1     
UTAH MEDICAL CANNABIS ACT

2     
2018 THIRD SPECIAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Gregory H. Hughes

5     
Senate Sponsor: Evan J. Vickers

6     

7     LONG TITLE
8     General Description:
9          This bill provides for the cultivation, processing, medical recommendation, and patient
10     use of medical cannabis.
11     Highlighted Provisions:
12          This bill:
13          ▸     defines terms;
14          ▸     provides for licensing and regulation of a cannabis cultivation facility, a cannabis
15     processing facility, an independent cannabis testing laboratory, and a medical
16     cannabis pharmacy;
17          ▸     provides for security and tracking of medical cannabis and a medical cannabis
18     product from cultivation to use to ensure safety and chemical content;
19          ▸     requires certain labeling and childproof packaging of medical cannabis and a
20     medical cannabis product;
21          ▸     requires the Department of Agriculture and Food, the Department of Health, the
22     Department of Public Safety, and the Department of Technology Services to create
23     an electronic verification system to facilitate recommendation, dispensing, and
24     record-keeping for medical cannabis transactions;
25          ▸     allows physicians, osteopathic physicians, advanced practice registered nurses, and
26     physician assistants to recommend medical cannabis;
27          ▸     allows an individual with a qualifying condition to obtain a medical cannabis

28     patient card on the recommendation of a certain medical professional to gain access to medical
29     cannabis;
30          ▸     allows a patient to designate a caregiver to assist with accessing medical cannabis;
31          ▸     provides for a parent or legal guardian to obtain a medical cannabis guardian card
32     for an eligible minor patient and for the minor patient to concurrently receive a
33     provisional patient card;
34          ▸     provides certain state employment discrimination protection for an individual who
35     lawfully uses medical cannabis;
36          ▸     limits the form and amount of medical cannabis available to a patient at one time;
37          ▸     prohibits a minor from entering a medical cannabis pharmacy;
38          ▸     requires the Department of Health to establish the state central fill medical cannabis
39     pharmacy;
40          ▸     provides for a process of state central fill shipment of medical cannabis and
41     cannabis product to a local health department for patient retrieval;
42          ▸     creates certain enterprise funds;
43          ▸     imposes criminal penalties for improperly giving or selling medical cannabis;
44          ▸     decriminalizes certain conduct for certain individuals before the medical cannabis
45     card program and medical cannabis pharmacies are operational;
46          ▸     creates protections from state prosecution for the lawful possession, use, and sale of
47     medical cannabis;
48          ▸     exempts medical cannabis and medical cannabis products from sales tax;
49          ▸     prohibits a court from considering the lawful use of medical cannabis in a custody
50     proceeding;
51          ▸     repeals superfluous sections related to authorized use of cannabis or a cannabis
52     product;
53          ▸     provides a severability clause;
54          ▸     re-enacts language that the voter initiative repealed by implication through use of
55     outdated code; and
56          ▸     makes technical and conforming changes.
57     Money Appropriated in this Bill:
58          None

59     Other Special Clauses:
60          This bill provides a special effective date.
61          This bill provides revisor instructions.
62     Utah Code Sections Affected:
63     AMENDS:
64          4-41-102, as last amended by Laws of Utah 2018, Chapters 227 and 452
65          7-1-401, as last amended by Laws of Utah 2018, Chapter 446
66          10-9a-104, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018
67          17-27a-104, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018
68          26-61-202, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018 and last
69     amended by Laws of Utah 2018, Chapter 110
70          26-65-102 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
71          26-65-103 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
72          30-3-10, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018
73          34A-2-418, as last amended by Laws of Utah 2016, Chapter 242
74          41-6a-517 (Superseded 07/01/19), as last amended by Laws of Utah 2017, Chapter 446
75          41-6a-517 (Effective 07/01/19), as last amended by Laws of Utah 2018, Chapter 452
76          49-11-1401, as last amended by Laws of Utah 2018, Chapter 61
77          53-1-106.5, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018
78          58-17b-302, as last amended by Laws of Utah 2014, Chapter 72
79          58-17b-310, as enacted by Laws of Utah 2004, Chapter 280
80          58-17b-502, as last amended by Laws of Utah 2018, Chapter 295
81          58-31b-305, as last amended by Laws of Utah 2014, Chapter 316
82          58-31b-502, as last amended by Laws of Utah 2016, Chapter 127
83          58-37-3.6 (Superseded 07/01/19), as last amended by Laws of Utah 2018, Chapters
84     333 and 446
85          58-37-3.6 (Effective 07/01/19), as last amended by Laws of Utah 2018, Chapters 333,
86     446, and 452
87          58-37-3.7, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018
88          58-37-3.8, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018
89          58-37-3.9, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018

90          58-37f-203 (Effective 07/01/19), as last amended by Laws of Utah 2018, Chapters 123
91     and 452
92          58-67-304, as last amended by Laws of Utah 2018, Chapters 282 and 318
93          58-67-502, as last amended by Laws of Utah 2017, Chapter 299
94          58-68-304, as last amended by Laws of Utah 2018, Chapter 318
95          58-68-502, as last amended by Laws of Utah 2017, Chapter 299
96          58-70a-303, as last amended by Laws of Utah 2001, Chapter 268
97          58-70a-503, as last amended by Laws of Utah 2017, Chapter 309
98          58-85-102, as last amended by Laws of Utah 2018, Chapter 333
99          58-85-104, as last amended by Laws of Utah 2018, Chapter 333
100          58-85-105, as last amended by Laws of Utah 2018, Chapter 333
101          62A-4a-202.1, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018
102          63I-1-226, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018 and last
103     amended by Laws of Utah 2018, Chapters 180, 281, 384, 430, and 468
104          63I-1-258, as amended by Statewide Initiative -- Proposition 2, Nov. 6, 2018 and last
105     amended by Laws of Utah 2018, Chapter 399
106          67-19-33, as last amended by Laws of Utah 2006, Chapter 139
107          78A-6-508 (Superseded 07/01/19), as last amended by Laws of Utah 2014, Chapter
108     409
109          78A-6-508 (Effective 07/01/19), as last amended by Laws of Utah 2018, Chapter 452
110     ENACTS:
111          4-41a-104, Utah Code Annotated 1953
112          4-41a-105, Utah Code Annotated 1953
113          4-41a-106, Utah Code Annotated 1953
114          4-41a-405, Utah Code Annotated 1953
115          26-36d-101, Utah Code Annotated 1953
116          26-36d-102, Utah Code Annotated 1953
117          26-36d-103, Utah Code Annotated 1953
118          26-36d-201, Utah Code Annotated 1953
119          26-36d-202, Utah Code Annotated 1953
120          26-36d-203, Utah Code Annotated 1953

121          26-36d-204, Utah Code Annotated 1953
122          26-36d-205, Utah Code Annotated 1953
123          26-36d-206, Utah Code Annotated 1953
124          26-36d-207, Utah Code Annotated 1953
125          26-36d-208, Utah Code Annotated 1953
126          26-61a-108, Utah Code Annotated 1953
127          26-61a-110, Utah Code Annotated 1953
128          26-61a-112, Utah Code Annotated 1953
129          26-61a-113, Utah Code Annotated 1953
130          26-61a-114, Utah Code Annotated 1953
131          26-61a-205, Utah Code Annotated 1953
132          26-61a-403, Utah Code Annotated 1953
133          26-61a-503, Utah Code Annotated 1953
134          26-61a-601, Utah Code Annotated 1953
135          26-61a-602, Utah Code Annotated 1953
136          26-61a-603, Utah Code Annotated 1953
137          26-61a-604, Utah Code Annotated 1953
138          26-61a-605, Utah Code Annotated 1953
139          26-61a-606, Utah Code Annotated 1953
140          26-61a-607, Utah Code Annotated 1953
141          26-61a-608, Utah Code Annotated 1953
142          26-61a-609, Utah Code Annotated 1953
143          26-61a-610, Utah Code Annotated 1953
144          26-61a-611, Utah Code Annotated 1953
145          26-61a-701, Utah Code Annotated 1953
146          58-20b-101, Utah Code Annotated 1953
147          58-20b-102, Utah Code Annotated 1953
148          58-20b-201, Utah Code Annotated 1953
149          58-20b-301, Utah Code Annotated 1953
150          58-20b-302, Utah Code Annotated 1953
151          58-20b-303, Utah Code Annotated 1953

152          58-20b-304, Utah Code Annotated 1953
153          58-20b-305, Utah Code Annotated 1953
154          58-20b-401, Utah Code Annotated 1953
155          58-20b-501, Utah Code Annotated 1953
156          59-12-104.10, Utah Code Annotated 1953
157          62A-3-322, Utah Code Annotated 1953
158     RENUMBERS AND AMENDS:
159          4-41a-101, (Renumbered from 4-41b-101, as enacted by Statewide Initiative --
160     Proposition 2, Nov. 6, 2018)
161          4-41a-102, (Renumbered from 4-41b-102, as enacted by Statewide Initiative --
162     Proposition 2, Nov. 6, 2018)
163          4-41a-103, (Renumbered from 4-41b-103, as enacted by Statewide Initiative --
164     Proposition 2, Nov. 6, 2018)
165          4-41a-201, (Renumbered from 4-41b-201, as enacted by Statewide Initiative --
166     Proposition 2, Nov. 6, 2018)
167          4-41a-202, (Renumbered from 4-41b-302, as enacted by Statewide Initiative --
168     Proposition 2, Nov. 6, 2018)
169          4-41a-203, (Renumbered from 4-41b-202, as enacted by Statewide Initiative --
170     Proposition 2, Nov. 6, 2018)
171          4-41a-204, (Renumbered from 4-41b-203, as enacted by Statewide Initiative --
172     Proposition 2, Nov. 6, 2018)
173          4-41a-205, (Renumbered from 4-41b-204, as enacted by Statewide Initiative --
174     Proposition 2, Nov. 6, 2018)
175          4-41a-301, (Renumbered from 4-41b-301, as enacted by Statewide Initiative --
176     Proposition 2, Nov. 6, 2018)
177          4-41a-302, (Renumbered from 4-41b-303, as enacted by Statewide Initiative --
178     Proposition 2, Nov. 6, 2018)
179          4-41a-401, (Renumbered from 4-41b-401, as enacted by Statewide Initiative --
180     Proposition 2, Nov. 6, 2018)
181          4-41a-402, (Renumbered from 4-41b-402, as enacted by Statewide Initiative --
182     Proposition 2, Nov. 6, 2018)

183          4-41a-403, (Renumbered from 4-41b-403, as enacted by Statewide Initiative --
184     Proposition 2, Nov. 6, 2018)
185          4-41a-404, (Renumbered from 4-41b-404, as enacted by Statewide Initiative --
186     Proposition 2, Nov. 6, 2018)
187          4-41a-406, (Renumbered from 4-41b-405, as enacted by Statewide Initiative --
188     Proposition 2, Nov. 6, 2018)
189          4-41a-501, (Renumbered from 4-41b-501, as enacted by Statewide Initiative --
190     Proposition 2, Nov. 6, 2018)
191          4-41a-502, (Renumbered from 4-41b-502, as enacted by Statewide Initiative --
192     Proposition 2, Nov. 6, 2018)
193          4-41a-601, (Renumbered from 4-41b-601, as enacted by Statewide Initiative --
194     Proposition 2, Nov. 6, 2018)
195          4-41a-602, (Renumbered from 4-41b-602, as enacted by Statewide Initiative --
196     Proposition 2, Nov. 6, 2018)
197          4-41a-603, (Renumbered from 4-41b-603, as enacted by Statewide Initiative --
198     Proposition 2, Nov. 6, 2018)
199          4-41a-701, (Renumbered from 4-41b-701, as enacted by Statewide Initiative --
200     Proposition 2, Nov. 6, 2018)
201          4-41a-702, (Renumbered from 4-41b-702, as enacted by Statewide Initiative --
202     Proposition 2, Nov. 6, 2018)
203          4-41a-801, (Renumbered from 4-41b-801, as enacted by Statewide Initiative --
204     Proposition 2, Nov. 6, 2018)
205          4-41a-802, (Renumbered from 4-41b-802, as enacted by Statewide Initiative --
206     Proposition 2, Nov. 6, 2018)
207          26-61a-101, (Renumbered from 26-60b-101, as enacted by Statewide Initiative --
208     Proposition 2, Nov. 6, 2018)
209          26-61a-102, (Renumbered from 26-60b-102, as enacted by Statewide Initiative --
210     Proposition 2, Nov. 6, 2018)
211          26-61a-103, (Renumbered from 26-60b-103, as enacted by Statewide Initiative --
212     Proposition 2, Nov. 6, 2018)
213          26-61a-104, (Renumbered from 26-60b-105, as enacted by Statewide Initiative --

214     Proposition 2, Nov. 6, 2018)
215          26-61a-105, (Renumbered from 26-60b-106, as enacted by Statewide Initiative --
216     Proposition 2, Nov. 6, 2018)
217          26-61a-106, (Renumbered from 26-60b-107, as enacted by Statewide Initiative --
218     Proposition 2, Nov. 6, 2018)
219          26-61a-107, (Renumbered from 26-60b-108, as enacted by Statewide Initiative --
220     Proposition 2, Nov. 6, 2018)
221          26-61a-109, (Renumbered from 26-60b-109, as enacted by Statewide Initiative --
222     Proposition 2, Nov. 6, 2018)
223          26-61a-111, (Renumbered from 26-60b-110, as enacted by Statewide Initiative --
224     Proposition 2, Nov. 6, 2018)
225          26-61a-201, (Renumbered from 26-60b-201, as enacted by Statewide Initiative --
226     Proposition 2, Nov. 6, 2018)
227          26-61a-202, (Renumbered from 26-60b-202, as enacted by Statewide Initiative --
228     Proposition 2, Nov. 6, 2018)
229          26-61a-203, (Renumbered from 26-60b-203, as enacted by Statewide Initiative --
230     Proposition 2, Nov. 6, 2018)
231          26-61a-204, (Renumbered from 26-60b-204, as enacted by Statewide Initiative --
232     Proposition 2, Nov. 6, 2018)
233          26-61a-301, (Renumbered from 26-60b-301, as enacted by Statewide Initiative --
234     Proposition 2, Nov. 6, 2018)
235          26-61a-302, (Renumbered from 26-60b-402, as enacted by Statewide Initiative --
236     Proposition 2, Nov. 6, 2018)
237          26-61a-303, (Renumbered from 26-60b-302, as enacted by Statewide Initiative --
238     Proposition 2, Nov. 6, 2018)
239          26-61a-304, (Renumbered from 26-60b-303, as enacted by Statewide Initiative --
240     Proposition 2, Nov. 6, 2018)
241          26-61a-305, (Renumbered from 26-60b-304, as enacted by Statewide Initiative --
242     Proposition 2, Nov. 6, 2018)
243          26-61a-401, (Renumbered from 26-60b-401, as enacted by Statewide Initiative --
244     Proposition 2, Nov. 6, 2018)

245          26-61a-402, (Renumbered from 26-60b-403, as enacted by Statewide Initiative --
246     Proposition 2, Nov. 6, 2018)
247          26-61a-501, (Renumbered from 26-60b-501, as enacted by Statewide Initiative --
248     Proposition 2, Nov. 6, 2018)
249          26-61a-502, (Renumbered from 26-60b-502, as enacted by Statewide Initiative --
250     Proposition 2, Nov. 6, 2018)
251          26-61a-504, (Renumbered from 26-60b-503, as enacted by Statewide Initiative --
252     Proposition 2, Nov. 6, 2018)
253          26-61a-505, (Renumbered from 26-60b-504, as enacted by Statewide Initiative --
254     Proposition 2, Nov. 6, 2018)
255          26-61a-506, (Renumbered from 26-60b-505, as enacted by Statewide Initiative --
256     Proposition 2, Nov. 6, 2018)
257          26-61a-507, (Renumbered from 26-60b-506, as enacted by Statewide Initiative --
258     Proposition 2, Nov. 6, 2018)
259          26-61a-702, (Renumbered from 26-60b-601, as enacted by Statewide Initiative --
260     Proposition 2, Nov. 6, 2018)
261          26-61a-703, (Renumbered from 26-60b-602, as enacted by Statewide Initiative --
262     Proposition 2, Nov. 6, 2018)
263     REPEALS:
264          4-41-201, as enacted by Laws of Utah 2018, Chapter 446
265          4-41-202, as enacted by Laws of Utah 2018, Chapter 446
266          4-41-203, as enacted by Laws of Utah 2018, Chapter 446
267          4-41-301, as enacted by Laws of Utah 2018, Chapter 446
268          4-41-302, as enacted by Laws of Utah 2018, Chapter 446
269          4-41-303, as enacted by Laws of Utah 2018, Chapter 446
270          4-41-304, as enacted by Laws of Utah 2018, Chapter 446
271          4-41b-104, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018
272          4-43-101 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
273          4-43-102 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
274          4-43-201 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
275          4-43-202 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452

276          4-43-203 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
277          4-43-301 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
278          4-43-401 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
279          4-43-402 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
280          4-43-501 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
281          4-43-502 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
282          4-43-503 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
283          4-43-601 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
284          4-43-602 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
285          4-43-701 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
286          4-43-702 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
287          4-43-703 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
288          4-43-801 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
289          26-60b-104, as enacted by Statewide Initiative -- Proposition 2, Nov. 6, 2018
290          58-67-808 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
291          58-68-808 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
292          58-85-103.5, as enacted by Laws of Utah 2018, Chapter 333
293          58-88-101 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
294          58-88-102 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
295          58-88-103 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
296          58-88-104 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
297          59-12-104.7 (Repealed 01/01/19), as repealed by Laws of Utah 2018, Second Special
298     Session, Chapter 6
299          59-12-104.9 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
300          59-29-101 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
301          59-29-102 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
302          59-29-103 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
303          59-29-104 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
304          59-29-105 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
305          59-29-106 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
306          59-29-107 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452

307          59-29-108 (Effective 07/01/19), as enacted by Laws of Utah 2018, Chapter 452
308     Utah Code Sections Affected by Revisor Instructions:
309          4-41a-106, Utah Code Annotated 1953
310          4-41a-201, Utah Code Annotated 1953
311          4-41a-301, (Renumbered from 4-41b-301, as enacted by Statewide Initiative --
312     Proposition 2, Nov. 6, 2018)
313          4-41a-401, (Renumbered from 4-41b-401, as enacted by Statewide Initiative --
314     Proposition 2, Nov. 6, 2018)
315          26-61a-114, Utah Code Annotated 1953
316          26-61a-202, (Renumbered from 26-60b-202, as enacted by Statewide Initiative --
317     Proposition 2, Nov. 6, 2018)
318          26-61a-301, (Renumbered from 26-60b-301, as enacted by Statewide Initiative --
319     Proposition 2, Nov. 6, 2018)
320          26-61a-401, (Renumbered from 26-60b-401, as enacted by Statewide Initiative --
321     Proposition 2, Nov. 6, 2018)
322          26-61a-602, Utah Code Annotated 1953
323          26-61a-606, Utah Code Annotated 1953
324     

325     Be it enacted by the Legislature of the state of Utah:
326          Section 1. Section 4-41-102 is amended to read:
327          4-41-102. Definitions.
328          [For purposes of] As used in this chapter:
329          (1) "Agricultural pilot program" means a program to study the growth, cultivation, or
330     marketing of industrial hemp.
331          (2) "Cannabidiol product" means a chemical compound extracted from a hemp product
332     that:
333          (a) is processed into a medicinal dosage form; and
334          (b) contains less than 0.3% tetrahydrocannabinol by dry weight [before processing and
335     no more than a 10:1 ratio of cannabidiol to tetrahydrocannabinol after processing].
336          (3) "Industrial hemp" means any part of a cannabis plant, whether growing or not, with
337     a concentration of less than 0.3% tetrahydrocannabinol by dry weight.

338          (4) "Industrial hemp certificate" means a certificate issued by the department to a
339     higher education institution to grow or cultivate industrial hemp under Subsection 4-41-103(1).
340          (5) "Industrial hemp license" means a license issued by the department to a person for
341     the purpose of participating in a research pilot program.
342          (6) "Industrial hemp product" means a product derived from, or made by, processing
343     industrial hemp plants or industrial hemp parts.
344          (7) "Licensee" means an individual or business entity possessing a license issued by the
345     department under this chapter to grow, cultivate, process, or market industrial hemp or an
346     industrial hemp product.
347          (8) "Medicinal dosage form" means [the same as that term is defined in Section
348     26-65-102.]:
349          (a) a tablet;
350          (b) a capsule;
351          (c) a concentrated oil;
352          (d) a sublingual preparation;
353          (e) a topical preparation;
354          (f) a transdermal preparation;
355          (g) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or rectangular
356     cuboid shape; or
357          (h) other preparations that the department approves.
358          (9) "Person" means:
359          (a) an individual, partnership, association, firm, trust, limited liability company, or
360     corporation; and
361          (b) an agent or employee of an individual, partnership, association, firm, trust, limited
362     liability company, or corporation.
363          (10) "Research pilot program" means a program conducted by the department in
364     collaboration with at least one licensee to study methods of cultivating, processing, or
365     marketing industrial hemp.
366          Section 2. Section 4-41a-101, which is renumbered from Section 4-41b-101 is
367     renumbered and amended to read:
368     
CHAPTER 41a. CANNABIS PRODUCTION ESTABLISHMENTS


369     
Part 1. General Provisions.

370          [4-41b-101].      4-41a-101. Title.
371          [(1)] This chapter is known as "Cannabis Production Establishments."
372          Section 3. Section 4-41a-102, which is renumbered from Section 4-41b-102 is
373     renumbered and amended to read:
374          [4-41b-102].      4-41a-102. Definitions.
375          As used in this chapter:
376          (1) "Cannabis" means the same as that term is defined in Section [58-37-3.9]
377     26-61a-102.
378          (2) "Cannabis cultivation facility" means a person that:
379          (a) possesses cannabis;
380          (b) grows or intends to grow cannabis; and
381          (c) sells or intends to sell cannabis to a cannabis [production establishments]
382     cultivation facility or to a cannabis [dispensaries] processing facility.
383          (3) "Cannabis cultivation facility agent" means an individual who:
384          (a) is an [owner, officer, director, board member,] employee[, or volunteer] of a
385     cannabis cultivation facility[.]; and
386          (b) holds a valid cannabis production establishment agent registration card.
387          [(4) "Cannabis dispensary" means the same as that term is defined in Section
388     26-60b-102.]
389          [(5) "Cannabis dispensary agent" means the same as that term is defined in Section
390     26-60b-102.]
391          [(6)] (4) "Cannabis processing facility" means a person that:
392          (a) acquires or intends to acquire cannabis from a cannabis production establishment or
393     a holder of an industrial hemp processor license under Title 4, Chapter 41, Hemp and
394     Cannabidiol Act;
395          (b) possesses cannabis with the intent to manufacture a cannabis product;
396          (c) manufactures or intends to manufacture a cannabis product from unprocessed
397     cannabis or a cannabis extract; and
398          (d) sells or intends to sell a cannabis product to a medical cannabis [dispensary]
399     pharmacy or the state central fill medical cannabis pharmacy.

400          [(7)] (5) "Cannabis processing facility agent" means an individual who:
401          (a) is an [owner, officer, director, board member,] employee[, or volunteer] of a
402     cannabis processing facility[.]; and
403          (b) holds a valid cannabis production establishment agent registration card.
404          [(8)] (6) "Cannabis product" means the same as that term is defined in Section
405     [58-37-3.9] 26-61a-102.
406          [(9)] (7) "Cannabis production establishment" means a cannabis cultivation facility, a
407     cannabis processing facility, or an independent cannabis testing laboratory.
408          [(10)] (8) "Cannabis production establishment agent" means a cannabis cultivation
409     facility agent, a cannabis processing facility agent, or an independent cannabis testing
410     laboratory agent.
411          [(11)] (9) "Cannabis production establishment agent registration card" means a
412     registration card[, issued by] that the department[,] issues that:
413          (a) authorizes an individual to act as a cannabis production establishment agent; and
414          (b) designates the type of cannabis production establishment for which an individual is
415     authorized to act as an agent.
416          [(12)] (10) "Community location" means a public or private school, a church, a public
417     library, a public playground, or a public park.
418          (11) "Department" means the Department of Agriculture and Food.
419          (12) "Family member" means a parent, step-parent, spouse, child, sibling, step-sibling,
420     uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law, brother-in-law,
421     sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
422          (13) "Independent cannabis testing laboratory" means a person that:
423          (a) conducts a chemical or other analysis of cannabis or a cannabis product; or
424          (b) acquires, possesses, and transports cannabis or a cannabis product with the intent to
425     conduct a chemical or other analysis of the cannabis or cannabis product.
426          (14) "Independent cannabis testing laboratory agent" means an individual who:
427          (a) is an [owner, officer, director, board member,] employee[, or volunteer] of an
428     independent cannabis testing laboratory[.]; and
429          (b) holds a valid cannabis production establishment agent registration card.
430          (15) "Inventory control system" means [the] a system described in Section [4-41b-103]

431     4-41a-103.
432          (16) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
433          [(16)] (17) "Medical cannabis card" means the same as that term is defined in Section
434     [26-60b-102] 26-61a-102.
435          (18) "Medical cannabis pharmacy" means the same as that term is defined in Section
436     26-61a-102.
437          (19) "Medical cannabis pharmacy agent" means the same as that term is defined in
438     Section 26-61a-102.
439          [(17) "Medical Cannabis Restricted Account" means the account created in Section
440     26-60b-109.]
441          (20) "Medical cannabis treatment" means the same as that term is defined in Section
442     26-61a-102.
443          (21) "Medicinal dosage form" means the same as that term is defined in Section
444     26-61a-102.
445          [(18) "Physician"] (22) "Qualified medical provider" means the same as that term is
446     defined in Section [26-60b-107] 26-61a-102.
447          (23) "Qualified Production Enterprise Account" means the account created in Section
448     4-41a-104.
449          (24) "State central fill agent" means the same as that term is defined in Section
450     26-61a-102.
451          (25) "State central fill medical cannabis pharmacy" means the same as that term is
452     defined in Section 26-61a-102.
453          (26) "State central fill shipment" means the same as that term is defined in Section
454     26-61a-102.
455          [(19)] (27) "State electronic verification system" means the system described in Section
456     [26-60b-103] 26-61a-103.
457          (28) "Tetrahydrocannabinol" means a substance derived from cannabis or a synthetic
458     equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA).
459          (29) "Total composite tetrahydrocannabinol" means delta-9-tetrahydrocannabinol and
460     tetrahydrocannabinolic acid.
461          Section 4. Section 4-41a-103, which is renumbered from Section 4-41b-103 is

462     renumbered and amended to read:
463          [4-41b-103].      4-41a-103. Inventory control system.
464          (1) [A] Each cannabis production establishment [and a], each medical cannabis
465     [dispensary] pharmacy, and the state central fill medical cannabis pharmacy shall maintain an
466     inventory control system that meets the requirements of this section.
467          (2) [An] A cannabis production establishment, a medical cannabis pharmacy, and the
468     state central fill medical cannabis pharmacy shall ensure that the inventory control system
469     [shall track] maintained by the establishment or pharmacy:
470          (a) tracks cannabis using a unique identifier, in real time, from the point that a cannabis
471     plant is eight inches tall[,] and has a root ball[,] until the cannabis is disposed of or sold, in the
472     form of unprocessed cannabis or a cannabis product, to an individual with a medical cannabis
473     card[. (3) An inventory control system shall store];
474          (b) maintains in real time a record of the amount of cannabis and cannabis products in
475     the [cannabis production establishment's or cannabis dispensary's] possession[. (4) An
476     inventory control system shall include] of the establishment or pharmacy;
477          (c) includes a video recording system that:
478          [(a)] (i) tracks all handling and processing of cannabis or a cannabis product in the
479     [cannabis production] establishment or [cannabis dispensary] pharmacy;
480          [(b)] (ii) is tamper proof; [and (c) is capable of storing]
481          (iii) stores a video record for at least 45 days[. (5) An inventory control system
482     installed in a cannabis production establishment or cannabis dispensary shall maintain]; and
483          (d) preserves compatibility with the state electronic verification system described in
484     Section 26-61a-103.
485          [(6)] (3) A cannabis production establishment [or], a medical cannabis [dispensary]
486     pharmacy, and the state central fill medical cannabis pharmacy shall allow the department or
487     the Department of Health access to the cannabis production establishment's [or], medical
488     cannabis [dispensary's] pharmacy's, or state central fill medical cannabis pharmacy's inventory
489     control system [during an inspection] at any time.
490          [(7)] (4) The department may establish compatibility standards for an inventory control
491     system by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
492     Rulemaking Act.

493          (5) (a) The department shall make rules in accordance with Title 63G, Chapter 3, Utah
494     Administrative Rulemaking Act, establishing requirements for aggregate or batch records
495     regarding the planting and propagation of cannabis before being tracked in an inventory control
496     system described in this section.
497          (b) The department shall ensure that the rules described in Subsection (5)(a) address
498     record-keeping for the amount of planted seed, number of cuttings taken, date and time of
499     cutting and planting, number of plants established, and number of plants culled or dead.
500          Section 5. Section 4-41a-104 is enacted to read:
501          4-41a-104. Qualified Production Enterprise Fund -- Creation -- Revenue
502     neutrality.
503          (1) There is created an enterprise fund known as the "Qualified Production Enterprise
504     Fund."
505          (2) The fund created in this section is funded from:
506          (a) money the department deposits into the fund under this chapter;
507          (b) appropriations the Legislature makes to the fund; and
508          (c) the interest described in Subsection (3).
509          (3) Interest earned on the Qualified Production Enterprise Fund shall be deposited into
510     the fund.
511          (4) The department may only use money in the fund to fund the department's
512     implementation of this chapter.
513          (5) The department shall set fees authorized under this chapter in amounts that the
514     department anticipates are necessary, in total, to cover the department's cost to implement this
515     chapter.
516          Section 6. Section 4-41a-105 is enacted to read:
517          4-41a-105. Agreement with a tribe.
518          (1) As used in this section, "tribe" means a federally recognized Indian tribe or Indian
519     band.
520          (2) (a) In accordance with this section, the governor may enter into an agreement with a
521     tribe to allow for the operation of a cannabis production establishment on tribal land located
522     within the state.
523          (b) An agreement described in Subsection (2)(a) may not exempt any person from the

524     requirements of this chapter.
525          (c) The governor shall ensure that an agreement described in Subsection (2)(a):
526          (i) is in writing;
527          (ii) is signed by:
528          (A) the governor; and
529          (B) the governing body of the tribe that the tribe designates and has the authority to
530     bind the tribe to the terms of the agreement;
531          (iii) states the effective date of the agreement;
532          (iv) provides that the governor shall renegotiate the agreement if the agreement is or
533     becomes inconsistent with a state statute; and
534          (v) includes any accommodation that the tribe makes:
535          (A) to which the tribe agrees; and
536          (B) that is reasonably related to the agreement.
537          (d) Before executing an agreement under this Subsection (2), the governor shall consult
538     with the department.
539          (e) At least 30 days before the execution of an agreement described in this Subsection
540     (2), the governor or the governor's designee shall provide a copy of the agreement in the form
541     in which the agreement will be executed to:
542          (i) the chairs of the Native American Legislative Liaison Committee; and
543          (ii) the Office of Legislative Research and General Counsel.
544          Section 7. Section 4-41a-106 is enacted to read:
545          4-41a-106. Severability clause.
546          (1) If a final decision of a court of competent jurisdiction holds invalid any provision
547     of this title or this bill or the application of any provision of this title or this bill to any person
548     or circumstance, the remaining provisions of this title and this bill remain effective without the
549     invalidated provision or application.
550          (2) The provisions of this title and this bill are severable.
551          Section 8. Section 4-41a-201, which is renumbered from Section 4-41b-201 is
552     renumbered and amended to read:
553     
Part 2. Cannabis Production Establishment

554          [4-41b-201].      4-41a-201. Cannabis production establishment -- License.

555          (1) A person may not operate a cannabis production establishment without a license
556     [issued by] that the department issues under this chapter.
557          (2) (a) Subject to Subsections (6) [and], (7), and (8), and to Section [4-41b-204]
558     4-41a-205, the department shall, [within 90 days after receiving a complete application] in
559     accordance with Title 63G, Chapter 6a, Utah Procurement Code, issue a license to operate a
560     cannabis production establishment to [a person who] an applicant who is eligible for a license
561     under this section.
562          (b) An applicant is eligible for a license under this section if the applicant submits to
563     the department:
564          [(a)] (i) a proposed name and address, located in a zone described in Subsection
565     4-41a-406(1)(a) or (b), where the [person] applicant will operate the cannabis production
566     establishment that is not within [600] 1,000 feet of a community location or within [300] 600
567     feet of an area zoned [exclusively] primarily for residential use, as measured from the nearest
568     entrance to the cannabis production establishment by following the shortest route of ordinary
569     pedestrian travel to the property boundary of the community location or residential area, unless
570     the relevant county or municipality recommends in writing that the department waive the
571     community location proximity limit;
572          [(b)] (ii) the name and address of any individual who has:
573          (A) a financial or voting interest of [two percent] 2% or greater in the proposed
574     cannabis production establishment; or [who has]
575          (B) the power to direct or cause the management or control of a proposed [medical]
576     cannabis production establishment;
577          [(c)] (iii) an operating plan that:
578          (A) complies with Section [4-41b-203 and that] 4-41a-204;
579          (B) includes operating procedures [to] that comply with [the requirements of] this
580     chapter and [with] any [laws adopted by] law the municipality or county [that are] in which the
581     person is located adopts that is consistent with Section [4-41b-405] 4-41a-406; and
582          (C) the department approves;
583          [(d)] (iv) [financial statements demonstrating that the person possesses a minimum of]
584     evidence that the applicant has obtained and maintains a performance bond that a surety
585     authorized to transact surety business in the state issues in an amount of at least:

586          (A) [$500,000 in liquid assets available] $250,000 for each cannabis cultivation facility
587     for which the [person] applicant applies; or [a minimum of $100,000]
588          (B) [in liquid assets available] $50,000 for each cannabis processing facility or
589     independent cannabis testing laboratory for which the [person] applicant applies;
590          [(e) if the municipality or county where the proposed cannabis production
591     establishment would be located has enacted zoning restrictions, a sworn statement certifying
592     that the proposed cannabis production establishment is in compliance with the restrictions;]
593          [(f)] (v) if the municipality or county where the proposed cannabis production
594     establishment would be located requires a local land use permit [or license], a copy of the
595     applicant's approved application for the local land use permit [or license]; and
596          [(g)] (vi) an application fee [established by] in an amount that, subject to Subsection
597     4-41a-104(5), the department sets in accordance with Section 63J-1-504[, that is necessary to
598     cover the department's cost to implement this chapter].
599          (3) If the department [determines that a cannabis production establishment is eligible]
600     approves an application for a license under this section[,]:
601          (a) the applicant shall pay the department [shall charge the cannabis establishment] an
602     initial license fee in an amount [determined by] that, subject to Subsection 4-41a-104(5), the
603     department sets in accordance with Section 63J-1-504[.]; and
604          (b) the department shall notify the Department of Public Safety of the license approval
605     and the names of each individual described in Subsection (2)(b)(ii).
606          (4) (a) Except as provided in Subsection [(5)] (4)(b), the department shall require a
607     separate license for each type of cannabis production establishment and each location of a
608     cannabis production establishment.
609          [(5)] (b) The department may issue a cannabis cultivation facility license and a
610     cannabis processing facility license to a person to operate at the same physical location or at
611     separate physical locations.
612          (5) If the department receives more than one application for a cannabis production
613     establishment within the same city or town, the department shall consult with the local land use
614     authority before approving any of the applications pertaining to that city or town.
615          (6) The department may not issue a license to operate an independent cannabis testing
616     laboratory to a person who:

617          (a) [that] holds a license or has an ownership interest in a medical cannabis
618     [dispensary] pharmacy, a cannabis processing facility, or a cannabis cultivation facility [in the
619     state];
620          (b) [that] has an owner, officer, director, or employee whose [immediate] family
621     member holds a license or has an ownership interest in a medical cannabis [dispensary]
622     pharmacy, a cannabis processing facility, or a cannabis cultivation facility; or
623          (c) [who] proposes to operate the independent cannabis testing laboratory at the same
624     physical location as a medical cannabis [dispensary] pharmacy, a cannabis processing facility,
625     or a cannabis cultivation facility.
626          (7) The department may not issue a license to operate a cannabis production
627     establishment to an applicant if any individual [who has a financial or voting interest of two
628     percent or greater in the applicant or who has the power to direct or cause the management or
629     control of the applicant] described in Subsection (2)(b)(ii):
630          (a) has been convicted [of an offense that is a felony] under [either] state or federal
631     law[; or] of:
632          (i) a felony; or
633          (ii) after the effective date of this bill, a misdemeanor for drug distribution; or
634          (b) is [less] younger than 21 years [of age] old.
635          (8) If an applicant for a cannabis production establishment license under this section
636     holds a license under Title 4, Chapter 41, Hemp and Cannabidiol Act, or Title 26, Chapter 61a,
637     Utah Medical Cannabis Act, the department:
638          (a) shall consult with the Department of Health regarding the applicant if the license
639     the applicant holds is a license under Title 26, Chapter 61a, Utah Medical Cannabis Act; and
640          (b) may not give preference to the applicant based on the applicant's status as a holder
641     of a license described in this Subsection (8).
642          [(8)] (9) The department may revoke a license under this part:
643          (a) if the cannabis production establishment [is] does not [operating] begin cannabis
644     production operations within one year [of the issuance of] after the day on which the
645     department issues the initial license[.];
646          (b) after the cannabis production establishment makes the same violation of this
647     chapter three times; or

648          (c) if any individual described in Subsection (2)(b) is convicted, while the license is
649     active, under state or federal law of:
650          (i) a felony; or
651          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
652          [(9)] (10) The department shall deposit the proceeds of a fee [imposed by] that the
653     department imposes under this section [in] into the [Medical Cannabis Restricted] Qualified
654     Production Enterprise Account.
655          [(10)] (11) The department shall begin accepting applications under this part [no later
656     than] on or before January 1, 2020.
657          (12) The department's authority to issue a license under this section is plenary and is
658     not subject to review.
659          Section 9. Section 4-41a-202, which is renumbered from Section 4-41b-302 is
660     renumbered and amended to read:
661          [4-41b-302].      4-41a-202. Cannabis production establishment owners and
662     directors -- Criminal background checks.
663          (1) Each applicant for a license as a cannabis production establishment shall submit to
664     the department, at the time of application, from each individual who has a financial or voting
665     interest of [two percent] 2% or greater in the applicant or who has the power to direct or cause
666     the management or control of the applicant:
667          (a) a fingerprint card in a form acceptable to the [department; and] Department of
668     Public Safety;
669          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
670     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
671     Generation Identification System's Rap Back Service; and
672          [(b)] (c) consent to a fingerprint background check by:
673          (i) the Utah Bureau of Criminal Identification; and
674          (ii) the Federal Bureau of Investigation.
675          [(2) The department shall request that the Department of Public Safety complete a
676     Federal Bureau of Investigation criminal background check for the individual described in
677     Subsection (1).]
678          (2) The Bureau of Criminal Identification shall:

679          (a) check the fingerprints the applicant submits under Subsection (1) against the
680     applicable state, regional, and national criminal records databases, including the Federal
681     Bureau of Investigation Next Generation Identification System;
682          (b) report the results of the background check to the department;
683          (c) maintain a separate file of fingerprints that applicants submit under Subsection (1)
684     for search by future submissions to the local and regional criminal records databases, including
685     latent prints;
686          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
687     Generation Identification System's Rap Back Service for search by future submissions to
688     national criminal records databases, including the Next Generation Identification System and
689     latent prints; and
690          (e) establish a privacy risk mitigation strategy to ensure that the department only
691     receives notifications for an individual with whom the department maintains an authorizing
692     relationship.
693          (3) The department shall:
694          (a) assess an individual who submits fingerprints under Subsection (1) a fee in an
695     amount that the department sets in accordance with Section 63J-1-504 for the services that the
696     Bureau of Criminal Identification or another authorized agency provides under this section; and
697          (b) remit the fee described in Subsection (3)(a) to the Bureau of Criminal
698     Identification.
699          Section 10. Section 4-41a-203, which is renumbered from Section 4-41b-202 is
700     renumbered and amended to read:
701          [4-41b-202].      4-41a-203. Renewal.
702          [(1)] The department shall renew a [person's] license issued under Section [4-41b-201]
703     4-41a-201 every [two years,] year if, at the time of renewal:
704          [(a)] (1) the [person] licensee meets the requirements of Section [4-41b-201]
705     4-41a-201; [and]
706          [(b)] (2) the [person] licensee pays the department a license renewal fee in an amount
707     [determined by] that, subject to Subsection 4-41a-104(5), the department sets in accordance
708     with Section 63J-1-504[.]; and
709          (3) if the cannabis production establishment changes the operating plan described in

710     Section 4-41a-204 that the department approved under Subsection 4-41a-201(2)(b)(iii), the
711     department approves the new operating plan.
712          Section 11. Section 4-41a-204, which is renumbered from Section 4-41b-203 is
713     renumbered and amended to read:
714          [4-41b-203].      4-41a-204. Operating plan.
715          (1) A person applying for a cannabis production [facility] establishment license or
716     license renewal shall submit to the department for the department's review a proposed
717     [operation] operating plan that complies with this section and that includes:
718          (a) a description of the physical characteristics of the proposed facility, including a
719     floor plan and an architectural elevation;
720          (b) a description of the credentials and experience of:
721          (i) each officer, director, [or] and owner of the proposed cannabis production
722     establishment; and
723          (ii) any highly skilled or experienced prospective employee;
724          (c) the cannabis production establishment's employee training standards;
725          (d) a security plan;
726          (e) a description of the cannabis production establishment's inventory control system,
727     including a [plan to make] description of how the inventory control system is compatible with
728     the state electronic verification system described in Section 26-61a-103;
729          (f) storage protocols, both short- and long-term, to ensure that cannabis is stored in a
730     manner that is sanitary and preserves the integrity of the cannabis;
731          [(f)] (g) for a cannabis cultivation facility, the information described in Subsection (2);
732          [(g)] (h) for a cannabis processing facility, the information described in Subsection (3);
733     and
734          [(h)] (i) for an independent cannabis testing laboratory, the information described in
735     Subsection (4).
736          (2) (a) A cannabis cultivation facility shall ensure that the facility's operating plan
737     [shall include the cannabis cultivation] includes the facility's intended:
738          (i) cannabis cultivation practices, including the [cannabis cultivation] facility's
739     intended pesticide use[,] and fertilizer use[,]; and
740          (ii) subject to Subsection (2)(b), acreage or square footage under cultivation[,] and

741     anticipated cannabis yield.
742          (b) Except as provided in Subsection (2)(c) or (d):
743          (i) a cannabis cultivation facility that cultivates cannabis indoors may not:
744          (A) use more than 100,000 square feet for cultivation; or
745          (B) hang, suspend, stack or otherwise position plants above other plants to cultivate
746     more plants through use of vertical space; and
747          (ii) a cannabis cultivation facility that cultivates cannabis outdoors may not use more
748     than four acres for cultivation.
749          (c) (i) Each licensee may annually apply to the department for authorization to exceed
750     the cannabis cultivation facility's current cultivation size limitation by up to 20%.
751          (ii) The department may, after conducting a review as described in Subsection
752     4-41a-205(2)(a), grant the authorization described in Subsection (2)(c)(i).
753          (d) If a licensee describes an intended acreage or square footage under cultivation
754     under Subsection (2)(a)(ii) that is less than the limitation described in Subsection (2)(b):
755          (i) the licensee may not cultivate more than the licensee's identified intended acreage or
756     square footage under cultivation; and
757          (ii) notwithstanding Subsection (2)(b), the department may allocate the remaining
758     difference in acreage or square footage under cultivation to another licensee.
759          (3) A cannabis processing facility's operating plan shall include the [cannabis
760     processing] facility's intended cannabis processing practices, including the cannabis processing
761     facility's intended [offered variety of cannabis product, cannabinoid extraction method,
762     cannabinoid extraction equipment, processing equipment, processing techniques, and sanitation
763     and food safety procedures.]:
764          (a) offered variety of cannabis product;
765          (b) cannabinoid extraction method;
766          (c) cannabinoid extraction equipment;
767          (d) processing equipment;
768          (e) processing techniques; and
769          (f) sanitation and manufacturing safety procedures for items for human consumption.
770          (4) An independent cannabis testing laboratory's operating plan shall include the
771     [independent cannabis testing] laboratory's intended:

772          (a) cannabis and cannabis product testing capability [and];
773          (b) cannabis and cannabis product testing equipment[.]; and
774          (c) testing methods, standards, practices, and procedures for testing cannabis and
775     cannabis products.
776          Section 12. Section 4-41a-205, which is renumbered from Section 4-41b-204 is
777     renumbered and amended to read:
778          [4-41b-204].      4-41a-205. Number of licenses -- Cannabis cultivation
779     facilities.
780          (1) Except as [otherwise] provided in Subsection [(2)] (2)(a), the department may not
781     issue [not] more than [15] 10 licenses to operate a cannabis cultivation [facilities] facility.
782          (2) (a) [After January 1, 2022, the] The department may issue [additional] up to five
783     licenses to operate a cannabis cultivation [facilities] facility in addition to the 10 licenses
784     described in Subsection (1) if the department determines, in consultation with the Department
785     of Health and after an annual or more frequent analysis of the current and anticipated market
786     for [medical] cannabis in a medicinal dosage form and [medical] cannabis products in a
787     medicinal dosage form, that each additional [licenses are needed] license is necessary to
788     provide an adequate supply, quality, or variety of [medical] cannabis in a medicinal dosage
789     form and [medical] cannabis products in a medicinal dosage form to medical cannabis [card
790     holders in Utah] cardholders.
791          (b) If the recipient of one of the initial 10 licenses described in Subsection (1) ceases
792     operations or otherwise abandons the license, the department may but is not required to grant
793     the vacant license to another applicant based on an analysis as described in Subsection (2)(a).
794          (3) If there are more qualified applicants than [there are] the number of available
795     licenses for cannabis cultivation facilities under Subsections (1) and (2), the department shall
796     evaluate the applicants and award the limited number of licenses described in Subsections (1)
797     and (2) to the applicants that best demonstrate:
798          (a) experience with establishing and successfully operating a business that involves:
799          (i) complying with a regulatory environment[,];
800          (ii) tracking inventory[,]; and
801          (iii) training, evaluating, and monitoring employees;
802          (b) an operating plan that will best ensure the safety and security of patrons and the

803     community;
804          (c) positive connections to the local community; and
805          (d) the extent to which the applicant can reduce the cost to patients of cannabis in a
806     medicinal dosage form or cannabis products [for patients] in a medicinal dosage form.
807          (4) The department may conduct a face-to-face interview with an applicant for a
808     license that the department evaluates under Subsection (3).
809          Section 13. Section 4-41a-301, which is renumbered from Section 4-41b-301 is
810     renumbered and amended to read:
811     
Part 3. Cannabis Production Establishments Agents

812          [4-41b-301].      4-41a-301. Cannabis production establishment agent --
813     Registration.
814          (1) An individual may not act as a cannabis production establishment agent unless the
815     department registers the individual [is registered by the department] as a cannabis production
816     establishment agent.
817          (2) [A physician] The following individuals, regardless of the individual's status as a
818     qualified medical provider, may not serve as a cannabis production establishment agent[.], have
819     a financial or voting interest of 2% or greater in a cannabis production establishment, or have
820     the power to direct or cause the management or control of a cannabis production establishment:
821          (a) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
822          (b) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
823     Practice Act;
824          (c) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
825     58, Chapter 68, Utah Osteopathic Medical Practice Act; or
826          (d) a physician assistant licensed under Title 58, Chapter 70a, Physician Assistant Act.
827          (3) An independent cannabis testing laboratory agent may not act as an agent for a
828     medical cannabis [dispensary] pharmacy, the state central fill medical cannabis pharmacy, a
829     cannabis processing facility, or a cannabis cultivation facility.
830          (4) (a) The department shall, within 15 business days after [receiving] the day on which
831     the department receives a complete application from a cannabis production establishment on
832     behalf of a prospective cannabis production establishment agent, register and issue a cannabis
833     production establishment agent registration card to [an individual who] the prospective agent if

834     the cannabis production establishment:
835          [(a)] (i) provides to the department:
836          (A) the [individual's] prospective agent's name and address [and];
837          (B) the name and location of a licensed cannabis production establishment where the
838     [individual] prospective agent will act as the cannabis production establishment's agent; and
839          (C) the submission required under Subsection (4)(b); and
840          [(b)] (ii) pays a fee to the department[,] in an amount [determined by] that, subject to
841     Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504[, that is
842     necessary to cover the department's cost to implement this part].
843          (b) Each prospective agent described in Subsection (4)(a) shall:
844          (i) submit to the department:
845          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
846          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
847     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
848     Generation Identification System's Rap Back Service; and
849          (ii) consent to a fingerprint background check by:
850          (A) the Bureau of Criminal Identification; and
851          (B) the Federal Bureau of Investigation.
852          (c) The Bureau of Criminal Identification shall:
853          (i) check the fingerprints the prospective agent submits under Subsection (4)(b) against
854     the applicable state, regional, and national criminal records databases, including the Federal
855     Bureau of Investigation Next Generation Identification System;
856          (ii) report the results of the background check to the department;
857          (iii) maintain a separate file of fingerprints that prospective agents submit under
858     Subsection (4)(b) for search by future submissions to the local and regional criminal records
859     databases, including latent prints;
860          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
861     Generation Identification System's Rap Back Service for search by future submissions to
862     national criminal records databases, including the Next Generation Identification System and
863     latent prints; and
864          (v) establish a privacy risk mitigation strategy to ensure that the department only

865     receives notifications for an individual with whom the department maintains an authorizing
866     relationship.
867          (d) The department shall:
868          (i) assess an individual who submits fingerprints under Subsection (4)(b) a fee in an
869     amount that the department sets in accordance with Section 63J-1-504 for the services that the
870     Bureau of Criminal Identification or another authorized agency provides under this section; and
871          (ii) remit the fee described in Subsection (4)(d) to the Bureau of Criminal
872     Identification.
873          (5) The department shall designate, on an individual's cannabis production
874     establishment agent registration card:
875          (a) the name of the cannabis production establishment where the individual is
876     registered as an agent; and
877          (b) the type of cannabis production establishment for which the individual is
878     authorized to act as an agent.
879          (6) A cannabis production establishment agent shall comply with:
880          (a) a certification standard [developed by] that the department develops; or
881          (b) [with a third party] a third-party certification standard [designated by] that the
882     department designates by rule [made], in accordance with Title 63G, Chapter 3, Utah
883     Administrative Rulemaking Act.
884          (7) The department shall ensure that the certification standard described in Subsection
885     (6) [shall include] includes training:
886          (a) in Utah medical cannabis law;
887          (b) for a cannabis cultivation facility agent, in cannabis cultivation best practices;
888          (c) for a cannabis processing facility agent, in cannabis processing, [food]
889     manufacturing safety procedures for items for human consumption, and sanitation best
890     practices; and
891          (d) for an independent cannabis testing laboratory agent, in cannabis testing best
892     practices.
893          (8) [The department may revoke or refuse to issue the] For an individual who holds or
894     applies for a cannabis production establishment agent registration card [of an individual who]:
895          (a) the department may revoke or refuse to issue the card if the individual violates the

896     requirements of this chapter; [or] and
897          (b) the department shall revoke or refuse to issue the card if the individual is convicted
898     [of an offense that is a felony] under state or federal law of:
899          (i) a felony; or
900          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
901          (9) (a) A cannabis production establishment agent registration card expires two years
902     after the day on which the department issues the card.
903          (b) A cannabis production establishment agent may renew the agent's registration card
904     if the agent:
905          (i) is eligible for a cannabis production establishment registration card under this
906     section;
907          (ii) certifies to the department in a renewal application that the information in
908     Subsection (4)(a) is accurate or updates the information; and
909          (iii) pays to the department a renewal fee in an amount that:
910          (A) subject to Subsection 4-41a-104(5), the department sets in accordance with Section
911     63J-1-504; and
912          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
913     comparison to the original application process.
914          Section 14. Section 4-41a-302, which is renumbered from Section 4-41b-303 is
915     renumbered and amended to read:
916          [4-41b-303].      4-41a-302. Cannabis production establishment agent
917     registration card -- Rebuttable presumption.
918          (1) A cannabis production establishment agent [who is registered with] whom the
919     department registers under Section [4-41b-301] 4-41a-301 shall carry the individual's cannabis
920     production establishment agent registration card with the [individual] agent at all times when:
921          (a) the [individual] agent is on the premises of a cannabis production establishment
922     where the [individual] agent is [a cannabis production establishment agent] registered; [and]
923          (b) the [individual] agent is transporting cannabis in a medicinal dosage form, a
924     cannabis product in a medicinal dosage form, or a medical cannabis device between:
925          (i) two cannabis production establishments; or [between]
926          (ii) a cannabis production establishment and:

927          (A) a medical cannabis [dispensary] pharmacy; or
928          (B) the state central fill medical cannabis pharmacy; and
929          (c) if the cannabis production establishment agent is an agent of a cannabis cultivating
930     facility, the agent is transporting raw cannabis plants to a cannabis processing facility or an
931     independent cannabis testing laboratory.
932          (2) If [an individual] a cannabis processing facility agent possesses cannabis in a
933     medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis
934     device and produces the registration card in the agent's possession in compliance with
935     Subsection (1) while handling, at a cannabis production establishment, or transporting the
936     cannabis, [a] cannabis product, or [a] medical cannabis device [at a cannabis production
937     establishment, or transporting cannabis, a cannabis product, or a medical cannabis device,
938     possesses the cannabis, cannabis product, or medical cannabis device] in compliance with
939     Subsection (1):
940          (a) there is a rebuttable presumption that the [individual] agent possesses the cannabis,
941     cannabis product, or medical cannabis device legally; and
942          (b) a law enforcement officer does not have probable cause, based solely on the
943     [individual's] agent's possession of the cannabis, cannabis product, or medical cannabis device
944     in compliance with Subsection (1), to believe that the individual is engaging in illegal activity.
945          (3) (a) [An individual] A cannabis production establishment agent who [violates] fails
946     to carry the agent's cannabis production establishment agent registration card in accordance
947     with Subsection (1) is:
948          (i) for a first or second offense in a two-year period:
949          [(a)] (A) guilty of an infraction; and
950          [(b)] (B) [is] subject to a $100 fine[.]; or
951          (ii) for a third or subsequent offense in a two-year period:
952          (A) guilty of a class C misdemeanor; and
953          (B) subject to a $750 fine.
954          (b) (i) The prosecuting entity shall notify the department and the relevant cannabis
955     production establishment of each conviction under Subsection (3)(a).
956          (ii) For each violation described in Subsection (3)(a)(ii), the department may assess the
957     relevant cannabis production establishment a fine of up to $5,000, in accordance with a fine

958     schedule that the department establishes by rule in accordance with Title 63G, Chapter 3, Utah
959     Administrative Rulemaking Act.
960          (c) An individual who is guilty of a violation described in Subsection (3)(a) is not
961     guilty for a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
962     underlying the violation described in Subsection (3)(a).
963          Section 15. Section 4-41a-401, which is renumbered from Section 4-41b-401 is
964     renumbered and amended to read:
965     
Part 4. General Cannabis Production Establishment Operating Requirements

966          [4-41b-401].      4-41a-401. Cannabis production establishment -- General
967     operating requirements.
968          (1) (a) A cannabis production establishment shall operate in accordance with the
969     operating plan [provided to the department under Section 4-41b-203] described in Sections
970     4-41a-201 and 4-41a-204.
971          (b) A cannabis production establishment shall notify the department before a change in
972     the cannabis production establishment's operating plan.
973          (c) (i) If a cannabis production establishment changes the cannabis production
974     establishment's operating plan, the establishment shall ensure that the new operating plan
975     complies with this chapter.
976          (ii) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
977     Utah Administrative Rulemaking Act, a process to:
978          (A) review a change notification described in Subsection (1)(b);
979          (B) identify for the cannabis production establishment each point of noncompliance
980     between the new operating plan and this chapter;
981          (C) provide an opportunity for the cannabis production establishment to address each
982     identified point of noncompliance; and
983          (D) suspend or revoke a license if the cannabis production establishment fails to cure
984     the noncompliance.
985          (2) A cannabis production establishment shall operate:
986          (a) except as provided in Subsection (5), in a facility that is accessible only by an
987     individual with a valid cannabis production establishment agent registration card issued under
988     Section [4-41b-301] 4-41a-301; and

989          (b) at the physical address provided to the department under Section [4-41b-201]
990     4-41a-201.
991          (3) A cannabis production establishment may not employ [any person] an individual
992     who is younger than 21 years [of age] old.
993          (4) A cannabis production establishment [shall conduct a background check into the
994     criminal history of every person who will become an agent of the cannabis production
995     establishment and] may not employ [any person] an individual who has been convicted, [of an
996     offense that is a felony] under [either] state or federal law[.], of:
997          (a) a felony; or
998          (b) after the effective date of this bill, a misdemeanor for drug distribution.
999          (5) A cannabis production establishment may authorize an individual who is at least 18
1000     years old and is not a cannabis production establishment agent to access the cannabis
1001     production establishment if the cannabis production establishment:
1002          (a) tracks and monitors the individual at all times while the individual is at the
1003     cannabis production establishment; and
1004          (b) maintains a record of the individual's access, including arrival and departure.
1005          (6) A cannabis production establishment shall operate in a facility that has:
1006          (a) a single, secure public entrance;
1007          (b) a security system with a backup power source that:
1008          (i) detects and records entry into the cannabis production establishment; and
1009          (ii) provides notice of an unauthorized entry to law enforcement when the cannabis
1010     production establishment is closed; and
1011          (c) a lock or equivalent restrictive security feature on any area where the cannabis
1012     production establishment stores cannabis or a cannabis product.
1013          Section 16. Section 4-41a-402, which is renumbered from Section 4-41b-402 is
1014     renumbered and amended to read:
1015          [4-41b-402].      4-41a-402. Inspections.
1016          (1) The department may inspect the records and facility of a cannabis production
1017     establishment at any time [in order] during business hours to determine if the cannabis
1018     production establishment complies with [the requirements of] this chapter.
1019          (2) (a) An inspection under this section may include:

1020          (i) inspection of a site, facility, vehicle, book, record, paper, document, data, and other
1021     physical or electronic information;
1022          (ii) questioning of any relevant individual;
1023          (iii) observation of an independent cannabis testing laboratory's methods, standards,
1024     practices, and procedures;
1025          (iv) the taking of a specimen of cannabis or cannabis products sufficient for testing
1026     purposes; or
1027          (v) inspection of equipment, an instrument, a tool, or machinery, including a container
1028     or label.
1029          (b) Notwithstanding Section 4-41a-404, an authorized department employee may
1030     possess and transport a specimen of cannabis or cannabis products for testing described in
1031     Subsection (2)(a).
1032          (3) In making an inspection under this section, the department may freely access any
1033     area and review and make copies of a book, record, paper, document, data, or other physical or
1034     electronic information, including financial data, sales data, shipping data, pricing data, and
1035     employee data.
1036          (4) Failure to provide the department or the department's authorized agents immediate
1037     access to records and facilities during business hours in accordance with this section may result
1038     in:
1039          (a) the imposition of a civil monetary penalty that the department sets in accordance
1040     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
1041          (b) license or registration suspension or revocation; or
1042          (c) an immediate cessation of operations under a cease and desist order that the
1043     department issues.
1044          Section 17. Section 4-41a-403, which is renumbered from Section 4-41b-403 is
1045     renumbered and amended to read:
1046          [4-41b-403].      4-41a-403. Advertising.
1047          (1) A cannabis production establishment may not advertise to the general public in any
1048     medium.
1049          (2) Notwithstanding Subsection (1), a cannabis production establishment may advertise
1050     an employment [opportunities] opportunity at the cannabis production facility.

1051          Section 18. Section 4-41a-404, which is renumbered from Section 4-41b-404 is
1052     renumbered and amended to read:
1053          [4-41b-404].      4-41a-404. Cannabis, cannabis product, or medical cannabis
1054     device transportation.
1055          (1) [Except for an individual with a valid medical cannabis card pursuant to Title 26,
1056     Chapter 60b, Medical Cannabis Act, an individual]
1057          (a) Only the following individuals may [not] transport cannabis in a medicinal dosage
1058     form, a cannabis product in a medicinal dosage form, or a medical cannabis device [unless the
1059     individual is] under this chapter:
1060          [(a)] (i) a registered cannabis production establishment agent; or
1061          [(b)] (ii) [a registered cannabis dispensary agent.] a medical cannabis cardholder who is
1062     transporting a medical cannabis treatment that the cardholder is authorized to possess under
1063     this chapter.
1064          (b) Only an agent of a cannabis cultivating facility, when the agent is transporting
1065     cannabis plants to a cannabis processing facility or an independent cannabis testing laboratory,
1066     may transport unprocessed cannabis outside of a medicinal dosage form.
1067          (2) Except for an individual with a valid medical cannabis card [pursuant to] under
1068     Title 26, Chapter [60b] 61a, Utah Medical Cannabis Act, [an individual] who is transporting
1069     [cannabis, a cannabis product, or] a medical cannabis [device] treatment shall possess a
1070     transportation manifest that:
1071          (a) includes a unique identifier that links the cannabis, cannabis product, or medical
1072     cannabis device to a relevant inventory control system;
1073          (b) includes origin and destination information for any cannabis, cannabis product, or
1074     medical cannabis device that the individual is transporting; and
1075          (c) [indicates] identifies the departure and arrival times and locations of the individual
1076     transporting the cannabis, cannabis product, or medical cannabis device.
1077          (3) (a) In addition to the requirements in Subsections (1) and (2), the department may
1078     establish[,] by rule [made], in accordance with Title 63G, Chapter 3, Utah Administrative
1079     Rulemaking Act, requirements for transporting cannabis in a medicinal dosage form, a
1080     cannabis product in a medicinal dosage form, or a medical cannabis device to ensure that [are
1081     related to safety for human] the cannabis [or], cannabis product [consumption.], or medical

1082     cannabis device remains safe for human consumption.
1083          (b) The transportation described in Subsection (3)(a) is limited to transportation:
1084          (i) between a cannabis cultivation facility and:
1085          (A) another cannabis cultivation facility; or
1086          (B) a cannabis processing facility; and
1087          (ii) between a cannabis processing facility and:
1088          (A) another cannabis processing facility;
1089          (B) an independent cannabis testing laboratory; or
1090          (C) a medical cannabis pharmacy.
1091          (4) (a) [An individual who transports cannabis, a cannabis product, or a medical
1092     cannabis device] It is unlawful for a registered cannabis production establishment agent to
1093     make a transport described in this section with a manifest that does not meet the requirements
1094     of this section [is:].
1095          (b) Except as provided in Subsection (4)(d), an agent who violates Subsection (4)(a) is:
1096          [(a)] (i) guilty of an infraction; and
1097          [(b)] (ii) subject to a $100 fine.
1098          (c) An individual who is guilty of a violation described in Subsection (4)(b) is not
1099     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
1100     underlying the violation described in Subsection (4)(b).
1101          (d) If the agent described in Subsection (4)(a) is transporting more cannabis, cannabis
1102     product, or medical cannabis devices than the manifest identifies, except for a de minimis
1103     administrative error:
1104          (i) the penalty described in Subsection (4)(b) does not apply; and
1105          (ii) the agent is subject to penalties under Title 58, Chapter 37, Utah Controlled
1106     Substances Act.
1107          (5) Nothing in this section prevents the department from taking administrative
1108     enforcement action against a cannabis production establishment or another person for failing to
1109     make a transport in compliance with the requirements of this section.
1110          Section 19. Section 4-41a-405 is enacted to read:
1111          4-41a-405. Excess and disposal.
1112          (1) As used in this section, "medical cannabis waste" means waste and unused material

1113     from the cultivation and production of medical cannabis.
1114          (2) A cannabis production establishment shall:
1115          (a) render medical cannabis waste unusable and unrecognizable before transporting the
1116     medical cannabis waste from the cannabis production establishment; and
1117          (b) dispose of medical cannabis waste in accordance with:
1118          (i) federal and state laws, rules, and regulations related to hazardous waste;
1119          (ii) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.;
1120          (iii) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and
1121          (iv) other regulations that the department makes in accordance with Title 63G, Chapter
1122     3, Utah Administrative Rulemaking Act.
1123          (3) An individual may not transport or dispose of medical cannabis waste other than as
1124     provided in this section.
1125          Section 20. Section 4-41a-406, which is renumbered from Section 4-41b-405 is
1126     renumbered and amended to read:
1127          [4-41b-405].      4-41a-406. Local control.
1128          (1) [A municipality or county may not enact a zoning ordinance that prohibits a
1129     cannabis production establishment from operating in a location within the municipality's or
1130     county's jurisdiction on the sole basis that the cannabis production establishment possesses,
1131     grows, manufactures, or sells cannabis.]
1132          (a) If a municipality's or county's zoning ordinances provide for an industrial zone, the
1133     municipality or county shall ensure that the ordinances allow for cannabis production
1134     establishments in at least one type of industrial zone.
1135          (b) If a municipality's or county's zoning ordinances provide for an agricultural zone,
1136     the municipality or county shall ensure that the ordinances allow for cannabis production
1137     establishments in at least one type of agricultural zone.
1138          (2) (a) A municipality or county may not deny or revoke a land use permit [or license]
1139     to operate a cannabis production facility on the sole basis that the applicant or cannabis
1140     production establishment violates [a] federal law [of] regarding the [United States] legal status
1141     of cannabis.
1142          (b) A municipality or county may not deny or revoke a business license to operate a
1143     cannabis production facility on the sole basis that the applicant or cannabis production

1144     establishment violates federal law regarding the legal status of cannabis.
1145          Section 21. Section 4-41a-501, which is renumbered from Section 4-41b-501 is
1146     renumbered and amended to read:
1147     
Part 5. Cannabis Cultivation Facility Operating Requirements.

1148          [4-41b-501].      4-41a-501. Cannabis cultivation facility -- Operating
1149     requirements.
1150          (1) A cannabis cultivation facility shall ensure that any cannabis growing at the
1151     cannabis cultivation facility is not visible [at] from the ground level of the cannabis cultivation
1152     facility perimeter.
1153          (2) A cannabis cultivation facility shall use a unique identifier that is connected to the
1154     cannabis cultivation facility's inventory control system [for] to identify:
1155          (a) beginning at the time a cannabis plant is [8] eight inches tall and has a root ball,
1156     each cannabis plant;
1157          (b) each unique harvest of cannabis plants;
1158          (c) each batch of cannabis [transferred] the facility transfers to a medical cannabis
1159     [dispensary] pharmacy, the state central fill medical cannabis pharmacy, a cannabis processing
1160     facility, or an independent cannabis testing laboratory; and
1161          (d) [disposal of] any excess, contaminated, or deteriorated cannabis of which the
1162     cannabis cultivation facility disposes.
1163          Section 22. Section 4-41a-502, which is renumbered from Section 4-41b-502 is
1164     renumbered and amended to read:
1165          [4-41b-502].      4-41a-502. Cannabis -- Labeling and child-resistant
1166     packaging.
1167          For any cannabis that a cannabis cultivation facility cultivates or otherwise produces
1168     and subsequently ships to another cannabis production establishment, the facility shall:
1169          (1) [Cannabis shall have a] label the cannabis with a label that[: (a)] has a unique batch
1170     identification number that is connected to the inventory control system; and [(b) does not
1171     display images, words, or phrases that are intended to appeal to children. (2) A cannabis
1172     cultivation facility shall]
1173          (2) package the cannabis in a container that is:
1174          (a) [is] tamper evident; and

1175          (b) [is] not appealing to children. [or similar to a candy container;]
1176          [(c) is opaque; and]
1177          [(d) complies with child-resistant effectiveness standards established by the United
1178     States Consumer Product Safety Commission.]
1179          Section 23. Section 4-41a-601, which is renumbered from Section 4-41b-601 is
1180     renumbered and amended to read:
1181     
Part 6. Cannabis Processing Facility Operating Requirements.

1182          [4-41b-601].      4-41a-601. Cannabis processing facility -- Operating
1183     requirements -- General.
1184          [(1)] A cannabis processing facility shall ensure that a cannabis product [sold by] the
1185     cannabis processing facility sells complies with the requirements of this part.
1186          [(2) If a cannabis processing facility extracts cannabinoids from cannabis using a
1187     hydrocarbon process, the cannabis processing facility shall extract the cannabinoids under a
1188     blast hood and shall use a system to reclaim solvents.]     
1189          Section 24. Section 4-41a-602, which is renumbered from Section 4-41b-602 is
1190     renumbered and amended to read:
1191          [4-41b-602].      4-41a-602. Cannabis product -- Labeling and child-resistant
1192     packaging.
1193          (1) [A] For any cannabis product that a cannabis processing facility processes or
1194     produces, the facility shall [have a]:
1195          (a) label the cannabis product with a label that:
1196          [(a)] (i) clearly and unambiguously states that the cannabis product contains cannabis;
1197          [(b)] (ii) clearly displays the amount of total composite tetrahydrocannabinol and
1198     cannabidiol in the [cannabis product] labeled container;
1199          [(c)] (iii) has a unique identification number that:
1200          [(i)] (A) is connected to the inventory control system; and
1201          [(ii)] (B) identifies the unique cannabis product manufacturing process [by which] the
1202     cannabis processing facility used to manufacture the cannabis product [was manufactured];
1203          [(d)] (iv) identifies the cannabinoid extraction process that the cannabis processing
1204     facility used to create the cannabis product;
1205          [(e)] (v) does not display [images, words, or phrases] an image, word, or phrase that

1206     [are intended to appeal] the facility knows or should know appeals to children; and
1207          [(f)] (vi) discloses [ingredients] each active or potentially active ingredient, in order of
1208     prominence, and possible [allergens.] allergen; and
1209          [(2)] (b) [A cannabis processing facility shall] package [a] the cannabis product in a
1210     medicinal dosage form in a container that:
1211          [(a)] (i) except for a blister pack, is tamper evident and tamper resistant;
1212          [(b)] (ii) does not appeal to children;
1213          (iii) [is not appealing to children or similar to] does not mimic a candy container;
1214          [(c)] (iv) except for a blister pack, is opaque; [and]
1215          [(d)] (v) complies with child-resistant effectiveness standards [established by] that the
1216     United States Consumer Product Safety Commission[.] establishes; and
1217          (vi) includes a warning label that states: "WARNING: Cannabis has intoxicating
1218     effects and may be addictive. Do not operate a vehicle or machinery under its influence. KEEP
1219     OUT OF REACH OF CHILDREN. This product is for medical use only. Use only as directed
1220     by a qualified medical provider."
1221          (2) For any cannabis or cannabis product that the cannabis processing facility processes
1222     into a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or rectangular
1223     cuboid shape, the facility shall:
1224          (a) ensure that the label described in Subsection (1)(a) does not contain a photograph or
1225     other image of the content of the container; and
1226          (b) include on the label described in Subsection (1)(a) a warning about the risks of
1227     over-consumption.
1228          (3) The department shall make rules in accordance with Title 63G, Chapter 3, Utah
1229     Administrative Rulemaking Act, establishing a standard labeling format that:
1230          (a) complies with the requirements of this section; and
1231          (b) ensures inclusion of a pharmacy label.
1232          Section 25. Section 4-41a-603, which is renumbered from Section 4-41b-603 is
1233     renumbered and amended to read:
1234          [4-41b-603].      4-41a-603. Cannabis product -- Product quality.
1235          (1) A cannabis processing facility may not produce a cannabis product in a physical
1236     form that:

1237          (a) [is intended to appeal] the facility knows or should know appeals to children; [or]
1238          (b) is designed to mimic or could be mistaken for [an existing] a candy product[.]; or
1239          (c) for a product used in vaporization, includes a candy-like flavor or another flavor
1240     that the facility knows or should know appeals to children.
1241          [(2) A cannabis processing facility may not manufacture a cannabis product by
1242     applying a cannabis agent only to the surface of a pre-manufactured food product that is not
1243     produced by the cannabis processing facility.]
1244          [(3)] (2) A cannabis product may vary in the cannabis product's labeled [cannabis]
1245     cannabinoid profile by up to [15%] 10% of the indicated amount of a given cannabinoid, by
1246     weight.
1247          [(4)] (3) The department shall adopt[,] by rule [made], in accordance with Title 63G,
1248     Chapter 3, Utah Administrative Rulemaking Act, human safety standards for [manufacture] the
1249     manufacturing of cannabis products that are consistent[, to the extent possible,] with [rules for
1250     similar products that do not contain] best practices for the use of cannabis.
1251          Section 26. Section 4-41a-701, which is renumbered from Section 4-41b-701 is
1252     renumbered and amended to read:
1253     
Part 7. Independent Cannabis Testing Laboratories.

1254          [4-41b-701].      4-41a-701. Cannabis and cannabis product testing.
1255          (1) [No] A medical cannabis pharmacy and the state central fill medical cannabis
1256     pharmacy may not offer any cannabis or cannabis product [may be offered] for sale [at a
1257     cannabis dispensary] unless an independent cannabis testing laboratory has tested a
1258     representative sample of the cannabis or cannabis product [has been tested by an independent
1259     cannabis testing laboratory] to determine:
1260          (a) (i) the amount of total composite tetrahydrocannabinol and cannabidiol in the
1261     cannabis or cannabis product; and
1262          (ii) the amount of any other cannabinoid in the cannabis or cannabis product that the
1263     label claims the cannabis or cannabis product contains;
1264          (b) that the presence of contaminants, including mold, fungus, pesticides, microbial
1265     contaminants, heavy metals, or foreign material, does not exceed an amount that is safe for
1266     human consumption; and
1267          (c) for a cannabis product that is manufactured using a process that involves extraction

1268     using hydrocarbons, that the cannabis product does not contain [an unhealthy] a level of a
1269     residual solvent that is not safe for human consumption.
1270          (2) [The department may determine, by] By rule [made], in accordance with Title 63G,
1271     Chapter 3, Utah Administrative Rulemaking Act, the department:
1272          (i) may determine the amount of [a] any substance described in [Subsection (1)]
1273     Subsections (1)(b) and (c) that is safe for human consumption[.]; and
1274          (ii) shall establish protocols for a recall of cannabis or a cannabis product by a cannabis
1275     production establishment.
1276          (3) The department may require testing for a toxin if:
1277          (a) the department receives information indicating the potential presence of a toxin; or
1278          (b) the department's inspector has reason to believe a toxin may be present based on the
1279     inspection of a facility.
1280          (4) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
1281     Utah Administrative Rulemaking Act, the standards, methods, practices, and procedures for the
1282     testing of cannabis and cannabis products by independent cannabis testing laboratories.
1283          (5) The department may require an independent cannabis testing laboratory to
1284     participate in a proficiency evaluation that the department conducts or that an organization that
1285     the department approves conducts.
1286          Section 27. Section 4-41a-702, which is renumbered from Section 4-41b-702 is
1287     renumbered and amended to read:
1288          [4-41b-702].      4-41a-702. Reporting -- Inspections -- Seizure by the
1289     department.
1290          (1) If an independent cannabis testing laboratory determines that the results of a lab test
1291     indicate that a cannabis or cannabis product batch may be unsafe for human [consumption, the
1292     independent cannabis testing laboratory shall] use:
1293          (a) the independent cannabis testing laboratory shall:
1294          [(a)] (i) report the results and the cannabis or cannabis product batch to:
1295          [(i)] (A) the department; and
1296          [(ii)] (B) the cannabis production establishment that prepared the cannabis or cannabis
1297     product batch; and
1298          [(b)] (ii) retain possession of the cannabis or cannabis product batch for [one week]

1299     two weeks in order to investigate the cause of the defective batch and to make a determination;
1300     and
1301          [(c)] (b) [allow] the cannabis production establishment that prepared the cannabis or
1302     cannabis product batch [to] may appeal the determination described in Subsection [(1)(b)]
1303     (1)(a)(ii) to the department.
1304          (2) If[, under Subsection (1)(b),] the department determines, under Subsection (1)(a)(ii)
1305     or following an appeal under Subsection (1)(b), that a cannabis or cannabis product prepared
1306     by a cannabis production establishment is unsafe for human consumption, the department may
1307     seize, embargo, or destroy, in the same manner as a cannabis production establishment under
1308     Section 4-41a-405, the cannabis or cannabis product batch.
1309          (3) If an independent cannabis testing laboratory determines that the results of a lab test
1310     indicate that the cannabinoid content of a cannabis or cannabis product batch diverges more
1311     than 10% from the amounts the label indicates, the cannabis processing facility may not sell the
1312     cannabis or cannabis product batch unless the facility replaces the incorrect label with a label
1313     that correctly indicates the cannabinoid content.
1314          Section 28. Section 4-41a-801, which is renumbered from Section 4-41b-801 is
1315     renumbered and amended to read:
1316          [4-41b-801].      4-41a-801. Enforcement -- Fine -- Citation.
1317          (1) [The department may, for a violation of this chapter by] If a person that is a
1318     cannabis production establishment or a cannabis production establishment agent violates this
1319     chapter, the department may:
1320          (a) revoke the person's license or cannabis production establishment agent registration
1321     card;
1322          (b) [refuse] decline to renew the person's license or cannabis production establishment
1323     agent registration card; or
1324          (c) assess the person an administrative penalty that the department establishes by rule
1325     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1326          (2) The department shall deposit an administrative penalty imposed under this section
1327     [in the general fund] into the General Fund.
1328          (3) (a) The department may take an action described in Subsection (3)(b) if the
1329     department concludes, upon [inspection or] investigation, that, for a person that is a cannabis

1330     production establishment or a cannabis production establishment agent:
1331          (i) the person has violated the provisions of this chapter, a rule made under this
1332     chapter, or an order issued under this chapter; or
1333          (ii) the person produced cannabis or a cannabis product batch that contains a substance,
1334     other than cannabis, that poses a significant threat to human health.
1335          (b) If the department makes the determination about a person described in Subsection
1336     (3)(a), the department shall:
1337          (i) issue the person a written administrative citation;
1338          (ii) attempt to negotiate a stipulated settlement;
1339          (iii) seize, embargo, or destroy the cannabis or cannabis product batch; [and]
1340          (iv) order the person to cease and desist from the action that creates a violation; and
1341          [(iv)] (v) direct the person to appear before an adjudicative proceeding conducted
1342     under Title 63G, Chapter 4, Administrative Procedures Act.
1343          (4) The department may, for a person subject to an uncontested citation, a stipulated
1344     settlement, or a finding of a violation in an adjudicative proceeding under this section[:(a)], for
1345     a fine amount not already specified in law, assess the person, who is not an individual, a fine[,
1346     established in accordance with Section 63J-1-504,] of up to $5,000 per violation, in accordance
1347     with a fine schedule [established by] that the department establishes by rule [made] in
1348     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act[; or].
1349          [(b) order the person to cease and desist from the action that creates a violation.]
1350          (5) The department may not revoke a cannabis production establishment's license
1351     without first [direct] directing the cannabis production establishment to appear before an
1352     adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
1353          (6) If within 20 calendar days after the day on which a department serves a citation for
1354     a violation of this chapter, the person that is the subject of the citation fails to request a hearing
1355     to contest the citation, the citation becomes the department's final order.
1356          (7) The department may, for a person who fails to comply with a citation under this
1357     section:
1358          (a) refuse to issue or renew the person's license or cannabis production establishment
1359     agent registration card; or
1360          (b) suspend, revoke, or place on probation the person's license or cannabis production

1361     establishment registration card.
1362          (8) [If the department makes a final determination under this section that]
1363          (a) Except where a criminal penalty is expressly provided for a specific violation of
1364     this chapter, if an individual [violated]:
1365          (i) violates a provision of this chapter, the individual is:
1366          (A) guilty of an infraction[.]; and
1367          (B) subject to a $100 fine; or
1368          (ii) intentionally or knowingly violates a provision of this chapter or violates this
1369     chapter three or more times, the individual is:
1370          (A) guilty of a class B misdemeanor; and
1371          (B) subject to a $1,000 fine.
1372          (b) An individual who is guilty of a violation described in Subsection (8)(a) is not
1373     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
1374     underlying the violation described in Subsection (8)(a).
1375          (9) Nothing in this section prohibits the department from referring potential criminal
1376     activity to law enforcement.
1377          Section 29. Section 4-41a-802, which is renumbered from Section 4-41b-802 is
1378     renumbered and amended to read:
1379          [4-41b-802].      4-41a-802. Report.
1380          (1) [The] At or before the November interim meeting each year, the department shall
1381     report [annually] to the Health and Human Services Interim Committee on:
1382          (a) the number of applications and renewal applications [received,] that the department
1383     receives under this chapter;
1384          (b) the number of each type of cannabis production facility [licensed] that the
1385     department licenses in each county[,];
1386          (c) the amount of cannabis [grown by] that licensees[,] grow;
1387          (d) the amount of cannabis [manufactured] that licensees manufacture into cannabis
1388     products [by licensees,];
1389          (e) the number of licenses [revoked,] the department revokes under this chapter; and
1390          (f) the expenses incurred and revenues generated [from the medical cannabis program]
1391     under this chapter.

1392          (2) The department may not include personally identifying information in the report
1393     described in this section.
1394          Section 30. Section 7-1-401 is amended to read:
1395          7-1-401. Fees payable to commissioner.
1396          (1) Except for an out-of-state depository institution with a branch in Utah, a depository
1397     institution under the jurisdiction of the department shall pay an annual fee:
1398          (a) computed by averaging the total assets of the depository institution shown on each
1399     quarterly report of condition for the depository institution for the calendar year immediately
1400     preceding the date on which the annual fee is due under Section 7-1-402; and
1401          (b) at the following rates:
1402          (i) on the first $5,000,000 of these assets, the greater of:
1403          (A) 65 cents per $1,000; or
1404          (B) $500;
1405          (ii) on the next $10,000,000 of these assets, 35 cents per $1,000;
1406          (iii) on the next $35,000,000 of these assets, 15 cents per $1,000;
1407          (iv) on the next $50,000,000 of these assets, 12 cents per $1,000;
1408          (v) on the next $200,000,000 of these assets, 10 cents per $1,000;
1409          (vi) on the next $300,000,000 of these assets, 6 cents per $1,000; and
1410          (vii) on all amounts over $600,000,000 of these assets, 2 cents per $1,000.
1411          (2) A financial institution with a trust department shall pay a fee determined in
1412     accordance with Subsection (7) for each examination of the trust department by a state
1413     examiner.
1414          (3) Notwithstanding Subsection (1), a credit union in its first year of operation shall
1415     pay a basic fee of $25 instead of the fee required under Subsection (1).
1416          (4) A trust company that is not a depository institution or a subsidiary of a depository
1417     institution holding company shall pay:
1418          (a) an annual fee of $500; and
1419          (b) an additional fee determined in accordance with Subsection (7) for each
1420     examination by a state examiner.
1421          (5) Any person or institution under the jurisdiction of the department that does not pay
1422     a fee under Subsections (1) through (4) shall pay:

1423          (a) an annual fee of $200; and
1424          (b) an additional fee determined in accordance with Subsection (7) for each
1425     examination by a state examiner.
1426          (6) A person filing an application or request under Section 7-1-503, 7-1-702, 7-1-703,
1427     7-1-704, 7-1-713, 7-5-3, or 7-18a-202[, or 7-26-201] shall pay:
1428          (a) (i) a filing fee of $500 if on the day on which the application or request is filed the
1429     person:
1430          (A) is a person with authority to transact business as[: (I)] a depository institution[;
1431     (II)], a trust company[;], or [(III)] any other person described in Section 7-1-501 as being
1432     subject to the jurisdiction of the department; and
1433          (B) has total assets in an amount less than $5,000,000; or
1434          (ii) a filing fee of $2,500 for any person not described in Subsection (6)(a)(i); and
1435          (b) all reasonable expenses incurred in processing the application.
1436          (7) (a) Per diem assessments for an examination shall be calculated at the rate of $55
1437     per hour:
1438          (i) for each examiner; and
1439          (ii) per hour worked.
1440          (b) For an examination of a branch or office of a financial institution located outside of
1441     this state, in addition to the per diem assessment under this Subsection (7), the institution shall
1442     pay all reasonable travel, lodging, and other expenses incurred by each examiner while
1443     conducting the examination.
1444          (8) In addition to a fee under Subsection (5), a person registering under Section
1445     7-23-201 or 7-24-201 shall pay an original registration fee of $300.
1446          (9) In addition to a fee under Subsection (5), a person applying for licensure under
1447     Chapter 25, Money Transmitter Act, shall pay an original license fee of $300.
1448          Section 31. Section 10-9a-104 is amended to read:
1449          10-9a-104. Stricter requirements.
1450          (1) Except as provided in Subsection (2), a municipality may enact [an ordinance] a
1451     land use regulation imposing stricter requirements or higher standards than are required by this
1452     chapter.
1453          (2) A municipality may not impose [stricter requirements or higher standards than are

1454     required by:]
1455          [(a) Section 4-41b-405;]
1456          [(b) Section 10-9a-305;]
1457          [(c) Section 10-9a-514; and]
1458          [(d) Section 26-60b-506.] a requirement or standard that conflicts with a provisions of
1459     this chapter, other state law, or federal law.
1460          Section 32. Section 17-27a-104 is amended to read:
1461          17-27a-104. Stricter requirements or higher standards.
1462          (1) Except as provided in Subsection (2), a county may enact [an ordinance] a land use
1463     regulation imposing stricter requirements or higher standards than are required by this chapter.
1464          (2) A county may not impose [stricter requirements or higher standards than are
1465     required by:]
1466          [(a) Section 4-41b-405;]
1467          [(b) Section 17-27a-305;]
1468          [(c) Section 17-27a-513; and]
1469          [(d) Section 26-60b-506.] a requirement or standard that conflicts with a provision of
1470     this chapter, other state law, or federal law.
1471          Section 33. Section 26-36d-101 is enacted to read:
1472     
CHAPTER 36d. HOSPITAL PROVIDER ASSESSMENT ACT.

1473     
Part 1. General Provisions.

1474          26-36d-101. Title.
1475          This chapter is known as the "Hospital Provider Assessment Act."
1476          Section 34. Section 26-36d-102 is enacted to read:
1477          26-36d-102. Legislative findings.
1478          (1) The Legislature finds that there is an important state purpose to improve the access
1479     of Medicaid patients to quality care in Utah hospitals because of continuous decreases in state
1480     revenues and increases in enrollment under the Utah Medicaid program.
1481          (2) The Legislature finds that in order to improve this access to those persons described
1482     in Subsection (1):
1483          (a) the rates paid to Utah hospitals shall be adequate to encourage and support
1484     improved access; and

1485          (b) adequate funding shall be provided to increase the rates paid to Utah hospitals
1486     providing services pursuant to the Utah Medicaid program.
1487          Section 35. Section 26-36d-103 is enacted to read:
1488          26-36d-103. Definitions.
1489          As used in this chapter:
1490          (1) "Accountable care organization" means a managed care organization, as defined in
1491     42 C.F.R. Sec. 438, that contracts with the department under the provisions of Section
1492     26-18-405.
1493          (2) "Assessment" means the Medicaid hospital provider assessment established by this
1494     chapter.
1495          (3) "Discharges" means the number of total hospital discharges reported on worksheet
1496     S-3 Part I, column 15, lines 12, 14, and 14.01 of the 2552-96 Medicare Cost Report or on
1497     Worksheet S-3 Part I, column 15, lines 14, 16, and 17 of the 2552-10 Medicare Cost Report for
1498     the applicable assessment year.
1499          (4) "Division" means the Division of Health Care Financing of the department.
1500          (5) "Hospital":
1501          (a) means a privately owned:
1502          (i) general acute hospital operating in the state as defined in Section 26-21-2; and
1503          (ii) specialty hospital operating in the state, which shall include a privately owned
1504     hospital whose inpatient admissions are predominantly:
1505          (A) rehabilitation;
1506          (B) psychiatric;
1507          (C) chemical dependency; or
1508          (D) long-term acute care services; and
1509          (b) does not include:
1510          (i) a human services program, as defined in Section 62A-2-101;
1511          (ii) a hospital owned by the federal government, including the Veterans Administration
1512     Hospital; or
1513          (iii) a hospital that is owned by the state government, a state agency, or a political
1514     subdivision of the state, including:
1515          (A) a state-owned teaching hospital; and

1516          (B) the Utah State Hospital.
1517          (6) "Medicare cost report" means CMS-2552-96 or CMS-2552-10, the cost report for
1518     electronic filing of hospitals.
1519          (7) "State plan amendment" means a change or update to the state Medicaid plan.
1520          Section 36. Section 26-36d-201 is enacted to read:
1521     
Part 2. Application of Chapter.

1522          26-36d-201. Application of chapter.
1523          (1) Other than for the imposition of the assessment described in this chapter, nothing in
1524     this chapter shall affect the nonprofit or tax exempt status of any nonprofit charitable, religious,
1525     or educational health care provider under:
1526          (a) Section 501(c), as amended, of the Internal Revenue Code;
1527          (b) other applicable federal law;
1528          (c) any state law;
1529          (d) any ad valorem property taxes;
1530          (e) any sales or use taxes; or
1531          (f) any other taxes, fees, or assessments, whether imposed or sought to be imposed by
1532     the state or any political subdivision, county, municipality, district, authority, or any agency or
1533     department thereof.
1534          (2) All assessments paid under this chapter may be included as an allowable cost of a
1535     hospital for purposes of any applicable Medicaid reimbursement formula.
1536          (3) This chapter does not authorize a political subdivision of the state to:
1537          (a) license a hospital for revenue;
1538          (b) impose a tax or assessment upon hospitals; or
1539          (c) impose a tax or assessment measured by the income or earnings of a hospital.
1540          Section 37. Section 26-36d-202 is enacted to read:
1541          26-36d-202. Assessment, collection, and payment of hospital provider assessment.
1542          (1) A uniform, broad based, assessment is imposed on each hospital as defined in
1543     Subsection 26-36d-103(5)(a):
1544          (a) in the amount designated in Section 26-36d-203; and
1545          (b) in accordance with Section 26-36d-204.
1546          (2) (a) The assessment imposed by this chapter is due and payable on a quarterly basis

1547     in accordance with Section 26-36d-204.
1548          (b) The collecting agent for this assessment is the department which is vested with the
1549     administration and enforcement of this chapter, including the right to adopt administrative rules
1550     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, necessary to:
1551          (i) implement and enforce the provisions of this act; and
1552          (ii) audit records of a facility:
1553          (A) that is subject to the assessment imposed by this chapter; and
1554          (B) does not file a Medicare cost report.
1555          (c) The department shall forward proceeds from the assessment imposed by this
1556     chapter to the state treasurer for deposit in the expendable special revenue fund as specified in
1557     Section 26-36d-207.
1558          (3) The department may, by rule, extend the time for paying the assessment.
1559          Section 38. Section 26-36d-203 is enacted to read:
1560          26-36d-203. Calculation of assessment.
1561          (1) (a) An annual assessment is payable on a quarterly basis for each hospital in an
1562     amount calculated at a uniform assessment rate for each hospital discharge, in accordance with
1563     this section.
1564          (b) The uniform assessment rate shall be determined using the total number of hospital
1565     discharges for assessed hospitals divided into the total non-federal portion in an amount
1566     consistent with Section 26-36d-205 that is needed to support capitated rates for accountable
1567     care organizations for purposes of hospital services provided to Medicaid enrollees.
1568          (c) Any quarterly changes to the uniform assessment rate shall be applied uniformly to
1569     all assessed hospitals.
1570          (d) The annual uniform assessment rate may not generate more than:
1571          (i) $1,000,000 to offset Medicaid mandatory expenditures; and
1572          (ii) the non-federal share to seed amounts needed to support capitated rates for
1573     accountable care organizations as provided for in Subsection (1)(b).
1574          (2) (a) For each state fiscal year, discharges shall be determined using the data from
1575     each hospital's Medicare Cost Report contained in the Centers for Medicare and Medicaid
1576     Services' Healthcare Cost Report Information System file. The hospital's discharge data will be
1577     derived as follows:

1578          (i) for state fiscal year 2013, the hospital's cost report data for the hospital's fiscal year
1579     ending between July 1, 2009, and June 30, 2010;
1580          (ii) for state fiscal year 2014, the hospital's cost report data for the hospital's fiscal year
1581     ending between July 1, 2010, and June 30, 2011;
1582          (iii) for state fiscal year 2015, the hospital's cost report data for the hospital's fiscal year
1583     ending between July 1, 2011, and June 30, 2012;
1584          (iv) for state fiscal year 2016, the hospital's cost report data for the hospital's fiscal year
1585     ending between July 1, 2012, and June 30, 2013; and
1586          (v) for each subsequent state fiscal year, the hospital's cost report data for the hospital's
1587     fiscal year that ended in the state fiscal year two years prior to the assessment fiscal year.
1588          (b) If a hospital's fiscal year Medicare Cost Report is not contained in the Centers for
1589     Medicare and Medicaid Services' Healthcare Cost Report Information System file:
1590          (i) the hospital shall submit to the division a copy of the hospital's Medicare Cost
1591     Report applicable to the assessment year; and
1592          (ii) the division shall determine the hospital's discharges.
1593          (c) If a hospital is not certified by the Medicare program and is not required to file a
1594     Medicare Cost Report:
1595          (i) the hospital shall submit to the division its applicable fiscal year discharges with
1596     supporting documentation;
1597          (ii) the division shall determine the hospital's discharges from the information
1598     submitted under Subsection (2)(c)(i); and
1599          (iii) the failure to submit discharge information shall result in an audit of the hospital's
1600     records and a penalty equal to 5% of the calculated assessment.
1601          (3) Except as provided in Subsection (4), if a hospital is owned by an organization that
1602     owns more than one hospital in the state:
1603          (a) the assessment for each hospital shall be separately calculated by the department;
1604     and
1605          (b) each separate hospital shall pay the assessment imposed by this chapter.
1606          (4) Notwithstanding the requirement of Subsection (3), if multiple hospitals use the
1607     same Medicaid provider number:
1608          (a) the department shall calculate the assessment in the aggregate for the hospitals

1609     using the same Medicaid provider number; and
1610          (b) the hospitals may pay the assessment in the aggregate.
1611          Section 39. Section 26-36d-204 is enacted to read:
1612          26-36d-204. Quarterly notice -- Collection.
1613          Quarterly assessments imposed by this chapter shall be paid to the division within 15
1614     business days after the original invoice date that appears on the invoice issued by the division.
1615          Section 40. Section 26-36d-205 is enacted to read:
1616          26-36d-205. Medicaid hospital adjustment under accountable care organization
1617     rates.
1618          To preserve and improve access to hospital services, the division shall, for accountable
1619     care organization rates effective on or after April 1, 2013, incorporate an annualized amount
1620     equal to $154,000,000 into the accountable care organization rate structure calculation
1621     consistent with the certified actuarial rate range.
1622          Section 41. Section 26-36d-206 is enacted to read:
1623          26-36d-206. Penalties and interest.
1624          (1) A facility that fails to pay any assessment or file a return as required under this
1625     chapter, within the time required by this chapter, shall pay, in addition to the assessment,
1626     penalties and interest established by the department.
1627          (2) (a) Consistent with Subsection (2)(b), the department shall adopt rules in
1628     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, which establish
1629     reasonable penalties and interest for the violations described in Subsection (1).
1630          (b) If a hospital fails to timely pay the full amount of a quarterly assessment, the
1631     department shall add to the assessment:
1632          (i) a penalty equal to 5% of the quarterly amount not paid on or before the due date;
1633     and
1634          (ii) on the last day of each quarter after the due date until the assessed amount and the
1635     penalty imposed under Subsection (2)(b)(i) are paid in full, an additional 5% penalty on:
1636          (A) any unpaid quarterly assessment; and
1637          (B) any unpaid penalty assessment.
1638          (c) Upon making a record of its actions, and upon reasonable cause shown, the division
1639     may waive, reduce, or compromise any of the penalties imposed under this part.

1640          Section 42. Section 26-36d-207 is enacted to read:
1641          26-36d-207. Hospital Provider Assessment Expendable Revenue Fund.
1642          (1) There is created an expendable special revenue fund known as the "Hospital
1643     Provider Assessment Expendable Revenue Fund."
1644          (2) The fund shall consist of:
1645          (a) the assessments collected by the department under this chapter;
1646          (b) any interest and penalties levied with the administration of this chapter; and
1647          (c) any other funds received as donations for the fund and appropriations from other
1648     sources.
1649          (3) Money in the fund shall be used:
1650          (a) to support capitated rates consistent with Subsection 26-36d-203(1)(d) for
1651     accountable care organizations; and
1652          (b) to reimburse money collected by the division from a hospital through a mistake
1653     made under this chapter.
1654          Section 43. Section 26-36d-208 is enacted to read:
1655          26-36d-208. Repeal of assessment.
1656          (1) The repeal of the assessment imposed by this chapter shall occur upon the
1657     certification by the executive director of the department that the sooner of the following has
1658     occurred:
1659          (a) the effective date of any action by Congress that would disqualify the assessment
1660     imposed by this chapter from counting toward state Medicaid funds available to be used to
1661     determine the federal financial participation;
1662          (b) the effective date of any decision, enactment, or other determination by the
1663     Legislature or by any court, officer, department, or agency of the state, or of the federal
1664     government that has the effect of:
1665          (i) disqualifying the assessment from counting towards state Medicaid funds available
1666     to be used to determine federal financial participation for Medicaid matching funds; or
1667          (ii) creating for any reason a failure of the state to use the assessments for the Medicaid
1668     program as described in this chapter;
1669          (c) the effective date of:
1670          (i) an appropriation for any state fiscal year from the General Fund for hospital

1671     payments under the state Medicaid program that is less than the amount appropriated for state
1672     fiscal year 2012;
1673          (ii) the annual revenues of the state General Fund budget return to the level that was
1674     appropriated for fiscal year 2008;
1675          (iii) a division change in rules that reduces any of the following below July 1, 2011
1676     payments:
1677          (A) aggregate hospital inpatient payments;
1678          (B) adjustment payment rates; or
1679          (C) any cost settlement protocol; or
1680          (iv) a division change in rules that reduces the aggregate outpatient payments below
1681     July 1, 2011 payments; and
1682          (d) the sunset of this chapter in accordance with Section 63I-1-226.
1683          (2) If the assessment is repealed under Subsection (1), money in the fund that was
1684     derived from assessments imposed by this chapter, before the determination made under
1685     Subsection (1), shall be disbursed under Section 26-36d-205 to the extent federal matching is
1686     not reduced due to the impermissibility of the assessments. Any funds remaining in the special
1687     revenue fund shall be refunded to the hospitals in proportion to the amount paid by each
1688     hospital.
1689          Section 44. Section 26-61-202 is amended to read:
1690          26-61-202. Cannabinoid Product Board -- Duties.
1691          (1) The board shall review any available scientific research related to the human use of
1692     cannabis, a cannabinoid product, or an expanded cannabinoid product that:
1693          (a) was conducted under a study approved by an IRB; or
1694          (b) was conducted or approved by the federal government.
1695          (2) Based on the research described in Subsection (1), the board shall evaluate the
1696     safety and efficacy of cannabis, cannabinoid products, and expanded cannabinoid products,
1697     including:
1698          (a) medical conditions that respond to cannabis, cannabinoid products, and expanded
1699     cannabinoid products;
1700          (b) cannabis and cannabinoid dosage amounts and medical dosage forms; [and]
1701          (c) interaction of cannabis, cannabinoid products, and expanded cannabinoid products

1702     with other treatments[.]; and
1703          (d) contraindications, adverse reactions, and potential side effects from use of cannabis,
1704     cannabinoid products, and expanded cannabinoid products.
1705          (3) Based on the board's evaluation under Subsection (2), the board shall develop
1706     guidelines for treatment with cannabis, a cannabinoid product, and an expanded cannabinoid
1707     product that include:
1708          (a) a list of medical conditions, if any, that the board determines are appropriate for
1709     treatment with cannabis, a cannabis product, a cannabinoid product, or an expanded
1710     cannabinoid product[.];
1711          (b) a list of contraindications, side effects, and adverse reactions that are associated
1712     with use of cannabis, cannabinoid products, or expanded cannabinoid products; and
1713          (c) a list of potential drug-drug interactions between medications that the United States
1714     Food and Drug Administration has approved and cannabis, cannabinoid products, and
1715     expanded cannabinoid products.
1716          (4) The board shall submit the guidelines described in Subsection (3) to:
1717          (a) the director of the Division of Occupational and Professional Licensing; and
1718          (b) the Health and Human Services Interim Committee.
1719          (5) The board shall report the board's findings before November 1 of each year to the
1720     Health and Human Services Interim Committee.
1721          (6) Guidelines [developed pursuant to] that the board develops under this section may
1722     not limit the availability of cannabis, cannabinoid products, or expanded cannabinoid products
1723     permitted [pursuant to] under Title 4, Chapter [41b] 41a, Cannabis Production [Establishment]
1724     Establishments, or Title 26, Chapter [60b] 61a, Utah Medical Cannabis Act.
1725          Section 45. Section 26-61a-101, which is renumbered from Section 26-60b-101 is
1726     renumbered and amended to read:
1727     
CHAPTER 61a. UTAH MEDICAL CANNABIS ACT.

1728     
Part 1. General Provisions.

1729          [26-60b-101].      26-61a-101. Title.
1730          This chapter is known as "Utah Medical Cannabis Act."
1731          Section 46. Section 26-61a-102, which is renumbered from Section 26-60b-102 is
1732     renumbered and amended to read:

1733          [26-60b-102].      26-61a-102. Definitions.
1734          As used in this chapter:
1735          (1) "Blister" means a plastic cavity or pocket used to contain no more than a single
1736     dose of cannabis or a cannabis product in a blister pack.
1737          (2) "Blister pack" means a plastic, paper, or foil package with multiple blisters each
1738     containing no more than a single dose of cannabis or a cannabis product.
1739          [(1)] (3) "Cannabis" means [the same as that term is defined in Section 58-37-3.9]
1740     marijuana.
1741          [(2)] (4) "Cannabis cultivation facility" means the same as that term is defined in
1742     Section [4-41b-102] 4-41a-102.
1743          [(3) "Cannabis dispensary" means a person that:]
1744          [(a) acquires or intends to acquire cannabis or a cannabis product from a cannabis
1745     production establishment and acquires or intends to acquire a medical cannabis device;]
1746          [(b) possesses cannabis, a cannabis product, or a medical cannabis device; and]
1747          [(c) sells or intends to sell cannabis, a cannabis product, or a medical cannabis device.]
1748          [(4) "Cannabis dispensary agent" means an owner, officer, director, board member,
1749     employee, or volunteer of a cannabis dispensary.]
1750          [(5) "Cannabis dispensary agent registration card" means a registration card issued by
1751     the department that authorizes an individual to act as a cannabis dispensary agent.]
1752          [(6)] (5) "Cannabis processing facility" means the same as that term is defined in
1753     Section [4-41b-102] 4-41a-102.
1754          [(7)] (6) "Cannabis product" means [the same as that term is defined in Section
1755     58-37-3.9.] a product that:
1756          (a) is intended for human use; and
1757          (b) contains cannabis or tetrahydrocannabinol.
1758          [(8)] (7) "Cannabis production establishment agent" means the same as that term is
1759     defined in Section [4-41b-102] 4-41a-102.
1760          [(9)] (8) "Cannabis production establishment agent registration card" means the same
1761     as that term is defined in Section [4-41b-102] 4-41a-102.
1762          [(10) "Community location" means a public or private school, a church, a public
1763     library, a public playground, or a public park.]

1764          (9) "Department" means the Department of Health.
1765          [(11)] (10) "Designated caregiver" means an individual:
1766          (a) whom [a patient] an individual with a medical cannabis patient card or a medical
1767     cannabis guardian card designates as the patient's caregiver; and
1768          (b) who registers with the department under Section [26-60b-202] 26-61a-202.
1769          (11) "Dosing parameters" means quantity, routes, and frequency of administration for a
1770     recommended treatment of cannabis in a medicinal dosage form or a cannabis product in a
1771     medicinal dosage form.
1772          (12) "Independent cannabis testing laboratory" means the same as that term is defined
1773     in Section [4-41b-102] 4-41a-102.
1774          (13) "Inventory control system" means the system described in Section [4-41b-103]
1775     4-41a-103.
1776          (14) "Local health department" means the same as that term is defined in Section
1777     26A-1-102.
1778          (15) "Local health department distribution agent" means an agent designated and
1779     registered to distribute state central fill shipments under Sections 26-61a-606 and 26-61a-607.
1780          (16) "Marijuana" means the same as that term is defined in Section 58-37-2.
1781          (17) "Medical cannabis" means cannabis in a medicinal dosage form or a cannabis
1782     product in a medicinal dosage form.
1783          [(14)] (18) "Medical cannabis card" means a medical cannabis patient card, a medical
1784     cannabis guardian card, or a medical cannabis caregiver card.
1785          (19) "Medical cannabis cardholder" means a holder of a medical cannabis card.
1786          (20) "Medical cannabis caregiver card" means an official card [issued by] that:
1787          (a) the department issues to an individual [with a qualifying illness, or the individual's]
1788     whom a medical cannabis patient cardholder or a medical cannabis guardian cardholder
1789     designates as a designated caregiver [under this chapter, that]; and
1790          (b) is connected to the electronic verification system.
1791          [(15)] (21) (a) "Medical cannabis device" means [the same as that term is defined in
1792     Section 58-37-3.9.] a device that an individual uses to ingest cannabis in a medicinal dosage
1793     form or a cannabis product in a medicinal dosage form.
1794          (b) "Medical cannabis device" does not include a device that:

1795          (i) facilitates cannabis combustion; or
1796          (ii) an individual uses to ingest substances other than cannabis.
1797          (22) "Medical cannabis guardian card" means an official card that:
1798          (a) the department issues to the parent or legal guardian of a minor with a qualifying
1799     condition; and
1800          (b) is connected to the electronic verification system.
1801          (23) "Medical cannabis patient card" means an official card that:
1802          (a) the department issues to an individual with a qualifying condition; and
1803          (b) is connected to the electronic verification system.
1804          (24) "Medical cannabis pharmacy" means a person that:
1805          (a) (i) acquires or intends to acquire:
1806          (A) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
1807     form from a cannabis processing facility; or
1808          (B) a medical cannabis device; or
1809          (ii) possesses cannabis in a medicinal dosage form, a cannabis product in a medicinal
1810     dosage form, or a medical cannabis device; and
1811          (b) sells or intends to sell cannabis in a medicinal dosage form, a cannabis product in a
1812     medicinal dosage form, or a medical cannabis device to a medical cannabis cardholder.
1813          (25) "Medical cannabis pharmacy agent" means an individual who:
1814          (a) is an employee of a medical cannabis pharmacy; and
1815          (b) who holds a valid medical cannabis pharmacy agent registration card.
1816          (26) "Medical cannabis pharmacy agent registration card" means a registration card
1817     issued by the department that authorizes an individual to act as a medical cannabis pharmacy
1818     agent.
1819          (27) "Medical cannabis treatment" means cannabis in a medicinal dosage form, a
1820     cannabis product in a medicinal dosage form, or a medical cannabis device.
1821          [(16) "Medical Cannabis Restricted Account" means the account created in Section
1822     26-60b-109.]
1823          (28) (a) "Medicinal dosage form" means:
1824          (i) for processed medical cannabis or a medical cannabis product, the following in
1825     single dosage form with a specific and consistent cannabinoid content:

1826          (A) a tablet;
1827          (B) a capsule;
1828          (C) a concentrated oil;
1829          (D) a liquid suspension;
1830          (E) a topical preparation;
1831          (F) a transdermal preparation;
1832          (G) a sublingual preparation;
1833          (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or
1834     rectangular cuboid shape; or
1835          (I) for use only after the individual's qualifying condition has failed to substantially
1836     respond to at least two other forms described in this Subsection (28)(a)(i), a resin or wax;
1837          (ii) for unprocessed cannabis flower, a blister pack, with each individual blister:
1838          (A) containing a specific and consistent weight that does not exceed one gram and that
1839     varies by no more than 10% from the stated weight; and
1840          (B) labeled with a barcode that provides information connected to an inventory control
1841     system and the individual blister's content and weight; and
1842          (iii) a form measured in grams, milligrams, or milliliters.
1843          (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that:
1844          (i) the medical cannabis cardholder has recently removed from the blister pack
1845     described in Subsection (28)(a)(ii) for use; and
1846          (ii) does not exceed the quantity described in Subsection (28)(a)(ii).
1847          (c) "Medicinal dosage form" does not include:
1848          (i) any unprocessed cannabis flower outside of the blister pack, except as provided in
1849     Subsection (28)(b); or
1850          (ii) a process of vaporizing and inhaling concentrated cannabis by placing the cannabis
1851     on a nail or other metal object that is heated by a flame, including a blowtorch.
1852          (29) "Pharmacy medical provider" means the medical provider required to be on site at
1853     a medical cannabis pharmacy under Section 26-61a-403.
1854          (30) "Provisional patient card" means a card that:
1855          (a) the department issues to a minor with a qualifying condition for whom:
1856          (i) a qualified medical provider has recommended a medical cannabis treatment; and

1857          (ii) the department issues a medical cannabis guardian card to the minor's parent or
1858     legal guardian; and
1859          (b) is connected to the electronic verification system.
1860          [(17)] (31) ["Physician"] "Qualified medical provider" means an individual who is
1861     qualified to recommend treatment with cannabis in a medicinal dosage form under Section
1862     [26-60b-107] 26-61a-106.
1863          (32) "Qualified Distribution Enterprise Account" means the enterprise account created
1864     in Section 26-61a-110.
1865          (33) "Qualified Patient Enterprise Account" means the enterprise account created in
1866     Section 26-61a-109.
1867          [(18)] (34) "Qualifying [illness] condition" means a condition described in Section
1868     [26-60b-105] 26-61a-104.
1869          (35) "State central fill agent" means an employee of the state central fill medical
1870     cannabis pharmacy that the department registers in accordance with Section 26-61a-602.
1871          (36) "State central fill medical cannabis pharmacy" means the central fill pharmacy that
1872     the department creates in accordance with Section 26-61a-601.
1873          (37) "State central fill medical provider" means a physician or pharmacist that the state
1874     central fill medical cannabis pharmacy employs to consult with medical cannabis cardholders
1875     in accordance with Section 26-61a-601.
1876          (38) "State central fill shipment" means a shipment of cannabis in a medicinal dosage
1877     form, cannabis product in a medicinal dosage form, or a medical cannabis device that the state
1878     central fill medical cannabis pharmacy prepares and ships for distribution to a medical cannabis
1879     cardholder in a local health department.
1880          [(19)] (39) "State electronic verification system" means the system described in Section
1881     [26-60b-103] 26-61a-103.
1882          Section 47. Section 26-61a-103, which is renumbered from Section 26-60b-103 is
1883     renumbered and amended to read:
1884          [26-60b-103].      26-61a-103. Electronic verification system.
1885          (1) The Department of Agriculture and Food, the [Department of Health] department,
1886     the Department of Public Safety, and the Department of Technology Services shall:
1887          (a) enter into a memorandum of understanding in order to determine the function and

1888     operation of [an] the state electronic verification system in accordance with Subsection (2);
1889          (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah
1890     Procurement Code, to develop a request for proposals for a third-party provider to develop and
1891     maintain [an] the state electronic verification system in coordination with the Department of
1892     Technology Services; and
1893          (c) select a third-party provider [described in] who meets the requirements contained in
1894     the request for proposals issued under Subsection (1)(b).
1895          (2) The Department of Agriculture and Food, the department, the Department of Public
1896     Safety, and the Department of Technology Services shall ensure that, on or before March 1,
1897     2020, the state electronic verification system described in Subsection (1) [shall]:
1898          (a) [allow] allows an individual, with the individual's [physician] qualified medical
1899     provider in the [physician's] qualified medical provider's office, to apply for a medical cannabis
1900     patient card or, if applicable, a medical cannabis guardian card;
1901          (b) allows an individual to apply to renew a medical cannabis patient card or a medical
1902     cannabis guardian card in accordance with Section 26-61a-201;
1903          (c) allows a qualified medical provider to:
1904          (i) access dispensing and card status information regarding a patient:
1905          (A) with whom the qualified medical provider has a provider-patient relationship; and
1906          (B) for whom the qualified medical provider has recommended or is considering
1907     recommending a medical cannabis card;
1908          [(b)] (ii) [allow a physician to] electronically recommend, during a visit with a patient,
1909     treatment with cannabis in a medicinal dosage form or a cannabis product in a medicinal
1910     dosage form and optionally recommend dosing parameters;
1911          (iii) electronically renew a recommendation to a medical cannabis patient cardholder or
1912     medical cannabis guardian cardholder:
1913          (A) for the qualified medical provider who originally recommended a medical cannabis
1914     treatment, as that term is defined in Section 26-61a-102, using telehealth services; or
1915          (B) for a qualified medical provider who did not originally recommend the medical
1916     cannabis treatment, during a face-to-face visit with a patient; and
1917          (iv) at the request of a medical cannabis cardholder, initiate a state central fill shipment
1918     in accordance with Section 26-61a-603;

1919          [(c)] (d) [connect] connects with:
1920          (i) an inventory control system [used by a cannabis dispensary] that a medical cannabis
1921     pharmacy and the state central fill medical cannabis pharmacy use to track[,] in real time[,] and
1922     [to] archive [for no more than 60 days, purchase history] purchases of any cannabis [or a] in a
1923     medicinal dosage form, cannabis product [by a] in a medicinal dosage form, or medical
1924     cannabis [card holder] device, including:
1925          (A) the time and date of [the] each purchase[,];
1926          (B) the quantity and type of cannabis [or], cannabis product, or medical cannabis
1927     device purchased[, and];
1928          (C) any cannabis production establishment [and cannabis dispensary], any medical
1929     cannabis pharmacy, or the state central fill medical cannabis pharmacy associated with the
1930     cannabis [or], cannabis product[;], or medical cannabis device; and
1931          (D) the personally identifiable information of the medical cannabis cardholder who
1932     made the purchase; and
1933          (ii) any commercially available inventory control system that a cannabis production
1934     establishment utilizes in accordance with Section 4-41a-103 to use data that the Department of
1935     Agriculture and Food requires by rule, in accordance with Title 63G, Chapter 3, Utah
1936     Administrative Rulemaking Act, from the inventory tracking system that a licensee uses to
1937     track and confirm compliance;
1938          [(d)] (e) [provide] provides access to:
1939          (i) the [Department of Health and the Department of Agriculture and Food] department
1940     to the extent necessary to carry out the [Department of Health's and the Department of
1941     Agriculture and Food's] department's functions and responsibilities under this chapter [and];
1942          (ii) the Department of Agriculture and Food to the extent necessary to carry out the
1943     functions and responsibilities of the Department of Agriculture and Food under Title 4, Chapter
1944     [41b] 41a, Cannabis Production [Establishment;] Establishments; and
1945          (iii) the Division of Occupational and Professional Licensing to the extent necessary to
1946     carry functions and responsibilities related to the participation of the following in the
1947     recommendation and dispensing of medical cannabis:
1948          (A) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
1949          (B) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse

1950     Practice Act;
1951          (C) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
1952     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
1953          (D) a physician assistant licensed under Title 58, Chapter 70a, Physician Assistant Act;
1954          (f) provides access to and interaction with the state central fill medical cannabis
1955     pharmacy, state central fill agents, and local health department distribution agents, to facilitate
1956     the state central fill shipment process;
1957          [(e)] (g) [provide] provides access to state or local law enforcement:
1958          (i) during a traffic stop for the purpose of determining if the individual subject to the
1959     traffic stop is [complying] in compliance with state medical cannabis law[,]; or
1960          (ii) after obtaining a warrant; and
1961          [(f)] (h) [create] creates a record each time a person accesses the database that
1962     identifies the person who [accessed] accesses the database and the individual whose records
1963     [are accessed; and] the person accesses.
1964          [(g) (9) be operational no later than March 1, 2020.]
1965          (3) The [Department of Health] department may release de-identified data [collected
1966     by] that the system collects for the purpose of:
1967          (a) conducting medical research; and [for]
1968          (b) providing the report required by Section [26-60b-602] 26-61a-703.
1969          (4) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
1970     Administrative Rulemaking Act, to establish:
1971          (a) the limitations on access to the data in the state electronic verification system as
1972     described in this section; and
1973          (b) standards and procedures to ensure accurate identification of an individual
1974     requesting information or receiving information in this section.
1975          (5) (a) Any person who knowingly and intentionally releases any information in the
1976     state electronic verification system in violation of this section is guilty of a third degree felony.
1977          (b) Any person who negligently or recklessly releases any information in the state
1978     electronic verification system in violation of this section is guilty of a class C misdemeanor.
1979          (6) (a) Any person who obtains or attempts to obtain information from the state
1980     electronic verification system by misrepresentation or fraud is guilty of a third degree felony.

1981          (b) Any person who obtains or attempts to obtain information from the state electronic
1982     verification system for a purpose other than a purpose this chapter authorizes is guilty of a third
1983     degree felony.
1984          (7) (a) Except as provided in Subsection (7)(e), a person may not knowingly and
1985     intentionally use, release, publish, or otherwise make available to any other person information
1986     obtained from the state electronic verification system for any purpose other than a purpose
1987     specified in this section.
1988          (b) Each separate violation of this Subsection (7) is:
1989          (i) a third degree felony; and
1990          (ii) subject to a civil penalty not to exceed $5,000.
1991          (c) The department shall determine a civil violation of this Subsection (7) in
1992     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
1993          (d) Civil penalties assessed under this Subsection (7) shall be deposited into the
1994     General Fund.
1995          (e) This Subsection (7) does not prohibit a person who obtains information from the
1996     state electronic verification system under Subsection (2)(a), (c), or (f) from:
1997          (i) including the information in the person's medical chart or file for access by a person
1998     authorized to review the medical chart or file;
1999          (ii) providing the information to a person in accordance with the requirements of the
2000     Health Insurance Portability and Accountability Act of 1996; or
2001          (iii) discussing or sharing that information on the patient with the patient.
2002          Section 48. Section 26-61a-104, which is renumbered from Section 26-60b-105 is
2003     renumbered and amended to read:
2004          [26-60b-105].      26-61a-104. Qualifying condition.
2005          (1) By designating a particular condition under Subsection (2) for which the use of
2006     medical cannabis to treat symptoms is decriminalized, the Legislature does not conclusively
2007     state that:
2008          (a) current scientific evidence clearly supports the efficacy of a medical cannabis
2009     treatment for the condition; or
2010          (b) a medical cannabis treatment will treat, cure, or positively affect the condition.
2011          [(1)] (2) For the purposes of this chapter, each of the following conditions [are

2012     considered] is a qualifying [illness] condition:
2013          (a) HIV[,] or acquired immune deficiency syndrome [or an autoimmune disorder];
2014          (b) Alzheimer's disease;
2015          (c) amyotrophic lateral sclerosis;
2016          (d) cancer[,];
2017          (e) cachexia[, or a condition manifest by physical wasting,];
2018          (f) persistent nausea[, or malnutrition associated with chronic disease] that is not
2019     significantly responsive to traditional treatment, except for nausea related to:
2020          (i) pregnancy;
2021          (ii) cannabis-induced cyclical vomiting syndrome; or
2022          (iii) cannabinoid hyperemesis syndrome;
2023          [(e)] (g) Crohn's disease[,] or ulcerative colitis[, or a similar gastrointestinal disorder];
2024          [(f)] (h) epilepsy or [a similar condition that causes] debilitating seizures;
2025          [(g)] (i) multiple sclerosis or [a similar condition that causes] persistent and
2026     debilitating muscle spasms;
2027          [(h)] (j) post-traumatic stress disorder[;] that:
2028          (i) has been diagnosed by a healthcare provider or mental health provider employed or
2029     contracted by the United States Veterans Administration, evidenced by copies of medical
2030     records from the Veterans Administration that are included as part of the qualified medical
2031     provider's pre-treatment assessment and medical record documentation; or
2032          (ii) has been diagnosed or confirmed, through face-to-face or telehealth evaluation of
2033     the patient, by a psychiatrist, psychologist, or clinical social worker who:
2034          (A) is licensed;
2035          (B) is board-eligible or board-certified; and
2036          (C) has a doctorate-level degree;
2037          [(i)] (k) autism;
2038          (l) a terminal illness when the patient's remaining life expectancy is less than six
2039     months;
2040          (m) a condition resulting in the individual receiving hospice care;
2041          [(j)] (n) a rare condition or disease that:
2042          (i) affects less than 200,000 [persons] individuals in the United States, as defined in

2043     Section 526 of the Federal Food, Drug, and Cosmetic Act; and
2044          (ii) is not adequately managed despite treatment attempts using:
2045          (A) conventional medications other than opioids or opiates; or
2046          (B) physical interventions;
2047          [(k)] (o) [chronic or debilitating] pain [in an individual, if] lasting longer than two
2048     weeks that is not adequately managed, in the qualified medical provider's opinion, despite
2049     treatment attempts using:
2050          (i) [a physician determines that the individual is at risk of becoming chemically
2051     dependent on, or overdosing on, opiate-based pain medication] conventional medications other
2052     than opioids or opiates; or
2053          (ii) [a physician determines that the individual is allergic to opiates or is otherwise
2054     medically unable to use opiates.] physical interventions; and
2055          [(2)] (p) [In addition to the conditions described in Subsection (1),] a condition
2056     [approved] that the compassionate use board approves under Section [26-60b-106, in]
2057     26-61a-105, on an individual, [on a] case-by-case basis[, is considered a qualifying illness for
2058     the purposes of this chapter].
2059          Section 49. Section 26-61a-105, which is renumbered from Section 26-60b-106 is
2060     renumbered and amended to read:
2061          [26-60b-106].      26-61a-105. Compassionate use board.
2062          (1) (a) The department shall establish a [Compassionate Use Board] compassionate use
2063     board consisting of:
2064          [(a)] (i) [five physicians] seven qualified medical providers that the executive director
2065     appoints:
2066          (A) who are knowledgeable about the medicinal use of cannabis [and];
2067          (B) who are physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act,
2068     or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
2069          (C) whom [certified by] the appropriate board certifies in [one of] the [following
2070     specialties:] specialty of neurology, pain medicine and pain management, medical oncology,
2071     psychiatry, infectious disease, internal medicine, pediatrics, [and] or gastroenterology; and
2072          [(b)] (ii) as a nonvoting member and the chair of the board, the executive director [of
2073     the Department of Health] or the director's designee [as a non-voting member].

2074          (b) In appointing the seven qualified medical providers described in Subsection (1)(a),
2075     the executive director shall ensure that at least two have a board certification in pediatrics.
2076          (2) (a) [Two of] Of the members of the board that the executive director first
2077     [appointed] appoints:
2078          (i) three shall serve [for a] an initial term of [three] two years; and [two of]
2079          (ii) the remaining members [of the board first appointed] shall serve [for a] an initial
2080     term of four years.
2081          (b) After [the first members' terms expire, members of the board shall serve for a] an
2082     initial term [of] described in Subsection (2)(a) expires:
2083          (i) each term is four years; and [shall be]
2084          (ii) each board member is eligible for reappointment.
2085          (c) [Any] A member of the board may serve until a successor is appointed.
2086          [(d) The director of the Department of Health or the director's designee shall serve as
2087     the chair of the board.]
2088          (3) [A] Four members constitute a quorum of the [Compassionate Use Board shall
2089     consist of three members] compassionate use board.
2090          (4) A member of the board may [not] receive:
2091          (a) compensation or benefits for the member's service[, but may receive]; and
2092          (b) per diem and travel expenses in accordance with Section 63A-3-106, Section
2093     63A-3-107, and rules made by the Division of Finance pursuant to Sections 63A-3-106 and
2094     63A-3-107.
2095          (5) The [Compassionate Use Board] compassionate use board shall:
2096          (a) review and recommend [to the] for department approval [for] an individual
2097     described in Subsection 26-61a-201(2)(a), a minor described in Subsection 26-61a-201(2)(c),
2098     or an individual who is not otherwise qualified to receive a medical cannabis card to obtain a
2099     medical cannabis card for compassionate use if:
2100          (i) for an individual who is not otherwise qualified to receive a medical cannabis card,
2101     the individual's qualified medical provider is actively treating the individual [offers, in the
2102     board's discretion, satisfactory evidence that the individual suffers from a] for an intractable
2103     condition that:
2104          (A) substantially impairs the individual's quality of life [and is intractable]; and

2105          (B) has not, in the qualified medical provider's professional opinion, adequately
2106     responded to conventional treatments;
2107          (ii) the qualified medical provider:
2108          (A) recommends that the individual or minor be allowed to use medical cannabis; and
2109          (B) provides a letter, relevant treatment history, and notes or copies of progress notes
2110     describing relevant treatment history including rationale for considering the use of medical
2111     cannabis; and
2112          [(ii)] (iii) the board determines that:
2113          (A) the recommendation of the individual's qualified medical provider is justified; and
2114          (B) based on available information, it [is] may be in the best [interest] interests of the
2115     [patient] individual to allow the[ compassionate] use of medical cannabis;
2116          (b) unless no petitions are pending:
2117          (i) meet to receive or review compassionate use petitions at least quarterly[, unless no
2118     petitions are pending, or]; and
2119          (ii) [as often as necessary] if there are more petitions than the board can receive or
2120     review during the board's regular schedule, as often as necessary;
2121          (c) complete a review of each petition and recommend to the department approval or
2122     denial of the applicant for qualification for a medical cannabis card within 90 days [of receipt]
2123     after the day on which the board received the petition; and
2124          (d) report, before November 1 of each year, to the Health and Human Services Interim
2125     Committee[,]:
2126          (i) the number of compassionate use [approvals] recommendations the board issued
2127     during the past year; and
2128          (ii) the types of conditions for which the board approved compassionate use.
2129          (6) (a) (i) The department shall review any compassionate use [approved by] for which
2130     the board recommends approval under [this section] Subsection (5)(c) to determine [if]
2131     whether the board properly exercised the board's discretion under this section.
2132          [(7)] (ii) If the department determines that the board properly [approved an individual
2133     for compassionate use under this section] exercised the board's discretion in recommending
2134     approval under Subsection (5)(c), the department shall:
2135          (A) issue [a] the relevant medical cannabis card[.]; and

2136          (B) provide for the renewal of the medical cannabis card in accordance with the
2137     recommendation of the qualified medical provider described in Subsection (5)(a).
2138          (b) (i) If the board recommends denial under Subsection (5)(c), the individual seeking
2139     to obtain a medical cannabis card may petition the department to review the board's decision.
2140          (ii) If the department determines that the board's recommendation for denial under
2141     Subsection (5)(c) was arbitrary or capricious:
2142          (A) the department shall notify the board of the department's determination; and
2143          (B) the board shall reconsider the board's refusal to recommend approval under this
2144     section.
2145          (c) In reviewing the board's recommendation for approval or denial under Subsection
2146     (5)(c) in accordance with this Subsection (6), the department shall presume the board properly
2147     exercised the board's discretion unless the department determines that the board's
2148     recommendation was arbitrary or capricious.
2149          [(8)] (7) Any individually identifiable health information contained in a petition
2150     [received] that the board or department receives under this section [shall be] is a protected
2151     record in accordance with Title 63G, Chapter 2, Government Records Access and Management
2152     Act.
2153          [(9)] (8) The [Compassionate Use Board may recommend] compassionate use board
2154     shall annually report the board's activity to the [Health and Human Services Interim
2155     Committee:]
2156          [(a) a condition to designate as a qualifying illness under Section 26-60b-105; or]
2157          [(b) a condition to remove as a qualifying illness under Section 26-60b-105]
2158     Cannabinoid Product Board created in Section 26-61-201.
2159          Section 50. Section 26-61a-106, which is renumbered from Section 26-60b-107 is
2160     renumbered and amended to read:
2161          [26-60b-107].      26-61a-106. Qualified medical provider registration --
2162     Continuing education -- Treatment recommendation.
2163          (1) [For the purposes of this chapter, a physician means an] An individual[, other than
2164     a veterinarian, who] may not recommend a medical cannabis treatment unless the department
2165     registers the individual as a qualified medical provider in accordance with this section.
2166          (2) (a) The department shall, within 15 days after the day on which the department

2167     receives an application from an individual, register and issue a qualified medical provider
2168     registration card to the individual if the individual:
2169          (i) provides to the department the individual's name and address;
2170          (ii) provides to the department a report detailing the individual's completion of the
2171     applicable continuing education requirement described in Subsection (3);
2172          (iii) provides to the department evidence that the individual:
2173          (A) has the authority to write a prescription;
2174          (B) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
2175     Controlled Substances Act; and [who]
2176          (C) possesses the authority, in accordance with the individual's scope of practice, to
2177     prescribe a Schedule II controlled [substances.] substance;
2178          (iv) provides to the department evidence that the individual is:
2179          (A) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
2180     Practice Act;
2181          (B) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
2182     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
2183          (C) a physician assistant licensed under Title 58, Chapter 70a, Physician Assistant Act,
2184     whose declaration of services agreement, as that term is defined in Section 58-70a-102,
2185     includes the recommending of medical cannabis, and whose supervising physician is a
2186     qualified medical provider; and
2187          (v) pays the department a fee in an amount that:
2188          (A) the department sets, in accordance with section 63J-1-504; and
2189          (B) does not exceed $300 for an initial registration.
2190          (b) The department may not register an individual as a qualified medical provider if the
2191     individual is:
2192          (i) a pharmacy medical provider or a state central fill medical provider; or
2193          (ii) an owner, officer, director, board member, employee, or agent of a cannabis
2194     cultivation facility or a medical cannabis pharmacy.
2195          (3) (a) An individual shall complete the continuing education described in this
2196     Subsection (3) in the following amounts:
2197          (i) for an individual as a condition precedent to registration, four hours; and

2198          (ii) for a qualified medical provider as a condition precedent to renewal, four hours
2199     every two years.
2200          (b) In accordance with Subsection (3)(a), a qualified medical provider shall:
2201          (i) complete continuing education:
2202          (A) regarding the topics described in Subsection (3)(d); and
2203          (B) offered by the department under Subsection (3)(c) or an accredited or approved
2204     continuing education provider that the department recognizes as offering continuing education
2205     appropriate for the recommendation of cannabis to patients; and
2206          (ii) make a continuing education report to the department in accordance with a process
2207     that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
2208     Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
2209     Professional Licensing and:
2210          (A) for an advanced practice registered nurse licensed under Title 58, Chapter 31b,
2211     Nurse Practice Act, the Board of Nursing;
2212          (B) for a qualified medical provider licensed under Title 58, Chapter 67, Utah Medical
2213     Practice Act, the Physicians Licensing Board;
2214          (C) for a qualified medical provider licensed under Title 58, Chapter 68, Utah
2215     Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board;
2216     and
2217          (D) for a physician assistant licensed under Title 58, Chapter 70a, Physician Assistant
2218     Act, the Physician Assistant Licensing Board.
2219          (c) The department may, in consultation with the Division of Occupational and
2220     Professional Licensing, develop the continuing education described in this Subsection (3).
2221          (d) The continuing education described in this Subsection (3) may discuss:
2222          (i) the provisions of this chapter;
2223          (ii) general information about medical cannabis under federal and state law;
2224          (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
2225     including risks and benefits;
2226          (iv) recommendations for medical cannabis as it relates to the continuing care of a
2227     patient in pain management, risk management, potential addiction, or palliative care; and
2228          (v) best practices for recommending the form and dosage of medical cannabis products

2229     based on the qualifying condition underlying a medical cannabis recommendation.
2230          [(2) A physician may recommend cannabis if the physician recommends cannabis to no
2231     more than 20% of the physician's patients at any given time.]
2232          (4) (a) Except as provided in Subsection (4)(b) or (c), a qualified medical provider may
2233     not recommend a medical cannabis treatment to more than 175 of the qualified medical
2234     provider's patients at the same time, as determined by the number of medical cannabis cards
2235     under the qualified medical provider's name in the state electronic verification system.
2236          [(3)] (b) Except as provided in Subsection (4)(c), [A physician] a qualified medical
2237     provider may recommend a medical cannabis treatment to [greater than 20% of the physician's
2238     patients] up to 300 of the qualified medical provider's patients at any given time, as determined
2239     by the number of medical cannabis cards under the qualified medical provider's name in the
2240     state electronic verification system, if:
2241          (i) the [physician is certified, by the] appropriate American medical board[, in one of
2242     the following specialties:] has certified the qualified medical provider in the specialty of
2243     anesthesiology, gastroenterology, neurology, oncology, pain, hospice and palliative [care,
2244     physiatry] medicine, physical medicine and rehabilitation, rheumatology, or psychiatry[.]; or
2245          (ii) a licensed business employs or contracts the qualified medical provider for the
2246     specific purpose of providing hospice and palliative care.
2247          (c) (i) Notwithstanding Subsection (4)(b), a qualified medical provider described in
2248     Subsection (4)(b) may petition the Division of Occupational and Professional Licensing for
2249     authorization to exceed the limit described in Subsection (4)(b) by graduating increments of
2250     100 patients per authorization, not to exceed three authorizations.
2251          (ii) The Division of Occupational and Professional Licensing shall grant the
2252     authorization described in Subsection (4)(c)(i) if:
2253          (A) the petitioning qualified medical provider pays a $100 fee;
2254          (B) the division performs a review that includes the qualified medical provider's
2255     medical cannabis recommendation activity in the state electronic verification system, relevant
2256     information related to patient demand, and any patient medical records that the division
2257     determines would assist in the division's review; and
2258          (C) after the review described in this Subsection (4)(c)(ii), the division determines that
2259     granting the authorization would not adversely affect public safety, adversely concentrate the

2260     overall patient population among too few qualified medical providers, or adversely concentrate
2261     the use of medical cannabis among the provider's patients.
2262          [(4)] (5) A [physician] qualified medical provider may recommend medical cannabis to
2263     an individual under this chapter only in the course of a [physician-patient] qualified medical
2264     provider-patient relationship after the [physician] qualifying medical provider has completed
2265     and documented in the patient's medical record a [full] thorough assessment of the patient's
2266     condition and medical history based on the appropriate standard of care for the patient's
2267     condition.
2268          [(5)] (6) (a) Except as provided in Subsection [(5)(b)] (6)(b), a [physician eligible to
2269     recommend cannabis or a cannabis product under this section] qualified medical provider may
2270     not advertise that the [physician] qualified medical provider recommends medical cannabis [or
2271     a cannabis product] treatment.
2272          (b) [A physician may advertise via] For purposes of Subsection (6)(a), the
2273     communication of the following, through a website [that displays only] does not constitute
2274     advertising:
2275          (i) a green cross;
2276          [(ii) the location and hours of operation of the physician's office;]
2277          [(iii)] (ii) a qualifying [illness] condition that the [physician] qualified medical provider
2278     treats; [and] or
2279          [(iv)] (iii) a scientific study [regarding] medical cannabis use.
2280          (7) (a) A qualified medical provider registration card expires two years after the day on
2281     which the department issues the card.
2282          (b) The department shall renew a qualified medical provider's registration card if the
2283     provider:
2284          (i) applies for renewal;
2285          (ii) is eligible for a qualified medical provider registration card under this section,
2286     including maintaining an unrestricted license as described in Subsection (2)(a)(iii);
2287          (iii) certifies to the department in a renewal application that the information in
2288     Subsection (2)(a) is accurate or updates the information;
2289          (iv) submits a report detailing the completion of the continuing education requirement
2290     described in Subsection (3); and

2291          (v) pays the department a fee in an amount that:
2292          (A) the department sets, in accordance with section 63J-1-504; and
2293          (B) does not exceed $50 for a registration renewal.
2294          (8) The department may revoke the registration of a qualified medical provider who
2295     fails to maintain compliance with the requirements of this section.
2296          (9) A qualified medical provider may not receive any compensation or benefit for the
2297     qualified medical provider's medical cannabis treatment recommendation from:
2298          (a) a cannabis production establishment or an owner, officer, director, board member,
2299     employee, or agent of a cannabis production establishment;
2300          (b) a medical cannabis pharmacy or an owner, officer, director, board member,
2301     employee, or agent of a medical cannabis pharmacy; or
2302          (c) a qualified medical provider or pharmacy medical provider.
2303          Section 51. Section 26-61a-107, which is renumbered from Section 26-60b-108 is
2304     renumbered and amended to read:
2305          [26-60b-108].      26-61a-107. Standard of care -- Physicians and pharmacists
2306     not liable -- No private right of action.
2307          [A physician who recommends treatment with cannabis or a cannabis product to an
2308     individual in accordance with this chapter may not, based on the recommendation, be subject
2309     to]
2310          (1) An individual described in Subsection (2) is not subject to the following solely for
2311     violating a federal law or regulation that would otherwise prohibit recommending, prescribing,
2312     or dispensing medical cannabis, a medical cannabis product, or a cannabis-based drug that the
2313     United States Food and Drug Administration has not approved:
2314          (a) civil [liability,] or criminal liability[,]: or
2315          (b) licensure sanctions under Title 58, Chapter 17b, Pharmacy Practice Act, Title 58,
2316     Chapter 31b, Nurse Practice Act, Title 58, Chapter 67, Utah Medical Practice Act [or], Title
2317     58, Chapter 68, Utah Osteopathic Medical Practice Act, or Title 58, Chapter 70a, Physician
2318     Assistant Act.
2319          (2) The limitations of liability described in Subsection (1) apply to:
2320          (a) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
2321     Practice Act, a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or

2322     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, or a physician assistant licensed
2323     under Title 58, Chapter 70a, Physician Assistant Act:
2324          (i) (A) whom the department has registered as a qualified medical provider; and
2325          (B) who recommends treatment with cannabis in a medicinal dosage form or a
2326     cannabis product in a medicinal dosage form to a patient in accordance with this chapter; or
2327          (ii) before January 1, 2021, who:
2328          (A) has the authority to write a prescription; and
2329          (B) recommends a medical cannabis treatment to a patient who has a qualifying
2330     condition; and
2331          (b) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act:
2332          (i) whom the department has registered as a pharmacy medical provider or a state
2333     central fill medical provider; and
2334          (ii) who dispenses, in a medical cannabis pharmacy or the state central fill medical
2335     cannabis pharmacy, treatment with cannabis in a medicinal dosage form or a cannabis product
2336     in a medicinal dosage form to a medical cannabis cardholder in accordance with this chapter.
2337          (3) Nothing in this section or chapter reduces or in any way negates the duty of an
2338     individual described in Subsection (2) to use reasonable and ordinary care in the treatment of a
2339     patient:
2340          (a) who may have a qualifying condition; and
2341          (b) (i) for whom the individual described in Subsection (2)(a)(i) or (ii) has
2342     recommended or might consider recommending a treatment with cannabis or a cannabis
2343     product; or
2344          (ii) with whom the pharmacist described in Subsection (2)(b) has interacted in the
2345     dosing or dispensing of cannabis or a cannabis product.
2346          Section 52. Section 26-61a-108 is enacted to read:
2347          26-61a-108. Agreement with a tribe.
2348          (1) As used in this section, "tribe" means a federally recognized Indian tribe or Indian
2349     band.
2350          (2) (a) In accordance with this section, the governor may enter into an agreement with a
2351     tribe to allow for the operation of a medical cannabis pharmacy on tribal land located within
2352     the state.

2353          (b) An agreement described in Subsection (2)(a) may not exempt any person from the
2354     requirements of this chapter.
2355          (c) The governor shall ensure that an agreement described in Subsection (2)(a):
2356          (i) is in writing;
2357          (ii) is signed by:
2358          (A) the governor; and
2359          (B) the governing body of the tribe that the tribe designates and has the authority to
2360     bind the tribe to the terms of the agreement;
2361          (iii) states the effective date of the agreement;
2362          (iv) provides that the governor shall renegotiate the agreement if the agreement is or
2363     becomes inconsistent with a state statute; and
2364          (v) includes any accommodation that the tribe makes:
2365          (A) to which the tribe agrees; and
2366          (B) that is reasonably related to the agreement.
2367          (d) Before executing an agreement under this Subsection (2), the governor shall consult
2368     with the department.
2369          (e) At least 30 days before the execution of an agreement described in this Subsection
2370     (2), the governor or the governor's designee shall provide a copy of the agreement in the form
2371     in which the agreement will be executed to:
2372          (i) the chairs of the Native American Legislative Liaison Committee; and
2373          (ii) the Office of Legislative Research and General Counsel.
2374          Section 53. Section 26-61a-109, which is renumbered from Section 26-60b-109 is
2375     renumbered and amended to read:
2376          [26-60b-109].      26-61a-109. Qualified Patient Enterprise Fund -- Creation --
2377     Revenue neutrality.
2378          (1) There is created [in the General Fund a restricted account] an enterprise fund
2379     known as the ["Medical Cannabis Restricted Account."] "Qualified Patient Enterprise Fund."
2380          (2) The [account] fund created in this section is funded from:
2381          [(a) money deposited into the account by the Department of Agriculture and Food
2382     under Title 4, Chapter 41b, Cannabis Production Establishments;]
2383          [(b)] (a) money [deposited] the department deposits into the [account by the

2384     department] fund under this chapter;
2385          [(c)] (b) appropriations [made] the Legislature makes to the [account by the
2386     Legislature] fund; and
2387          [(d)] (c) the interest described in Subsection (3).
2388          (3) Interest earned on the [account is] fund shall be deposited [in] into the [account]
2389     fund.
2390          (4) [Money] The department may only use money in the [account may only be used]
2391     fund to fund the [state medical cannabis program, including Title 26, Chapter 60b, Medical
2392     Cannabis Act and Title 4, Chapter 41b, Cannabis Production Establishments] department's
2393     responsibilities under this chapter, except for the responsibilities described in Subsection
2394     26-61a-110(4).
2395          (5) The department shall set fees authorized under this chapter in amounts that the
2396     department anticipates are necessary, in total, to cover the department's cost to implement this
2397     chapter.
2398          Section 54. Section 26-61a-110 is enacted to read:
2399          26-61a-110. Qualified Distribution Enterprise Fund -- Creation.
2400          (1) There is created an enterprise fund known as the "Qualified Distribution Enterprise
2401     Fund."
2402          (2) The fund created in this section is funded from:
2403          (a) money the department deposits into the fund from the operation of the state central
2404     fill medical cannabis pharmacy under this chapter;
2405          (b) appropriations the Legislature makes to the fund; and
2406          (c) the interest described in Subsection (3).
2407          (3) Interest earned on the fund shall be deposited into the fund.
2408          (4) The department may only use money in the fund to fund the operation of the state
2409     central fill medical cannabis pharmacy.
2410          Section 55. Section 26-61a-111, which is renumbered from Section 26-60b-110 is
2411     renumbered and amended to read:
2412          [26-60b-110].      26-61a-111. Nondiscrimination for medical care or
2413     government employment.
2414          (1) For purposes of medical care, including an organ [and] or tissue [transplants, the

2415     use of cannabis by a patient who holds] transplant, a [medical cannabis card] patient's use, in
2416     accordance with this chapter, of cannabis in a medicinal dosage form or a cannabis product in a
2417     medicinal dosage form:
2418          (a) is considered the equivalent of the authorized use of any other medication used at
2419     the discretion of a physician; and
2420          (b) does not constitute the use of an illicit substance or otherwise disqualify an
2421     individual from needed medical care.
2422          [(2) No landlord may refuse to lease to and may not otherwise penalize a person solely
2423     for the person's status as a medical cannabis card holder, unless failing to do so would cause
2424     the landlord to lose a monetary or licensing-related benefit under federal law.]
2425          (2) (a) Notwithstanding any other provision of law and except as provided in
2426     Subsection (2)(b), the state or any political subdivision shall treat an employee's use of medical
2427     cannabis in accordance with this chapter or Section 58-37-3.7 in the same way the state or
2428     political subdivision treats employee use of opioids and opiates.
2429          (b) Subsection (2)(a) does not apply where application would jeopardize federal
2430     funding for the employee's position.
2431          Section 56. Section 26-61a-112 is enacted to read:
2432          26-61a-112. No insurance requirement.
2433          Nothing in this chapter requires an insurer, a third-party administrator, or an employer
2434     to pay or reimburse for cannabis, a cannabis product, or a medical cannabis device.
2435          Section 57. Section 26-61a-113 is enacted to read:
2436          26-61a-113. No effect on use of hemp extract -- Cannabidiol -- Approved drugs.
2437          (1) Nothing in this chapter prohibits an individual:
2438          (a) with a valid hemp extract registration card that the department issues under Section
2439     26-56-103 from possessing, administering, or using hemp extract in accordance with Section
2440     58-37-4.3; or
2441          (b) from purchasing, selling, possessing, or using a cannabidiol product in accordance
2442     with Section 4-41-402.
2443          (2) Nothing in this chapter restricts or otherwise affects the prescription, distribution,
2444     or dispensing of a product that the United States Food and Drug Administration has approved.
2445          Section 58. Section 26-61a-114 is enacted to read:

2446          26-61a-114. Severability clause.
2447          (1) If any provision of this title or this bill or the application of any provision of this
2448     title or this bill to any person or circumstance is held invalid by a final decision of a court of
2449     competent jurisdiction, the remaining provisions of this title and this bill remain effective
2450     without the invalidated provision or application.
2451          (2) The provisions of this title and this bill are severable.
2452          Section 59. Section 26-61a-201, which is renumbered from Section 26-60b-201 is
2453     renumbered and amended to read:
2454     
Part 2. Medical Cannabis Card Registration.

2455          [26-60b-201].      26-61a-201. Medical cannabis patient card -- Medical
2456     cannabis guardian card application -- Fees -- Studies.
2457          (1) [The Department of Health shall, no later than] On or before March 1, 2020, [and]
2458     the department shall, within 15 days after [an individual] the day on which an individual who
2459     satisfies the eligibility criteria in this section or Section 26-61a-202 submits an application in
2460     [compliance] accordance with this section[,] or Section 26-61a-202:
2461          (a) issue a medical cannabis patient card to an individual [who complies with this
2462     section.] described in Subsection (2)(a);
2463          (b) issue a medical cannabis guardian card to an individual described in Subsection
2464     (2)(b);
2465          (c) issue a provisional patient card to a minor described in Subsection (2)(c); and
2466          (d) issue a medical cannabis caregiver card to an individual described in Subsection
2467     26-61a-202(4).
2468          (2) (a) An individual is eligible for a medical cannabis patient card if:
2469          [(a)] (i) (A) the individual is at least [18] 21 years old[,]; or
2470          (B) the individual is 18, 19, or 20 years old, the individual petitions the compassionate
2471     use board under Section 26-61a-105, and the compassionate use board recommends department
2472     approval of the petition;
2473          (ii) the individual is a Utah resident[, and treatment with medical cannabis has been
2474     recommended by];
2475          (iii) the individual's [physician under] qualified medical provider recommends
2476     treatment with medical cannabis in accordance with Subsection (4); [or]

2477          (iv) the individual signs an acknowledgment stating that the individual received the
2478     information described in Subsection (8); and
2479          (v) the individual pays to the department a fee in an amount that, subject to Subsection
2480     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
2481          (b) (i) [the individual] An individual is eligible for a medical cannabis guardian card if
2482     the individual:
2483          (A) is at least 18 years old;
2484          (B) is a Utah resident;
2485          (C) is the parent or legal guardian of a minor[, the individual is at least 18 years old,
2486     the individual is a Utah resident, and treatment with] for whom the minor's qualified medical
2487     provider recommends a medical cannabis [has been recommended by the minor's physician
2488     under Subsection (4)] treatment, the individual petitions the compassionate use board under
2489     Section 26-61a-105, and the compassionate use board recommends department approval of the
2490     petition;
2491          (D) the individual signs an acknowledgment stating that the individual received the
2492     information described in Subsection (8);
2493          (E) pays to the department a fee in an amount that, subject to Subsection
2494     26-61a-109(5), the department sets in accordance with Section 63J-1-504, plus the cost of the
2495     criminal background check described in Section 26-61a-203; and
2496          (F) the individual has not been convicted of a misdemeanor or felony drug distribution
2497     offense under either state or federal law, unless the individual completed any imposed sentence
2498     six months or more before the day on which the individual applies for a medical cannabis
2499     guardian card.
2500          (ii) The department shall notify the Department of Public Safety of each individual that
2501     the department registers for a medical cannabis guardian card.
2502          (c) (i) A minor is eligible for a provisional patient card if:
2503          (A) the minor has a qualifying condition;
2504          (B) the minor's qualified medical provider recommends a medical cannabis treatment
2505     to address the minor's qualifying condition;
2506          (C) the minor's parent or legal guardian petitions the compassionate use board under
2507     Section 26-61a-105, and the compassionate use board recommends department approval of the

2508     petition; and
2509          (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card
2510     under Subsection (2)(b).
2511          (ii) The department shall automatically issue a provisional patient card to the minor
2512     described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
2513     guardian card to the minor's parent or legal guardian.
2514          (3) (a) An individual who is eligible for a medical cannabis card [under] described in
2515     Subsection [(2)] (2)(a) or (b) shall submit an application for a medical cannabis card to the
2516     department [via]:
2517          (i) through an electronic application connected to the state electronic verification
2518     system[,];
2519          (ii) with the recommending [physician] qualified medical provider while in the
2520     recommending [physician's] qualified medical provider's office[,]; and [that includes]
2521          (iii) with information including:
2522          (A) the [individual's] applicant's name, gender, age, and address[.];
2523          (B) the number of the applicant's valid form of identification that is a valid United
2524     States federal- or state-issued photo identification, including a driver license, a United States
2525     passport, a United States passport card, or a United States military identification card;
2526          (C) for a medical cannabis guardian card, the name, gender, and age of the minor
2527     receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
2528     and
2529          (D) for a provisional patient card, the name of the minor's parent or legal guardian who
2530     holds the associated medical cannabis guardian card.
2531          (b) The department shall ensure that a medical cannabis card the department issues
2532     under this section contains the information described in Subsection (3)(a)(iii).
2533          (c) (i) If a qualified medical provider determines that, because of age, illness, or
2534     disability, a medical cannabis patient cardholder requires assistance in administering the
2535     medical cannabis treatment that the qualified medical provider recommends, the qualified
2536     medical provider may indicate the cardholder's need in the state electronic verification system.
2537          (ii) If a qualified medical provider makes the indication described in Subsection
2538     (3)(c)(i):

2539          (A) the department shall add a label to the relevant medical cannabis patient card
2540     indicating the cardholder's need for assistance; and
2541          (B) any adult who is 21 years old or older and who is physically present with the
2542     cardholder at the time the cardholder needs to use the recommended medical cannabis
2543     treatment may handle the medical cannabis treatment and any associated medical cannabis
2544     device as needed to assist the cardholder in administering the recommended medical cannabis
2545     treatment, including in the event of an emergency medical condition under Subsection
2546     26-61a-204(2).
2547          (iii) A non-cardholding individual acting under Subsection (3)(c)(ii)(B) may not:
2548          (A) ingest or inhale medical cannabis;
2549          (B) possess, transport, or handle medical cannabis or a medical cannabis device outside
2550     of the immediate area where the cardholder is present or with an intent other than to provide
2551     assistance to the cardholder; or
2552          (C) possess, transport, or handle medical cannabis or a medical cannabis device when
2553     the cardholder is not in the process of being dosed with medical cannabis.
2554          (4) [A physician who recommends treatment with] To recommend a medical cannabis
2555     treatment to [an individual or minor] a patient or to renew a recommendation, a qualified
2556     medical provider shall:
2557          (a) before recommending cannabis in a medicinal dosage form or a cannabis product in
2558     a medicinal dosage form:
2559          (i) verify the patient's and, for a minor patient, the minor patient's parent or legal
2560     guardian's valid form of identification described in Subsection (3)(a);
2561          (ii) review any record related to the patient and, for a minor patient, the patient's parent
2562     or legal guardian in:
2563          (A) the state electronic verification system; and
2564          (B) the controlled substance database created in Section 58-37f-201; and
2565          (iii) consider the recommendation in light of the patient's qualifying condition and
2566     history of medical cannabis and controlled substance use; and
2567          [(a)] (b) state in the [physician's] qualified medical provider's recommendation that the
2568     [individual] patient:
2569          (i) suffers from a qualifying [illness] condition, including the type of qualifying

2570     [illness,] condition; and [that the individual]
2571          (ii) may benefit from treatment with cannabis in a medicinal dosage form or a cannabis
2572     product in a medicinal dosage form.[; and]
2573          [(b) before recommending cannabis or a cannabis product, look up the individual in the
2574     controlled substance database created in Section 58-37f-201.]
2575          (5) (a) [A] Except as provided in Subsection (5)(b), a medical cannabis card [issued
2576     by] that the department issues under this section is valid for the lesser of:
2577          (i) an amount of time [determined by] that the [physician] qualified medical provider
2578     determines; or
2579          (ii) (A) for the first issuance, 30 days; or
2580          (B) for a renewal, six months.
2581          (b) (i) A medical cannabis card that the department issues in relation to a terminal
2582     illness described in Section 26-61a-104 does not expire.
2583          (ii) The recommending qualified medical provider may revoke a recommendation that
2584     the provider made in relation to a terminal illness described in Section 26-61a-104 if the
2585     medical cannabis cardholder no longer has the terminal illness.
2586          (6) (a) A medical cannabis patient card or a medical cannabis guardian card is
2587     renewable if:
2588          (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or
2589     (b); or
2590          (ii) the cardholder received the medical cannabis card through the recommendation of
2591     the compassionate use board under Section 26-61a-105.
2592          (b) A cardholder described in Subsection (6)(a) may renew the cardholder's card:
2593          (i) using the application process described in Subsection (3); or
2594          (ii) through phone or video conference with the qualified medical provider who made
2595     the recommendation underlying the card, at the qualifying medical provider's discretion.
2596          (c) A cardholder under Subsection (2)(a) or (b) who renews the cardholder's card shall
2597     pay to the department a renewal fee in an amount that:
2598          (i) subject to Subsection 26-61a-109(5), the department sets in accordance with Section
2599     63J-1-504; and
2600          (ii) may not exceed the cost of the relatively lower administrative burden of renewal in

2601     comparison to the original application process.
2602          (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional
2603     patient card renews automatically at the time the minor's parent or legal guardian renews the
2604     parent or legal guardian's associated medical cannabis guardian card.
2605          (e) The department may revoke a medical cannabis guardian card if the cardholder
2606     under Subsection (2)(b) is convicted of a misdemeanor or felony drug distribution offense
2607     under either state or federal law.
2608          [(6)] (7) (a) [An individual who has been issued a medical cannabis card] A cardholder
2609     under this section [may: (a)] shall carry [a] the cardholder's valid medical cannabis card with
2610     the patient's name[;].
2611          (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may
2612     purchase, in accordance with this chapter and the recommendation underlying the card,
2613     cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a
2614     medical cannabis device.
2615          (ii) A cardholder under this section may possess[, and] or transport, in accordance with
2616     this chapter and the recommendation underlying the card, cannabis in a medicinal dosage form,
2617     a cannabis product in a medicinal dosage form, or a medical cannabis device[;].
2618          [(c)] (iii) [use or assist with the use of medical cannabis or medical cannabis products
2619     to treat] To address the qualifying [illness or symptoms associated with the qualifying illness of
2620     the person for whom medical cannabis has been recommended] condition underlying the
2621     medical cannabis treatment recommendation:
2622          (A) a medical cannabis patient cardholder or a provisional patient cardholder may use
2623     cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form,
2624     or a medical cannabis device; and
2625          (B) a medical cannabis guardian cardholder may assist the associated provisional
2626     patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis
2627     product in a medicinal dosage form, or a medical cannabis device.
2628          [(d)] (c) If neither a licensed medical cannabis pharmacy nor the state central fill
2629     medical cannabis pharmacy is operating within the state after January 1, 2021[, if a licensed
2630     cannabis dispensary is not operating within 100 miles of the medical cannabis card holder's
2631     primary residence, grow up to six cannabis plants for personal medical use within an enclosed

2632     and locked space and not within view from a public place and that is not within 600 feet of a
2633     community location or within 300 feet of an area zoned exclusively for residential use, as
2634     measured from the nearest entrance to the space and following the shortest route or ordinary
2635     pedestrian travel to the property boundary of the community location or residential area.] a
2636     cardholder under this section is not subject to prosecution for the possession of:
2637          (i) no more than 113 grams of marijuana in a medicinal dosage form;
2638          (ii) an amount of cannabis product in a medicinal dosage form that contains no more
2639     than 20 grams of tetrahydrocannabinol; or
2640          (iii) marijuana drug paraphernalia.
2641          (8) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
2642     Utah Administrative Rulemaking Act, a process to provide information regarding the following
2643     to an individual receiving a medical cannabis card:
2644          (a) risks associated with medical cannabis treatment;
2645          (b) the fact that a condition's listing as a qualifying condition does not suggest that
2646     medical cannabis treatment is an effective treatment or cure for that condition, as described in
2647     Subsection 26-61a-104(1); and
2648          (c) other relevant warnings and safety information that the department determines.
2649          [(7)] (9) The department may establish procedures[,] by rule, in accordance with Title
2650     63G, Chapter 3, Utah Administrative Rulemaking Act, to implement the [medical cannabis
2651     card] application and issuance provisions of this section.
2652          [(8)] (10) (a) A person may submit, to the department[,] a request to conduct a medical
2653     research study using medical cannabis cardholder data [contained in] that the state electronic
2654     verification system contains.
2655          (b) The department shall review a request [submitted under] described in Subsection
2656     [(8)(a)] (10)(a) to determine [if] whether the medical research study is valid.
2657          (c) If the department [determines] makes a determination under Subsection (10)(b) that
2658     the medical research study is valid [under Subsection (8)(b)], the department shall notify [a]
2659     each relevant [medical cannabis] cardholder asking for the [medical cannabis] cardholder's
2660     [participation] consent to participate in the study.
2661          (d) The department may release, for the purposes of a study described in this
2662     Subsection (10), information about a [medical cannabis] cardholder under this section who

2663     consents to [participation] participate under Subsection [(8)(c)] (10)(c).
2664          (e) The department may establish standards for a medical research study's validity, by
2665     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
2666          Section 60. Section 26-61a-202, which is renumbered from Section 26-60b-202 is
2667     renumbered and amended to read:
2668          [26-60b-202].      26-61a-202. Medical cannabis caregiver card -- Registration
2669     -- Renewal -- Revocation.
2670          (1) [An individual] A cardholder described in Section 26-61a-201 may designate up to
2671     two individuals to serve as a designated [caregivers] caregiver for the [individual] cardholder
2672     if[:]
2673          [(a) the individual has a valid medical cannabis card under Section 26-60b-201; and]
2674          [(b) a physician] a qualified medical provider determines that, due to physical difficulty
2675     or undue hardship, the [individual] cardholder needs assistance to obtain the medical cannabis
2676     [or a cannabis product from a cannabis dispensary] treatment that the qualified medical
2677     provider recommends.
2678          (2) An individual [registered] that the department registers as a designated caregiver
2679     under this section:
2680          (a) may[: (a)] carry a valid medical cannabis caregiver card [with the designating
2681     patient's name and the designated caregiver's name];
2682          (b) [purchase, possess, and transport,] in accordance with this chapter, may purchase,
2683     possess, transport, or assist the patient in the use of cannabis in a medicinal dosage form, a
2684     cannabis product in a medicinal dosage form, or a medical cannabis device on behalf of the
2685     designating [patient] medical cannabis cardholder;
2686          (c) may not charge a fee to an individual to act as the individual's designated caregiver
2687     or for a service that the designated caregiver provides in relation to the role as a designated
2688     caregiver;
2689          [(c)] (d) may accept reimbursement from the designating [patient] medical cannabis
2690     cardholder for direct costs [incurred by] the designated caregiver incurs for assisting with the
2691     designating [patient's] cardholder's medicinal use of cannabis; and
2692          [(d)] (e) [after January 1, 2021,] if neither a licensed medical cannabis [dispensary]
2693     pharmacy nor the state central fill medical cannabis pharmacy is [not] operating within [100

2694     miles of the designating patient's primary residence, assist the designating patient with growing
2695     up to six cannabis plants for personal medicinal use within an enclosed and locked space and
2696     not within view from a public place and that is not within 600 feet of a community location or
2697     within 300 feet of an area zoned exclusively for residential use, as measured from the nearest
2698     entrance to the space and following the shortest route or ordinary pedestrian travel to the
2699     property boundary of the community location or residential area.] the state after January 1,
2700     2021, is not subject to prosecution for the possession of:
2701          (i) no more than 113 grams of marijuana in a medicinal dosage form;
2702          (ii) an amount of cannabis product in a medicinal dosage form that contains no more
2703     than 20 grams of tetrahydrocannabinol; or
2704          (iii) marijuana drug paraphernalia.
2705          (3) (a) The department shall[,]:
2706          (i) within [30] 15 days after the day on which an individual submits an application in
2707     compliance with this section, issue a medical cannabis card to [an individual designated as a
2708     caregiver under Subsection (1) and who complies with this section.] the applicant if the
2709     applicant:
2710          (A) is designated as a caregiver under Subsection (1);
2711          (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
2712          (C) complies with this section; and
2713          (ii) notify the Department of Public Safety of each individual that the department
2714     registers as a designated caregiver.
2715          (b) The department shall ensure that a medical cannabis caregiver card contains the
2716     information described in Subsection (5)(b).
2717          (4) An individual is eligible for a medical cannabis [card as a designated] caregiver
2718     card if the individual:
2719          (a) is at least [18] 21 years old;
2720          (b) is a Utah resident;
2721          (c) pays[,] to the department[,] a fee [established by] in an amount that, subject to
2722     Subsection 26-61a-109(5),
the department sets in accordance with Section 63J-1-504, plus the
2723     cost of [a] the criminal background check [required by] described in Section [26-60b-203; and]
2724     26-61a-203;

2725          (d) signs an acknowledgment stating that the applicant received the information
2726     described in Subsection 26-61a-201(8); and
2727          [(d)] (e) has not been convicted of [an] a misdemeanor or felony drug distribution
2728     offense that is a felony under either state or federal law, unless the individual completes any
2729     imposed sentence [imposed was completed seven] two or more years [earlier] before the day on
2730     which the individual submits the application.
2731          (5) An [individual who is] eligible applicant for a medical cannabis caregiver card[ as a
2732     designated caregiver] shall:
2733          (a) submit an application for a medical cannabis caregiver card to the department [via]
2734     through an electronic application connected to the state electronic verification system; and
2735     [shall include the individual's]
2736          (b) submit the following information in the application described in Subsection (5)(a):
2737          (i) the applicant's name, gender, age, and address [and];
2738          (ii) the name, gender, age, and address of the [patient that] cardholder described in
2739     Section 26-61a-201 who designated the [individual under Subsection (1).] applicant; and
2740          (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
2741     gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
2742     cannabis guardian cardholder.
2743          (6) [A] Except as provided in Subsection (6)(b), a medical cannabis caregiver card
2744     [issued by] that the department issues under this section is valid for the lesser of:
2745          (a) an amount of time [determined by the physician, by the patient, or 6 months.] that
2746     the cardholder described in Section 26-61a-201 who designated the caregiver determines; or
2747          (b) the amount of time remaining before the card of the cardholder described in Section
2748     26-61a-201 expires.
2749          (7) [A medical cannabis card is renewable for a designated caregiver if, at the time of
2750     renewal:]
2751          [(a) the individual with a medical cannabis card described in Subsection (1) renews the
2752     caregiver's designation; and]
2753          [(b) the]
2754          (a) If a designated caregiver meets the requirements of Subsection (4)[.], the designated
2755     caregiver's medical cannabis caregiver card renews automatically at the time the cardholder

2756     described in Section 26-61a-201 who designated the caregiver:
2757          (i) renews the cardholder's card; and
2758          (ii) renews the caregiver's designation, in accordance with Subsection (7)(b).
2759          (b) The department shall provide a method in the card renewal process to allow a
2760     cardholder described in Section 26-61a-201 who has designated a caregiver to:
2761          (i) signify that the cardholder renews the caregiver's designation;
2762          (ii) remove a caregiver's designation; or
2763          (iii) designate a new caregiver.
2764          [(8) A designated caregiver may not charge an individual a fee to act as the individual's
2765     designated caregiver or for services provided.]
2766          [(9)] (8) The [Department of Health] department may revoke a [designated caregiver's]
2767     medical cannabis caregiver card if the [individual] designated caregiver:
2768          (a) violates this chapter; or
2769          (b) is convicted [of an offense that is a felony] under [either] state or federal law of:
2770          (i) a felony; or
2771          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
2772          Section 61. Section 26-61a-203, which is renumbered from Section 26-60b-203 is
2773     renumbered and amended to read:
2774          [26-60b-203].      26-61a-203. Designated caregiver -- Guardian -- Criminal
2775     background check.
2776          (1) [An individual registered as a designated caregiver] Each applicant for a medical
2777     cannabis guardian card under Section [26-60b-202] 26-61a-201 or a medical cannabis
2778     caregiver card under Section 26-61a-202 shall:
2779          (a) submit [to a criminal background check in accordance with Subsection (2).(2) Each
2780     designated caregiver shall] to the department, at the time of application:
2781          [(a)] (i) [submit, to the department,] a fingerprint card in a form acceptable to the
2782     [department and the] Department of Public Safety; and
2783          (ii) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
2784     registration of the applicant's fingerprints in the Federal Bureau of Investigation Next
2785     Generation Identification System's Rap Back Service; and
2786          (b) consent to a fingerprint background check by:

2787          (i) the [Utah] Bureau of Criminal Identification; and
2788          (ii) the Federal Bureau of Investigation.
2789          [(3)] (2) The [Department of Public Safety] Bureau of Criminal Identification shall:
2790          (a) [complete a Federal Bureau of Investigation Criminal Background Check for each
2791     designated caregiver] check the fingerprints the applicant submits under Subsection [(2) and]
2792     (1)(a) against the applicable state, regional, and national criminal records databases, including
2793     the Federal Bureau of Investigation Next Generation Identification System;
2794          (b) report the results of the background check to the department[.];
2795          (c) maintain a separate file of fingerprints that applicants submit under Subsection
2796     (1)(a) for search by future submissions to the local and regional criminal records databases,
2797     including latent prints;
2798          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
2799     Generation Identification System's Rap Back Service for search by future submissions to
2800     national criminal records databases, including the Next Generation Identification System and
2801     latent prints; and
2802          (e) establish a privacy risk mitigation strategy to ensure that the department only
2803     receives notifications for an individual with whom the department maintains an authorizing
2804     relationship.
2805          (3) The department shall:
2806          (a) assess an applicant who submits fingerprints under Subsection (1)(a) a fee in an
2807     amount that the department sets in accordance with Section 63J-1-504 for the services that the
2808     Bureau of Criminal Identification or another authorized agency provides under this section; and
2809          (b) remit the fee described in Subsection (3)(a) to the Bureau of Criminal
2810     Identification.
2811          Section 62. Section 26-61a-204, which is renumbered from Section 26-60b-204 is
2812     renumbered and amended to read:
2813          [26-60b-204].      26-61a-204. Medical cannabis card -- Patient and designated
2814     caregiver requirements -- Rebuttable presumption.
2815          (1) (a) [An individual who has a] A medical cannabis [card and] cardholder who
2816     possesses cannabis in a medicinal dosage form or a cannabis product [outside of] in a
2817     medicinal dosage form that the [individual's residence] cardholder purchased under this chapter

2818     shall:
2819          [(a)] (i) carry[, with the individual] at all times[,] the [individual's] cardholder's
2820     medical cannabis card;
2821          [(b)] (ii) carry, with the cannabis in a medicinal dosage form or cannabis product in a
2822     medicinal dosage form, a label that identifies that the cannabis or cannabis product:
2823          (A) was [originally] sold from a licensed medical cannabis [dispensary and] pharmacy
2824     or the state central fill medical cannabis pharmacy; and
2825          (B) includes an identification number that links the cannabis or cannabis product to the
2826     inventory control system; and
2827          [(c)] (iii) possess not more than [four ounces]:
2828          (A) 113 grams of unprocessed cannabis; or
2829          (B) an amount of cannabis product that contains 20 [or fewer] grams of total composite
2830     tetrahydrocannabinol [or cannabidiol].
2831          (b) A medical cannabis cardholder who possesses cannabis in a medicinal dosage form
2832     or a cannabis product in a medicinal dosage form in violation of Subsection (1)(a) is:
2833          (i) guilty of an infraction; and
2834          (ii) subject to a $100 fine.
2835          (c) A medical cannabis cardholder who possesses between 113 and 226 grams of
2836     unprocessed cannabis or a total amount of cannabis product that contains between 20 and 40
2837     grams of total composite tetrahydrocannabinol is:
2838          (i) guilty of a class B misdemeanor; and
2839          (ii) subject to a fine of $1,000.
2840          (d) An individual who is guilty of a violation described in Subsection (1)(b) or (c) is
2841     not guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the
2842     conduct underlying the penalty described in Subsection (1)(b) or (c).
2843          (e) A medical cannabis cardholder who possesses more than 226 grams of unprocessed
2844     cannabis or a total amount of cannabis product that contains more than 40 grams of total
2845     composite tetrahydrocannabinol is subject to the penalties described in Title 58, Chapter 37,
2846     Utah Controlled Substances Act.
2847          (2) (a) As used in this Subsection (2), "emergency medical condition" means the same
2848     as that term is defined in Section 31A-22-627.

2849          [(a)] (b) Except as described in Subsection [(2)(b), an individual who has] (2)(c), a
2850     medical cannabis [card] patient cardholder or a provisional patient cardholder may not use, in
2851     public view, cannabis or a cannabis product [in public view].
2852          [(b)] (c) [An] In the event of an emergency medical condition, an individual described
2853     in Subsection (2)(b) may use [cannabis or a cannabis product], and the holder of a medical
2854     cannabis guardian card or a medical cannabis caregiver card may administer to the cardholder's
2855     charge, in public view [in the event of a medical emergency], cannabis in a medicinal dosage
2856     form or a cannabis product in a medicinal dosage form.
2857          (3) If [an individual] a medical cannabis cardholder carrying the cardholder's card
2858     possesses cannabis in a medicinal dosage form or a cannabis product in compliance with
2859     Subsection (1), or a medical cannabis device that corresponds with the cannabis or cannabis
2860     product:
2861          (a) there is a rebuttable presumption that the [individual] cardholder possesses the
2862     cannabis, cannabis product, or medical cannabis device legally; and
2863          (b) [a law enforcement officer does not have] there is no probable cause, based solely
2864     on the [individual's] cardholder's possession of the cannabis, cannabis product, or medical
2865     cannabis device, to believe that the [individual] cardholder is engaging in illegal activity.
2866          (4) (a) If a law enforcement officer stops an individual who possesses cannabis in a
2867     medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis
2868     device, and the individual represents to the law enforcement officer that the individual holds a
2869     valid medical cannabis card, but the individual does not have the medical cannabis card in the
2870     individual's possession at the time of the stop by the law enforcement officer, the law
2871     enforcement officer shall attempt to access the state electronic verification system to determine
2872     whether the individual holds a valid medical cannabis card.
2873          (b) If the law enforcement officer is able to verify that the individual described in
2874     Subsection (4)(a) [holds] is a valid medical cannabis [card] cardholder, the law enforcement
2875     officer:
2876          (i) may not arrest or take the individual into custody for the sole reason that the
2877     individual is in possession of cannabis in a medicinal dosage form, a cannabis product in a
2878     medicinal dosage form, or a medical cannabis device; and
2879          (ii) may not seize the cannabis, cannabis product, or medical cannabis device.

2880          [(5) An individual who possesses cannabis, a cannabis product, or a medical cannabis
2881     device in violation of Subsection (1)(a) or Subsection 1(b) is guilty of an infraction and subject
2882     to a $100 fine.]
2883          Section 63. Section 26-61a-205 is enacted to read:
2884          26-61a-205. Lost or stolen medical cannabis card.
2885          (1) If a medical cannabis card is lost or stolen, the medical cannabis cardholder shall
2886     report the lost or stolen card to the department.
2887          (2) Upon receiving the report described in Subsection (1), the department shall
2888     designate the medical cannabis card as lost or stolen in the state electronic verification system.
2889          (3) A medical cannabis pharmacy agent or a local health department distribution agent
2890     may confiscate a medical cannabis card that is designated as lost or stolen in accordance with
2891     Subsection (2) if an individual presents the card at the relevant medical cannabis pharmacy or
2892     local health department.
2893          (4) To request a new medical cannabis card, the medical cannabis cardholder described
2894     in Subsection (1) shall:
2895          (a) complete a form that the department designates; and
2896          (b) pay a fee in an amount that, subject to Subsection 26-61a-109(5), the department
2897     sets in accordance with Section 63J-1-504.
2898          Section 64. Section 26-61a-301, which is renumbered from Section 26-60b-301 is
2899     renumbered and amended to read:
2900     
Part 3. Medical Cannabis Pharmacy License.

2901          [26-60b-301].      26-61a-301. Medical cannabis pharmacy -- License --
2902     Eligibility.
2903          (1) A person may not operate as a medical cannabis [dispensary] pharmacy without a
2904     license [issued by] that the department [issued] issues under this part.
2905          (2) (a) Subject to [Subsections (5)] Subsections (4) and (5) and to Section
2906     [26-60b-304] 26-61a-305, the department shall, [within 90 business days after receiving a
2907     complete application] in accordance with Title 63G, Chapter 6a, Utah Procurement Code, issue
2908     a license to operate a medical cannabis [dispensary] pharmacy to [a person who] an applicant
2909     who is eligible for a license under this section.
2910          (b) An applicant is eligible for a license under this section if the applicant submits to

2911     the department:
2912          [(a)] (i) subject to Subsection (2)(c), a proposed name and address where the [person]
2913     applicant will operate the medical cannabis [dispensary] pharmacy [that is not within 600 feet
2914     of a community location or within 300 feet of an area zoned exclusively for residential use, as
2915     measured from the nearest entrance to the cannabis production establishment by following the
2916     shortest route of ordinary pedestrian travel to the property boundary of the community location
2917     or residential area];
2918          [(b)] (ii) the name and address of [any] an individual who:
2919          (A) has a financial or voting interest of [two percent] 2% or greater in the proposed
2920     medical cannabis [dispensary] pharmacy; or [who]
2921          (B) has the power to direct or cause the management or control of a proposed cannabis
2922     production establishment;
2923          [(c)] (iii) [financial statements demonstrating that the person possesses a minimum of
2924     $250,000 in liquid assets available] evidence that the applicant has obtained and maintains a
2925     performance bond that a surety authorized to transact surety business in the state issues in an
2926     amount of at least $125,000 for each application [submitted] that the applicant submits to the
2927     department;
2928          [(d)] (iv) an operating plan that:
2929          (A) complies with Section [26-60b-303] 26-61a-304; and [that]
2930          (B) includes operating procedures to comply with the operating requirements for a
2931     medical cannabis [dispensary] pharmacy described in this chapter and with[ any laws adopted
2932     by the municipality] a relevant municipal or county law that [are] is consistent with Section
2933     [26-60b-506] 26-61a-507;
2934          [(e) if the municipality or county where the proposed cannabis production
2935     establishment would be located has enacted zoning restrictions, a sworn statement certifying
2936     that the proposed cannabis dispensary is in compliance with the restrictions;]
2937          [(f)] (v) if the municipality or county where the proposed medical cannabis
2938     [dispensary] pharmacy would be located requires a local land use permit [or license], a copy of
2939     the person's approved application for the local land use permit [or license]; and
2940          [(g)] (vi) an application fee [established by] in an amount that, subject to Subsection
2941     26-61a-109(5), the department sets in accordance with Section 63J-1-504 [that is necessary to

2942     cover the department's cost to implement this part;].
2943          (c) (i) A person may not locate a medical cannabis pharmacy in or within 600 feet of an
2944     area that the relevant municipality or county has zoned as primarily residential.
2945          (ii) An applicant for a license under this section shall provide evidence of compliance
2946     with the proximity requirement described in Subsection (2)(c)(i).
2947          (d) Except as provided in Subsection (2)(c), a medical cannabis pharmacy is a
2948     permitted use in all zoning districts within a municipality or county.
2949          (e) If the department receives more than one application for a medical cannabis
2950     pharmacy within the same city or town, the department shall consult with the local land use
2951     authority before approving any of the applications pertaining to that city or town.
2952          [(4)] (3) If the department determines that [a cannabis dispensary] an applicant is
2953     eligible for a license under this section, the department shall:
2954          (a) charge the [cannabis dispensary] applicant an initial license fee in an amount
2955     [determined by] that, subject to Subsection 26-61a-109(5), the department sets in accordance
2956     with Section 63J-1-504[.]; and
2957          (b) notify the Department of Public Safety of the license approval and the names of
2958     each individual described in Subsection (2)(b)(ii).
2959          [(5)] (4) The department may not issue a license to operate a medical cannabis
2960     [dispensary] pharmacy to an applicant if [any] an individual [who has a financial or voter
2961     interest of two percent or greater in the cannabis dispensary applicant or who has power to
2962     direct or cause the management or control of the applicant] described in Subsection (2)(b)(ii):
2963          (a) has been convicted [of an offense that is a felony] under [either] state or federal
2964     law[; or] of:
2965          (i) a felony; or
2966          (ii) after the effective date of this bill, a misdemeanor for drug distribution; or
2967          (b) is [less] younger than 21 years [of age] old.
2968          (5) If an applicant for a medical cannabis pharmacy license under this section holds a
2969     license under Title 4, Chapter 41, Hemp and Cannabidiol Act, or Title 4, Chapter 41a,
2970     Cannabis Production Establishments, the department:
2971          (a) shall consult with the Department of Agriculture and Food regarding the applicant;
2972     and

2973          (b) may not give preference to the applicant based on the applicant's status as a holder
2974     of a license described in this Subsection (5).
2975          (6) The department may revoke a license under this part if:
2976          (a) the medical cannabis [dispensary is not operating] pharmacy does not begin
2977     operations within one year [of the issuance of] after the day on which the department issues the
2978     initial license[.];
2979          (b) the medical cannabis pharmacy makes the same violation of this chapter three
2980     times; or
2981          (c) an individual described in Subsection (2)(a)(ii) is convicted, while the license is
2982     active, under state or federal law of:
2983          (i) a felony; or
2984          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
2985          (7) The department shall deposit the proceeds of a fee imposed by this section in the
2986     [Medical Cannabis Restricted] Qualified Patient Enterprise Account.
2987          (8) The department shall begin accepting applications under this part [no later than] on
2988     or before March 1, 2020.
2989          (9) The department's authority to issue a license under this section is plenary and is not
2990     subject to review.
2991          Section 65. Section 26-61a-302, which is renumbered from Section 26-60b-402 is
2992     renumbered and amended to read:
2993          [26-60b-402].      26-61a-302. Medical cannabis pharmacy owners and
2994     directors -- Criminal background checks.
2995          (1) Each applicant for a license as a medical cannabis pharmacy shall submit, at the
2996     time of application, from each individual who has a financial or voting interest of [two percent]
2997     2% or greater in the applicant or who has the power to direct or cause the management or
2998     control of the applicant:
2999          (a) a fingerprint card in a form acceptable to the [department; and] Department of
3000     Public Safety;
3001          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
3002     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
3003     Generation Identification System's Rap Back Service; and

3004          [(b)] (c) consent to a fingerprint background check by:
3005          (i) the [Utah] Bureau of Criminal Identification; and
3006          (ii) the Federal Bureau of Investigation.
3007          [(2) The department shall request that the Department of Public Safety complete a
3008     Federal Bureau of Investigation criminal background check for each individual described in
3009     Subsection (1).]
3010          (2) The Bureau of Criminal Identification shall:
3011          (a) check the fingerprints the applicant submits under Subsection (1) against the
3012     applicable state, regional, and national criminal records databases, including the Federal
3013     Bureau of Investigation Next Generation Identification System;
3014          (b) report the results of the background check to the department;
3015          (c) maintain a separate file of fingerprints that applicants submit under Subsection (1)
3016     for search by future submissions to the local and regional criminal records databases, including
3017     latent prints;
3018          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
3019     Generation Identification System's Rap Back Service for search by future submissions to
3020     national criminal records databases, including the Next Generation Identification System and
3021     latent prints; and
3022          (e) establish a privacy risk mitigation strategy to ensure that the department only
3023     receives notifications for an individual with whom the department maintains an authorizing
3024     relationship.
3025          (3) The department shall:
3026          (a) assess an individual who submits fingerprints under Subsection (1) a fee in an
3027     amount that the department sets in accordance with Section 63J-1-504 for the services that the
3028     Bureau of Criminal Identification or another authorized agency provides under this section; and
3029          (b) remit the fee described in Subsection (3)(a) to the Bureau of Criminal
3030     Identification.
3031          Section 66. Section 26-61a-303, which is renumbered from Section 26-60b-302 is
3032     renumbered and amended to read:
3033          [26-60b-302].      26-61a-303. Renewal.
3034          (1) [Except as provided in Subsection (3), the] The department shall renew a [person's]

3035     license under this part every [two years] year if, at the time of renewal:
3036          (a) the [person] licensee meets the requirements of Section [26-60b-301] 26-61a-301;
3037     and
3038          (b) the [person] licensee pays the department a license renewal fee in an amount
3039     [determined by] that, subject to Subsection 26-61a-109(5), the department sets in accordance
3040     with Section 63J-1-504.
3041          (2) (a) If a licensed medical cannabis [dispensary] pharmacy abandons the medical
3042     cannabis [dispensary's] pharmacy's license, the department shall publish notice of an available
3043     license:
3044          (i) in a newspaper of general circulation for the geographic area in which the medical
3045     cannabis [dispensary] pharmacy license is available; or
3046          (ii) on the Utah Public Notice Website established in Section 63F-1-701.
3047          (b) The department may establish criteria, in collaboration with the Division of
3048     Occupational and Professional Licensing and the Board of Pharmacy and in accordance with
3049     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, [for what actions by a] to identify
3050     the medical cannabis [dispensary] pharmacy actions that constitute abandonment of a medical
3051     cannabis [dispensary] pharmacy license.
3052          Section 67. Section 26-61a-304, which is renumbered from Section 26-60b-303 is
3053     renumbered and amended to read:
3054          [26-60b-303].      26-61a-304. Operating plan.
3055          [(1)] A person applying for a medical cannabis [dispensary] pharmacy license shall
3056     submit to the department a proposed operation plan for the medical cannabis [dispensary]
3057     pharmacy that complies with this section and that includes:
3058          [(a)] (1) a description of the physical characteristics of the proposed facility, including
3059     a floor plan and an architectural elevation;
3060          [(b)] (2) a description of the credentials and experience of:
3061          [(i)] (a) each officer, director, or owner of the proposed medical cannabis [dispensary]
3062     pharmacy; and
3063          [(ii)] (b) any highly skilled or experienced prospective employee;
3064          [(c)] (3) the medical cannabis [dispensary's] pharmacy's employee training standards;
3065          [(d)] (4) a security plan; [and]

3066          [(e)] (5) a description of the medical cannabis [dispensary's] pharmacy's inventory
3067     control system, including a plan to make the inventory control system compatible with the state
3068     electronic verification system[.]; and
3069          (6) storage protocols, both short- and long-term, to ensure that cannabis is stored in a
3070     manner that is sanitary and preserves the integrity of the cannabis.
3071          Section 68. Section 26-61a-305, which is renumbered from Section 26-60b-304 is
3072     renumbered and amended to read:
3073          [26-60b-304].      26-61a-305. Maximum number of licenses.
3074          (1) (a) [The] Except as provided in Subsection (1)(b), the department may not issue
3075     more than [the greater of, in each county in the state:] seven medical cannabis pharmacy
3076     licenses.
3077          [(a) one cannabis dispensary license; or]
3078          [(b) an amount of cannabis dispensary licenses equal to the number of residents in the
3079     county divided by 150,000, rounded up to the nearest greater whole number.]
3080          (b) (i) In addition to the licenses described in Subsection (1)(a), the department shall
3081     issue an eighth license if the state central fill medical cannabis pharmacy:
3082          (A) is not operational by January 1, 2021; or
3083          (B) ceases operations after January 1, 2021.
3084          (ii) In addition to the licenses described in Subsections (1)(a) and (1)(b)(i), the
3085     department shall issue a ninth license if the state central fill medical cannabis pharmacy:
3086          (A) is not operational by July 1, 2021; or
3087          (B) ceases operations after July 1, 2021.
3088          (iii) In addition to the licenses described in Subsections (1)(a), (1)(b)(i), and (1)(b)(ii),
3089     the department shall issue a tenth license if the state central fill medical cannabis pharmacy:
3090          (A) is not operational by January 1, 2022; or
3091          (B) ceases operations after January 1, 2022.
3092          (iv) The department shall issue the licenses described in Subsection (1)(b)(i), (ii), and
3093     (iii), if a final order of a court enjoins or invalidates the operation of the state central fill
3094     medical cannabis pharmacy.
3095          (2) If there are more qualified applicants than there are available licenses for medical
3096     cannabis [dispensaries] pharmacies, the department shall:

3097          (a) evaluate [the applicants] each applicant and award the license to the applicant that
3098     best demonstrates:
3099          [(a)] (i) experience with establishing and successfully operating a business that
3100     involves complying with a regulatory environment, tracking inventory, and training, evaluating,
3101     and monitoring employees;
3102          [(b)] (ii) an operating plan that will best ensure the safety and security of patrons and
3103     the community;
3104          [(c)] (iii) positive connections to the local community;
3105          [(d)] (iv) the suitability of the proposed location and [its] the location's accessibility for
3106     qualifying patients; and
3107          [(e)] (v) the extent to which the applicant can reduce the cost of cannabis or cannabis
3108     products for patients[.]; and
3109          (b) ensure a geographic dispersal among licensees that is sufficient to reasonably
3110     maximize access to the largest number of medical cannabis cardholders.
3111          (3) The department may conduct a face-to-face interview with an applicant for a
3112     license that the department evaluates under Subsection (2).
3113          Section 69. Section 26-61a-401, which is renumbered from Section 26-60b-401 is
3114     renumbered and amended to read:
3115     
Part 4. Medical Cannabis Pharmacy Agents

3116          [26-60b-401].      26-61a-401. Medical cannabis pharmacy agent --
3117     Registration.
3118          (1) An individual may not serve as a medical cannabis [dispensary] pharmacy agent of
3119     a medical cannabis [dispensary] pharmacy unless [the individual is registered by] the
3120     department registers the individual as a medical cannabis [dispensary] pharmacy agent.
3121          (2) [A physician] Except as provided in Section 26-61a-403, the following individuals,
3122     regardless of the individual's status as a qualified medical provider, may not act as a medical
3123     cannabis [dispensary] pharmacy agent[.], have a financial or voting interest of 2% or greater in
3124     a medical cannabis pharmacy, or have the power to direct or cause the management or control
3125     of a medical cannabis pharmacy:
3126          (a) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3127     Practice Act;

3128          (b) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
3129     58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3130          (c) a physician assistant licensed under Title 58, Chapter 70a, Physician Assistant Act.
3131          (3) (a) The department shall, within 15 days after [receiving] the day on which the
3132     department receives a complete application from a medical cannabis [dispensary] pharmacy on
3133     behalf of a prospective medical cannabis [dispensary] pharmacy agent, register and issue a
3134     medical cannabis [dispensary] pharmacy agent registration card to [an individual who] the
3135     prospective agent if the medical cannabis pharmacy:
3136          [(a)] (i) provides to the department:
3137          (A) the [individual's] prospective agent's name and address [and];
3138          (B) the name and location of the licensed medical cannabis [dispensary] pharmacy
3139     where the [individual] prospective agent seeks to act as the medical cannabis [dispensary]
3140     pharmacy agent; [and]
3141          (C) the submission required under Subsection (3)(b); and
3142          [(b)] (ii) pays a fee to the department[,] in an amount [determined by] that, subject to
3143     Subsection 26-61a-109(5), the department sets in accordance with Section 63J-1-504[, that is
3144     necessary to cover the department's cost to implement this part].
3145          (b) Each prospective agent described in Subsection (3)(a) shall:
3146          (i) submit to the department:
3147          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
3148          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
3149     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
3150     Generation Identification System's Rap Back Service; and
3151          (ii) consent to a fingerprint background check by:
3152          (A) the Bureau of Criminal Identification; and
3153          (B) the Federal Bureau of Investigation.
3154          (c) The Bureau of Criminal Identification shall:
3155          (i) check the fingerprints the prospective agent submits under Subsection (3)(b) against
3156     the applicable state, regional, and national criminal records databases, including the Federal
3157     Bureau of Investigation Next Generation Identification System;
3158          (ii) report the results of the background check to the department;

3159          (iii) maintain a separate file of fingerprints that prospective agents submit under
3160     Subsection (3)(b) for search by future submissions to the local and regional criminal records
3161     databases, including latent prints;
3162          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
3163     Generation Identification System's Rap Back Service for search by future submissions to
3164     national criminal records databases, including the Next Generation Identification System and
3165     latent prints; and
3166          (v) establish a privacy risk mitigation strategy to ensure that the department only
3167     receives notifications for an individual with whom the department maintains an authorizing
3168     relationship.
3169          (d) The department shall:
3170          (i) assess an individual who submits fingerprints under Subsection (3)(b) a fee in an
3171     amount that the department sets in accordance with Section 63J-1-504 for the services that the
3172     Bureau of Criminal Identification or another authorized agency provides under this section; and
3173          (ii) remit the fee described in Subsection (3)(d) to the Bureau of Criminal
3174     Identification.
3175          (4) The department shall designate, on an individual's medical cannabis [dispensary]
3176     pharmacy agent registration card[,] the name of the medical cannabis [dispensary] pharmacy
3177     where the individual is registered as an agent.
3178          (5) A medical cannabis [dispensary] pharmacy agent shall comply with a certification
3179     standard [developed by the department] that the department develops in collaboration with the
3180     Division of Occupational and Professional Licensing and the Board of Pharmacy, or a [third
3181     party] third-party certification standard [designated by] that the department[,] designates by
3182     rule [made], in collaboration with the Division of Occupational and Professional Licensing and
3183     the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative
3184     Rulemaking Act.
3185          (6) The department shall ensure that the certification standard described in Subsection
3186     (5) [shall include] includes training in:
3187          (a) Utah medical cannabis law; and
3188          (b) medical cannabis [dispensary] pharmacy best practices.
3189          (7) The department may revoke [or refuse to issue] the medical cannabis [dispensary]

3190     pharmacy agent registration card of or refuse to issue a medical cannabis pharmacy agent
3191     registration card to an individual who:
3192          (a) violates the requirements of this chapter; or
3193          (b) is convicted [of an offense that is a felony] under state or federal law[.] of:
3194          (i) a felony; or
3195          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
3196          (8) (a) A medical cannabis pharmacy agent registration card expires two years after the
3197     day on which the department issues or renews the card.
3198          (b) A medical cannabis pharmacy agent may renew the agent's registration card if the
3199     agent:
3200          (i) is eligible for a medical cannabis pharmacy agent registration card under this
3201     section;
3202          (ii) certifies to the department in a renewal application that the information in
3203     Subsection (3)(a) is accurate or updates the information; and
3204          (iii) pays to the department a renewal fee in an amount that:
3205          (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
3206     Section 63J-1-504; and
3207          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
3208     comparison to the original application process.
3209          Section 70. Section 26-61a-402, which is renumbered from Section 26-60b-403 is
3210     renumbered and amended to read:
3211          [26-60b-403].      26-61a-402. Medical cannabis pharmacy agent registration
3212     card -- Rebuttable presumption.
3213          (1) A medical cannabis [dispensary] pharmacy agent [who is registered with the
3214     department under section 426-60b-401] shall carry the individual's medical cannabis
3215     [dispensary] pharmacy agent registration card with the individual at all times when:
3216          (a) the individual is on the premises of a medical cannabis [dispensary] pharmacy; and
3217          (b) the individual is transporting cannabis in a medicinal dosage form, a cannabis
3218     product in a medicinal dosage form, or a medical cannabis device between [two cannabis
3219     production establishments or between] a cannabis production establishment and a medical
3220     cannabis [dispensary] pharmacy.

3221          (2) If an individual handling, at a medical cannabis pharmacy, cannabis in a medicinal
3222     dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis device [at a
3223     cannabis dispensary,] or transporting cannabis in a medicinal dosage form, a cannabis product
3224     in a medicinal dosage form, or a medical cannabis device, possesses the cannabis, cannabis
3225     product, or medical cannabis device in compliance with Subsection (1):
3226          (a) there is a rebuttable presumption that the individual possesses the cannabis,
3227     cannabis product, or medical cannabis device legally; and
3228          (b) [a law enforcement officer does not have] there is no probable cause, based solely
3229     on the individual's possession of the cannabis, cannabis product, or medical cannabis device in
3230     compliance with Subsection (1), [to believe] that the individual is engaging in illegal activity.
3231          (3) (a) [An individual who violates] A medical cannabis pharmacy agent who fails to
3232     carry the agent's medical cannabis pharmacy agent registration card in accordance with
3233     Subsection (1) is:
3234          (i) for a first or second offense in a two-year period:
3235          [(a)] (A) guilty of an infraction; and
3236          [(b)] (B) is subject to a $100 fine[.]; or
3237          (ii) for a third or subsequent offense in a two-year period:
3238          (A) guilty of a class C misdemeanor; and
3239          (B) subject to a $750 fine.
3240          (b) (i) The prosecuting entity shall notify the department and the relevant medical
3241     cannabis pharmacy of each conviction under Subsection (3)(a).
3242          (ii) For each violation described in Subsection (3)(a)(ii), the department may assess the
3243     relevant medical cannabis pharmacy a fine of up to $5,000, in accordance with a fine schedule
3244     that the department establishes by rule in accordance with Title 63G, Chapter 3, Utah
3245     Administrative Rulemaking Act.
3246          (c) An individual who is guilty of a violation described in Subsection (3)(a) is not
3247     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
3248     underlying the violation described in Subsection (3)(a).
3249          Section 71. Section 26-61a-403 is enacted to read:
3250          26-61a-403. Pharmacy medical providers -- Registration -- Continuing education.
3251          (1) (a) A medical cannabis pharmacy:

3252          (i) shall employ a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy
3253     Practice Act, as a pharmacy medical provider;
3254          (ii) may employ a physician who has the authority to write a prescription and is
3255     licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah
3256     Osteopathic Medical Practice Act, as a pharmacy medical provider;
3257          (iii) shall ensure that a pharmacy medical provider described in Subsection (1)(a)(i)
3258     works onsite during all business hours; and
3259          (iv) shall designate one pharmacy medical provider described in Subsection (1)(a)(i) as
3260     the pharmacist-in-charge to oversee the operation of and generally supervise the medical
3261     cannabis pharmacy.
3262          (b) An individual may not serve as a pharmacy medical provider unless the department
3263     registers the individual as a pharmacy medical provider in accordance with Subsection (2).
3264          (2) (a) The department shall, within 15 days after the day on which the department
3265     receives an application from a medical cannabis pharmacy on behalf of a prospective pharmacy
3266     medical provider, register and issue a pharmacy medical provider registration card to the
3267     prospective pharmacy medical provider if the medical cannabis pharmacy:
3268          (i) provides to the department:
3269          (A) the prospective pharmacy medical provider's name and address;
3270          (B) the name and location of the licensed medical cannabis pharmacy where the
3271     prospective pharmacy medical provider seeks to act as a pharmacy medical provider;
3272          (C) a report detailing the completion of the continuing education requirement described
3273     in Subsection (3); and
3274          (D) evidence that the prospective pharmacy medical provider is a pharmacist who is
3275     licensed under Title 58, Chapter 17b, Pharmacy Practice Act, or a physician who has the
3276     authority to write a prescription and is licensed under Title 58, Chapter 67, Utah Medical
3277     Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
3278          (ii) pays a fee to the department in an amount that, subject to Subsection
3279     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
3280          (b) The department may not register a qualified medical provider or a state central fill
3281     medical provider as a pharmacy medical provider.
3282          (3) (a) A pharmacy medical provider shall complete the continuing education described

3283     in this Subsection (3) in the following amounts:
3284          (i) as a condition precedent to registration, four hours; and
3285          (ii) as a condition precedent to renewal of the registration, four hours every two years.
3286          (b) In accordance with Subsection (3)(a), the pharmacy medical provider shall:
3287          (i) complete continuing education:
3288          (A) regarding the topics described in Subsection (3)(d); and
3289          (B) offered by the department under Subsection (3)(c) or an accredited or approved
3290     continuing education provider that the department recognizes as offering continuing education
3291     appropriate for the medical cannabis pharmacy practice; and
3292          (ii) make a continuing education report to the department in accordance with a process
3293     that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
3294     Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
3295     Professional Licensing and:
3296          (A) for a pharmacy medical provider who is licensed under Title 58, Chapter 17b,
3297     Pharmacy Practice Act, the Board of Pharmacy;
3298          (B) for a pharmacy medical provider licensed under Title 58, Chapter 67, Utah Medical
3299     Practice Act, the Physicians Licensing Board; and
3300          (C) for a pharmacy medical provider licensed under Title 58, Chapter 68, Utah
3301     Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board.
3302          (c) The department may, in consultation with the Division of Occupational and
3303     Professional Licensing, develop the continuing education described in this Subsection (3).
3304          (d) The continuing education described in this Subsection (3) may discuss:
3305          (i) the provisions of this chapter;
3306          (ii) general information about medical cannabis under federal and state law;
3307          (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
3308     including risks and benefits;
3309          (iv) recommendations for medical cannabis as it relates to the continuing care of a
3310     patient in pain management, risk management, potential addiction, and palliative care; or
3311          (v) best practices for recommending the form and dosage of a medical cannabis
3312     product based on the qualifying condition underlying a medical cannabis recommendation.
3313          (4) (a) A pharmacy medical provider registration card expires two years after the day

3314     on which the department issues or renews the card.
3315          (b) A pharmacy medical provider may renew the provider's registration card if the
3316     provider:
3317          (i) is eligible for a pharmacy medical provider registration card under this section;
3318          (ii) certifies to the department in a renewal application that the information in
3319     Subsection (2)(a) is accurate or updates the information;
3320          (iii) submits a report detailing the completion of the continuing education requirement
3321     described in Subsection (3); and
3322          (iv) pays to the department a renewal fee in an amount that:
3323          (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
3324     Section 63J-1-504; and
3325          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
3326     comparison to the original application process.
3327          Section 72. Section 26-61a-501, which is renumbered from Section 26-60b-501 is
3328     renumbered and amended to read:
3329     
Part 5. Medical Cannabis Pharmacy Operation

3330          [26-60b-501].      26-61a-501. Operating requirements -- General.
3331          (1) (a) A medical cannabis [dispensary] pharmacy shall operate:
3332          (i) at the physical address provided to the department under Section 26-61a-301; and
3333          (ii) in accordance with the operating plan provided to the department under [Section
3334     26-60b-303] Section 26-61a-301 and, if applicable, 26-61a-304.
3335          (b) A medical cannabis [dispensary] pharmacy shall notify the department before a
3336     change in the medical cannabis [dispensary's] pharmacy's physical address or operating plan.
3337          (2) [A] An individual may not enter a medical cannabis [dispensary shall operate]
3338     pharmacy unless the individual:
3339           (a) is at least 18 years old; and
3340          [(a)] (b) except as provided in Subsection (5), [in a facility that is accessible only by an
3341     individual with] possesses a valid:
3342          (i) medical cannabis [dispensary] pharmacy agent registration card; or [a]
3343          (ii) medical cannabis card[; and].
3344          [(b) at the physical address provided to the department under Section 26-60b-301.]

3345          (3) A medical cannabis [dispensary] pharmacy may not employ [any person] an
3346     individual who is younger than 21 years [of age] old.
3347          (4) A medical cannabis [dispensary shall conduct a background check into the criminal
3348     history of every person who will become an agent of the cannabis dispensary and] pharmacy
3349     may not employ [any person] an individual who has been convicted of [an offense that is] a
3350     felony under [either] state or federal law.
3351          (5) [A] Notwithstanding Subsection (2), a medical cannabis [dispensary] pharmacy
3352     may authorize an individual who is not a medical cannabis [dispensary] pharmacy agent to
3353     access the medical cannabis [dispensary] pharmacy if the medical cannabis [dispensary]
3354     pharmacy tracks and monitors the individual at all times while the individual is at the medical
3355     cannabis [dispensary] pharmacy and maintains a record of the individual's access.
3356          (6) A medical cannabis [dispensary] pharmacy shall operate in a facility that has:
3357          (a) a single, secure public entrance;
3358          (b) a security system with a backup power source that:
3359          (i) detects and records entry into the medical cannabis [dispensary] pharmacy; and
3360          (ii) provides notice of an unauthorized entry to law enforcement when the medical
3361     cannabis [dispensary] pharmacy is closed; and
3362          (c) a lock on [any] each area where the medical cannabis [dispensary] pharmacy stores
3363     cannabis or a cannabis product.
3364          (7) A medical cannabis [dispensary] pharmacy shall post, both clearly and
3365     conspicuously in the medical cannabis [dispensary] pharmacy, the limit on the purchase of
3366     cannabis described in Subsection [26-60b-502(3)] 26-61a-502(2).
3367          (8) A medical cannabis [dispensary] pharmacy may not allow any individual to
3368     consume cannabis on the property or premises of the medical cannabis [dispensary] pharmacy.
3369          (9) A medical cannabis [dispensary] pharmacy may not sell cannabis or a cannabis
3370     product without first indicating on the cannabis or cannabis product label the name of the
3371     medical cannabis [dispensary] pharmacy.
3372          (10) (a) Each medical cannabis pharmacy shall retain in the pharmacy's records the
3373     following information regarding each recommendation underlying a transaction:
3374          (i) the qualified medical provider's name, address, and telephone number;
3375          (ii) the patient's name and address;

3376          (iii) the date of issuance;
3377          (iv) dosing parameters or an indication that the qualified medical provider did not
3378     recommend specific dosing parameters; and
3379          (v) if the patient did not complete the transaction, the name of the medical cannabis
3380     cardholder who completed the transaction.
3381          (b) The medical cannabis pharmacy may not sell cannabis or a cannabis product unless
3382     the cannabis or cannabis product has a label securely affixed to the container indicating the
3383     following minimum information:
3384          (i) the name, address, and telephone number of the medical cannabis pharmacy;
3385          (ii) the unique identification number that the medical cannabis pharmacy assigns;
3386          (iii) the date of the sale;
3387          (iv) the name of the patient;
3388          (v) the name of the qualified medical provider who recommended the medical cannabis
3389     treatment;
3390          (vi) directions for use and cautionary statements, if any;
3391          (vii) the amount dispensed and the cannabinoid content;
3392          (viii) the beyond use date; and
3393          (ix) any other requirements that the department determines, in consultation with the
3394     Division of Occupational and Professional Licensing and the Board of Pharmacy.
3395          (11) A pharmacy medical provider or medical cannabis pharmacy agent shall:
3396          (a) unless the medical cannabis cardholder has had a consultation under Subsection
3397     26-61a-502(4), verbally offer to a medical cannabis cardholder at the time of a purchase of
3398     cannabis, a cannabis product, or a medical cannabis device, personal, face-to-face counseling
3399     with the pharmacy medical provider who is a pharmacist; and
3400          (b) provide a telephone number or website by which the cardholder may contact a
3401     pharmacy medical provider for counseling.
3402          (12) (a) A medical cannabis pharmacy may create a medical cannabis disposal program
3403     that allows an individual to deposit unused or excess medical cannabis, cannabis residue from a
3404     medical cannabis device, or medical cannabis product in a locked box or other secure
3405     receptacle within the medical cannabis pharmacy.
3406          (b) A medical cannabis pharmacy with a disposal program described in Subsection

3407     (12)(a) shall ensure that only a medical cannabis pharmacy agent can access deposited medical
3408     cannabis or medical cannabis products.
3409          (c) A medical cannabis pharmacy shall dispose of any deposited medical cannabis or
3410     medical cannabis products by:
3411          (i) rendering the deposited medical cannabis or medical cannabis products unusable
3412     and unrecognizable before transporting deposited medical cannabis or medical cannabis
3413     products from the medical cannabis pharmacy; and
3414          (ii) disposing of the deposited medical cannabis or medical cannabis products in
3415     accordance with:
3416          (A) federal and state law, rules, and regulations related to hazardous waste;
3417          (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.;
3418          (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and
3419          (D) other regulations that the department makes in accordance with Title 63G, Chapter
3420     3, Utah Administrative Rulemaking Act.
3421          (13) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
3422     Utah Administrative Rulemaking Act, protocols for a recall of cannabis and cannabis products
3423     by a medical cannabis pharmacy.
3424          Section 73. Section 26-61a-502, which is renumbered from Section 26-60b-502 is
3425     renumbered and amended to read:
3426          [26-60b-502].      26-61a-502. Dispensing -- Amount a cannabis dispensary
3427     may dispense -- Reporting -- Form of cannabis or cannabis product.
3428          (1) (a) A medical cannabis [dispensary] pharmacy may [only] not sell a product other
3429     than, subject to this chapter:
3430          [(a)] (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy
3431     acquired from a cannabis processing facility that is licensed under Section 4-41a-201;
3432          [(b)] (ii) a cannabis product in a medicinal dosage form that the medical cannabis
3433     pharmacy acquired from a cannabis processing facility that is licensed under Section
3434     4-41a-201;
3435          [(c)] (iii) a medical cannabis device; or
3436          [(d)] (iv) educational [materials] material related to the medical use of cannabis.
3437          [(2)] (b) A medical cannabis [dispensary] pharmacy may only sell [the items] an item

3438     listed in Subsection (1)(a) to an individual with:
3439          (i) a medical cannabis card [issued by the department.]; and
3440          (ii) corresponding identification that is a valid United States federal- or state-issued
3441     photo identification, including a driver license, a United States passport, a United States
3442     passport card, or a United States military identification card.
3443          (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
3444     cannabis-based drug that the United States Food and Drug Administration has approved.
3445          [(3)] (2) A medical cannabis [dispensary] pharmacy may not dispense [on behalf of any
3446     one individual with]:
3447          (a) to a medical cannabis [card,] cardholder in any one [14-day] 12-day period, more
3448     than the lesser of:
3449          (i) an amount sufficient to provide 14 days of treatment based on the dosing parameters
3450     that the relevant qualified medical provider recommends; or
3451          [(a)] (ii) (A) [an amount] 56 grams by weight of unprocessed cannabis that [exceeds
3452     two ounces by weight] is in a medicinal dosage form and that carries a label clearly displaying
3453     the amount of tetrahydrocannabinol and cannabidiol in the cannabis; or
3454          [(b)] (B) an amount of cannabis products that is in a medicinal dosage form and that
3455     contains, in total, greater than 10 grams of total composite tetrahydrocannabinol [or
3456     cannabidiol.];
3457          (b) to a medical cannabis cardholder whose primary residence is located more than 100
3458     miles from the nearest medical cannabis pharmacy or local health department, in any one
3459     28-day period, more than the lesser of:
3460          (i) an amount sufficient to provide 30 days of treatment based on the dosing parameters
3461     that the relevant qualified medical provider recommends; or
3462          (ii) (A) 113 grams by weight of unprocessed cannabis that is in a medicinal dosage
3463     form and that carries a label clearly displaying the amount of tetrahydrocannabinol and
3464     cannabidiol in the cannabis; or
3465          (B) an amount of cannabis products that is in a medicinal dosage form and that
3466     contains, in total, greater than 20 grams of total composite tetrahydrocannabinol; or
3467          (c) to an individual whose qualified medical provider did not recommend dosing
3468     parameters, until the individual consults with the pharmacy medical provider in accordance

3469     with Subsection (4), any cannabis or cannabis products.
3470          [(4)] (3) An individual with a medical cannabis card may not purchase:
3471          (a) more cannabis or cannabis products than the amounts designated in Subsection
3472     [(3)] (2) in any one [14-day] 12-day period[.]; or
3473          (b) if the relevant qualified medical provider did not recommend dosing parameters,
3474     until the individual consults with the pharmacy medical provider in accordance with
3475     Subsection (4), any cannabis or cannabis products.
3476          (4) If a qualified medical provider recommends treatment with medical cannabis or a
3477     cannabis product but does not provide dosing parameters:
3478          (a) the qualified medical provider shall document in the recommendation:
3479          (i) an evaluation of the qualifying condition underlying the recommendation;
3480          (ii) prior treatment attempts with cannabis and cannabis products; and
3481          (iii) the patient's current medication list; and
3482          (b) before the relevant medical cannabis cardholder may obtain cannabis in a medicinal
3483     dosage form or a cannabis product in a medicinal dosage form, the pharmacy medical provider
3484     shall:
3485          (i) review pertinent medical records, including the qualified medical provider
3486     documentation described in Subsection (4)(a); and
3487          (ii) after completing the review described in Subsection (4)(b)(i) and consulting with
3488     the recommending qualified medical provider as needed, determine the best course of treatment
3489     through consultation with the cardholder regarding:
3490          (A) the patient's qualifying condition underlying the recommendation from the
3491     qualified medical provider;
3492          (B) indications for available treatments;
3493          (C) dosing parameters; and
3494          (D) potential adverse reactions.
3495          (5) A medial cannabis [dispensary] pharmacy shall:
3496          (a) (i) access the state electronic verification system before dispensing cannabis or a
3497     cannabis product to [an individual with] a medical cannabis [card] cardholder in order to
3498     determine if the [individual] cardholder or, where applicable, the associated patient has met the
3499     maximum amount of cannabis or cannabis products described in Subsection [(3)] (2); and

3500          (ii) if the verification in Subsection (5)(a)(i) indicates that the individual has met the
3501     maximum amount described in Subsection (2):
3502          (A) decline the sale; and
3503          (B) notify the qualified medical provider who made the underlying recommendation;
3504          (b) submit a record to the state electronic verification system each time the medical
3505     cannabis [dispensary] pharmacy dispenses cannabis or a cannabis product to [an individual
3506     with] a medical cannabis [card.] cardholder;
3507          (c) package any cannabis or cannabis product that is in a blister pack in a container
3508     that:
3509          (i) complies with Subsection 4-41a-602(2);
3510          (ii) is tamper-resistant and tamper-evident; and
3511          (iii) opaque; and
3512          (d) for a product that is a cube that is designed for ingestion through chewing or
3513     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
3514     of over-consumption.
3515          (6) (a) Except as provided in Subsection (6)(b), a medical cannabis [dispensary]
3516     pharmacy may not sell medical cannabis in the form of a cigarette or a medical cannabis device
3517     that is intentionally designed or constructed to resemble a cigarette.
3518          (b) A medial cannabis [dispensary] pharmacy may sell a medical cannabis device that
3519     warms cannabis material into a vapor without the use of a flame and that delivers cannabis to
3520     an individual's respiratory system.
3521          (7) A medical cannabis [dispensary] pharmacy may not give [to an individual with a
3522     medical cannabis card], at no cost, a product that the medial cannabis [dispensary] pharmacy is
3523     allowed to sell under Subsection (1).
3524          (8) The department may impose a uniform fee on each medical cannabis cardholder
3525     transaction in a medical cannabis pharmacy in an amount that, subject to Subsection
3526     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
3527          Section 74. Section 26-61a-503 is enacted to read:
3528          26-61a-503. Partial filling.
3529          (1) As used in this section, "partially fill" means to provide less than the full amount of
3530     cannabis or cannabis product that the qualified medical provider recommends, if the qualified

3531     medical provider recommended specific dosing parameters.
3532          (2) A pharmacy medical provider may partially fill a recommendation for a medical
3533     cannabis treatment at the request of the qualified medical provider who issued the medical
3534     cannabis treatment recommendation or the medical cannabis cardholder.
3535          (3) The department shall make rules, in collaboration with the Division of
3536     Occupational and Professional Licensing and the Board of Pharmacy and in accordance with
3537     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, specifying how to record the date,
3538     quantity supplied, and quantity remaining of a partially filled medical cannabis treatment
3539     recommendation.
3540          (4) A pharmacy medical provider who is a pharmacist may, upon the request of a
3541     medical cannabis cardholder, determine different dosing parameters, subject to the dosing
3542     limits in Subsection 26-61a-502(2), to fill the quantity remaining of a partially filled medical
3543     cannabis treatment recommendation if:
3544          (a) the pharmacy medical provider determined dosing parameters for the partial fill
3545     under Subsection 26-61a-502(4); and
3546          (b) the medical cannabis cardholder reports that:
3547          (i) the partial fill did not substantially affect the qualifying condition underlying the
3548     medical cannabis recommendation; or
3549          (ii) the patient experienced an adverse reaction to the partial fill or was otherwise
3550     unable to successfully use the partial fill.
3551          Section 75. Section 26-61a-504, which is renumbered from Section 26-60b-503 is
3552     renumbered and amended to read:
3553          [26-60b-503].      26-61a-504. Inspections.
3554          (1) Each medical cannabis pharmacy shall maintain the pharmacy's medical cannabis
3555     treatment recommendation files and other records in accordance with this chapter, department
3556     rules, and the federal Health Insurance Portability and Accountability Act of 1996, Pub. L. No.
3557     104-191, 110 Stat. 1936, as amended.
3558          (2) The department may inspect the records and facility of a medical cannabis
3559     [dispensary] pharmacy at any time during business hours in order to determine if the medical
3560     cannabis [dispensary] pharmacy complies with [the licensing requirements of this part] this
3561     chapter.

3562          (3) An inspection under this section may include:
3563          (a) inspection of a site, facility, vehicle, book, record, paper, document, data, and other
3564     physical or electronic information;
3565          (b) questioning of any relevant individual; or
3566          (c) inspection of equipment, an instrument, a tool, or machinery, including a container
3567     or label.
3568          (4) In making an inspection under this section, the department may freely access any
3569     area and review and make copies of a book, record, paper, document, data, or other physical or
3570     electronic information, including financial data, sales data, shipping data, pricing data, and
3571     employee data.
3572          (5) Failure to provide the department or the department's authorized agents immediate
3573     access to records and facilities during business hours in accordance with this section may result
3574     in:
3575          (a) the imposition of a civil monetary penalty that the department sets in accordance
3576     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
3577          (b) license or registration suspension or revocation; or
3578          (c) an immediate cessation of operations under a cease and desist order that the
3579     department issues.
3580          Section 76. Section 26-61a-505, which is renumbered from Section 26-60b-504 is
3581     renumbered and amended to read:
3582          [26-60b-504].      26-61a-505. Advertising.
3583          (1) Except as provided in Subsections (2) and (3), a medical cannabis [dispensary]
3584     pharmacy may not advertise in any medium.
3585          (2) A medical cannabis [dispensary] pharmacy may use signage on the outside of the
3586     medical cannabis [dispensary] pharmacy that includes only:
3587          (a) the medical cannabis [dispensary's] pharmacy's name and hours of operation; and
3588          (b) a green cross.
3589          (3) A medical cannabis [dispensary] pharmacy may maintain a website that includes
3590     information about:
3591          (a) the location and hours of operation of the medial cannabis [dispensary] pharmacy;
3592          (b) [the products and services] a product or service available at the medial cannabis

3593     [dispensary] pharmacy;
3594          (c) personnel affiliated with the medical cannabis [dispensary] pharmacy;
3595          (d) best practices that the medical cannabis [dispensary] pharmacy upholds; and
3596          (e) educational [materials] material related to the medical use of cannabis.
3597          Section 77. Section 26-61a-506, which is renumbered from Section 26-60b-505 is
3598     renumbered and amended to read:
3599          [26-60b-505].      26-61a-506. Cannabis, cannabis product, or medical
3600     cannabis device transportation.
3601          (1) [Except for an individual with a valid medical cannabis card, an individual] Only
3602     the following individuals may [not] transport cannabis in a medicinal dosage form, a cannabis
3603     product in a medicinal dosage form, or a medical cannabis device [unless the individual is]
3604     under this chapter:
3605          (a) a registered medical cannabis [production establishment] pharmacy agent; [or]
3606          (b) a registered [cannabis dispensary] state central fill agent[.];
3607          (c) a courier for a state central fill shipment described in Section 26-61a-605; or
3608          (d) a medical cannabis cardholder who is transporting a medical cannabis treatment
3609     that the cardholder is authorized to transport.
3610          (2) Except for an individual with a valid medical cannabis card[, an individual] under
3611     this chapter who is transporting a medical cannabis[, a cannabis product, or a medical cannabis
3612     device] treatment that the cardholder is authorized to transport, an individual described in
3613     Subsection (1) shall possess a transportation manifest that:
3614          (a) includes a unique identifier that links the cannabis, cannabis product, or medical
3615     cannabis device to a relevant inventory control system;
3616          (b) includes origin and destination information for [any] cannabis, a cannabis product,
3617     or a medical cannabis device that the individual is transporting; and
3618          (c) [indicates] identifies the departure and arrival times and locations of the individual
3619     transporting the cannabis, cannabis product, or medical cannabis device.
3620          (3) (a) In addition to the requirements in Subsections (1) and (2), the department may
3621     establish[,] by rule [made], in collaboration with the Division of Occupational and Professional
3622     Licensing and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah
3623     Administrative Rulemaking Act, requirements for transporting cannabis in a medicinal dosage

3624     form, a cannabis product in a medicinal dosage form, or a medical cannabis device to ensure
3625     that [are related to safety for human] the cannabis [or], cannabis product, or medical cannabis
3626     device remains safe for human consumption.
3627          (b) The transportation described in Subsection (3)(a) is limited to transportation:
3628          (i) between a medical cannabis pharmacy and another medical cannabis pharmacy; and
3629          (ii) between the state central fill medical cannabis pharmacy and:
3630          (A) another state central fill medical cannabis pharmacy location; or
3631          (B) a local health department.
3632          (4) (a) [An individual who transports cannabis, a cannabis product, or a medical
3633     cannabis device] It is unlawful for a registered medical cannabis pharmacy agent, a registered
3634     state central fill agent, or a courier described in Section 26-61a-605 to make a transport
3635     described in this section with a manifest that does not meet the requirements of [Subsection (2)
3636     is:] this section.
3637          (b) Except as provided in Subsection (4)(d), an agent or courier who violates
3638     Subsection (4)(a) is:
3639          [(a)] (i) guilty of an infraction; and
3640          [(b)] (ii) subject to a $100 fine.
3641          (c) An individual who is guilty of a violation described in Subsection (4)(b) is not
3642     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
3643     underlying the violation described in Subsection (4)(b).
3644          (d) If the individual described in Subsection (4)(a) is transporting more cannabis,
3645     cannabis product, or medical cannabis devices than the manifest identifies, except for a de
3646     minimis administrative error:
3647          (i) this chapter does not apply; and
3648          (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled
3649     Substances Act.
3650          Section 78. Section 26-61a-507, which is renumbered from Section 26-60b-506 is
3651     renumbered and amended to read:
3652          [26-60b-506].      26-61a-507. Local control.
3653          [(1) A municipality or county may not enact a zoning ordinance that prohibits a
3654     cannabis dispensary from operating in a location within the municipality's or county's

3655     jurisdiction on the sole basis that the cannabis dispensary is a cannabis dispensary.]
3656          (1) (a) (i) Except as provided in Subsection (1)(a)(ii), to be eligible to obtain or
3657     maintain a license under Section 26-61a-301, a person shall demonstrate that the intended
3658     medical cannabis pharmacy location is located at least:
3659          (A) 600 feet from a community location's property boundary following the shortest
3660     route of ordinary pedestrian travel; and
3661          (B) 200 feet from the patron entrance to the community location's property boundary,
3662     and within 600 feet of an area zoned residential.
3663          (ii) A municipal or county land use authority may recommend in writing that the
3664     department waive the community location proximity requirement described in Subsection
3665     (1)(a)(i).
3666          [(2)] (b) (i) A municipality or county may not deny or revoke a land use permit [or
3667     license] to operate a medical cannabis [dispensary] pharmacy on the sole basis that the
3668     applicant or medical cannabis [dispensary] pharmacy violates [a] federal law [of] regarding the
3669     [United States] legal status.
3670          (ii) A municipality or county may not deny or revoke a business license to operate a
3671     medical cannabis pharmacy on the sole basis that the applicant or medical cannabis pharmacy
3672     violates federal law regarding the legal status of cannabis.
3673          [(3)] (2) A municipality or county may enact [ordinances] an ordinance that:
3674          (a) is not in conflict with this chapter [governing]; and
3675          (b) governs the time, place, [and] or manner of medical cannabis [dispensary]
3676     pharmacy operations in the municipality or county.
3677          Section 79. Section 26-61a-601 is enacted to read:
3678     
Part 6. State Central Fill Medical Cannabis Pharmacy

3679          26-61a-601. Department to establish state central fill medical cannabis pharmacy
3680     -- Duties -- Pharmacy medical provider registration -- Continuing education.
3681          (1) On or before July 1, 2020, the department shall establish or contract to establish, in
3682     accordance with Title 63G, Chapter 6a, Utah Procurement Code, a state central fill medical
3683     cannabis pharmacy as described in this section.
3684          (2) The state central fill medical cannabis pharmacy shall:
3685          (a) procure cannabis that a cannabis processing facility processes into a medicinal

3686     dosage form;
3687          (b) prepare cannabis in medicinal dosage form, a cannabis product in medicinal dosage
3688     form, or a medical cannabis device for shipment to a medical cannabis cardholder under a
3689     qualified medical provider's recommendation to address a qualifying condition;
3690          (c) transport a state central fill shipment, in accordance with Section 26-61a-605, to the
3691     relevant local health department for distribution, in accordance with Section 26-61a-607;
3692          (d) (i) (A) if the state establishes the state central fill medical cannabis pharmacy,
3693     process and accept payment for a transaction involving a state central fill shipment; or
3694          (B) if the state establishes the state central fill medical cannabis pharmacy by contract,
3695     process prepaid requests for a state central fill shipment from the department; and
3696          (ii) deposit funds that the state central fill medical cannabis pharmacy collects under
3697     Subsection (2)(d)(i) into the Qualified Distribution Enterprise Account created in Section
3698     26-61a-110.
3699          (3) (a) An individual may not enter a state central fill medical cannabis pharmacy
3700     location unless:
3701          (i) the individual is a state central fill agent or an employee of the state central fill
3702     medical cannabis pharmacy;
3703          (ii) the individual is an employee of the department; or
3704          (iii) a state central fill agent escorts the individual at all times.
3705          (b) An individual who violates Subsection (3)(a) is:
3706          (i) guilty of an infraction; and
3707          (ii) subject to a $100 fine.
3708          (c) An individual who is guilty of a violation described in Subsection (3)(b) is not
3709     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
3710     underlying the violation described in Subsection (3)(b).
3711          (4) (a) The state central fill medical cannabis pharmacy:
3712          (i) shall employ at least one pharmacist who is licensed under Title 58, Chapter 17b,
3713     Pharmacy Practice Act, as a state central fill medical provider;
3714          (ii) may employ a physician who has the authority to write a prescription and is
3715     licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah
3716     Osteopathic Medical Practice Act, as a state central fill medical provider;

3717          (iii) shall ensure that a state central fill medical provider described in Subsection
3718     (4)(a)(i) works onsite at each location during all business hours;
3719          (iv) shall designate one state central fill medical provider described in Subsection
3720     (4)(a)(i) as the pharmacist-in-charge, as that term is defined in Section 58-17b-102, to oversee
3721     the operation of and generally supervise the state central fill medical cannabis pharmacy; and
3722          (v) may establish more than one location in which the state central fill medical
3723     cannabis pharmacy operates if the department determines, after an analysis of the current and
3724     anticipated market for cannabis in a medicinal dosage form and cannabis products in a
3725     medicinal dosage form, including costs and logistical issues in transportation of state central
3726     fill shipments, that multiple central fill locations are necessary to provide an adequate supply of
3727     state central fill shipments to local health departments for distribution to recipient medical
3728     cannabis cardholders.
3729          (b) An individual may not serve as a state central fill medical provider unless the
3730     department registers the individual as a state central fill medical provider.
3731          (5) (a) The department shall, within 15 days after the day on which the department
3732     receives an application from the state central fill medical cannabis pharmacy on behalf of a
3733     prospective state central fill medical provider, register and issue a state central fill medical
3734     provider registration card to the prospective state central fill medical provider if the state
3735     central fill medical cannabis pharmacy provides to the department:
3736          (i) the prospective state central fill medical provider's name and address; and
3737          (ii) evidence that the prospective state central fill medical provider is:
3738          (A) a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
3739     or
3740          (B) a physician who has the authority to write a prescription and is licensed under Title
3741     58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical
3742     Practice Act.
3743          (b) The department may not register a qualified medical provider or a pharmacy
3744     medical provider as a state central fill medical provider.
3745          (6) (a) A state central fill medical provider shall complete the continuing education
3746     described in this Subsection (6) in the following amounts:
3747          (i) as a condition precedent to registration, four hours; and

3748          (ii) as a condition precedent to renewal, four hours every two years.
3749          (b) In accordance with Subsection (6)(a), the state central fill medical provider shall:
3750          (i) complete continuing education:
3751          (A) regarding the topics described in Subsection (6)(d); and
3752          (B) offered by the department under Subsection (6)(c) or an accredited or approved
3753     continuing education provider that the department recognizes as offering continuing education
3754     appropriate for the medical cannabis pharmacy practice; and
3755          (ii) make a continuing education report to the department in accordance with a process
3756     that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
3757     Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
3758     Professional Licensing and:
3759          (A) for a state central fill medical provider who is licensed under Title 58, Chapter 17b,
3760     Pharmacy Practice Act, the Board of Pharmacy;
3761          (B) for a state central fill medical provider licensed under Title 58, Chapter 67, Utah
3762     Medical Practice Act, the Physicians Licensing Board; and
3763          (C) for a state central fill medical provider licensed under Title 58, Chapter 68, Utah
3764     Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board.
3765          (c) The department may, in consultation with the Division of Occupational and
3766     Professional Licensing, develop the continuing education described in this Subsection (6).
3767          (d) The continuing education described in this Subsection (6) may discuss:
3768          (i) the provisions of this chapter;
3769          (ii) general information about medical cannabis under federal and state law;
3770          (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
3771     including risks and benefits;
3772          (iv) recommendations for medical cannabis as it relates to the continuing care of a
3773     patient in pain management, risk management, potential addiction, and palliative care; or
3774          (v) best practices for recommending the form and dosage of medical cannabis products
3775     based on the qualifying condition underlying the medical cannabis recommendation.
3776          (7) (a) A state central fill medical provider registration card expires two years after the
3777     day on which the department issues or renews the card.
3778          (b) A state central fill medical provider may renew the provider's registration card if

3779     the provider:
3780          (i) is eligible for a state central fill medical provider registration card under this
3781     section;
3782          (ii) certifies to the department in a renewal application that the information in
3783     Subsection (5) is accurate or updates the information; and
3784          (iii) submits a report detailing the completion of the continuing education requirement
3785     described in Subsection (6).
3786          Section 80. Section 26-61a-602 is enacted to read:
3787          26-61a-602. State central fill agent -- Background check -- Registration card --
3788     Rebuttable presumption.
3789          (1) An individual may not serve as a state central fill agent unless:
3790          (a) the individual is an employee of the state central fill medical cannabis pharmacy;
3791     and
3792          (b) the department registers the individual as a state central fill agent.
3793          (2) (a) The department shall, within 15 days after the day on which the department
3794     receives a complete application from the state central fill medical cannabis pharmacy on behalf
3795     of a prospective state central fill agent, register and issue a state central fill agent registration
3796     card to the prospective agent if the state central fill medical cannabis pharmacy:
3797          (i) provides to the department:
3798          (A) the prospective agent's name and address;
3799          (B) the submission required under Subsection (2)(b); and
3800          (ii) as reported under Subsection (2)(b), has not been convicted under state or federal
3801     law of:
3802          (A) a felony; or
3803          (B) after the effective date of this bill, a misdemeanor for drug distribution.
3804          (b) Each prospective agent described in Subsection (2)(a) shall:
3805          (i) submit to the department:
3806          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
3807          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
3808     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
3809     Generation Identification System's Rap Back Service; and

3810          (ii) consent to a fingerprint background check by:
3811          (A) the Bureau of Criminal Identification; and
3812          (B) the Federal Bureau of Investigation.
3813          (c) The Bureau of Criminal Identification shall:
3814          (i) check the fingerprints the prospective agent submits under Subsection (2)(b) against
3815     the applicable state, regional, and national criminal records databases, including the Federal
3816     Bureau of Investigation Next Generation Identification System;
3817          (ii) report the results of the background check to the department;
3818          (iii) maintain a separate file of fingerprints that prospective agents submit under
3819     Subsection (2)(b) for search by future submissions to the local and regional criminal records
3820     databases, including latent prints;
3821          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
3822     Generation Identification System's Rap Back Service for search by future submissions to
3823     national criminal records databases, including the Next Generation Identification System and
3824     latent prints; and
3825          (v) establish a privacy risk mitigation strategy to ensure that the department only
3826     receives notifications for an individual with whom the department maintains an authorizing
3827     relationship.
3828          (d) The department shall:
3829          (i) assess an individual who submits fingerprints under Subsection (2)(b) a fee in an
3830     amount that the department sets in accordance with Section 63J-1-504 for the services that the
3831     Bureau of Criminal Identification or another authorized agency provides under this section; and
3832          (ii) remit the fee described in Subsection (2)(d) to the Bureau of Criminal
3833     Identification.
3834          (3) (a) A state central fill agent shall comply with a certification standard that the
3835     department develops, in collaboration with the Division of Occupational and Professional
3836     Licensing and the Board of Pharmacy, or a third-party certification standard that the department
3837     designates by rule, in collaboration with the Division of Occupational and Professional
3838     Licensing and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah
3839     Administrative Rulemaking Act.
3840          (b) The department shall ensure that the certification standard described in Subsection

3841     (3)(a) includes continuing education in:
3842          (i) Utah medical cannabis law;
3843          (ii) the state central fill medical cannabis pharmacy shipment process; and
3844          (iii) state central fill agent best practices.
3845          (4) The department may revoke or refuse to issue the state central fill agent registration
3846     card of an individual who:
3847          (a) violates the requirements of this chapter; or
3848          (b) is convicted under state or federal law of:
3849          (i) a felony; or
3850          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
3851          (5) (a) A state central fill agent registration card expires two years after the day on
3852     which the department issues or renews the card.
3853          (b) A state central fill agent may renew the agent's registration card if the agent:
3854          (i) is eligible for a state central fill registration card under this section; and
3855          (ii) certifies to the department in a renewal application that the information in
3856     Subsection (2)(a) is accurate or updates the information.
3857          (6) A state central fill agent who the department registers under this section shall carry
3858     the individual's state central fill agent registration card with the individual at all times when:
3859          (a) the individual is on the premises of the state central fill medical cannabis pharmacy;
3860     and
3861          (b) the individual is transporting cannabis in a medicinal dosage form, a cannabis
3862     product in a medicinal dosage form, or a medical cannabis device between a cannabis
3863     production establishment and the state central fill medical cannabis pharmacy.
3864          (7) If an individual handling cannabis, a cannabis product, or a medical cannabis
3865     device handles the cannabis, cannabis product, or medical cannabis device in compliance with
3866     Subsection (6):
3867          (a) there is a rebuttable presumption that the individual possesses the cannabis,
3868     cannabis product, or medical cannabis device legally; and
3869          (b) there is no probable cause, based solely on the individual's handling of the
3870     cannabis, cannabis product, or medical cannabis device, that the individual is engaging in
3871     illegal activity.

3872          (8) (a) An individual who violates Subsection (6) is:
3873          (i) guilty of an infraction; and
3874          (ii) subject to a $100 fine.
3875          (b) An individual who is guilty of a violation described in Subsection (8)(a) is not
3876     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
3877     underlying the violation described in Subsection (8)(a).
3878          Section 81. Section 26-61a-603 is enacted to read:
3879          26-61a-603. Recommendation.
3880          (1) When an individual receives a recommendation for a medical cannabis treatment
3881     from the individual's qualified medical provider, the individual may initiate a shipment from
3882     the state central fill medical cannabis pharmacy to a local health department by:
3883          (a) contacting the state central fill medical cannabis pharmacy directly; or
3884          (b) requesting that the qualified medical provider initiate the shipment through the state
3885     electronic verification system.
3886          (2) Upon receiving a request to prepare a shipment under Subsection (1), a state central
3887     fill agent shall:
3888          (a) verify the shipment information using the state electronic verification system;
3889          (b) process payment, including contacting the medical cannabis cardholder to complete
3890     payment if necessary;
3891          (c) prepare the shipment in accordance with Section 26-61a-604;
3892          (d) record the preparation of the shipment in the electronic verification system; and
3893          (e) place the shipment for transportation in accordance with Section 26-61a-605.
3894          Section 82. Section 26-61a-604 is enacted to read:
3895          26-61a-604. State central fill shipment preparation.
3896          (1) (a) The state central fill medical cannabis pharmacy may not prepare or ship to a
3897     local health department a product other than:
3898          (i) cannabis in medicinal dosage form that the state central fill medical cannabis
3899     pharmacy acquired from a cannabis processing facility that is licensed under Section
3900     4-41a-201;
3901          (ii) a cannabis product in medicinal dosage form that the state central fill medical
3902     cannabis pharmacy acquired from a cannabis processing facility that is licensed under Section

3903     4-41a-201;
3904          (iii) a medical cannabis device; or
3905          (iv) educational material related to the medical use of cannabis.
3906          (b) The state central fill medical cannabis pharmacy may only sell or ship an item listed
3907     in Subsection (1)(a) in response to a request for shipment described in Subsection
3908     26-61a-603(1).
3909          (c) Notwithstanding Subsection (1)(a), the state central fill medical cannabis pharmacy
3910     may not sell a cannabis-based drug that the United States Food and Drug Administration has
3911     approved.
3912          (2) The state central fill medical cannabis pharmacy may not prepare a shipment:
3913          (a) for a medical cannabis cardholder in any one 12-day period, more than the lesser of:
3914          (i) an amount sufficient to provide 14 days of treatment based on the dosing parameters
3915     that the relevant qualified medical provider recommends; or
3916          (ii) (A) 56 grams by weight of unprocessed cannabis that is in a medicinal dosage form
3917     and that carries a label clearly displaying the amount of tetrahydrocannabinol and cannabidiol
3918     in the cannabis; or
3919          (B) an amount of cannabis products that is in a medicinal dosage form and that
3920     contains, in total, greater than 10 grams of total composite tetrahydrocannabinol;
3921          (b) to a medical cannabis cardholder whose primary residence is located more than 100
3922     miles from the nearest medical cannabis pharmacy or local health department, in any one
3923     28-day period, more than the lesser of:
3924          (i) an amount sufficient to provide 30 days of treatment based on the dosing parameters
3925     that the relevant qualified medical provider recommends; or
3926          (ii) (A) 113 grams by weight of unprocessed cannabis that is in a medicinal dosage
3927     form and that carries a label clearly displaying the amount of tetrahydrocannabinol and
3928     cannabidiol in the cannabis; or
3929          (B) an amount of cannabis products that is in a medicinal dosage form and that
3930     contains, in total, greater than 20 grams of total composite tetrahydrocannabinol; or
3931          (c) for an individual whose qualified medical provider did not recommend dosing
3932     parameters, any cannabis or cannabis product, until the individual consults with the state
3933     central fill medical provider in accordance with Subsection (4).

3934          (3) A medical cannabis cardholder may not receive a state central fill shipment
3935     containing:
3936          (a) more cannabis or cannabis products than the amounts designated in Subsection (2)
3937     in any one 12-day period; or
3938          (b) if the relevant qualified medical provider did not recommend dosing parameters,
3939     any cannabis or cannabis product, until the cardholder consults with the state central fill
3940     medical provider in accordance with Subsection (4).
3941          (4) If a qualified medical provider recommends treatment with medical cannabis or a
3942     cannabis product but does not provide dosing parameters:
3943          (a) the qualified medical provider shall document in the recommendation:
3944          (i) an evaluation of the qualifying condition underlying the recommendation;
3945          (ii) prior treatment attempts with cannabis and cannabis products; and
3946          (iii) the patient's current medication list; and
3947          (b) before the relevant medical cannabis cardholder may receive a state central fill
3948     shipment, the state central fill medical provider shall:
3949          (i) review pertinent medical records, including the qualified medical provider
3950     documentation described in Subsection (4)(a); and
3951          (ii) after completing the review described in Subsection (4)(b)(i) and consulting with
3952     the recommending qualified medical provider as needed, determine the best course of treatment
3953     through consultation with the cardholder regarding:
3954          (A) the patient's qualifying condition underlying the recommendation from the
3955     qualified medical provider;
3956          (B) indications for available treatments;
3957          (C) dosing parameters; and
3958          (D) potential adverse reactions.
3959          (5) The state central fill medical cannabis pharmacy shall:
3960          (a) (i) access the state electronic verification system before preparing a shipment of
3961     cannabis or a cannabis product to determine if the medical cannabis cardholder or, where
3962     applicable, the associated patient has met the maximum amount of cannabis or cannabis
3963     product described in Subsection (2); and
3964          (ii) if the verification in Subsection (5)(a)(i) indicates that the individual has met the

3965     maximum amount described in Subsection (2):
3966          (A) decline the request to prepare the shipment; and
3967          (B) notify the qualified medical provider that made the recommendation;
3968          (b) submit a record to the state electronic verification system each time the state central
3969     fill medical cannabis pharmacy prepares and ships a shipment of cannabis, a cannabis product,
3970     or a medical cannabis device;
3971          (c) package any cannabis or cannabis product that is in a blister pack in a container
3972     that:
3973          (i) complies with Subsection 4-41a-602(2);
3974          (ii) is tamper-resistant and tamper-evident; and
3975          (iii) opaque; and
3976          (d) for any product that is a cube that is designed for ingestion through chewing or
3977     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
3978     of over-consumption.
3979          (6) (a) Except as provided in Subsection (6)(b), the state central fill medical cannabis
3980     pharmacy may not sell medical cannabis in the form of a cigarette or a medical cannabis device
3981     that is intentionally designed or constructed to resemble a cigarette.
3982          (b) The state central fill medical cannabis pharmacy may sell a medical cannabis
3983     device that warms cannabis material into a vapor without the use of a flame and that delivers
3984     cannabis to an individual's respiratory system.
3985          (7) The state central fill medical cannabis pharmacy may not give, at no cost, a product
3986     that the medical cannabis pharmacy is allowed to sell under Subsection (1).
3987          (8) (a) The state central fill medical cannabis pharmacy shall retain in the pharmacy's
3988     records the following information regarding each recommendation underlying a transaction:
3989          (i) the qualified medical provider's name, address, and telephone number;
3990          (ii) the patient's name and address;
3991          (iii) the date of issuance;
3992          (iv) dosing parameters or an indication that the qualified medical provider did not
3993     recommend specific dosing parameters; and
3994          (v) the name and the address of the medical cannabis cardholder if the cardholder is not
3995     the patient.

3996          (b) The state central fill medical cannabis pharmacy may not sell cannabis or a
3997     cannabis product unless the cannabis or cannabis product has a label securely affixed to the
3998     container indicating the following minimum information:
3999          (i) the name and telephone number of the state central fill medical cannabis pharmacy;
4000          (ii) the unique identification number that the state central fill medical cannabis
4001     pharmacy assigns;
4002          (iii) the date of the sale;
4003          (iv) the name of the medical cannabis cardholder;
4004          (v) the name of the qualified medical provider who recommends the medical cannabis
4005     treatment;
4006          (vi) directions for use and cautionary statements, if any;
4007          (vii) the amount dispensed and the cannabinoid content;
4008          (viii) the beyond use date; and
4009          (ix) any other requirements that the department determines, in consultation with the
4010     Division of Occupational and Professional Licensing and the Board of Pharmacy.
4011          (9) A pharmacy medical provider at the state central fill medical cannabis pharmacy or
4012     a state central fill agent shall:
4013          (a) include in each state central fill shipment written counseling regarding the state
4014     central fill shipment; and
4015          (b) provide a telephone number or website by which a medical cannabis cardholder
4016     may contact a pharmacy medical provider for counseling.
4017          (10) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
4018     Utah Administrative Rulemaking Act, protocols for a recall of cannabis and cannabis products
4019     by the state central fill medical cannabis pharmacy.
4020          (11) The department may impose a uniform fee on each medical cannabis cardholder
4021     transaction for a state central fill shipment in an amount that, subject to Subsection
4022     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
4023          Section 83. Section 26-61a-605 is enacted to read:
4024          26-61a-605. State central fill shipment transportation.
4025          (1) The state central fill medical cannabis pharmacy shall ensure that the state central
4026     fill medical cannabis pharmacy is capable of delivering, in a secure manner, cannabis in

4027     medicinal dosage form, a cannabis product in medicinal dosage form, and a medical cannabis
4028     device to each local health department in the state within two business days after the day on
4029     which the state central fill medical cannabis pharmacy receives a request for a state central fill
4030     shipment resulting from a recommendation of a qualified medical provider under Section
4031     26-61a-603.
4032          (2) (a) The department may contract with a private entity for the entity to serve as a
4033     courier for the state central fill medical cannabis pharmacy, delivering state central fill
4034     shipments to local health departments for distribution to medical cannabis cardholders.
4035          (b) If the department enters into a contract described in Subsection (2)(a), the
4036     department shall:
4037          (i) issue the contract described in Subsection (2)(a) in accordance with Title 63G,
4038     Chapter 6a, Utah Procurement Code;
4039          (ii) impose security and personnel requirements on the contracted private entity
4040     sufficient to ensure the security and safety of state central fill shipments; and
4041          (iii) provide regular oversight of the contracted private entity.
4042          (3) Except for an individual with a valid medical cannabis card who transports a
4043     shipment the individual receives, an individual may not transport a state central fill shipment
4044     unless the individual is:
4045          (a) a registered state central fill agent; or
4046          (b) an agent of the private courier described in Subsection (2).
4047          (4) An individual transporting a state central fill shipment shall possess a transportation
4048     manifest that:
4049          (a) includes a unique identifier that links the state central fill shipment to a relevant
4050     inventory control system;
4051          (b) includes origin and destination information for a state central fill shipment the
4052     individual is transporting; and
4053          (c) indicates the departure and arrival times and locations of the individual transporting
4054     the state central fill shipment.
4055          (5) In addition to the requirements in Subsections (3) and (4), the department may
4056     establish by rule, in collaboration with the Division of Occupational and Professional Licensing
4057     and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative

4058     Rulemaking Act, requirements for transporting state central fill shipments that are related to
4059     safety for human consumption of cannabis or a cannabis product.
4060          (6) (a) It is unlawful for an individual to transport a state central fill shipment with a
4061     manifest that does not meet the requirements of Subsection (4).
4062          (b) Except as provided in Subsection (6)(d), an individual who violates Subsection
4063     (6)(a):
4064          (i) is guilty of an infraction; and
4065          (ii) subject to a $100 fine.
4066          (c) An individual who is guilty of a violation described in Subsection (6)(b) is not
4067     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
4068     underlying the violation described in Subsection (6)(b).
4069          (d) If the individual described in Subsection (6)(a) is transporting more cannabis,
4070     cannabis product, or medical cannabis devices than the manifest identifies, except for a de
4071     minimis administrative error:
4072          (i) this chapter does not apply; and
4073          (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled
4074     Substances Act.
4075          Section 84. Section 26-61a-606 is enacted to read:
4076          26-61a-606. Local health department distribution agent -- Background check --
4077     Registration card -- Rebuttable presumption.
4078          (1) An individual may not serve as a local health department distribution agent unless:
4079          (a) the individual is an employee of a local health department; and
4080          (b) the department registers the individual as a local health department distribution
4081     agent.
4082          (2) (a) The department shall, within 15 days after the day on which the department
4083     receives a complete application from a local health department on behalf of a prospective local
4084     health department distribution agent, register and issue a local health department distribution
4085     agent registration card to the prospective agent if the local health department:
4086          (i) provides to the department:
4087          (A) the prospective agent's name and address;
4088          (B) the name and location of the local health department where the prospective agent

4089     seeks to act as a local health department distribution agent;
4090          (C) the submission required under Subsection (2)(b); and
4091          (ii) as reported under Subsection (2)(c), has not been convicted under state or federal
4092     law of:
4093          (A) a felony; or
4094          (B) after the effective date of this bill, a misdemeanor for drug distribution.
4095          (b) Each prospective agent described in Subsection (2)(a) shall:
4096          (i) submit to the department:
4097          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
4098          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
4099     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
4100     Generation Identification System's Rap Back Service; and
4101          (ii) consent to a fingerprint background check by:
4102          (A) the Bureau of Criminal Identification; and
4103          (B) the Federal Bureau of Investigation.
4104          (c) The Bureau of Criminal Identification shall:
4105          (i) check the fingerprints the prospective agent submits under Subsection (2)(b) against
4106     the applicable state, regional, and national criminal records databases, including the Federal
4107     Bureau of Investigation Next Generation Identification System;
4108          (ii) report the results of the background check to the department;
4109          (iii) maintain a separate file of fingerprints that prospective agents submit under
4110     Subsection (2)(b) for search by future submissions to the local and regional criminal records
4111     databases, including latent prints;
4112          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
4113     Generation Identification System's Rap Back Service for search by future submissions to
4114     national criminal records databases, including the Next Generation Identification System and
4115     latent prints; and
4116          (v) establish a privacy risk mitigation strategy to ensure that the department only
4117     receives notifications for an individual with whom the department maintains an authorizing
4118     relationship.
4119          (d) The department shall:

4120          (i) assess an individual who submits fingerprints under Subsection (2)(b) a fee in an
4121     amount that the department sets in accordance with Section 63J-1-504 for the services that the
4122     Bureau of Criminal Identification or another authorized agency provides under this section; and
4123          (ii) remit the fee described in Subsection (2)(d) to the Bureau of Criminal
4124     Identification.
4125          (3) The department shall designate on an individual's local health department
4126     distribution agent registration card the name of the local health department where the
4127     individual is registered as an agent.
4128          (4) (a) A local health department distribution agent shall comply with a certification
4129     standard that the department develops, in collaboration with the Division of Occupational and
4130     Professional Licensing and the Board of Pharmacy, or a third-party certification standard that
4131     the department designates by rule in collaboration with the Division of Occupational and
4132     Professional Licensing and the Board of Pharmacy and in accordance with Title 63G, Chapter
4133     3, Utah Administrative Rulemaking Act.
4134          (b) The department shall ensure that the certification standard described in Subsection
4135     (4)(a) includes training in:
4136          (i) Utah medical cannabis law;
4137          (ii) the state central fill medical cannabis pharmacy shipment process; and
4138          (iii) local health department distribution agent best practices.
4139          (5) The department may revoke or refuse to issue or renew the local health department
4140     distribution agent registration card of an individual who:
4141          (a) violates the requirements of this chapter; or
4142          (b) is convicted under state or federal law of:
4143          (i) a felony; or
4144          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
4145          (6) A local health department distribution agent who the department has registered
4146     under this section shall carry the agent's local health department distribution agent registration
4147     card with the agent at all times when:
4148          (a) the agent is on the premises of the local health department; and
4149          (b) the agent is handling a shipment of cannabis or cannabis product from the state
4150     central fill medical cannabis pharmacy.

4151          (7) If a local health department distribution agent handling a shipment of cannabis or
4152     cannabis product from the state central fill medical cannabis pharmacy possesses the shipment
4153     in compliance with Subsection (6):
4154          (a) there is a rebuttable presumption that the agent possesses the shipment legally; and
4155          (b) there is no probable cause, based solely on the agent's possession of the shipment,
4156     that the agent is engaging in illegal activity.
4157          (8) (a) A local health department distribution agent who violates Subsection (6) is:
4158          (i) guilty of an infraction; and
4159          (ii) subject to a $100 fine.
4160          (b) An individual who is guilty of a violation described in Subsection (8)(a) is not
4161     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
4162     underlying the violation described in Subsection (8)(a).
4163          Section 85. Section 26-61a-607 is enacted to read:
4164          26-61a-607. Local health department distribution.
4165          (1) Each local health department shall designate:
4166          (a) one or more of the local health department's locations as a state central fill shipment
4167     distribution location; and
4168          (b) a sufficient number of personnel to ensure that at least one individual is available at
4169     all times during business hours:
4170          (i) whom the department has registered as a local health department distribution agent;
4171     and
4172          (ii) to distribute state central fill shipments to medical cannabis cardholders in
4173     accordance with this section.
4174          (2) An individual may not retrieve a shipment from the state central fill medical
4175     cannabis pharmacy at a local health department unless the individual presents:
4176          (a) a form of identification that is a valid United States federal- or state-issued photo
4177     identification, including a driver license, a United States passport, a United States passport
4178     card, or a United States military identification card; and
4179          (b) a valid medical cannabis card under the same name that appears on the
4180     identification described in Subsection (2)(a).
4181          (3) Before a local health department distribution agent distributes a state central fill

4182     shipment to a medical cannabis cardholder, the local health department distribution agent shall:
4183          (a) verify the shipment information using the state electronic verification system;
4184          (b) ensure that the individual satisfies the identification requirements in Subsection (2);
4185          (c) verify that payment is complete; and
4186          (d) record the completion of the shipment transaction in the electronic verification
4187     system.
4188          (4) The local health department shall:
4189          (a) (i) store each state central fill shipment that the local health department receives,
4190     until the recipient medical cannabis cardholder retrieves the shipment or the local health
4191     department returns the shipment to the state central fill medical cannabis pharmacy in
4192     accordance with Subsection (5), in a single, secure, locked area that is equipped with a security
4193     system that detects and records entry into the area; and
4194          (ii) ensure that only a local health department distribution agent is able to access the
4195     area;
4196          (b) return any unclaimed state central fill shipment to the state central fill medical
4197     cannabis pharmacy, in accordance with Subsection (5)(a), after the local health department has
4198     possessed the state central fill shipment for 10 business days; and
4199          (c) return any state central fill shipment to the state central fill medical cannabis
4200     pharmacy, in accordance with Subsection (5)(b), if a medical cannabis cardholder returns the
4201     shipment to the local health department after retrieving the shipment.
4202          (5) (a) If a local health department returns an unclaimed state central fill shipment
4203     under Subsection (4)(b), the state central fill medical cannabis pharmacy may repackage or
4204     otherwise reuse the shipment for another state central fill shipment.
4205          (b) If a local health department returns a returned state central fill shipment under
4206     Subsection (4)(c), the state central fill medical cannabis pharmacy shall dispose of the returned
4207     shipment by:
4208          (i) rendering the state central fill shipment unusable and unrecognizable before
4209     transporting the shipment from the state central fill medical cannabis pharmacy; and
4210          (ii) disposing of the state central fill shipment in accordance with:
4211          (A) federal and state laws, rules, and regulations related to hazardous waste;
4212          (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.;

4213          (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and
4214          (D) other regulations that the department makes in accordance with Title 63G, Chapter
4215     3, Utah Administrative Rulemaking Act.
4216          Section 86. Section 26-61a-608 is enacted to read:
4217          26-61a-608. Department to set state central fill prices.
4218          (1) The department shall set a price schedule for cannabis in a medicinal dosage form
4219     that the state central fill medical cannabis pharmacy sells to medical cannabis cardholders
4220     through distribution to local health departments.
4221          (2) The department shall ensure that the price schedule described in Subsection (1):
4222          (a) through an annual review, takes into consideration:
4223          (i) the demand for medical cannabis and cannabis products dispensed through the state
4224     central fill medical cannabis pharmacy and the local health departments;
4225          (ii) the labor required to cultivate and process cannabis into a medicinal dosage form;
4226          (iii) the regulatory burden involved in the creation of the product; and
4227          (iv) any other consideration the department considers necessary; and
4228          (b) after at least three medical cannabis pharmacies that the department licenses under
4229     Section 26-61a-301 are operational, contains pricing for a specific product that is within 10%
4230     of the average price for the product among the operational medical cannabis pharmacies.
4231          (3) The department shall ensure that the price schedule that the department sets under
4232     Subsection (1) includes a set fee that the department deposits into the Qualified Distribution
4233     Enterprise Fund to cover the cost of:
4234          (a) the state central fill medical cannabis pharmacy; and
4235          (b) the courier described in Section 26-61a-605, if any.
4236          Section 87. Section 26-61a-609 is enacted to read:
4237          26-61a-609. Partial filling.
4238          (1) As used in this section, "partially fill" means to provide less than the full amount of
4239     cannabis or cannabis product that the qualified medical provider recommends, if the qualified
4240     medical provider recommended specific dosing parameters.
4241          (2) The state central fill medical cannabis pharmacy may partially fill a
4242     recommendation for a medical cannabis treatment at the request of the qualified medical
4243     provider who issued the medical cannabis treatment recommendation or the medical cannabis

4244     cardholder.
4245          (3) The department shall make rules in collaboration with the Division of Occupational
4246     and Professional Licensing and the Board of Pharmacy and in accordance with Title 63G,
4247     Chapter 3, Utah Administrative Rulemaking Act, specifying how to record the date, quantity
4248     supplied, and quantity remaining of a partially filled medical cannabis treatment
4249     recommendation.
4250          (4) A state central fill medical provider who is a pharmacist may, upon the request of a
4251     medical cannabis cardholder, determine different dosing parameters, subject to the dosing
4252     limits in Subsection 26-61a-604(2), to fill the quantity remaining of a partially filled medical
4253     cannabis treatment recommendation if:
4254          (a) the state central fill medical provider determined dosing parameters for the partial
4255     fill under Subsection 26-61a-604(4); and
4256          (b) the medical cannabis cardholder reports that:
4257          (i) the partial fill did not substantially affect the qualifying condition underlying the
4258     medical cannabis recommendation; or
4259          (ii) the patient experienced an adverse reaction to the partial fill or was otherwise
4260     unable to successfully use the partial fill.
4261          Section 88. Section 26-61a-610 is enacted to read:
4262          26-61a-610. Records -- Inspections.
4263          (1) The state central fill medical cannabis pharmacy shall maintain the pharmacy's
4264     medical cannabis treatment recommendation files and other records in accordance with this
4265     chapter, department rules, and the federal Health Insurance Portability and Accountability Act
4266     of 1996, Pub. L. No. 104-191, 110 Stat. 1936, as amended.
4267          (2) The department may inspect the records and facility of the state central fill medical
4268     cannabis pharmacy or a local health department at any time during business hours in order to
4269     determine compliance with this chapter.
4270          (3) An inspection under this section may include:
4271          (a) inspection of a site, facility, vehicle, book, record, paper, document, data, and other
4272     physical or electronic information;
4273          (b) questioning of any relevant individual; or
4274          (c) inspection of equipment, an instrument, a tool, or machinery, including a container

4275     or label.
4276          (4) In making an inspection under this section, the department may freely access any
4277     area and review and make copies of a book, record, paper, document, data, or other physical or
4278     electronic information, including financial data, sales data, shipping data, pricing data, and
4279     employee data.
4280          (5) Failure to provide the department or the department's authorized agents immediate
4281     access during business hours in accordance with this section may result in:
4282          (a) the imposition of a civil monetary penalty that the department sets in accordance
4283     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
4284          (b) license or registration suspension or revocation; or
4285          (c) an immediate cessation of operations under a cease and desist order that the
4286     department issues.
4287          Section 89. Section 26-61a-611 is enacted to read:
4288          26-61a-611. Advertising.
4289          (1) Except as provided in Subsection (2), the state central fill medical cannabis
4290     pharmacy may not advertise in any medium.
4291          (2) The state central fill medical cannabis pharmacy may maintain a website that
4292     includes information about:
4293          (a) the contact information for the state central fill medical cannabis pharmacy;
4294          (b) a product or service available through shipment from the state central fill medical
4295     cannabis pharmacy;
4296          (c) a description of the state central fill medical cannabis pharmacy shipment process;
4297          (d) information about retrieving a state central fill shipment at a local health
4298     department; or
4299          (e) educational material related to the medical use of cannabis.
4300          Section 90. Section 26-61a-701 is enacted to read:
4301     
Part 7. Enforcement

4302          26-61a-701. Enforcement -- Misdemeanor.
4303          (1) Except as provided in Title 4, Chapter 41a, Cannabis Production Establishments,
4304     and Sections 26-61a-502, 26-61a-605, and 26-61a-607, it is unlawful for a medical cannabis
4305     cardholder to sell or otherwise give to another medical cannabis cardholder cannabis in a

4306     medicinal dosage form, a cannabis product in a medicinal dosage form, a medical cannabis
4307     device, or any cannabis residue remaining in or from a medical cannabis device.
4308          (2) (a) Except as provided in Subsection (2)(b), a medical cannabis cardholder who
4309     violates Subsection (1) is:
4310          (i) guilty of a class B misdemeanor; and
4311          (ii) subject to a $1,000 fine.
4312          (b) An individual is not guilty under Subsection (2)(a) if the individual:
4313          (i) (A) is a designated caregiver; and
4314          (B) gives the product described in Subsection (1) to the medical cannabis cardholder
4315     who designated the individual as a designated caregiver; or
4316          (ii) (A) is a medical cannabis guardian cardholder; and
4317          (B) gives the product described in Subsection (1) to the relevant provisional patient
4318     cardholder.
4319          (c) An individual who is guilty of a violation described in Subsection (2)(a) is not
4320     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
4321     underlying the violation described in Subsection (2)(a).
4322          Section 91. Section 26-61a-702, which is renumbered from Section 26-60b-601 is
4323     renumbered and amended to read:
4324          [26-60b-601].      26-61a-702. Enforcement -- Fine -- Citation.
4325          (1) (a) The department may, for a medical cannabis pharmacy's violation of this chapter
4326     [by a person who is a cannabis dispensary or cannabis dispensary agent]:
4327          [(a)] (i) revoke the [person's license or] medical cannabis [dispensary agent registration
4328     card] pharmacy license;
4329          [(b)] (ii) refuse to renew the [person's license or] medical cannabis [dispensary agent
4330     registration card] pharmacy license; or
4331          [(c)] (iii) assess the [person] medical cannabis pharmacy an administrative penalty.
4332          (b) The department may, for a medical cannabis pharmacy agent's or state central fill
4333     agent's violation of this chapter:
4334          (i) revoke the medical cannabis pharmacy agent or state central fill agent registration
4335     card;
4336          (ii) refuse to renew the medical cannabis pharmacy agent or state central fill agent

4337     registration card; or
4338          (iii) assess the medical cannabis pharmacy agent or state central fill agent an
4339     administrative penalty.
4340          (2) The department shall deposit an administrative penalty imposed under this section
4341     [in] into the [general fund] General Fund.
4342          (3) [The department may, for] For a person subject to an uncontested citation, a
4343     stipulated settlement, or a finding of a violation in an adjudicative proceeding under this
4344     section, the department may:
4345          (a) for a fine amount not already specified in law, assess the person a fine[, established
4346     in accordance with Section 63J-1-504,] of up to $5,000 per violation, in accordance with a fine
4347     schedule [established] that the department establishes by rule [made] in accordance with Title
4348     63G, Chapter 3, Utah Administrative Rulemaking Act; or
4349          (b) order the person to cease and desist from the action that creates a violation.
4350          (4) The department may not revoke a medical cannabis [dispensary's] pharmacy's
4351     license without first directing the medical cannabis [dispensary] pharmacy to appear before an
4352     adjudicative proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act.
4353          (5) If, within 20 calendar days after the day on which the department issues a citation
4354     for a violation of this chapter, the person that is the subject of the citation fails to request a
4355     hearing to contest the citation, the citation becomes the department's final order.
4356          (6) The department may, for a person who fails to comply with a citation under this
4357     section:
4358          (a) refuse to issue or renew the person's license [or cannabis dispensary] agent
4359     registration card; or
4360          (b) suspend, revoke, or place on probation the person's license or [cannabis dispensary]
4361     agent registration card.
4362          (7) (a) [If the department makes a final determination under this section that] Except
4363     where a criminal penalty is expressly provided for a specific violation of this chapter, if an
4364     individual [violated] violates a provision of this chapter, the individual is:
4365          (i) guilty of an infraction[.]; and
4366          (ii) subject to a $100 fine.
4367          (b) An individual who is guilty of a violation described in Subsection (7)(a) is not

4368     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
4369     underlying the violation described in Subsection (7)(a).
4370          Section 92. Section 26-61a-703, which is renumbered from Section 26-60b-602 is
4371     renumbered and amended to read:
4372          [26-60b-602].      26-61a-703. Report.
4373          (1) [The] By the November interim meeting each year, the department shall report
4374     [annually] to the Health and Human Services Interim Committee on:
4375          (a) the number of applications and renewal applications filed for medical cannabis
4376     cards[,];
4377          (b) the number of qualifying patients and designated caregivers[,];
4378          (c) the nature of the debilitating medical conditions of the qualifying patients[,];
4379          (d) the age and county of residence of cardholders[,];
4380          (e) the number of medical cannabis cards revoked[,];
4381          (f) the number of practitioners providing recommendations for qualifying patients[,];
4382          (g) the number of license applications and renewal license applications received[,];
4383          (h) the number of licenses the department has issued in each county[,];
4384          (i) the number of licenses the department has revoked[, and];
4385          (j) the quantity and timeliness of state central fill shipments, including the amount of
4386     time between recommendation to the state central fill medical cannabis pharmacy and arrival of
4387     a state central fill shipment at a local health department;
4388          (k) the market share of state central fill shipments;
4389          (l) the expenses incurred and revenues generated from the medical cannabis
4390     program[.];
4391          (m) the expenses incurred and revenues generated from the state central fill medical
4392     cannabis pharmacy, including a profit and loss statement; and
4393          (n) an analysis of product availability, including the price differential between
4394     comparable products, in medical cannabis pharmacies and the state central fill medical
4395     cannabis pharmacy.
4396          (2) The department may not include personally identifying information in the report
4397     described in this section.
4398          Section 93. Section 26-65-102 (Effective 07/01/19) is amended to read:

4399          26-65-102 (Effective 07/01/19). Definitions.
4400          (1) "Agent" means an employee or independent contractor of an entity.
4401          [(2) "Cannabidiol laboratory" means the same as that term is defined in Section
4402     4-43-102.]
4403          [(3)] (2) "Cannabidiol product" means [the same as that term is defined in Section
4404     4-41-102.] a chemical compound extracted from cannabis that:
4405          (a) is processed into a medicinal dosage form; and
4406          (b) contains less than 0.3% tetrahydrocannabinol by dry weight.
4407          (3) "Cannabis" means marijuana, as that term is defined in Section 58-37-2.
4408          [(4) "Cannabidiol-qualified pharmacy" means the same as that term is defined in
4409     Section 4-43-102.]
4410          [(5) "Cannabinoid Product Restricted Account" means the account created in Section
4411     4-43-801.]
4412          [(6)] (4) "Medicinal dosage form" means a qualifying dosage form for a cannabidiol
4413     product under Section 26-65-103.
4414          [(7)] (5) "Physician" means an individual who is licensed to practice:
4415          (a) medicine, under Title 58, Chapter 67, Utah Medical Practice Act; or
4416          (b) osteopathic medicine, under Title 58, Chapter 68, Utah Osteopathic Medical
4417     Practice Act.
4418          Section 94. Section 26-65-103 (Effective 07/01/19) is amended to read:
4419          26-65-103 (Effective 07/01/19). Medicinal dosage form.
4420          (1) For the purpose of this chapter, any of the following is a qualifying medicinal
4421     dosage form for a cannabidiol product:
4422          (a) a tablet;
4423          (b) a capsule;
4424          (c) a concentrated oil;
4425          (d) a liquid suspension;
4426          (e) a transdermal preparation; and
4427          (f) a sublingual preparation.
4428          (2) A patient may not purchase, use, or possess a cannabidiol product unless the
4429     cannabidiol product is prepared in a medicinal dosage form.

4430          (3) A [cannabidiol-qualified] pharmacy may not purchase, possess, or sell a
4431     cannabidiol product unless the cannabidiol product is prepared in a medicinal dosage form.
4432          (4) The department may recommend that the Legislature approve the use of an
4433     additional medicinal dosage form.
4434          Section 95. Section 30-3-10 is amended to read:
4435          30-3-10. Custody of children in case of separation or divorce -- Custody
4436     consideration.
4437          (1) If a [husband and wife] married couple having one or more minor children are
4438     separated, or their marriage is declared void or dissolved, the court shall make an order for the
4439     future care and custody of the minor children as it considers appropriate.
4440          (a) In determining any form of custody, including a change in custody, the court shall
4441     consider the best interests of the child without preference for either [the mother or father]
4442     parent solely because of the biological sex of the parent and, among other factors the court
4443     finds relevant, the following:
4444          (i) in accordance with Subsection (7), the past conduct and demonstrated moral
4445     standards of each of the parties;
4446          (ii) which parent is most likely to act in the best interest of the child, including
4447     allowing the child frequent and continuing contact with the noncustodial parent;
4448          (iii) the extent of bonding between the parent and child, meaning the depth, quality,
4449     and nature of the relationship between a parent and child;
4450          (iv) whether the parent has intentionally exposed the child to pornography or material
4451     harmful to a minor, as defined in Section 76-10-1201; and
4452          (v) those factors outlined in Section 30-3-10.2.
4453          (b) There [shall be] is a rebuttable presumption that joint legal custody, as defined in
4454     Section 30-3-10.1, is in the best interest of the child, except in cases where there is:
4455          (i) domestic violence in the home or in the presence of the child;
4456          (ii) special physical or mental needs of a parent or child, making joint legal custody
4457     unreasonable;
4458          (iii) physical distance between the residences of the parents, making joint decision
4459     making impractical in certain circumstances; or
4460          (iv) any other factor the court considers relevant including those listed in this section

4461     and Section 30-3-10.2.
4462          (c) (i) The person who desires joint legal custody shall file a proposed parenting plan in
4463     accordance with Sections 30-3-10.8 and 30-3-10.9.
4464          (ii) A presumption for joint legal custody may be rebutted by a showing by a
4465     preponderance of the evidence that it is not in the best interest of the child.
4466          (d) [The children] A child may not be required by either party to testify unless the trier
4467     of fact determines that extenuating circumstances exist that would necessitate the testimony of
4468     the [children] child be heard and there is no other reasonable method to present [their] the
4469     child's testimony.
4470          (e) (i) The court may inquire of [the children] the child's and take into consideration the
4471     [children's] the child's desires regarding future custody or parent-time schedules, but the
4472     expressed desires are not controlling and the court may determine the children's custody or
4473     parent-time otherwise.
4474          (ii) The desires of a child 14 years of age or older shall be given added weight, but is
4475     not the single controlling factor.
4476          (f) (i) If [interviews] an interview with [the children are] a child is conducted by the
4477     court pursuant to Subsection (1)(e), [they] the interview shall be conducted by the judge in
4478     camera.
4479          (ii) The prior consent of the parties may be obtained but is not necessary if the court
4480     finds that an interview with [the children] a child is the only method to ascertain the child's
4481     desires regarding custody.
4482          (2) In awarding custody, the court shall consider, among other factors the court finds
4483     relevant, which parent is most likely to act in the best interests of the child, including allowing
4484     the child frequent and continuing contact with the noncustodial parent as the court finds
4485     appropriate.
4486          (3) If the court finds that one parent does not desire custody of the child, the court shall
4487     take that evidence into consideration in determining whether to award custody to the other
4488     parent.
4489          (4) (a) Except as provided in Subsection (4)(b), a court may not discriminate against a
4490     parent due to a disability, as defined in Section 57-21-2, in awarding custody or determining
4491     whether a substantial change has occurred for the purpose of modifying an award of custody.

4492          (b) [If a] The court [takes a parent's] may not consider the disability [into account] of a
4493     parent as a factor in awarding custody or [determining whether] modifying an award of custody
4494     based on a determination of a substantial change [has occurred for the purpose of modifying an
4495     award of custody, the parent with a disability may rebut any evidence, presumption, or
4496     inference arising from the disability by showing] in circumstances, unless the court makes
4497     specific findings that:
4498          (i) the disability [does not] significantly or substantially [inhibit] inhibits the parent's
4499     ability to provide for the physical and emotional needs of the child at issue; and
4500          (ii) the parent with a disability [has] lacks sufficient human, monetary, or other
4501     resources available to supplement the parent's ability to provide for the physical and emotional
4502     needs of the child at issue.
4503          (c) Nothing in this section may be construed to apply to adoption proceedings under
4504     Title 78B, Chapter 6, Part 1, Utah Adoption Act.
4505          (5) This section establishes neither a preference nor a presumption for or against joint
4506     physical custody or sole physical custody, but allows the court and the family the widest
4507     discretion to choose a parenting plan that is in the best interest of the child.
4508          (6) When an issue before the court involves custodial responsibility in the event of a
4509     deployment of one or both parents who are servicemembers, and the servicemember has not yet
4510     been notified of deployment, the court shall resolve the issue based on the standards in Sections
4511     78B-20-306 through 78B-20-309.
4512          [(6)] (7) In considering the past conduct and demonstrated moral standards of each [of
4513     the parties as described] party under Subsection (1)(a)(i)[,] or any other factor a court finds
4514     relevant, the court may not discriminate against a parent because of or otherwise consider the
4515     parent's:
4516          (a) lawful possession or [consumption] use of cannabis in a medicinal dosage form, a
4517     cannabis product in a medicinal dosage form, or a medical cannabis device, in accordance with
4518     Title 26, Chapter [60b] 61a, Utah Medical Cannabis Act[,]; or [because of]
4519          (b) [the parent's] status as a:
4520          (i) cannabis production establishment agent, as that term is defined in Section
4521     4-41a-102;
4522          (ii) medical cannabis pharmacy agent, as that term is defined in Section 26-61a-102;

4523          (iii) state central fill agent, as that term is defined in Section 26-61a-102; or
4524          (iv) medical cannabis cardholder in accordance with [Title 4, Chapter 41b, a cannabis
4525     dispensary agent in accordance with Title 26, Chapter 60b, or a medical cannabis card holder in
4526     accordance with] Title 26, Chapter [60b] 61a, Utah Medical Cannabis Act.
4527          Section 96. Section 34A-2-418 is amended to read:
4528          34A-2-418. Awards -- Medical, nursing, hospital, and burial expenses -- Artificial
4529     means and appliances.
4530          (1) In addition to the compensation provided in this chapter or Chapter 3, Utah
4531     Occupational Disease Act, and subject to Subsection 34A-2-407(11), the employer or the
4532     insurance carrier shall pay reasonable sums for medical, nurse, and hospital services, for
4533     medicines, and for artificial means, appliances, and prostheses necessary to treat the injured
4534     employee.
4535          (2) The employer and the insurance carrier are not required to pay or reimburse for
4536     cannabis, a cannabis product, or a medical cannabis device, as those terms are defined in
4537     Section 26-61a-102.
4538          [(2)] (3) If death results from the injury, the employer or the insurance carrier shall pay
4539     the burial expenses in ordinary cases as established by rule.
4540          [(3)] (4) If a compensable accident results in the breaking of or loss of an employee's
4541     artificial means or appliance including eyeglasses, the employer or insurance carrier shall
4542     provide a replacement of the artificial means or appliance.
4543          [(4)] (5) An administrative law judge may require the employer or insurance carrier to
4544     maintain the artificial means or appliances or provide the employee with a replacement of any
4545     artificial means or appliance for the reason of breakage, wear and tear, deterioration, or
4546     obsolescence.
4547          [(5)] (6) An administrative law judge may, in unusual cases, order, as the
4548     administrative law judge considers just and proper, the payment of additional sums:
4549          (a) for burial expenses; or
4550          (b) to provide for artificial means or appliances.
4551          Section 97. Section 41-6a-517 (Superseded 07/01/19) is amended to read:
4552          41-6a-517 (Superseded 07/01/19). Definitions -- Driving with any measurable
4553     controlled substance in the body -- Penalties -- Arrest without warrant.

4554          (1) As used in this section:
4555          (a) "Controlled substance" means the same as that term is defined in Section 58-37-2.
4556          (b) "Practitioner" means the same as that term is defined in Section 58-37-2.
4557          (c) "Prescribe" means the same as that term is defined in Section 58-37-2.
4558          (d) "Prescription" means the same as that term is defined in Section 58-37-2.
4559          (2) In cases not amounting to a violation of Section 41-6a-502, a person may not
4560     operate or be in actual physical control of a motor vehicle within this state if the person has any
4561     measurable controlled substance or metabolite of a controlled substance in the person's body.
4562          (3) It is an affirmative defense to prosecution under this section that the controlled
4563     substance was:
4564          (a) involuntarily ingested by the accused;
4565          (b) prescribed by a practitioner for use by the accused; [or]
4566          (c) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
4567     form that the accused ingested in accordance with Title 26, Chapter 61a, Utah Medical
4568     Cannabis Act; or
4569          [(c)] (d) otherwise legally ingested.
4570          (4) (a) A person convicted of a violation of Subsection (2) is guilty of a class B
4571     misdemeanor.
4572          (b) A person who violates this section is subject to conviction and sentencing under
4573     both this section and any applicable offense under Section 58-37-8.
4574          (5) A peace officer may, without a warrant, arrest a person for a violation of this
4575     section when the officer has probable cause to believe the violation has occurred, although not
4576     in the officer's presence, and if the officer has probable cause to believe that the violation was
4577     committed by the person.
4578          (6) The Driver License Division shall, if the person is 21 years of age or older on the
4579     date of arrest:
4580          (a) suspend, for a period of 120 days, the driver license of a person convicted under
4581     Subsection (2) of an offense committed on or after July 1, 2009; or
4582          (b) revoke, for a period of two years, the driver license of a person if:
4583          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4584          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,

4585     and within a period of 10 years after the date of the prior violation.
4586          (7) The Driver License Division shall, if the person is 19 years of age or older but
4587     under 21 years of age on the date of arrest:
4588          (a) suspend, until the person is 21 years of age or for a period of one year, whichever is
4589     longer, the driver license of a person convicted under Subsection (2) of an offense committed
4590     on or after July 1, 2011; or
4591          (b) revoke, until the person is 21 years of age or for a period of two years, whichever is
4592     longer, the driver license of a person if:
4593          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4594          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
4595     and within a period of 10 years after the date of the prior violation.
4596          (8) The Driver License Division shall, if the person is under 19 years of age on the date
4597     of arrest:
4598          (a) suspend, until the person is 21 years of age, the driver license of a person convicted
4599     under Subsection (2) of an offense committed on or after July 1, 2009; or
4600          (b) revoke, until the person is 21 years of age, the driver license of a person if:
4601          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4602          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
4603     and within a period of 10 years after the date of the prior violation.
4604          (9) The Driver License Division shall subtract from any suspension or revocation
4605     period the number of days for which a license was previously suspended under Section
4606     53-3-223 or 53-3-231, if the previous suspension was based on the same occurrence upon
4607     which the record of conviction is based.
4608          (10) The Driver License Division shall:
4609          (a) deny, suspend, or revoke a person's license for the denial and suspension periods in
4610     effect prior to July 1, 2009, for a conviction of a violation under Subsection (2) that was
4611     committed prior to July 1, 2009; or
4612          (b) deny, suspend, or revoke the operator's license of a person for the denial,
4613     suspension, or revocation periods in effect from July 1, 2009, through June 30, 2011, if:
4614          (i) the person was 20 years of age or older but under 21 years of age at the time of
4615     arrest; and

4616          (ii) the conviction under Subsection (2) is for an offense that was committed on or after
4617     July 1, 2009, and prior to July 1, 2011.
4618          (11) A court that reported a conviction of a violation of this section for a violation that
4619     occurred on or after July 1, 2009, to the Driver License Division may shorten the suspension
4620     period imposed under Subsection (7)(a) or (8)(a) prior to completion of the suspension period
4621     if the person:
4622          (a) completes at least six months of the license suspension;
4623          (b) completes a screening;
4624          (c) completes an assessment, if it is found appropriate by a screening under Subsection
4625     (11)(b);
4626          (d) completes substance abuse treatment if it is found appropriate by the assessment
4627     under Subsection (11)(c);
4628          (e) completes an educational series if substance abuse treatment is not required by the
4629     assessment under Subsection (11)(c) or the court does not order substance abuse treatment;
4630          (f) has not been convicted of a violation of any motor vehicle law in which the person
4631     was involved as the operator of the vehicle during the suspension period imposed under
4632     Subsection (7)(a) or (8)(a);
4633          (g) has complied with all the terms of the person's probation or all orders of the court if
4634     not ordered to probation; and
4635          (h) (i) is 18 years of age or older and provides a sworn statement to the court that the
4636     person has not consumed a controlled substance not prescribed by a practitioner for use by the
4637     person or unlawfully consumed alcohol during the suspension period imposed under
4638     Subsection (7)(a) or (8)(a); or
4639          (ii) is under 18 years of age and has the person's parent or legal guardian provide an
4640     affidavit or other sworn statement to the court certifying that to the parent or legal guardian's
4641     knowledge the person has not consumed a controlled substance not prescribed by a practitioner
4642     for use by the person or unlawfully consumed alcohol during the suspension period imposed
4643     under Subsection (7)(a) or (8)(a).
4644          (12) If the court shortens a person's license suspension period in accordance with the
4645     requirements of Subsection (11), the court shall forward the order shortening the person's
4646     license suspension period prior to the completion of the suspension period imposed under

4647     Subsection (7)(a) or (8)(a) to the Driver License Division.
4648          (13) (a) The court shall notify the Driver License Division if a person fails to:
4649          (i) complete all court ordered screening and assessment, educational series, and
4650     substance abuse treatment; or
4651          (ii) pay all fines and fees, including fees for restitution and treatment costs.
4652          (b) Upon receiving the notification, the division shall suspend the person's driving
4653     privilege in accordance with Subsections 53-3-221(2) and (3).
4654          (14) The court:
4655          (a) shall order supervised probation in accordance with Section 41-6a-507 for a person
4656     convicted under Subsection (2); and
4657          (b) may order a person convicted under Subsection (2) to participate in a 24-7 sobriety
4658     program as defined in Section 41-6a-515.5 if the person is 21 years of age or older.
4659          (15) (a) A court that reported a conviction of a violation of this section to the Driver
4660     License Division may shorten the suspension period imposed under Subsection (6) before
4661     completion of the suspension period if the person is participating in or has successfully
4662     completed a 24-7 sobriety program as defined in Section 41-6a-515.5.
4663          (b) If the court shortens a person's license suspension period in accordance with the
4664     requirements of this Subsection (15), the court shall forward to the Driver License Division the
4665     order shortening the person's suspension period.
4666          (c) The court shall notify the Driver License Division if a person fails to complete all
4667     requirements of a 24-7 sobriety program.
4668          (d) Upon receiving the notification described in Subsection (15)(c), the division shall
4669     suspend the person's driving privilege in accordance with Subsections 53-3-221(2) and (3).
4670          Section 98. Section 41-6a-517 (Effective 07/01/19) is amended to read:
4671          41-6a-517 (Effective 07/01/19). Definitions -- Driving with any measurable
4672     controlled substance in the body -- Penalties -- Arrest without warrant.
4673          (1) As used in this section:
4674          (a) "Controlled substance" means the same as that term is defined in Section 58-37-2.
4675          (b) "Practitioner" means the same as that term is defined in Section 58-37-2.
4676          (c) "Prescribe" means the same as that term is defined in Section 58-37-2.
4677          (d) "Prescription" means the same as that term is defined in Section 58-37-2.

4678          (2) In cases not amounting to a violation of Section 41-6a-502, a person may not
4679     operate or be in actual physical control of a motor vehicle within this state if the person has any
4680     measurable controlled substance or metabolite of a controlled substance in the person's body.
4681          (3) It is an affirmative defense to prosecution under this section that the controlled
4682     substance was:
4683          (a) involuntarily ingested by the accused;
4684          (b) prescribed by a practitioner for use by the accused [or recommended by a physician
4685     for use by the accused; or];
4686          (c) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
4687     form that the accused ingested in accordance with Title 26, Chapter 61a, Utah Medical
4688     Cannabis Act; or
4689          [(c)] (d) otherwise legally ingested.
4690          (4) (a) A person convicted of a violation of Subsection (2) is guilty of a class B
4691     misdemeanor.
4692          (b) A person who violates this section is subject to conviction and sentencing under
4693     both this section and any applicable offense under Section 58-37-8.
4694          (5) A peace officer may, without a warrant, arrest a person for a violation of this
4695     section when the officer has probable cause to believe the violation has occurred, although not
4696     in the officer's presence, and if the officer has probable cause to believe that the violation was
4697     committed by the person.
4698          (6) The Driver License Division shall, if the person is 21 years of age or older on the
4699     date of arrest:
4700          (a) suspend, for a period of 120 days, the driver license of a person convicted under
4701     Subsection (2) of an offense committed on or after July 1, 2009; or
4702          (b) revoke, for a period of two years, the driver license of a person if:
4703          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4704          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
4705     and within a period of 10 years after the date of the prior violation.
4706          (7) The Driver License Division shall, if the person is 19 years of age or older but
4707     under 21 years of age on the date of arrest:
4708          (a) suspend, until the person is 21 years of age or for a period of one year, whichever is

4709     longer, the driver license of a person convicted under Subsection (2) of an offense committed
4710     on or after July 1, 2011; or
4711          (b) revoke, until the person is 21 years of age or for a period of two years, whichever is
4712     longer, the driver license of a person if:
4713          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4714          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
4715     and within a period of 10 years after the date of the prior violation.
4716          (8) The Driver License Division shall, if the person is under 19 years of age on the date
4717     of arrest:
4718          (a) suspend, until the person is 21 years of age, the driver license of a person convicted
4719     under Subsection (2) of an offense committed on or after July 1, 2009; or
4720          (b) revoke, until the person is 21 years of age, the driver license of a person if:
4721          (i) the person has a prior conviction as defined under Subsection 41-6a-501(2); and
4722          (ii) the current violation under Subsection (2) is committed on or after July 1, 2009,
4723     and within a period of 10 years after the date of the prior violation.
4724          (9) The Driver License Division shall subtract from any suspension or revocation
4725     period the number of days for which a license was previously suspended under Section
4726     53-3-223 or 53-3-231, if the previous suspension was based on the same occurrence upon
4727     which the record of conviction is based.
4728          (10) The Driver License Division shall:
4729          (a) deny, suspend, or revoke a person's license for the denial and suspension periods in
4730     effect prior to July 1, 2009, for a conviction of a violation under Subsection (2) that was
4731     committed prior to July 1, 2009; or
4732          (b) deny, suspend, or revoke the operator's license of a person for the denial,
4733     suspension, or revocation periods in effect from July 1, 2009, through June 30, 2011, if:
4734          (i) the person was 20 years of age or older but under 21 years of age at the time of
4735     arrest; and
4736          (ii) the conviction under Subsection (2) is for an offense that was committed on or after
4737     July 1, 2009, and prior to July 1, 2011.
4738          (11) A court that reported a conviction of a violation of this section for a violation that
4739     occurred on or after July 1, 2009, to the Driver License Division may shorten the suspension

4740     period imposed under Subsection (7)(a) or (8)(a) prior to completion of the suspension period
4741     if the person:
4742          (a) completes at least six months of the license suspension;
4743          (b) completes a screening;
4744          (c) completes an assessment, if it is found appropriate by a screening under Subsection
4745     (11)(b);
4746          (d) completes substance abuse treatment if it is found appropriate by the assessment
4747     under Subsection (11)(c);
4748          (e) completes an educational series if substance abuse treatment is not required by the
4749     assessment under Subsection (11)(c) or the court does not order substance abuse treatment;
4750          (f) has not been convicted of a violation of any motor vehicle law in which the person
4751     was involved as the operator of the vehicle during the suspension period imposed under
4752     Subsection (7)(a) or (8)(a);
4753          (g) has complied with all the terms of the person's probation or all orders of the court if
4754     not ordered to probation; and
4755          (h) (i) is 18 years of age or older and provides a sworn statement to the court that the
4756     person has not consumed a controlled substance not prescribed by a practitioner for use by the
4757     person or unlawfully consumed alcohol during the suspension period imposed under
4758     Subsection (7)(a) or (8)(a); or
4759          (ii) is under 18 years of age and has the person's parent or legal guardian provide an
4760     affidavit or other sworn statement to the court certifying that to the parent or legal guardian's
4761     knowledge the person has not consumed a controlled substance not prescribed by a practitioner
4762     for use by the person or unlawfully consumed alcohol during the suspension period imposed
4763     under Subsection (7)(a) or (8)(a).
4764          (12) If the court shortens a person's license suspension period in accordance with the
4765     requirements of Subsection (11), the court shall forward the order shortening the person's
4766     license suspension period prior to the completion of the suspension period imposed under
4767     Subsection (7)(a) or (8)(a) to the Driver License Division.
4768          (13) (a) The court shall notify the Driver License Division if a person fails to:
4769          (i) complete all court ordered screening and assessment, educational series, and
4770     substance abuse treatment; or

4771          (ii) pay all fines and fees, including fees for restitution and treatment costs.
4772          (b) Upon receiving the notification, the division shall suspend the person's driving
4773     privilege in accordance with Subsections 53-3-221(2) and (3).
4774          (14) The court:
4775          (a) shall order supervised probation in accordance with Section 41-6a-507 for a person
4776     convicted under Subsection (2); and
4777          (b) may order a person convicted under Subsection (2) to participate in a 24-7 sobriety
4778     program as defined in Section 41-6a-515.5 if the person is 21 years of age or older.
4779          (15) (a) A court that reported a conviction of a violation of this section to the Driver
4780     License Division may shorten the suspension period imposed under Subsection (6) before
4781     completion of the suspension period if the person is participating in or has successfully
4782     completed a 24-7 sobriety program as defined in Section 41-6a-515.5.
4783          (b) If the court shortens a person's license suspension period in accordance with the
4784     requirements of this Subsection (15), the court shall forward to the Driver License Division the
4785     order shortening the person's suspension period.
4786          (c) The court shall notify the Driver License Division if a person fails to complete all
4787     requirements of a 24-7 sobriety program.
4788          (d) Upon receiving the notification described in Subsection (15)(c), the division shall
4789     suspend the person's driving privilege in accordance with Subsections 53-3-221(2) and (3).
4790          Section 99. Section 49-11-1401 is amended to read:
4791          49-11-1401. Forfeiture of retirement benefits for employees for employment
4792     related offense convictions -- Notifications -- Investigations -- Appeals.
4793          (1) As used in this section:
4794          (a) "Convicted" means a conviction by plea or by verdict, including a plea of guilty or a
4795     plea of no contest that is held in abeyance under Title 77, Chapter 2a, Pleas in Abeyance,
4796     regardless of whether the charge was, or is, subsequently reduced or dismissed in accordance
4797     with the plea in abeyance agreement.
4798          (b) "Employee" means a member of a system or plan administered by the board.
4799          (c) (i) "Employment related offense" means a felony committed during employment or
4800     the term of an elected or appointed office with a participating employer that is:
4801          [(i)] (A) during the performance of the employee's duties;

4802          [(ii)] (B) within the scope of the employee's employment; or
4803          [(iii)] (C) under color of the employee's authority.
4804          (ii) "Employment related offense" does not include any federal offense for conduct that
4805     is lawful under Title 26, Chapter 61a, Utah Medical Cannabis Act.
4806          (2) (a) Notwithstanding any other provision of this title, an employee shall forfeit
4807     accrual of service credit, employer retirement related contributions, including employer
4808     contributions to the employer sponsored defined contribution plans, or other retirement related
4809     benefits from a system or plan under this title in accordance with this section.
4810          (b) The forfeiture of retirement related benefits under Subsection (2)(a) does not
4811     include the employee's contribution to a defined contribution plan.
4812          (3) An employee shall forfeit the benefits described under Subsection (2)(a):
4813          (a) if the employee is convicted of an employment related offense;
4814          (b) beginning on the day on which the employment related offense occurred; and
4815          (c) until the employee is either:
4816          (i) re-elected or reappointed to office; or
4817          (ii) (A) terminated from the position for which the employee was found to have
4818     committed an employment related offense; and
4819          (B) rehired or hired as an employee who is eligible to be a member of a Utah state
4820     retirement system or plan.
4821          (4) The employee's participating employer shall:
4822          (a) immediately notify the office:
4823          (i) if an employee is charged with an offense that is or may be an employment related
4824     offense under this section; and
4825          (ii) if the employee described in Subsection (4)(a)(i) is acquitted of the offense that is
4826     or may be an employment related offense under this section; and
4827          (b) if the employee is convicted of an offense that may be an employment related
4828     offense:
4829          (i) conduct an investigation, which may rely on the conviction, to determine:
4830          (A) whether the conviction is for an employment related offense; and
4831          (B) the date on which the employment related offense was initially committed; and
4832          (ii) after the period of time for an appeal by an employee under Subsection (5),

4833     immediately notify the office of the employer's determination under this Subsection (4)(b).
4834          (5) An employee may appeal the employee's participating employer's determination
4835     under Subsection (4)(b) in accordance with Title 63G, Chapter 4, Administrative Procedures
4836     Act.
4837          (6) (a) Notwithstanding Subsection (4), a district attorney, a county attorney, the
4838     attorney general's office, or the state auditor may notify the office and the employee's
4839     participating employer if an employee is charged with an offense that is or may be an
4840     employment related offense under this section.
4841          (b) If the employee's participating employer receives a notification under Subsection
4842     (6)(a), the participating employer shall immediately report to the entity that provided the
4843     notification under Subsection (6)(a):
4844          (i) if the employee is acquitted of the offense;
4845          (ii) if the employee is convicted of an offense that may be an employment related
4846     offense; and
4847          (iii) when the participating employer has concluded its duties under this section if the
4848     employee is convicted, including conducting an investigation, making a determination under
4849     Subsection (4)(b) that the conviction was for an employment related offense, and notifying the
4850     office under Subsection (7).
4851          (c) The notifying entity under Subsection (6)(a) may assist the employee's participating
4852     employer with the investigation and determination described under Subsection (4)(b).
4853          (7) Upon receiving a notification from a participating employer that the participating
4854     employer has made a determination under Subsection (4)(b) that the conviction was for an
4855     employment related offense, the office shall immediately forfeit any service credit, employer
4856     retirement related contributions, including employer contributions to the employer sponsored
4857     contribution plans, or other retirement related benefits accrued by or made for the benefit of the
4858     employee, beginning on the date of the initial employment related offense determined under
4859     Subsection (4)(b).
4860          (8) This section applies to an employee who is convicted on or after the effective date
4861     of this act for an employment related offense.
4862          (9) The board may make rules to implement this section.
4863          (10) If any provision of this section, or the application of any provision to any person

4864     or circumstance, is held invalid, the remainder of this section shall be given effect without the
4865     invalid provision or application.
4866          Section 100. Section 53-1-106.5 is amended to read:
4867          53-1-106.5. Utah Medical Cannabis Act -- Department duties.
4868          In addition to the duties described in Section 53-1-106, the department shall:
4869          (1) provide standards for training peace officers and law enforcement agencies in the
4870     use of the state electronic verification system; and
4871          (2) collaborate with the Department of Health and the Department of Agriculture and
4872     Food to provide standards for training peace officers and law enforcement agencies in medical
4873     cannabis law.
4874          Section 101. Section 58-17b-302 is amended to read:
4875          58-17b-302. License required -- License classifications for pharmacy facilities.
4876          (1) A license is required to act as a pharmacy, except:
4877          (a) as specifically exempted from licensure under Section 58-1-307[.]; and
4878          (b) for the operation of a medical cannabis pharmacy or the state central fill medical
4879     cannabis pharmacy under Title 26, Chapter 61a, Utah Medical Cannabis Act.
4880          (2) The division shall issue a pharmacy license to a facility that qualifies under this
4881     chapter in the classification of a:
4882          (a) class A pharmacy;
4883          (b) class B pharmacy;
4884          (c) class C pharmacy;
4885          (d) class D pharmacy;
4886          (e) class E pharmacy; or
4887          (f) dispensing medical practitioner clinic pharmacy.
4888          (3) (a) Each place of business shall require a separate license.
4889          (b) If multiple pharmacies exist at the same address, a separate license shall be required
4890     for each pharmacy.
4891          (4) (a) The division may further define or supplement the classifications of pharmacies.
4892          (b) The division may impose restrictions upon classifications to protect the public
4893     health, safety, and welfare.
4894          (5) Each pharmacy, including the state central fill medical cannabis pharmacy, shall

4895     have a pharmacist-in-charge, except as otherwise provided by rule.
4896          (6) Whenever an applicable statute or rule requires or prohibits action by a pharmacy,
4897     the pharmacist-in-charge and the owner of the pharmacy shall be responsible for all activities
4898     of the pharmacy, regardless of the form of the business organization.
4899          Section 102. Section 58-17b-310 is amended to read:
4900          58-17b-310. Continuing education.
4901          (1) The division in collaboration with the board may establish by rule continuing
4902     education requirements for each classification of licensure under this chapter.
4903          (2) The division shall accept and apply toward an hour requirement that the division
4904     establishes under Subsection (1) continuing education that a pharmacist completes in
4905     accordance with Sections 26-61a-403 and 26-61a-601.
4906          Section 103. Section 58-17b-502 is amended to read:
4907          58-17b-502. Unprofessional conduct.
4908          (1) "Unprofessional conduct" includes:
4909          [(1)] (a) willfully deceiving or attempting to deceive the division, the board, or their
4910     agents as to any relevant matter regarding compliance under this chapter;
4911          [(2) (a)] (b) except as provided in Subsection (2)[(b)]:
4912          (i) paying or offering rebates to practitioners or any other health care providers, or
4913     receiving or soliciting rebates from practitioners or any other health care provider; or
4914          (ii) paying, offering, receiving, or soliciting compensation in the form of a commission,
4915     bonus, rebate, kickback, or split fee arrangement with practitioners or any other health care
4916     provider, for the purpose of obtaining referrals[.];
4917          [(b) Subsection (2)(a) does not apply to:]
4918          [(i) giving or receiving price discounts based on purchase volume;]
4919          [(ii) passing along pharmaceutical manufacturer's rebates; or]
4920          [(iii) providing compensation for services to a veterinarian.]
4921          [(3)] (c) misbranding or adulteration of any drug or device or the sale, distribution, or
4922     dispensing of any outdated, misbranded, or adulterated drug or device;
4923          [(4)] (d) engaging in the sale or purchase of drugs or devices that are samples or
4924     packages bearing the inscription "sample" or "not for resale" or similar words or phrases;
4925          [(5)] (e) except as provided in Section 58-17b-503 or Part 9, Charitable Prescription

4926     Drug Recycling Act, accepting back and redistributing any unused drug, or a part of it, after it
4927     has left the premises of any pharmacy, unless the drug is in a unit pack, as defined in Section
4928     58-17b-503, or the manufacturer's sealed container, as defined in rule;
4929          [(6)] (f) an act in violation of this chapter committed by a person for any form of
4930     compensation if the act is incidental to the person's professional activities, including the
4931     activities of a pharmacist, pharmacy intern, or pharmacy technician;
4932          [(7)] (g) violating:
4933          [(a)] (i) the federal Controlled Substances Act, Title II, P.L. 91-513;
4934          [(b)] (ii) Title 58, Chapter 37, Utah Controlled Substances Act; or
4935          [(c)] (iii) rules or regulations adopted under either act;
4936          [(8)] (h) requiring or permitting pharmacy interns or technicians to engage in activities
4937     outside the scope of practice for their respective license classifications, as defined in this
4938     chapter and division rules made in collaboration with the board, or beyond their scope of
4939     training and ability;
4940          [(9)] (i) administering:
4941          [(a)] (i) without appropriate training, as defined by rule;
4942          [(b)] (ii) without a physician's order, when one is required by law; and
4943          [(c)] (iii) in conflict with a practitioner's written guidelines or written protocol for
4944     administering;
4945          [(10)] (j) disclosing confidential patient information in violation of the provisions of
4946     the Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110
4947     Stat. 1936, as amended, or other applicable law;
4948          [(11)] (k) engaging in the practice of pharmacy without a licensed pharmacist
4949     designated as the pharmacist-in-charge;
4950          [(12)] (l) failing to report to the division any adverse action taken by another licensing
4951     jurisdiction, government agency, law enforcement agency, or court for conduct that in
4952     substance would be considered unprofessional conduct under this section;
4953          [(13)] (m) as a pharmacist or pharmacy intern, compounding a prescription drug in a
4954     dosage form which is regularly and commonly available from a manufacturer in quantities and
4955     strengths prescribed by a practitioner; [and]
4956          [(14)] (n) failing to act in accordance with Title 26, Chapter 64, Family Planning

4957     Access Act, when dispensing a self-administered hormonal contraceptive under a standing
4958     order[.]; and
4959          (o) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.
4960          (2) Subsection (1)(b) does not apply to:
4961          (a) giving or receiving a price discount based on purchase volume;
4962          (b) passing along a pharmaceutical manufacturer's rebate; or
4963          (c) providing compensation for services to a veterinarian.
4964          (3) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
4965     61a, Utah Medical Cannabis Act:
4966          (a) when registered as a pharmacy medical provider, as that term is defined in Section
4967     20-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
4968          (b) when registered as a state central fill medical provider, as that term is defined in
4969     Section 26-61a-102, providing state central fill medical provider services in the state central fill
4970     medical cannabis pharmacy.
4971          (4) Notwithstanding Subsection (3), the division, in consultation with the board and in
4972     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
4973     unprofessional conduct for a pharmacist described in Subsections (3)(a) and (b).
4974          Section 104. Section 58-20b-101 is enacted to read:
4975     
CHAPTER 20b. ENVIRONMENTAL HEALTH SCIENTIST ACT

4976     
Part 1. General Provisions.

4977          58-20b-101. Title.
4978          This chapter is known as the "Environmental Health Scientist Act."
4979          Section 105. Section 58-20b-102 is enacted to read:
4980          58-20b-102. Definitions.
4981          In addition to the definitions in Section 58-1-102, as used in this chapter:
4982          (1) "Accredited program" means a degree-offering program from:
4983          (a) an institution, college, or university that is accredited by the Department of
4984     Education or the Council for Higher Education Accreditation; or
4985          (b) a non-accredited institution, college, or university that offers education equivalent
4986     to Department of Education-accredited programs, as determined by a third party selected by the
4987     board.

4988          (2) "Board" means the Environmental Health Scientist Board created in Section
4989     58-20b-201.
4990          (3) "General supervision" means the supervising environmental health scientist is
4991     available for immediate voice communication with the person he or she is supervising.
4992          (4) "Practice of environmental health science" means:
4993          (a) the enforcement of, the issuance of permits required by, or the inspection for the
4994     purpose of enforcing state and local public health laws in the following areas:
4995          (i) air quality;
4996          (ii) food quality;
4997          (iii) solid, hazardous, and toxic substances disposal;
4998          (iv) consumer product safety;
4999          (v) housing;
5000          (vi) noise control;
5001          (vii) radiation protection;
5002          (viii) water quality;
5003          (ix) vector control;
5004          (x) drinking water quality;
5005          (xi) milk sanitation;
5006          (xii) rabies control;
5007          (xiii) public health nuisances;
5008          (xiv) indoor clean air regulations;
5009          (xv) institutional and residential sanitation; or
5010          (xvi) recreational facilities sanitation; or
5011          (b) representing oneself in any manner as, or using the titles "environmental health
5012     scientist," "environmental health scientist-in-training," or "registered sanitarian."
5013          (5) "Unlawful conduct" means the same as that term is defined in Section 58-1-501.
5014          (6) "Unprofessional conduct" means the same as that term is defined in Sections
5015     58-1-501 and 58-20b-501 and as may be further defined by division rule.
5016          Section 106. Section 58-20b-201 is enacted to read:
5017     
Part 2. Board.

5018          58-20b-201. Board.

5019          (1) There is created the Environmental Health Scientist Board consisting of four
5020     environmental health scientists in good standing and one member of the general public.
5021          (2) The board shall be appointed and serve in accordance with Section 58-1-201.
5022          (3) The duties and responsibilities of the board shall be in accordance with Sections
5023     58-1-202 and 58-1-203. In addition, the board shall designate one of its members on a
5024     permanent or rotating basis to:
5025          (a) assist the division in reviewing complaints concerning the unlawful or
5026     unprofessional conduct of a licensee; and
5027          (b) advise the division in its investigation of these complaints.
5028          (4) A board member who has, under Subsection (3), reviewed a complaint or advised
5029     in the investigation of the complaint is disqualified from participating with the board when the
5030     board serves as a presiding officer in an adjudicative proceeding concerning the complaint.
5031          Section 107. Section 58-20b-301 is enacted to read:
5032     
Part 3. Licensing.

5033          58-20b-301. Licensure required -- License classifications.
5034          (1) A person shall hold a license under this chapter in order to engage in the practice of
5035     environmental health science while employed by any of the following, except as specifically
5036     exempted in Section 58-20b-305 or 58-1-307:
5037          (a) a local health department;
5038          (b) the state Department of Health;
5039          (c) the state Department of Human Services;
5040          (d) the Department of Agriculture and Food as a food and dairy compliance officer; or
5041          (e) a local health department as its director of environmental health services.
5042          (2) Any other individual not subject to Subsection (1) may also be licensed under this
5043     chapter upon compliance with all requirements.
5044          (3) The division shall issue to persons who qualify under this chapter a license in the
5045     classification:
5046          (a) environmental health scientist; or
5047          (b) environmental health scientist-in-training.
5048          Section 108. Section 58-20b-302 is enacted to read:
5049          58-20b-302. Qualifications for licensure.

5050          (1) Except as provided in Subsection (2), an applicant for licensure as an
5051     environmental health scientist shall:
5052          (a) submit an application in a form prescribed by the division;
5053          (b) pay a fee determined by the department under Section 63J-1-504;
5054          (c) be of good moral character;
5055          (d) hold, at a minimum, a bachelor's degree from an accredited program in a university
5056     or college, which degree includes completion of specific course work as defined by rule;
5057          (e) pass an examination as determined by division rule in collaboration with the board;
5058     and
5059          (f) pass the Utah Law and Rules Examination for Environmental Health Scientists
5060     administered by the division.
5061          (2) An applicant for licensure as an environmental health scientist-in-training shall:
5062          (a) submit an application in a form prescribed by the division;
5063          (b) pay a fee determined by the department under Section 63J-1-504;
5064          (c) be of good moral character;
5065          (d) hold, at a minimum, a bachelor's degree from an accredited program in a university
5066     or college, which degree includes completion of specific course work as defined by rule;
5067          (e) pass the Utah Law and Rules Examination for Environmental Health Scientists
5068     administered by the division; and
5069          (f) present evidence acceptable to the division and the board that the applicant, when
5070     licensed, will practice as an environmental health scientist-in-training only under the general
5071     supervision of a supervising environmental health scientist licensed under this chapter.
5072          Section 109. Section 58-20b-303 is enacted to read:
5073          58-20b-303. Term of license -- Expiration -- Renewal.
5074          (1) (a) The division shall issue each license for an environmental health scientist in
5075     accordance with a two-year renewal cycle established by rule.
5076          (b) The division may by rule extend or shorten a renewal period by as much as one year
5077     to stagger the renewal cycles it administers.
5078          (2) Each license for an environmental health scientist-in-training shall be issued for a
5079     term of two years and may not be renewed.
5080          (3) Each license issued under this chapter automatically expires on the expiration date

5081     shown on the license unless the licensee renews it in accordance with Section 58-1-308.
5082          Section 110. Section 58-20b-304 is enacted to read:
5083          58-20b-304. Continuing education.
5084          Each person holding a license under this chapter as an environmental health scientist or
5085     an environmental health scientist-in-training shall complete in each two-year period of
5086     licensure not fewer than 30 hours of professional continuing education in accordance with
5087     standards defined by division rule.
5088          Section 111. Section 58-20b-305 is enacted to read:
5089          58-20b-305. Exemptions from licensure.
5090          In addition to the exemptions from licensure in Section 58-1-307, a person is exempt
5091     from the licensure requirements of this chapter if:
5092          (1) the person's practice of environmental health science is limited to inspecting in
5093     order to enforce compliance with an inspection and maintenance program established pursuant
5094     to Section 41-6a-1642 or to issuing permits under that program;
5095          (2) the person is a laboratory staff person employed by the Department of Agriculture
5096     and Food or the Department of Health, and in the person's employment inspects, permits,
5097     certifies, or otherwise enforces laboratory standards in laboratories regulated by state or local
5098     public health laws; or
5099          (3) the person is the local health officer of a local public health department, which
5100     employs a director of environmental health services licensed under this chapter.
5101          Section 112. Section 58-20b-401 is enacted to read:
5102     
Part 4. License Denial and Discipline.

5103          58-20b-401. Grounds for denial of license -- Disciplinary proceedings.
5104          Grounds for refusing to issue a license to an applicant, for refusing to renew the license
5105     of a licensee, for revoking, suspending, restricting, or placing on probation the license of a
5106     licensee, for issuing a public or private reprimand to a licensee, and for issuing a cease and
5107     desist order shall be in accordance with Section 58-1-401.
5108          Section 113. Section 58-20b-501 is enacted to read:
5109     
Part 5. Unprofessional Conduct.

5110          58-20b-501. Unprofessional conduct.
5111          "Unprofessional conduct" includes:

5112          (1) acting dishonestly or fraudulently in the performance of professional duties as an
5113     environmental health scientist or environmental health scientist-in-training;
5114          (2) intentionally filing a false report or record in the performance of professional duties
5115     as an environmental health scientist or environmental health scientist-in-training; and
5116          (3) willfully impeding or obstructing another person from filing a report in the
5117     performance of professional duties as an environmental health scientist or environmental health
5118     scientist-in-training.
5119          Section 114. Section 58-31b-305 is amended to read:
5120          58-31b-305. Term of license -- Expiration -- Renewal.
5121          (1) The division shall issue each license or certification under this chapter in
5122     accordance with a two-year renewal cycle established by rule. The division may by rule extend
5123     or shorten a renewal period by as much as one year to stagger the renewal cycles it administers.
5124          (2) The division shall renew the license of a licensee who, at the time of renewal:
5125          (a) completes and submits an application for renewal in a form prescribed by the
5126     division;
5127          (b) pays a renewal fee established by the division under Section 63J-1-504; and
5128          (c) meets continuing competency requirements as established by rule.
5129          (3) In addition to the renewal requirements under Subsection (2), a person licensed as
5130     [a] an advanced practice registered nurse shall be currently certified by a program approved by
5131     the division in collaboration with the board and submit evidence satisfactory to the division of
5132     that qualification or if licensed prior to July 1, 1992, meet the requirements established by rule.
5133          (4) In addition to the requirements described in Subsections (2) and (3), an advanced
5134     practice registered nurse licensee specializing in psychiatric mental health nursing who, as of
5135     the day on which the division originally issued the licensee's license had not completed the
5136     division's clinical practice requirements in psychiatric and mental health nursing, shall, to
5137     qualify for renewal:
5138          (a) if renewing less than two years after the day on which the division originally issued
5139     the license, demonstrate satisfactory progress toward completing the clinical practice
5140     requirements; or
5141          (b) have completed the clinical practice requirements.
5142          (5) Each license or certification automatically expires on the expiration date shown on

5143     the license or certification unless renewed in accordance with Section 58-1-308.
5144          (6) The division shall accept and apply toward an hour requirement that the division
5145     establishes under Subsection (2)(c) continuing education that an advanced practice registered
5146     nurse completes in accordance with Section 26-61a-106.
5147          Section 115. Section 58-31b-502 is amended to read:
5148          58-31b-502. Unprofessional conduct.
5149          (1) "Unprofessional conduct" includes:
5150          [(1)] (a) failure to safeguard a patient's right to privacy as to the patient's person,
5151     condition, diagnosis, personal effects, or any other matter about which the licensee is privileged
5152     to know because of the licensee's or person with a certification's position or practice as a nurse
5153     or practice as a medication aide certified;
5154          [(2)] (b) failure to provide nursing service or service as a medication aide certified in a
5155     manner that demonstrates respect for the patient's human dignity and unique personal character
5156     and needs without regard to the patient's race, religion, ethnic background, socioeconomic
5157     status, age, sex, or the nature of the patient's health problem;
5158          [(3)] (c) engaging in sexual relations with a patient during any:
5159          [(a)] (i) period when a generally recognized professional relationship exists between
5160     the person licensed or certified under this chapter and the patient; or
5161          [(b)] (ii) extended period when a patient has reasonable cause to believe a professional
5162     relationship exists between the person licensed or certified under the provisions of this chapter
5163     and the patient;
5164          [(4) (a)] (d) (i) as a result of any circumstance under Subsection (3), exploiting or using
5165     information about a patient or exploiting the licensee's or the person with a certification's
5166     professional relationship between the licensee or holder of a certification under this chapter and
5167     the patient; or
5168          [(b)] (ii) exploiting the patient by use of the licensee's or person with a certification's
5169     knowledge of the patient obtained while acting as a nurse or a medication aide certified;
5170          [(5)] (e) unlawfully obtaining, possessing, or using any prescription drug or illicit drug;
5171          [(6)] (f) unauthorized taking or personal use of nursing supplies from an employer;
5172          [(7)] (g) unauthorized taking or personal use of a patient's personal property;
5173          [(8)] (h) knowingly entering into any medical record any false or misleading

5174     information or altering a medical record in any way for the purpose of concealing an act,
5175     omission, or record of events, medical condition, or any other circumstance related to the
5176     patient and the medical or nursing care provided;
5177          [(9)] (i) unlawful or inappropriate delegation of nursing care;
5178          [(10)] (j) failure to exercise appropriate supervision of persons providing patient care
5179     services under supervision of the licensed nurse;
5180          [(11)] (k) employing or aiding and abetting the employment of an unqualified or
5181     unlicensed person to practice as a nurse;
5182          [(12)] (l) failure to file or record any medical report as required by law, impeding or
5183     obstructing the filing or recording of such a report, or inducing another to fail to file or record
5184     such a report;
5185          [(13)] (m) breach of a statutory, common law, regulatory, or ethical requirement of
5186     confidentiality with respect to a person who is a patient, unless ordered by a court;
5187          [(14)] (n) failure to pay a penalty imposed by the division;
5188          [(15)] (o) prescribing a Schedule [II-III] II or III controlled substance without
5189     complying with the requirements in Section 58-31b-803;
5190          [(16)] (p) violating Section 58-31b-801;
5191          [(17)] (q) violating the dispensing requirements of Section 58-17b-309 or Chapter 17b,
5192     Part 8, Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy,
5193     if applicable; and
5194          [(18)] (r) establishing or operating a pain clinic without a consultation and referral plan
5195     for Schedule [II-III] II or III controlled substances.
5196          (2) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
5197     61a, Utah Medical Cannabis Act, when registered as a qualified medical provider, as that term
5198     is defined in Section 26-61a-102, recommending the use of medical cannabis.
5199          (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
5200     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
5201     unprofessional conduct for an advanced practice registered nurse described in Subsection (2).
5202          Section 116. Section 58-37-3.6 (Superseded 07/01/19) is amended to read:
5203          58-37-3.6 (Superseded 07/01/19). Exemption for possession or distribution of a
5204     cannabinoid product or expanded cannabinoid product pursuant to an approved study.

5205          (1) As used in this section:
5206          (a) "Cannabinoid product" means a product intended for human ingestion that:
5207          (i) contains an extract or concentrate that is obtained from cannabis;
5208          (ii) is prepared in a medicinal dosage form; and
5209          (iii) contains at least 10 units of cannabidiol for every one unit of tetrahydrocannabinol.
5210          (b) "Cannabis" means any part of the plant cannabis sativa, whether growing or not.
5211          (c) "Drug paraphernalia" means the same as that term is defined in Section 58-37a-3.
5212          (d) "Expanded cannabinoid product" means a product intended for human ingestion
5213     that:
5214          (i) contains an extract or concentrate that is obtained from cannabis;
5215          (ii) is prepared in a medicinal dosage form; and
5216          (iii) contains less than 10 units of cannabidiol for every one unit of
5217     tetrahydrocannabinol.
5218          (e) "Medicinal dosage form" means:
5219          (i) a tablet;
5220          (ii) a capsule;
5221          (iii) a concentrated oil;
5222          (iv) a liquid suspension;
5223          (v) a transdermal preparation; or
5224          (vi) a sublingual preparation.
5225          (f) "Tetrahydrocannabinol" means a substance derived from cannabis that meets the
5226     description in Subsection 58-37-4(2)(a)(iii)(AA).
5227          (2) Notwithstanding any other provision of this chapter, an individual who possesses or
5228     distributes a cannabinoid product or an expanded cannabinoid product is not subject to the
5229     penalties described in this title for the possession or distribution of marijuana or
5230     tetrahydrocannabinol to the extent that the individual's possession or distribution of the
5231     cannabinoid product or expanded cannabinoid product complies with Title 26, Chapter 61,
5232     Cannabinoid Research Act.
5233          [(3) Notwithstanding any other provision of this chapter, an individual who grows,
5234     processes, or possesses cannabis is not subject to the penalties described in this title for the
5235     growth, processing, or possession of marijuana to the extent that the individual is authorized to

5236     grow, process, or possess the cannabis under Section 4-41-203 and is in compliance with any
5237     rules made pursuant to Section 4-41-204.]
5238          [(4) Notwithstanding any other provision of this chapter, an individual who possesses
5239     or uses cannabis in a medicinal dosage form is not subject to the penalties described in this title
5240     for the possession or use of marijuana or tetrahydrocannabinol to the extent that the individual's
5241     possession or use of the cannabis complies with Title 58, Chapter 85, Utah Right to Try Act.]
5242          Section 117. Section 58-37-3.6 (Effective 07/01/19) is amended to read:
5243          58-37-3.6 (Effective 07/01/19). Exemption for possession or distribution of a
5244     cannabinoid product or expanded cannabinoid product pursuant to an approved study.
5245          (1) As used in this section:
5246          [(a) "Cannabidiol product" means the same as that term is defined in Section
5247     4-41-102.]
5248          [(b)] (a) "Cannabinoid product" means a product intended for human ingestion that:
5249          (i) contains an extract or concentrate that is obtained from cannabis;
5250          (ii) is prepared in a medicinal dosage form; and
5251          (iii) contains at least 10 units of cannabidiol for every one unit of tetrahydrocannabinol.
5252          [(c)] (b) "Cannabis" means any part of the plant cannabis sativa, whether growing or
5253     not.
5254          [(d)] (c) "Drug paraphernalia" means the same as that term is defined in Section
5255     58-37a-3.
5256          [(e)] (d) "Expanded cannabinoid product" means a product intended for human
5257     ingestion that:
5258          (i) contains an extract or concentrate that is obtained from cannabis;
5259          (ii) is prepared in a medicinal dosage form; and
5260          (iii) contains less than 10 units of cannabidiol for every one unit of
5261     tetrahydrocannabinol.
5262          [(f)] (e) "Medicinal dosage form" means:
5263          (i) a tablet;
5264          (ii) a capsule;
5265          (iii) a concentrated oil;
5266          (iv) a liquid suspension;

5267          (v) a transdermal preparation; or
5268          (vi) a sublingual preparation.
5269          [(g)] (f) "Tetrahydrocannabinol" means a substance derived from cannabis that meets
5270     the description in Subsection 58-37-4(2)(a)(iii)(AA).
5271          (2) Notwithstanding any other provision of this chapter[: (a)] an individual who
5272     possesses or distributes a cannabinoid product or an expanded cannabinoid product is not
5273     subject to the penalties described in this title for the possession or distribution of marijuana or
5274     tetrahydrocannabinol to the extent that the individual's possession or distribution of the
5275     cannabinoid product or expanded cannabinoid product complies with Title 26, Chapter 61,
5276     Cannabinoid Research Act[;].
5277          [(b) an individual who grows, processes, possesses, transports, or distributes
5278     cannabidiol for medicinal use or a hemp-grade product that is intended to be processed into
5279     cannabidiol for medicinal use, is not subject to the penalties described in this title to the extent
5280     that the individual's growth, processing, possession, transportation, or distribution of the
5281     cannabidiol or hemp-grade product is in compliance with Title 4, Chapter 43, Cannabidiol
5282     Producers; and]
5283          [(c) a person who processes, possesses, or sells cannabidiol is not subject to the
5284     penalties described in this title if:]
5285          [(i) the person is a cannabidiol-qualified pharmacy; or]
5286          [(ii) the person is an individual whose physician has recommended use of the
5287     cannabidiol and the individual purchased the cannabidiol from a cannabidiol-qualified
5288     pharmacy.]
5289          [(3) Notwithstanding any other provision of this chapter, an individual who grows,
5290     processes, or possesses cannabis is not subject to the penalties described in this title for the
5291     growth, processing, or possession of marijuana to the extent that the individual is authorized to
5292     grow, process, or possess the cannabis under Section 4-41-203 and is in compliance with any
5293     rules made pursuant to Section 4-41-204.]
5294          [(4) Notwithstanding any other provision of this chapter, an individual who possesses
5295     or uses cannabis in a medicinal dosage form is not subject to the penalties described in this title
5296     for the possession or use of marijuana or tetrahydrocannabinol to the extent that the individual's
5297     possession or use of the cannabis complies with Title 58, Chapter 85, Utah Right to Try Act.]

5298          Section 118. Section 58-37-3.7 is amended to read:
5299          58-37-3.7. Medical cannabis decriminalization.
5300          (1) As used in this section:
5301          (a) "Cannabis" means the same as that term is defined in Section 26-61a-102.
5302          (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
5303          (c) "Medical cannabis card" means the same as that term is defined in Section
5304     26-61a-102.
5305          (d) "Medical cannabis device" means the same as that term is defined in Section
5306     26-61a-102.
5307          (e) "Medical cannabis pharmacy" means the same as that term is defined in Section
5308     26-61a-102.
5309          (f) "Medicinal dosage form" means the same as that term is defined in Section
5310     26-61a-102.
5311          (g) "Qualified medical provider" means the same as that term is defined in Section
5312     26-61a-102.
5313          (h) "Qualifying condition" means the same as that term is defined in Section
5314     26-61a-102.
5315          (i) "Tetrahydrocannabinol" means the same as that term is defined in Section
5316     58-37-3.9.
5317          [(1)] (2) Before [July] January 1, [2020] 2021, [it is an affirmative defense to criminal
5318     charges against an individual] an individual is not guilty under this chapter for the use[,] or
5319     possession[, or manufacture] of marijuana, tetrahydrocannabinol, or marijuana drug
5320     paraphernalia [under this chapter that] if:
5321          (a) at the time of the arrest, the individual [would be eligible for a medical cannabis
5322     card, and that the individuals conduct would have been lawful, after July 1, 2020.]:
5323          (i) (A) had been diagnosed with a qualifying condition; and
5324          (B) had a pre-existing provider-patient relationship with an advanced practice
5325     registered nurse licensed under Title 58, Chapter 31b, Nurse Practice Act, a physician licensed
5326     under Title 58, Chapter 67, Utah Medical Practice Act, a physician licensed under Title 58,
5327     Chapter 68, Utah Osteopathic Medical Practice Act, or a physician assistant licensed under
5328     Title 58, Chapter 70a, Physician Assistant Act, who believed that the individual's illness

5329     described in Subsection (2)(a)(i)(A) could benefit from the use in question; or
5330          (ii) (A) for possession, was a medical cannabis cardholder; or
5331          (B) for use, was a medical cannabis patient cardholder or a minor with a qualifying
5332     condition under the supervision of a medical cannabis guardian cardholder; and
5333          (b) the marijuana or tetrahydrocannabinol was in a medicinal dosage form in a quantity
5334     described in Subsection 26-61a-502(2).
5335          [(2)] (3) [It is an affirmative defense to criminal charges against an individual] An
5336     individual is not guilty under this chapter for the use or possession of marijuana,
5337     tetrahydrocannabinol, or marijuana drug paraphernalia under this chapter if:
5338          (a) at the time of the arrest, the individual:
5339          (i) [is a] was not a resident of Utah or has been a resident of Utah for less than 45 days
5340     [and was issued];
5341          (ii) had a currently valid medical cannabis [identification] card or [its] the equivalent of
5342     a medical cannabis card under the laws of another state, district, territory, commonwealth, or
5343     insular possession of the United States; and
5344          [(b)] (iii) [the individual has] had been diagnosed with a qualifying [illness] condition
5345     as described in Section [26-60b-105.] 26-61a-104; and
5346          (b) the marijuana or tetrahydrocannabinol is in a medicinal dosage form in a quantity
5347     described in Subsection 26-61a-502(2).
5348          [(3) A court shall, for charges that the court dismisses under Subsection (1) or
5349     Subsection (2), dismiss the charges without prejudice.]
5350          Section 119. Section 58-37-3.8 is amended to read:
5351          58-37-3.8. Enforcement.
5352          (1) [No] A law enforcement officer [employed by an agency that receives state or local
5353     government funds shall], as that term is defined in Section 53-13-103, may not expend any
5354     state or local resources, including the officer's time, to:
5355          (a) effect any arrest or seizure of cannabis, as that term is defined in Section
5356     26-61a-102, or conduct any investigation, on the sole basis of activity the officer believes to
5357     constitute a violation of federal law if the officer has reason to believe that [such] the activity is
5358     in compliance with the state medical cannabis laws[, nor shall any such officer expend any
5359     state or local resources, including the officer's time, to];

5360          (b) enforce a law that restricts an individual's right to acquire, own, or possess a
5361     firearm based solely on the individual's possession or use of cannabis in accordance with state
5362     medical cannabis laws; or
5363          (c) provide any information or logistical support related to [such] an activity described
5364     in Subsection (1)(a) to any federal law enforcement authority or prosecuting entity.
5365          (2) [No] An agency or political subdivision of [Utah] the state may [rely on a violation
5366     of federal law as the sole basis for taking] not take an adverse action against a person for
5367     providing a professional [services] service to a medical cannabis [dispensary] pharmacy, as that
5368     term is defined in Section 26-61a-102, the state central fill medical cannabis pharmacy, as that
5369     term is defined in Section 26-61a-102, or a cannabis production establishment [if the person
5370     has not violated the state medical cannabis laws], as that term is defined in Section 4-41a-102,
5371     on the sole basis that the service is a violation of federal law.
5372          Section 120. Section 58-37-3.9 is amended to read:
5373          58-37-3.9. Exemption for possession or use of cannabis to treat a qualifying
5374     illness.
5375          (1) As used in this section:
5376          (a) "Cannabis" means marijuana.
5377          [(b) "Cannabis dispensary" means the same as that term is defined in Section
5378     26-60b-102.]
5379          [(c)] (b) "Cannabis product" means [a product that: (i) is intended for human ingestion;
5380     and (ii) contains cannabis or tetrahydrocannabinol] the same as that term is defined in Section
5381     26-61a-102.
5382          [(d) "Designated caregiver" means the same as that term is defined in Section
5383     26-60b-102.]
5384          [(e)] (c) "Drug paraphernalia" means the same as that term is defined in Section
5385     58-37a-3.
5386          [(f) "Marijuana" means the same as that term is defined in Section 58-37-2.]
5387          [(g)] (d) "Medical cannabis [card] cardholder" means the same as that term is defined
5388     in Section [26-60b-102] 26-61a-102.
5389          [(h)] (e) [(i)] "Medical cannabis device" means [a device that an individual uses to
5390     ingest cannabis or a cannabis product] the same as that term is defined in Section 26-61a-102.

5391          [(ii) "Medical cannabis device" does not include a device that facilitates cannabis
5392     combustion at a temperature of greater than 750 degrees Fahrenheit.]
5393          [(i)] (f) "[Qualifying illness] Medicinal dosage form" means the same as that term is
5394     defined in Section [26-60b-102] 26-61a-102.
5395          [(j)] (g) "Tetrahydrocannabinol" means a substance derived from cannabis [that meets
5396     the description] or a synthetic description as described in Subsection 58-37-4(2)(a)(iii)(AA).
5397          (2) Notwithstanding any other provision of law, except as otherwise provided in this
5398     section:
5399          (a) an individual [who] is not guilty of a violation of this title for the following conduct
5400     if the individual engages in the conduct in accordance with Title 4, Chapter 41a, Cannabis
5401     Production Establishments, or Title 26, Chapter 61a, Utah Medical Cannabis Act:
5402          (i) [possesses, produces, manufactures, dispenses, distributes, sells, or offers]
5403     possessing, ingesting, producing, manufacturing, dispensing, distributing, selling, or offering to
5404     sell cannabis or a cannabis product; or [who possesses]
5405          (ii) possessing cannabis or a cannabis product with the intent to [produce, manufacture,
5406     dispense, distribute, sell, or offer to sell cannabis or a cannabis product is not subject to the
5407     penalties described in this title for] engage in the conduct [to the extent that the individual's
5408     conduct complies with:] described in Subsection (2)(a)(i); and
5409          [(i)] (b) an individual is guilty of a violation of this title regarding drug paraphernalia if
5410     the individual, in accordance with Title 4, Chapter [41b] 41a, Cannabis Production
5411     [Establishment;] Establishments, and [(ii)] Title 26, Chapter [60b] 61a, Utah Medical
5412     Cannabis Act[;]:
5413          [(b)] (i) [an individual who] possesses, manufactures, distributes, sells, or offers to sell
5414     a medical cannabis device; or
5415          (ii) [who] possesses a medical cannabis device with the intent to [manufacture,
5416     distribute, sell, or offer to sell a medical cannabis device is authorized and is not subject to the
5417     penalties described in this title for the possession, manufacture, distribution, sale, or offer for
5418     sale of drug paraphernalia to the extent that the individual's] engage in any of the conduct
5419     [complies with:] described in Subsection (2)(b)(i).
5420          [(i) Title 4, Chapter 41b, Cannabis Production Establishment; and]
5421          [(ii) Title 26, Chapter 60b, Medical Cannabis Act.]

5422          [(3) For purposes of state law, except as otherwise provided in this section, activities
5423     related to cannabis shall be considered lawful and any cannabis consumed shall be considered
5424     legally ingested, as long as the conduct is in accordance with:]
5425          [(a) Title 4, Chapter 41b, Cannabis Production Establishment; and]
5426          [(b) Title 26, Chapter 60b, Medical Cannabis Act.]
5427          [(4)] (3) (a) As used in this Subsection (3), "smoking" does not include the
5428     vaporization or heating of medical cannabis.
5429          (b) [It is not lawful for] Title 26, Chapter 61a, Utah Medical Cannabis Act, does not
5430     authorize a medical cannabis [card holder] cardholder to smoke or combust cannabis or to use
5431     a device to facilitate the smoking or combustion of cannabis. [An individual convicted of
5432     violating this section is guilty of an infraction. For purposes of this section, smoking does not
5433     include a means of administration that involves cannabis combustion at a temperature that is
5434     not greater than 750 degrees Fahrenheit and that does not involve using a flame.]
5435          (c) A medical cannabis cardholder who smokes cannabis or engages in any other
5436     conduct described in Subsection (3)(b):
5437          (i) does not possess the cannabis in accordance with Title 26, Chapter 61a, Utah
5438     Medical Cannabis Act; and
5439          (ii) is subject to charges under this chapter for the use or possession of marijuana,
5440     tetrahydrocannabinol, or marijuana drug paraphernalia for the conduct described in Subsection
5441     (3)(b).
5442          [(5) An individual is not exempt from the penalties described in this title for ingesting
5443     cannabis or a cannabis product while operating a motor vehicle.]
5444          [(6)] (4) An individual who is assessed a penalty or convicted of [an infraction] a crime
5445     under Title 4, Chapter [41b] 41a, Cannabis Production [Establishment] Establishments, or Title
5446     26, Chapter [60b] 61a, Utah Medical Cannabis Act, is not, based on the conduct underlying
5447     that penalty or conviction, subject to [the penalties] a penalty described in this chapter for:
5448          (a) the possession, manufacture, sale, or offer for sale of cannabis or a cannabis
5449     product; or
5450          (b) the possession, manufacture, sale, or offer for sale of drug paraphernalia.
5451          Section 121. Section 58-37f-203 (Effective 07/01/19) is amended to read:
5452          58-37f-203 (Effective 07/01/19). Submission, collection, and maintenance of data.

5453          (1) (a) The division shall implement on a statewide basis, including non-resident
5454     pharmacies as defined in Section 58-17b-102, the following two options for a pharmacist to
5455     submit information:
5456          (i) real-time submission of the information required to be submitted under this part to
5457     the controlled substance database; and
5458          (ii) 24-hour daily or next business day, whichever is later, batch submission of the
5459     information required to be submitted under this part to the controlled substance database.
5460          (b) (i) On and after January 1, 2016, a pharmacist shall comply with either:
5461          (A) the submission time requirements established by the division under Subsection
5462     (1)(a)(i); or
5463          (B) the submission time requirements established by the division under Subsection
5464     (1)(a)(ii).
5465          (ii) Prior to January 1, 2016, a pharmacist may submit information using either option
5466     under this Subsection (1).
5467          (c) The division shall comply with Title 63G, Chapter 6a, Utah Procurement Code.
5468          (2) (a) The pharmacist-in-charge and the pharmacist of the drug outlet where a
5469     controlled substance is dispensed shall submit the data described in this section to the division
5470     in accordance with:
5471          (i) the requirements of this section;
5472          (ii) the procedures established by the division;
5473          (iii) additional types of information or data fields established by the division; and
5474          (iv) the format established by the division.
5475          (b) A dispensing medical practitioner licensed under Chapter 17b, Part 8, Dispensing
5476     Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, shall comply with
5477     the provisions of this section and the dispensing medical practitioner shall assume the duties of
5478     the pharmacist under this chapter.
5479          (3) [(a)] The pharmacist-in-charge and the pharmacist described in Subsection (2)
5480     shall, for each controlled substance dispensed by a pharmacist under the pharmacist's
5481     supervision other than those dispensed for an inpatient at a health care facility, submit to the
5482     division any type of information or data field established by the division by rule in accordance
5483     with Subsection (6).

5484          [(b) The pharmacist described in Subsection (2) shall, in the case of a
5485     cannabidiol-qualified pharmacy dispensing a cannabidiol product, submit the following
5486     information to the division:]
5487          [(i) the name of the recommending physician;]
5488          [(ii) the date of the recommendation;]
5489          [(iii) the date the recommendation was filled by the cannabidiol-qualified pharmacy;]
5490          [(iv) the name of the individual for whom the recommendation was written; and]
5491          [(v) any other information the division requires by rule, made in accordance with Title
5492     63G, Chapter 3, Utah Administrative Rulemaking Act.]
5493          (4) An individual whose records are in the database may obtain those records upon
5494     submission of a written request to the division.
5495          (5) (a) A patient whose record is in the database may contact the division in writing to
5496     request correction of any of the patient's database information that is incorrect. The patient
5497     shall provide a postal address for the division's response.
5498          (b) The division shall grant or deny the request within 30 days from receipt of the
5499     request and shall advise the requesting patient of its decision by mail postmarked within 35
5500     days of receipt of the request.
5501          (c) If the division denies a request under this Subsection (5) or does not respond within
5502     35 days, the patient may submit an appeal to the Department of Commerce, within 60 days
5503     after the postmark date of the patient's letter making a request for a correction under this
5504     Subsection (5).
5505          (6) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
5506     Administrative Rulemaking Act, to establish submission requirements under this part,
5507     including:
5508          (a) electronic format;
5509          (b) submission procedures; and
5510          (c) required information and data fields.
5511          (7) The division shall ensure that the database system records and maintains for
5512     reference:
5513          (a) the identification of each individual who requests or receives information from the
5514     database;

5515          (b) the information provided to each individual; and
5516          (c) the date and time that the information is requested or provided.
5517          Section 122. Section 58-67-304 is amended to read:
5518          58-67-304. License renewal requirements.
5519          (1) As a condition precedent for license renewal, each licensee shall, during each
5520     two-year licensure cycle or other cycle defined by division rule:
5521          (a) complete qualified continuing professional education requirements in accordance
5522     with the number of hours and standards defined by division rule made in collaboration with the
5523     board;
5524          (b) appoint a contact person for access to medical records and an alternate contact
5525     person for access to medical records in accordance with Subsection 58-67-302(1)(j);
5526          (c) if the licensee practices medicine in a location with no other persons licensed under
5527     this chapter, provide some method of notice to the licensee's patients of the identity and
5528     location of the contact person and alternate contact person for the licensee; and
5529          (d) if the licensee is an associate physician licensed under Section 58-67-302.8,
5530     successfully complete the educational methods and programs described in Subsection
5531     58-67-807(4).
5532          (2) If a renewal period is extended or shortened under Section 58-67-303, the
5533     continuing education hours required for license renewal under this section are increased or
5534     decreased proportionally.
5535          (3) An application to renew a license under this chapter shall:
5536          (a) require a physician to answer the following question: "Do you perform elective
5537     abortions in Utah in a location other than a hospital?"; and
5538          (b) immediately following the question, contain the following statement: "For purposes
5539     of the immediately preceding question, elective abortion means an abortion other than one of
5540     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
5541     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
5542     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
5543     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
5544     the woman is pregnant as a result of rape or incest."
5545          (4) In order to assist the Department of Health in fulfilling its responsibilities relating

5546     to the licensing of an abortion clinic and the enforcement of Title 76, Chapter 7, Part 3,
5547     Abortion, if a physician responds positively to the question described in Subsection (3)(a), the
5548     division shall, within 30 days after the day on which it renews the physician's license under this
5549     chapter, inform the Department of Health in writing:
5550          (a) of the name and business address of the physician; and
5551          (b) that the physician responded positively to the question described in Subsection
5552     (3)(a).
5553          (5) The division shall accept and apply toward the hour requirement in Subsection
5554     (1)(a) and continuing education that a physician completes in accordance with Sections
5555     26-61a-106, 26-61a-403, and 26-61a-601.
5556          Section 123. Section 58-67-502 is amended to read:
5557          58-67-502. Unprofessional conduct.
5558          (1) "Unprofessional conduct" includes, in addition to the definition in Section
5559     58-1-501:
5560          (a) using or employing the services of any individual to assist a licensee in any manner
5561     not in accordance with the generally recognized practices, standards, or ethics of the
5562     profession, state law, or division rule;
5563          (b) making a material misrepresentation regarding the qualifications for licensure under
5564     Section 58-67-302.7 or Section 58-67-302.8; [or]
5565          (c) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
5566     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable[.]; or
5567          (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.
5568          (2) "Unprofessional conduct" does not include[,]:
5569          (a) in compliance with Section 58-85-103:
5570          [(a)] (i) obtaining an investigational drug or investigational device;
5571          [(b)] (ii) administering the investigational drug to an eligible patient; or
5572          [(c)] (iii) treating an eligible patient with the investigational drug or investigational
5573     device[.]; or
5574          (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
5575          (i) when registered as a qualified medical provider, as that term is defined in Section
5576     26-61a-102, recommending the use of medical cannabis;

5577          (ii) when registered as a pharmacy medical provider, as that term is defined in Section
5578     26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
5579          (iii) when registered as a state central fill medical provider, as that term is defined in
5580     Section 26-61a-102, providing state central fill medical provider services in the state central fill
5581     medical cannabis pharmacy.
5582          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
5583     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
5584     unprofessional conduct for a pharmacist described in Subsections (2)(b).
5585          Section 124. Section 58-68-304 is amended to read:
5586          58-68-304. License renewal requirements.
5587          (1) As a condition precedent for license renewal, each licensee shall, during each
5588     two-year licensure cycle or other cycle defined by division rule:
5589          (a) complete qualified continuing professional education requirements in accordance
5590     with the number of hours and standards defined by division rule in collaboration with the
5591     board;
5592          (b) appoint a contact person for access to medical records and an alternate contact
5593     person for access to medical records in accordance with Subsection 58-68-302(1)(j);
5594          (c) if the licensee practices osteopathic medicine in a location with no other persons
5595     licensed under this chapter, provide some method of notice to the licensee's patients of the
5596     identity and location of the contact person and alternate contact person for access to medical
5597     records for the licensee in accordance with Subsection 58-68-302(1)(k); and
5598          (d) if the licensee is an associate physician licensed under Section 58-68-302.5,
5599     successfully complete the educational methods and programs described in Subsection
5600     58-68-807(4).
5601          (2) If a renewal period is extended or shortened under Section 58-68-303, the
5602     continuing education hours required for license renewal under this section are increased or
5603     decreased proportionally.
5604          (3) An application to renew a license under this chapter shall:
5605          (a) require a physician to answer the following question: "Do you perform elective
5606     abortions in Utah in a location other than a hospital?"; and
5607          (b) immediately following the question, contain the following statement: "For purposes

5608     of the immediately preceding question, elective abortion means an abortion other than one of
5609     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
5610     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
5611     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
5612     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
5613     the woman is pregnant as a result of rape or incest."
5614          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
5615     to the licensing of an abortion clinic, if a physician responds positively to the question
5616     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
5617     renews the physician's license under this chapter, inform the Department of Health in writing:
5618          (a) of the name and business address of the physician; and
5619          (b) that the physician responded positively to the question described in Subsection
5620     (3)(a).
5621          (5) The division shall accept and apply toward the hour requirement in Subsection
5622     (1)(a) and continuing education that a physician completes in accordance with Sections
5623     26-61a-106, 26-61a-403, and 26-61a-601.
5624          Section 125. Section 58-68-502 is amended to read:
5625          58-68-502. Unprofessional conduct.
5626          (1) "Unprofessional conduct" includes, in addition to the definition in Section
5627     58-1-501:
5628          (a) using or employing the services of any individual to assist a licensee in any manner
5629     not in accordance with the generally recognized practices, standards, or ethics of the
5630     profession, state law, or division rule;
5631          (b) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
5632     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable; [or]
5633          (c) making a material misrepresentation regarding the qualifications for licensure under
5634     Section 58-68-302.5[.]; or
5635          (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.
5636          (2) "Unprofessional conduct" does not include[,]:
5637          (a) in compliance with Section 58-85-103:
5638          [(a)] (i) obtaining an investigational drug or investigational device;

5639          [(b)] (ii) administering the investigational drug to an eligible patient; or
5640          [(c)] (iii) treating an eligible patient with the investigational drug or investigational
5641     device[.]; or
5642          (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
5643          (i) when registered as a qualified medical provider, as that term is defined in Section
5644     26-61a-102, recommending the use of medical cannabis;
5645          (ii) when registered as a pharmacy medical provider, as that term is defined in Section
5646     26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
5647          (iii) when registered as a state central fill medical provider, as that term is defined in
5648     Section 26-61a-102, providing state central fill medical provider services in the state central fill
5649     medical cannabis pharmacy.
5650          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
5651     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
5652     unprofessional conduct for a pharmacist described in Subsections (2)(b).
5653          Section 126. Section 58-70a-303 is amended to read:
5654          58-70a-303. Term of license -- Expiration -- Renewal.
5655          (1) (a) The division shall issue each license under this chapter in accordance with a
5656     two-year renewal cycle established by division rule.
5657          (b) The division may by rule extend or shorten a renewal period by as much as one year
5658     to stagger the renewal cycles it administers.
5659          (2) At the time of renewal, the licensee shall show compliance with continuing
5660     education renewal requirements.
5661          (3) Each license issued under this chapter expires on the expiration date shown on the
5662     license unless renewed in accordance with Section 58-1-308.
5663          (4) The division shall accept and apply toward an hour requirement that the division
5664     establishes under Subsection (2) continuing education that a physician assistant completes in
5665     accordance with Section 26-61a-106.
5666          Section 127. Section 58-70a-503 is amended to read:
5667          58-70a-503. Unprofessional conduct.
5668          (1) "Unprofessional conduct" includes:
5669          [(1)] (a) violation of a patient confidence to any person who does not have a legal right

5670     and a professional need to know the information concerning the patient;
5671          [(2)] (b) knowingly prescribing, selling, giving away, or directly or indirectly
5672     administering, or offering to prescribe, sell, furnish, give away, or administer any prescription
5673     drug except for a legitimate medical purpose upon a proper diagnosis indicating use of that
5674     drug in the amounts prescribed or provided;
5675          [(3)] (c) prescribing prescription drugs for oneself or administering prescription drugs
5676     to oneself, except those that have been legally prescribed for the physician assistant by a
5677     licensed practitioner and that are used in accordance with the prescription order for the
5678     condition diagnosed;
5679          [(4)] (d) failure to maintain at the practice site a delegation of services agreement that
5680     accurately reflects current practices;
5681          [(5)] (e) failure to make the delegation of services agreement available to the division
5682     for review upon request;
5683          [(6)] (f) in a practice that has physician assistant ownership interests, failure to allow
5684     the supervising physician the independent final decision making authority on patient treatment
5685     decisions, as set forth in the delegation of services agreement or as defined by rule; and
5686          [(7)] (g) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing
5687     Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable.
5688          (2) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
5689     61a, Utah Medical Cannabis Act, when registered as a qualified medical provider, as that term
5690     is defined in Section 26-61a-102, recommending the use of medical cannabis.
5691          (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
5692     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
5693     unprofessional conduct for a physician assistant described in Subsection (2).
5694          Section 128. Section 58-85-102 is amended to read:
5695          58-85-102. Definitions.
5696          As used in this chapter:
5697          [(1) "Cannabis" means cannabis that has been grown by a state-approved grower and
5698     processed into a medicinal dosage form.]
5699          [(2) "Cannabis-based treatment" means a course of treatment involving cannabis.]
5700          [(3)] (1) "Eligible patient" means an individual who has been diagnosed with a

5701     terminal illness by a physician.
5702          [(4) "Health care facility" means the same as that term is defined in Section
5703     26-55-102.]
5704          [(5)] (2) "Insurer" means the same as that term is defined in Section 31A-1-301.
5705          [(6)] (3) "Investigational device" means a device that:
5706          (a) meets the definition of "investigational device" in 21 C.F.R. Sec. 812.3; and
5707          (b) has successfully completed the United States Food and Drug Administration Phase
5708     1 testing for an investigational device described in 21 C.F.R. Part 812.
5709          [(7)] (4) "Investigational drug" means a drug that:
5710          (a) meets the definition of "investigational new drug" in 21 C.F.R. Sec. 312.3; and
5711          (b) has successfully completed the United States Food and Drug Administration Phase
5712     1 testing for an investigational new drug described in 21 C.F.R. Part 312.
5713          [(8)] (5) "Medicinal dosage form" means the same as that term is defined in Section
5714     58-37-3.6.
5715          [(9)] (6) "Physician" means an individual who is licensed under:
5716          (a) Title 58, Chapter 67, Utah Medical Practice Act; or
5717          (b) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act.
5718          [(10) "State-approved grower and processor" means a person who grows cannabis
5719     pursuant to state law and processes the cannabis into a medicinal dosage form.]
5720          [(11)] (7) "Terminal illness" means a condition of a patient that:
5721          (a) as determined by a physician:
5722          (i) is likely to pose a greater risk to the patient than the risk posed to the patient by
5723     treatment with an investigational drug or investigational device; and
5724          (ii) will inevitably lead to the patient's death; and
5725          (b) presents the patient, after the patient has explored conventional therapy options,
5726     with no treatment option that is satisfactory or comparable to treatment with an investigational
5727     drug or device.
5728          Section 129. Section 58-85-104 is amended to read:
5729          58-85-104. Standard of care -- Medical practitioners not liable -- No private right
5730     of action.
5731          (1) [(a)] It is not a breach of the applicable standard of care for a physician, other

5732     licensed health care provider, or hospital to treat an eligible patient with an investigational drug
5733     or investigational device under this chapter.
5734          [(b) It is not a breach of the applicable standard of care for a physician to recommend a
5735     cannabis-based treatment to a terminally ill patient under this chapter, or a health care facility
5736     to aid or assist in any way a terminally ill patient's use of cannabis.]
5737          (2) A physician, other licensed health care provider, or hospital that treats an eligible
5738     patient with an investigational drug or investigational device under this chapter[, or a physician
5739     who recommends a cannabis-based treatment to a terminally ill patient or a health care facility
5740     that facilitates a terminally ill patient's recommended use of a cannabis-based treatment under
5741     this chapter,] may not, for any harm done to the eligible patient by the investigational drug or
5742     device, [or for any harm done to the terminally ill patient by the cannabis-based treatment,] be
5743     subject to:
5744          (a) civil liability;
5745          (b) criminal liability; or
5746          (c) licensure sanctions under:
5747          (i) for a physician:
5748          (A) Title 58, Chapter 67, Utah Medical Practice Act; or
5749          (B) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
5750          (ii) for the other licensed health care provider, the act governing the other licensed
5751     health care provider's license; or
5752          (iii) for the hospital [or health care facility], Title 26, Chapter 21, Health Care Facility
5753     Licensing and Inspection Act.
5754          (3) This chapter does not:
5755          (a) require a manufacturer of an investigational drug or investigational device to agree
5756     to make an investigational drug or investigational device available to an eligible patient or an
5757     eligible patient's physician;
5758          (b) require a physician to agree to:
5759          (i) administer an investigational drug to an eligible patient under this chapter; or
5760          (ii) treat an eligible patient with an investigational device under this chapter; or
5761          [(iii) recommend a cannabis-based treatment to a terminally ill patient; or]
5762          (c) create a private right of action for an eligible patient:

5763          (i) against a physician or hospital, for the physician's or hospital's refusal to:
5764          (A) administer an investigational drug to an eligible patient under this chapter; or
5765          (B) treat an eligible patient with an investigational device under this chapter; or
5766          [(C) recommend a cannabis-based treatment to the terminally ill patient; or]
5767          (ii) against a manufacturer, for the manufacturer's refusal to provide an eligible patient
5768     with an investigational drug or an investigational device under this chapter.
5769          Section 130. Section 58-85-105 is amended to read:
5770          58-85-105. Insurance coverage.
5771          (1) This chapter does not:
5772          (a) require an insurer to cover the cost of:
5773          (i) administering an investigational drug under this chapter; or
5774          (ii) treating a patient with an investigational device under this chapter; or
5775          [(iii) a cannabis-based treatment; or]
5776          (b) prohibit an insurer from covering the cost of:
5777          (i) administering an investigational drug under this chapter; or
5778          (ii) treating a patient with an investigational device under this chapter[; or].
5779          [(iii) a cannabis-based treatment.]
5780          (2) Except as described in Subsection (3), an insurer may deny coverage to an eligible
5781     patient who is treated with an investigational drug or investigational device, for harm to the
5782     eligible patient caused by the investigational drug or investigational device.
5783          (3) An insurer may not deny coverage to an eligible patient under Subsection (2) for:
5784          (a) the eligible patient's preexisting condition;
5785          (b) benefits that commenced before the day on which the eligible patient is treated with
5786     the investigational drug or investigational device; or
5787          (c) palliative or hospice care for an eligible patient that has been treated with an
5788     investigational drug or device, but is no longer receiving curative treatment with the
5789     investigational drug or device.
5790          Section 131. Section 59-12-104.10 is enacted to read:
5791          59-12-104.10. Exemption from sales tax for cannabis.
5792          (1) As used in this section:
5793          (a) "Cannabis" means the same as that term is defined in Section 26-61a-102.

5794          (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
5795          (c) "Medical cannabis device" means the same as that term is defined in Section
5796     26-61a-102.
5797          (d) "Medical cannabis pharmacy" means the same as that term is defined in Section
5798     26-61a-102.
5799          (e) "Medicinal dosage form" means the same as that term is defined in Section
5800     26-61a-102.
5801          (f) "State central fill medical cannabis pharmacy" means the same as that term is
5802     defined in Section 26-61a-102.
5803          (2) In addition to the exemptions described in Section 59-12-104, the sale by a licensed
5804     medical cannabis pharmacy or the state central fill medical cannabis pharmacy of the following
5805     is not subject to the taxes this chapter imposes:
5806          (a) cannabis in a medicinal dosage form; or
5807          (b) a cannabis product in a medicinal dosage form.
5808          (3) The sale of a medical cannabis device by a medical cannabis pharmacy or the state
5809     central fill medical cannabis pharmacy is subject to the taxes this chapter imposes.
5810          Section 132. Section 62A-3-322 is enacted to read:
5811          62A-3-322. Medical cannabis use by a vulnerable adult or guardian.
5812          A peace officer or an employee or agent of the division may not solicit or provide, and a
5813     court may not order, emergency services for a vulnerable adult based solely on:
5814          (1) the vulnerable adult's possession or use of cannabis in accordance with Title 26,
5815     Chapter 61a, Utah Medical Cannabis Act; or
5816          (2) the guardian of the vulnerable adult assisting with the use of or possessing cannabis
5817     in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act.
5818          Section 133. Section 62A-4a-202.1 is amended to read:
5819          62A-4a-202.1. Entering home of a child -- Taking a child into protective custody
5820     -- Caseworker accompanied by peace officer -- Preventive services -- Shelter facility or
5821     emergency placement.
5822          (1) A peace officer or child welfare worker may not:
5823          (a) enter the home of a child who is not under the jurisdiction of the court, remove a
5824     child from the child's home or school, or take a child into protective custody unless authorized

5825     under Subsection 78A-6-106(2); or
5826          (b) remove a child from the child's home or take a child into custody under this section
5827     solely on the basis of:
5828          (i) educational neglect, truancy, or failure to comply with a court order to attend
5829     school; or
5830          (ii) the possession or use, in accordance with Title 26, Chapter 61a, Utah Medical
5831     Cannabis Act, of cannabis in a medicinal dosage form, a cannabis product in a medicinal
5832     dosage form, or a medical cannabis device [in the home, if the use and possession of the
5833     cannabis, cannabis product, or medical cannabis device is in compliance with Title 26, Chapter
5834     60b, Medical Cannabis Act], as those terms are defined in Section 26-61a-102.
5835          (2) A child welfare worker within the division may take action under Subsection [(10)]
5836     (1) accompanied by a peace officer, or without a peace officer when a peace officer is not
5837     reasonably available.
5838          (3) (a) If possible, consistent with the child's safety and welfare, before taking a child
5839     into protective custody, the child welfare worker shall also determine whether there are
5840     services available that, if provided to a parent or guardian of the child, would eliminate the
5841     need to remove the child from the custody of the child's parent or guardian.
5842          (b) If the services described in Subsection (3)(a) are reasonably available, they shall be
5843     utilized.
5844          (c) In determining whether the services described in Subsection (3)(a) are reasonably
5845     available, and in making reasonable efforts to provide those services, the child's health, safety,
5846     and welfare shall be the child welfare worker's paramount concern.
5847          (4) (a) A child removed or taken into custody under this section may not be placed or
5848     kept in a secure detention facility pending court proceedings unless the child is detainable
5849     based on guidelines promulgated by the Division of Juvenile Justice Services.
5850          (b) A child removed from the custody of the child's parent or guardian but who does
5851     not require physical restriction shall be given temporary care in:
5852          (i) a shelter facility; or
5853          (ii) an emergency placement in accordance with Section 62A-4a-209.
5854          (c) When making a placement under Subsection (4)(b), the Division of Child and
5855     Family Services shall give priority to a placement with a noncustodial parent, relative, or

5856     friend, in accordance with Section 62A-4a-209.
5857          [(a)] (d) If the child is not placed with a noncustodial parent, a relative, or a designated
5858     friend, the caseworker assigned to the child shall file a report with the caseworker's supervisor
5859     explaining why a different placement was in the child's best interest.
5860          (5) When a child is removed from the child's home or school or taken into protective
5861     custody, the caseworker shall give a parent of the child a pamphlet or flier explaining:
5862          (a) the parent's rights under this part, including the right to be present and participate in
5863     any court proceeding relating to the child's case;
5864          (b) that it may be in the parent's best interest to contact an attorney and that, if the
5865     parent cannot afford an attorney, the court will appoint one;
5866          (c) the name and contact information of a division employee the parent may contact
5867     with questions;
5868          (d) resources that are available to the parent, including:
5869          (i) mental health resources;
5870          (ii) substance abuse resources; and
5871          (iii) parenting classes; and
5872          (e) any other information considered relevant by the division.
5873          (6) The pamphlet or flier described in Subsection (5) shall be:
5874          (a) evaluated periodically for its effectiveness at conveying necessary information and
5875     revised accordingly;
5876          (b) written in simple, easy-to-understand language; and
5877          (c) available in English and other languages as the division determines to be
5878     appropriate and necessary.
5879          Section 134. Section 63I-1-226 is amended to read:
5880          63I-1-226. Repeal dates, Title 26.
5881          (1) Section 26-1-40 is repealed July 1, 2019.
5882          [(1)] (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed
5883     July 1, 2025.
5884          [(2)] (3) Section 26-10-11 is repealed July 1, 2020.
5885          (4) Subsection 26-18-417(3) is repealed July 1, 2020.
5886          [(3) Section 26-21-23, Licensing of non-Medicaid nursing facility beds, is repealed

5887     July 1, 2018.]
5888          [(4)] (5) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1,
5889     2024.
5890          (6) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2024.
5891          (7) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
5892     July 1, 2024.
5893          [(5)] (8) Title 26, Chapter [36a] 36d, Hospital Provider Assessment Act, is repealed
5894     July 1, [2016] 2019.
5895          [(6) Section 26-38-2.5 is repealed July 1, 2017.]
5896          [(7) Section 26-38-2.6 is repealed July 1, 2017.]
5897          [(8)] (9) Title 26, Chapter 56, Hemp Extract Registration Act, is repealed January 1,
5898     2019.
5899          (10) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
5900     July 1, 2026.
5901          Section 135. Section 63I-1-258 is amended to read:
5902          63I-1-258. Repeal dates, Title 58.
5903          (1) Title 58, Chapter 13, Health Care Providers Immunity from Liability Act, is
5904     repealed July 1, 2026.
5905          (2) Title 58, Chapter 15, Health Facility Administrator Act, is repealed July 1, 2025.
5906          (3) Title 58, Chapter [20a] 20b, Environmental Health Scientist Act, is repealed July 1,
5907     [2018] 2028.
5908          (4) Section 58-37-4.3 is repealed January 1, 2020.
5909          (5) Subsection 58-37-6(7)(f)(iii) is repealed July 1, 2022, and the Office of Legislative
5910     Research and General Counsel is authorized to renumber the remaining subsections
5911     accordingly.
5912          [(5)] (6) Title 58, Chapter 40, Recreational Therapy Practice Act, is repealed July 1,
5913     2023.
5914          [(6)] (7) Title 58, Chapter 41, Speech-Language Pathology and Audiology Licensing
5915     Act, is repealed July 1, 2019.
5916          [(7)] (8) Title 58, Chapter 42a, Occupational Therapy Practice Act, is repealed July 1,
5917     2025.

5918          [(8)] (9) Title 58, Chapter 46a, Hearing Instrument Specialist Licensing Act, is
5919     repealed July 1, 2023.
5920          [(9)] (10) Title 58, Chapter 47b, Massage Therapy Practice Act, is repealed July 1,
5921     2024.
5922          [(10)] (11) Title 58, Chapter 61, Part 7, Behavior Analyst Licensing Act, is repealed
5923     July 1, 2026.
5924          [(11)] (12) Title 58, Chapter 72, Acupuncture Licensing Act, is repealed July 1, 2027.
5925          (13) Title 58, Chapter 86, State Certification of Commercial Interior Designers Act, is
5926     repealed July 1, 2021.
5927          (14) The following sections are repealed on July 1, 2019:
5928          (a) Section 58-5a-502;
5929          (b) Section 58-31b-502.5;
5930          (c) Section 58-67-502.5;
5931          (d) Section 58-68-502.5; and
5932          (e) Section 58-69-502.5.
5933          Section 136. Section 67-19-33 is amended to read:
5934          67-19-33. Controlled substances and alcohol use prohibited.
5935          [An] Except as provided in Title 26, Chapter 61a, Utah Medical Cannabis Act, an
5936     employee may not:
5937          (1) manufacture, dispense, possess, use, distribute, or be under the influence of a
5938     controlled substance or alcohol during work hours or on state property except where legally
5939     permissible;
5940          (2) manufacture, dispense, possess, use, or distribute a controlled substance or alcohol
5941     if the activity prevents:
5942          (a) state agencies from receiving federal grants or performing under federal contracts of
5943     $25,000 or more; or
5944          (b) the employee to perform his services or work for state government effectively as
5945     regulated by the rules of the executive director in accordance with Section 67-19-34; or
5946          (3) refuse to submit to a drug or alcohol test under Section 67-19-36.
5947          Section 137. Section 78A-6-508 (Superseded 07/01/19) is amended to read:
5948          78A-6-508 (Superseded 07/01/19). Evidence of grounds for termination.

5949          (1) In determining whether a parent or parents have abandoned a child, it is prima facie
5950     evidence of abandonment that the parent or parents:
5951          (a) although having legal custody of the child, have surrendered physical custody of the
5952     child, and for a period of six months following the surrender have not manifested to the child
5953     or to the person having the physical custody of the child a firm intention to resume physical
5954     custody or to make arrangements for the care of the child;
5955          (b) have failed to communicate with the child by mail, telephone, or otherwise for six
5956     months;
5957          (c) failed to have shown the normal interest of a natural parent, without just cause; or
5958          (d) have abandoned an infant, as described in Subsection 78A-6-316(1).
5959          (2) In determining whether a parent or parents are unfit or have neglected a child the
5960     court shall consider, but is not limited to, the following circumstances, conduct, or conditions:
5961          (a) emotional illness, mental illness, or mental deficiency of the parent that renders the
5962     parent unable to care for the immediate and continuing physical or emotional needs of the child
5963     for extended periods of time;
5964          (b) conduct toward a child of a physically, emotionally, or sexually cruel or abusive
5965     nature;
5966          (c) habitual or excessive use of intoxicating liquors, controlled substances, or
5967     dangerous drugs that render the parent unable to care for the child;
5968          (d) repeated or continuous failure to provide the child with adequate food, clothing,
5969     shelter, education, or other care necessary for the child's physical, mental, and emotional health
5970     and development by a parent or parents who are capable of providing that care;
5971          (e) whether the parent is incarcerated as a result of conviction of a felony, and the
5972     sentence is of such length that the child will be deprived of a normal home for more than one
5973     year;
5974          (f) a history of violent behavior; or
5975          (g) whether the parent has intentionally exposed the child to pornography or material
5976     harmful to a minor, as defined in Section 76-10-1201.
5977          (3) Notwithstanding Subsection (2)(c), the court may not discriminate against a parent
5978     [because of the] or otherwise consider a parent's lawful possession or consumption of cannabis
5979     in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical

5980     cannabis device, as those terms are defined in Section 26-61a-102, in accordance with Title 26,
5981     Chapter [60b] 61a, Utah Medical Cannabis Act.
5982          (4) A parent who, legitimately practicing the parent's religious beliefs, does not provide
5983     specified medical treatment for a child is not, for that reason alone, a negligent or unfit parent.
5984          (5) (a) Notwithstanding Subsection (2), a parent may not be considered neglectful or
5985     unfit because of a health care decision made for a child by the child's parent unless the state or
5986     other party to the proceeding shows, by clear and convincing evidence, that the health care
5987     decision is not reasonable and informed.
5988          (b) Nothing in Subsection (5)(a) may prohibit a parent from exercising the right to
5989     obtain a second health care opinion.
5990          (6) If a child has been placed in the custody of the division and the parent or parents
5991     fail to comply substantially with the terms and conditions of a plan within six months after the
5992     date on which the child was placed or the plan was commenced, whichever occurs later, that
5993     failure to comply is evidence of failure of parental adjustment.
5994          (7) The following circumstances constitute prima facie evidence of unfitness:
5995          (a) sexual abuse, sexual exploitation, injury, or death of a sibling of the child, or of any
5996     child, due to known or substantiated abuse or neglect by the parent or parents;
5997          (b) conviction of a crime, if the facts surrounding the crime are of such a nature as to
5998     indicate the unfitness of the parent to provide adequate care to the extent necessary for the
5999     child's physical, mental, or emotional health and development;
6000          (c) a single incident of life-threatening or gravely disabling injury to or disfigurement
6001     of the child;
6002          (d) the parent has committed, aided, abetted, attempted, conspired, or solicited to
6003     commit murder or manslaughter of a child or child abuse homicide; or
6004          (e) the parent intentionally, knowingly, or recklessly causes the death of another parent
6005     of the child, without legal justification.
6006          Section 138. Section 78A-6-508 (Effective 07/01/19) is amended to read:
6007          78A-6-508 (Effective 07/01/19). Evidence of grounds for termination.
6008          (1) In determining whether a parent or parents have abandoned a child, it is prima facie
6009     evidence of abandonment that the parent or parents:
6010          (a) although having legal custody of the child, have surrendered physical custody of the

6011     child, and for a period of six months following the surrender have not manifested to the child
6012     or to the person having the physical custody of the child a firm intention to resume physical
6013     custody or to make arrangements for the care of the child;
6014          (b) have failed to communicate with the child by mail, telephone, or otherwise for six
6015     months;
6016          (c) failed to have shown the normal interest of a natural parent, without just cause; or
6017          (d) have abandoned an infant, as described in Subsection 78A-6-316(1).
6018          (2) In determining whether a parent or parents are unfit or have neglected a child the
6019     court shall consider, but is not limited to, the following circumstances, conduct, or conditions:
6020          (a) emotional illness, mental illness, or mental deficiency of the parent that renders the
6021     parent unable to care for the immediate and continuing physical or emotional needs of the child
6022     for extended periods of time;
6023          (b) conduct toward a child of a physically, emotionally, or sexually cruel or abusive
6024     nature;
6025          (c) habitual or excessive use of intoxicating liquors, controlled substances, or
6026     dangerous drugs that render the parent unable to care for the child;
6027          (d) repeated or continuous failure to provide the child with adequate food, clothing,
6028     shelter, education, or other care necessary for the child's physical, mental, and emotional health
6029     and development by a parent or parents who are capable of providing that care;
6030          (e) whether the parent is incarcerated as a result of conviction of a felony, and the
6031     sentence is of such length that the child will be deprived of a normal home for more than one
6032     year;
6033          (f) a history of violent behavior; or
6034          (g) whether the parent has intentionally exposed the child to pornography or material
6035     harmful to a minor, as defined in Section 76-10-1201.
6036          (3) Notwithstanding Subsection (2)(c), the court may not discriminate against a parent
6037     because of or otherwise consider the parent's lawful possession or consumption of cannabis in a
6038     medicinal dosage form, a cannabis product, as those terms are defined in Section 26-61a-102 or
6039     a medical cannabis device, in accordance with Title 26, Chapter [60b] 61a, Utah Medical
6040     Cannabis Act.
6041          (4) A parent who, legitimately practicing the parent's religious beliefs, does not provide

6042     specified medical treatment for a child is not, for that reason alone, a negligent or unfit parent.
6043          (5) (a) Notwithstanding Subsection (2), a parent may not be considered neglectful or
6044     unfit because of a health care decision made for a child by the child's parent unless the state or
6045     other party to the proceeding shows, by clear and convincing evidence, that the health care
6046     decision is not reasonable and informed.
6047          (b) Nothing in Subsection (5)(a) may prohibit a parent from exercising the right to
6048     obtain a second health care opinion.
6049          (6) If a child has been placed in the custody of the division and the parent or parents
6050     fail to comply substantially with the terms and conditions of a plan within six months after the
6051     date on which the child was placed or the plan was commenced, whichever occurs later, that
6052     failure to comply is evidence of failure of parental adjustment.
6053          (7) The following circumstances constitute prima facie evidence of unfitness:
6054          (a) sexual abuse, sexual exploitation, injury, or death of a sibling of the child, or of any
6055     child, due to known or substantiated abuse or neglect by the parent or parents;
6056          (b) conviction of a crime, if the facts surrounding the crime are of such a nature as to
6057     indicate the unfitness of the parent to provide adequate care to the extent necessary for the
6058     child's physical, mental, or emotional health and development;
6059          (c) a single incident of life-threatening or gravely disabling injury to or disfigurement
6060     of the child;
6061          (d) the parent has committed, aided, abetted, attempted, conspired, or solicited to
6062     commit murder or manslaughter of a child or child abuse homicide; or
6063          (e) the parent intentionally, knowingly, or recklessly causes the death of another parent
6064     of the child, without legal justification.
6065          Section 139. Repealer.
6066          This bill repeals:
6067          Section 4-41-201, Title.
6068          Section 4-41-202, Definitions.
6069          Section 4-41-203, Department to cultivate cannabis.
6070          Section 4-41-301, Department to establish a state dispensary.
6071          Section 4-41-302, Labeling.
6072          Section 4-41-303, Department to set prices.

6073          Section 4-41-304, Department to make rules regarding purchasers, communication
6074     -- Report.
6075          Section 4-41b-104, Preemption.
6076          Section 4-43-101 (Effective 07/01/19), Title.
6077          Section 4-43-102 (Effective 07/01/19), Definitions.
6078          Section 4-43-201 (Effective 07/01/19), Cannabidiol processor -- Cannabidiol
6079     laboratory -- License -- Renewal.
6080          Section 4-43-202 (Effective 07/01/19), Renewal.
6081          Section 4-43-203 (Effective 07/01/19), Bond required for license.
6082          Section 4-43-301 (Effective 07/01/19), Cannabidiol processor and laboratory
6083     agents.
6084          Section 4-43-401 (Effective 07/01/19), Cannabidiol processor or cannabidiol
6085     laboratory -- General operating requirements.
6086          Section 4-43-402 (Effective 07/01/19), Cannabidiol processor or cannabidiol
6087     laboratory -- Inspection by department.
6088          Section 4-43-501 (Effective 07/01/19), Cannabidiol processor -- Operating
6089     requirements.
6090          Section 4-43-502 (Effective 07/01/19), Cannabidiol product.
6091          Section 4-43-503 (Effective 07/01/19), Cannabidiol medicine -- Labeling and
6092     packaging.
6093          Section 4-43-601 (Effective 07/01/19), Hemp and cannabidiol product testing.
6094          Section 4-43-602 (Effective 07/01/19), Reporting -- Inspections.
6095          Section 4-43-701 (Effective 07/01/19), Enforcement -- Fine -- Citation.
6096          Section 4-43-702 (Effective 07/01/19), Report to the Legislature.
6097          Section 4-43-703 (Effective 07/01/19), Fees -- Deposit into Cannabinoid Product
6098     Restricted Account.
6099          Section 4-43-801 (Effective 07/01/19), Cannabinoid Product Restricted Account --
6100     Creation.
6101          Section 26-60b-104, Preemption.
6102          Section 58-67-808 (Effective 07/01/19), Recommendation of cannabidiol products.
6103          Section 58-68-808 (Effective 07/01/19), Recommendation of cannabidiol products.

6104          Section 58-85-103.5, Right to request a recommendation for a cannabis-based
6105     treatment.
6106          Section 58-88-101 (Effective 07/01/19), Title.
6107          Section 58-88-102 (Effective 07/01/19), Definitions.
6108          Section 58-88-103 (Effective 07/01/19), Cannabidiol-qualified pharmacy
6109     requirements.
6110          Section 58-88-104 (Effective 07/01/19), Division to make rules -- Study.
6111          Section 59-12-104.7 (Repealed 01/01/19), Reporting by purchaser of certain sales
6112     and use tax exempt purchases.
6113          Section 59-12-104.9 (Effective 07/01/19), Exemption from sales tax for cannabinoid
6114     products.
6115          Section 59-29-101 (Effective 07/01/19), Title.
6116          Section 59-29-102 (Effective 07/01/19), Definitions.
6117          Section 59-29-103 (Effective 07/01/19), Imposition of tax -- Rate -- Administration.
6118          Section 59-29-104 (Effective 07/01/19), Collection of tax.
6119          Section 59-29-105 (Effective 07/01/19), Deposit of tax revenue.
6120          Section 59-29-106 (Effective 07/01/19), Records.
6121          Section 59-29-107 (Effective 07/01/19), Rulemaking authority.
6122          Section 59-29-108 (Effective 07/01/19), Penalties and interest.
6123          Section 140. Effective date.
6124          (1) Except as provided in Subsection (2), if approved by two-thirds of all the members
6125     elected to each house, this bill takes effect upon approval by the governor, or the day following
6126     the constitutional time limit of Utah Constitution, Article VII, Section 8, without the governor's
6127     signature, or in the case of a veto, the date of veto override.
6128          (2) The amendments to Sections 26-65-102 (Effective (07/01/19), 26-65-103 (Effective
6129     07/01/19), 41-6a-517 (Effective 07/01/19), 58-37-3.6 (Effective 07/01/19), and 78A-6-508
6130     (Effective 07/01/19) in this bill take effect on July 1, 2019.
6131          Section 141. Revisor instructions.
6132          The Legislature intends that the Office of Legislative Research and General Counsel, in
6133     preparing the Utah Code database for publication:
6134          (1) in Sections 4-41a-106 and 26-61a-114 replace the language from "this bill" with

6135     the bill's designated chapter number in the Laws of Utah; and
6136          (2) in Sections 4-41a-201, 4-41a-301, 4-41a-401, 26-61a-202, 26-61a-301, 26-61a-401,
6137     26-61a-602, and 26-61a-606, replace the language from "the effective date of this bill" to the
6138     bill's actual effective date.