BILL ANALYSIS                                                                                                                                                                                                    Ó






           ----------------------------------------------------------------- 
          |SENATE RULES COMMITTEE            |                        AB 266|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
           ----------------------------------------------------------------- 


                                   THIRD READING 


          Bill No:  AB 266
          Author:   Bonta (D), et al.
          Amended:  9/1/15 in Senate
          Vote:     21  

           SENATE HEALTH COMMITTEE:  8-1, 7/15/15
           AYES:  Hernandez, Hall, Mitchell, Monning, Nielsen, Pan, Roth,  
            Wolk
           NOES:  Nguyen

           SENATE GOVERNANCE & FIN. COMMITTEE:  4-0, 7/15/15
           AYES:  Hertzberg, Beall, Hernandez, Moorlach
           NO VOTE RECORDED:  Nguyen, Lara, Pavley

           SENATE APPROPRIATIONS COMMITTEE:  5-0, 8/27/15
           AYES:  Lara, Beall, Hill, Leyva, Mendoza
           NO VOTE RECORDED:  Bates, Nielsen

           ASSEMBLY FLOOR:  62-8, 6/4/15 - See last page for vote

           SUBJECT:   Medical cannabis


          SOURCE:    Author

          DIGEST:  This bill specifies that it is the intent of the  
          Legislature to enact legislation that would enact a  
          comprehensive regulatory framework for medical marijuana in the  
          state.

          ANALYSIS: 
          
          Existing law:








                                                                     AB 266  
                                                                    Page  2



            1)  Requires the Medical Board of California (MBC) within the  
              Department of Consumer Affairs (DCA) to license, certify,  
              and regulate physician and surgeons (physician) under the  
              Medical Practice Act. Requires the MBC to take action  
              against a physician who is charged with unprofessional  
              conduct, as specified. Requires the MBC to prioritize its  
              investigative and prosecutorial resources to ensure that  
              physicians representing the greatest threat of harm are  
              identified and disciplined expeditiously, including those  
              with repeated acts of excessive prescribing, furnishing, or  
              administering of controlled substances, or repeated acts of  
              prescribing, dispensing, or furnishing of controlled  
              substances without a good faith prior examination of the  
              patient and medical reason therefor.  

            2)  Prohibits physicians from being punished or denied any  
              right or privilege for having recommended medical  
              marijuana/medical cannabis (MM) to a patient.

            3)  Specifies that prescribing, dispensing, or furnishing  
              dangerous drugs without an appropriate prior examination and  
              a medical indication, by a physician, constitutes  
              unprofessional conduct.

            4)  Specifies that the employing, directly or indirectly, the  
              aiding, or the abetting of any unlicensed person or any  
              suspended, revoked, or unlicensed practitioner to engage in  
              the practice of medicine or any other mode of treating the  
              sick or afflicted, which requires a license to practice,  
              constitutes unprofessional conduct.

            5)  Prohibits criminal prosecution, pursuant to the  
              Compassionate Use Act (CUA) of 1996, also known as  
              Proposition 215, of a "qualified patient," as defined, with  
              specified illnesses or a patient's "primary caregiver," as  
              defined, for the possession or cultivation of MM upon the  
              written or oral recommendation or approval of an "attending  
              physician," as defined. Encourages federal and state  
              governments to implement a plan to provide for the safe and  
              affordable distribution of MM to those who need it.  
              Specifies that existing law related to MM is not to be  
              construed to supersede legislation prohibiting conduct that  
              endangers others or to condone the diversion of MM for  







                                                                     AB 266  
                                                                    Page  3


              nonmedical purposes.

            6)  Defines "qualified patient" as a person who is entitled to  
              the protections in the CUA but who does not have a MM  
              identification card (MMIC). Defines "primary caregiver" as  
              an individual designated by a qualified patient who has  
              consistently assumed responsibility for the housing, health,  
              or safety of that person. Defines "attending physician" as  
              an individual who possesses a license in good standing to  
              practice medicine or osteopathy issued by the MBC or the  
              Osteopathic Medical Board of California and who has taken  
              responsibility for an aspect of the medical care, treatment,  
              diagnosis, counseling, or referral of a patient and who has  
              conducted an appropriate medical examination, as specified,  
              and determines if MM is appropriate. 

            7)  Prohibits qualified patients and primary caregivers with  
              MMICs who associate within the state in order to, among  
              other activities, possess, cultivate, process, and transport  
              MM collectively or cooperatively from, solely on that basis,  
              being subject to state criminal sanctions under state laws  
              that prohibit those activities otherwise.

            8)  Requires the Department of Public Health (DPH) to  
              establish and maintain a voluntary Medical Marijuana Program  
              (MMP) by which patients can apply for MMICs when deemed  
              appropriate by his or her attending physician. Requires  
              county health departments to issue MMICs, as specified, to  
              patients and primary caregivers who voluntarily register for  
              the MMP. Specifies that MMICs are valid for one year and may  
              be renewed annually. Requires DPH to develop a system by  
              which state and local law enforcement officers can  
              immediately verify the MMIC's validity. Prohibits state or  
              local law enforcement officers from refusing to accept MMICs  
              unless there is reasonable cause to believe that the MMIC is  
              being used fraudulently or its information is false or  
              fraudulent.  

            9)  Makes it a misdemeanor offense to, among other things,  
              fraudulently represent a medical condition or provide any  
              material misinformation to a physician, health department  
              designee, or to law enforcement, for the purpose of falsely  
              obtaining MMICs; fraudulently use any person's MMIC in order  
              to acquire, possess, cultivate, transport, use, produce, or  







                                                                     AB 266 
                                                                    Page  4


              distribute MM; counterfeit, tamper with, or fraudulently  
              produce MMICs; and breach any confidentiality requirements  
              pertaining to the MMIC program.

            10) Requires a person who seeks an MMIC to pay a fee and  
              provide to the county health department a name, proof of  
              residency, written physician's recommendation, physician's  
              name and contact information, the primary caregiver's name  
              and duties, and the qualified patient's and primary  
              caregiver's government-issued photo ID.

            11) Prohibits anything in the MMP from preventing a city or  
              other local governing body from adopting local ordinances  
              that regulate the location, operation, or establishment of a  
              MM cooperative or collective, or prohibiting one from  
              operating within its borders; enforcing local ordinances for  
              civil or criminal purposes; or enacting other laws  
              consistent with the MMP. 

            12) Designates marijuana as a hallucinogenic substance in  
              Schedule I of the California Uniform Controlled Substances  
              Act.

            13) States legislative intent for the state to commission  
              objective scientific research by the University of  
              California (UC), and if the Regents of the UC accept the  
              responsibility, the UC is required to create the California  
              Marijuana Research Program (CMRP) to develop and conduct  
              studies intended to ascertain the general medical safety and  
              efficacy of MM and to develop guidelines for the appropriate  
              administration and use of MM; requires the CMRP to use a  
              peer review process, as specified, to guard against funding  
              research that is biased; requires the CMRP to report to the  
              Legislature, as specified; and requires the President of the  
              UC to appoint a multidisciplinary Scientific Advisory  
              Council to provide policy guidance.

           This bill:

            1)  Specifies that it is the intent of the Legislature to  
              enact legislation that would enact a comprehensive  
              regulatory framework for medical marijuana in the state.

            2)  Specifies that this bill will become operative only if  







                                                                     AB 266  
                                                                    Page  5


              Senate Bill 643 (McGuire) of the 2015-16 Regular Session is  
              enacted and becomes operative.

          FISCAL EFFECT:   Appropriation:    No          Fiscal  
          Com.:YesLocal:   Yes


          ASSEMBLY FLOOR:  62-8, 6/4/15
          AYES:  Achadjian, Alejo, Baker, Bloom, Bonilla, Bonta, Brown,  
            Burke, Chang, Chau, Chiu, Chu, Cooley, Dababneh, Daly, Dodd,  
            Eggman, Cristina Garcia, Eduardo Garcia, Gipson, Gomez,  
            Gonzalez, Gordon, Gray, Grove, Hadley, Roger Hernández,  
            Holden, Jones-Sawyer, Lackey, Levine, Linder, Lopez, Low,  
            Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin,  
            Nazarian, O'Donnell, Olsen, Patterson, Perea, Quirk, Rendon,  
            Rodriguez, Salas, Santiago, Steinorth, Mark Stone, Thurmond,  
            Ting, Wagner, Waldron, Weber, Wilk, Williams, Wood, Atkins
          NOES:  Travis Allen, Bigelow, Brough, Chávez, Cooper, Gallagher,  
            Gatto, Irwin
          NO VOTE RECORDED:  Calderon, Campos, Dahle, Frazier, Beth  
            Gaines, Harper, Jones, Kim, Obernolte, Ridley-Thomas

          Prepared by:Reyes Diaz / HEALTH / 
          9/1/15 20:22:38


                                   ****  END  ****