BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          AJR 13 (Leno)
          As Amended April 22, 2003
          Majority vote 

           HEALTH              15 - 9                                      
           
           -------------------------------- 
          |Ayes:|Chan, Chavez, Chu, Cohn,  |
          |     |Frommer, Goldberg,        |
          |     |Koretz, Hancock,          |
          |     |Montanez, Negrete McLeod, |
          |     |Nunez, Ridley-Thomas,     |
          |     |Salinas, Wolk, Yee        |
          |     |                          |
          |-----+--------------------------|
          |Nays:|Bates, Dutton, Haynes,    |
          |     |Maze, McCarthy,           |
          |     |Nakanishi, Pacheco,       |
          |     |Plescia, Richman          |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Urges the President and Congress of the United States  
          (U.S.) to take specified actions relating to the use of cannabis  
          for medicinal purposes.  Specifically,  this bill  urges the  
          President and Congress to:

          1)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.

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

          3)Review Drug Enforcement Administration policy related to the  
            prosecution and harassment of Californians who are acting in  
            compliance with the provisions of Proposition 215.
           EXISTING FEDERAL LAW  classifies, under CDAPCA, cannabis as a  
          Schedule I Drug with no medical use.

           EXISTING LAW  permits:









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

           FISCAL EFFECT  :  None

           COMMENTS  :  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 U.S. 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, "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.
           
           California voters passed Proposition 215 in 1996 to exempt from  
          criminal laws, which otherwise prohibit possession or  
          cultivation of marijuana, patients and caregivers that 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 CDAPCA. 

          Interest in the federal government's position on Proposition 215  








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          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.

          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.

          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.

           
          Analysis Prepared by  :    Melanie Moreno / HEALTH / (916)  
          319-2097 


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