BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | SB 643| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- UNFINISHED BUSINESS Bill No: SB 643 Author: McGuire (D) Amended: 9/11/15 Vote: 21 SENATE BUS, PROF. & ECON. DEV. COMMITTEE: 7-0, 4/20/15 AYES: Hill, Block, Galgiani, Hernandez, Jackson, Mendoza, Wieckowski NO VOTE RECORDED: Bates, Berryhill SENATE GOVERNANCE & FIN. COMMITTEE: 5-1, 4/29/15 AYES: Hertzberg, Beall, Hernandez, Lara, Pavley NOES: Nguyen NO VOTE RECORDED: Moorlach SENATE APPROPRIATIONS COMMITTEE: 5-1, 5/28/15 AYES: Lara, Beall, Hill, Leyva, Mendoza NOES: Nielsen NO VOTE RECORDED: Bates SENATE FLOOR: 26-13, 6/4/15 AYES: Allen, Beall, Block, Cannella, De León, Glazer, Hall, Hancock, Hernandez, Hertzberg, Hill, Hueso, Jackson, Lara, Leno, Leyva, Liu, McGuire, Mendoza, Mitchell, Monning, Moorlach, Pan, Pavley, Wieckowski, Wolk NOES: Anderson, Bates, Berryhill, Fuller, Gaines, Huff, Morrell, Nguyen, Nielsen, Roth, Runner, Stone, Vidak NO VOTE RECORDED: Galgiani ASSEMBLY FLOOR: Not available SUBJECT: Medical marijuana SOURCE: Author SB 643 Page 2 DIGEST: This bill establishes a regulatory framework for the cultivation, sale, and transport of medical cannabis by the Bureau of Medical Marijuana Regulation (Bureau), the Department of Food and Agriculture (DFA), and other state entities. Assembly Amendments add substantial amendments relating to licensure and regulation of medical cannabis. ANALYSIS: Existing law: 1) Declares that the entities under the Department of Consumer Affairs (DCA) are established for the purpose of ensuring that those private businesses and professions deemed to engage in activities which have potential impact upon the public health, safety, and welfare are adequately regulated in order to protect the people of California. (Business and Professions Code (BPC) § 101.6) 2) Licenses and regulates physicians and surgeons under the Medical Practice Act (Act) by the Medical Board of California (MBC) within the DCA. (BPC §§ 2000 et seq.) 3) Provides that the MBC shall take action against a physician who is charged with unprofessional conduct, as specified. (BPC § 2234) 4) 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 and includes in that prioritization list: "Repeated acts of clearly excessive prescribing, SB 643 Page 3 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." (BPC § 2220.05) 5) The Compassionate Use Act of 1996 (CUA), an initiative measure, prohibits prosecution for the possession or cultivation of marijuana of a patient or a patient's primary caregiver who possesses or cultivates marijuana for the personal medical purposes of the patient upon the written or oral recommendation or approval of a physician. (Health and Safety Code (HSC) § 11362.5) 6) Declares that the purposes of the CUA are: a) To ensure that seriously ill Californians have the right to obtain and use marijuana for medical purposes where that medical use is deemed appropriate and has been recommended by a physician who has determined that the person's health would benefit from the use of marijuana in the treatment of cancer, anorexia, AIDS, chronic pain, spasticity, glaucoma, arthritis, migraine, or any other illness for which marijuana provides relief. b) To ensure that patients and their primary caregivers who obtain and use marijuana for medical purposes upon the recommendation of a physician are not subject to criminal prosecution or sanction. c) To encourage the federal and state governments to implement a plan to provide for the safe and affordable distribution of marijuana to all patients in medical need of marijuana. (HSC § 11362.5 (b)(1)(A) to (C)) 1) States that nothing in the CUA shall be construed to supersede legislation prohibiting persons from engaging in conduct that endangers others, or to condone the diversion of marijuana for non-medical purposes. (HSC § 11362.5 (b)(2)) 2) Prohibits, notwithstanding any other provision of law, a physician in California from being punished or denied any SB 643 Page 4 right or privilege for having recommended marijuana to a patient for medical purposes. (HSC § 11362.5 (c)) 3) States that existing law, relating to the possession and the cultivation of marijuana, shall not apply to a patient, or to a patient's primary caregiver, who possesses or cultivates marijuana for the personal medical purposes of the patient upon the written or oral recommendation or approval of a physician. (HSC § 11362.5 (d)) 4) Defines "primary caregiver" for purposes of the CUA as the individual designated by a patient who has consistently assumed responsibility for the housing, health, or safety of that person. (HSC § 11362.5 (e)) 5) States legislative intent to commission objective scientific research by the University of California (UC) regarding the efficacy and safety of administering marijuana as part of medical treatment. Requires UC, if it accepts by appropriate resolution the responsibility to create a California Marijuana Research Program (Program) that it will develop and conduct studies intended to ascertain the general medical safety and efficacy of marijuana, and if found valuable, to develop medical guidelines for the appropriate administration and use of marijuana. (HSC § 11362.9) 6) Establishes the Medical Marijuana Program Act (MMPA), which exempts qualified patients who hold an identification card issued pursuant to the Medical Marijuana Program (MMP) and the caregivers of those persons, from certain state criminal sanctions related to the possession, cultivation, transportation, processing, or use of limited amounts of marijuana, as specified. (HSC §§ 11362.7 et seq.) 7) Requires a person who seeks a MMP identification card to pay a fee and provide to the county health department the person's name, proof of residency, written doctor's recommendation, doctor's name and contact information, caregiver's name and duties, and patient's and caregiver's government issued photo identification card. (HSC § 11362.715 (a)) SB 643 Page 5 8) Requires the California Department of Public Health (CDPH) to establish and maintain a voluntary program for qualified patients to apply for identification cards, and county health departments to issue identification cards to qualified patients and their caregivers. (HSC § 11362.71 (a) & (b)) 9) Provides that persons with valid identification cards shall not be subject to arrest for possession, transportation, delivery, or cultivation of marijuana, absent evidence of fraud. (HSC § 11362.71 (e)) 10)Requires county health departments to issue serially numbered identification cards to patients and caregivers containing the following: a unique user identification number, an expiration date, the county health department's name and telephone number, photo identification of the cardholder, and a toll-free CDPH telephone number enabling state and local law enforcement officers to immediately verify the card's validity. (HSC § 11362.735 (a)) 11)Prohibits medical marijuana dispensaries that possess, cultivate, or distribute medical marijuana from being located within a 600 foot radius of a school, and authorizes cities and counties to further restrict the locations of medical marijuana collectives. (HSC § 11362.768) 12)Provides that qualified patients, persons with valid MMP identification cards, and the designated primary caregivers of qualified patients and persons with MMP identification cards who associate within California in order to cultivate marijuana for medical purposes, collectively or cooperatively, shall not, solely on that basis, be subject to state criminal sanctions for the possession, sale, transport, or other proscribed acts relating to marijuana. (HSC § 11362.775) 13)Prohibits state or local law enforcement officers from refusing to accept an MMP identification card unless the officer has reasonable cause to believe that the card is being used fraudulently or its information is false or fraudulent. (HSC § 11362.78) SB 643 Page 6 14)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 or falsely obtaining an identification card; fraudulently use any person's identification card in order to acquire, possess, cultivate, transport, use, produce, or distribute marijuana; counterfeit, tamper with, or fraudulently produce an identification card; breach any confidentiality requirements pertaining to an identification card program. (HSC § 11362.81) 15)Lists marijuana as a hallucinogenic substance in Schedule I of the California Uniform Controlled Substances Act. (HSC § 11054 (d)) This bill: Provisions related to Bureau administration: 1) Requires the Governor to appoint a chief of the Bureau, subject to confirmation by the Senate, at a salary to be fixed and determined by the DCA Director (Director) with the approval of the Director of Finance. Requires the chief to serve under the direction and supervision of the Director and at the pleasure of the Governor. 2) States that every power granted to or duty imposed upon the Director by this bill may be exercised or performed in the name of the Director by a deputy or assistant director or by the chief, subject to conditions and limitations that the Director may prescribe. In addition to every power granted or duty imposed with this chapter, the Director shall have all other powers and duties generally applicable in relation to bureaus that are part of the DCA. 3) Authorizes the Director to employ and appoint all employees necessary to properly administer the work of the Bureau, in accordance with civil service laws and regulations. 4) Authorizes the DCA as the sole authority to create, issue, renew, discipline, suspend, or revoke licenses for the SB 643 Page 7 transportation, storage unrelated to manufacturing activities, distribution, and sale of medical marijuana within the state and to collect fees in connection with activities the Bureau regulates. 5) Authorizes the Bureau to create licenses in addition to those in this bill if the Bureau deems it necessary to effectuate its duties. 6) Authorizes the Bureau to bring any legal action that is necessary to collect any deficiency in the fee required to be paid, and upon the Bureau's request, the Attorney General shall bring the action. Provisions related to licensing: 7) Requires the Bureau to mandate that applicants provide a full set of fingerprints for purposes of conducting criminal history record checks. States that the Bureau may obtain and receive, at its discretion, criminal history information from the Department of Justice (DOJ) and the United States Federal Bureau of Investigation (FBI). 8) Authorizes licensing authorities administering this bill to issue state licenses only to qualified applicants engaging in commercial cannabis activity pursuant to this bill. Prohibits anyone from engaging in commercial cannabis activity without a state license and a local permit, license, or other authorization after regulations are implemented. 9) Prohibits a licensee from commencing activity under the authority of a state license until the applicant has obtained a license or permit from the local jurisdiction in which he or she proposes to operate, following the requirements of the applicable local ordinance. 10)States that revocation of a local license, permit, or other authorization shall terminate the ability of a medical cannabis business to operate within that local jurisdiction until the local jurisdiction reinstates or reissues the local license. SB 643 Page 8 11)Requires a person to get a local license prior to applying for a state license. 12)Requires an applicant for state licensure to do the following: a) Electronically submit fingerprints and any other required information to the DOJ for purposes of obtaining state and federal convictions and arrests. i) Requires the DOJ to report the following to the Bureau: (1) Every conviction rendered against the applicant, except a conviction for which relief has been granted as specified; (2) Every arrest for an offense for which the applicant is presently awaiting trial, whether the applicant is incarcerated or has been released on bail or on his or her own recognizance pending trial; and, (3) Sex offender registration status of the applicant; ii) Requires the licensing authority to request subsequent notifications on applicants from the DOJ; and, iii) Requires the DOJ to charge applicants a fee sufficient to cover reasonable costs; b) Provide documentation issued by the local jurisdiction in which the proposed business is operating certifying that the applicant is or will be in compliance with all local requirements; c) Provide evidence of the legal right to occupy and use the proposed location; d) For an applicant seeking a cultivator, distributor, SB 643 Page 9 manufacturing, or dispensary license, provide a statement from the owner of real property or their agent where the activity will occur to prove that the landowner has acknowledged and consented to the activity to be conducted on the property by the applicant; e) If the application is for a cultivator or dispensary, provide evidence that the proposed location is located beyond at least a 600 foot radius from a school; f) Provide a statement, signed under penalty of perjury, that the information provided by the applicant is complete, true, and accurate; g) For an applicant with 20 or more employees (not counting supervisors), provide a statement that the applicant will enter into, or demonstrate that it has already entered into, and abide by the terms of a labor peace agreement; h) Provide the applicant's seller's permit number, as specified, or indicate that the applicant is currently applying for a seller's permit; i) Provide any other information required by the licensing authority; j) For an applicant seeking a cultivation license, provide a statement declaring the applicant is an "agricultural employer," as specified, to the extent not prohibited by law; aa) For an applicant seeking licensure as a testing laboratory, register with the DPH and provide any information required by DPH; and, bb) Pay all required fees. 13)Provides that for applicants seeking licensure to cultivate, distribute, or manufacture medical cannabis, the application shall also include a detailed description of the applicant's operating procedures for all the following, as required by SB 643 Page 10 the licensing authority: a) Cultivation; b) Extraction and infusion methods; c) Transportation process; d) Inventory procedures; and, e) Quality control procedures. 14)Requires the licensing authority to deny an application if either the applicant or the premises for which a state license is applied do not qualify for licensure under this bill. 15)Authorizes the licensing authority to deny the application for licensure or renewal of a state license if any of the following apply: a) Failure to comply with the provisions of this bill, or any rules or regulations adopted pursuant to this bill; b) Conduct that constitutes ground for denial of licensure under existing law, as specified; c) A local agency has notified the licensing authority that a license or applicant within its jurisdiction is in violation of state rules and regulations relating to commercial cannabis activities, and the licensing authority, through an investigation, has determined that the violation is grounds for termination or revocation of the license. The licensing authority shall have the authority to collect reasonable costs, as determined by the licensing authority, for investigation from the licensee or applicant. d) The applicant has failed to provide information required by the licensing authority. e) The applicant or licensee has been convicted of an SB 643 Page 11 offense that is substantially related to the qualifications, functions, or duties of the business or profession for which the application is made, except that if the licensing authority determines that the applicant or licensee is otherwise suitable to be issued a license and granting the license would not compromise public safety, the licensing authority shall conduct a thorough review of the nature of the crime, conviction, circumstances, and evidence of rehabilitation of the applicant, and shall evaluate the suitability of the applicant or licensee to be issued a license based on the evidence found through the review. f) States that the following include offenses that are substantially related: i) A felony conviction for the illegal possession for sale, illegal sale, manufacture, transportation, or cultivation of a controlled substance; ii) A violent felony conviction, as specified; iii) A serious felony conviction, as specified; and, iv) A felony conviction involving fraud, deceit, or embezzlement. g) The applicant, or any of its officers, directors, or owners: i) Is a licensed physician making patient recommendations for medical cannabis; ii) Has been subject to fines or penalties for cultivation or production of a controlled substance on public or private lands; or, iii) Has been sanctioned by a licensing authority or a city, county, or city and county for unlicensed commercial medical cannabis activities or has had a license revoked according to this bill in the three years immediately preceding the date the application is SB 643 Page 12 filed with the licensing authority. h) Failure to obtain and maintain a valid seller's permit. 16)Requires the licensing authority to notify the applicant in writing upon denial of any application. Within 30 days of service of the notice, the applicant may file a written petition for a license, and upon receipt, the licensing authority shall set the petition for hearing, as specified. 17)Prohibits the denial of a state license if the denial is based solely on any of the following: a) A conviction or act that is substantially related to the qualifications, functions, or duties of the business or profession for which the application is made for which the applicant or licensee has obtained a certificate of rehabilitation, as specified. b) A conviction that was subsequently dismissed. 18)Requires local authorities to notify the Bureau upon revocation of a local license, and requires the Bureau to inform relevant licensing authorities upon the revocation of a license. 19)States that revocation of the state license shall terminate the ability of a medical cannabis license to operate within California until the licensing authority reinstates or reissues the state license. 20)Requires each license to obtain a separate license for each location where it engages in commercial medical cannabis activity, except that transporters only need to obtain licenses for each physical location where the licensee conducts business while not in transport, or any equipment that is not currently transporting medical cannabis or medical cannabis products permanently resides. 21)Exempts a qualified patient from the requirements of this bill who cultivates, possesses, stores, manufactures, or SB 643 Page 13 transports cannabis exclusively for his or her personal medical use but who does not provide, donate, sell, or distribute cannabis to any other person and is thereby not engaged in commercial cannabis activity. 22)Exempts a primary caregiver from the provisions of this bill who cultivates, possesses, stores, manufactures, transports, donates, or provides cannabis exclusively for the personal medical purposes of no more than five specified qualified patients for whom her or she is the primary caregiver, as specified, but who does not receive remuneration for those activities except for specified compensation. Provisions related to administration by the Department of Food and Agriculture: 23)Authorizes the Department of Food and Agriculture (DFA) to administer the provisions of this bill related to and associated with the cultivation of medical cannabis. Authorizes the DFA to create, issue, and suspend or revoke cultivation licenses for violations of this bill. 24)Requires DFA to promulgate regulations governing the licensing of indoor and outdoor cultivation sites. 25)Requires DFA, in consultation with the Department of Fish and Wildlife and the State Water Resources Control Board, to ensure that individual and cumulative effects of water diversion and discharge associated with cultivation do not affect the instream flows needed for fish spawning, migration, and rearing, and the flows needed to maintain natural flow variability. 26)Deems the DFA to have the authority necessary to implement regulations necessary for this bill. The regulations shall do all the following: a) Require that weighing and measuring devices used in the sale or distribution of medical cannabis meet specified standards; b) Require that licensees' cannabis cultivation is SB 643 Page 14 conducted in accordance with state and local laws related to land conversion, grading, electricity usage, water usage, agricultural discharges, and similar matters. Specifies that nothing in this bill or in subsequent regulations shall be construed to supersede or limit the authority of the State Water Resources Control Board, regional water quality control boards, or DFW to implement and enforce their statutory obligations or to adopt regulations to protect water quality, water supply, and natural resources; c) Establish procedures for the issuance and revocation of unique identifiers for activities associated with a cannabis cultivation license, which shall be included on all cannabis labels; and, d) Prescribe standards, in consultation with the Bureau, for the reporting of information as necessary related to unique identifiers. 27)Describes state cultivator license types issued by the DFA. Provisions related to DFA's track and trace program: 28)Requires the DFA, in consultation with the Bureau, to establish a track and trace program for reporting the movement of medical marijuana items throughout the distribution chain that utilizes a unique identifier and secure packaging and is capable of providing information that captures, at a minimum, all of the following: a) The licensee receiving the product; b) The transaction date; and, c) The cultivator from which the product originates, including the unique identifier. 29)Requires the DFA to create an electronic database containing the electronic shipping manifests which shall include, but not be limited to, specified information. SB 643 Page 15 30)Requires the database to be designed to flag irregularities for all licensing authorities in this bill to investigate. All licensing authorities in this bill may access the database and share information related to licensees under this bill, including the social security and individual taxpayer identification, as specified. 31)Requires the DFA to inform the Bureau upon the finding of an irregularity or suspicious finding related to a licensee, applicant, or commercial cannabis activity for investigatory purposes. 32)Authorizes licensing authorities and state and local agencies to inspect shipments and request documentation for current inventory at any time. 33)Requires the Bureau to have 24-hour access to the electronic database administered by the DFA. 34)Authorizes the DFA to enter into memoranda of understandings with licensing authorities for data sharing purposes, as deemed necessary by the DFA. 35)Deems confidential information received and contained in records kept by the DFA or licensing authorities for purposes of administering this bill, and shall not be disclosed pursuant to the California Public Records Act, except as necessary for authorized state or local employees to perform official duties pursuant to this bill or a local ordinance. 36)Requires licensing authorities, upon request of a state or local law enforcement agency, to allow access to or provide information contained within the database to assist law enforcement in their duties and responsibilities required by this bill. 37)Subjects information disclosure to specified current laws. Provisions related to fees and taxation: 38)States that nothing in this bill shall be construed to superseded or limit state agencies, including the State Water SB 643 Page 16 Resources Control Board and the Department of Fish and Wildlife, from establishing fees to support their medical cannabis regulatory programs. 39)States that local jurisdictions retain the power to assess fees and taxes, as applicable, on facilities that are licensed pursuant to this bill and the business activities of those licensees. 40)Authorizes a county to impose a tax on the privilege of cultivating, dispensing, producing, processing, preparing, storing, providing, donating, selling, or distributing medical cannabis or medical cannabis products by a licensee operating in accordance with this bill. 41)Requires a board of supervisors to specify in the ordinance proposing the tax the activities subject to the tax, the applicable tax rate or rates, the method of apportionment, if necessary, and the manner of tax collection. States that the tax may be imposed for general governmental purposes or for purposes specified in the ordinance. 42)Authorizes the board of supervisors to provide for the collection of the tax and any penalties and lien priorities in the same manner as other charges and taxes fixed and collected by the county. 43)States that a tax imposed by this bill is a tax and not a fee or special assessment. 44)Requires the board of supervisors to specify whether the tax applies throughout the entire county or within the unincorporated areas. 45)Authorizes the tax to be imposed upon any or all of the activities specified in # 40, above, as specified in the ordinance, regardless of whether the activity is undertaken individually, collectively, or cooperatively, and regardless of whether the activity is for compensation or gratuitous, as determined by the board of supervisors. 46)Requires that a tax imposed pursuant to this bill be subject SB 643 Page 17 to applicable voter approval requirements imposed by law. 47)States that specified provisions are declaratory of existing law and do not limit or prohibit the levy or collection of any other fee, charge, or tax, or a license or service fee or charge upon, or related to, the activities described as otherwise provided by law. States that this bill shall not be construed as a limitation upon the taxing authority of a county as provided by law. 48)States that provisions of this bill shall not be construed to authorize a county to impose a sales or use tax in addition to the sales and use taxes imposed under an ordinance conforming with specified existing state law. Provisions related to pesticides: 49)Makes the following Legislative findings and declarations: a) The United States Environmental Protection Agency has not established appropriate pesticide tolerances for, or permitted the registration and lawful use of, pesticides on cannabis crops intended for human consumption pursuant to the Federal Insecticide, Fungicide, and Rodenticide Act; b) The use of pesticides is not adequately regulated due to the omissions in federal law, and cannabis cultivated in California for California patients can and often does contain pesticide residues; and, c) Lawful California medical cannabis growers and caregivers urge the Department of Pesticide Regulation (DPR) to provide guidance, in absence of federal guidance, on whether the pesticides currently used at most cannabis cultivation sites are actually safe for use on cannabis intended for human consumption. 50)Requires DPR, in consultation with DFA, to develop standards for the use of pesticides in cultivation and maximum tolerances for pesticides and other foreign object residue in harvested cannabis. SB 643 Page 18 51)Requires DPR, in consultation with the State Water Resources Control Board, to promulgate regulations that require that the application of pesticides or other pest control in connection with the indoor or outdoor cultivation of medical cannabis meets specified standards. Provisions related to labeling: 52)Requires the Department of Public Health (DPH) to develop standards for the production and labeling of all edible medical cannabis products. 53)Authorizes the Bureau to establish appelations of origin for marijuana grown in California. 54)States that it is unlawful for medical marijuana to be marketed, labeled, or sold as grown in a California county if it was not. 55)States that it is unlawful to use the name of a California county in the labeling, marketing, or packaging of medical marijuana products unless the product was grown in that county. 56)Requires the DFA, in conjunction with the Bureau, to make available a certified organic designation and organic certification program for medical marijuana by January 1, 2020, if permitted under state and federal law and the National Organic Program. Provisions related to transportation: 57)Requires a licensee authorized to transport medical cannabis and medical cannabis products between licensees to do so only as permitted in this bill. 58)Requires a licensed transporter to do both of the following prior to transporting cannabis or cannabis products: a) Complete an electronic shipping manifest, as specified; and, SB 643 Page 19 b) Securely transmit the manifest to the Bureau and the licensee that will receive the medical cannabis product. The Bureau must inform the DFA of information pertaining to commercial cannabis activity for purpose of the track and trace program. 59)Requires a transporter to maintain a physical copy of the shipping manifest during transportation and make it available upon request to agents of the DCA and law enforcement officers. 60)Requires the licensee receiving the shipment to maintain each electronic shipping manifest and make it available upon request to the DCA and any law enforcement officers. 61)Requires the licensee receiving the shipment to submit to the licensing agency a record verifying receipt and details of the shipment upon receipt of the shipment. 62)States that transporting, arranging for, or facilitating the transport of medical cannabis or medical cannabis products in violation of this bill is grounds for disciplinary action against the license. 63)States that this bill shall not be construed to authorize or permit a licensee to transport or cause to be transported cannabis or cannabis products outside the state, unless authorized by federal law. 64)Prohibits a local jurisdiction from preventing transportation of medical cannabis or medical cannabis products on public roads by a licensee in compliance with this bill. Provisions related to prescribing by a physician and surgeon: 65)Declares that repeated acts of clearly excessive recommending of cannabis to patients for medical purposes, or repeated acts of recommending cannabis to patients for medical purposes without a good faith prior examination of the patient and a medical reason for the recommendation is number four on the list of priorities for MBC's investigative and SB 643 Page 20 prosecutorial resources. 66)Authorizes a physician to prescribe for, or dispense or administer to, a person under his or her treatment dangerous drugs or prescription controlled substances for the treatment of pain, but states that a physician shall still be subject to MBC discipline if he or she violates laws related to performing an appropriate prior examination and determining the existence of a medical indication prior to recommending medical cannabis. 67)States that it is unlawful for a physician who recommends cannabis to a patient for a medical purpose to accept, solicit, or offer any form of remuneration from or to a licensed cannabis facility, as specified, if the physician or his or her immediate family have a financial interest in the facility. A violation is misdemeanor punishable by up to one year in county jail and a fine of up to $5,000, or by civil penalties of up to $5,000 and shall constitute unprofessional conduct. 68)Requires the MBC to consult with the Program on developing and adopting medical guidelines for the appropriate administration and use of medical cannabis. 69)Prohibits the recommendation of medical cannabis to a patient unless the physician is the patient's attending physician, as specified. 70)Declares that recommending medical cannabis to a patient for a medical purpose without an appropriate prior examination and a medical indication constitutes unprofessional conduct. 71)Declares that it is unprofessional conduct for an attending physician recommending medical cannabis to be employed by, or enter into any other agreement with, any person or entity dispensing medical cannabis. 72)Requires any distribution of any form of advertising for physician recommendation for medical cannabis in California to include a consumer notice, as specified. SB 643 Page 21 73)Requires advertising for attending physician recommendations for medical cannabis to meet all the requirements of existing law related to medical advertising, and states that price advertising shall not be fraudulent, deceitful, or misleading, including statements or advertisements of bait, discounts, premiums, gifts, or statements of a similar nature. Other provisions: 74)Authorizes the DPH to administer the provisions of this bill related to and associated with the manufacturing and testing of medical cannabis. 75)Requires that an employee engaged in commercial cannabis cultivation be subject to Wage Order 4-1001 of the Industrial Welfare Commission. 76)States that provisions of this bill are severable, and if any provision of this bill or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application. 77)States that this bill shall become operative only if AB 266 and AB 243 of the 2015-16 Session are enacted and take effect on or before January 1, 2016. Background Compassionate Use Act of 1996 (CUA). The Compassionate Use Act, enacted in 1996 by Proposition 215, established the right of patients to obtain and use marijuana to treat specified illnesses for which marijuana provides relief. CUA protects physicians who recommend the use of marijuana for medical purposes and exempts qualified patients and their primary caregivers from California drug laws prohibiting possession and cultivation of marijuana. Although CUA encouraged the development of a comprehensive regulatory framework by the state and federal government, resulting guidelines have been established by a patchwork of SB 643 Page 22 uncoordinated bills and legal advisories. Medical Marijuana Program. The Medical Marijuana Program (MMP) was established by SB 420 (Vasconcellos, Chapter 875, Statutes of 2003) in an effort to clarify and expand on CUA. The MMP created a voluntary state medical marijuana identification card (MMP Card) and a registry database. Under the MMP, a patient or qualified caregiver with a recommendation for medical marijuana from a licensed California physician can apply for MMP Card through a local county public health department. The MMP web-based registry allows law enforcement and the public to verify the validity of a qualified patient or primary caregiver's MMP Card as authorization to possess, grow, transport, and/or use medical marijuana within California. California Attorney General's Compassionate Use Guidelines. SB 420 additionally required the California Attorney General to adopt "guidelines to ensure the security and non-diversion of marijuana grown for medical use." To fulfill this mandate, the Attorney General published Guidelines for the Security and Non-Diversion of Marijuana Grown for Medical Use in August of 2008. The Guidelines were intended to: Ensure that marijuana grown for medical purposes remains secure and does not find its way to non-patients or illicit markets; Help law enforcement agencies perform their duties effectively and in accordance with California law; and, Help patients and primary caregivers understand how they may cultivate, transport, possess, and use medical marijuana under California law. Federal concerns. Despite CUA and MMP, possession of marijuana under federal law, even by medical users, continues to be a crime. In August of 2013, the U.S. Department of Justice (USDOJ) issued a memorandum titled "Guidance Regarding Marijuana Enforcement" to all U.S. Attorneys. While affirming that marijuana is still considered a dangerous drug and that the illegal distribution and sale of marijuana is a serious crime, the memorandum outlines the following enforcement priorities: SB 643 Page 23 Preventing distribution to minors; Preventing revenue from marijuana from going to criminal enterprises; Preventing diversion to other states where marijuana is not legal under state law; Preventing state-authorized marijuana from being a cover for trafficking in other illegal drugs or illegal activity; Preventing violence in cultivating and distributing marijuana; Preventing drugged driving and other public health problems from marijuana use; and, Preventing growing, possessing or using marijuana on public lands or on federal property. The document lays out the federal expectation for states with legalized marijuana laws that the states develop a robust system of regulation and enforcement so as to reduce the likelihood of federal enforcement activity. Medical Marijuana Regulation in Other States. Currently, 23 states and the District of Columbia currently have laws allowing the use of medical marijuana. 12 additional states have laws providing for limited access to medical marijuana products strictly for medical purposes, and four states authorize the recreational use of marijuana. The experiences of other states have helped to inform the current conversation in California. Notably, this bill establishes standards for cultivation, transport, testing, and labeling of edible medical marijuana products. Trespass Grows and Environmental Concerns. California land, watersheds and some species, particularly Northern California, have been significantly damaged as a result of certain marijuana cultivation efforts. "Trespass grows", cultivating marijuana SB 643 Page 24 without permission on public, tribal or privately owned land, have been associated with wildlife poisoning, use and dumping of fertilizers and pesticides, illegal water diversions and water pollution, logging and land disturbance, and severe problems with garbage and human waste. These industrial-size marijuana grows, taking place in the national forests and on private timberland in some of the state's most remote and ecologically sensitive areas, are the subject of a recent study by the California Department of Fish and Wildlife, Impacts of Surface Water Diversions for Marijuana Cultivation on Aquatic Habitat in Four Northwestern California Watershed. This report showed that during drought conditions, water demand for marijuana cultivation is likely to have extraordinarily detrimental effects on state and federally listed salmon and steelhead trout and will cause further decline of sensitive amphibian species. This bill requires that multiple state agencies guard against illegal marijuana growing and requires the development of standards for cultivation, fertilization, and impacts on surrounding lands. Related Legislation AB 243 (Wood) and AB 266 (Bonta) are joint bills with this bill. (Status: These bills are currently pending Senate Rules Committee.) Prior Legislation SB 1262 (Correa, 2014) is also very similar to this bill and would have created a Bureau of Medical Marijuana Regulation within DCA. (Status: The bill was held under submission in the Assembly Committee on Appropriations.) AB 1894 (Ammiano, 2014), AB 473 (Ammiano, 2013) and AB 604 (Ammiano, 2013) would have established an Act to license and regulate the cultivation, manufacture, testing, transportation, storage, distribution, and sale of medical cannabis within the Department of Alcoholic Beverage Control. (Status: AB 1894 and AB 473 both failed passage on the Assembly Floor. AB 604 was referred to the Senate Committee on Public Safety but was not set for hearing in enough time for consideration before the SB 643 Page 25 Legislature adjourned.) AB 2312 (Ammiano, 2012) established a nine-member Board of Medical Marijuana Enforcement within the DCA to regulate the medical marijuana industry and to collect fees from medical marijuana businesses to be deposited into a new Medical Marijuana Fund. The bill would have authorized local taxes on medical marijuana up to 5%. (Status: The bill failed passage in this Committee.) AB 1300 (Blumenfield, Chapter, 196, Statutes of 2011) provided that a local government may enact an ordinance regulating the location, operation or establishment of a medical marijuana cooperative or collective. The bill also authorized a local government to enforce such ordinances through civil or criminal remedies and actions and authorized the local government to enact any ordinance that is consistent with the MMP, which is intended to implement the CUA. SB 420 (Vasconcellos, Chapter 875, Statutes of 2003) established the Medical Marijuana Program Act, a statewide, voluntary program for the issuance of identification cards to identify persons authorized to engage in the medical use of marijuana under the CUA. FISCAL EFFECT: Appropriation: No Fiscal Com.:YesLocal: No SUPPORT: (Verified9/11/15) California Association of Code Enforcement Officers California College & University Police Chiefs Association California League of Conservation Voters California Native Plant Society California Police Chiefs Association California State Association of Counties California State Parks Foundation California Teamsters Public Affairs Council California Trout California Urban Streams Partnership SB 643 Page 26 Clean Water Action Defenders of Wildlife League of California Cities Pacific Forest Trust Rural County Representatives of California Trout Unlimited The Nature Conservancy The Trust for Public Land UFCW Western States Council Urban Counties Caucus OPPOSITION: (Verified9/11/15) None received ARGUMENTS IN SUPPORT: Supporters of the bill write that as the scale and volume of individual grow sites has enlarged, an appropriate statewide licensing and regulatory framework is necessary to address the wide range of environmental, land-use, and health and safety issues that many counties are currently experiencing. Supporters also write that this piece of legislation will provide the necessary framework for protecting the environment from medical marijuana production and clean up the impact of past illegal operations. Prepared by:Sarah Huchel / B., P. & E.D. / (916) 651-4104 9/11/15 21:22:50 **** END **** SB 643 Page 27