BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AJR 13
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          Date of Hearing:   April 8, 2003

                            ASSEMBLY COMMITTEE ON HEALTH
                                Dario Frommer, Chair
                     AJR 13 (Leno) - As Amended:  March 27, 2003
           
          SUBJECT  :   Medical cannabis.

           SUMMARY  :   Urges the President and Congress of the United States  
          to take specified actions relating to the use of cannabis for  
          medicinal purposes.  Specifically,  this bill  :  

          1)Urges the President and Congress to:

          a)Enact legislation that secures a state's right to regulate  
            medical cannabis, allows patients to possess and consume  
            medical cannabis, and allows individuals deputized by states  
            and localities to cultivate and distribute medical cannabis;

          b)Amend the Comprehensive Drug Abuse Prevention and Control Act  
            of 1970 to allow for a medical necessity defense as suggested  
            by the United States Supreme Court in  United States v. Oakland  
            Cannabis Buyers Cooperative  (2001) 532 U.S. 483; and

          c)Conduct oversight hearings on the use of Drug Enforcement  
            Administration (DEA) funds that are being used to harass,  
            intimidate, and prosecute Californians that use medical  
            cannabis.

           EXISTING LAW  :

          1)Permits seriously ill patients and their caregivers to use  
            cannabis for medicinal purposes and protects licensed  
            physicians from prosecution or harassment by state or local  
            officials for recommending medical cannabis. 

          2)Permits the California Marijuana Research Program to be  
            conducted by the University of California to study the  
            efficacy and safety of medical marijuana.  

          3)Under the federal Comprehensive Drug Abuse Prevention and  
            Control Act of 1970, classifies cannabis as a Schedule I Drug  
            with no medical use.

           FISCAL EFFECT  :   None








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          COMMENTS  :   

           1)PURPOSE OF THIS RESOLUTION  .  According to the author, this  
            resolution is needed to uphold the will of the voters when  
            they passed Proposition 215 in 1996.  The U.S. Department of  
            Justice and other federal agencies are using taxpayer  
            resources to arrest, harass, intimidate, and imprison  
            California citizens who are obeying California law.  The  
            author contends that federal elected officials should remove  
            the conflict by amending federal statute to allow for a  
            medical necessity defense and amend federal statute to  
            recognize states' rights in this area.

           2)BACKGROUND  .  Advocates and many health care providers assert  
            that marijuana use relieves suffering from serious medical  
            conditions including cancer, HIV/AIDS, glaucoma, and certain  
            neuromuscular diseases including multiple sclerosis.  These  
            diseases and their treatments can cause constant pain,  
            intractable nausea, severe anorexia, and anxiety.  Symptomatic  
            relief is often found through the use of prescription drugs,  
            including narcotic pain medications, anti-nausea medications,  
            anti-anxiety medications and tetrahydrocannabinol (THC)  
            purified from marijuana and available as a pill (Marinol).   
            Some patients report that after having tried several different  
            prescription medications, they receive adequate relief by  
            smoking marijuana only.  

            Because the medicinal use of cannabis in the United States has  
            been illegal, there is little verifiable evidence of its  
            effects when used in the management of chronic health  
            conditions.  In 1999, a National Academy of Sciences'  
            Institute of Medicine (IOM) report concluded that "there are  
            some limited circumstances in which we recommend smoking  
            marijuana for medical uses."  The IOM report was the result of  
            two years of research funded by the White House drug policy  
            office to analyze all existing data regarding the therapeutic  
            use of marijuana. A Pew Research poll conducted in February,  
            found that 73% of American adults supported permitting doctors  
            to prescribe marijuana for their patients.
           
          3)COMPREHENSIVE DRUG ABUSE PREVENTION AND CONTROL ACT OF 1970  .  
            Marijuana is a "Schedule I" drug under the provisions of the  
            Comprehensive Drug Abuse Prevention and Control Act of 1970,  
            because of its high potential for abuse and lack of accepted  








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            medical use.  Federal law prohibits the prescription,  
            distribution, or possession of marijuana and other Schedule I  
            drugs, such as heroin and LSD, and strictly controls Schedule  
            II drugs like cocaine and methamphetamine. 

           4)PROPOSITION 215  .  California voters passed Proposition 215 in  
            1996 to exempt from criminal laws, which otherwise prohibit  
            possession or cultivation of marijuana, patients and  
            caregivers who possess or cultivate marijuana for medical  
            treatment.  In a federal prosecution challenging Proposition  
            215 (U.S. v. Oakland Cannabis Buyers Cooperative), the Supreme  
            Court held that medical necessity is not a defense to the  
            Comprehensive Drug Abuse Prevention and Control Act. 

            Interest in the federal government's position on Proposition  
            215 attracted significant attention earlier this year when Ed  
            Rosenthal, a California advocate for medical marijuana, was  
            convicted in federal court of three felony charges in  
            connection with plants he was cultivating for use by patients  
            of a San Francisco dispensary.  Several news articles and  
            editorials suggest that Mr. Rosenthal had been unfairly  
            treated through the prosecution.  Jurors in the case were  
            prohibited from considering evidence related to Proposition  
            215.  Subsequent to the conviction, several jurors reported  
            that they would have voted differently had they known that Mr.  
            Rosenthal was cultivating marijuana under provisions of  
            Proposition 215 and an Oakland medicinal marijuana law.

           5)PREVIOUS CALIFORNIA LEGISLATION  .  Prior to enactment of  
            Proposition 215, several bills were proposed to facilitate the  
            medicinal use of marijuana.  SB 54 (Vasconcellos) of 1997 and  
            SB 1887 (Vasconcellos) of 1998 stalled in the Legislature and  
            SB 848 (Vasconcellos) of 1999 and SB 187 (Vasconcellos) of  
            2001 were vetoed by the Governor.

           6)LETTER FROM THE CALIFORNIA STATE LEGISLATURE  .  In February  
            2003, 16 California Senators and 34 Assemblymembers signed a  
            letter urging the United States Senate and House of  
            Representatives to pass legislation and amend the Controlled  
            Substances Act as urged in this resolution.  Instead of urging  
            that oversight hearings be conducted on the use of DEA funds,  
            the letter called for a cut in budget allocations for the DEA,  
            the U.S. Attorneys' Office, and other branches of the federal  
            government.









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           7)LAWS AND PROGRAMS IN OTHER JURISDICTIONS  . Since 1996, voters  
            in Alaska, California, Colorado, the District of Columbia,  
            Maine, Nevada, Oregon, and Washington have passed ballot  
            initiatives to remove criminal penalties for seriously ill  
            people who grow or possess medical marijuana. Hawaii enacted a  
            medical marijuana law via its state legislature in June 2000.   
            The federal "Compassionate Use" program supplies cannabis for  
            medicinal use to seven patients nationwide.

           8)SUPPORT  .  Proponents contend that the federal government is  
            actively harassing and intimidating California patients and  
            caregivers through prosecution, and the California Legislature  
            should defend the will of the voters.

           9)OPPOSITION  .  The Committee on Moral Concerns argues that the  
            harmful effects of marijuana are better documented than the  
            positive effects, and further study is needed to legitimatize  
            the claims of medical marijuana proponents.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Americans for Safe Access
          Americans for Medical Rights
          Drug Policy Alliance Network

           Opposition 
           
          Committee on Moral Concerns
           
          Analysis Prepared by  :    Melanie Moreno / HEALTH / (916)  
          319-2097