Enrolled Copy H.B. 54 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 cannabinoid 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; H.B. 54 Enrolled Copy 28 ▸ amends provisions related to information a medical cannabis pharmacy must have 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 - 2 - Enrolled Copy H.B. 54 62 26B-1-435, as last amended by Laws of Utah 2024, Chapters 238, 240 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: - 3 - H.B. 54 Enrolled Copy 96 (i) a naturally occurring chemical substance that is separated from the cannabis plant 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 - 4 - Enrolled Copy H.B. 54 130 plants or industrial hemp parts. 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# - 5 - H.B. 54 Enrolled Copy 164 36403-91-5; or 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)". - 6 - Enrolled Copy H.B. 54 198 [(25)] (26) "Transportable industrial hemp concentrate" means any amount of a natural 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 cannabinoid 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 cannabinoid 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 - 7 - H.B. 54 Enrolled Copy 232 the department. 233 (6) An applicant is not eligible to receive a cannabinoid processor license if the applicant 234 has: 235 (a) been convicted of a felony; or 236 (b) been convicted of a drug-related misdemeanor within the previous 10 years. 237 [(6)(a) Each applicant for a license to process cannabinoid products shall submit to the 238 department, at the time of application, from each key participant:] 239 [(i) a fingerprint card in a form acceptable to the Department of Public Safety;] 240 [(ii) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the 241 registration of the individual's fingerprints in the Federal Bureau of Investigation 242 Next Generation Identification System's Rap Back Service; and] 243 [(iii) consent to a fingerprint background check by:] 244 [(A) the Bureau of Criminal Identification; and] 245 [(B) the Federal Bureau of Investigation.] 246 [(b) The Bureau of Criminal Identification shall:] 247 [(i) check the fingerprints the applicant submits under Subsection (6)(a) against the 248 applicable state, regional, and national criminal records databases, including the 249 Federal Bureau of Investigation Next Generation Identification System;] 250 [(ii) report the results of the background check to the department;] 251 [(iii) maintain a separate file of fingerprints that applicants submit under Subsection 252 (6)(a) for search by future submissions to the local and regional criminal records 253 databases, including latent prints;] 254 [(iv) request that the fingerprints be retained in the Federal Bureau of Investigation 255 Next Generation Identification System's Rap Back Service for search by future 256 submissions to national criminal records databases, including the Next Generation 257 Identification System and latent prints; and] 258 [(v) establish a privacy risk mitigation strategy to ensure that the department only 259 receives notifications for an individual with whom the department maintains an 260 authorizing relationship.] 261 [(c) The department shall:] 262 [(i) assess an individual who submits fingerprints under Subsection (6)(a) a fee in an 263 amount that the department sets in accordance with Section 63J-1-504 for the 264 services that the Bureau of Criminal Identification or another authorized agency 265 provides under this section; and] - 8 - Enrolled Copy H.B. 54 266 [(ii) remit the fee described in Subsection (6)(c)(i) to the Bureau of Criminal 267 Identification.] 268 Section 3. Section 4-41-103.3 is amended to read: 269 4-41-103.3 . Industrial hemp retailer permit. 270 (1) Except as provided in Subsection [(4)] (5), a retailer permittee of the department may 271 market or sell a cannabinoid product or a viable industrial hemp seed. 272 (2) A person seeking an industrial hemp retailer permit shall provide to the department: 273 (a) the name of the person that is seeking to market or sell a cannabinoid product or a 274 viable industrial hemp seed; 275 (b) the address of each location where a cannabinoid product or a viable industrial hemp 276 seed will be sold; and 277 (c) written consent allowing a representative of the department to enter all premises 278 where the person is selling a cannabinoid product or a viable industrial hemp seed for 279 the purpose of: 280 (i) conducting a physical inspection; or 281 (ii) ensuring compliance with the requirements of this chapter. 282 (3) Beginning January 1, 2026, an industrial hemp retailer permittee shall: 283 (a) maintain a video surveillance system that: 284 (i) is able to monitor who purchases a cannabinoid product from the permittee; 285 (ii) is tamper proof; and 286 (iii) stores a video record for at least 45 days; and 287 (b) provide the department access to the video surveillance system upon request. 288 [(3)] (4) The department may set a fee in accordance with Subsection 4-2-103(2) for the 289 application for an industrial hemp retailer permit. 290 [(4)] (5) Any marketing for a cannabinoid product or a viable industrial hemp seed shall 291 include a notice to consumers that the product is hemp and is not cannabis or medical 292 cannabis, as those terms are defined in Section 26B-4-201. 293 Section 4. Section 4-41-105 is amended to read: 294 4-41-105 . Unlawful acts. 295 (1) It is unlawful for a person to handle, process, or market living industrial hemp plants, 296 viable hemp seeds, leaf materials, or floral materials derived from industrial hemp 297 without the appropriate license or permit issued by the department under this chapter. 298 (2)(a) It is unlawful for any person to: 299 (i) distribute, sell, or market a cannabinoid product that is: - 9 - H.B. 54 Enrolled Copy 300 (A) not registered with the department under Section 4-41-104; or 301 (B) noncompliant material; 302 (ii) except as provided in Subsection (2)(b), transport into or out of the state extracted 303 material or final product that contains 0.3% or more of total THC and any THC 304 analog; 305 (iii) sell or use a cannabinoid product that is: 306 (A) added to a conventional food or beverage, as the department further defines in 307 rules described in Section 4-41-403; 308 (B) marketed or manufactured to be enticing to children, as further defined in 309 rules described in Section 4-41-403; or 310 (C) smokable flower; or 311 (iv) knowingly or intentionally sell or give a cannabinoid product that contains THC 312 or a THC analog in the course of business to an individual who is not at least 21 313 years old. 314 (b) A person may transport transportable industrial hemp concentrate if the person: 315 (i) complies with rules created by the department under Section 4-41-103.1 related to 316 transportable industrial hemp concentrate; and 317 (ii)(A) has [an industrial hemp producer registration] a cannabinoid processor 318 license; or 319 (B) the equivalent to [an industrial hemp producer registration] a cannabinoid 320 processor license from another state. 321 (3) The department may seize and destroy non-compliant material. 322 (4) Nothing in this chapter authorizes any person to violate federal law, regulation, or any 323 provision of this title. 324 Section 5. Section 4-41-404 is amended to read: 325 4-41-404 . Department duties. 326 The department [shall assess the fine described in Subsection 4-41-403(4) ] may take an 327 enforcement action in accordance with Section 4-41-106 against any person who offers an 328 unregistered cannabinoid product for sale in this state. 329 Section 6. Section 4-41-405 is enacted to read: 330 4-41-405 . Newly identified cannabinoid. 331 (1) For a newly identified cannabinoid, the department may: 332 (a) establish a maximum allowable concentration that a cannabinoid product may 333 contain of the newly identified cannabinoid; - 10 - Enrolled Copy H.B. 54 334 (b) prohibit the newly identified cannabinoid from appearing in a cannabinoid product; 335 or 336 (c) modify the maximum allowable concentration described in Subsection (1)(a) as 337 necessary if it would not create a threat to public health. 338 (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 339 department shall make rules to implement Subsection (1). 340 Section 7. Section 4-41a-102 is amended to read: 341 4-41a-102 . Definitions. 342 As used in this chapter: 343 (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may be 344 injurious to health, including: 345 (a) pesticides; 346 (b) heavy metals; 347 (c) solvents; 348 (d) microbial life; 349 (e) artificially derived cannabinoid; 350 (f) toxins; or 351 (g) foreign matter. 352 (2) "Advertise" or "advertising" means information provided by a person in any medium: 353 (a) to the public; and 354 (b) that is not age restricted to an individual who is at least 21 years old. 355 (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created in 356 Section 26B-1-435. 357 (4)(a) "Anticompetitive business practice" means any practice that reduces the amount 358 of competition in the medical cannabis market that would be considered an attempt to 359 monopolize, as defined in Section 76-10-3103. 360 (b) "Anticompetitive business practice" may include: 361 (i) agreements that may be considered unreasonable when competitors interact to the 362 extent that they are: 363 (A) no longer acting independently; or 364 (B) when collaborating are able to wield market power together; 365 (ii) monopolizing or attempting to monopolize trade by: 366 (A) acting to maintain or acquire a dominant position in the market; or 367 (B) preventing new entry into the market; or - 11 - H.B. 54 Enrolled Copy 368 (iii) other conduct outlined in rule. 369 (5)(a) "Artificially derived cannabinoid" means a chemical substance that is created by a 370 chemical reaction that changes the molecular structure of any chemical substance 371 derived from the cannabis plant. 372 (b) "Artificially derived cannabinoid" does not include: 373 (i) a naturally occurring chemical substance that is separated from the cannabis plant 374 by a chemical or mechanical extraction process; or 375 (ii) a cannabinoid that is produced by decarboxylation from a naturally occurring 376 cannabinoid acid without the use of a chemical catalyst. 377 (6) "Batch" means a quantity of: 378 (a) cannabis extract produced on a particular date and time and produced between 379 completion of equipment and facility sanitation protocols until the next required 380 sanitation cycle during which lots of cannabis are used; 381 (b) cannabis product produced on a particular date and time and produced between 382 completion of equipment and facility sanitation protocols until the next required 383 sanitation cycle during which cannabis extract is used; or 384 (c) cannabis flower packaged on a particular date and time and produced between 385 completion of equipment and facility sanitation protocols until the next required 386 sanitation cycle during which lots of cannabis are being used. 387 [(6)] (7) "Cannabis Research Review Board" means the Cannabis Research Review Board 388 created in Section 26B-1-420. 389 [(7)] (8) "Cannabis" means the same as that term is defined in Section 26B-4-201. 390 [(8)] (9) "Cannabis concentrate" means: 391 (a) the product of any chemical or physical process applied to naturally occurring 392 biomass that concentrates or isolates the cannabinoids contained in the biomass; and 393 (b) any amount of a natural cannabinoid or artificially derived cannabinoid in an 394 artificially derived cannabinoid's purified state. 395 [(9)] (10) "Cannabis cultivation byproduct" means any portion of a cannabis plant that is not 396 intended to be sold as a cannabis plant product. 397 [(10)] (11) "Cannabis cultivation facility" means a person that: 398 (a) possesses cannabis; 399 (b) grows or intends to grow cannabis; and 400 (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis 401 processing facility, or a medical cannabis research licensee. - 12 - Enrolled Copy H.B. 54 402 [(11)] (12) "Cannabis cultivation facility agent" means an individual who 403 holds a valid cannabis production establishment agent registration card with a cannabis 404 cultivation facility designation. 405 [(12)] (13) "Cannabis derivative product" means a product made using cannabis concentrate. 406 [(13)] (14) "Cannabis plant product" means any portion of a cannabis plant intended to be 407 sold in a form that is recognizable as a portion of a cannabis plant. 408 [(14)] (15) "Cannabis processing facility" means a person that: 409 (a) acquires or intends to acquire cannabis from a cannabis production establishment; 410 (b) possesses cannabis with the intent to manufacture a cannabis product; 411 (c) manufactures or intends to manufacture a cannabis product from unprocessed 412 cannabis or a cannabis extract; and 413 (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a 414 medical cannabis research licensee. 415 [(15)] (16) "Cannabis processing facility agent" means an individual who 416 holds a valid cannabis production establishment agent registration card with a cannabis 417 processing facility designation. 418 [(16)] (17) "Cannabis product" means the same as that term is defined in Section 26B-4-201. 419 [(17)] (18) "Cannabis production establishment" means a cannabis cultivation facility, a 420 cannabis processing facility, or an independent cannabis testing laboratory. 421 [(18)] (19) "Cannabis production establishment agent" means a cannabis cultivation facility 422 agent, a cannabis processing facility agent, or an independent cannabis testing laboratory 423 agent. 424 [(19)] (20) "Cannabis production establishment agent registration card" means a registration 425 card that the department issues that: 426 (a) authorizes an individual to act as a cannabis production establishment agent; and 427 (b) designates the type of cannabis production establishment for which an individual is 428 authorized to act as an agent. 429 [(20)] (21) "Closed-door medical cannabis pharmacy" means a facility operated by a home 430 delivery medical cannabis pharmacy for delivering [cannabis or a medical cannabis 431 product] medical cannabis. 432 [(21)] (22) "Community location" means a public or private elementary or secondary school, 433 a church, a public library, a public playground, or a public park. 434 [(22)] (23) "Cultivation space" means, quantified in square feet, the horizontal area in which 435 a cannabis cultivation facility cultivates cannabis, including each level of horizontal area - 13 - H.B. 54 Enrolled Copy 436 if the cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants 437 above other plants in multiple levels. 438 [(23)] (24) "Delivery address" means: 439 (a) for a medical cannabis cardholder who is not a facility: 440 (i) the medical cannabis cardholder's home address; or 441 (ii) an address designated by the medical cannabis cardholder that: 442 (A) is the medical cannabis cardholder's workplace; and 443 (B) is not a community location; or 444 (b) for a medical cannabis cardholder that is a facility, the facility's address. 445 [(24)] (25) "Department" means the Department of Agriculture and Food. 446 [(25)] (26) "Family member" means a parent, step-parent, spouse, child, sibling, 447 step-sibling, uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law, 448 brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild. 449 [(26)] (27) "Government issued photo identification" means the same as that term is defined 450 in Section 26B-4-201, including expired identification in accordance with Section 451 26B-4-244. 452 [(27)] (28) "Home delivery medical cannabis pharmacy" means a medical cannabis 453 pharmacy that the department authorizes, as part of the pharmacy's license, to deliver 454 medical cannabis shipments to a delivery address to fulfill electronic orders[ that the 455 state central patient portal facilitates]. 456 [(28)] (29)(a) "Independent cannabis testing laboratory" means a person that: 457 (i) conducts a chemical or other analysis of cannabis or a cannabis product; or 458 (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent 459 to conduct a chemical or other analysis of the cannabis or cannabis product. 460 (b) "Independent cannabis testing laboratory" includes a laboratory that the department 461 or a research university operates in accordance with Subsection 4-41a-201(14). 462 [(29)] (30) "Independent cannabis testing laboratory agent" means an individual who 463 holds a valid cannabis production establishment agent registration card with an 464 independent cannabis testing laboratory designation. 465 [(30)] (31) "Inventory control system" means a system described in Section 4-41a-103. 466 [(31)] (32) "Licensing board" or "board" means the Cannabis Production Establishment and 467 Pharmacy Licensing Advisory Board created in Section 4-41a-201.1. 468 [(32)] (33) "Medical cannabis" or "medical cannabis product" means the same as that term is 469 defined in Section 26B-4-201. - 14 - Enrolled Copy H.B. 54 470 [(33)] (34) "Medical cannabis card" means the same as that term is defined in Section 471 26B-4-201. 472 [(34)] (35) "Medical cannabis courier" means a courier that: 473 (a) the department licenses in accordance with Section 4-41a-1201; and 474 (b) contracts with a home delivery medical cannabis pharmacy to deliver medical 475 cannabis shipments to fulfill electronic orders[ that the state central patient portal 476 facilitates]. 477 [(35)] (36) "Medical cannabis courier agent" means an individual who: 478 (a) is an employee of a medical cannabis courier; and 479 (b) who holds a valid medical cannabis courier agent registration card. 480 [(36)] (37) "Medical cannabis pharmacy" means the same as that term is defined in Section 481 26B-4-201. 482 [(37)] (38) "Medical cannabis pharmacy agent" means the same as that term is defined in 483 Section 26B-4-201. 484 [(38)] (39) "Medical cannabis research license" means a license that the department issues to 485 a research university for the purpose of obtaining and possessing medical cannabis for 486 academic research. 487 [(39)] (40) "Medical cannabis research licensee" means a research university that the 488 department licenses to obtain and possess medical cannabis for academic research, in 489 accordance with Section 4-41a-901. 490 [(40)] (41) "Medical cannabis shipment" means a shipment of medical cannabis that a home 491 delivery medical cannabis pharmacy or a medical cannabis courier delivers to a delivery 492 address to fulfill an electronic medical cannabis order[ that the state central patient portal 493 facilitates]. 494 [(41)] (42) "Medical cannabis treatment" means the same as that term is defined in Section 495 26B-4-201. 496 [(42)] (43) "Medicinal dosage form" means the same as that term is defined in Section 497 26B-4-201. 498 [(43)] (44) "Pharmacy ownership limit" means an amount equal to 30% of the total number 499 of medical cannabis pharmacy licenses issued by the department rounded down to the 500 nearest whole number. 501 [(44)] (45) "Pharmacy medical provider" means the same as that term is defined in Section 502 26B-4-201. 503 [(45)] (46) "Qualified medical provider" means the same as that term is defined in Section - 15 - H.B. 54 Enrolled Copy 504 26B-4-201. 505 [(46)] (47) "Qualified Production Enterprise Fund" means the fund created in Section 506 4-41a-104. 507 [(47)] (48) "Recommending medical provider" means the same as that term is defined in 508 Section 26B-4-201. 509 [(48)] (49) "Research university" means the same as that term is defined in Section 510 53B-7-702 and a private, nonprofit college or university in the state that: 511 (a) is accredited by the Northwest Commission on Colleges and Universities; 512 (b) grants doctoral degrees; and 513 (c) has a laboratory containing or a program researching a schedule I controlled 514 substance described in Section 58-37-4. 515 [(49)] (50) "State electronic verification system" means the system described in Section 516 26B-4-202. 517 [(50)] (51) "Targeted marketing" means the promotion of [a cannabis product,] medical 518 cannabis, a medical cannabis brand, or a medical cannabis device using any of the 519 following methods: 520 (a) electronic communication to an individual who is at least 21 years old and has 521 requested to receive promotional information; 522 (b) an in-person marketing event that is: 523 (i) held inside a medical cannabis pharmacy; and 524 (ii) in an area where only a medical cannabis cardholder may access the event; 525 (c) other marketing material that is physically available or digitally displayed in a 526 medical cannabis pharmacy; or 527 (d) a leaflet a medical cannabis pharmacy places in the opaque package or box that is 528 provided to an individual when obtaining medical cannabis: 529 (i) in the medical cannabis pharmacy; 530 (ii) at the medical cannabis pharmacy's drive-through pick up window; or 531 (iii) in a medical cannabis shipment. 532 [(51)] (52) "Tetrahydrocannabinol" or "THC" means the same as that term is defined in 533 Section 4-41-102. 534 [(52)] (53) "THC analog" means the same as that term is defined in Section 4-41-102. 535 [(53)] (54) "Total composite tetrahydrocannabinol" means all detectable forms of 536 tetrahydrocannabinol. 537 [(54)] (55) "Total tetrahydrocannabinol" or "total THC" means the same as that term is - 16 - Enrolled Copy H.B. 54 538 defined in Section 4-41-102. 539 Section 8. Section 4-41a-403 is amended to read: 540 4-41a-403 . Advertising. 541 (1) Except as provided in this section and Section 4-41a-604, a cannabis production 542 establishment may not advertise to the general public in any medium. 543 (2) A cannabis production establishment may advertise an employment opportunity at the 544 cannabis production establishment. 545 (3)(a) A cannabis production establishment may maintain a website that: 546 [(a)] (i) contains information about the establishment and employees; and 547 [(b)] (ii) except as provided in Subsection (3)(b), does not advertise any medical 548 cannabis, cannabis products, or medical cannabis devices. 549 (b) A cannabis processing facility may: 550 (i) if the website has age verification mechanisms that effectively prevent access by 551 individuals under 21 years old, maintain a website that contains: 552 (A) educational information regarding medical cannabis produced by the cannabis 553 processing facility, including the certificate of analysis that is created by an 554 independent cannabis testing facility; and 555 (B) where medical cannabis produced by the cannabis processing facility may be 556 purchased in the state; and 557 (ii) engage in targeted marketing in accordance with Section 4-41a-604 for 558 advertising a particular medical cannabis product, medical cannabis device, or 559 medical cannabis brand. 560 (4)(a) Notwithstanding any municipal or county ordinance prohibiting signage, a 561 cannabis production establishment may use signage on the outside of the cannabis 562 production establishment that: 563 (i) includes only: 564 (A) in accordance with Subsection (4)(b), the cannabis production establishment's 565 name, logo, and hours of operation; and 566 (B) a green cross; and 567 (ii) complies with local ordinances regulating signage. 568 (b) The department shall define standards for a cannabis production establishment's 569 name and logo to ensure a medical rather than recreational disposition. 570 (5)(a) A cannabis production establishment may hold an educational event for the public 571 or medical providers in accordance with this Subsection (5) and the rules described in - 17 - H.B. 54 Enrolled Copy 572 Subsection (5)(c). 573 (b) A cannabis production establishment may not include in an educational event 574 described in Subsection (5)(a): 575 (i) any topic that conflicts with this chapter or Title 26B, Chapter 4, Part 2, 576 Cannabinoid Research and Medical Cannabis; 577 (ii) any gift items or merchandise other than educational materials, as those terms are 578 defined by the department; 579 (iii) any marketing for a specific product from the cannabis production establishment 580 or any other statement, claim, or information that would violate the federal Food, 581 Drug, and Cosmetic Act, 21 U.S.C. Sec. 301, et seq.; or 582 (iv) a presenter other than the following: 583 (A) a cannabis production establishment agent; 584 (B) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act; 585 (C) an advanced practice registered nurse licensed under Title 58, Chapter 31b, 586 Nurse Practice Act; 587 (D) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or 588 Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; 589 (E) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician 590 Assistant Act; or 591 (F) a state employee. 592 (c) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah 593 Administrative Rulemaking Act, to define the elements of and restrictions on the 594 educational event described in Subsection (5)(a), including a minimum age of 21 595 years old for attendees. 596 Section 9. Section 4-41a-501 is amended to read: 597 4-41a-501 . Cannabis cultivation facility -- Operating requirements. 598 (1) A cannabis cultivation facility shall ensure that any cannabis growing at the cannabis 599 cultivation facility is not visible from the ground level of the cannabis cultivation facility 600 perimeter. 601 (2) A cannabis cultivation facility shall use a unique identifier that is connected to the 602 facility's inventory control system to identify: 603 (a) beginning at the time a cannabis plant is eight inches tall and has a root ball, each 604 cannabis plant; 605 (b) each unique harvest of cannabis plants; - 18 - Enrolled Copy H.B. 54 606 (c) each batch of cannabis the facility transfers to a medical cannabis pharmacy, a 607 cannabis processing facility, or an independent cannabis testing laboratory; and 608 (d) any excess, contaminated, or deteriorated cannabis of which the cannabis cultivation 609 facility disposes. 610 (3) A cannabis cultivation facility shall identify cannabis biomass as cannabis byproduct or 611 cannabis plant product before transferring the cannabis biomass from the facility. 612 (4) A cannabis cultivation facility shall either: 613 (a) ensure that a cannabis processing facility chemically or physically processes 614 cannabis cultivation byproduct to produce a cannabis concentrate for incorporation 615 into cannabis derivative products; or 616 (b) destroy cannabis cultivation byproduct in accordance with Section 4-41a-405. 617 (5) A cannabis cultivation facility may utilize radiation-based methods and equipment for 618 quality assurance or remediation purposes. 619 (6) The department shall make rules establishing: 620 (a) the records a cannabis cultivation facility must keep regarding each batch, amount of 621 product treated, and the methods used; and 622 (b) disclosure requirements to a cannabis processor receiving the material subject to the 623 radiation including the methods and equipment used. 624 Section 10. Section 4-41a-701 is amended to read: 625 4-41a-701 . Cannabis and cannabis product testing. 626 (1) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 627 department may make rules to: 628 (a) determine required adulterant tests for a cannabis plant product, cannabis 629 concentrate, or cannabis product; 630 (b) determine the amount of any adulterant that is safe for human consumption; 631 (c) immediately ban or limit the presence of any ingredient in a medical cannabis 632 product after receiving a recommendation to do so from a public health authority 633 under Section 26B-1-102; 634 (d) establish protocols for a recall of [cannabis or a cannabis product] medical cannabis 635 by a cannabis production establishment; or 636 (e) allow the propagation of testing results forward to derived product if the processing 637 steps the cannabis production establishment uses to produce the product are unlikely 638 to change the results of the test. 639 (2)(a) The department may require testing for a toxin if: - 19 - H.B. 54 Enrolled Copy 640 [(a)] (i) the department receives information indicating the potential presence of a 641 toxin; or 642 [(b)] (ii) the department's inspector has reason to believe a toxin may be present based 643 on the inspection of a facility. 644 (b) The department may not require a cannabis processor to test a cannabis batch or a 645 cannabis product batch a third time if the cannabis batch or cannabis product has 646 previously met all testing requirements after being tested by: 647 (i) an independent cannabis testing laboratory that is not the department; and 648 (ii) the department. 649 (3)(a) A cannabis production establishment may not: 650 (i) incorporate cannabis concentrate into a cannabis derivative product until an 651 independent cannabis testing laboratory tests the cannabis concentrate in 652 accordance with department rule; or 653 (ii) transfer cannabis or a cannabis product to a medical cannabis pharmacy until an 654 independent cannabis testing laboratory tests a representative sample of the 655 cannabis or cannabis product in accordance with department rule. 656 (b) A medical cannabis pharmacy may not offer any cannabis or cannabis product for 657 sale unless an independent cannabis testing laboratory has tested a representative 658 sample of the cannabis or cannabis product in accordance with department rule. 659 (4) Before the sale of a medical cannabis product, an independent cannabis testing 660 laboratory shall: 661 (a) identify and quantify any cannabinoid known to be present in [a] the medical 662 cannabis product; and 663 (b) test terpene profiles for the following products: 664 (i) raw cannabis; or 665 (ii) a cannabis product: 666 (A) contained in a vaporizer cartridge; or 667 (B) in concentrate form; and 668 (c) record the five highest terpene profiles tested under Subsection (4)(b). 669 (5) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah 670 Administrative Rulemaking Act, the standards, methods, practices, and procedures for 671 the testing of cannabis and cannabis products by independent cannabis testing 672 laboratories. 673 (6) The department may require an independent cannabis testing laboratory to participate in - 20 - Enrolled Copy H.B. 54 674 a proficiency evaluation that the department conducts or that an organization that the 675 department approves conducts. 676 Section 11. Section 4-41a-801 is amended to read: 677 4-41a-801 . Enforcement -- Fine -- Citation. 678 (1) If a person that is a cannabis production establishment or a cannabis production 679 establishment agent violates this chapter, the department may: 680 (a) revoke the person's license or cannabis production establishment agent registration 681 card; 682 (b) decline to renew the person's license or cannabis production establishment agent 683 registration card; or 684 (c) assess the person an administrative penalty that the department establishes by rule in 685 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. 686 (2) The department shall deposit an administrative penalty imposed under this section into 687 the General Fund. 688 (3)(a) The department may take an action described in Subsection (3)(b) if the 689 department concludes, upon investigation, that, for a person that is a cannabis 690 production establishment or a cannabis production establishment agent: 691 (i) the person has violated the provisions of this chapter, a rule made under this 692 chapter, or an order issued under this chapter; or. 693 (ii) the person produced cannabis or a cannabis product batch that contains a 694 substance, other than cannabis, that poses a significant threat to human health. 695 (b) If the department makes the determination about a person described in Subsection 696 (3)(a), the department shall: 697 (i) issue the person a written administrative citation; 698 (ii) attempt to negotiate a stipulated settlement; 699 [(iii) seize, embargo, or destroy the cannabis or cannabis product batch;] 700 [(iv)] (iii) order the person to cease and desist from the action that creates a violation; [ 701 and] or 702 [(v)] (iv) direct the person to appear before an adjudicative proceeding conducted 703 under Title 63G, Chapter 4, Administrative Procedures Act. 704 (c) If the department concludes, upon investigation, that a cannabis production 705 establishment or a cannabis production establishment agent has produced a cannabis 706 batch or a cannabis product batch that contains a substance that poses a significant 707 threat to human health, the department shall seize, embargo, or destroy the cannabis - 21 - H.B. 54 Enrolled Copy 708 batch or cannabis product batch. 709 (4) The department may, for a person subject to an uncontested citation, a stipulated 710 settlement, or a finding of a violation in an adjudicative proceeding under this section, 711 for a fine amount not already specified in law, assess the person, who is not an 712 individual, a fine of up to $5,000 per violation, in accordance with a fine schedule that 713 the department establishes by rule in accordance with Title 63G, Chapter 3, Utah 714 Administrative Rulemaking Act. 715 (5) The department may not revoke a [cannabis production establishment's ]license without 716 first directing the [cannabis production establishment] licensee to appear before an 717 adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative 718 Procedures Act. 719 (6) If within [20] 30 calendar days after the day on which a department serves a citation for 720 a violation of this chapter, the person that is the subject of the citation fails to request a 721 hearing to contest the citation, the citation becomes the department's final order. 722 (7) The department may, for a person who fails to comply with a citation under this section: 723 (a) refuse to issue or renew the person's license or cannabis production establishment 724 agent registration card; or 725 (b) suspend, revoke, or place on probation the person's license or cannabis production 726 establishment registration card. 727 (8)(a) Except where a criminal penalty is expressly provided for a specific violation of 728 this chapter, if an individual: 729 (i) violates a provision of this chapter, the individual is: 730 (A) guilty of an infraction; and 731 (B) subject to a $100 fine; or 732 (ii) intentionally or knowingly violates a provision of this chapter or violates this 733 chapter three or more times, the individual is: 734 (A) guilty of a class B misdemeanor; and 735 (B) subject to a $1,000 fine. 736 (b) An individual who is guilty of a violation described in Subsection (8)(a) is not guilty 737 of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the 738 conduct underlying the violation described in Subsection (8)(a). 739 (9) Nothing in this section prohibits the department from referring potential criminal 740 activity to law enforcement. 741 (10) An appeal of administrative action taken under this chapter shall be heard by an - 22 - Enrolled Copy H.B. 54 742 administrative law judge as an informal proceeding in accordance with Title 63G, 743 Chapter 4, Administrative Procedures Act. 744 Section 12. Section 4-41a-802 is amended to read: 745 4-41a-802 . Report. 746 (1) At or before the November interim meeting each year, the department shall report to the 747 Health and Human Services Interim Committee on: 748 (a) the number of applications and renewal applications that the department receives 749 under this chapter; 750 (b) the number of each type of cannabis production facility that the department licenses 751 in each county; 752 (c) the amount of cannabis that licensees grow; 753 (d) the amount of cannabis that licensees manufacture into cannabis products; 754 (e) the number of licenses the department revokes under this chapter; 755 (f) the department's operation of an independent cannabis testing laboratory under 756 Section 4-41a-201, including: 757 (i) the cannabis and cannabis products the department tested; and 758 (ii) the results of the tests the department performed; 759 (g) the expenses incurred and revenues generated under this chapter; and 760 (h) an analysis of product availability in medical cannabis pharmacies in consultation 761 with the Department of Health and Human Services. 762 (2) The department may not include personally identifying information in the report 763 described in this section. 764 (3) The department shall report to the working group described in Section 36-12-8.2 as 765 requested by the working group. 766 (4)(a) Before August 1, of each year, the department shall provide a report to the 767 working group described in Section 36-12-8.2 that provides the following for each 768 fine issued by the department under this chapter: 769 (i) the date of the fine; 770 (ii) the reference to the statute or rule that was violated for each fine issued; and 771 (iii) a short description explaining why the fine was issued. 772 (b) The report described in Subsection (4)(a) may not include identifying information of 773 the person that was subject to the fine. 774 Section 13. Section 4-41a-1001 is amended to read: 775 4-41a-1001 . Medical cannabis pharmacy -- License -- Eligibility. - 23 - H.B. 54 Enrolled Copy 776 (1) A person may not: 777 (a) operate as a medical cannabis pharmacy without a license that the department issues 778 under this part; 779 (b) obtain a medical cannabis pharmacy license if obtaining the license would cause the 780 person to exceed the pharmacy ownership limit; 781 (c) obtain a partial ownership share of a medical cannabis pharmacy if obtaining the 782 partial ownership share would cause the person to exceed the pharmacy ownership 783 limit; or 784 (d) enter into any contract or agreement that allows the person to directly or indirectly 785 control the operations of a medical cannabis pharmacy if the person's control of the 786 medical cannabis pharmacy would cause the person to effectively exceed the 787 pharmacy ownership limit. 788 (2)(a)(i) Subject to Subsections (4) and (5) and to Section 4-41a-1005, the department 789 shall issue a license to operate a medical cannabis pharmacy through the licensing 790 board created under Section 4-41a-201.1. 791 (ii) The department may not issue a license to operate a medical cannabis pharmacy 792 to an applicant who is not eligible for a license under this section. 793 (b) An applicant is eligible for a license under this section if the applicant submits to the 794 department: 795 (i) subject to Subsection (2)(c), a proposed name and address where the applicant will 796 operate the medical cannabis pharmacy; 797 (ii) the name and address of an individual who: 798 (A) for a publicly traded company, has a financial or voting interest of 10% or 799 greater in the proposed medical cannabis pharmacy; 800 (B) for a privately held company, a financial or voting interest in the proposed 801 medical cannabis pharmacy; or 802 (C) has the power to direct or cause the management or control of a proposed 803 medical cannabis pharmacy; 804 (iii) for each application that the applicant submits to the department, a statement 805 from the applicant that the applicant will obtain and maintain: 806 (A) a performance bond in the amount of $100,000 issued by a surety authorized 807 to transact surety business in the state; or 808 (B) a liquid cash account in the amount of $100,000 with a financial institution; 809 (iv) an operating plan that: - 24 - Enrolled Copy H.B. 54 810 (A) complies with Section 4-41a-1004; 811 (B) includes operating procedures to comply with the operating requirements for a 812 medical cannabis pharmacy described in this part and with a relevant municipal 813 or county law that is consistent with Section 4-41a-1106; and 814 (C) the department approves; 815 (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the 816 department sets in accordance with Section 63J-1-504; and 817 (vi) a description of any investigation or adverse action taken by any licensing 818 jurisdiction, government agency, law enforcement agency, or court in any state for 819 any violation or detrimental conduct in relation to any of the applicant's 820 cannabis-related operations or businesses. 821 (c)(i) A person may not locate a medical cannabis pharmacy: 822 (A) within 200 feet of a community location; or 823 (B) in or within 600 feet of a district that the relevant municipality or county has 824 zoned as primarily residential. 825 (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured 826 from the nearest entrance to the medical cannabis pharmacy establishment by 827 following the shortest route of ordinary pedestrian travel to the property boundary 828 of the community location or residential area. 829 (iii) The department may grant a waiver to reduce the proximity requirements in 830 Subsection (2)(c)(i) by up to 20% if the department determines that it is not 831 reasonably feasible for the applicant to cite the proposed medical cannabis 832 pharmacy without the waiver. 833 (iv) An applicant for a license under this section shall provide evidence of 834 compliance with the proximity requirements described in Subsection (2)(c)(i). 835 (d) The department may not issue a license to an eligible applicant that the department 836 has selected to receive a license until the selected eligible applicant complies with the 837 bond or liquid cash requirement described in Subsection (2)(b)(iii). 838 (e) If the department receives more than one application for a medical cannabis 839 pharmacy within the same city or town, the department shall consult with the local 840 land use authority before approving any of the applications pertaining to that city or 841 town. 842 (f) In considering the issuance of a medical cannabis pharmacy license under this 843 section, the department may consider the extent to which the pharmacy can increase - 25 - H.B. 54 Enrolled Copy 844 efficiency and reduce cost to patients of medical cannabis. 845 [(3) If the department selects an applicant ] 846 (3)(a) After an entity has been selected for a medical cannabis pharmacy license under 847 this section, the department shall: 848 [(a)] (i) charge the applicant an initial license fee in an amount that, subject to 849 Subsection 4-41a-104(5), the department sets in accordance with Section 850 63J-1-504; 851 [(b)] (ii) notify the Department of Public Safety of the license approval and the names 852 of each individual described in Subsection (2)(b)(ii); and 853 [(c)] (iii) charge the licensee a fee in an amount that, subject to Subsection 4-41a-104 854 (5), the department sets in accordance with Section 63J-1-504, for any change in 855 location, ownership, or company structure. 856 (b) For a fee described in Subsection (3)(a)(i), a license fee for a medical cannabis 857 pharmacy located in a medically underserved area as determined by the federal 858 Health Resources and Services Administration shall be 50% less than what is charged 859 for other medical cannabis pharmacies. 860 (4) The department may not issue a license to operate a medical cannabis pharmacy to an 861 applicant if an individual described in Subsection (2)(b)(ii): 862 (a) has been convicted under state or federal law of: 863 (i) a felony in the preceding 10 years; or 864 (ii) after December 3, 2018, a misdemeanor for drug distribution; 865 (b) is younger than 21 years old; or 866 (c) after September 23, 2019, until January 1, 2023, is actively serving as a legislator. 867 (5)[(a)] If an applicant for a medical cannabis pharmacy license under this section holds 868 another license under this chapter, the department may not give preference to the 869 applicant based on the applicant's status as a holder of the license. 870 [(b) If an applicant for a medical cannabis pharmacy license under this section holds a 871 license to operate a cannabis cultivation facility under this section, the department 872 may give consideration to the applicant's status as a holder of the license if:] 873 [(i) the applicant demonstrates that a decrease in costs to patients is more likely to 874 result from the applicant's vertical integration than from a more competitive 875 marketplace; and] 876 [(ii) the department finds multiple other factors, in addition to the existing license, 877 that support granting the new license.] - 26 - Enrolled Copy H.B. 54 878 (6) The licensing board may revoke a license under this part: 879 (a) if the medical cannabis pharmacy does not begin operations within one year after the 880 day on which the department issues an announcement of the department's intent to 881 award a license to the medical cannabis pharmacy; 882 (b) after the third the same violation of this chapter in any of the licensee's licensed 883 cannabis production establishments or medical cannabis pharmacies; 884 (c) if an individual described in Subsection (2)(b)(ii) is convicted, while the license is 885 active, under state or federal law of: 886 (i) a felony; or 887 (ii) after December 3, 2018, a misdemeanor for drug distribution; 888 (d) if the licensee fails to provide the information described in Subsection (2)(b)(vi) at 889 the time of application, or fails to supplement the information described in 890 Subsection (2)(b)(vi) with any investigation or adverse action that occurs after the 891 submission of the application within 14 calendar days after the licensee receives 892 notice of the investigation or adverse action; 893 (e) if the medical cannabis pharmacy demonstrates a willful or reckless disregard for the 894 requirements of this chapter or the rules the department makes in accordance with 895 this chapter; 896 (f) if, after a change of ownership described in Subsection (11)(c), the department 897 determines that the medical cannabis pharmacy no longer meets the minimum 898 standards for licensure and operation of the medical cannabis pharmacy described in 899 this chapter; or 900 (g) if through an investigation conducted under Subsection 4-41a-201.1(11) and in 901 accordance with Title 63G, Chapter 4, Administrative Procedures Act, the board 902 finds that the licensee has participated in anticompetitive business practices. 903 (7)(a) A person who receives a medical cannabis pharmacy license under this chapter, if 904 the municipality or county where the licensed medical cannabis pharmacy will be 905 located requires a local land use permit, shall submit to the department a copy of the 906 licensee's approved application for the land use permit within 120 days after the day 907 on which the department issues the license. 908 (b) If a licensee fails to submit to the department a copy the licensee's approved land use 909 permit application in accordance with Subsection (7)(a), the department may revoke 910 the licensee's license. 911 (8) The department shall deposit the proceeds of a fee imposed by this section into the - 27 - H.B. 54 Enrolled Copy 912 Qualified Production Enterprise Fund. 913 (9) The department shall begin accepting applications under this part on or before March 1, 914 2020. 915 (10)(a) The department's authority to issue a license under this section is plenary and is 916 not subject to review. 917 (b) Notwithstanding Subsection (2), the decision of the department to award a license to 918 an applicant is not subject to: 919 (i) Title 63G, Chapter 6a, Part 16, Protests; or 920 (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board. 921 (11)(a) A medical cannabis pharmacy license is not transferrable or assignable. 922 (b) A medical cannabis pharmacy shall report in writing to the department no later than 923 10 business days before the date of any change of ownership of the medical cannabis 924 pharmacy. 925 (c) If the ownership of a medical cannabis pharmacy changes by 50% or more: 926 (i) concurrent with the report described in Subsection (11)(b), the medical cannabis 927 pharmacy shall submit a new application described in Subsection (2)(b), subject to 928 Subsection (2)(c); 929 (ii) within 30 days of the submission of the application, the department shall: 930 (A) conduct an application review; and 931 (B) award a license to the medical cannabis pharmacy for the remainder of the 932 term of the medical cannabis pharmacy's license before the ownership change 933 if the medical cannabis pharmacy meets the minimum standards for licensure 934 and operation of the medical cannabis pharmacy described in this chapter; and 935 (iii) if the department approves the license application, notwithstanding Subsection 936 (3), the medical cannabis pharmacy shall pay a license fee that the department sets 937 in accordance with Section 63J-1-504 in an amount that covers the department's 938 cost of conducting the application review. 939 Section 14. Section 4-41a-1003 is amended to read: 940 4-41a-1003 . Renewal -- Notice of available license. 941 (1)(a) The department shall renew a license [under Sections 4-41a-1001 through 942 4-41a-1005] issued under this part every year if, at the time of renewal: 943 [(a)] (i) the licensee meets the requirements of Section 4-41a-1001; 944 [(b)] (ii) the licensee pays the department a license renewal fee in an amount that, 945 subject to Subsection 4-41a-1004(5), the department sets in accordance with - 28 - Enrolled Copy H.B. 54 946 Section 63J-1-504; and 947 [(c)] (iii) if the medical cannabis pharmacy changes the operating plan described in 948 Section 4-41a-1004 that the department approved under Subsection 949 4-41a-1001(2)(b)(iv), the department approves the new operating plan. 950 (b) A license fee for a medical cannabis pharmacy located in a county of the third, 951 fourth, fifth, or sixth class shall be 50% less than what is charged for other medical 952 cannabis pharmacies. 953 (2)(a) If a licensed medical cannabis pharmacy abandons the medical cannabis 954 pharmacy's license, the department shall publish notice of an available license[ ], for 955 the geographic area in which the medical cannabis pharmacy license is available, as a 956 class A notice under Section 63G-30-102, for at least seven days. 957 (b) The department may establish criteria, in collaboration with the Division of 958 Professional Licensing and the Board of Pharmacy and in accordance with Title 63G, 959 Chapter 3, Utah Administrative Rulemaking Act, to identify the medical cannabis 960 pharmacy actions that constitute abandonment of a medical cannabis pharmacy 961 license. 962 (3) If the department has not completed the necessary processes to make a determination on 963 a license renewal under Subsections (1)(a) and (c) before the expiration of a license, the 964 department may issue a conditional medical cannabis pharmacy license to a licensed 965 medical cannabis pharmacy that has applied for license renewal under this section and 966 paid the fee described in Subsection (1)(b). 967 Section 15. Section 4-41a-1005 is amended to read: 968 4-41a-1005 . Maximum number of licenses. 969 (1)[(a) Except as provided in Subsection (1)(b) or (d), if a sufficient number of 970 applicants apply, the department] The licensing board shall issue up to [15] 17 medical 971 cannabis pharmacy licenses in accordance with this section including the two medical 972 cannabis pharmacy licenses in accordance with Section 4-41a-1006. 973 [(b) If an insufficient number of qualified applicants apply for the available number of 974 medical cannabis pharmacy licenses, the department shall issue a medical cannabis 975 pharmacy license to each qualified applicant.] 976 [(c) The department may issue the licenses described in Subsection (1)(a) in accordance 977 with this Subsection (1)(c).] 978 [(i) Using one procurement process, the department may issue eight licenses to an 979 initial group of medical cannabis pharmacies and six licenses to a second group of - 29 - H.B. 54 Enrolled Copy 980 medical cannabis pharmacies.] 981 [(ii) The department shall:] 982 [(A) divide the state into no less than four geographic regions, set by the 983 department in rule;] 984 [(B) issue at least one license in each geographic region during each phase of 985 issuing licenses; and] 986 [(C) complete the process of issuing medical cannabis pharmacy licenses no later 987 than July 1, 2020.] 988 [(iii) In issuing a 15th license under Subsection (1), the department shall ensure that 989 the license recipient will locate the medical cannabis pharmacy within Dagget, 990 Duchesne, Uintah, Carbon, Sevier, Emery, Grand, or San Juan County.] 991 [(d)(i) The department may issue licenses to operate a medical cannabis pharmacy in 992 addition to the licenses described in Subsection (1)(a) if the department 993 determines, in consultation with the Department of Health and Human Services 994 and after an annual or more frequent analysis of the current and anticipated market 995 for medical cannabis, that each additional license is necessary to provide an 996 adequate supply, quality, or variety of medical cannabis to medical cannabis 997 cardholders.] 998 [(ii) The department shall:] 999 [(A) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking 1000 Act, make rules to establish criteria and processes for the consultation, 1001 analysis, and application for a license described in Subsection (1)(d)(i); and] 1002 [(B) report to the Executive Appropriations Committee of the Legislature before 1003 each time the department issues an additional license under Subsection 1004 (1)(d)(i) regarding the results of the consultation and analysis described in 1005 Subsection (1)(d)(i) and the application of the criteria described in Subsection 1006 (1)(d)(ii)(A).] 1007 (2)(a) [If there are more qualified applicants than there are available licenses for medical 1008 cannabis pharmacies, the department] The licensing board shall: 1009 (i) evaluate each applicant and award the license to the applicant that best 1010 demonstrates: 1011 (A) experience with establishing and successfully operating a business that 1012 involves complying with a regulatory environment, tracking inventory, and 1013 training, evaluating, and monitoring employees; - 30 - Enrolled Copy H.B. 54 1014 (B) an operating plan that will best ensure the safety and security of patrons and 1015 the community; 1016 (C) positive connections to the local community; 1017 (D) the suitability of the proposed location and the location's accessibility for 1018 qualifying patients; 1019 (E) the extent to which the applicant can increase efficiency and reduce the cost of 1020 medical cannabis for patients; and 1021 (F) a strategic plan described in Subsection 4-41a-1004(7) that has a 1022 comparatively high likelihood of success; and 1023 (ii) ensure a geographic dispersal among licensees that is sufficient to reasonably 1024 maximize access to the largest number of medical cannabis cardholders. 1025 (b) In making the evaluation described in Subsection (2)(a), the licensing board may 1026 give increased consideration to applicants who indicate a willingness to: 1027 (i) site a medical cannabis pharmacy in an area or population center designated as a 1028 medically underserved area or population as determined by the federal Health 1029 Resources and Services Administration; and 1030 (ii) operate as a home delivery medical cannabis pharmacy that accepts electronic 1031 medical cannabis orders. 1032 [(b) In making the evaluation described in Subsection (2)(a), the department may give 1033 increased consideration to applicants who indicate a willingness to:] 1034 [(i) operate as a home delivery medical cannabis pharmacy that accepts electronic 1035 medical cannabis orders that the state central patient portal facilitates; and] 1036 [(ii) accept payments through:] 1037 [(A) a payment provider that the Division of Finance approves, in consultation 1038 with the state treasurer, in accordance with Section 4-41a-108; or] 1039 [(B) a financial institution in accordance with Subsection 4-41a-108(4).] 1040 (3) The [department] licensing board may conduct a face-to-face interview with an applicant 1041 for a license that the [department] licensing board evaluates under Subsection (2). 1042 Section 16. Section 4-41a-1006 is enacted to read: 1043 4-41a-1006 . Independent medical cannabis licenses. 1044 (1)(a) Subject to the requirements of Subsection (3) and the criteria established for 1045 obtaining a medical cannabis pharmacy license under this chapter, the licensing 1046 board shall: 1047 (i) before January 1, 2026, select one entity to receive a medical cannabis pharmacy - 31 - H.B. 54 Enrolled Copy 1048 license; and 1049 (ii) before January 1, 2027, but not before January 1, 2026, select one entity to 1050 receive a medical cannabis pharmacy license. 1051 (b) When selecting entities under this section, if there is a conflict between the criteria 1052 established for obtaining a medical cannabis pharmacy license under the other 1053 sections of this chapter and this section, this section controls. 1054 (2) For the license described in Subsection (1)(a)(ii), the licensing board may not select an 1055 entity: 1056 (a) that owns any interest in or operates a medical cannabis production establishment; or 1057 (b) that is owned, partially or entirely, or operated by a medical cannabis production 1058 establishment. 1059 (3) The licensing board: 1060 (a) may not select an entity to receive a license under this section if the entity owns a 1061 financial interest in a medical cannabis pharmacy or is owned by an entity that owns 1062 a financial interest in a medical cannabis pharmacy; and 1063 (b) shall select an entity that will site a medical cannabis pharmacy license issued under 1064 this section in an area: 1065 (i) designated as a medically underserved area as determined by the federal Health 1066 Resources and Services Administration; and 1067 (ii) located in a county of the third, fourth, fifth, or sixth class. 1068 (4) A license described in this section may not be transferred to another entity unless that 1069 entity meets the requirements of Subsections (2) and (3) that the transferring entity met 1070 when obtaining the license. 1071 (5) Notwithstanding Subsection (4), for a license described in Subsection (1)(a)(i), an 1072 applicant shall commit to not alienating or otherwise transferring control of the license 1073 or of the entity that holds the license to another person for at least 15 years from the day 1074 the license is issued under this chapter. 1075 (6) The department shall provide regular updates to the Medical Cannabis Governance 1076 Structure Working Group created in Section 36-12-8.2 regarding the application and 1077 selection process for licenses issued under this section. 1078 Section 17. Section 4-41a-1101 is amended to read: 1079 4-41a-1101 . Operating requirements -- General. 1080 (1)(a) A medical cannabis pharmacy shall operate: 1081 (i) at the physical address provided to the department under Section 4-41a-1001; and - 32 - Enrolled Copy H.B. 54 1082 (ii) in accordance with the operating plan provided to the department under Section 1083 4-41a-1001 and, if applicable, Section 4-41a-1004. 1084 (b) A medical cannabis pharmacy shall notify the department before a change in the 1085 medical cannabis pharmacy's physical address or operating plan. 1086 (2) An individual may not enter a medical cannabis pharmacy unless the individual: 1087 (a) is at least 18 years old or is an emancipated minor under Section 80-7-105; and 1088 (b) except as provided in Subsection (4): 1089 (i) possesses a valid: 1090 (A) medical cannabis pharmacy agent registration card; 1091 (B) pharmacy medical provider registration card; or 1092 (C) medical cannabis card; 1093 (ii) is an employee of the department performing an inspection under Section 1094 4-41a-1103; or 1095 (iii) is another individual as the department provides. 1096 (3) A medical cannabis pharmacy may not employ an individual who is younger than 21 1097 years old. 1098 (4) Notwithstanding Subsection (2)(a), a medical cannabis pharmacy may authorize an 1099 individual who is not a medical cannabis pharmacy agent or pharmacy medical provider 1100 to access the medical cannabis pharmacy if the medical cannabis pharmacy tracks and 1101 monitors the individual at all times while the individual is at the medical cannabis 1102 pharmacy and maintains a record of the individual's access. 1103 (5) A medical cannabis pharmacy shall operate in a facility that has: 1104 (a) a single, secure public entrance; 1105 (b) a security system with a backup power source that: 1106 (i) detects and records entry into the medical cannabis pharmacy; and 1107 (ii) provides notice of an unauthorized entry to law enforcement when the medical 1108 cannabis pharmacy is closed; and 1109 (c) a lock on each area where the medical cannabis pharmacy stores [cannabis or a 1110 cannabis product] medical cannabis. 1111 (6) A medical cannabis pharmacy shall post, both clearly and conspicuously in the medical 1112 cannabis pharmacy, the limit on the purchase of cannabis described in Subsection 1113 4-41a-1102(2). 1114 (7) Except for an emergency situation described in Subsection 26B-4-213(3)(c), a medical 1115 cannabis pharmacy may not allow any individual to consume cannabis on the property - 33 - H.B. 54 Enrolled Copy 1116 or premises of the medical cannabis pharmacy. 1117 (8) A medical cannabis pharmacy may not sell [cannabis or a cannabis product] medical 1118 cannabis without first indicating on the [cannabis or cannabis product] medical cannabis 1119 label the name of the medical cannabis pharmacy. 1120 (9)(a) Each medical cannabis pharmacy shall retain in the pharmacy's records the 1121 following information regarding each recommendation underlying a transaction: 1122 (i) the recommending medical provider's name, address, and telephone number; 1123 (ii) the patient's name and address; 1124 (iii) the date of issuance; 1125 (iv) directions of use and dosing guidelines or an indication that the recommending 1126 medical provider did not recommend specific directions of use or dosing 1127 guidelines; and 1128 (v) if the patient did not complete the transaction, the name of the medical cannabis 1129 cardholder who completed the transaction. 1130 (b)(i) Except as provided in Subsection (9)(b)(iii), a medical cannabis pharmacy may 1131 not sell medical cannabis unless the medical cannabis has a label securely affixed 1132 to the container indicating the following minimum information: 1133 (A) the name, address, and telephone number of the medical cannabis pharmacy; 1134 (B) the unique identification number that the medical cannabis pharmacy assigns; 1135 (C) the date of the sale; 1136 (D) the name of the patient; 1137 (E) the name of the recommending medical provider who recommended the 1138 medical cannabis treatment; 1139 (F) directions for use and cautionary statements, if any; 1140 (G) the amount dispensed and the cannabinoid content; 1141 (H) the suggested use date; 1142 (I) for unprocessed cannabis flower, the legal use termination date; and 1143 (J) any other requirements that the department determines, in consultation with the 1144 Division of Professional Licensing and the Board of Pharmacy. 1145 (ii) A medical cannabis pharmacy is exempt from the requirement to provide the 1146 following information under Subsection (9)(b)(i) if the information is already 1147 provided on the product label that a cannabis production establishment affixes: 1148 (A) a unique identification number; 1149 (B) directions for use and cautionary statements; - 34 - Enrolled Copy H.B. 54 1150 (C) amount and cannabinoid content; and 1151 (D) a suggested use date. 1152 (iii) If the size of a medical cannabis container does not allow sufficient space to 1153 include the labeling requirements described in Subsection (9)(b)(i), the medical 1154 cannabis pharmacy may provide the following information described in 1155 Subsection (9)(b)(i) on a supplemental label attached to the container or an 1156 informational enclosure that accompanies the container: 1157 (A) the cannabinoid content; 1158 (B) the suggested use date; and 1159 (C) any other requirements that the department determines. 1160 (iv) A medical cannabis pharmacy may sell medical cannabis to another medical 1161 cannabis pharmacy without a label described in Subsection (9)(b)(i). 1162 (10) A pharmacy medical provider or medical cannabis pharmacy agent shall: 1163 (a) upon receipt of an order from a limited medical provider in accordance with 1164 Subsections 26B-4-204(1)(b) through (d): 1165 (i) for a written order or an electronic order under circumstances that the department 1166 determines, contact the limited medical provider or the limited medical provider's 1167 office to verify the validity of the recommendation; and 1168 (ii) for an order that the pharmacy medical provider or medical cannabis pharmacy 1169 agent verifies under Subsection (10)(a)(i) or an electronic order that is not subject 1170 to verification under Subsection (10)(a)(i), enter the limited medical provider's 1171 recommendation or renewal, including any associated directions of use, dosing 1172 guidelines, or caregiver indication, in the state electronic verification system; 1173 (b) in processing an order for a holder of a conditional medical cannabis card described 1174 in Subsection 26B-4-213(1)(b) that appears irregular or suspicious in the judgment of 1175 the pharmacy medical provider or medical cannabis pharmacy agent, contact the 1176 recommending medical provider or the recommending medical provider's office to 1177 verify the validity of the recommendation before processing the cardholder's order; 1178 (c) unless the medical cannabis cardholder has had a consultation under Subsection 1179 26B-4-231(5), verbally offer to a medical cannabis cardholder at the time of a 1180 purchase of [cannabis, a cannabis product,] medical cannabis or a medical cannabis 1181 device, personal counseling with the pharmacy medical provider; and 1182 (d) provide a telephone number or website by which the cardholder may contact a 1183 pharmacy medical provider for counseling. - 35 - H.B. 54 Enrolled Copy 1184 (11)(a) A medical cannabis pharmacy may create a medical cannabis disposal program 1185 that allows an individual to deposit unused or excess medical cannabis or cannabis 1186 residue from a medical cannabis device in a locked box or other secure receptacle 1187 within the medical cannabis pharmacy. 1188 (b) A medical cannabis pharmacy with a disposal program described in Subsection 1189 (11)(a) shall ensure that only a medical cannabis pharmacy agent or pharmacy 1190 medical provider can access deposited medical cannabis. 1191 (c) A medical cannabis pharmacy shall dispose of any deposited medical cannabis by: 1192 (i) rendering the deposited medical cannabis unusable and unrecognizable before 1193 transporting deposited medical cannabis from the medical cannabis pharmacy; and 1194 (ii) disposing of the deposited medical cannabis in accordance with: 1195 (A) federal and state law, rules, and regulations related to hazardous waste; 1196 (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.; 1197 (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and 1198 (D) other regulations that the department makes in accordance with Title 63G, 1199 Chapter 3, Utah Administrative Rulemaking Act. 1200 (12) A medical cannabis pharmacy: 1201 (a) shall employ a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy 1202 Practice Act, as a pharmacy medical provider; 1203 (b) may employ a physician who has the authority to write a prescription and is licensed 1204 under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah 1205 Osteopathic Medical Practice Act, as a pharmacy medical provider; 1206 (c) shall ensure that a pharmacy medical provider described in Subsection (12)(a) works 1207 onsite during all business hours; 1208 (d) shall designate one pharmacy medical provider described in Subsection (12)(a) as the 1209 pharmacist-in-charge to oversee the operation of and generally supervise the medical 1210 cannabis pharmacy;[ and] 1211 (e) shall allow the pharmacist-in-charge to determine which [cannabis and cannabis 1212 products] medical cannabis products the medical cannabis pharmacy maintains in the 1213 medical cannabis pharmacy's inventory[.] ; and 1214 (f) for each medical cannabis product sold by the medical cannabis pharmacy, shall: 1215 (i) allow a medical cannabis cardholder located in the pharmacy to view the back 1216 panel of the product when requested; and 1217 (ii) beginning July 1, 2025, include a picture of the back panel of the product on the - 36 - Enrolled Copy H.B. 54 1218 medical cannabis pharmacy's website. 1219 (13) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah 1220 Administrative Rulemaking Act, protocols for a recall of cannabis and cannabis products 1221 by a medical cannabis pharmacy. 1222 Section 18. Section 4-41a-1201 is amended to read: 1223 4-41a-1201 . Medical cannabis home delivery designation. 1224 (1) The department may designate a medical cannabis pharmacy as a home delivery 1225 medical cannabis pharmacy if the department determines that the medical cannabis 1226 pharmacy's operating plan demonstrates the functional and technical ability to: 1227 (a) safely conduct transactions for medical cannabis shipments; 1228 (b) accept electronic medical cannabis orders[ that the state central patient portal 1229 facilitates]; and 1230 (c) accept payments through: 1231 (i) a payment provider that the Division of Finance approves, in consultation with the 1232 state treasurer, in accordance with Section 26-61a-603; or 1233 (ii) a financial institution in accordance with Subsection 26-61a-603(4). 1234 (2) An applicant seeking a designation as a home delivery medical cannabis pharmacy shall 1235 identify in the applicant's operating plan any information relevant to the department's 1236 evaluation described in Subsection (1), including: 1237 (a) the name and contact information of the payment provider; 1238 (b) the nature of the relationship between the prospective licensee and the payment 1239 provider; 1240 (c) the processes of the following to safely and reliably conduct transactions for medical 1241 cannabis shipments: 1242 (i) the prospective licensee; and 1243 (ii) the electronic payment provider or the financial institution described in 1244 Subsection (1)(c); and 1245 (d) the ability of the licensee to comply with the department's rules regarding the secure 1246 transportation and delivery of medical cannabis [or medical cannabis product ]to a 1247 medical cannabis cardholder. 1248 (3) Notwithstanding any county or municipal ordinance, a medical cannabis pharmacy that 1249 the department designates as a home delivery medical cannabis pharmacy may deliver 1250 medical cannabis shipments in accordance with this part. 1251 Section 19. Section 4-41a-1202 is amended to read: - 37 - H.B. 54 Enrolled Copy 1252 4-41a-1202 . Home delivery of medical cannabis shipments -- Medical cannabis 1253 couriers -- License. 1254 (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah 1255 Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home 1256 delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders[ 1257 that the state central patient portal facilitates], including rules regarding the safe and 1258 controlled delivery of medical cannabis shipments. 1259 (2) A person may not operate as a medical cannabis courier without a license that the 1260 department issues under this section. 1261 (3)(a) Subject to Subsections (5) and (6), the department shall issue a license to operate 1262 as a medical cannabis courier to an applicant who is eligible for a license under this 1263 section. 1264 (b) An applicant is eligible for a license under this section if the applicant submits to the 1265 department: 1266 (i) the name and address of an individual who: 1267 (A) has a financial or voting interest of 10% or greater in the proposed medical 1268 cannabis courier; or 1269 (B) has the power to direct or cause the management or control of a proposed 1270 cannabis production establishment; 1271 (ii) an operating plan that includes operating procedures to comply with the operating 1272 requirements for a medical cannabis courier described in this chapter; and 1273 (iii) an application fee in an amount that, subject to Subsection 4-41a-104(5), the 1274 department sets in accordance with Section 63J-1-504. 1275 (4) If the department determines that an applicant is eligible for a license under this section, 1276 the department shall: 1277 (a) charge the applicant an initial license fee in an amount that, subject to Subsection 1278 4-41a-104(5), the department sets in accordance with Section 63J-1-504; and 1279 (b) notify the Department of Public Safety of the license approval and the names of each 1280 individual described in Subsection (3)(b)(i). 1281 (5) The department may not issue a license to operate as a medical cannabis courier to an 1282 applicant if an individual described in Subsection (3)(b)(i): 1283 (a) has been convicted under state or federal law of: 1284 (i) a felony in the preceding 10 years; or 1285 (ii) after September 23, 2019, a misdemeanor for drug distribution; or - 38 - Enrolled Copy H.B. 54 1286 (b) is younger than 21 years old. 1287 (6) The department may revoke a license under this part if: 1288 (a) the medical cannabis courier does not begin operations within one year after the day 1289 on which the department issues the initial license; 1290 (b) the medical cannabis courier makes the same violation of this chapter three times; 1291 (c) an individual described in Subsection (3)(b)(i) is convicted, while the license is 1292 active, under state or federal law of: 1293 (i) a felony; or 1294 (ii) after September 23, 2019, a misdemeanor for drug distribution; or 1295 (d) after a change of ownership described in Subsection (14)(c), the department 1296 determines that the medical cannabis courier no longer meets the minimum standards 1297 for licensure and operation of the medical cannabis courier described in this chapter. 1298 (7) The department shall deposit the proceeds of a fee imposed by this section in the 1299 Qualified Production Enterprise Fund. 1300 (8) The department's authority to issue a license under this section is plenary and is not 1301 subject to review. 1302 (9) Each applicant for a license as a medical cannabis courier shall submit, at the time of 1303 application, from each individual who has a financial or voting interest of 10% or 1304 greater in the applicant or who has the power to direct or cause the management or 1305 control of the applicant: 1306 (a) a fingerprint card in a form acceptable to the Department of Public Safety; 1307 (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the 1308 registration of the individual's fingerprints in the Federal Bureau of Investigation 1309 Next Generation Identification System's Rap Back Service; and 1310 (c) consent to a fingerprint background check by: 1311 (i) the Bureau of Criminal Identification; and 1312 (ii) the Federal Bureau of Investigation. 1313 (10) The Bureau of Criminal Identification shall: 1314 (a) check the fingerprints the applicant submits under Subsection (9) against the 1315 applicable state, regional, and national criminal records databases, including the 1316 Federal Bureau of Investigation Next Generation Identification System; 1317 (b) report the results of the background check to the department; 1318 (c) maintain a separate file of fingerprints that applicants submit under Subsection (9) 1319 for search by future submissions to the local and regional criminal records databases, - 39 - H.B. 54 Enrolled Copy 1320 including latent prints; 1321 (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next 1322 Generation Identification System's Rap Back Service for search by future 1323 submissions to national criminal records databases, including the Next Generation 1324 Identification System and latent prints; and 1325 (e) establish a privacy risk mitigation strategy to ensure that the department only 1326 receives notifications for an individual with whom the department maintains an 1327 authorizing relationship. 1328 (11) The department shall: 1329 (a) assess an individual who submits fingerprints under Subsection (9) a fee in an 1330 amount that the department sets in accordance with Section 63J-1-504 for the 1331 services that the Bureau of Criminal Identification or another authorized agency 1332 provides under this section; and 1333 (b) remit the fee described in Subsection (11)(a) to the Bureau of Criminal Identification. 1334 (12) The department shall renew a license under this section every year if, at the time of 1335 renewal: 1336 (a) the licensee meets the requirements of this section; and 1337 (b) the licensee pays the department a license renewal fee in an amount that, subject to 1338 Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504. 1339 (13) A person applying for a medical cannabis courier license shall submit to the 1340 department a proposed operating plan that complies with this section and that includes: 1341 (a) a description of the physical characteristics of any proposed facilities, including a 1342 floor plan and an architectural elevation, and delivery vehicles; 1343 (b) a description of the credentials and experience of each officer, director, or owner of 1344 the proposed medical cannabis courier; 1345 (c) the medical cannabis courier's employee training standards; 1346 (d) a security plan; and 1347 (e) storage and delivery protocols, both short and long term, to ensure that medical 1348 cannabis shipments are stored and delivered in a manner that is sanitary and 1349 preserves the integrity of the cannabis. 1350 (14)(a) A medical cannabis courier license is not transferable or assignable. 1351 (b) A medical cannabis courier shall report in writing to the department no later than 10 1352 business days before the date of any change of ownership of the medical cannabis 1353 courier. - 40 - Enrolled Copy H.B. 54 1354 (c) If the ownership of a medical cannabis courier changes by 50% or more: 1355 (i) concurrent with the report described in Subsection (14)(b), the medical cannabis 1356 courier shall submit a new application described in Subsection (3)(b); 1357 (ii) within 30 days of the submission of the application, the department shall: 1358 (A) conduct an application review; and 1359 (B) award a license to the medical cannabis courier for the remainder of the term 1360 of the medical cannabis courier's license before the ownership change if the 1361 medical cannabis courier meets the minimum standards for licensure and 1362 operation of the medical cannabis courier described in this chapter; and 1363 (iii) if the department approves the license application, notwithstanding Subsection 1364 (4), the medical cannabis courier shall pay a license fee that the department sets in 1365 accordance with Section 63J-1-504 in an amount that covers the board's cost of 1366 conducting the application review. 1367 (15)(a) Except as provided in Subsection(15)(b), a person may not advertise regarding 1368 the transportation of medical cannabis. 1369 (b) Notwithstanding Subsection (14)(a) and subject to Section 4-41a-109, a licensed 1370 home delivery medical cannabis pharmacy or a licensed medical cannabis courier 1371 may advertise: 1372 (i) a green cross; 1373 (ii) the pharmacy's or courier's name and logo; and 1374 (iii) that the pharmacy or courier is licensed to transport medical cannabis shipments. 1375 Section 20. Section 4-41a-1203 is amended to read: 1376 4-41a-1203 . Medical cannabis shipment transportation. 1377 (1) The department shall ensure that each home delivery medical cannabis pharmacy is 1378 capable of delivering, directly or through a medical cannabis courier, medical cannabis 1379 shipments in a secure manner. 1380 (2)(a) A home delivery medical cannabis pharmacy may contract with a licensed 1381 medical cannabis courier to deliver medical cannabis shipments to fulfill electronic 1382 medical cannabis orders[ that the state central patient portal facilitates]. 1383 (b) If a home delivery medical cannabis pharmacy enters into a contract described in 1384 Subsection (2)(a), the pharmacy shall: 1385 (i) impose security and personnel requirements on the medical cannabis courier 1386 sufficient to ensure the security and safety of medical cannabis shipments; and 1387 (ii) provide regular oversight of the medical cannabis courier. - 41 - H.B. 54 Enrolled Copy 1388 (3) Notwithstanding Subsection 4-41a-404(1), an individual may transport a medical 1389 cannabis shipment if the individual is: 1390 (a) a registered pharmacy medical provider; 1391 (b) a registered medical cannabis pharmacy agent; or 1392 (c) a registered agent of the medical cannabis courier described in Subsection (2). 1393 (4) An individual transporting a medical cannabis shipment under Subsection (3) shall 1394 comply with the requirements of Subsection 4-41a-404(3). 1395 (5) In addition to the requirements in Subsections (3) and (4), the department may establish 1396 by rule, in collaboration with the Division of Professional Licensing and the Board of 1397 Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative 1398 Rulemaking Act, requirements for transporting medical cannabis shipments that are 1399 related to safety for human consumption of [cannabis or a cannabis product] medical 1400 cannabis. 1401 (6)(a) It is unlawful for an individual to transport a medical cannabis shipment with a 1402 manifest that does not meet the requirements of Subsection (4). 1403 (b) Except as provided in Subsection (6)(d), an individual who violates Subsection (6)(a) 1404 is: 1405 (i) guilty of an infraction; and 1406 (ii) subject to a $100 fine. 1407 (c) An individual who is guilty of a violation described in Subsection (6)(b) is not guilty 1408 of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the 1409 conduct underlying the violation described in Subsection (6)(b). 1410 (d) If the individual described in Subsection (6)(a) is transporting more cannabis, 1411 cannabis product, or medical cannabis devices than the manifest identifies, except for 1412 a de minimis administrative error: 1413 (i) this chapter does not apply; and 1414 (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled 1415 Substances Act. 1416 Section 21. Section 4-41a-1206 is amended to read: 1417 4-41a-1206 . Closed-door medical cannabis pharmacy. 1418 (1)(a) Subject to Subsections (1)(b) and (c), a home delivery medical cannabis pharmacy 1419 may open a single closed-door medical cannabis pharmacy. 1420 (b) A home delivery medical cannabis pharmacy may not open a closed-door medical 1421 cannabis pharmacy unless the home delivery medical cannabis pharmacy: - 42 - Enrolled Copy H.B. 54 1422 (i) has an operating plan that includes a closed-door medical cannabis pharmacy; and 1423 (ii) obtains a license issued by the department for a closed-door medical cannabis 1424 pharmacy. 1425 (c) An entity that owns multiple home delivery medical cannabis pharmacies may open 1426 only one closed-door medical cannabis pharmacy. 1427 (d) The department may institute a fee in accordance with Section 63J-1-504 to 1428 administer this section. 1429 (2) A home delivery medical cannabis pharmacy that opens a closed-door medical cannabis 1430 pharmacy under Subsection (1) shall ensure: 1431 (a) that a pharmacy medical provider who is a licensed pharmacist: 1432 (i) is directly supervising the packaging of an order; and 1433 (ii) is present in the closed-door medical cannabis pharmacy when an order is 1434 packaged for delivery; and 1435 (b) all record keeping requirements, labeling requirements, and patient counseling 1436 requirements described in this chapter and Title 26B, Chapter 4, Part 2, Cannabinoid 1437 Research and Medical Cannabis, are satisfied before sending out an order. 1438 (3) An individual who prepares an order at a closed-door medical cannabis pharmacy under 1439 this section shall be registered as: 1440 (a) a pharmacy medical provider; or 1441 (b) a medical cannabis pharmacy agent. 1442 (4)(a) A closed-door medical cannabis pharmacy shall operate: 1443 (i) except as provided in Subsection (4)(b), in a facility that is accessible only by an 1444 individual who is a pharmacy medical provider or a medical cannabis pharmacy 1445 agent; and 1446 (ii) at a physical address in accordance with Subsection (6). 1447 (b) A closed-door medical cannabis pharmacy may authorize an individual who is at 1448 least 18 years old and is not a pharmacy medical provider or a cannabis pharmacy 1449 agent to access the closed-door medical cannabis pharmacy if the closed-door 1450 medical cannabis pharmacy: 1451 (i) tracks and monitors the individual at all times while the individual is at the 1452 closed-door medical cannabis pharmacy; and 1453 (ii) maintains a record of the individual's access, including arrival and departure. 1454 (c) A closed-door medical cannabis pharmacy shall operate in a facility that has: 1455 (i) a single, secure public entrance; and - 43 - H.B. 54 Enrolled Copy 1456 (ii) a security system with a backup power source that: 1457 (A) detects and records entry into the closed-door medical cannabis pharmacy; 1458 (B) provides notice of an unauthorized entry to law enforcement when the 1459 closed-door medical cannabis pharmacy is closed; and 1460 (C) a lock or equivalent restrictive security feature on any area where the 1461 closed-door medical cannabis pharmacy stores a cannabis product. 1462 (d) A closed-door medical cannabis pharmacy shall ensure that any cannabis or cannabis 1463 products in the closed-door medical cannabis pharmacy that are intended for home 1464 delivery are separated in a manner that is readily distinguishable from any other 1465 cannabis or cannabis product in the facility. 1466 (5) A closed-door medical cannabis pharmacy may only provide cannabis or a cannabis 1467 product to an individual through a delivery that complies with this part. 1468 (6)(a) A person may not locate a closed-door medical cannabis pharmacy: 1469 (i) within 1,000 feet of a community location; or 1470 (ii) in or within 600 feet of a district that the relevant municipality or county has 1471 zoned as primarily residential. 1472 (b) The proximity requirements described in Subsection (6)(a) shall be measured from 1473 the nearest entrance to the closed-door medical cannabis pharmacy by following the 1474 shortest route of ordinary pedestrian travel to the property boundary of the 1475 community location or residential area. 1476 (c) The licensing board may grant a waiver to reduce the proximity requirements in 1477 Subsection (6)(a) by up to 20% if the licensing board determines that it is not 1478 reasonably feasible for the applicant to site the proposed closed-door medical 1479 cannabis pharmacy without the waiver. 1480 (d) An applicant for a license under this section shall provide evidence of compliance 1481 with the proximity requirements described in Subsection (6)(a). 1482 (7) When determining where a closed-door medical cannabis pharmacy may open, the 1483 licensing board: 1484 (a) shall utilize geographic regions created by the department through rule; 1485 (b) shall prioritize allowing entities that do not have a medical cannabis pharmacy in a 1486 region to open a closed-door medical cannabis pharmacy in the region; 1487 (c) of the total amount of closed-door medical cannabis pharmacies, may allow only 1488 three closed-door medical cannabis pharmacies to operate in counties of the first and 1489 second class as described in Section 17-50-501; and - 44 - Enrolled Copy H.B. 54 1490 (d) for determining the three closed-door medical cannabis pharmacies described in 1491 Subsection (7)(c), consider the following: 1492 (i) the history of compliance with state law and rules for all licenses issued under this 1493 chapter; 1494 (ii) the medical cannabis pharmacy's willingness to offer a variety of brands and 1495 products; 1496 (iii) the ability of the operating plan to ensure the safety and security of the 1497 community; 1498 (iv) the suitability of the proposed location and the location's ability to serve the local 1499 community; and 1500 (v) any other relevant information determined through rule. 1501 (8) A closed-door medical cannabis pharmacy may not account for more than: 1502 (a) for an entity that holds a single medical cannabis pharmacy license, the greater of: 1503 (i) 35% of the medical cannabis pharmacy's total revenue; or 1504 (ii) $2,000,000 in total revenue; or 1505 (b) for an entity that holds more than one medical cannabis pharmacy license, the greater 1506 of: 1507 (i) 35% of the total revenue of the entity's medical cannabis pharmacy that generates 1508 the most revenue; or 1509 (ii) $2,000,000 in total revenue. 1510 (9) Notwithstanding any other provision of this section, the [department] licensing board 1511 may issue only [three] one closed-door medical cannabis pharmacy [licenses] license 1512 before July 1, 2027. 1513 (10) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the 1514 department shall make rules to implement this section. 1515 Section 22. Section 26B-1-435 is amended to read: 1516 26B-1-435 . Medical Cannabis Policy Advisory Board creation -- Membership -- 1517 Duties. 1518 (1) There is created within the department the Medical Cannabis Policy Advisory Board. 1519 (2)(a) The advisory board shall consist of the following members: 1520 (i) appointed by the executive director: 1521 (A) a qualified medical provider who has recommended medical cannabis to at 1522 least 100 patients before being appointed; 1523 [(B) a medical research professional;] - 45 - H.B. 54 Enrolled Copy 1524 [(C)] (B) a mental health specialist; 1525 [(D)] (C) an individual who represents an organization that advocates for medical 1526 cannabis patients; 1527 [(E)] (D) [an individual] a member of the general public who holds a medical 1528 cannabis patient card; and 1529 [(F)] (E) a member of the general public who does not hold a medical cannabis 1530 card;[ and] 1531 (ii) appointed by the commissioner of the Department of Agriculture and Food: 1532 (A) an individual who owns or operates a licensed cannabis cultivation facility, as 1533 defined in Section 4-41a-102; 1534 (B) an individual who owns or operates a licensed medical cannabis pharmacy; 1535 and 1536 (C) a law enforcement officer[.] ; and 1537 (iii) a representative from the Center for Medical Cannabis Research created in 1538 Section 53B-14-1402, appointed by the Center for Medical Cannabis Research. 1539 (b) The commissioner of the Department of Agriculture and Food shall ensure that at 1540 least one individual appointed under Subsection (2)(a)(ii)(A) or (B) also owns or 1541 operates a licensed cannabis processing facility. 1542 (3)(a) Subject to Subsection (3)(b), a member of the advisory board shall serve for a four 1543 year term. 1544 (b) When appointing the initial membership of the advisory board, the executive director 1545 and the commissioner of the Department of Agriculture and Food shall coordinate to 1546 appoint four advisory board members to serve a term of two years to ensure that 1547 approximately half of the board is appointed every two years. 1548 (4)(a) If an advisory board member is no longer able to serve as a member, a new 1549 member shall be appointed in the same manner as the original appointment. 1550 (b) A member appointed in accordance with Subsection (4)(a) shall serve for the 1551 remainder of the unexpired term of the original appointment. 1552 (5)(a) A majority of the advisory board members constitutes a quorum. 1553 (b) The action of a majority of a quorum constitutes an action of the advisory board. 1554 (c) For a term lasting one year, the advisory board shall annually designate members of 1555 the advisory board to serve as chair and vice-chair. 1556 (d) When designating the chair and vice-chair, the advisory board shall ensure that at 1557 least one individual described Subsection (2)(a)(i) is appointed as chair or vice-chair. - 46 - Enrolled Copy H.B. 54 1558 (6) An advisory board member may not receive compensation or benefits for the member's 1559 service on the advisory board but may receive per diem and reimbursement for travel 1560 expenses incurred as an advisory board member in accordance with: 1561 (a) Sections 63A-3-106 and 63A-3-107; and 1562 (b) rules made by the Division of Finance pursuant to Sections 63A-3-106 and 1563 63A-3-107. 1564 (7) The department shall: 1565 (a) provide staff support for the advisory board; and 1566 (b) assist the advisory board in conducting meetings. 1567 (8) The advisory board may recommend: 1568 (a) to the department or the Department of Agriculture and Food changes to current or 1569 proposed medical cannabis rules or statutes; and 1570 (b) to the appropriate legislative committee whether the advisory board supports a 1571 change to medical cannabis statutes. 1572 (9) The advisory board shall: 1573 (a) review any draft rule that is authorized under [this chapter] Chapter 4, Part 2, 1574 Cannabinoid Research and Medical Cannabis, or Title 4, Chapter 41a, Cannabis 1575 Production Establishments and Pharmacies; 1576 (b) consult with the Department of Agriculture and Food regarding the issuance of an 1577 additional: 1578 (i) cultivation facility license under Section 4-41a-205; or 1579 (ii) pharmacy license under Section 4-41a-1005; 1580 (c) consult with the department regarding cannabis patient education; 1581 (d) consult regarding the reasonableness of any fees set by the department or the 1582 Department of Agriculture and Food that pertain to the medical cannabis program; 1583 and 1584 (e) consult regarding any issue pertaining to medical cannabis when asked by the 1585 department or the Utah Department of Agriculture and Food. 1586 Section 23. Section 26B-4-201 is amended to read: 1587 26B-4-201 . Definitions. 1588 As used in this part: 1589 (1) "Active tetrahydrocannabinol" means THC, any THC analog, and 1590 tetrahydrocannabinolic acid. 1591 (2) "Administration of criminal justice" means the performance of detection, apprehension, - 47 - H.B. 54 Enrolled Copy 1592 detention, pretrial release, post-trial release, prosecution, and adjudication. 1593 (3) "Advertise" means information provided by a person in any medium: 1594 (a) to the public; and 1595 (b) that is not age restricted to an individual who is at least 21 years old. 1596 (4) "Advisory board" means the Medical Cannabis Policy Advisory Board created in 1597 Section 26B-1-435. 1598 (5) "Cannabis Research Review Board" means the Cannabis Research Review Board 1599 created in Section 26B-1-420. 1600 (6) "Cannabis" means marijuana. 1601 (7) "Cannabis processing facility" means the same as that term is defined in Section 1602 4-41a-102. 1603 (8) "Cannabis product" means a product that: 1604 (a) is intended for human use; and 1605 (b) contains cannabis or any tetrahydrocannabinol or THC analog in a total 1606 concentration of 0.3% or greater on a dry weight basis. 1607 (9) "Cannabis production establishment" means the same as that term is defined in Section 1608 4-41a-102. 1609 (10) "Cannabis production establishment agent" means the same as that term is defined in 1610 Section 4-41a-102. 1611 (11) "Cannabis production establishment agent registration card" means the same as that 1612 term is defined in Section 4-41a-102. 1613 (12) "Conditional medical cannabis card" means an electronic medical cannabis card that 1614 the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an 1615 applicant for a medical cannabis card to access medical cannabis during the department's 1616 review of the application. 1617 (13) "Controlled substance database" means the controlled substance database created in 1618 Section 58-37f-201. 1619 (14) "Delivery address" means the same as that term is defined in Section 4-41a-102. 1620 (15) "Department" means the Department of Health and Human Services. 1621 (16) "Designated caregiver" means: 1622 (a) an individual: 1623 (i) whom an individual with a medical cannabis patient card or a medical cannabis 1624 guardian card designates as the patient's caregiver; and 1625 (ii) who registers with the department under Section 26B-4-214; or - 48 - Enrolled Copy H.B. 54 1626 (b)(i) a facility that an individual designates as a designated caregiver in accordance 1627 with Subsection 26B-4-214(1)(b); or 1628 (ii) an assigned employee of the facility described in Subsection 26B-4-214(1)(b)(ii). 1629 (17) "Directions of use" means recommended routes of administration for a medical 1630 cannabis treatment and suggested usage guidelines. 1631 (18) "Dosing guidelines" means a quantity range and frequency of administration for a 1632 recommended treatment of medical cannabis. 1633 (19) "Government issued photo identification" means any of the following forms of 1634 identification: 1635 (a) a valid state-issued driver license or identification card; 1636 (b) a valid United States federal-issued photo identification, including: 1637 (i) a United States passport; 1638 (ii) a United States passport card; 1639 (iii) a United States military identification card; or 1640 (iv) a permanent resident card or alien registration receipt card; or 1641 (c) a foreign passport. 1642 (20) "Home delivery medical cannabis pharmacy" means a medical cannabis pharmacy that 1643 the department authorizes, as part of the pharmacy's license, to deliver medical cannabis 1644 shipments to a delivery address to fulfill electronic orders[ that the state central patient 1645 portal facilitates]. 1646 (21) "Inventory control system" means the system described in Section 4-41a-103. 1647 (22) "Legal dosage limit" means an amount that: 1648 (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the 1649 relevant recommending medical provider or [the state central patient portal or ] 1650 pharmacy medical provider, in accordance with Subsection [26B-4-230(5)] 1651 26B-4-231(5), recommends; and 1652 (b) may not exceed: 1653 (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and 1654 (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in 1655 total, greater than 20 grams of active tetrahydrocannabinol. 1656 (23) "Legal use termination date" means a date on the label of a container of unprocessed 1657 cannabis flower: 1658 (a) that is 60 days after the date of purchase of the cannabis; and 1659 (b) after which, the cannabis is no longer in a medicinal dosage form outside of the - 49 - H.B. 54 Enrolled Copy 1660 primary residence of the relevant medical cannabis patient cardholder. 1661 (24) "Limited medical provider" means an individual who: 1662 (a) meets the recommending qualifications; and 1663 (b) has no more than 15 patients with a valid medical cannabis patient card as a result of 1664 the individual's recommendation, in accordance with Subsection 26B-4-204(1)(b). 1665 (25) "Marijuana" means the same as that term is defined in Section 58-37-2. 1666 (26) "Medical cannabis" or "medical cannabis product" means cannabis in a medicinal 1667 dosage form or a cannabis product in a medicinal dosage form. 1668 (27) "Medical cannabis card" means a medical cannabis patient card, a medical cannabis 1669 guardian card, a medical cannabis caregiver card, or a conditional medical cannabis card. 1670 (28) "Medical cannabis cardholder" means: 1671 (a) a holder of a medical cannabis card; or 1672 (b) a facility or assigned employee, described in Subsection (16)(b), only: 1673 (i) within the scope of the facility's or assigned employee's performance of the role of 1674 a medical cannabis patient cardholder's caregiver designation under Subsection 1675 26B-4-214(1)(b); and 1676 (ii) while in possession of documentation that establishes: 1677 (A) a caregiver designation described in Subsection 26B-4-214(1)(b); 1678 (B) the identity of the individual presenting the documentation; and 1679 (C) the relation of the individual presenting the documentation to the caregiver 1680 designation. 1681 (29) "Medical cannabis caregiver card" means an electronic document that a cardholder 1682 may print or store on an electronic device or a physical card or document that: 1683 (a) the department issues to an individual whom a medical cannabis patient cardholder 1684 or a medical cannabis guardian cardholder designates as a designated caregiver; and 1685 (b) is connected to the electronic verification system. 1686 (30) "Medical cannabis courier" means the same as that term is defined in Section 1687 4-41a-102. 1688 (31)(a) "Medical cannabis device" means a device that an individual uses to ingest or 1689 inhale [cannabis in a medicinal dosage form or a cannabis product in a medicinal 1690 dosage form] medical cannabis. 1691 (b) "Medical cannabis device" does not include a device that: 1692 (i) facilitates cannabis combustion; or 1693 (ii) an individual uses to ingest substances other than cannabis. - 50 - Enrolled Copy H.B. 54 1694 (32) "Medical cannabis guardian card" means an electronic document that a cardholder may 1695 print or store on an electronic device or a physical card or document that: 1696 (a) the department issues to the parent or legal guardian of a minor with a qualifying 1697 condition; and 1698 (b) is connected to the electronic verification system. 1699 (33) "Medical cannabis patient card" means an electronic document that a cardholder may 1700 print or store on an electronic device or a physical card or document that: 1701 (a) the department issues to an individual with a qualifying condition; and 1702 (b) is connected to the electronic verification system. 1703 (34) "Medical cannabis pharmacy" means a person that: 1704 (a)(i) acquires or intends to acquire medical cannabis [or a cannabis product in a 1705 medicinal dosage form ]from a cannabis processing facility or another medical 1706 cannabis pharmacy or a medical cannabis device; or 1707 (ii) possesses medical cannabis or a medical cannabis device; and 1708 (b) sells or intends to sell medical cannabis or a medical cannabis device to a medical 1709 cannabis cardholder. 1710 (35) "Medical cannabis pharmacy agent" means an individual who holds a valid medical 1711 cannabis pharmacy agent registration card issued by the department. 1712 (36) "Medical cannabis pharmacy agent registration card" means a registration card issued 1713 by the department that authorizes an individual to act as a medical cannabis pharmacy 1714 agent. 1715 (37) "Medical cannabis shipment" means the same as that term is defined in Section 1716 4-41a-102. 1717 (38) "Medical cannabis treatment" means [cannabis in a medicinal dosage form, a cannabis 1718 product in a medicinal dosage form, or] medical cannabis or a medical cannabis device. 1719 (39)(a) "Medicinal dosage form" means: 1720 (i) for processed medical cannabis, the following with a specific and consistent 1721 cannabinoid content: 1722 (A) a tablet; 1723 (B) a capsule; 1724 (C) a concentrated liquid or viscous oil; 1725 (D) a liquid suspension that does not exceed 30 milliliters; 1726 (E) a topical preparation; 1727 (F) a transdermal preparation; - 51 - H.B. 54 Enrolled Copy 1728 (G) a sublingual preparation; 1729 (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or 1730 rectangular cuboid shape; 1731 (I) a resin or wax; 1732 (J) an aerosol; 1733 (K) a suppository preparation; or 1734 (L) a soft or hard confection that is a uniform rectangular cuboid or uniform 1735 spherical shape, is homogeneous in color and texture, and each piece is a single 1736 serving; or 1737 (ii) for unprocessed cannabis flower, a container described in Section 4-41a-602 that: 1738 (A) contains cannabis flower in a quantity that varies by no more than 10% from 1739 the stated weight at the time of packaging; 1740 (B) at any time the medical cannabis cardholder transports or possesses the 1741 container in public, is contained within an opaque bag or box that the medical 1742 cannabis pharmacy provides; and 1743 (C) is labeled with the container's content and weight, the date of purchase, the 1744 legal use termination date, and a barcode that provides information connected 1745 to an inventory control system. 1746 (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that: 1747 (i) the medical cannabis cardholder has recently removed from the container 1748 described in Subsection (39)(a)(ii) for use; and 1749 (ii) does not exceed the quantity described in Subsection (39)(a)(ii). 1750 (c) "Medicinal dosage form" does not include: 1751 (i) any unprocessed cannabis flower outside of the container described in Subsection 1752 (39)(a)(ii), except as provided in Subsection (39)(b); 1753 (ii) any unprocessed cannabis flower in a container described in Subsection (39)(a)(ii) 1754 after the legal use termination date; 1755 (iii) a process of vaporizing and inhaling concentrated cannabis by placing the 1756 cannabis on a nail or other metal object that is heated by a flame, including a 1757 blowtorch; 1758 (iv) a liquid suspension that is branded as a beverage; 1759 (v) a substance described in Subsection (39)(a)(i) or (ii) if the substance is not 1760 measured in grams, milligrams, or milliliters; or 1761 (vi) a substance that contains or is covered to any degree with chocolate. - 52 - Enrolled Copy H.B. 54 1762 (40) "Nonresident patient" means an individual who: 1763 (a) is not a resident of Utah or has been a resident of Utah for less than 45 days; 1764 (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis 1765 card under the laws of another state, district, territory, commonwealth, or insular 1766 possession of the United States; and 1767 (c) has been diagnosed with a qualifying condition as described in Section 26B-4-203. 1768 (41) "Pharmacy medical provider" means the medical provider required to be on site at a 1769 medical cannabis pharmacy under Section 26B-4-219. 1770 (42) "Provisional patient card" means a card that: 1771 (a) the department issues to a minor with a qualifying condition for whom: 1772 (i) a recommending medical provider has recommended a medical cannabis 1773 treatment; and 1774 (ii) the department issues a medical cannabis guardian card to the minor's parent or 1775 legal guardian; and 1776 (b) is connected to the electronic verification system. 1777 (43) "Qualified medical provider" means an individual: 1778 (a) who meets the recommending qualifications; and 1779 (b) whom the department registers to recommend treatment with cannabis in a medicinal 1780 dosage form under Section 26B-4-204. 1781 (44) "Qualified Patient Enterprise Fund" means the enterprise fund created in Section 1782 26B-1-310. 1783 (45) "Qualifying condition" means a condition described in Section 26B-4-203. 1784 (46) "Recommend" or "recommendation" means, for a recommending medical provider, the 1785 act of suggesting the use of medical cannabis treatment, which: 1786 (a) certifies the patient's eligibility for a medical cannabis card; and 1787 (b) may include, at the recommending medical provider's discretion, directions of use, 1788 with or without dosing guidelines. 1789 (47) "Recommending medical provider" means a qualified medical provider or a limited 1790 medical provider. 1791 (48) "Recommending qualifications" means that an individual: 1792 (a)(i) has the authority to write a prescription; 1793 (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah 1794 Controlled Substances Act; and 1795 (iii) possesses the authority, in accordance with the individual's scope of practice, to - 53 - H.B. 54 Enrolled Copy 1796 prescribe a Schedule II controlled substance; and 1797 (b) is licensed as: 1798 (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act; 1799 (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice 1800 Act; 1801 (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, 1802 Chapter 68, Utah Osteopathic Medical Practice Act; or 1803 (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act. 1804 [(49) "State central patient portal" means the website the department creates, in accordance 1805 with Section 26B-4-236, to facilitate patient safety, education, and an electronic medical 1806 cannabis order.] 1807 [(50)] (49) "State electronic verification system" means the system described in Section 1808 26B-4-202. 1809 [(51)] (50) "Targeted marketing" means the promotion by a qualified medical provider, 1810 medical clinic, or medical office that employs a qualified medical provider of a medical 1811 cannabis recommendation service using any of the following methods: 1812 (a) electronic communication to an individual who is at least 21 years old and has 1813 requested to receive promotional information; 1814 (b) an in-person marketing event that is held in an area where only an individual who is 1815 at least 21 years old may access the event; 1816 (c) other marketing material that is physically or digitally displayed in the office of the 1817 medical clinic or office that employs a qualified medical provider; or 1818 (d) a leaflet that a qualified medical provider, medical clinic, or medical office that 1819 employs a qualified medical provider shares with an individual who is at least 21 1820 years old. 1821 [(52)] (51) "Tetrahydrocannabinol" or "THC" means a substance derived from cannabis or a 1822 synthetic equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA). 1823 [(53)] (52) "THC analog" means the same as that term is defined in Section 4-41-102. 1824 Section 24. Section 26B-4-202 is amended to read: 1825 26B-4-202 . Electronic verification system. 1826 (1) The Department of Agriculture and Food, the department, the Department of Public 1827 Safety, and the Division of Technology Services shall: 1828 (a) enter into a memorandum of understanding in order to determine the function and 1829 operation of the state electronic verification system in accordance with Subsection (2); - 54 - Enrolled Copy H.B. 54 1830 (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah 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 - 55 - H.B. 54 Enrolled Copy 1864 recommended a medical cannabis treatment during a face-to-face visit with the 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; - 56 - Enrolled Copy H.B. 54 1898 (C) any cannabis production establishment, any medical cannabis pharmacy, or 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 - 57 - H.B. 54 Enrolled Copy 1932 through a database used by law enforcement; and 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. - 58 - Enrolled Copy H.B. 54 1966 (5) The department may release limited data that the system collects for the purpose of: 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 - 59 - H.B. 54 Enrolled Copy 2000 Health Insurance Portability and Accountability Act of 1996; or 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 - 60 - Enrolled Copy H.B. 54 2034 card, in accordance with this Subsection (1)(d). 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 - 61 - H.B. 54 Enrolled Copy 2068 (C) complies with this section; and 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 - 62 - Enrolled Copy H.B. 54 2102 (iv) any additional information that the department requests to assist in matching the 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 - 63 - H.B. 54 Enrolled Copy 2136 facilitates]; 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;] - 64 - Enrolled Copy H.B. 54 2170 [(iii) contains a combined amount of total THC and any THC analog that does not 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 - 65 - H.B. 54 Enrolled Copy 2204 hemp concentrate if the transportable industrial hemp concentrate is handled in 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 - 66 - Enrolled Copy H.B. 54 2238 investigational drug or device. 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. - 67 - H.B. 54 Enrolled Copy 2272 (c) Immediately following a purchase or attempted purchase or as soon as practical the 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. - 68 - Enrolled Copy H.B. 54 2306 (6)(a) Except as provided in Subsection (6)(b), a purchase attempted under this section 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. - 69 - H.B. 54 Enrolled Copy 2340 Section 32. Effective Date. 2341 This bill takes effect on May 7, 2025. - 70 -