BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       SJR 14                                       
          S
          AUTHOR:        Leno                                         
          J
          AMENDED:       As introduced                                
          R              
          HEARING DATE:  July 15, 2009                               
          CONSULTANT:                                                 
          1
          Dunstan/cjt                                                 
          4              
                                        
                                     SUBJECT
                                         
                               Medical marijuana

                                     SUMMARY  

          Urges the President and the Congress to take specific  
          actions relating to the use of medical marijuana, including  
          ending federal raids, intimidation and interference with  
          state medical cannabis laws; adopting policies and laws to  
          encourage advanced clinical research trials into the  
          therapeutic use of cannabis; establishing an affirmative  
          defense to medical cannabis charges in federal court; and  
          establishing a comprehensive federal medical cannabis  
          policy that ensures safe and legal access for patients.

                             CHANGES TO EXISTING LAW  

          Existing federal law:
          Prohibits the cultivation, use and possession of marijuana,  
          without regard to medicinal or other use.  Prohibits  
          physicians from prescribing marijuana because of the drug's  
          classification as a schedule 1 controlled substance. 
          
          Existing state law:
          Exempts patients and caregivers from criminal penalties  
          when they possess or cultivate marijuana for medical use as  
          recommended by a physician, as specified in an initiative  
          statute.  Protects a physician from criminal penalties or  
                                                         Continued---



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          sanctions for recommending marijuana use for medical  
          purposes, and creates a voluntary program for the issuance  
          of identification cards to patients qualified to use  
          medical marijuana. 
          
          This bill:
          Memorializes the President and Congress to move quickly to  
          end federal raids, intimidation and interference with state  
          medical marijuana laws.  Memorializes the President and  
          Congress to take any necessary measures to permit an  
          affirmative defense to medical marijuana charges in federal  
          court and establish federal legal protection for  
          individuals authorized by state law to use or provide  
          marijuana for therapeutic use.

          Memorializes the President and Congress to adopt policies  
          and laws to encourage advanced clinical research trials  
          into the therapeutic use of marijuana.  Memorializes the  
          President and Congress to create a comprehensive federal  
          medical marijuana policy that ensures safe and legal access  
          to any patient that would benefit from medical marijuana.



                                  FISCAL IMPACT  

          None.

                            BACKGROUND AND DISCUSSION  

          According to the author, SJR 14 calls for important changes  
          in federal policy towards medical cannabis (marijuana).   
          The author argues that this is an opportune time for  
          California to act, as comments by President Obama and U.S.  
          Attorney Eric Holder signal a willingness to create a new  
          federal policy regarding medical cannabis.  The author  
          states that this has created a strategic moment in history  
          and that SJR 14 clearly states the California Legislature's  
          opposition to federal interference, and its support for  
          expanded medical research and federal reform of medical  
          marijuana laws. 

          Background
          In 1996, California voters approved an initiative statute,  
          California's Compassionate Use Act, Proposition 215, to  
          ensure that seriously ill Californians have the right to  




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          obtain and use marijuana for medical purposes.  The  
          initiative also contained protection for physicians wanting  
          to inform patients about the use of medical marijuana.   
          Proposition 215 was a strong policy statement, but  
          contained few details on how patients could obtain access  
          to medical marijuana.  The initiative also directed the  
          state to implement a plan for the safe and affordable  
          distribution of medical marijuana.

          Conflicts with the federal government occurred almost  
          immediately in the wake of the initiative's passage.  The  
          conflicts resulted because of the differences between state  
          law, which made medical use of marijuana legal, and federal  
          law which carries stiff criminal penalties for the use,  
          possession and/or cultivation of marijuana.  The first  
          conflict resolved by the courts came after the federal  
          government warned physicians who discussed or recommended  
          the use of medical marijuana that they faced possible  
          sanctions including criminal prosecution, revocation of  
          their DEA registration to prescribe scheduled drugs and  
          exclusion from Medicaid and Medicare.  The state law was  
          protected as federal courts upheld the rights of physicians  
          to discuss medical marijuana as a treatment option for  
          patients with certain conditions.  

          The state has not implemented a plan that provides for the  
          safe and affordable distribution of medical marijuana, in  
          part because of the potential of violating federal law.   
          The state has created a voluntary program by which the  
          State Department of Public Health issues an identification  
          card to patients, caregivers and other authorized parties.   
          The ID card grants the holder immunity from arrest for  
          possessing specified amounts of marijuana to be used for  
          medical purposes.  State law also details criteria for the  
          definition of primary caregiver.


          Conflicts over the differing state and federal laws  
          regarding use, possession, and cultivation were resolved  
          with the Supreme Court's 2005 decision in Gonzalez v.  
          Raich.  The court upheld federal marijuana laws, including  
          the legal basis for the DEA to conduct raids, seize  
          medicinal marijuana and make arrests for criminal  
          violations of federal drug laws. 

          In the aftermath of the ruling, in states like  




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          California--where federal, state, and local laws are in  
          conflict--the DEA has increased enforcement actions against  
          marijuana dispensaries.  Additional actions have been  
          brought against the residences of individual  
          patient-cultivators. The DEA has also targeted property  
          owners who rent or lease space for medical marijuana  
          dispensaries.  Reportedly, at least some of the medical  
          marijuana dispensaries and collectives shut down by the DEA  
          have been approved by local governments and were reporting  
          and paying sales taxes to the State Board of Equalization,  
          and reporting and paying income taxes. 

          Eleven other states: Alaska, Colorado, Hawaii, Maine,  
          Montana, Nevada, New Mexico, Oregon, Rhode Island, Vermont  
          and Washington have enacted laws similar to California's  
          medicinal marijuana policy, and all currently face the same  
          federal-state conflict. 

          Prior legislation
          SJR 20, (Migden), was similar to SJR 14.  This resolution  
          was held in Assembly Public Safety Committee.
          
          SB 1494 (Vasconcellos), would have made technical changes  
          in the identification card program and expanded the  
          definition of caregiver.  This bill was vetoed by Governor  
          Schwarzenegger.  

          SB 420 (Vasconcellos), Chapter 875 of 2003 established a  
          voluntary program for the issuance of identification cards  
          to patients qualified to use medical marijuana and makes  
          numerous legal definitions, clarifications, and statutory  
          changes necessary to implement and enforce a system  
          providing medical marijuana to chronically ill patients. 

          Arguments in support
          Americans for Safe Access, the resolution's sponsor, argues  
          that this will help protect the rights of legal medical  
          cannabis patients in California and effecting meaningful  
          change in federal policies at a strategic moment in  
          history.  The Drug Policy Alliance states that despite  
          state protection for compassionate use, federal law  
          continues to see medical marijuana patients as criminals  
          and this has resulted in significant confusion and profound  
          negative effects for California patients.  They note that  
          since the U.S. Supreme Court ruling in the Gonzales case,  
          there have been 150 federal raids on medical marijuana  




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          dispensaries and distributors in California.






                                    POSITIONS  


          Support:   Americans for Safe Access
                     Common Sense for Drug Policy
                 Drug Policy Alliance     
                 Marijuana Policy Project
                 National Organization for the Reform of Marijuana  
                 Laws


          Oppose:  None received


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