cite the proposed medical cannabis 831 pharmacy without the waiver. 832 (iv) An applicant for a license under this section shall provide evidence of 833 compliance with the proximity requirements described in Subsection (2)(c)(i). 834 (d) The department may not issue a license to an eligible applicant that the department 835 has selected to receive a license until the selected eligible applicant complies with the 836 bond or liquid cash requirement described in Subsection (2)(b)(iii). 837 (e) If the department receives more than one application for a medical cannabis 838 pharmacy within the same city or town, the department shall consult with the local 839 land use authority before approving any of the applications pertaining to that city or 840 town. 841 (f) In considering the issuance of a medical cannabis pharmacy license under this 842 section, the department may consider the extent to which the pharmacy can increase 843 efficiency and reduce cost to patients of medical cannabis. 844 [(3) If the department selects an applicant ] - 25 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 845 (3)(a) After an entity has been selected for a medical cannabis pharmacy license under 846 this section, the department shall: 847 [(a)] (i) charge the applicant an initial license fee in an amount that, subject to 848 Subsection 4-41a-104(5), the department sets in accordance with Section 849 63J-1-504; 850 [(b)] (ii) notify the Department of Public Safety of the license approval and the names 851 of each individual described in Subsection (2)(b)(ii); and 852 [(c)] (iii) charge the licensee a fee in an amount that, subject to Subsection 4-41a-104 853 (5), the department sets in accordance with Section 63J-1-504, for any change in 854 location, ownership, or company structure. 855 (b) For a fee described in Subsection (3)(a)(i), a license fee for a medical cannabis 856 pharmacy located in a medically underserved area as determined by the federal 857 Health Resources and Services Administration shall be 50% less than what is charged 858 for other medical cannabis pharmacies. 859 (4) The department may not issue a license to operate a medical cannabis pharmacy to an 860 applicant if an individual described in Subsection (2)(b)(ii): 861 (a) has been convicted under state or federal law of: 862 (i) a felony in the preceding 10 years; or 863 (ii) after December 3, 2018, a misdemeanor for drug distribution; 864 (b) is younger than 21 years old; or 865 (c) after September 23, 2019, until January 1, 2023, is actively serving as a legislator. 866 (5)[(a)] If an applicant for a medical cannabis pharmacy license under this section holds 867 another license under this chapter, the department may not give preference to the 868 applicant based on the applicant's status as a holder of the license. 869 [(b) If an applicant for a medical cannabis pharmacy license under this section holds a 870 license to operate a cannabis cultivation facility under this section, the department 871 may give consideration to the applicant's status as a holder of the license if:] 872 [(i) the applicant demonstrates that a decrease in costs to patients is more likely to 873 result from the applicant's vertical integration than from a more competitive 874 marketplace; and] 875 [(ii) the department finds multiple other factors, in addition to the existing license, 876 that support granting the new license.] 877 (6) The licensing board may revoke a license under this part: 878 (a) if the medical cannabis pharmacy does not begin operations within one year after the - 26 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 879 day on which the department issues an announcement of the department's intent to 880 award a license to the medical cannabis pharmacy; 881 (b) after the third the same violation of this chapter in any of the licensee's licensed 882 cannabis production establishments or medical cannabis pharmacies; 883 (c) if an individual described in Subsection (2)(b)(ii) is convicted, while the license is 884 active, under state or federal law of: 885 (i) a felony; or 886 (ii) after December 3, 2018, a misdemeanor for drug distribution; 887 (d) if the licensee fails to provide the information described in Subsection (2)(b)(vi) at 888 the time of application, or fails to supplement the information described in 889 Subsection (2)(b)(vi) with any investigation or adverse action that occurs after the 890 submission of the application within 14 calendar days after the licensee receives 891 notice of the investigation or adverse action; 892 (e) if the medical cannabis pharmacy demonstrates a willful or reckless disregard for the 893 requirements of this chapter or the rules the department makes in accordance with 894 this chapter; 895 (f) if, after a change of ownership described in Subsection (11)(c), the department 896 determines that the medical cannabis pharmacy no longer meets the minimum 897 standards for licensure and operation of the medical cannabis pharmacy described in 898 this chapter; or 899 (g) if through an investigation conducted under Subsection 4-41a-201.1(11) and in 900 accordance with Title 63G, Chapter 4, Administrative Procedures Act, the board 901 finds that the licensee has participated in anticompetitive business practices. 902 (7)(a) A person who receives a medical cannabis pharmacy license under this chapter, if 903 the municipality or county where the licensed medical cannabis pharmacy will be 904 located requires a local land use permit, shall submit to the department a copy of the 905 licensee's approved application for the land use permit within 120 days after the day 906 on which the department issues the license. 907 (b) If a licensee fails to submit to the department a copy the licensee's approved land use 908 permit application in accordance with Subsection (7)(a), the department may revoke 909 the licensee's license. 910 (8) The department shall deposit the proceeds of a fee imposed by this section into the 911 Qualified Production Enterprise Fund. 912 (9) The department shall begin accepting applications under this part on or before March 1, - 27 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 913 2020. 914 (10)(a) The department's authority to issue a license under this section is plenary and is 915 not subject to review. 916 (b) Notwithstanding Subsection (2), the decision of the department to award a license to 917 an applicant is not subject to: 918 (i) Title 63G, Chapter 6a, Part 16, Protests; or 919 (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board. 920 (11)(a) A medical cannabis pharmacy license is not transferrable or assignable. 921 (b) A medical cannabis pharmacy shall report in writing to the department no later than 922 10 business days before the date of any change of ownership of the medical cannabis 923 pharmacy. 924 (c) If the ownership of a medical cannabis pharmacy changes by 50% or more: 925 (i) concurrent with the report described in Subsection (11)(b), the medical cannabis 926 pharmacy shall submit a new application described in Subsection (2)(b), subject to 927 Subsection (2)(c); 928 (ii) within 30 days of the submission of the application, the department shall: 929 (A) conduct an application review; and 930 (B) award a license to the medical cannabis pharmacy for the remainder of the 931 term of the medical cannabis pharmacy's license before the ownership change 932 if the medical cannabis pharmacy meets the minimum standards for licensure 933 and operation of the medical cannabis pharmacy described in this chapter; and 934 (iii) if the department approves the license application, notwithstanding Subsection 935 (3), the medical cannabis pharmacy shall pay a license fee that the department sets 936 in accordance with Section 63J-1-504 in an amount that covers the department's 937 cost of conducting the application review. 938 Section 14. Section 4-41a-1003 is amended to read: 939 4-41a-1003 . Renewal - Notice of available license. 940 (1)(a) The department shall renew a license [under Sections 4-41a-1001 through 941 4-41a-1005] issued under this part every year if, at the time of renewal: 942 [(a)] (i) the licensee meets the requirements of Section 4-41a-1001; 943 [(b)] (ii) the licensee pays the department a license renewal fee in an amount that, 944 subject to Subsection 4-41a-1004(5), the department sets in accordance with 945 Section 63J-1-504; and 946 [(c)] (iii) if the medical cannabis pharmacy changes the operating plan described in - 28 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 947 Section 4-41a-1004 that the department approved under Subsection 948 4-41a-1001(2)(b)(iv), the department approves the new operating plan. 949 (b) A license fee for a medical cannabis pharmacy located in a county of the third, 950 fourth, fifth, or sixth class shall be 50% less than what is charged for other medical 951 cannabis pharmacies. 952 (2)(a) If a licensed medical cannabis pharmacy abandons the medical cannabis 953 pharmacy's license, the department shall publish notice of an available license[ ], for 954 the geographic area in which the medical cannabis pharmacy license is available, as a 955 class A notice under Section 63G-30-102, for at least seven days. 956 (b) The department may establish criteria, in collaboration with the Division of 957 Professional Licensing and the Board of Pharmacy and in accordance with Title 63G, 958 Chapter 3, Utah Administrative Rulemaking Act, to identify the medical cannabis 959 pharmacy actions that constitute abandonment of a medical cannabis pharmacy 960 license. 961 (3) If the department has not completed the necessary processes to make a determination on 962 a license renewal under Subsections (1)(a) and (c) before the expiration of a license, the 963 department may issue a conditional medical cannabis pharmacy license to a licensed 964 medical cannabis pharmacy that has applied for license renewal under this section and 965 paid the fee described in Subsection (1)(b). 966 Section 15. Section 4-41a-1005 is amended to read: 967 4-41a-1005 . Maximum number of licenses. 968 (1)(a) [Except as provided in Subsection (1)(b) or (d), if a sufficient number of 969 applicants apply, the department] The licensing board shall issue up to [15] 17 medical 970 cannabis pharmacy licenses in accordance with this section including the two medical 971 cannabis pharmacy licenses in accordance with Section 4-41a-1006. 972 [(b) If an insufficient number of qualified applicants apply for the available number of 973 medical cannabis pharmacy licenses, the department shall issue a medical cannabis 974 pharmacy license to each qualified applicant.] 975 [(c) The department may issue the licenses described in Subsection (1)(a) in accordance 976 with this Subsection (1)(c).] 977 [(i) Using one procurement process, the department may issue eight licenses to an 978 initial group of medical cannabis pharmacies and six licenses to a second group of 979 medical cannabis pharmacies.] 980 [(ii) The department shall:] - 29 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 981 [(A) divide the state into no less than four geographic regions, set by the 982 department in rule;] 983 [(B) issue at least one license in each geographic region during each phase of 984 issuing licenses; and] 985 [(C) complete the process of issuing medical cannabis pharmacy licenses no later 986 than July 1, 2020.] 987 [(iii) In issuing a 15th license under Subsection (1), the department shall ensure that 988 the license recipient will locate the medical cannabis pharmacy within Dagget, 989 Duchesne, Uintah, Carbon, Sevier, Emery, Grand, or San Juan County.] 990 [(d)(i) The department may issue licenses to operate a medical cannabis pharmacy in 991 addition to the licenses described in Subsection (1)(a) if the department 992 determines, in consultation with the Department of Health and Human Services 993 and after an annual or more frequent analysis of the current and anticipated market 994 for medical cannabis, that each additional license is necessary to provide an 995 adequate supply, quality, or variety of medical cannabis to medical cannabis 996 cardholders.] 997 [(ii) The department shall:] 998 [(A) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking 999 Act, make rules to establish criteria and processes for the consultation, 1000 analysis, and application for a license described in Subsection (1)(d)(i); and] 1001 [(B) report to the Executive Appropriations Committee of the Legislature before 1002 each time the department issues an additional license under Subsection 1003 (1)(d)(i) regarding the results of the consultation and analysis described in 1004 Subsection (1)(d)(i) and the application of the criteria described in Subsection 1005 (1)(d)(ii)(A).] 1006 (2)(a) [If there are more qualified applicants than there are available licenses for medical 1007 cannabis pharmacies, the department] The licensing board shall: 1008 (i) evaluate each applicant and award the license to the applicant that best 1009 demonstrates: 1010 (A) experience with establishing and successfully operating a business that 1011 involves complying with a regulatory environment, tracking inventory, and 1012 training, evaluating, and monitoring employees; 1013 (B) an operating plan that will best ensure the safety and security of patrons and 1014 the community; - 30 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1015 (C) positive connections to the local community; 1016 (D) the suitability of the proposed location and the location's accessibility for 1017 qualifying patients; 1018 (E) the extent to which the applicant can increase efficiency and reduce the cost of 1019 medical cannabis for patients; and 1020 (F) a strategic plan described in Subsection 4-41a-1004(7) that has a 1021 comparatively high likelihood of success; and 1022 (ii) ensure a geographic dispersal among licensees that is sufficient to reasonably 1023 maximize access to the largest number of medical cannabis cardholders. 1024 (b) In making the evaluation described in Subsection (2)(a), the licensing board may 1025 give increased consideration to applicants who indicate a willingness to: 1026 (i) site a medical cannabis pharmacy in an area or population center designated as a 1027 medically underserved area or population as determined by the federal Health 1028 Resources and Services Administration; and 1029 (ii) operate as a home delivery medical cannabis pharmacy that accepts electronic 1030 medical cannabis orders. 1031 [(b) In making the evaluation described in Subsection (2)(a), the department may give 1032 increased consideration to applicants who indicate a willingness to:] 1033 [(i) operate as a home delivery medical cannabis pharmacy that accepts electronic 1034 medical cannabis orders that the state central patient portal facilitates; and] 1035 [(ii) accept payments through:] 1036 [(A) a payment provider that the Division of Finance approves, in consultation 1037 with the state treasurer, in accordance with Section 4-41a-108; or] 1038 [(B) a financial institution in accordance with Subsection 4-41a-108(4).] 1039 (3) The [department] licensing board may conduct a face-to-face interview with an applicant 1040 for a license that the [department] licensing board evaluates under Subsection (2). 1041 Section 16. Section 4-41a-1006 is enacted to read: 1042 4-41a-1006 . Independent medical cannabis licenses. 1043 (1)(a) Subject to the requirements of Subsection (3) and the criteria established for 1044 obtaining a medical cannabis pharmacy license under this chapter, the licensing 1045 board shall: 1046 (i) before January 1, 2026, select one entity to receive a medical cannabis pharmacy 1047 license; and 1048 (ii) before January 1, 2027, but not before January 1, 2026, select one entity to - 31 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1049 receive a medical cannabis pharmacy license. 1050 (b) When selecting entities under this section, if there is a conflict between the criteria 1051 established for obtaining a medical cannabis pharmacy license under the other 1052 sections of this chapter and this section, this section controls. 1053 (2) For the license described in Subsection (1)(a)(ii), the licensing board may not select an 1054 entity: 1055 (a) that owns any interest in or operates a medical cannabis production establishment; or 1056 (b) that is owned, partially or entirely, or operated by a medical cannabis production 1057 establishment. 1058 (3) The licensing board: 1059 (a) may not select an entity to receive a license under this section if the entity owns a 1060 financial interest in a medical cannabis pharmacy or is owned by an entity that owns 1061 a financial interest in a medical cannabis pharmacy; and 1062 (b) shall select an entity that will site a medical cannabis pharmacy license issued under 1063 this section in an area: 1064 (i) designated as a medically underserved area as determined by the federal Health 1065 Resources and Services Administration; and 1066 (ii) located in a county of the third, fourth, fifth, or sixth class. 1067 (4) A license described in this section may not be transferred to another entity unless that 1068 entity meets the requirements of Subsections (2) and (3) that the transferring entity met 1069 when obtaining the license. 1070 (5) Notwithstanding Subsection (4), for a license described in Subsection (1)(a)(i), an 1071 applicant shall commit to not alienating or otherwise transferring control of the license 1072 or of the entity that holds the license to another person for at least 15 years from the day 1073 the license is issued under this chapter. 1074 (6) The department shall provide regular updates to the Medical Cannabis Governance 1075 Structure Working Group created in Section 36-12-8.2 regarding the application and 1076 selection process for licenses issued under this section. 1077 Section 17. Section 4-41a-1101 is amended to read: 1078 4-41a-1101 . Operating requirements -- General. 1079 (1)(a) A medical cannabis pharmacy shall operate: 1080 (i) at the physical address provided to the department under Section 4-41a-1001; and 1081 (ii) in accordance with the operating plan provided to the department under Section 1082 4-41a-1001 and, if applicable, Section 4-41a-1004. - 32 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1083 (b) A medical cannabis pharmacy shall notify the department before a change in the 1084 medical cannabis pharmacy's physical address or operating plan. 1085 (2) An individual may not enter a medical cannabis pharmacy unless the individual: 1086 (a) is at least 18 years old or is an emancipated minor under Section 80-7-105; and 1087 (b) except as provided in Subsection (4): 1088 (i) possesses a valid: 1089 (A) medical cannabis pharmacy agent registration card; 1090 (B) pharmacy medical provider registration card; or 1091 (C) medical cannabis card; 1092 (ii) is an employee of the department performing an inspection under Section 1093 4-41a-1103; or 1094 (iii) is another individual as the department provides. 1095 (3) A medical cannabis pharmacy may not employ an individual who is younger than 21 1096 years old. 1097 (4) Notwithstanding Subsection (2)(a), a medical cannabis pharmacy may authorize an 1098 individual who is not a medical cannabis pharmacy agent or pharmacy medical provider 1099 to access the medical cannabis pharmacy if the medical cannabis pharmacy tracks and 1100 monitors the individual at all times while the individual is at the medical cannabis 1101 pharmacy and maintains a record of the individual's access. 1102 (5) A medical cannabis pharmacy shall operate in a facility that has: 1103 (a) a single, secure public entrance; 1104 (b) a security system with a backup power source that: 1105 (i) detects and records entry into the medical cannabis pharmacy; and 1106 (ii) provides notice of an unauthorized entry to law enforcement when the medical 1107 cannabis pharmacy is closed; and 1108 (c) a lock on each area where the medical cannabis pharmacy stores [cannabis or a 1109 cannabis product] medical cannabis. 1110 (6) A medical cannabis pharmacy shall post, both clearly and conspicuously in the medical 1111 cannabis pharmacy, the limit on the purchase of cannabis described in Subsection 1112 4-41a-1102(2). 1113 (7) Except for an emergency situation described in Subsection 26B-4-213(3)(c), a medical 1114 cannabis pharmacy may not allow any individual to consume cannabis on the property 1115 or premises of the medical cannabis pharmacy. 1116 (8) A medical cannabis pharmacy may not sell [cannabis or a cannabis product] medical - 33 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1117 cannabis without first indicating on the [cannabis or cannabis product] medical cannabis 1118 label the name of the medical cannabis pharmacy. 1119 (9)(a) Each medical cannabis pharmacy shall retain in the pharmacy's records the 1120 following information regarding each recommendation underlying a transaction: 1121 (i) the recommending medical provider's name, address, and telephone number; 1122 (ii) the patient's name and address; 1123 (iii) the date of issuance; 1124 (iv) directions of use and dosing guidelines or an indication that the recommending 1125 medical provider did not recommend specific directions of use or dosing 1126 guidelines; and 1127 (v) if the patient did not complete the transaction, the name of the medical cannabis 1128 cardholder who completed the transaction. 1129 (b)(i) Except as provided in Subsection (9)(b)(iii), a medical cannabis pharmacy may 1130 not sell medical cannabis unless the medical cannabis has a label securely affixed 1131 to the container indicating the following minimum information: 1132 (A) the name, address, and telephone number of the medical cannabis pharmacy; 1133 (B) the unique identification number that the medical cannabis pharmacy assigns; 1134 (C) the date of the sale; 1135 (D) the name of the patient; 1136 (E) the name of the recommending medical provider who recommended the 1137 medical cannabis treatment; 1138 (F) directions for use and cautionary statements, if any; 1139 (G) the amount dispensed and the cannabinoid content; 1140 (H) the suggested use date; 1141 (I) for unprocessed cannabis flower, the legal use termination date; and 1142 (J) any other requirements that the department determines, in consultation with the 1143 Division of Professional Licensing and the Board of Pharmacy. 1144 (ii) A medical cannabis pharmacy is exempt from the requirement to provide the 1145 following information under Subsection (9)(b)(i) if the information is already 1146 provided on the product label that a cannabis production establishment affixes: 1147 (A) a unique identification number; 1148 (B) directions for use and cautionary statements; 1149 (C) amount and cannabinoid content; and 1150 (D) a suggested use date. - 34 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1151 (iii) If the size of a medical cannabis container does not allow sufficient space to 1152 include the labeling requirements described in Subsection (9)(b)(i), the medical 1153 cannabis pharmacy may provide the following information described in 1154 Subsection (9)(b)(i) on a supplemental label attached to the container or an 1155 informational enclosure that accompanies the container: 1156 (A) the cannabinoid content; 1157 (B) the suggested use date; and 1158 (C) any other requirements that the department determines. 1159 (iv) A medical cannabis pharmacy may sell medical cannabis to another medical 1160 cannabis pharmacy without a label described in Subsection (9)(b)(i). 1161 (10) A pharmacy medical provider or medical cannabis pharmacy agent shall: 1162 (a) upon receipt of an order from a limited medical provider in accordance with 1163 Subsections 26B-4-204(1)(b) through (d): 1164 (i) for a written order or an electronic order under circumstances that the department 1165 determines, contact the limited medical provider or the limited medical provider's 1166 office to verify the validity of the recommendation; and 1167 (ii) for an order that the pharmacy medical provider or medical cannabis pharmacy 1168 agent verifies under Subsection (10)(a)(i) or an electronic order that is not subject 1169 to verification under Subsection (10)(a)(i), enter the limited medical provider's 1170 recommendation or renewal, including any associated directions of use, dosing 1171 guidelines, or caregiver indication, in the state electronic verification system; 1172 (b) in processing an order for a holder of a conditional medical cannabis card described 1173 in Subsection 26B-4-213(1)(b) that appears irregular or suspicious in the judgment of 1174 the pharmacy medical provider or medical cannabis pharmacy agent, contact the 1175 recommending medical provider or the recommending medical provider's office to 1176 verify the validity of the recommendation before processing the cardholder's order; 1177 (c) unless the medical cannabis cardholder has had a consultation under Subsection 1178 26B-4-231(5), verbally offer to a medical cannabis cardholder at the time of a 1179 purchase of [cannabis, a cannabis product,] medical cannabis or a medical cannabis 1180 device, personal counseling with the pharmacy medical provider; and 1181 (d) provide a telephone number or website by which the cardholder may contact a 1182 pharmacy medical provider for counseling. 1183 (11)(a) A medical cannabis pharmacy may create a medical cannabis disposal program 1184 that allows an individual to deposit unused or excess medical cannabis or cannabis - 35 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1185 residue from a medical cannabis device in a locked box or other secure receptacle 1186 within the medical cannabis pharmacy. 1187 (b) A medical cannabis pharmacy with a disposal program described in Subsection 1188 (11)(a) shall ensure that only a medical cannabis pharmacy agent or pharmacy 1189 medical provider can access deposited medical cannabis. 1190 (c) A medical cannabis pharmacy shall dispose of any deposited medical cannabis by: 1191 (i) rendering the deposited medical cannabis unusable and unrecognizable before 1192 transporting deposited medical cannabis from the medical cannabis pharmacy; and 1193 (ii) disposing of the deposited medical cannabis in accordance with: 1194 (A) federal and state law, rules, and regulations related to hazardous waste; 1195 (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.; 1196 (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and 1197 (D) other regulations that the department makes in accordance with Title 63G, 1198 Chapter 3, Utah Administrative Rulemaking Act. 1199 (12) A medical cannabis pharmacy: 1200 (a) shall employ a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy 1201 Practice Act, as a pharmacy medical provider; 1202 (b) may employ a physician who has the authority to write a prescription and is licensed 1203 under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah 1204 Osteopathic Medical Practice Act, as a pharmacy medical provider; 1205 (c) shall ensure that a pharmacy medical provider described in Subsection (12)(a) works 1206 onsite during all business hours; 1207 (d) shall designate one pharmacy medical provider described in Subsection (12)(a) as the 1208 pharmacist-in-charge to oversee the operation of and generally supervise the medical 1209 cannabis pharmacy;[ and] 1210 (e) shall allow the pharmacist-in-charge to determine which [cannabis and cannabis 1211 products] medical cannabis products the medical cannabis pharmacy maintains in the 1212 medical cannabis pharmacy's inventory[.] ; and 1213 (f) for each medical cannabis product sold by the medical cannabis pharmacy, shall: 1214 (i) allow a medical cannabis cardholder located in the pharmacy to view the back 1215 panel of the product when requested; and 1216 (ii) beginning July 1, 2025, include a picture of the back panel of the product on the 1217 medical cannabis pharmacy's website. 1218 (13) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah - 36 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1219 Administrative Rulemaking Act, protocols for a recall of cannabis and cannabis products 1220 by a medical cannabis pharmacy. 1221 Section 18. Section 4-41a-1201 is amended to read: 1222 4-41a-1201 . Medical cannabis home delivery designation. 1223 (1) The department may designate a medical cannabis pharmacy as a home delivery 1224 medical cannabis pharmacy if the department determines that the medical cannabis 1225 pharmacy's operating plan demonstrates the functional and technical ability to: 1226 (a) safely conduct transactions for medical cannabis shipments; 1227 (b) accept electronic medical cannabis orders[ that the state central patient portal 1228 facilitates]; and 1229 (c) accept payments through: 1230 (i) a payment provider that the Division of Finance approves, in consultation with the 1231 state treasurer, in accordance with Section 26-61a-603; or 1232 (ii) a financial institution in accordance with Subsection 26-61a-603(4). 1233 (2) An applicant seeking a designation as a home delivery medical cannabis pharmacy shall 1234 identify in the applicant's operating plan any information relevant to the department's 1235 evaluation described in Subsection (1), including: 1236 (a) the name and contact information of the payment provider; 1237 (b) the nature of the relationship between the prospective licensee and the payment 1238 provider; 1239 (c) the processes of the following to safely and reliably conduct transactions for medical 1240 cannabis shipments: 1241 (i) the prospective licensee; and 1242 (ii) the electronic payment provider or the financial institution described in 1243 Subsection (1)(c); and 1244 (d) the ability of the licensee to comply with the department's rules regarding the secure 1245 transportation and delivery of medical cannabis [or medical cannabis product ]to a 1246 medical cannabis cardholder. 1247 (3) Notwithstanding any county or municipal ordinance, a medical cannabis pharmacy that 1248 the department designates as a home delivery medical cannabis pharmacy may deliver 1249 medical cannabis shipments in accordance with this part. 1250 Section 19. Section 4-41a-1202 is amended to read: 1251 4-41a-1202 . Home delivery of medical cannabis shipments -- Medical cannabis 1252 couriers -- License. - 37 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1253 (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah 1254 Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home 1255 delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders[ 1256 that the state central patient portal facilitates], including rules regarding the safe and 1257 controlled delivery of medical cannabis shipments. 1258 (2) A person may not operate as a medical cannabis courier without a license that the 1259 department issues under this section. 1260 (3)(a) Subject to Subsections (5) and (6), the department shall issue a license to operate 1261 as a medical cannabis courier to an applicant who is eligible for a license under this 1262 section. 1263 (b) An applicant is eligible for a license under this section if the applicant submits to the 1264 department: 1265 (i) the name and address of an individual who: 1266 (A) has a financial or voting interest of 10% or greater in the proposed medical 1267 cannabis courier; or 1268 (B) has the power to direct or cause the management or control of a proposed 1269 cannabis production establishment; 1270 (ii) an operating plan that includes operating procedures to comply with the operating 1271 requirements for a medical cannabis courier described in this chapter; and 1272 (iii) an application fee in an amount that, subject to Subsection 4-41a-104(5), the 1273 department sets in accordance with Section 63J-1-504. 1274 (4) If the department determines that an applicant is eligible for a license under this section, 1275 the department shall: 1276 (a) charge the applicant an initial license fee in an amount that, subject to Subsection 1277 4-41a-104(5), the department sets in accordance with Section 63J-1-504; and 1278 (b) notify the Department of Public Safety of the license approval and the names of each 1279 individual described in Subsection (3)(b)(i). 1280 (5) The department may not issue a license to operate as a medical cannabis courier to an 1281 applicant if an individual described in Subsection (3)(b)(i): 1282 (a) has been convicted under state or federal law of: 1283 (i) a felony in the preceding 10 years; or 1284 (ii) after September 23, 2019, a misdemeanor for drug distribution; or 1285 (b) is younger than 21 years old. 1286 (6) The department may revoke a license under this part if: - 38 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1287 (a) the medical cannabis courier does not begin operations within one year after the day 1288 on which the department issues the initial license; 1289 (b) the medical cannabis courier makes the same violation of this chapter three times; 1290 (c) an individual described in Subsection (3)(b)(i) is convicted, while the license is 1291 active, under state or federal law of: 1292 (i) a felony; or 1293 (ii) after September 23, 2019, a misdemeanor for drug distribution; or 1294 (d) after a change of ownership described in Subsection (14)(c), the department 1295 determines that the medical cannabis courier no longer meets the minimum standards 1296 for licensure and operation of the medical cannabis courier described in this chapter. 1297 (7) The department shall deposit the proceeds of a fee imposed by this section in the 1298 Qualified Production Enterprise Fund. 1299 (8) The department's authority to issue a license under this section is plenary and is not 1300 subject to review. 1301 (9) Each applicant for a license as a medical cannabis courier shall submit, at the time of 1302 application, from each individual who has a financial or voting interest of 10% or 1303 greater in the applicant or who has the power to direct or cause the management or 1304 control of the applicant: 1305 (a) a fingerprint card in a form acceptable to the Department of Public Safety; 1306 (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the 1307 registration of the individual's fingerprints in the Federal Bureau of Investigation 1308 Next Generation Identification System's Rap Back Service; and 1309 (c) consent to a fingerprint background check by: 1310 (i) the Bureau of Criminal Identification; and 1311 (ii) the Federal Bureau of Investigation. 1312 (10) The Bureau of Criminal Identification shall: 1313 (a) check the fingerprints the applicant submits under Subsection (9) against the 1314 applicable state, regional, and national criminal records databases, including the 1315 Federal Bureau of Investigation Next Generation Identification System; 1316 (b) report the results of the background check to the department; 1317 (c) maintain a separate file of fingerprints that applicants submit under Subsection (9) 1318 for search by future submissions to the local and regional criminal records databases, 1319 including latent prints; 1320 (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next - 39 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1321 Generation Identification System's Rap Back Service for search by future 1322 submissions to national criminal records databases, including the Next Generation 1323 Identification System and latent prints; and 1324 (e) establish a privacy risk mitigation strategy to ensure that the department only 1325 receives notifications for an individual with whom the department maintains an 1326 authorizing relationship. 1327 (11) The department shall: 1328 (a) assess an individual who submits fingerprints under Subsection (9) a fee in an 1329 amount that the department sets in accordance with Section 63J-1-504 for the 1330 services that the Bureau of Criminal Identification or another authorized agency 1331 provides under this section; and 1332 (b) remit the fee described in Subsection (11)(a) to the Bureau of Criminal Identification. 1333 (12) The department shall renew a license under this section every year if, at the time of 1334 renewal: 1335 (a) the licensee meets the requirements of this section; and 1336 (b) the licensee pays the department a license renewal fee in an amount that, subject to 1337 Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504. 1338 (13) A person applying for a medical cannabis courier license shall submit to the 1339 department a proposed operating plan that complies with this section and that includes: 1340 (a) a description of the physical characteristics of any proposed facilities, including a 1341 floor plan and an architectural elevation, and delivery vehicles; 1342 (b) a description of the credentials and experience of each officer, director, or owner of 1343 the proposed medical cannabis courier; 1344 (c) the medical cannabis courier's employee training standards; 1345 (d) a security plan; and 1346 (e) storage and delivery protocols, both short and long term, to ensure that medical 1347 cannabis shipments are stored and delivered in a manner that is sanitary and 1348 preserves the integrity of the cannabis. 1349 (14)(a) A medical cannabis courier license is not transferable or assignable. 1350 (b) A medical cannabis courier shall report in writing to the department no later than 10 1351 business days before the date of any change of ownership of the medical cannabis 1352 courier. 1353 (c) If the ownership of a medical cannabis courier changes by 50% or more: 1354 (i) concurrent with the report described in Subsection (14)(b), the medical cannabis - 40 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1355 courier shall submit a new application described in Subsection (3)(b); 1356 (ii) within 30 days of the submission of the application, the department shall: 1357 (A) conduct an application review; and 1358 (B) award a license to the medical cannabis courier for the remainder of the term 1359 of the medical cannabis courier's license before the ownership change if the 1360 medical cannabis courier meets the minimum standards for licensure and 1361 operation of the medical cannabis courier described in this chapter; and 1362 (iii) if the department approves the license application, notwithstanding Subsection 1363 (4), the medical cannabis courier shall pay a license fee that the department sets in 1364 accordance with Section 63J-1-504 in an amount that covers the board's cost of 1365 conducting the application review. 1366 (15)(a) Except as provided in Subsection(15)(b), a person may not advertise regarding 1367 the transportation of medical cannabis. 1368 (b) Notwithstanding Subsection (14)(a) and subject to Section 4-41a-109, a licensed 1369 home delivery medical cannabis pharmacy or a licensed medical cannabis courier 1370 may advertise: 1371 (i) a green cross; 1372 (ii) the pharmacy's or courier's name and logo; and 1373 (iii) that the pharmacy or courier is licensed to transport medical cannabis shipments. 1374 Section 20. Section 4-41a-1203 is amended to read: 1375 4-41a-1203 . Medical cannabis shipment transportation. 1376 (1) The department shall ensure that each home delivery medical cannabis pharmacy is 1377 capable of delivering, directly or through a medical cannabis courier, medical cannabis 1378 shipments in a secure manner. 1379 (2)(a) A home delivery medical cannabis pharmacy may contract with a licensed 1380 medical cannabis courier to deliver medical cannabis shipments to fulfill electronic 1381 medical cannabis orders[ that the state central patient portal facilitates]. 1382 (b) If a home delivery medical cannabis pharmacy enters into a contract described in 1383 Subsection (2)(a), the pharmacy shall: 1384 (i) impose security and personnel requirements on the medical cannabis courier 1385 sufficient to ensure the security and safety of medical cannabis shipments; and 1386 (ii) provide regular oversight of the medical cannabis courier. 1387 (3) Notwithstanding Subsection 4-41a-404(1), an individual may transport a medical 1388 cannabis shipment if the individual is: - 41 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1389 (a) a registered pharmacy medical provider; 1390 (b) a registered medical cannabis pharmacy agent; or 1391 (c) a registered agent of the medical cannabis courier described in Subsection (2). 1392 (4) An individual transporting a medical cannabis shipment under Subsection (3) shall 1393 comply with the requirements of Subsection 4-41a-404(3). 1394 (5) In addition to the requirements in Subsections (3) and (4), the department may establish 1395 by rule, in collaboration with the Division of Professional Licensing and the Board of 1396 Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative 1397 Rulemaking Act, requirements for transporting medical cannabis shipments that are 1398 related to safety for human consumption of [cannabis or a cannabis product] medical 1399 cannabis. 1400 (6)(a) It is unlawful for an individual to transport a medical cannabis shipment with a 1401 manifest that does not meet the requirements of Subsection (4). 1402 (b) Except as provided in Subsection (6)(d), an individual who violates Subsection (6)(a) 1403 is: 1404 (i) guilty of an infraction; and 1405 (ii) subject to a $100 fine. 1406 (c) An individual who is guilty of a violation described in Subsection (6)(b) is not guilty 1407 of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the 1408 conduct underlying the violation described in Subsection (6)(b). 1409 (d) If the individual described in Subsection (6)(a) is transporting more cannabis, 1410 cannabis product, or medical cannabis devices than the manifest identifies, except for 1411 a de minimis administrative error: 1412 (i) this chapter does not apply; and 1413 (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled 1414 Substances Act. 1415 Section 21. Section 4-41a-1206 is amended to read: 1416 4-41a-1206 . Closed-door medical cannabis pharmacy. 1417 (1)(a) Subject to Subsections (1)(b) and (c), a home delivery medical cannabis pharmacy 1418 may open a single closed-door medical cannabis pharmacy. 1419 (b) A home delivery medical cannabis pharmacy may not open a closed-door medical 1420 cannabis pharmacy unless the home delivery medical cannabis pharmacy: 1421 (i) has an operating plan that includes a closed-door medical cannabis pharmacy; and 1422 (ii) obtains a license issued by the department for a closed-door medical cannabis - 42 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1423 pharmacy. 1424 (c) An entity that owns multiple home delivery medical cannabis pharmacies may open 1425 only one closed-door medical cannabis pharmacy. 1426 (d) The department may institute a fee in accordance with Section 63J-1-504 to 1427 administer this section. 1428 (2) A home delivery medical cannabis pharmacy that opens a closed-door medical cannabis 1429 pharmacy under Subsection (1) shall ensure: 1430 (a) that a pharmacy medical provider who is a licensed pharmacist: 1431 (i) is directly supervising the packaging of an order; and 1432 (ii) is present in the closed-door medical cannabis pharmacy when an order is 1433 packaged for delivery; and 1434 (b) all record keeping requirements, labeling requirements, and patient counseling 1435 requirements described in this chapter and Title 26B, Chapter 4, Part 2, Cannabinoid 1436 Research and Medical Cannabis, are satisfied before sending out an order. 1437 (3) An individual who prepares an order at a closed-door medical cannabis pharmacy under 1438 this section shall be registered as: 1439 (a) a pharmacy medical provider; or 1440 (b) a medical cannabis pharmacy agent. 1441 (4)(a) A closed-door medical cannabis pharmacy shall operate: 1442 (i) except as provided in Subsection (4)(b), in a facility that is accessible only by an 1443 individual who is a pharmacy medical provider or a medical cannabis pharmacy 1444 agent; and 1445 (ii) at a physical address in accordance with Subsection (6). 1446 (b) A closed-door medical cannabis pharmacy may authorize an individual who is at 1447 least 18 years old and is not a pharmacy medical provider or a cannabis pharmacy 1448 agent to access the closed-door medical cannabis pharmacy if the closed-door 1449 medical cannabis pharmacy: 1450 (i) tracks and monitors the individual at all times while the individual is at the 1451 closed-door medical cannabis pharmacy; and 1452 (ii) maintains a record of the individual's access, including arrival and departure. 1453 (c) A closed-door medical cannabis pharmacy shall operate in a facility that has: 1454 (i) a single, secure public entrance; and 1455 (ii) a security system with a backup power source that: 1456 (A) detects and records entry into the closed-door medical cannabis pharmacy; - 43 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1457 (B) provides notice of an unauthorized entry to law enforcement when the 1458 closed-door medical cannabis pharmacy is closed; and 1459 (C) a lock or equivalent restrictive security feature on any area where the 1460 closed-door medical cannabis pharmacy stores a cannabis product. 1461 (d) A closed-door medical cannabis pharmacy shall ensure that any cannabis or cannabis 1462 products in the closed-door medical cannabis pharmacy that are intended for home 1463 delivery are separated in a manner that is readily distinguishable from any other 1464 cannabis or cannabis product in the facility. 1465 (5) A closed-door medical cannabis pharmacy may only provide cannabis or a cannabis 1466 product to an individual through a delivery that complies with this part. 1467 (6)(a) A person may not locate a closed-door medical cannabis pharmacy: 1468 (i) within 1,000 feet of a community location; or 1469 (ii) in or within 600 feet of a district that the relevant municipality or county has 1470 zoned as primarily residential. 1471 (b) The proximity requirements described in Subsection (6)(a) shall be measured from 1472 the nearest entrance to the closed-door medical cannabis pharmacy by following the 1473 shortest route of ordinary pedestrian travel to the property boundary of the 1474 community location or residential area. 1475 (c) The licensing board may grant a waiver to reduce the proximity requirements in 1476 Subsection (6)(a) by up to 20% if the licensing board determines that it is not 1477 reasonably feasible for the applicant to site the proposed closed-door medical 1478 cannabis pharmacy without the waiver. 1479 (d) An applicant for a license under this section shall provide evidence of compliance 1480 with the proximity requirements described in Subsection (6)(a). 1481 (7) When determining where a closed-door medical cannabis pharmacy may open, the 1482 licensing board: 1483 (a) shall utilize geographic regions created by the department through rule; 1484 (b) shall prioritize allowing entities that do not have a medical cannabis pharmacy in a 1485 region to open a closed-door medical cannabis pharmacy in the region; 1486 (c) of the total amount of closed-door medical cannabis pharmacies, may allow only 1487 three closed-door medical cannabis pharmacies to operate in counties of the first and 1488 second class as described in Section 17-50-501; and 1489 (d) for determining the three closed-door medical cannabis pharmacies described in 1490 Subsection (7)(c), consider the following: - 44 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1491 (i) the history of compliance with state law and rules for all licenses issued under this 1492 chapter; 1493 (ii) the medical cannabis pharmacy's willingness to offer a variety of brands and 1494 products; 1495 (iii) the ability of the operating plan to ensure the safety and security of the 1496 community; 1497 (iv) the suitability of the proposed location and the location's ability to serve the local 1498 community; and 1499 (v) any other relevant information determined through rule. 1500 (8) A closed-door medical cannabis pharmacy may not account for more than: 1501 (a) for an entity that holds a single medical cannabis pharmacy license, the greater of: 1502 (i) 35% of the medical cannabis pharmacy's total revenue; or 1503 (ii) $2,000,000 in total revenue; or 1504 (b) for an entity that holds more than one medical cannabis pharmacy license, the greater 1505 of: 1506 (i) 35% of the total revenue of the entity's medical cannabis pharmacy that generates 1507 the most revenue; or 1508 (ii) $2,000,000 in total revenue. 1509 (9) Notwithstanding any other provision of this section, the [department] licensing board 1510 may issue only [three] one closed-door medical cannabis pharmacy [licenses] license 1511 before July 1, 2027. 1512 (10) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 1513 department shall make rules to implement this section. 1514 Section 22. Section 26B-1-435 is amended to read: 1515 26B-1-435 . Medical Cannabis Policy Advisory Board creation -- Membership -- 1516 Duties. 1517 (1) There is created within the department the Medical Cannabis Policy Advisory Board. 1518 (2)(a) The advisory board shall consist of the following members: 1519 (i) appointed by the executive director: 1520 (A) a qualified medical provider who has recommended medical cannabis to at 1521 least 100 patients before being appointed; 1522 [(B) a medical research professional;] 1523 [(C)] (B) a mental health specialist; 1524 [(D)] (C) an individual who represents an organization that advocates for medical - 45 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1525 cannabis patients; 1526 [(E)] (D) [an individual] a member of the general public who holds a medical 1527 cannabis patient card; and 1528 [(F)] (E) a member of the general public who does not hold a medical cannabis 1529 card;[ and] 1530 (ii) appointed by the commissioner of the Department of Agriculture and Food: 1531 (A) an individual who owns or operates a licensed cannabis cultivation facility, as 1532 defined in Section 4-41a-102; 1533 (B) an individual who owns or operates a licensed medical cannabis pharmacy; 1534 and 1535 (C) a law enforcement officer[.] ; and 1536 (iii) a representative from the Center for Medical Cannabis Research created in 1537 Section 53B-14-1402, appointed by the Center for Medical Cannabis Research. 1538 (b) The commissioner of the Department of Agriculture and Food shall ensure that at 1539 least one individual appointed under Subsection (2)(a)(ii)(A) or (B) also owns or 1540 operates a licensed cannabis processing facility. 1541 (3)(a) Subject to Subsection (3)(b), a member of the advisory board shall serve for a four 1542 year term. 1543 (b) When appointing the initial membership of the advisory board, the executive director 1544 and the commissioner of the Department of Agriculture and Food shall coordinate to 1545 appoint four advisory board members to serve a term of two years to ensure that 1546 approximately half of the board is appointed every two years. 1547 (4)(a) If an advisory board member is no longer able to serve as a member, a new 1548 member shall be appointed in the same manner as the original appointment. 1549 (b) A member appointed in accordance with Subsection (4)(a) shall serve for the 1550 remainder of the unexpired term of the original appointment. 1551 (5)(a) A majority of the advisory board members constitutes a quorum. 1552 (b) The action of a majority of a quorum constitutes an action of the advisory board. 1553 (c) For a term lasting one year, the advisory board shall annually designate members of 1554 the advisory board to serve as chair and vice-chair. 1555 (d) When designating the chair and vice-chair, the advisory board shall ensure that at 1556 least one individual described Subsection (2)(a)(i) is appointed as chair or vice-chair. 1557 (6) An advisory board member may not receive compensation or benefits for the member's 1558 service on the advisory board but may receive per diem and reimbursement for travel - 46 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1559 expenses incurred as an advisory board member in accordance with: 1560 (a) Sections 63A-3-106 and 63A-3-107; and 1561 (b) rules made by the Division of Finance pursuant to Sections 63A-3-106 and 1562 63A-3-107. 1563 (7) The department shall: 1564 (a) provide staff support for the advisory board; and 1565 (b) assist the advisory board in conducting meetings. 1566 (8) The advisory board may recommend: 1567 (a) to the department or the Department of Agriculture and Food changes to current or 1568 proposed medical cannabis rules or statutes; and 1569 (b) to the appropriate legislative committee whether the advisory board supports a 1570 change to medical cannabis statutes. 1571 (9) The advisory board shall: 1572 (a) review any draft rule that is authorized under [this chapter] Chapter 4, Part 2, 1573 Cannabinoid Research and Medical Cannabis, or Title 4, Chapter 41a, Cannabis 1574 Production Establishments and Pharmacies; 1575 (b) consult with the Department of Agriculture and Food regarding the issuance of an 1576 additional: 1577 (i) cultivation facility license under Section 4-41a-205; or 1578 (ii) pharmacy license under Section 4-41a-1005; 1579 (c) consult with the department regarding cannabis patient education; 1580 (d) consult regarding the reasonableness of any fees set by the department or the 1581 Department of Agriculture and Food that pertain to the medical cannabis program; 1582 and 1583 (e) consult regarding any issue pertaining to medical cannabis when asked by the 1584 department or the Utah Department of Agriculture and Food. 1585 Section 23. Section 26B-4-201 is amended to read: 1586 26B-4-201 . Definitions. 1587 As used in this part: 1588 (1) "Active tetrahydrocannabinol" means THC, any THC analog, and 1589 tetrahydrocannabinolic acid. 1590 (2) "Administration of criminal justice" means the performance of detection, apprehension, 1591 detention, pretrial release, post-trial release, prosecution, and adjudication. 1592 (3) "Advertise" means information provided by a person in any medium: - 47 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1593 (a) to the public; and 1594 (b) that is not age restricted to an individual who is at least 21 years old. 1595 (4) "Advisory board" means the Medical Cannabis Policy Advisory Board created in 1596 Section 26B-1-435. 1597 (5) "Cannabis Research Review Board" means the Cannabis Research Review Board 1598 created in Section 26B-1-420. 1599 (6) "Cannabis" means marijuana. 1600 (7) "Cannabis processing facility" means the same as that term is defined in Section 1601 4-41a-102. 1602 (8) "Cannabis product" means a product that: 1603 (a) is intended for human use; and 1604 (b) contains cannabis or any tetrahydrocannabinol or THC analog in a total 1605 concentration of 0.3% or greater on a dry weight basis. 1606 (9) "Cannabis production establishment" means the same as that term is defined in Section 1607 4-41a-102. 1608 (10) "Cannabis production establishment agent" means the same as that term is defined in 1609 Section 4-41a-102. 1610 (11) "Cannabis production establishment agent registration card" means the same as that 1611 term is defined in Section 4-41a-102. 1612 (12) "Conditional medical cannabis card" means an electronic medical cannabis card that 1613 the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an 1614 applicant for a medical cannabis card to access medical cannabis during the department's 1615 review of the application. 1616 (13) "Controlled substance database" means the controlled substance database created in 1617 Section 58-37f-201. 1618 (14) "Delivery address" means the same as that term is defined in Section 4-41a-102. 1619 (15) "Department" means the Department of Health and Human Services. 1620 (16) "Designated caregiver" means: 1621 (a) an individual: 1622 (i) whom an individual with a medical cannabis patient card or a medical cannabis 1623 guardian card designates as the patient's caregiver; and 1624 (ii) who registers with the department under Section 26B-4-214; or 1625 (b)(i) a facility that an individual designates as a designated caregiver in accordance 1626 with Subsection 26B-4-214(1)(b); or - 48 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1627 (ii) an assigned employee of the facility described in Subsection 26B-4-214(1)(b)(ii). 1628 (17) "Directions of use" means recommended routes of administration for a medical 1629 cannabis treatment and suggested usage guidelines. 1630 (18) "Dosing guidelines" means a quantity range and frequency of administration for a 1631 recommended treatment of medical cannabis. 1632 (19) "Government issued photo identification" means any of the following forms of 1633 identification: 1634 (a) a valid state-issued driver license or identification card; 1635 (b) a valid United States federal-issued photo identification, including: 1636 (i) a United States passport; 1637 (ii) a United States passport card; 1638 (iii) a United States military identification card; or 1639 (iv) a permanent resident card or alien registration receipt card; or 1640 (c) a foreign passport. 1641 (20) "Home delivery medical cannabis pharmacy" means a medical cannabis pharmacy that 1642 the department authorizes, as part of the pharmacy's license, to deliver medical cannabis 1643 shipments to a delivery address to fulfill electronic orders[ that the state central patient 1644 portal facilitates]. 1645 (21) "Inventory control system" means the system described in Section 4-41a-103. 1646 (22) "Legal dosage limit" means an amount that: 1647 (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the 1648 relevant recommending medical provider or [the state central patient portal or ] 1649 pharmacy medical provider, in accordance with Subsection 26B-4-230(5), 1650 recommends; and 1651 (b) may not exceed: 1652 (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and 1653 (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in 1654 total, greater than 20 grams of active tetrahydrocannabinol. 1655 (23) "Legal use termination date" means a date on the label of a container of unprocessed 1656 cannabis flower: 1657 (a) that is 60 days after the date of purchase of the cannabis; and 1658 (b) after which, the cannabis is no longer in a medicinal dosage form outside of the 1659 primary residence of the relevant medical cannabis patient cardholder. 1660 (24) "Limited medical provider" means an individual who: - 49 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1661 (a) meets the recommending qualifications; and 1662 (b) has no more than 15 patients with a valid medical cannabis patient card as a result of 1663 the individual's recommendation, in accordance with Subsection 26B-4-204(1)(b). 1664 (25) "Marijuana" means the same as that term is defined in Section 58-37-2. 1665 (26) "Medical cannabis" or "medical cannabis product" means cannabis in a medicinal 1666 dosage form or a cannabis product in a medicinal dosage form. 1667 (27) "Medical cannabis card" means a medical cannabis patient card, a medical cannabis 1668 guardian card, a medical cannabis caregiver card, or a conditional medical cannabis card. 1669 (28) "Medical cannabis cardholder" means: 1670 (a) a holder of a medical cannabis card; or 1671 (b) a facility or assigned employee, described in Subsection (16)(b), only: 1672 (i) within the scope of the facility's or assigned employee's performance of the role of 1673 a medical cannabis patient cardholder's caregiver designation under Subsection 1674 26B-4-214(1)(b); and 1675 (ii) while in possession of documentation that establishes: 1676 (A) a caregiver designation described in Subsection 26B-4-214(1)(b); 1677 (B) the identity of the individual presenting the documentation; and 1678 (C) the relation of the individual presenting the documentation to the caregiver 1679 designation. 1680 (29) "Medical cannabis caregiver card" means an electronic document that a cardholder 1681 may print or store on an electronic device or a physical card or document that: 1682 (a) the department issues to an individual whom a medical cannabis patient cardholder 1683 or a medical cannabis guardian cardholder designates as a designated caregiver; and 1684 (b) is connected to the electronic verification system. 1685 (30) "Medical cannabis courier" means the same as that term is defined in Section 1686 4-41a-102. 1687 (31)(a) "Medical cannabis device" means a device that an individual uses to ingest or 1688 inhale [cannabis in a medicinal dosage form or a cannabis product in a medicinal 1689 dosage form] medical cannabis. 1690 (b) "Medical cannabis device" does not include a device that: 1691 (i) facilitates cannabis combustion; or 1692 (ii) an individual uses to ingest substances other than cannabis. 1693 (32) "Medical cannabis guardian card" means an electronic document that a cardholder may 1694 print or store on an electronic device or a physical card or document that: - 50 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1695 (a) the department issues to the parent or legal guardian of a minor with a qualifying 1696 condition; and 1697 (b) is connected to the electronic verification system. 1698 (33) "Medical cannabis patient card" means an electronic document that a cardholder may 1699 print or store on an electronic device or a physical card or document that: 1700 (a) the department issues to an individual with a qualifying condition; and 1701 (b) is connected to the electronic verification system. 1702 (34) "Medical cannabis pharmacy" means a person that: 1703 (a)(i) acquires or intends to acquire medical cannabis [or a cannabis product in a 1704 medicinal dosage form ]from a cannabis processing facility or another medical 1705 cannabis pharmacy or a medical cannabis device; or 1706 (ii) possesses medical cannabis or a medical cannabis device; and 1707 (b) sells or intends to sell medical cannabis or a medical cannabis device to a medical 1708 cannabis cardholder. 1709 (35) "Medical cannabis pharmacy agent" means an individual who holds a valid medical 1710 cannabis pharmacy agent registration card issued by the department. 1711 (36) "Medical cannabis pharmacy agent registration card" means a registration card issued 1712 by the department that authorizes an individual to act as a medical cannabis pharmacy 1713 agent. 1714 (37) "Medical cannabis shipment" means the same as that term is defined in Section 1715 4-41a-102. 1716 (38) "Medical cannabis treatment" means [cannabis in a medicinal dosage form, a cannabis 1717 product in a medicinal dosage form, or] medical cannabis or a medical cannabis device. 1718 (39)(a) "Medicinal dosage form" means: 1719 (i) for processed medical cannabis, the following with a specific and consistent 1720 cannabinoid content: 1721 (A) a tablet; 1722 (B) a capsule; 1723 (C) a concentrated liquid or viscous oil; 1724 (D) a liquid suspension that does not exceed 30 milliliters; 1725 (E) a topical preparation; 1726 (F) a transdermal preparation; 1727 (G) a sublingual preparation; 1728 (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or - 51 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1729 rectangular cuboid shape; 1730 (I) a resin or wax; 1731 (J) an aerosol; 1732 (K) a suppository preparation; or 1733 (L) a soft or hard confection that is a uniform rectangular cuboid or uniform 1734 spherical shape, is homogeneous in color and texture, and each piece is a single 1735 serving; or 1736 (ii) for unprocessed cannabis flower, a container described in Section 4-41a-602 that: 1737 (A) contains cannabis flower in a quantity that varies by no more than 10% from 1738 the stated weight at the time of packaging; 1739 (B) at any time the medical cannabis cardholder transports or possesses the 1740 container in public, is contained within an opaque bag or box that the medical 1741 cannabis pharmacy provides; and 1742 (C) is labeled with the container's content and weight, the date of purchase, the 1743 legal use termination date, and a barcode that provides information connected 1744 to an inventory control system. 1745 (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that: 1746 (i) the medical cannabis cardholder has recently removed from the container 1747 described in Subsection (39)(a)(ii) for use; and 1748 (ii) does not exceed the quantity described in Subsection (39)(a)(ii). 1749 (c) "Medicinal dosage form" does not include: 1750 (i) any unprocessed cannabis flower outside of the container described in Subsection 1751 (39)(a)(ii), except as provided in Subsection (39)(b); 1752 (ii) any unprocessed cannabis flower in a container described in Subsection 1753 (39)(a)(ii) after the legal use termination date; 1754 (iii) a process of vaporizing and inhaling concentrated cannabis by placing the 1755 cannabis on a nail or other metal object that is heated by a flame, including a 1756 blowtorch; 1757 (iv) a liquid suspension that is branded as a beverage; 1758 (v) a substance described in Subsection (39)(a)(i) or (ii) if the substance is not 1759 measured in grams, milligrams, or milliliters; or 1760 (vi) a substance that contains or is covered to any degree with chocolate. 1761 (40) "Nonresident patient" means an individual who: 1762 (a) is not a resident of Utah or has been a resident of Utah for less than 45 days; - 52 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1763 (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis 1764 card under the laws of another state, district, territory, commonwealth, or insular 1765 possession of the United States; and 1766 (c) has been diagnosed with a qualifying condition as described in Section 26B-4-203. 1767 (41) "Pharmacy medical provider" means the medical provider required to be on site at a 1768 medical cannabis pharmacy under Section 26B-4-219. 1769 (42) "Provisional patient card" means a card that: 1770 (a) the department issues to a minor with a qualifying condition for whom: 1771 (i) a recommending medical provider has recommended a medical cannabis 1772 treatment; and 1773 (ii) the department issues a medical cannabis guardian card to the minor's parent or 1774 legal guardian; and 1775 (b) is connected to the electronic verification system. 1776 (43) "Qualified medical provider" means an individual: 1777 (a) who meets the recommending qualifications; and 1778 (b) whom the department registers to recommend treatment with cannabis in a medicinal 1779 dosage form under Section 26B-4-204. 1780 (44) "Qualified Patient Enterprise Fund" means the enterprise fund created in Section 1781 26B-1-310. 1782 (45) "Qualifying condition" means a condition described in Section 26B-4-203. 1783 (46) "Recommend" or "recommendation" means, for a recommending medical provider, the 1784 act of suggesting the use of medical cannabis treatment, which: 1785 (a) certifies the patient's eligibility for a medical cannabis card; and 1786 (b) may include, at the recommending medical provider's discretion, directions of use, 1787 with or without dosing guidelines. 1788 (47) "Recommending medical provider" means a qualified medical provider or a limited 1789 medical provider. 1790 (48) "Recommending qualifications" means that an individual: 1791 (a)(i) has the authority to write a prescription; 1792 (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah 1793 Controlled Substances Act; and 1794 (iii) possesses the authority, in accordance with the individual's scope of practice, to 1795 prescribe a Schedule II controlled substance; and 1796 (b) is licensed as: - 53 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1797 (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act; 1798 (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice 1799 Act; 1800 (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, 1801 Chapter 68, Utah Osteopathic Medical Practice Act; or 1802 (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act. 1803 [(49) "State central patient portal" means the website the department creates, in accordance 1804 with Section 26B-4-236, to facilitate patient safety, education, and an electronic medical 1805 cannabis order.] 1806 [(50)] (49) "State electronic verification system" means the system described in Section 1807 26B-4-202. 1808 [(51)] (50) "Targeted marketing" means the promotion by a qualified medical provider, 1809 medical clinic, or medical office that employs a qualified medical provider of a medical 1810 cannabis recommendation service using any of the following methods: 1811 (a) electronic communication to an individual who is at least 21 years old and has 1812 requested to receive promotional information; 1813 (b) an in-person marketing event that is held in an area where only an individual who is 1814 at least 21 years old may access the event; 1815 (c) other marketing material that is physically or digitally displayed in the office of the 1816 medical clinic or office that employs a qualified medical provider; or 1817 (d) a leaflet that a qualified medical provider, medical clinic, or medical office that 1818 employs a qualified medical provider shares with an individual who is at least 21 1819 years old. 1820 [(52)] (51) "Tetrahydrocannabinol" or "THC" means a substance derived from cannabis or a 1821 synthetic equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA). 1822 [(53)] (52) "THC analog" means the same as that term is defined in Section 4-41-102. 1823 Section 24. Section 26B-4-202 is amended to read: 1824 26B-4-202 . Electronic verification system. 1825 (1) The Department of Agriculture and Food, the department, the Department of Public 1826 Safety, and the Division of Technology Services shall: 1827 (a) enter into a memorandum of understanding in order to determine the function and 1828 operation of the state electronic verification system in accordance with Subsection 1829 (2); 1830 (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah - 54 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1831 Procurement Code, to develop a request for proposals for a third-party provider to 1832 develop and maintain the state electronic verification system in coordination with the 1833 Division of Technology Services; and 1834 (c) select a third-party provider who: 1835 (i) meets the requirements contained in the request for proposals issued under 1836 Subsection (1)(b); and 1837 (ii) may not have any commercial or ownership interest in a cannabis production 1838 establishment or a medical cannabis pharmacy. 1839 (2) The Department of Agriculture and Food, the department, the Department of Public 1840 Safety, and the Division of Technology Services shall ensure that the state electronic 1841 verification system described in Subsection (1): 1842 (a) allows an individual to apply for a medical cannabis patient card or, if applicable, a 1843 medical cannabis guardian card, provided that the card may not become active until: 1844 (i) the relevant qualified medical provider completes the associated medical cannabis 1845 recommendation; or 1846 (ii) for a medical cannabis card related to a limited medical provider's 1847 recommendation, the medical cannabis pharmacy completes the recording 1848 described in Subsection (2)(d); 1849 (b) allows an individual to apply to renew a medical cannabis patient card or a medical 1850 cannabis guardian card in accordance with Section 26B-4-213; 1851 (c) allows a qualified medical provider, or an employee described in Subsection (3) 1852 acting on behalf of the qualified medical provider, to: 1853 (i) access dispensing and card status information regarding a patient: 1854 (A) with whom the qualified medical provider has a provider-patient relationship; 1855 and 1856 (B) for whom the qualified medical provider has recommended or is considering 1857 recommending a medical cannabis card; 1858 (ii) electronically recommend treatment with [cannabis in a medicinal dosage form or 1859 a cannabis product in a medicinal dosage form] medical cannabis and optionally 1860 recommend dosing guidelines; 1861 (iii) electronically renew a recommendation to a medical cannabis patient cardholder 1862 or medical cannabis guardian cardholder: 1863 (A) using telehealth services, for the qualified medical provider who originally 1864 recommended a medical cannabis treatment during a face-to-face visit with the - 55 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1865 patient; or 1866 (B) during a face-to-face visit with the patient, for a qualified medical provider 1867 who did not originally recommend the medical cannabis treatment during a 1868 face-to-face visit; and 1869 (iv) submit an initial application, renewal application, or application payment on 1870 behalf of an individual applying for any of the following: 1871 (A) a medical cannabis patient card; 1872 (B) a medical cannabis guardian card; or 1873 (C) a medical cannabis caregiver card; 1874 (d) allows a medical cannabis pharmacy medical provider or medical cannabis pharmacy 1875 agent, in accordance with Subsection 4-41a-1101(10)(a), to: 1876 (i) access the electronic verification system to review the history within the system of 1877 a patient with whom the provider or agent is interacting, limited to read-only 1878 access for medical cannabis pharmacy agents unless the medical cannabis 1879 pharmacy's pharmacist in charge authorizes add and edit access; 1880 (ii) record a patient's recommendation from a limited medical provider, including any 1881 directions of use, dosing guidelines, or caregiver indications from the limited 1882 medical provider; 1883 (iii) record a limited medical provider's renewal of the provider's previous 1884 recommendation; and 1885 (iv) submit an initial application, renewal application, or application payment on 1886 behalf of an individual applying for any of the following: 1887 (A) a medical cannabis patient card; 1888 (B) a medical cannabis guardian card; or 1889 (C) a medical cannabis caregiver card; 1890 (e) connects with: 1891 (i) an inventory control system that a medical cannabis pharmacy uses to track in real 1892 time and archive purchases of any [cannabis in a medicinal dosage form, cannabis 1893 product in a medicinal dosage form,] medical cannabis or a medical cannabis 1894 device, including: 1895 (A) the time and date of each purchase; 1896 (B) the quantity and type of [cannabis, cannabis product,] medical cannabis or 1897 medical cannabis device purchased; 1898 (C) any cannabis production establishment, any medical cannabis pharmacy, or - 56 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1899 any medical cannabis courier associated with the [cannabis, cannabis product,] 1900 medical cannabis or medical cannabis device; and 1901 (D) the personally identifiable information of the medical cannabis cardholder 1902 who made the purchase; and 1903 (ii) any commercially available inventory control system that a cannabis production 1904 establishment utilizes in accordance with Section 4-41a-103 to use data that the 1905 Department of Agriculture and Food requires by rule, in accordance with Title 1906 63G, Chapter 3, Utah Administrative Rulemaking Act, from the inventory 1907 tracking system that a licensee uses to track and confirm compliance; 1908 (f) provides access to: 1909 (i) the department to the extent necessary to carry out the department's functions and 1910 responsibilities under this part; 1911 (ii) the Department of Agriculture and Food to the extent necessary to carry out the 1912 functions and responsibilities of the Department of Agriculture and Food under 1913 Title 4, Chapter 41a, Cannabis Production Establishments and Pharmacies; and 1914 (iii) the Division of Professional Licensing to the extent necessary to carry out the 1915 functions and responsibilities related to the participation of the following in the 1916 recommendation and dispensing of medical cannabis: 1917 (A) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing 1918 Act; 1919 (B) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act; 1920 (C) an advanced practice registered nurse licensed under Title 58, Chapter 31b, 1921 Nurse Practice Act; 1922 (D) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or 1923 Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or 1924 (E) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician 1925 Assistant Act; 1926 [(g) provides access to and interaction with the state central patient portal;] 1927 [(h)] (g) communicates dispensing information from a record that a medical cannabis 1928 pharmacy submits to the state electronic verification system under Subsection 1929 4-41a-1102(3)(a)(ii) to the controlled substance database; 1930 [(i)] (h) provides access to state or local law enforcement only to verify the validity of an 1931 individual's medical cannabis card for the administration of criminal justice and 1932 through a database used by law enforcement; and - 57 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 1933 [(j)] (i) creates a record each time a person accesses the system that identifies the person 1934 who accesses the system and the individual whose records the person accesses. 1935 (3)(a) An employee of a qualified medical provider may access the electronic 1936 verification system for a purpose described in Subsection (2)(c) on behalf of the 1937 qualified medical provider if: 1938 (i) the qualified medical provider has designated the employee as an individual 1939 authorized to access the electronic verification system on behalf of the qualified 1940 medical provider; 1941 (ii) the qualified medical provider provides written notice to the department of the 1942 employee's identity and the designation described in Subsection (3)(a)(i); and 1943 (iii) the department grants to the employee access to the electronic verification 1944 system. 1945 (b) An employee of a business that employs a qualified medical provider may access the 1946 electronic verification system for a purpose described in Subsection (2)(c) on behalf 1947 of the qualified medical provider if: 1948 (i) the qualified medical provider has designated the employee as an individual 1949 authorized to access the electronic verification system on behalf of the qualified 1950 medical provider; 1951 (ii) the qualified medical provider and the employing business jointly provide written 1952 notice to the department of the employee's identity and the designation described 1953 in Subsection (3)(b)(i); and 1954 (iii) the department grants to the employee access to the electronic verification 1955 system. 1956 (4)(a) As used in this Subsection (4), "prescribing provider" means: 1957 (i) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act; 1958 (ii) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse 1959 Practice Act; 1960 (iii) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or 1961 Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or 1962 (iv) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician 1963 Assistant Act. 1964 (b) A prescribing provider may access information in the electronic verification system 1965 regarding a patient the prescribing provider treats. 1966 (5) The department may release limited data that the system collects for the purpose of: - 58 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 1967 (a) conducting medical and other department approved research; 1968 (b) providing the report required by Section 26B-4-222; and 1969 (c) other official department purposes. 1970 (6) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah 1971 Administrative Rulemaking Act, to establish: 1972 (a) the limitations on access to the data in the state electronic verification system as 1973 described in this section; and 1974 (b) standards and procedures to ensure accurate identification of an individual requesting 1975 information or receiving information in this section. 1976 (7) Any person who negligently or recklessly releases any information in the state 1977 electronic verification system in violation of this section is guilty of a class C 1978 misdemeanor. 1979 (8) Any person who obtains or attempts to obtain information from the state electronic 1980 verification system by misrepresentation or fraud is guilty of a third degree felony. 1981 (9)(a) Except as provided in Subsections (9)(c) and (9)(e), a person may not knowingly 1982 and intentionally use, release, publish, or otherwise make available to any other 1983 person information obtained from the state electronic verification system for any 1984 purpose other than a purpose specified in this section. 1985 (b) Each separate violation of this Subsection (9) is: 1986 (i) a third degree felony; and 1987 (ii) subject to a civil penalty not to exceed $5,000. 1988 (c) A law enforcement officer who uses the database used by law enforcement to access 1989 information in the electronic verification system for a reason that is not the 1990 administration of criminal justice is guilty of a class B misdemeanor. 1991 (d) The department shall determine a civil violation of this Subsection (9) in accordance 1992 with Title 63G, Chapter 4, Administrative Procedures Act. 1993 (e) Civil penalties assessed under this Subsection (9) shall be deposited into the General 1994 Fund. 1995 (f) This Subsection (9) does not prohibit a person who obtains information from the state 1996 electronic verification system under Subsection (2)(a), (c), or (f) from: 1997 (i) including the information in the person's medical chart or file for access by a 1998 person authorized to review the medical chart or file; 1999 (ii) providing the information to a person in accordance with the requirements of the 2000 Health Insurance Portability and Accountability Act of 1996; or - 59 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2001 (iii) discussing or sharing that information about the patient with the patient. 2002 Section 25. Section 26B-4-214 is amended to read: 2003 26B-4-214 . Medical cannabis caregiver card -- Registration -- Renewal -- 2004 Revocation. 2005 (1)(a) A cardholder described in Section 26B-4-213 may designate[, through the state 2006 central patient portal,] up to two individuals, or an individual and a facility in 2007 accordance with Subsection (1)(b), to serve as a designated caregiver for the 2008 cardholder. 2009 (b)(i) A cardholder described in Section 26B-4-213 may designate one of the 2010 following types of facilities as one of the caregivers described in Subsection (1)(a): 2011 (A) for a patient or resident, an assisted living facility, as that term is defined in 2012 Section 26B-2-201; 2013 (B) for a patient or resident, a nursing care facility, as that term is defined in 2014 Section 26B-2-201; or 2015 (C) for a patient, a general acute hospital, as that term is defined in Section 2016 26B-2-201. 2017 (ii) A facility may: 2018 (A) assign one or more employees to assist patients with medical cannabis 2019 treatment under the caregiver designation described in this Subsection (1)(b); 2020 and 2021 (B) receive a medical cannabis shipment from a medical cannabis pharmacy or a 2022 medical cannabis courier on behalf of the medical cannabis cardholder within 2023 the facility who designated the facility as a caregiver. 2024 (iii) The department shall make rules to regulate the practice of facilities and facility 2025 employees serving as designated caregivers under this Subsection (1)(b). 2026 (c) A parent or legal guardian described in Subsection 26B-4-213(2)(d), in consultation 2027 with the minor and the minor's qualified medical provider, may designate[, through 2028 the state central patient portal,] up to two individuals to serve as a designated 2029 caregiver for the minor, if the department determines that the parent or legal guardian 2030 is not eligible for a medical cannabis guardian card under Section 26B-4-213. 2031 (d)(i) Upon the entry of a caregiver designation under Subsection (1) by a patient 2032 with a terminal illness described in Section 26B-4-203, the department shall issue 2033 to the designated caregiver an electronic conditional medical cannabis caregiver 2034 card, in accordance with this Subsection (1)(d). - 60 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 2035 (ii) A conditional medical cannabis caregiver card is valid for the lesser of: 2036 (A) 60 days; or 2037 (B) the day on which the department completes the department's review and issues 2038 a medical cannabis caregiver card under Subsection (1)(a), denies the patient's 2039 medical cannabis caregiver card application, or revokes the conditional 2040 medical cannabis caregiver card under Section 26B-4-246. 2041 (iii) The department may issue a conditional medical cannabis card to an individual 2042 applying for a medical cannabis patient card for which approval of the 2043 Compassionate Use Board is not required. 2044 (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and 2045 obligations under law applicable to a holder of the medical cannabis card for 2046 which the individual applies and for which the department issues the conditional 2047 medical cannabis card. 2048 (2) An individual that the department registers as a designated caregiver under this section 2049 and a facility described in Subsection (1)(b): 2050 (a) for an individual designated caregiver, may carry a valid medical cannabis caregiver 2051 card; 2052 (b) in accordance with this part, may purchase, possess, transport, or assist the patient in 2053 the use of [cannabis in a medicinal dosage form, a cannabis product in a medicinal 2054 dosage form,] medical cannabis or a medical cannabis device on behalf of the 2055 designating medical cannabis cardholder; 2056 (c) may not charge a fee to an individual to act as the individual's designated caregiver 2057 or for a service that the designated caregiver provides in relation to the role as a 2058 designated caregiver; and 2059 (d) may accept reimbursement from the designating medical cannabis cardholder for 2060 direct costs the designated caregiver incurs for assisting with the designating 2061 cardholder's medicinal use of cannabis. 2062 (3)(a) The department shall: 2063 (i) within 15 days after the day on which an individual submits an application in 2064 compliance with this section, issue a medical cannabis card to the applicant if the 2065 applicant: 2066 (A) is designated as a caregiver under Subsection (1); 2067 (B) is eligible for a medical cannabis caregiver card under Subsection (4); and 2068 (C) complies with this section; and - 61 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2069 (ii) notify the Department of Public Safety of each individual that the department 2070 registers as a designated caregiver. 2071 (b) The department shall ensure that a medical cannabis caregiver card contains the 2072 information described in Subsections (5)(b) and (3)(c)(i). 2073 (c) If a cardholder described in Section 26B-4-213 designates an individual as a 2074 caregiver who already holds a medical cannabis caregiver card, the individual with 2075 the medical cannabis caregiver card: 2076 (i) shall report to the department the information required of applicants under 2077 Subsection (5)(b) regarding the new designation; 2078 (ii) if the individual makes the report described in Subsection (3)(c)(i), is not required 2079 to file an application for another medical cannabis caregiver card; 2080 (iii) may receive an additional medical cannabis caregiver card in relation to each 2081 additional medical cannabis patient who designates the caregiver; and 2082 (iv) is not subject to an additional background check. 2083 (4) An individual is eligible for a medical cannabis caregiver card if the individual: 2084 (a) is at least 21 years old; 2085 (b) is a Utah resident; 2086 (c) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5), 2087 the department sets in accordance with Section 63J-1-504, plus the cost of the 2088 criminal background check described in Section 26B-4-215; and 2089 (d) signs an acknowledgment stating that the applicant received the information 2090 described in Subsection 26B-4-213(9)[ ]. 2091 (5) An eligible applicant for a medical cannabis caregiver card shall: 2092 (a) submit an application for a medical cannabis caregiver card to the department 2093 through an electronic application connected to the state electronic verification 2094 system; and 2095 (b) submit the following information in the application described in Subsection (5)(a): 2096 (i) the applicant's name, gender, age, and address; 2097 (ii) the name, gender, age, and address of the cardholder described in Section 2098 26B-4-213 who designated the applicant; 2099 (iii) if a medical cannabis guardian cardholder designated the caregiver, the name, 2100 gender, and age of the minor receiving a medical cannabis treatment in relation to 2101 the medical cannabis guardian cardholder; and 2102 (iv) any additional information that the department requests to assist in matching the - 62 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 2103 application with the designating medical cannabis patient. 2104 (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the 2105 department issues under this section is valid for the lesser of: 2106 (a) an amount of time that the cardholder described in Section 26B-4-213 who 2107 designated the caregiver determines; or 2108 (b) the amount of time remaining before the card of the cardholder described in Section 2109 26B-4-213 expires. 2110 (7)(a) If a designated caregiver meets the requirements of Subsection (4), the designated 2111 caregiver's medical cannabis caregiver card renews automatically at the time the 2112 cardholder described in Section 26B-4-213 who designated the caregiver: 2113 (i) renews the cardholder's card; and 2114 (ii) renews the caregiver's designation, in accordance with Subsection (7)(b). 2115 (b) The department shall provide a method in the card renewal process to allow a 2116 cardholder described in Section 26B-4-213 who has designated a caregiver to: 2117 (i) signify that the cardholder renews the caregiver's designation; 2118 (ii) remove a caregiver's designation; or 2119 (iii) designate a new caregiver. 2120 (8) The department shall record the issuance or revocation of a medical cannabis card under 2121 this section in the controlled substance database. 2122 Section 26. Section 26B-4-222 is amended to read: 2123 26B-4-222 . Report. 2124 (1) By the November interim meeting each year, the department shall report to the Health 2125 and Human Services Interim Committee on: 2126 (a) the number of applications and renewal applications filed for medical cannabis cards; 2127 (b) the number of qualifying patients and designated caregivers; 2128 (c) the nature of the debilitating medical conditions of the qualifying patients; 2129 (d) the age and county of residence of cardholders; 2130 (e) the number of medical cannabis cards revoked; 2131 (f) the number of practitioners providing recommendations for qualifying patients; 2132 (g) the number of license applications and renewal license applications received; 2133 (h) the number of licenses the department has issued in each county; 2134 (i) the number of licenses the department has revoked; 2135 (j) the quantity of medical cannabis shipments[ that the state central patient portal 2136 facilitates]; - 63 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2137 (k) the number of overall purchases of medical cannabis [and medical cannabis products ] 2138 from each medical cannabis pharmacy; 2139 (l) the expenses incurred and revenues generated from the medical cannabis program; 2140 and 2141 (m) an analysis of product availability in medical cannabis pharmacies in consultation 2142 with the Department of Agriculture and Food. 2143 (2) The report shall include information provided by the Center for Medical Cannabis 2144 Research described in Section 53B-17-1402. 2145 (3) The department may not include personally identifying information in the report 2146 described in this section. 2147 (4) The department shall report to the working group described in Section 36-12-8.2 as 2148 requested by the working group. 2149 Section 27. Section 58-37-3.6 is amended to read: 2150 58-37-3.6 . Exemption for possession or distribution of a cannabinoid product, 2151 expanded cannabinoid product, or transportable industrial hemp concentrate. 2152 (1) As used in this section: 2153 (a) "Cannabinoid product" means a product intended for human ingestion that: 2154 (i) contains an extract or concentrate that is obtained from cannabis; and 2155 [(ii) is prepared in a medicinal dosage form; and] 2156 [(iii)] (ii) contains at least 10 units of cannabidiol for every one unit of 2157 tetrahydrocannabinol. 2158 (b) "Cannabis" means any part of the plant cannabis sativa, whether growing or not. 2159 [(c) "Drug paraphernalia" means the same as that term is defined in Section 58-37a-3.] 2160 [(d)] (c) "Expanded cannabinoid product" means a product intended for human ingestion 2161 that: 2162 (i) contains an extract or concentrate that is obtained from cannabis; and 2163 [(ii) is prepared in a medicinal dosage form; and] 2164 [(iii)] (ii) contains less than 10 units of cannabidiol for every one unit of 2165 tetrahydrocannabinol. 2166 [(e) "Hemp cannabinoid product" means a product that:] 2167 [(i) contains or is represented to contain one or more naturally occurring 2168 cannabinoids;] 2169 [(ii) contains less than the cannabinoid product THC level, by dry weight;] 2170 [(iii) contains a combined amount of total THC and any THC analog that does not - 64 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 2171 exceed 10% of the total cannabinoid content;] 2172 [(iv) does not exceed a total of THC and any THC analog that is greater than five 2173 milligrams per serving and 150 milligrams per package; and] 2174 [(v) unless the product is in an oil based suspension, has a serving size that is an 2175 integer.] 2176 [(f)] (d) "Transportable industrial hemp concentrate" means any amount of a natural 2177 cannabinoid in a purified state that: 2178 (i) is the product of any chemical or physical process applied to naturally occurring 2179 biomass that concentrates or isolates the cannabinoids contained in the biomass; 2180 (ii) is derived from a cannabis plant that, based on sampling that was collected no 2181 more than 30 days before the day on which the cannabis plant was harvested, 2182 contains a combined concentration of total THC and any THC analog of less than 2183 0.3% on a dry weight basis; and 2184 (iii) has a THC and THC analog concentration total less than 20% when concentrated 2185 from the cannabis plant to the purified state. 2186 [(g) "Medicinal dosage form" means:] 2187 [(i) a tablet;] 2188 [(ii) a capsule;] 2189 [(iii) a concentrated oil;] 2190 [(iv) a liquid suspension;] 2191 [(v) a transdermal preparation; or] 2192 [(vi) a sublingual preparation.] 2193 [(h)] (e) "Tetrahydrocannabinol" means a substance derived from cannabis that meets the 2194 description in Subsection 58-37-4(2)(a)(iii)(AA). 2195 (2) Notwithstanding any other provision of this chapter an individual who possesses or 2196 distributes a cannabinoid product or an expanded cannabinoid product is not subject to 2197 the penalties described in this title for the possession or distribution of marijuana or 2198 tetrahydrocannabinol to the extent that the individual's possession or distribution of the 2199 cannabinoid product or expanded cannabinoid product complies with [Title 26B, 2200 Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis] Section 26B-4-212. 2201 (3) Notwithstanding any other provision of this chapter, a person who possesses and 2202 distributes transportable industrial hemp concentrate is not subject to the penalties 2203 described in this chapter for the possession or distribution of transportable industrial 2204 hemp concentrate if the transportable industrial hemp concentrate is handled in - 65 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2205 accordance with the rules established under Subsection 4-41-103.1(1)(e) or is destroyed. 2206 Section 28. Section 58-85-102 is amended to read: 2207 58-85-102 . Definitions. 2208 As used in this chapter: 2209 (1) "Eligible patient" means an individual who has been diagnosed with a terminal illness 2210 by a physician. 2211 (2) "Insurer" means the same as that term is defined in Section 31A-1-301. 2212 (3) "Investigational device" means a device that: 2213 (a) meets the definition of "investigational device" in 21 C.F.R. Sec. 812.3; and 2214 (b) has successfully completed the United States Food and Drug Administration Phase 1 2215 testing for an investigational device described in 21 C.F.R. Part 812. 2216 (4) "Investigational drug" means a drug that: 2217 (a) meets the definition of "investigational new drug" in 21 C.F.R. Sec. 312.3; and 2218 (b) has successfully completed the United States Food and Drug Administration Phase 1 2219 testing for an investigational new drug described in 21 C.F.R. Part 312. 2220 (5) "Medicinal dosage form" [means the same as that term is defined in Section 58-37-3.6.] 2221 means: 2222 (a) a tablet; 2223 (b) a capsule; 2224 (c) a concentrated oil; 2225 (d) a liquid suspension; 2226 (e) a transdermal preparation; or 2227 (f) a sublingual preparation. 2228 (6) "Physician" means an individual who is licensed under: 2229 (a) Title 58, Chapter 67, Utah Medical Practice Act; or 2230 (b) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act. 2231 (7) "Terminal illness" means a condition of a patient that: 2232 (a) as determined by a physician: 2233 (i) is likely to pose a greater risk to the patient than the risk posed to the patient by 2234 treatment with an investigational drug or investigational device; and 2235 (ii) will inevitably lead to the patient's death; and 2236 (b) presents the patient, after the patient has explored conventional therapy options, with 2237 no treatment option that is satisfactory or comparable to treatment with an 2238 investigational drug or device. - 66 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 2239 Section 29. Section 63N-3-1301 is amended to read: 2240 63N-3-1301 . Definitions. 2241 As used in this part: 2242 (1) "Cannabinoid processor license" means the same as that term is defined in Section 2243 4-41-102. 2244 (2) "Cannabinoid product" means the same as that term is defined in Section 4-41-102. 2245 (3) "Industrial hemp product" means the same as that term is defined in Section 4-41-102. 2246 (4) "Industrial hemp producer registration" means the same as that term is defined in 2247 Section 4-41-102. 2248 Section 30. Section 77-39-101 is amended to read: 2249 77-39-101 . Investigation of sales of alcohol, tobacco products, electronic 2250 cigarette products, nicotine products, and cannabinoid products to underage individuals. 2251 (1) As used in this section: 2252 (a) "Cannabinoid product" means the same as that term is defined in Section 4-41-102. 2253 (b) "Electronic cigarette product" means the same as that term is defined in Section 2254 76-10-101. 2255 (c) "Nicotine product" means the same as that term is defined in Section 76-10-101. 2256 (d) "Peace officer" means the same as the term is described in Section 53-13-109. 2257 (e) "Tobacco product" means the same as that term is defined in Section 76-10-101. 2258 (2)(a) A peace officer may investigate the possible violation of: 2259 (i) Section 32B-4-403 by requesting an individual under 21 years old to enter into 2260 and attempt to purchase or make a purchase of alcohol from a retail establishment; 2261 (ii) Section 76-10-114 by requesting an individual under 21 years old to enter into 2262 and attempt to purchase or make a purchase from a retail establishment of: 2263 (A) a tobacco product; 2264 (B) an electronic cigarette product; or 2265 (C) a nicotine product; or 2266 (iii) Subsection [4-41-105(2)(d)] 4-41-105(2)(a)(iv) by requesting an individual under 2267 21 years old to enter into and attempt to purchase or make a purchase of a 2268 cannabinoid product that contains THC or a THC analog from a retail 2269 establishment. 2270 (b) A peace officer who is present at the site of a proposed purchase shall direct, 2271 supervise, and monitor the individual requested to make the purchase. 2272 (c) Immediately following a purchase or attempted purchase or as soon as practical the - 67 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2273 supervising peace officer shall inform the cashier and the proprietor or manager of 2274 the retail establishment that the attempted purchaser was under the legal age to 2275 purchase: 2276 (i) alcohol; 2277 (ii)(A) a tobacco product; 2278 (B) an electronic cigarette product; or 2279 (C) a nicotine product; or 2280 (iii) a cannabinoid product that contains THC or a THC analog. 2281 (d) If a citation or information is issued, the citation or information shall be issued 2282 within seven days after the day on which the purchase occurs. 2283 (3)(a) If an individual under 18 years old is requested to attempt a purchase, a written 2284 consent of that individual's parent or guardian shall be obtained before the individual 2285 participates in any attempted purchase. 2286 (b) An individual requested by the peace officer to attempt a purchase may: 2287 (i) be a trained volunteer; or 2288 (ii) receive payment, but may not be paid based on the number of successful 2289 purchases of alcohol, tobacco products, electronic cigarette products, nicotine 2290 products, or cannabinoid products that contain THC or a THC analog. 2291 (4) The individual requested by the peace officer to attempt a purchase and anyone 2292 accompanying the individual attempting a purchase may use false identification in 2293 attempting the purchase if: 2294 (a) the Department of Public Safety created in Section 53-1-103 provides the false 2295 identification; 2296 (b) the false identification: 2297 (i) accurately represents the individual's age; and 2298 (ii) displays a current photo of the individual; and 2299 (c) the peace officer maintains possession of the false identification at all times outside 2300 the attempt to purchase. 2301 (5) An individual requested to attempt to purchase or make a purchase pursuant to this 2302 section is immune from prosecution, suit, or civil liability for the purchase of, attempted 2303 purchase of, or possession of alcohol, a tobacco product, an electronic cigarette product, 2304 a nicotine product, or a cannabinoid product that contains THC or a THC analog if a 2305 peace officer directs, supervises, and monitors the individual. 2306 (6)(a) Except as provided in Subsection (6)(b), a purchase attempted under this section - 68 - 03-07 10:17 2nd Sub. (Gray) H.B. 54 2307 shall be conducted within a 12-month period: 2308 (i) on a random basis at any one retail establishment location, not more often than 2309 four times for the attempted purchase of alcohol; 2310 (ii) a minimum of two times at a retail establishment that sells tobacco products, 2311 electronic cigarette products, or nicotine products for the attempted purchase of a 2312 tobacco product, an electronic cigarette product, or a nicotine product; and 2313 (iii) a minimum of one time at a retail establishment that sells a cannabinoid product 2314 that contains THC or a THC analog. 2315 (b) This section does not prohibit an investigation or an attempt to purchase alcohol, a 2316 tobacco product, an electronic cigarette product, or a nicotine product under this 2317 section if: 2318 (i) there is reasonable suspicion to believe the retail establishment has sold alcohol, a 2319 tobacco product, an electronic cigarette product, a nicotine product, or a 2320 cannabinoid product that contains THC or a THC analog to an individual under 2321 the age established by Section 32B-4-403, Section76-10-114, or Subsection 2322 4-41-105(2)(d); and 2323 (ii) the supervising peace officer makes a written record of the grounds for the 2324 reasonable suspicion. 2325 (7)(a) The peace officer exercising direction, supervision, and monitoring of the 2326 attempted purchase shall make a report of the attempted purchase, whether or not a 2327 purchase was made. 2328 (b) The report required by this Subsection (7) shall include: 2329 (i) the name of the supervising peace officer; 2330 (ii) the name of the individual attempting the purchase; 2331 (iii) a photograph of the individual attempting the purchase showing how that 2332 individual appeared at the time of the attempted purchase; 2333 (iv) the name and description of the cashier or proprietor from whom the individual 2334 attempted the purchase; 2335 (v) the name and address of the retail establishment; and 2336 (vi) the date and time of the attempted purchase. 2337 Section 31. Repealer. 2338 This bill repeals: 2339 Section 26B-4-236, State central patient portal -- Department duties. 2340 Section 32. Effective Date. - 69 - 2nd Sub. (Gray) H.B. 54 03-07 10:17 2341 This bill takes effect on May 7, 2025. - 70 -