BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 847
                                                                  Page  1

          Date of Hearing:   June 21, 2011

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                     SB 847 (Correa) - As Amended:  May 10, 2011

           SENATE VOTE :   31-2
           
          SUBJECT  :   Medical Marijuana Program: zoning restrictions: 
          residential use.

           SUMMARY  :   Prohibits any medical marijuana (MM) entity that 
          possesses, cultivates, or distributes MM from locating within 
          600 feet of a residential area unless a local ordinance has been 
          adopted to specifically regulate the location of these entities 
          in relation to residential use.  Specifically,  this bill  :   

          1)Prohibits any medical marijuana (MM) entity that possesses, 
            cultivates, or distributes MM from locating within a 600-foot 
            radius of a residential zone or residential use unless the 
            local governing body has adopted an ordinance specifically 
            regulating the location of these entities in relation to 
            residential use.

          2)Permits the local ordinance in 1) above to be more or less 
            restrictive than the 600-foot radius established by this bill. 
             

           EXISTING LAW  :

          1)Establishes the Compassionate Use Act, approved by voters as 
            Proposition 215 of 1996, to provide the right to obtain and 
            use marijuana for medical purposes where medical use is deemed 
            appropriate and has been recommended by a physician and 
            ensures that patients and their primary caregivers are not 
            subject to criminal prosecution or sanction.  Protects 
            physicians from punishment for recommending marijuana to a 
            patient for medical purposes.

          2)Prohibits 1) above from being construed to supersede 
            legislation prohibiting persons from engaging in conduct that 
            endangers others, or to condone the diversion of marijuana for 
            non-medical purposes.  

          3)Prohibits qualified patients, persons with valid 








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            identification cards, and the designated primary caregivers of 
            qualified patients and persons with identification cards, who 
            associate within the State of California in order to 
            collectively or cooperatively cultivate marijuana for medical 
            purposes, from being solely on the basis of that fact subject 
            to state criminal penalties under existing law.  

          4)Establishes the Medical Marijuana Program (MMP) within the 
            Department of Public Health (DPH) to provide a voluntary 
            medical marijuana identification card (MMIC) issuance and 
            registry program for qualified patients and their caregivers 
            administered through a patient's county of residence.

          5)Prohibits any MM cooperative, collective, dispensary, 
            operator, establishment, or provider who possesses, 
            cultivates, or distributes MM, as specified, from being 
            located within 600 feet of a school.  
           FISCAL EFFECT  :   According to the Senate Appropriations 
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :   

           1)PURPOSE OF THIS BILL  .  According to the author, a growing 
            number of MM dispensaries have, in some cases, literally 
            opened shop right under apartments with kids, thus subjecting 
            families to second hand smoke from marijuana.  The author 
            argues that, as these establishments proliferate, state law 
            provides limited guidance on the most appropriate locations 
            for these establishments.  The author maintains that some 
            local officials worry that MM entities located near private 
            residences may create public safety and health problems.  The 
            author points out that last year, AB 2650 (Buchanan), Chapter 
            603, Statutes of 2010, set a precedent for creating a buffer 
            zone between specific land uses, i.e. schools, and these 
            establishments and this bill is a similar measure to ensure 
            that MM dispensaries are located a reasonable distance away 
            from private residences.  The author states that this bill 
            incorporates local government control by providing for a 
            default buffer zone of 600 feet between MM establishments and 
            residential areas in the event that a local government has not 
            yet enacted its own local ordinance establishing a smaller or 
            larger buffer.   

           2)BACKGROUND .  The potential medicinal properties of marijuana 
            have been the subject of much research and debate.  Currently, 








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            marijuana is classified under the Federal Controlled 
            Substances Act (FCSA) as a Schedule I controlled substance, 
            meaning it is considered to have no medicinal value and high 
            potential for abuse.  According to the federal Food and Drug 
            Administration (FDA), an evaluation by several federal 
            agencies, including the FDA and the National Institute on Drug 
            Abuse, concluded that no sound scientific studies supported 
            medical use of marijuana for treatment in the U.S.  This 
            finding conflicts with a review by the Institute of Medicine 
            (IOM), which stated that scientists have confirmed that the 
            cannabis plant contains active ingredients with therapeutic 
            potential for relieving pain, controlling nausea, and 
            stimulating appetite.  As a result, the IOM concluded that 
            further clinical research on cannabinoid drugs and safe 
            delivery systems was warranted.  A 2008 position paper by the 
            American College of Physicians (ACP) in support of research 
            into the therapeutic role of marijuana states that a clear 
            discord exists between the scientific community and federal 
            legal and regulatory agencies over the medicinal value of 
            marijuana, which impedes the expansion of research.  The ACP 
            maintains that the concern that marijuana is a "gateway" drug 
            also hinders opportunities to evaluate its potential 
            therapeutic benefits.  However, the IOM review concluded that 
            marijuana has not been proven to be the cause or even the most 
            serious predictor of serious drug abuse.  Additionally, the 
            ACP points out that the data on marijuana's role in illicit 
            drug use progression only pertains to its nonmedical use.

           3)PROPOSITION 215  .  In November 1996, Californians voted in 
            favor of Proposition 215, the Compassionate Use Act, to ensure 
            the right of patients to obtain and use marijuana in 
            California to treat specified serious illnesses.  Prop 215 
            protects physicians who appropriately recommend the use of 
            marijuana to patients for medical purposes from criminal 
            penalties; exempts qualified patients and their primary 
            caregivers from state drug laws prohibiting possession and 
            cultivation of marijuana; and, directs the state to implement 
            a plan for the safe and affordable distribution of marijuana.  
             


          The U.S. Supreme Court specifically ruled on whether Prop 215 
            could decriminalize the use of marijuana for medicinal 
            purposes.   Gonzalez vs. Raich  (2004) 125 S.Ct. 3195 held 
            California could not exempt marijuana for medicinal use from 








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            the criminal possession statute and based its ruling on the 
            idea that use of any commodity, be it wheat or marijuana, has 
            a substantial effect on the supply and demand in the national 
            market for that commodity and, as a result, falls within 
            interstate commerce.  Additionally, the Court ruled that the 
            FCSA preempts any state attempt to decriminalize marijuana, 
            meaning that federal agencies may enforce federal law in 
            California, notwithstanding Proposition 215, but there is no 
            requirement that state law enforcement assist in enforcement.  
           
           4)MMP  .  The MMP was authorized through SB 420 (Vasconcellos), 
            Chapter 875, Statutes of 2003, to clarify provisions of Prop 
            215 and to create a MMIC Program for medically qualified 
            patients and their caregivers.  The MMP began in May 2005 with 
            three pilot counties and expanded statewide in August 2005.  
            Currently, 56 of the state's 58 counties participate.  DPH 
            reports that 7,807 cards were issued in fiscal year 2010-11, 
            and the total number of cards issued to date is 52,549.  The 
            MMP allows law enforcement and the public to verify the 
            validity of a qualified patient or caregiver's card as 
            authorization to possess, grow, transport, and/or use MM in 
            California through a database of authorized cardholders 
            available on DPH's Internet Website.  

          Only patients or their legal representatives may apply for a 
            card for themselves and/or their primary caregivers.  The 
            patient, or applicant, is a person diagnosed with a serious 
            medical condition for which the medical use of marijuana is 
            appropriate, including AIDS; anorexia; arthritis; cancer; 
            chronic pain; glaucoma; migraine; spasms associated with 
            multiple sclerosis; epileptic seizures; severe nausea; and, 
            any other chronic or persistent medical condition that limits 
            the ability of the patient to conduct one or more major life 
            activities, or if not alleviated, may cause serious harm to 
            the patient's safety, physical, or mental health.  When 
            submitting an application for the MMIC, patients are 
            responsible for providing proof of county residency, proof of 
            identity, and a copy of written documentation from their 
            physician stating that they have a serious medical condition 
            and that the medical use of marijuana is appropriate, and for 
            paying the requisite state and county administration fees.  
            The MMIC is valid for one year, with certain exceptions. 

           5)MM ESTABLISHMENTS  .  In August 2008, the state Attorney 
            General's Office (AG) issued guidelines for the security and 








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            non-diversion of marijuana grown for medical use.  The 
            guidelines state that although MM dispensaries have been 
            operating in California for years, dispensaries, as such, are 
            not recognized under the law and the only recognized group 
            entities are cooperatives and collectives that operate in 
            accordance with the MMP and the AG guidelines.  According to 
            the guidelines, in order to operate legally, a collective or 
            cooperative must show evidence that it is operating according 
            to the following principles:

             a)   No individual or group may cultivate or distribute 
               marijuana in a manner that generates profit;
             b)   Collectives should obtain all applicable local 
               government permits and business license permits;
             c)   Collectives should maintain strict membership 
               requirements and enforce the requirements using thorough 
               applications and verification procedures;
             d)   Collectives should only possess and distribute marijuana 
               that has been cultivated by patient or primary caregiver 
               members;
             e)   Collectives must prohibit the sharing or sale of 
               marijuana to non-members;
             f)   Collectives must operate securely and take measures to 
               ensure the security of neighbors by taking care in the way 
               marijuana and cash are handled and documented; and,
             g)   Collectives must ensure that primary caregivers are 
               truly providing housing, health care, and other support 
               indicating a relationship with a patient.

            According to a 2010 report by the League of California Cities 
            entitled "Medical Marijuana Facilities: Land Use Planning in a 
            Sea of Uncertainty," local governments throughout the state 
            continue to struggle with public policy issues regarding the 
            use, distribution, and regulation of marijuana.  A number of 
            cities and counties are embroiled in litigation.  Some are 
            engaged in philosophical debates involving the morality of 
            drug availability and use and others are simply concerned 
            about local land use controls.  Some cities and counties have 
            permanently banned dispensary operations in their communities, 
            others have adopted temporary land use moratoria, and others, 
            such as the City of Los Angeles, have adopted regulations 
            permitting a limited number of dispensaries.  Data from 
            Americans for Safe Access indicate that a total of 143 cities 
            and 12 counties in California have all banned MM dispensaries. 
             An additional 103 cities and 15 counties have imposed 








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            moratoriums while another 42 cities and nine counties have 
            passed ordinances to regulate them.

            In October 2009, the U.S. Department of Justice (DOJ) issued a 
            memo announcing that it would no longer raid MM dispensaries 
            that are established legally under state law.  Specifically, 
            the memo indicated that the prosecution of significant 
            traffickers of illegal drugs and the disruption of illegal 
            drug manufacturing and trafficking networks remained a core 
            priority in the DOJ's efforts against narcotics and dangerous 
            drugs, and that the DOJ's investigative and prosecutorial 
            resources should be concentrated on these objectives.

           6)RELATED LEGISLATION  .  

             a)   AB 223 (Ammiano) establishes a comprehensive and 
               multidisciplinary commission to address issues regarding 
               the legality and implementation of Prop 215 and the state's 
               MM law.  AB 223 is a two-year bill in the Assembly Public 
               Safety Committee.   
              
             b)   AB 1300 (Blumenfield) states that nothing in the bill 
               prevents a city or other local governing body from adopting 
               and enforcing local ordinances that regulate the location, 
               operation, or establishment of a MM cooperative or 
               collective; from civilly or criminally enforcing those 
               local ordinances; and, from enacting other laws consistent 
               with the MMP, as specified.  AB 1300 is pending in the 
               Senate Public Safety Committee.   
              
           7)PRIOR LEGISLATION .

             a)   AB 390 (Ammiano) of 2010 would have legalized the 
               possession, sale, cultivation, and other conduct relating 
               to marijuana by persons over the age of 21.  AB 390 was 
               referred to the Assembly Health Committee but was not set 
               for a hearing.

             b)   AB 2650 prohibits operation or establishment of a MM 
               cooperative, collective, dispensary, or provider within 600 
               feet of a school.

             c)   SJR 14 (Leno) of 2009 would have called on the President 
               and Congress to take specified actions relating to the use 
               of marijuana for medical purposes.  SJR 14 failed passage 








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               on the Assembly floor.

             d)   SB 420 creates the MMP for patients authorized to engage 
               in the medical use of marijuana and their caregivers.

           8)SUPPORT  .  The sponsor of this bill, the City of Anaheim, 
            contends that an unintended consequence of Prop 215 has been 
            the widespread proliferation of MM dispensaries, often within 
            neighborhoods.  The sponsor asserts that this bill recognizes 
            the importance of protecting our youth from the various 
            negative impacts of MM establishments by providing local 
            communities with another layer of protection aimed at keeping 
            these facilities out of residential neighborhoods.  Supporters 
            add that specifying a 600 foot buffer between these entities 
            and residential areas in a manner that is similar to what 
            already exists for schools is a reasonable and simple approach 
            to ensuring that neighborhoods are not negatively and unduly 
            impacted.  

           9)OPPOSITION  .  Representatives of MM patients and providers 
            object to this bill, arguing that it preemptively imposes an 
            arbitrary one-size-fits-all statewide standard on local 
            governments that have not yet adopted regulations governing MM 
            establishments, which they contend, is a highly unusual 
            usurpation of local land use policy.  Opponents maintain that 
            high density cities would experience a reduction or outright 
            elimination of lawful dispensary locations as a result of this 
            bill, which would then impose an unnecessary and unacceptable 
            burden on qualified patients accessing MM.   
           
           10)DOUBLE REFERRAL  .  This bill is double referred.  Should it 
            pass out of this committee, it will be referred to the 
            Assembly Committee on Local Government.  
           
           11)POLICY COMMENTS  . 

             a)   Enforcement of this bill as it relates to cooperatives 
               and collectives could be complicated given that Prop 215 
               specifically permits patients and their primary caregivers 
               to create and operate MM collectives and cooperatives free 
               from criminal prosecution and the AG's guidelines point out 
               that collectives are not defined in state law.  According 
               to the AG's guidelines, while a collective is not a 
               statutory entity, it may have to organize as some form of 
               business to carry out its activities.  However, a MM 








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               dispensary could be deemed by its operators as a collective 
               and claim that, as such, it does not need to obtain a 
               business license.         

             b)   This bill permits local governments to enact more 
               restrictive ordinances regulating the location of MM 
               establishments relative to residential areas and could 
               potentially result in eliminating these facilities in urban 
               or suburban areas.  In such cases, the restrictions in 
               these ordinances and in this bill may be viewed by courts, 
               pursuant to existing case law, as creating substantial 
               barriers for patients to access MM and, consequently, this 
               bill, if enacted, could be invalidated as unconstitutional. 
                

             c)   Numerous local governments throughout California have 
               already taken action to regulate the placement of MM 
               establishments in their areas and continue to do so.  As a 
               result, the need for this bill appears unclear.

           
          REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          City of Anaheim (sponsor)
          Association of California Cities - Orange County
          City of Norwalk
          Peace Officers Research Association of California
           
            Opposition 
          
          Americans for Safe Access
          California National Organization for the Reform of Marijuana 
          Laws
          Drug Policy Alliance
          Marijuana Policy Project


           Analysis Prepared by  :    Cassie Royce / HEALTH / (916) 319-2097