1 Minnesota Medical Cannabis Patient Registry Program August 8, 2014 Jamie L. Olson Legislative Analyst/Attorney House Research Department 2 Medical Cannabis in the U.S. Medical cannabis allowed (21 + DC) Recreational & medical use allowed (2) Limited products allowed (11) August 8, 2014 House Research Department 3 Design of the MN Registry Program August 8, 2014 House Research Department 4 General overview • 2 licensed manufacturers ▫ 4 distribution sites ▫ 1 manufacturing site • No smoking • New criminal and civil penalties created • Limited qualifying conditions August 8, 2014 House Research Department 5 Patients • Qualifying medical conditions ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ Cancer* Glaucoma HIV/AIDS Tourette’s ALS Seizures Severe and persistent muscle spasms Crohn’s disease Terminal illness with life expectancy of under one year* August 8, 2014 House Research Department 6 Patients • Participation in the registry program • Responsibilities during participation • Civil and criminal protections August 8, 2014 House Research Department 7 Health Care Practitioners • Participation in the registry program • Responsibilities during participation • Civil and criminal protections August 8, 2014 House Research Department 8 Manufacturers - Registration • $20,000 non-refundable application fee • December 1 – Registration/Re-registration • Conditions of registration ▫ Supply medical cannabis by July 1, 2015 ▫ Comply with requirements under law August 8, 2014 House Research Department 9 Manufacturers - Registration • Factors to be considered by MDH ▫ ▫ ▫ ▫ ▫ ▫ Technical expertise in cultivation and conversion Qualifications of employees Long-term financial stability Ability to provide appropriate security Demonstration of ability to meet production needs Projection and ongoing assessment of fees on patients August 8, 2014 House Research Department 10 Manufacturers - Regulation • Fees ▫ Annual fee for cost of regulation/inspection ▫ Charges to patients • Operating documents ▫ Procedures to ensure accurate record keeping ▫ Procedures to implement appropriate security measures to deter theft August 8, 2014 House Research Department 11 Manufacturers - Regulation • Location of facilities ▫ Distribution facilities – geographic based on need ▫ Not within 1,000 feet of a school • Employees ▫ No one under 21 years old ▫ Background check for disqualifying felony conviction ▫ Pharmacist(s) ▫ Required identification during transport August 8, 2014 House Research Department 12 Manufacturers - Regulation • Security ▫ ▫ ▫ ▫ Alarm system Facility access controls Perimeter intrusion detection system Personnel identification system • Contract with independent laboratory August 8, 2014 House Research Department 13 Manufacturers - Regulation • Inspection ▫ Reasonable inspection by MDH ▫ Certified annual audit ▫ Examination of business affairs • Monthly report to MDH ▫ Amount and dosages distributed ▫ Chemical composition of MC ▫ Tracking number assigned to distributed MC August 8, 2014 House Research Department 14 Manufacturers - Production • Requirements ▫ Reliable and ongoing supply ▫ One enclosed, locked facility ▫ Processed into allowable form prior to distribution • Allowable forms ▫ Pill ▫ Liquid (including oil) • Deadlines ▫ July 1, 2015 – distribution from at least one site ▫ July 1, 2016 – distribution from all four sites August 8, 2014 House Research Department 15 Manufacturers - Distribution • What may be distributed ▫ Allowable forms & products ▫ Packaging ▫ Labeling • To whom ▫ Patients, caregivers, parents ▫ Registry verification • By whom ▫ Pharmacist(s) employed by manufacturer • How much ▫ 30-day supply August 8, 2014 House Research Department 16 Manufacturers - Other • Relationship with health care practitioners • Marketing restrictions • Criminal and civil liability • Criminal protections August 8, 2014 House Research Department
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