Senate
File
484
H-8300
Amend
Senate
File
484,
as
amended,
passed,
and
1
reprinted
by
the
Senate,
as
follows:
2
1.
By
striking
everything
after
the
enacting
clause
3
and
inserting:
4
<
Section
1.
Section
124.204,
subsection
4,
5
paragraphs
m
and
u,
Code
2016,
are
amended
by
striking
6
the
paragraphs.
7
Sec.
2.
Section
124.204,
subsection
7,
Code
2016,
8
is
amended
by
striking
the
subsection.
9
Sec.
3.
Section
124.206,
subsection
7,
Code
2016,
10
is
amended
to
read
as
follows:
11
7.
Hallucinogenic
substances.
Unless
specifically
12
excepted
or
unless
listed
in
another
schedule,
any
13
material,
compound,
mixture,
or
preparation
which
14
contains
any
quantity
of
the
following
substances
,
15
or,
for
purposes
of
paragraphs
“a”
and
“b”
,
which
16
contains
any
of
its
salts,
isomers,
or
salts
of
isomers
17
whenever
the
existence
of
such
salts,
isomers,
or
salts
18
of
isomers
is
possible
within
the
specific
chemical
19
designation
(for
purposes
of
this
paragraph
only,
the
20
term
“isomer”
includes
the
optical,
positional,
and
21
geometric
isomers)
:
22
a.
Marijuana
when
used
for
medicinal
purposes
23
pursuant
to
rules
of
the
board
.
24
b.
Tetrahydrocannabinols,
meaning
25
tetrahydrocannabinols
naturally
contained
in
a
26
plant
of
the
genus
cannabis
(cannabis
plant)
as
well
27
as
synthetic
equivalents
of
the
substances
contained
28
in
the
cannabis
plant,
or
in
the
resinous
extractives
29
of
such
plant,
and
synthetic
substances,
derivatives,
30
and
their
isomers
with
similar
chemical
structure
and
31
pharmacological
activity
to
those
substances
contained
32
in
the
plant,
such
as
the
following:
33
(1)
1
cis
or
trans
tetrahydrocannabinol,
and
their
34
optical
isomers.
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#1.
(2)
6
cis
or
trans
tetrahydrocannabinol,
and
their
1
optical
isomers.
2
(3)
3,4
cis
or
trans
tetrahydrocannabinol,
and
3
their
optical
isomers.
(Since
nomenclature
of
these
4
substances
is
not
internationally
standardized,
5
compounds
of
these
structures,
regardless
of
numerical
6
designation
of
atomic
positions
covered.)
7
b.
c.
Nabilone
[another
name
for
8
nabilone:
(+-)
-
9
trans-3-(1,1-dimethylheptyl)-6,6a,7,8,10,10a-hexahydro-1-hydroxy-6,6-
10
dimethyl-9H-dibenzo[b,d]pyran-9-one].
11
Sec.
4.
Section
124.401,
subsection
5,
unnumbered
12
paragraph
3,
Code
2016,
is
amended
to
read
as
follows:
13
A
person
may
knowingly
or
intentionally
recommend,
14
possess,
use,
dispense,
deliver,
transport,
or
15
administer
cannabidiol
medical
cannabis
if
the
16
recommendation,
possession,
use,
dispensing,
delivery,
17
transporting,
or
administering
is
in
accordance
with
18
the
provisions
of
chapter
124D
124E
.
For
purposes
of
19
this
paragraph,
“cannabidiol”
“medical
cannabis”
means
20
the
same
as
defined
in
section
124D.2
124E.2
.
21
Sec.
5.
NEW
SECTION
.
124E.1
Short
title.
22
This
chapter
shall
be
known
and
may
be
cited
as
the
23
“Compassionate
Use
of
Medical
Cannabis
Act”
.
24
Sec.
6.
NEW
SECTION
.
124E.2
Definitions.
25
As
used
in
this
chapter:
26
1.
“Debilitating
medical
condition”
means
any
of
the
27
following:
28
a.
Cancer,
if
the
underlying
condition
or
treatment
29
produces
one
or
more
of
the
following:
30
(1)
Intractable
pain.
31
(2)
Nausea
or
severe
vomiting.
32
(3)
Cachexia
or
severe
wasting.
33
b.
Multiple
sclerosis.
34
c.
Epilepsy
or
seizure
disorders.
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d.
AIDS
or
HIV
as
defined
in
section
141A.1.
1
e.
Crohn’s
disease
or
ulcerative
colitis.
2
f.
Amyotrophic
lateral
sclerosis.
3
g.
Intractable
pain.
4
h.
Glaucoma.
5
i.
Any
terminal
illness,
with
a
probable
life
6
expectancy
of
under
one
year,
if
the
illness
or
its
7
treatment
produces
one
or
more
of
the
following:
8
(1)
Intractable
pain.
9
(2)
Nausea
or
severe
vomiting.
10
(3)
Cachexia
or
severe
wasting.
11
j.
Any
other
chronic
or
debilitating
disease
or
12
medical
condition
or
its
medical
treatment
approved
by
13
the
department
pursuant
to
rule.
14
2.
“Department”
means
the
department
of
public
15
health.
16
3.
“Disqualifying
felony
offense”
means
a
violation
17
under
federal
or
state
law
of
a
felony
offense,
which
18
has
as
an
element
the
possession,
use,
or
distribution
19
of
a
controlled
substance,
as
defined
in
21
U.S.C.
20
§802(6).
21
4.
“Enclosed,
locked
facility”
means
a
closet,
room,
22
greenhouse,
or
other
enclosed
area
equipped
with
locks
23
or
other
security
devices
that
permit
access
only
by
a
24
cardholder.
25
5.
“Health
care
practitioner”
means
an
individual
26
licensed
under
chapter
148
to
practice
medicine
and
27
surgery
or
osteopathic
medicine
and
surgery
or
an
28
individual
licensed
to
prescribe
medicine
in
any
other
29
state
and
provides
specialty
care
for
an
Iowa
resident
30
for
one
or
more
of
the
debilitating
medical
conditions
31
provided
in
this
chapter.
32
6.
“Intractable
pain”
means
a
pain
in
which
the
33
cause
of
the
pain
cannot
be
removed
or
otherwise
34
treated
with
the
consent
of
the
patient
and
which,
in
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the
generally
accepted
course
of
medical
practice,
no
1
relief
or
cure
of
the
cause
of
the
pain
is
possible,
2
or
none
has
been
found
after
reasonable
efforts.
3
Reasonable
efforts
for
relieving
or
curing
the
cause
of
4
the
pain
may
be
determined
on
the
basis
of
but
are
not
5
limited
to
any
of
the
following:
6
a.
When
treating
a
nonterminally
ill
patient
for
7
intractable
pain,
evaluation
by
the
attending
physician
8
and
one
or
more
physicians
specializing
in
pain
9
medicine
or
the
treatment
of
the
area,
system,
or
organ
10
of
the
body
perceived
as
the
source
of
the
pain.
11
b.
When
treating
a
terminally
ill
patient,
12
evaluation
by
the
attending
physician
who
does
so
in
13
accordance
with
the
level
of
care,
skill,
and
treatment
14
that
would
be
recognized
by
a
reasonably
prudent
15
physician
under
similar
conditions
and
circumstances.
16
7.
“Medical
cannabis”
means
any
species
of
the
genus
17
cannabis
plant,
or
any
mixture
or
preparation
of
them,
18
including
whole
plant
extracts
and
resins.
19
8.
“Medical
cannabis
manufacturer”
means
an
entity
20
licensed
by
the
department
to
manufacture
and
to
21
possess,
cultivate,
transport,
or
supply
medical
22
cannabis
pursuant
to
the
provisions
of
this
chapter.
23
9.
“Medical
cannabis
patient
center”
means
an
entity
24
licensed
under
section
124E.8
that
acquires
medical
25
cannabis
from
a
medical
cannabis
manufacturer
in
this
26
state
for
the
purpose
of
dispensing
medical
cannabis
in
27
this
state
pursuant
to
this
chapter.
28
10.
“Primary
caregiver”
means
a
person,
at
least
29
eighteen
years
of
age,
who
has
been
designated
by
a
30
patient’s
health
care
practitioner
or
a
person
having
31
custody
of
a
patient,
as
a
necessary
caretaker
taking
32
responsibility
for
managing
the
well-being
of
the
33
patient
with
respect
to
the
use
of
medical
cannabis
34
pursuant
to
the
provisions
of
this
chapter.
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11.
“Written
certification”
means
a
document
signed
1
by
a
health
care
practitioner,
with
whom
the
patient
2
has
established
a
patient-provider
relationship,
which
3
states
that
the
patient
has
a
debilitating
medical
4
condition
and
identifies
that
condition
and
provides
5
any
other
relevant
information.
6
Sec.
7.
NEW
SECTION
.
124E.3
Health
care
7
practitioner
certification
——
duties.
8
1.
Prior
to
a
patient’s
submission
of
an
9
application
for
a
medical
cannabis
registration
card
10
pursuant
to
section
124E.4,
a
health
care
practitioner
11
shall
do
all
of
the
following:
12
a.
Determine,
in
the
health
care
practitioner’s
13
medical
judgment,
whether
the
patient
whom
the
health
14
care
practitioner
has
examined
and
treated
suffers
from
15
a
debilitating
medical
condition
that
qualifies
for
16
the
use
of
medical
cannabis
under
this
chapter,
and
17
if
so
determined,
provide
the
patient
with
a
written
18
certification
of
that
diagnosis.
19
b.
Provide
explanatory
information
as
provided
by
20
the
department
to
the
patient
about
the
therapeutic
use
21
of
medical
cannabis.
22
2.
Determine,
on
an
annual
basis,
if
the
patient
23
continues
to
suffer
from
a
debilitating
medical
24
condition
and,
if
so,
issue
the
patient
a
new
25
certification
of
that
diagnosis.
26
3.
Otherwise
comply
with
all
requirements
27
established
by
the
department
pursuant
to
rule.
28
4.
A
health
care
practitioner
may
provide,
but
has
29
no
duty
to
provide,
a
written
certification
pursuant
30
to
this
section.
31
Sec.
8.
NEW
SECTION
.
124E.4
Medical
cannabis
32
registration
card.
33
1.
Issuance
to
patient.
The
department
may
approve
34
the
issuance
of
a
medical
cannabis
registration
card
by
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the
department
of
transportation
to
a
patient
who:
1
a.
Is
at
least
eighteen
years
of
age.
2
b.
Is
a
permanent
resident
of
this
state.
3
c.
Submits
a
written
certification
to
the
4
department
signed
by
the
patient’s
health
care
5
practitioner
that
the
patient
is
suffering
from
a
6
debilitating
medical
condition.
7
d.
Submits
an
application
to
the
department,
on
a
8
form
created
by
the
department,
in
consultation
with
9
the
department
of
transportation,
that
contains
all
of
10
the
following:
11
(1)
The
patient’s
full
name,
Iowa
residence
12
address,
date
of
birth,
and
telephone
number.
13
(2)
A
copy
of
the
patient’s
valid
photo
14
identification.
15
(3)
Full
name,
address,
and
telephone
number
of
the
16
patient’s
health
care
practitioner.
17
(4)
Full
name,
residence
address,
date
of
birth,
18
and
telephone
number
of
each
primary
caregiver
of
the
19
patient,
if
any.
20
(5)
Any
other
information
required
by
rule.
21
e.
Submits
a
medical
cannabis
registration
card
22
fee
of
one
hundred
dollars
to
the
department.
If
the
23
patient
attests
to
receiving
social
security
disability
24
benefits,
supplemental
security
insurance
payments,
or
25
being
enrolled
in
medical
assistance,
the
fee
shall
be
26
twenty-five
dollars.
27
2.
Patient
card
contents.
A
medical
cannabis
28
registration
card
issued
to
a
patient
by
the
department
29
of
transportation
pursuant
to
subsection
1
shall
30
contain,
at
a
minimum,
all
of
the
following:
31
a.
The
patient’s
full
name,
Iowa
residence
address,
32
and
date
of
birth.
33
b.
The
patient’s
photograph.
34
c.
The
date
of
issuance
and
expiration
date
of
the
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registration
card.
1
d.
Any
other
information
required
by
rule.
2
3.
Issuance
to
primary
caregiver.
For
a
patient
in
3
a
primary
caregiver’s
care,
the
department
may
approve
4
the
issuance
of
a
medical
cannabis
registration
card
5
by
the
department
of
transportation
to
the
primary
6
caregiver
who:
7
a.
Is
at
least
eighteen
years
of
age.
8
b.
Submits
a
written
certification
to
the
9
department
signed
by
the
patient’s
health
care
10
practitioner
that
the
patient
in
the
primary
11
caregiver’s
care
is
suffering
from
a
debilitating
12
medical
condition.
13
c.
Submits
an
application
to
the
department,
on
a
14
form
created
by
the
department,
in
consultation
with
15
the
department
of
transportation,
that
contains
all
of
16
the
following:
17
(1)
The
primary
caregiver’s
full
name,
residence
18
address,
date
of
birth,
and
telephone
number.
19
(2)
The
patient’s
full
name.
20
(3)
A
copy
of
the
primary
caregiver’s
valid
photo
21
identification.
22
(4)
Full
name,
address,
and
telephone
number
of
the
23
patient’s
health
care
practitioner.
24
(5)
Any
other
information
required
by
rule.
25
d.
Submits
a
medical
cannabis
registration
card
fee
26
of
twenty-five
dollars
to
the
department.
27
4.
Primary
caregiver
card
contents.
A
medical
28
cannabis
registration
card
issued
by
the
department
29
of
transportation
to
a
primary
caregiver
pursuant
to
30
subsection
3
shall
contain,
at
a
minimum,
all
of
the
31
following:
32
a.
The
primary
caregiver’s
full
name,
residence
33
address,
and
date
of
birth.
34
b.
The
primary
caregiver’s
photograph.
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c.
The
date
of
issuance
and
expiration
date
of
the
1
registration
card.
2
d.
The
registration
card
number
of
each
patient
3
in
the
primary
caregiver’s
care.
If
the
patient
4
in
the
primary
caregiver’s
care
is
under
the
age
of
5
eighteen,
the
full
name
of
the
patient’s
parent
or
6
legal
guardian.
7
e.
Any
other
information
required
by
rule.
8
5.
Expiration
date
of
card.
A
medical
cannabis
9
registration
card
issued
pursuant
to
this
section
shall
10
expire
one
year
after
the
date
of
issuance
and
may
be
11
renewed.
12
6.
Card
issuance
——
department
of
13
transportation.
The
department
may
enter
into
14
a
chapter
28E
agreement
with
the
department
of
15
transportation
to
facilitate
the
issuance
of
medical
16
cannabis
registration
cards
pursuant
to
subsections
1
17
and
3.
18
Sec.
9.
NEW
SECTION
.
124E.5
Medical
advisory
board
19
——
duties.
20
1.
No
later
than
August
15,
2016,
the
director
21
of
public
health
shall
establish
a
medical
advisory
22
board
consisting
of
nine
practitioners
representing
the
23
fields
of
neurology,
pain
management,
gastroenterology,
24
oncology,
psychiatry,
pediatrics,
infectious
disease,
25
family
medicine,
and
pharmacy.
The
practitioners
26
shall
be
nationally
board-certified
in
their
area
of
27
specialty
and
knowledgeable
about
the
use
of
medical
28
cannabis.
29
2.
A
quorum
of
the
advisory
board
shall
consist
of
30
five
members.
31
3.
The
duties
of
the
advisory
board
shall
include
32
but
not
be
limited
to
the
following:
33
a.
Reviewing
and
recommending
to
the
department
for
34
approval
additional
chronic
or
debilitating
diseases
or
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medical
conditions
or
their
treatments
as
debilitating
1
medical
conditions
that
qualify
for
the
use
of
medical
2
cannabis
under
this
chapter.
3
b.
Accepting
and
reviewing
petitions
to
add
chronic
4
or
debilitating
diseases
or
medical
conditions
or
their
5
medical
treatments
to
the
list
of
debilitating
medical
6
conditions
that
qualify
for
the
use
of
medical
cannabis
7
under
this
chapter.
8
c.
Advising
the
department
regarding
the
location
9
and
number
of
necessary
medical
cannabis
patient
10
centers
throughout
the
state
on
a
continuous
basis,
the
11
form
and
quantity
of
allowable
medical
cannabis
to
be
12
dispensed
to
a
patient
or
primary
caregiver,
and
the
13
general
oversight
of
medical
cannabis
manufacturers
and
14
medical
cannabis
patient
centers
in
this
state.
15
d.
Convening
at
least
twice
per
year
to
conduct
16
public
hearings
and
to
evaluate
petitions,
which
17
shall
be
maintained
as
confidential
personal
health
18
information,
to
add
chronic
or
debilitating
diseases
or
19
medical
conditions
or
their
medical
treatments
to
the
20
list
of
debilitating
medical
conditions
that
qualify
21
for
the
use
of
medical
cannabis
under
this
chapter.
22
Sec.
10.
NEW
SECTION
.
124E.6
Medical
cannabis
23
manufacturer
licensure.
24
1.
a.
The
department
shall
license
up
to
two
25
medical
cannabis
manufacturers
to
manufacture
26
medical
cannabis
within
this
state
consistent
with
27
the
provisions
of
this
chapter
by
December
1,
2016.
28
The
department
shall
license
new
medical
cannabis
29
manufacturers
or
relicense
the
existing
medical
30
cannabis
manufacturers
by
December
1
of
each
year.
31
b.
Information
submitted
during
the
application
32
process
shall
be
confidential
until
the
medical
33
cannabis
manufacturer
is
licensed
by
the
department
34
unless
otherwise
protected
from
disclosure
under
state
35
-9-
SF484.3886
(2)
86
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9/
22
or
federal
law.
1
2.
As
a
condition
for
licensure,
a
medical
cannabis
2
manufacturer
must
agree
to
begin
supplying
medical
3
cannabis
to
medical
cannabis
patient
centers
in
this
4
state
by
July
1,
2017.
5
3.
The
department
shall
consider
the
following
6
factors
in
determining
whether
to
license
a
medical
7
cannabis
manufacturer:
8
a.
The
technical
expertise
of
the
medical
cannabis
9
manufacturer
in
medical
cannabis.
10
b.
The
qualifications
of
the
medical
cannabis
11
manufacturer’s
employees.
12
c.
The
long-term
financial
stability
of
the
medical
13
cannabis
manufacturer.
14
d.
The
ability
to
provide
appropriate
security
15
measures
on
the
premises
of
the
medical
cannabis
16
manufacturer.
17
e.
Whether
the
medical
cannabis
manufacturer
18
has
demonstrated
an
ability
to
meet
certain
medical
19
cannabis
production
needs
for
medical
use
regarding
20
the
range
of
recommended
dosages
for
each
debilitating
21
medical
condition,
the
range
of
chemical
compositions
22
of
any
plant
of
the
genus
cannabis
that
will
likely
23
be
medically
beneficial
for
each
of
the
debilitating
24
medical
conditions,
and
the
form
of
the
medical
25
cannabis
in
the
manner
determined
by
the
department
26
pursuant
to
rule.
27
f.
The
medical
cannabis
manufacturer’s
projection
28
of
and
ongoing
assessment
of
fees
on
patients
with
29
debilitating
medical
conditions.
30
4.
The
department
shall
require
each
medical
31
cannabis
manufacturer
to
contract
with
the
state
32
hygienic
laboratory
at
the
university
of
Iowa
in
Iowa
33
City
to
test
the
medical
cannabis
produced
by
the
34
manufacturer.
The
department
shall
require
that
the
35
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SF484.3886
(2)
86
rh/rj
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22
laboratory
report
testing
results
to
the
manufacturer
1
in
a
manner
determined
by
the
department
pursuant
to
2
rule.
3
5.
Each
entity
submitting
an
application
for
4
licensure
as
a
medical
cannabis
manufacturer
shall
pay
5
a
nonrefundable
application
fee
of
seven
thousand
five
6
hundred
dollars
to
the
department.
7
Sec.
11.
NEW
SECTION
.
124E.7
Medical
cannabis
8
manufacturers.
9
1.
A
medical
cannabis
manufacturer
shall
contract
10
with
the
state
hygienic
laboratory
at
the
university
11
of
Iowa
in
Iowa
City
for
purposes
of
testing
the
12
medical
cannabis
manufactured
by
the
medical
cannabis
13
manufacturer
as
to
content,
contamination,
and
14
consistency.
The
cost
of
all
laboratory
testing
shall
15
be
paid
by
the
medical
cannabis
manufacturer.
16
2.
The
operating
documents
of
a
medical
cannabis
17
manufacturer
shall
include
all
of
the
following:
18
a.
Procedures
for
the
oversight
of
the
medical
19
cannabis
manufacturer
and
procedures
to
ensure
accurate
20
record
keeping.
21
b.
Procedures
for
the
implementation
of
appropriate
22
security
measures
to
deter
and
prevent
the
theft
of
23
medical
cannabis
and
unauthorized
entrance
into
areas
24
containing
medical
cannabis.
25
3.
A
medical
cannabis
manufacturer
shall
implement
26
security
requirements,
including
requirements
for
27
protection
of
each
location
by
a
fully
operational
28
security
alarm
system,
facility
access
controls,
29
perimeter
intrusion
detection
systems,
and
a
personnel
30
identification
system.
31
4.
A
medical
cannabis
manufacturer
shall
not
share
32
office
space
with,
refer
patients
to,
or
have
any
33
financial
relationship
with
a
health
care
practitioner.
34
5.
A
medical
cannabis
manufacturer
shall
not
permit
35
-11-
SF484.3886
(2)
86
rh/rj
11/
22
any
person
to
consume
medical
cannabis
on
the
property
1
of
the
medical
cannabis
manufacturer.
2
6.
A
medical
cannabis
manufacturer
is
subject
to
3
reasonable
inspection
by
the
department.
4
7.
A
medical
cannabis
manufacturer
shall
not
5
employ
a
person
under
eighteen
years
of
age
or
who
has
6
been
convicted
of
a
disqualifying
felony
offense.
An
7
employee
of
a
medical
cannabis
manufacturer
shall
be
8
subject
to
a
background
investigation
conducted
by
the
9
division
of
criminal
investigation
of
the
department
10
of
public
safety
and
a
national
criminal
history
11
background
check.
12
8.
A
medical
cannabis
manufacturer
shall
not
13
operate
in
any
location,
whether
for
manufacturing,
14
cultivating,
harvesting,
packaging,
or
processing,
15
within
one
thousand
feet
of
a
public
or
private
school
16
existing
before
the
date
of
the
medical
cannabis
17
manufacturer’s
licensure
by
the
department.
18
9.
A
medical
cannabis
manufacturer
shall
comply
19
with
reasonable
restrictions
set
by
the
department
20
relating
to
signage,
marketing,
display,
and
21
advertising
of
medical
cannabis.
22
10.
a.
A
medical
cannabis
manufacturer
shall
23
provide
a
reliable
and
ongoing
supply
of
medical
24
cannabis
to
medical
cannabis
patient
centers
pursuant
25
to
this
chapter.
26
b.
All
manufacturing,
cultivating,
harvesting,
27
packaging,
and
processing
of
medical
cannabis
shall
28
take
place
in
an
enclosed,
locked
facility
at
a
29
physical
address
provided
to
the
department
during
the
30
licensure
process.
31
c.
A
medical
cannabis
manufacturer
shall
not
32
manufacture
edible
medical
cannabis
products
utilizing
33
food
coloring.
34
d.
A
medical
cannabis
manufacturer
shall
35
-12-
SF484.3886
(2)
86
rh/rj
12/
22
manufacture
a
reliable
and
ongoing
supply
of
medical
1
cannabis
to
treat
every
debilitating
medical
condition
2
listed
in
this
chapter.
3
Sec.
12.
NEW
SECTION
.
124E.8
Medical
cannabis
4
patient
center
licensure.
5
1.
a.
The
department
shall
license
by
April
1,
6
2017,
up
to
four
medical
cannabis
patient
centers
to
7
dispense
medical
cannabis
within
this
state
consistent
8
with
the
provisions
of
this
chapter.
The
department
9
shall
license
new
medical
cannabis
patient
centers
or
10
relicense
the
existing
medical
cannabis
manufacturers
11
by
December
1
of
each
year.
12
b.
Information
submitted
during
the
application
13
process
shall
be
confidential
until
the
medical
14
cannabis
patient
center
is
licensed
by
the
department
15
unless
otherwise
protected
from
disclosure
under
state
16
or
federal
law.
17
2.
As
a
condition
for
licensure,
a
medical
cannabis
18
patient
center
must
agree
to
begin
supplying
medical
19
cannabis
to
patients
by
July
1,
2017.
20
3.
The
department
shall
consider
the
following
21
factors
in
determining
whether
to
license
a
medical
22
cannabis
patient
center:
23
a.
The
technical
expertise
of
the
medical
cannabis
24
patient
center
regarding
medical
cannabis.
25
b.
The
qualifications
of
the
medical
cannabis
26
patient
center’s
employees.
27
c.
The
long-term
financial
stability
of
the
medical
28
cannabis
patient
center.
29
d.
The
ability
to
provide
appropriate
security
30
measures
on
the
premises
of
the
medical
cannabis
31
patient
center.
32
e.
The
medical
cannabis
patient
center’s
projection
33
and
ongoing
assessment
of
fees
for
the
purchase
of
34
medical
cannabis
on
patients
with
debilitating
medical
35
-13-
SF484.3886
(2)
86
rh/rj
13/
22
conditions.
1
4.
Each
entity
submitting
an
application
for
2
licensure
as
a
medical
cannabis
patient
center
shall
3
pay
a
nonrefundable
application
fee
of
five
thousand
4
dollars
to
the
department.
5
Sec.
13.
NEW
SECTION
.
124E.9
Medical
cannabis
6
patient
centers.
7
1.
a.
The
medical
cannabis
patient
centers
shall
8
be
located
based
on
geographical
need
throughout
the
9
state
to
improve
patient
access.
10
b.
A
medical
cannabis
patient
center
may
dispense
11
medical
cannabis
pursuant
to
the
provisions
of
this
12
chapter
but
shall
not
dispense
any
medical
cannabis
13
in
a
form
or
quantity
other
than
the
form
or
quantity
14
allowed
by
the
department
pursuant
to
rule.
15
2.
The
operating
documents
of
a
medical
cannabis
16
patient
center
shall
include
all
of
the
following:
17
a.
Procedures
for
the
oversight
of
the
medical
18
cannabis
patient
center
and
procedures
to
ensure
19
accurate
record
keeping.
20
b.
Procedures
for
the
implementation
of
appropriate
21
security
measures
to
deter
and
prevent
the
theft
of
22
medical
cannabis
and
unauthorized
entrance
into
areas
23
containing
medical
cannabis.
24
3.
A
medical
cannabis
patient
center
shall
25
implement
security
requirements,
including
requirements
26
for
protection
by
a
fully
operational
security
alarm
27
system,
facility
access
controls,
perimeter
intrusion
28
detection
systems,
and
a
personnel
identification
29
system.
30
4.
A
medical
cannabis
patient
center
shall
not
31
share
office
space
with,
refer
patients
to,
or
have
any
32
financial
relationship
with
a
health
care
practitioner.
33
5.
A
medical
cannabis
patient
center
shall
not
34
permit
any
person
to
consume
medical
cannabis
on
the
35
-14-
SF484.3886
(2)
86
rh/rj
14/
22
property
of
the
medical
cannabis
patient
center.
1
6.
A
medical
cannabis
patient
center
is
subject
to
2
reasonable
inspection
by
the
department.
3
7.
A
medical
cannabis
patient
center
shall
not
4
employ
a
person
under
eighteen
years
of
age
or
who
has
5
been
convicted
of
a
disqualifying
felony
offense.
An
6
employee
of
a
medical
cannabis
patient
center
shall
be
7
subject
to
a
background
investigation
conducted
by
the
8
division
of
criminal
investigation
of
the
department
9
of
public
safety
and
a
national
criminal
history
10
background
check.
11
8.
A
medical
cannabis
patient
center
shall
not
12
operate
in
any
location
within
one
thousand
feet
of
a
13
public
or
private
school
existing
before
the
date
of
14
the
medical
cannabis
patient
center’s
licensure
by
the
15
department.
16
9.
A
medical
cannabis
patient
center
shall
17
comply
with
reasonable
restrictions
set
by
the
18
department
relating
to
signage,
marketing,
display,
and
19
advertising
of
medical
cannabis.
20
10.
Prior
to
dispensing
of
any
medical
cannabis,
21
a
medical
cannabis
patient
center
shall
do
all
of
the
22
following:
23
a.
Verify
that
the
medical
cannabis
patient
center
24
has
received
a
valid
medical
cannabis
registration
card
25
from
a
patient
or
a
patient’s
primary
caregiver,
if
26
applicable.
27
b.
Assign
a
tracking
number
to
any
medical
cannabis
28
dispensed
from
the
medical
cannabis
patient
center.
29
c.
(1)
Properly
package
medical
cannabis
in
30
compliance
with
federal
law
regarding
child
resistant
31
packaging
and
exemptions
for
packaging
for
elderly
32
patients,
and
label
medical
cannabis
with
a
list
of
33
all
active
ingredients
and
individually
identifying
34
information,
including
all
of
the
following:
35
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SF484.3886
(2)
86
rh/rj
15/
22
(a)
The
name
and
date
of
birth
of
the
patient
and
1
the
patient’s
primary
caregiver,
if
appropriate.
2
(b)
The
medical
cannabis
registration
card
numbers
3
of
the
patient
and
the
patient’s
primary
caregiver,
if
4
applicable.
5
(c)
The
chemical
composition
of
the
medical
6
cannabis.
7
(2)
Proper
packaging
of
medical
cannabis
shall
8
include
but
not
be
limited
to
all
of
the
following:
9
(a)
Warning
labels
regarding
the
use
of
medical
10
cannabis
by
a
woman
during
pregnancy
and
while
11
breastfeeding.
12
(b)
Clearly
labeled
packaging
indicating
that
13
an
edible
medical
cannabis
product
contains
medical
14
cannabis
and
which
packaging
shall
not
imitate
candy
15
products
or
in
any
way
make
the
product
marketable
to
16
children.
17
11.
A
medical
cannabis
patient
center
shall
employ
18
a
pharmacist
licensed
pursuant
to
chapter
155A.
19
12.
A
medical
cannabis
patient
center
shall
keep
20
a
reliable
and
ongoing
supply
of
medical
cannabis
to
21
treat
every
debilitating
medical
condition
listed
in
22
this
chapter.
23
Sec.
14.
NEW
SECTION
.
124E.10
Department
duties
24
——
rules.
25
1.
a.
The
department
shall
maintain
a
confidential
26
file
of
the
names
of
each
patient
to
or
for
whom
the
27
department
issues
a
medical
cannabis
registration
28
card,
the
name
of
each
primary
caregiver
to
whom
the
29
department
issues
a
medical
cannabis
registration
card
30
under
section
124E.4,
and
the
names
of
each
health
care
31
practitioner
who
provides
a
written
certification
for
32
medical
cannabis
pursuant
to
this
chapter.
33
b.
Individual
names
contained
in
the
file
shall
be
34
confidential
and
shall
not
be
subject
to
disclosure,
35
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SF484.3886
(2)
86
rh/rj
16/
22
except
as
provided
in
subparagraph
(1).
1
(1)
Information
in
the
confidential
file
maintained
2
pursuant
to
paragraph
“a”
may
be
released
on
an
3
individual
basis
to
the
following
persons
under
the
4
following
circumstances:
5
(a)
To
authorized
employees
or
agents
of
the
6
department
and
the
department
of
transportation
as
7
necessary
to
perform
the
duties
of
the
department
and
8
the
department
of
transportation
pursuant
to
this
9
chapter.
10
(b)
To
authorized
employees
of
state
or
local
11
law
enforcement
agencies,
but
only
for
the
purpose
of
12
verifying
that
a
person
is
lawfully
in
possession
of
a
13
medical
cannabis
registration
card
issued
pursuant
to
14
this
chapter.
15
(c)
To
authorized
employees
of
a
medical
cannabis
16
patient
center,
but
only
for
the
purpose
of
verifying
17
that
a
person
is
lawfully
in
possession
of
a
medical
18
cannabis
registration
card
issued
pursuant
to
this
19
chapter.
20
(2)
Release
of
information
pursuant
to
subparagraph
21
(1)
shall
be
consistent
with
the
federal
Health
22
Insurance
Portability
and
Accountability
Act
of
1996,
23
Pub.
L.
No.
104-191.
24
2.
The
department
shall
adopt
rules
pursuant
to
25
chapter
17A
to
administer
this
chapter
which
shall
26
include
but
not
be
limited
to
rules
to
do
all
of
the
27
following:
28
a.
Govern
the
manner
in
which
the
department
shall
29
consider
applications
for
new
and
renewal
medical
30
cannabis
registration
cards.
31
b.
Identify
criteria
and
set
forth
procedures
for
32
including
additional
chronic
or
debilitating
diseases
33
or
medical
conditions
or
their
medical
treatments
34
on
the
list
of
debilitating
medical
conditions
that
35
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qualify
for
the
use
of
medical
cannabis.
Procedures
1
shall
include
a
petition
process
and
shall
allow
for
2
public
comment
and
public
hearings
before
the
medical
3
advisory
board.
4
c.
Set
forth
additional
chronic
or
debilitating
5
diseases
or
medical
conditions
or
associated
medical
6
treatments
for
inclusion
on
the
list
of
debilitating
7
medical
conditions
that
qualify
for
the
use
of
medical
8
cannabis
as
recommended
by
the
medical
advisory
board.
9
d.
Establish
the
form
and
quantity
of
medical
10
cannabis
allowed
to
be
dispensed
to
a
patient
or
11
primary
caregiver
pursuant
to
this
chapter.
The
12
form
and
quantity
of
medical
cannabis
shall
be
13
appropriate
to
serve
the
medical
needs
of
patients
with
14
debilitating
conditions.
15
e.
Establish
requirements
for
the
licensure
of
16
medical
cannabis
manufacturers
and
medical
cannabis
17
patient
centers
and
set
forth
procedures
for
medical
18
cannabis
manufacturers
and
medical
cannabis
patient
19
centers
to
obtain
licenses.
20
f.
Develop
a
dispensing
system
for
medical
cannabis
21
within
this
state
that
provides
for
all
of
the
22
following:
23
(1)
Medical
cannabis
patient
centers
within
24
this
state
housed
on
secured
grounds
and
operated
by
25
licensed
medical
cannabis
patient
centers.
26
(2)
The
dispensing
of
medical
cannabis
to
patients
27
and
their
primary
caregivers
to
occur
at
locations
28
designated
by
the
department.
29
g.
Specify
and
implement
procedures
that
address
30
public
safety
including
security
procedures
and
product
31
quality
including
measures
to
ensure
contaminant-free
32
cultivation
of
medical
cannabis,
safety,
and
labeling.
33
h.
Establish
and
implement
a
real-time,
statewide
34
medical
cannabis
registry
management
sale
tracking
35
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system
that
is
available
to
medical
cannabis
patient
1
centers
on
a
twenty-four-hour-day,
seven-day-a-week
2
basis
for
the
purpose
of
verifying
that
a
person
3
is
lawfully
in
possession
of
a
medical
cannabis
4
registration
card
issued
pursuant
to
this
chapter
5
and
for
tracking
the
date
of
the
sale
and
quantity
of
6
medical
cannabis
purchased
by
a
patient
or
a
primary
7
caregiver.
8
i.
Establish
and
implement
a
medical
cannabis
9
inventory
and
delivery
tracking
system
to
track
10
medical
cannabis
from
production
by
a
medical
cannabis
11
manufacturer
through
dispensing
at
a
medical
cannabis
12
patient
center.
13
Sec.
15.
NEW
SECTION
.
124E.11
Reciprocity.
14
A
valid
medical
cannabis
registration
card,
or
its
15
equivalent,
issued
under
the
laws
of
another
state
16
that
allows
an
out-of-state
patient
to
possess
or
17
use
medical
cannabis
in
the
jurisdiction
of
issuance
18
shall
have
the
same
force
and
effect
as
a
valid
19
medical
cannabis
registration
card
issued
pursuant
to
20
this
chapter,
except
that
an
out-of-state
patient
in
21
this
state
shall
not
obtain
medical
cannabis
from
a
22
medical
cannabis
patient
center
in
this
state
and
an
23
out-of-state
patient
shall
not
smoke
medical
cannabis.
24
Sec.
16.
NEW
SECTION
.
124E.12
Use
of
medical
25
cannabis
——
smoking
prohibited.
26
A
patient
shall
not
consume
medical
cannabis
27
possessed
or
used
as
authorized
by
this
chapter
by
28
smoking
medical
cannabis.
29
Sec.
17.
NEW
SECTION
.
124E.13
Use
of
medical
30
cannabis
——
affirmative
defenses.
31
1.
A
health
care
practitioner,
including
any
32
authorized
agent
or
employee
thereof,
shall
not
be
33
subject
to
prosecution
for
the
unlawful
certification,
34
possession,
or
administration
of
marijuana
under
the
35
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86
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laws
of
this
state
for
activities
arising
directly
1
out
of
or
directly
related
to
the
certification
or
2
use
of
medical
cannabis
in
the
treatment
of
a
patient
3
diagnosed
with
a
debilitating
medical
condition
as
4
authorized
by
this
chapter.
5
2.
A
medical
cannabis
manufacturer,
including
any
6
authorized
agent
or
employee
thereof,
shall
not
be
7
subject
to
prosecution
for
manufacturing,
possessing,
8
cultivating,
harvesting,
packaging,
processing,
9
transporting,
or
supplying
medical
cannabis
pursuant
10
to
this
chapter.
11
3.
A
medical
cannabis
patient
center,
including
12
any
authorized
agent
or
employee
thereof,
shall
not
be
13
subject
to
prosecution
for
transporting,
supplying,
or
14
dispensing
medical
cannabis
pursuant
to
this
chapter.
15
a.
In
a
prosecution
for
the
unlawful
possession
16
of
marijuana
under
the
laws
of
this
state,
including
17
but
not
limited
to
chapters
124
and
453B,
it
is
an
18
affirmative
and
complete
defense
to
the
prosecution
19
that
the
patient
has
been
diagnosed
with
a
debilitating
20
medical
condition,
used
or
possessed
medical
21
cannabis
pursuant
to
a
certification
by
a
health
care
22
practitioner
as
authorized
under
this
chapter,
and,
23
for
a
patient
eighteen
years
of
age
or
older,
is
in
24
possession
of
a
valid
medical
cannabis
registration
25
card.
26
b.
In
a
prosecution
for
the
unlawful
possession
27
of
marijuana
under
the
laws
of
this
state,
including
28
but
not
limited
to
chapters
124
and
453B,
it
is
an
29
affirmative
and
complete
defense
to
the
prosecution
30
that
the
person
possessed
medical
cannabis
because
the
31
person
is
a
primary
caregiver
of
a
patient
who
has
been
32
diagnosed
with
a
debilitating
medical
condition
and
is
33
in
possession
of
a
valid
medical
cannabis
registration
34
card,
and
where
the
primary
caregiver’s
possession
of
35
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SF484.3886
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86
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22
the
medical
cannabis
is
on
behalf
of
the
patient
and
1
for
the
patient’s
use
only
as
authorized
under
this
2
chapter.
3
c.
If
a
patient
or
primary
caregiver
is
charged
4
with
the
commission
of
a
crime
and
is
not
in
possession
5
of
the
person’s
medical
cannabis
registration
card,
6
any
charge
or
charges
filed
against
the
person
shall
7
be
dismissed
by
the
court
if
the
person
produces
to
8
the
court
prior
to
or
at
the
person’s
trial
a
medical
9
cannabis
registration
card
issued
to
that
person
and
10
valid
at
the
time
the
person
was
charged.
11
4.
An
agency
of
this
state
or
a
political
12
subdivision
thereof,
including
any
law
enforcement
13
agency,
shall
not
remove
or
initiate
proceedings
to
14
remove
a
patient
under
the
age
of
eighteen
from
the
15
home
of
a
parent
based
solely
upon
the
parent’s
or
16
patient’s
possession
or
use
of
medical
cannabis
as
17
authorized
under
this
chapter.
18
Sec.
18.
NEW
SECTION
.
124E.14
Fees.
19
Medical
cannabis
registration
card
fees
and
medical
20
cannabis
manufacturer
and
medical
cannabis
patient
21
center
application
and
annual
fees
collected
by
the
22
department
pursuant
to
this
chapter
shall
be
retained
23
by
the
department,
shall
be
considered
repayment
24
receipts
as
defined
in
section
8.2,
and
shall
be
25
used
for
the
purpose
of
regulating
medical
cannabis
26
manufacturers
and
medical
cannabis
patient
centers
and
27
for
other
expenses
necessary
for
the
administration
of
28
this
chapter.
Notwithstanding
section
8.33,
moneys
29
that
remain
unencumbered
or
unobligated
at
the
end
of
30
the
fiscal
year
shall
not
revert
to
the
general
fund
31
of
the
state.
32
Sec.
19.
NEW
SECTION
.
124E.15
Penalties.
33
1.
A
person
who
knowingly
or
intentionally
34
possesses
or
uses
medical
cannabis
in
violation
of
35
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22
the
requirements
of
this
chapter
is
subject
to
the
1
penalties
provided
under
chapters
124
and
453B.
2
2.
A
medical
cannabis
manufacturer
or
a
medical
3
cannabis
patient
center
shall
be
assessed
a
civil
4
penalty
of
up
to
one
thousand
dollars
per
violation
for
5
any
violation
of
this
chapter
in
addition
to
any
other
6
applicable
penalties.
7
Sec.
20.
REPEAL.
Chapter
124D,
Code
2016,
is
8
repealed.
9
Sec.
21.
EMERGENCY
RULES.
The
department
may
10
adopt
emergency
rules
under
section
17A.4,
subsection
11
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
to
12
implement
the
provisions
of
this
Act
and
the
rules
13
shall
be
effective
immediately
upon
filing
unless
14
a
later
date
is
specified
in
the
rules.
Any
rules
15
adopted
in
accordance
with
this
section
shall
also
be
16
published
as
a
notice
of
intended
action
as
provided
17
in
section
17A.4.
18
Sec.
22.
TRANSITION
PROVISIONS.
A
medical
cannabis
19
registration
card
issued
under
chapter
124D
prior
to
20
July
1,
2016,
remains
effective
and
continues
in
effect
21
as
issued
for
the
twelve-month
period
following
its
22
issuance.
This
Act
does
not
preclude
the
permit
holder
23
from
seeking
to
renew
the
permit
under
this
Act
prior
24
to
the
expiration
of
the
twelve-month
period.
>
25
______________________________
FORBES
of
Polk
______________________________
KRESSIG
of
Black
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