BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     AB 266


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          Date of Hearing:  May 20, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          AB  
          266 (Cooley) - As Amended May 11, 2015


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          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          No


          SUMMARY:


          This bill creates a state licensing and regulatory framework for  
          the cultivation, processing, distribution, testing,  
          recommendation, and sale of medical cannabis.  The bill includes  
          provisions related to licensure; health and safety standards,  







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          which include medical cannabis testing and labeling;  
          record-keeping; security; transportation; taxation;  
          certification of employees; and physician recommendation and  
          advertising.  Specifically, this bill:


            1)  Establishes parameters related to medical recommendation  
              of marijuana, requiring the Medical Board to prioritize for  
              investigation repeated acts of recommending marijuana for  
              medical reasons and adopt medical guidelines for its  
              administration and use, and prohibiting a physician from  
              recommending marijuana unless the person is a patient's  
              "attending physician," as defined by the Compassionate Use  
              Act.


            2)  Exempts from licensure a patient who cultivates or  
              possesses marijuana for personal medical use, or a primary  
              caregiver who cultivates, possesses or provides marijuana to  
              no more than five patients, as specified. 


            3)  Establishes the Bureau of Medical Marijuana (bureau)  
              within the Department of Consumer Affairs, to enforce its  
              provisions.  Requires the bureau, by July 1, 2017, to  
              promulgate regulations for implementation and enforcement,  
              as specified. 


            4)  Creates the fee-based and continuously appropriated  
              Medical Marijuana Regulation Fund and the Special Account  
              for Environmental Enforcement; specifies all penalties are  
              deposited into the GF; and authorizes the bureau to  
              administer a grant program to allocate funds to state and  
              local entities to assist with administration and  
              enforcement. 


            5)  Authorizes the bureau to conditionally license marijuana  
              cultivation sites, dispensing facilities, manufacturers, and  







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              transporters, and to collect related licensing fees.   
              Specifies protection of the public is the paramount priority  
              of the bureau. 


            6)  Requires, beginning Jan. 1, 2017, the bureau to provide  
              for conditional licensure, as specified.  Prohibits  
              unlicensed activity. Makes licensees subject to local  
              jurisdiction restrictions, including prohibitions on  
              operation.


            7)  Specifies medical marijuana transportation requirements,  
              including secure vehicles and minimum staffing.


            8)  Authorizes cities and counties to enforce this statute and  
              regulations adopted by the bureau, and provides this act  
              does not supersede in any way the City of Los Angeles's  
              Measure D.


            9)  Requires licensed facilities to implement specified  
              security measures, including access, storage, and inventory  
              controls.  Requires annual audits of all licensees, the cost  
              of which is paid by licensees.  


            10) Authorizes boards of supervisors to impose, by ordinance,  
              applicable to voter approval requirements, a tax on  
              cultivation, storing, distributing or selling marijuana by a  
              licensee.


            11) Establishes food safety, potency, and labeling standards  
              for edible marijuana products.


            12) Requires the California Department of Public Health (CDPH)  
              to promulgate standards for certification of testing  







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              laboratories to perform random sample testing of all medical  
              marijuana products, and to certify testing laboratories. 


            13) Requires the Division of Labor Standards Enforcement in  
              the Department of Industrial Relations (DIR) to develop  
              competency and training certification standards for  
              cultivation and dispensing employees.  Creates a one-time  
              $25 registration fee which is deposited in the newly created  
              Cannabis Certification Fund, and is available upon  
              appropriation for the cost of certifying employees.


            14) Makes willful violations of this act punishable by a civil  
              fine of up to $35,000. Technical violations are punishable  
              by fines of up to $10,000.


          FISCAL EFFECT:


          Costs/Fees:


          1)Significant annual costs, likely in excess of $20 million  
            (Medical Marijuana Regulation Fund/special funds), to create  
            the Bureau of Medical Marijuana Regulation (bureau) in the  
            Department of Consumer Affairs (DCA) to regulate the medical  
            marijuana industry.  The bill specifies startup costs for  
            establishment of the bureau are to be advanced as a loan from  
            the DCA.   

            As a comparison, the budget of the Department of Alcoholic  
            Beverage Control (ABC) is approximately $60 million and 450  
            positions. The ABC is charged with licensing and regulating  
            persons and businesses engaged in the manufacture, importation  
            and distribution of alcoholic beverages, and administering the  
            provisions of the ABC Act to protect the health, safety,  
            welfare and economic well-being of the state. In addition, the  
            ABC Appeals Board has a $1 million budget.  







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            Based on funding and staffing levels of the ABC, and  
            considering the complexities of the undertaking and the  
            significant start-up costs of any new entity (adoption of  
            regulations and fee schedules, office equipment and expenses,  
            etc.), it appears reasonable to assume the costs of providing  
            statewide regulation for cultivation, manufacture, testing,  
            transportation, distribution, and sale of medical marijuana,  
            along with associated hearings, appeals, litigation and  
            enforcement, would conservatively be in the range of 35% of  
            the ABC budget.  

          2)This bill establishes unspecified registration fees. The costs  
            of creating and maintaining the bureau, as specified, within  
            DCA would require significant application fees. For purpose of  
            illustration, the average fee to cover the cost of a $20  
            million entity, if there were 2,000 annual applications, would  
            be $10,000 per application.  

          3)This bill creates a continuous appropriation from the Medical  
            Cannabis Regulation Fund to support the division. Continuous  
            appropriations are contrary to the general practice of this  
            committee, which prefers annual budget review of expenditures.

          4)Unspecified revenues related to marijuana cultivation,  
            distributed from the Account to State Water Resources Control  
            Board, the Department of Fish and Wildlife, the Department of  
            Forestry and Fire Protection, the Department of Pesticide  
            Regulation, and the Department of Food and Agriculture to  
            support enforcement of environmental regulation. 

          5)One-time costs potentially exceeding $100,000 (Contingent Fund  
            of the Medical Board of California) to issue medical  
            guidelines related to marijuana. Ongoing costs to the  
            California Medical Board for investigating physicians who  
            overprescribe marijuana should be minor and absorbable.

          6)Minor ongoing costs to DOJ for background checks, covered by  
            applicant fees. 








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          7)Unknown, potentially significant litigation costs to DOJ to  
            defend DCA. Costs would be reimbursed by DCA, presumably with  
            applicant fee revenue, if sufficient.



          8)One-time costs to DIR to certify cultivation and dispensing  
            employees in the range of $1 million (GF), and $900,000  
            annually ongoing (fee-supported Cannabis Certification Fund /  
            GF or special funds).  



          9)One-time costs to CDPH, likely in the range of low millions  
            one-time, as well as costs in a similar range ongoing, to  
            certify laboratories for testing of marijuana (reimbursements  
            from Medical Marijuana Regulation Fund/potential GF or special  
            funds).  

          10)          Unknown, potentially significant non-reimbursable  
            local law costs for enforcement of medical marijuana  
            regulation. 



          Tax and penalty revenue:

          1)Unknown moderate local revenue increase, potentially in the  
            millions of dollars, from a permissive and unspecified local  
            tax. 

          2)Unknown GF revenue from fines of up to $35,000 for willful  
            violations and up to $10,000 for technical violations of the  
            act.
          


          COMMENTS:









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          1)Purpose. According to the author, after nearly 20 years of  
            access to medical marijuana without a reasonable framework for  
            distribution, it is time to put such a framework into place,  
            whether voters are called upon to decide in 2016 or not.  The  
            status quo of periodic litigation, regulatory uncertainty, and  
            the lack of uniform health and safety standards is a  
            disservice to the public. This bill is sponsored by the League  
            of California Cities and the California Police Chiefs  
            Association.  



          2)Current Medical Marijuana Law. Possession and sale of  
            marijuana is a crime under federal law, and federal law  
            preempts state law. California patients who obtain a  
            physician's recommendation are protected from prosecution for  
            possessing or cultivating an amount of cannabis reasonably  
            related to their current medical needs, as are patients'  
            caregivers. Patients and caregivers who obtain a state MMP  
            identification card from their county health department are  
            protected from arrest and prosecution for possessing,  
            delivering, or cultivating cannabis. Patients and caregivers  
            who engage in these activities, however, remain liable to  
            federal arrest and prosecution, and those who operate  
            dispensaries face frequent federal enforcement actions.  A  
            brief history of relevant law is below:



             a)   In 1996, California voters passed Prop 215, the  
               Compassionate Use Act (CUA), which prohibits prosecution  
               for growing or using marijuana if a person has an oral or  
               written recommendation of a physician. 



             b)   In 2003, SB 420 (Vasconcellos, Statutes of 2003), the  







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               Medical Marijuana Program Act, created a voluntary  
               identification card that patients and caregivers could  
               obtain to protect them from arrest, and limited the amount  
               of marijuana that could be legally grown and possessed.
          
             c)   In 2005, the U.S. Supreme Court ruled in Gonzales v.  
               Raich (2005) that the federal government can enforce  
               marijuana prohibitions despite state medical marijuana law.  




             d)   In 2010, the CA Supreme Court ruled in People v. Kelly  
               that the MMP section limiting quantities of cannabis is  
               unconstitutional because it amends a voter initiative. 



             e)   In 2013, the CA Supreme Court held medical marijuana  
               statutes do not preempt a local ban on facilities that  
               distribute medical marijuana, and that municipalities may  
               prohibit such conduct as a public nuisance (City of  
               Riverside v. Inland Empire Patient's Health & Wellness  
               Center).  
          


             f)   Also in 2013, the U.S. Department of Justice (USDOJ)  
               issued guidance that stated, "In jurisdictions that have  
               enacted laws legalizing marijuana in some form and that  
               have also implemented strong and effective regulatory and  
               enforcement systems to control the cultivation,  
               distribution, sale, and possession of marijuana, conduct in  
               compliance with those laws and regulations" is less likely  
               to threaten federal priorities which include the most  
               significant public threats, including disrupting gang and  
               cartel activities, preventing revenue diversion, etc.  DOJ  
               states where strong state and local regulatory systems  
               exist, "enforcement of state law by state and local law  
               enforcement and regulatory bodies should remain the primary  







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               means of addressing marijuana-related activity."   
               California is the only state that permits medical marijuana  
               in the absence of a robust statewide regulatory system;  
               half of all states have some such system.

          1)Support. This bill is primarily supported by law enforcement  
            and local governments.  United Food and Commercial Workers  
            Union - Western States Council and California Communities  
            United Institute also support this bill.  Supporters believe  
            this bill establishes an improved regulatory structure to  
            ensure medical marijuana can be provided to patients with  
            legitimate medical needs, in a manner that comports with the  
            needs of law enforcement, local governments, patient  
            advocates, local community organizations, and medical  
            professionals.

          2)Opposition. Advocates for marijuana legalization and marijuana  
            growers oppose this bill. Opposition believes the bill's  
            regulatory approach is excessively burdensome and costly, and  
            will not improve patient access and public safety. 



          3)Related Legislation. 





             a)   AB 34 (Bonta and Jones-Sawyer), also on today's  
               calendar, creates a similar statewide regulatory framework,  
               but tasks the ABC with most licensure duties instead of  
               DCA, and sets up divisions within CDPH and the California  
               Department of Agriculture to oversee manufacture and  
               cultivation, respectively. 



             b)   AB 243 (Wood), also on today's calendar, requires  
               medical marijuana cultivation (MMC) to be conducted in  







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               accordance with state and local laws and best practices, as  
               specified, and would require state agencies to address  
               environmental impacts of MMC and coordinate with local  
               governments in enforcement efforts, and establishes a MMC  
               permitting system.  



             c)   SB 643 (McGuire), pending in the Senate Appropriations  
               Committee, establishes within DCA  a Bureau of Medical  
               Marijuana Regulation, under the supervision and control of  
               the Chief of the Bureau of Medical Marijuana Regulation,  
               and requires the bureau to license and regulate dispensing  
               facilities, cultivation sites, transporters, and  
               manufacturers of medical marijuana and medical marijuana  
               products, subject to local ordinances, and enforced  
               primarily at the local level.  
        


          1)Prior Legislation.



             a)   AB 1262 (Correa) of 2014, which established a licensing  
               and regulatory framework for the cultivation, processing,  
               transportation, testing, recommendation and sale of medical  
               marijuana to be administered by the Department of Consumer  
               Affairs (DCA) and enforced primarily at the local level,  
               was held on the Suspense File of this committee. 

             b)   AB 1894 (Ammiano), 2014, which established the Medical  
               Cannabis Regulation and Control Act to regulate the  
               cultivation, testing, transportation, distribution, and  
               sale of medical cannabis, and created the Division of  
               Medical Cannabis Regulation (division) in the ABC, failed  
               passage on the Assembly floor, 26-33.

             c)   AB 473 (Ammiano), 2013, which created the Division of  
               Medical Marijuana Regulation and Enforcement within the ABC  







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               to regulate cultivation, testing, transportation,  
               distribution, and sale of medical marijuana failed passage  
               on the Assembly floor (35-37).

             d)   AB 2312 (Ammiano), 2012, which established the Medical  
               Marijuana Regulation and Control Act, authorizing local  
               taxes on medical cannabis and creating a board to regulate  
               the medical cannabis industry, was never heard in the  
               Senate.  

          7)Staff Comments. 

             a)   Fee Revenue. The DIR is tasked with certifying and  
               annually renewing registration for cannabis workers.  The  
               bill establishes a fee not to exceed $25 for initial  
               registration, but it specifies there shall not be a fee for  
               the annual renewal of registration.  This puts pressure on  
               the GF or special funds to fund whatever ongoing costs are  
               incurred for registration in absence of fee support.   
               Similarly, fee funding for certifying testing laboratories  
               is unclear. It does not authorize CDPH to charge  
               certification fees to testing laboratories.  The Laboratory  
               Field Services program within CDPH licenses, registers, and  
               certifies clinical laboratories, and charges fees that are  
               specified in statute.  CDPH does not appear to have broad  
               fee authority that would allow them to apply existing fees  
               or charge new fees for this new mandated activity.  Staff  
               suggests fee authority be clarified, and provided in a  
               manner sufficient to fund these regulatory activities  
               without GF or other special funds support.  

             b)   Technical amendments. In different sections, this bill  
               makes reference to both the bureau and CDPH with respect to  
               certification of laboratories.  This language should be  
               revised to ensure consistent references to CDPH for this  
               purpose, if that is the author's intent. 
           


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  







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          319-2081