1     
MEDICAL CANNABIS AMENDMENTS

2     
2019 FIRST SPECIAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Evan J. Vickers

5     
House Sponsor: Brad M. Daw

6     

7     LONG TITLE
8     General Description:
9          This bill amends provisions related to medical cannabis.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     repeals provisions related to the state central fill medical cannabis pharmacy and
14     makes necessary resulting amendments;
15          ▸     replaces a procurement requirement for future Department of Agriculture and Food
16     (UDAF) licensing with a process that UDAF develops in rule;
17          ▸     allows UDAF and the Department of Health (DoH) to waive certain proximity
18     requirements in certain circumstances;
19          ▸     clarifies the number of cannabis cultivation facility licenses that UDAF is required
20     and allowed to issue;
21          ▸     requires certain disclosures about adverse actions against applicants in any
22     jurisdiction and allows UDAF and DoH to revoke licenses if those disclosures are
23     not updated;
24          ▸     allows licensed cannabis cultivation facilities to cultivate both indoors and outdoors
25     under UDAF rules;
26          ▸     exempts the following from a background check requirement:
27               •     certain agents re-applying for an agent registration card; and

28               •     certain guardians and designated caregivers re-applying for a medical cannabis
29     card;
30          ▸     clarifies that cannabis production establishments and medical cannabis pharmacies
31     may use signage regardless of local ordinances;
32          ▸     amends provisions regarding local government land use control, including:
33               •     ensuring that cannabis production establishments and medical cannabis
34     pharmacies are treated similarly to comparable businesses; and
35               •     amends a requirement for an approved land use permit application to be
36     required within a certain time after the issuance of a license;
37          ▸     allows UDAF to license research universities to conduct academic medical cannabis
38     research;
39          ▸     adopts a nationally recognized code regarding marijuana production into the state
40     fire code;
41          ▸     provides for electronic medical cannabis cards;
42          ▸     amends the valid forms of identification accepted in relation to the distribution of
43     medical cannabis;
44          ▸     provides that use of medical cannabis may not be considered differently than lawful
45     use of an opioid or opiate in certain circumstances;
46          ▸     amends provisions regarding privacy in studies of cardholder data;
47          ▸     requires an applicant for a medical cannabis pharmacy license to describe a strategic
48     plan for opening, including the timing of the opening based on supply, in
49     consultation with UDAF, and demand, in consultation with DoH;
50          ▸     increases the number of licenses available for private medical cannabis pharmacies;
51          ▸     allows DoH to issue medical cannabis pharmacy licenses in two phases using one
52     procurement process;
53          ▸     allows for certain medical practitioners to be registered as medical cannabis
54     pharmacy agents as long as the provider is not registered as a qualified medical
55     provider;
56          ▸     amends allowable sale and possession amount to be uniform regardless of the
57     distance between an individual's residence and a medical cannabis pharmacy;
58          ▸     directs DoH to create a state central patient portal for patient safety, education, and

59     electronic access to home deliveries of medical cannabis shipments from home delivery
60     medical cannabis pharmacies;
61          ▸     allows DoH to designate certain private medical cannabis pharmacies as home
62     delivery medical cannabis pharmacies that fulfill electronic orders for medical
63     cannabis shipments:
64               •     that medical cannabis cardholders access through the state central patient portal;
65     and
66               •     for which a payment provider that the Division of Finance approves, in
67     consultation with the state treasurer, or a financial institution facilitates a
68     financial transaction;
69          ▸     broadens an existing requirement that DoH employ certain medical providers to
70     consult with medical cannabis cardholders;
71          ▸     provides for licensing of medical cannabis couriers and registration of medical
72     cannabis courier agents to facilitate delivery of medical cannabis shipments from
73     home delivery medical cannabis pharmacies;
74          ▸     repeals a DoH rulemaking and reporting requirement regarding data on cannabinoid
75     product recommendations;
76          ▸     prohibits considering, in a judicial context, lawful possession or use of medical
77     cannabis differently from lawful possession or use of any prescribed controlled
78     substance;
79          ▸     prohibits certain conditions of probation or release or terms of certain agreements
80     that require a person to abstain from medical cannabis;
81          ▸     addresses a parent or guardian's use of medical cannabis in child welfare cases; and
82          ▸     makes technical and conforming changes.
83     Money Appropriated in this Bill:
84          None
85     Other Special Clauses:
86          This bill provides a special effective date.
87          This bill provides revisor instructions.
88     Utah Code Sections Affected:
89     AMENDS:

90          4-41a-102, as renumbered and amended by Laws of Utah 2018, Third Special Session,
91     Chapter 1
92          4-41a-103, as last amended by Laws of Utah 2019, Chapter 136
93          4-41a-201, as renumbered and amended by Laws of Utah 2018, Third Special Session,
94     Chapter 1
95          4-41a-204, as renumbered and amended by Laws of Utah 2018, Third Special Session,
96     Chapter 1
97          4-41a-205, as renumbered and amended by Laws of Utah 2018, Third Special Session,
98     Chapter 1
99          4-41a-301, as last amended by Laws of Utah 2019, Chapter 136
100          4-41a-302, as renumbered and amended by Laws of Utah 2018, Third Special Session,
101     Chapter 1
102          4-41a-403, as renumbered and amended by Laws of Utah 2018, Third Special Session,
103     Chapter 1
104          4-41a-404, as last amended by Laws of Utah 2019, Chapter 341
105          4-41a-406, as renumbered and amended by Laws of Utah 2018, Third Special Session,
106     Chapter 1
107          4-41a-501, as renumbered and amended by Laws of Utah 2018, Third Special Session,
108     Chapter 1
109          4-41a-701, as last amended by Laws of Utah 2019, Chapter 341
110          15A-5-103, as last amended by Laws of Utah 2019, Chapter 103
111          26-61a-102, as last amended by Laws of Utah 2019, Chapter 341
112          26-61a-103, as last amended by Laws of Utah 2019, Chapters 136 and 341
113          26-61a-106, as last amended by Laws of Utah 2019, Chapters 136 and 341
114          26-61a-107, as renumbered and amended by Laws of Utah 2018, Third Special Session,
115     Chapter 1
116          26-61a-109, as renumbered and amended by Laws of Utah 2018, Third Special Session,
117     Chapter 1
118          26-61a-111, as last amended by Laws of Utah 2019, Chapter 341
119          26-61a-201, as renumbered and amended by Laws of Utah 2018, Third Special Session,
120     Chapter 1

121          26-61a-202, as renumbered and amended by Laws of Utah 2018, Third Special Session,
122     Chapter 1
123          26-61a-203, as renumbered and amended by Laws of Utah 2018, Third Special Session,
124     Chapter 1
125          26-61a-204, as renumbered and amended by Laws of Utah 2018, Third Special Session,
126     Chapter 1
127          26-61a-301, Utah Code Annotated 1953
128          26-61a-302, as renumbered and amended by Laws of Utah 2018, Third Special Session,
129     Chapter 1
130          26-61a-304, as renumbered and amended by Laws of Utah 2018, Third Special Session,
131     Chapter 1
132          26-61a-305, as renumbered and amended by Laws of Utah 2018, Third Special Session,
133     Chapter 1
134          26-61a-401, as last amended by Laws of Utah 2019, Chapter 136
135          26-61a-403, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
136          26-61a-502, as renumbered and amended by Laws of Utah 2018, Third Special Session,
137     Chapter 1
138          26-61a-503, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
139          26-61a-505, as renumbered and amended by Laws of Utah 2018, Third Special Session,
140     Chapter 1
141          26-61a-506, as renumbered and amended by Laws of Utah 2018, Third Special Session,
142     Chapter 1
143          26-61a-507, as last amended by Laws of Utah 2019, Chapter 136
144          26-61a-605, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
145          26-61a-606, as last amended by Laws of Utah 2019, Chapter 136
146          26-61a-607, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
147          26-61a-702, as renumbered and amended by Laws of Utah 2018, Third Special Session,
148     Chapter 1
149          26-61a-703, as renumbered and amended by Laws of Utah 2018, Third Special Session,
150     Chapter 1
151          30-3-10, as last amended by Laws of Utah 2019, Chapters 136, 188, and 341

152          58-17b-302, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
153          58-17b-310, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
154          58-17b-502, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
155          58-37-3.7, as last amended by Laws of Utah 2019, Chapter 341
156          58-37-3.8, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
157          58-37-3.9, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
158          58-67-304, as last amended by Laws of Utah 2019, Chapter 136
159          58-67-502, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
160          58-68-304, as last amended by Laws of Utah 2019, Chapter 136
161          58-68-502, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
162          59-12-104.10, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
163          78A-6-115, as last amended by Laws of Utah 2018, Chapter 359
164     ENACTS:
165          4-41a-901, Utah Code Annotated 1953
166          4-41a-902, Utah Code Annotated 1953
167          4-41a-903, Utah Code Annotated 1953
168          10-9a-528, Utah Code Annotated 1953
169          17-27a-525, Utah Code Annotated 1953
170          26-61a-115, Utah Code Annotated 1953
171          78A-2-231, Utah Code Annotated 1953
172     REPEALS AND REENACTS:
173          26-61a-601, as last amended by Laws of Utah 2019, Chapter 136
174          26-61a-602, as last amended by Laws of Utah 2019, Chapter 136
175          26-61a-603, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
176          26-61a-604, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
177     REPEALS:
178          26-61a-110, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
179          26-61a-205, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
180          26-61a-608, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
181          26-61a-609, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
182          26-61a-610, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1

183          26-61a-611, as last amended by Laws of Utah 2019, Chapter 136
184          26-65-101, as enacted by Laws of Utah 2018, Chapter 452
185          26-65-102, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
186          26-65-103, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
187          26-65-201, as enacted by Laws of Utah 2018, Chapter 452
188          26-65-202, as enacted by Laws of Utah 2018, Chapter 452
189     Utah Code Sections Affected by Revisor Instructions:
190          4-41a-201, as renumbered and amended by Laws of Utah 2018, Third Special Session,
191     Chapter 1
192     

193     Be it enacted by the Legislature of the state of Utah:
194          Section 1. Section 4-41a-102 is amended to read:
195          4-41a-102. Definitions.
196          As used in this chapter:
197          (1) "Cannabis" means the same as that term is defined in Section 26-61a-102.
198          (2) "Cannabis cultivation facility" means a person that:
199          (a) possesses cannabis;
200          (b) grows or intends to grow cannabis; and
201          (c) sells or intends to sell cannabis to a cannabis cultivation facility [or to], a cannabis
202     processing facility, or a medical cannabis research licensee.
203          (3) "Cannabis cultivation facility agent" means an individual who:
204          (a) is an employee of a cannabis cultivation facility; and
205          (b) holds a valid cannabis production establishment agent registration card.
206          (4) "Cannabis processing facility" means a person that:
207          (a) acquires or intends to acquire cannabis from a cannabis production establishment or
208     a holder of an industrial hemp processor license under Title 4, Chapter 41, Hemp and
209     Cannabinoid Act;
210          (b) possesses cannabis with the intent to manufacture a cannabis product;
211          (c) manufactures or intends to manufacture a cannabis product from unprocessed
212     cannabis or a cannabis extract; and
213          (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or [the

214     state central fill] a medical cannabis [pharmacy] research licensee.
215          (5) "Cannabis processing facility agent" means an individual who:
216          (a) is an employee of a cannabis processing facility; and
217          (b) holds a valid cannabis production establishment agent registration card.
218          (6) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
219          (7) "Cannabis production establishment" means a cannabis cultivation facility, a
220     cannabis processing facility, or an independent cannabis testing laboratory.
221          (8) "Cannabis production establishment agent" means a cannabis cultivation facility
222     agent, a cannabis processing facility agent, or an independent cannabis testing laboratory agent.
223          (9) "Cannabis production establishment agent registration card" means a registration
224     card that the department issues that:
225          (a) authorizes an individual to act as a cannabis production establishment agent; and
226          (b) designates the type of cannabis production establishment for which an individual is
227     authorized to act as an agent.
228          (10) "Community location" means a public or private school, a church, a public library,
229     a public playground, or a public park.
230          (11) "Department" means the Department of Agriculture and Food.
231          (12) "Family member" means a parent, step-parent, spouse, child, sibling, step-sibling,
232     uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law, brother-in-law,
233     sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
234          (13) "Independent cannabis testing laboratory" means a person that:
235          (a) conducts a chemical or other analysis of cannabis or a cannabis product; or
236          (b) acquires, possesses, and transports cannabis or a cannabis product with the intent to
237     conduct a chemical or other analysis of the cannabis or cannabis product.
238          (14) "Independent cannabis testing laboratory agent" means an individual who:
239          (a) is an employee of an independent cannabis testing laboratory; and
240          (b) holds a valid cannabis production establishment agent registration card.
241          (15) "Inventory control system" means a system described in Section 4-41a-103.
242          (16) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
243          (17) "Medical cannabis card" means the same as that term is defined in Section
244     26-61a-102.

245          (18) "Medical cannabis pharmacy" means the same as that term is defined in Section
246     26-61a-102.
247          (19) "Medical cannabis pharmacy agent" means the same as that term is defined in
248     Section 26-61a-102.
249          (20) "Medical cannabis research license" means a license that the department issues to
250     a research university for the purpose of obtaining and possessing medical cannabis for
251     academic research.
252          (21) "Medical cannabis research licensee" means a research university that the
253     department licenses to obtain and possess medical cannabis for academic research, in
254     accordance with Section 4-41a-901.
255          [(20)] (22) "Medical cannabis treatment" means the same as that term is defined in
256     Section 26-61a-102.
257          [(21)] (23) "Medicinal dosage form" means the same as that term is defined in Section
258     26-61a-102.
259          [(22)] (24) "Qualified medical provider" means the same as that term is defined in
260     Section 26-61a-102.
261          [(23)] (25) "Qualified Production Enterprise Fund" means the fund created in Section
262     4-41a-104.
263          [(24) "State central fill agent" means the same as that term is defined in Section
264     26-61a-102.]
265          [(25) "State central fill medical cannabis pharmacy" means the same as that term is
266     defined in Section 26-61a-102.]
267          [(26) "State central fill shipment" means the same as that term is defined in Section
268     26-61a-102.]
269          (26) "Research university" means the same as that term is defined in Section
270     53B-7-702.
271          (27) "State electronic verification system" means the system described in Section
272     26-61a-103.
273          (28) "Tetrahydrocannabinol" means a substance derived from cannabis or a synthetic
274     equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA).
275          (29) "Total composite tetrahydrocannabinol" means delta-9-tetrahydrocannabinol and

276     tetrahydrocannabinolic acid.
277          Section 2. Section 4-41a-103 is amended to read:
278          4-41a-103. Inventory control system.
279          (1) Each cannabis production establishment[,] and each medical cannabis pharmacy[,
280     and the state central fill medical cannabis pharmacy] shall maintain an inventory control system
281     that meets the requirements of this section.
282          (2) A cannabis production establishment[,] and a medical cannabis pharmacy[, and the
283     state central fill medical cannabis pharmacy] shall ensure that the inventory control system
284     maintained by the establishment or pharmacy:
285          (a) tracks cannabis using a unique identifier, in real time, from the point that a cannabis
286     plant is eight inches tall and has a root ball until the cannabis is disposed of or sold, in the form
287     of unprocessed cannabis or a cannabis product, to an individual with a medical cannabis card;
288          (b) maintains in real time a record of the amount of cannabis and cannabis products in
289     the possession of the establishment or pharmacy;
290          (c) includes a video recording system that:
291          (i) tracks all handling and processing of cannabis or a cannabis product in the
292     establishment or pharmacy;
293          (ii) is tamper proof; and
294          (iii) stores a video record for at least 45 days; and
295          (d) preserves compatibility with the state electronic verification system described in
296     Section 26-61a-103.
297          (3) A cannabis production establishment[,] and a medical cannabis pharmacy[, and the
298     state central fill medical cannabis pharmacy] shall allow the department or the Department of
299     Health access to the cannabis production establishment's[,] or the medical cannabis
300     pharmacy's[, or state central fill medical cannabis pharmacy's] inventory control system at any
301     time.
302          (4) The department may establish compatibility standards for an inventory control
303     system by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
304     Rulemaking Act.
305          (5) (a) The department shall make rules in accordance with Title 63G, Chapter 3, Utah
306     Administrative Rulemaking Act, establishing requirements for aggregate or batch records

307     regarding the planting and propagation of cannabis before being tracked in an inventory control
308     system described in this section.
309          (b) The department shall ensure that the rules described in Subsection (5)(a) address
310     record-keeping for the amount of planted seed, number of cuttings taken, date and time of
311     cutting and planting, number of plants established, and number of plants culled or dead.
312          Section 3. Section 4-41a-201 is amended to read:
313          4-41a-201. Cannabis production establishment -- License.
314          (1) A person may not operate a cannabis production establishment without a license
315     that the department issues under this chapter.
316          (2) (a) (i) Subject to Subsections (6), (7), [and] (8), and (13) and to Section
317     4-41a-205[,]:
318          (A) for a licensing process that the department initiated before the effective date of this
319     bill, the department shall[, in accordance with] use the procedures in Title 63G, Chapter 6a,
320     Utah Procurement Code[, issue a license to operate a cannabis production establishment] to
321     review and rank applications for a cannabis production establishment license; and
322          (B) for a licensing process that the department initiates after the effective date of this
323     bill, the department shall issue a license to operate a cannabis production establishment in
324     accordance with the procedures described in Subsection (2)(a)(iii).
325          (ii) The department may not issue a license to operate a cannabis production
326     establishment to an applicant who is not eligible for a license under this section.
327          (iii) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
328     the department shall make rules to specify a transparent and efficient process to:
329          (A) solicit applications for a license under this section;
330          (B) allow for comments and questions in the development of applications;
331          (C) timely and objectively evaluate applications;
332          (D) hold public hearings that the department deems appropriate; and
333          (E) select applicants to receive a license.
334          (b) An applicant is eligible for a license under this section if the applicant submits to
335     the department:
336          (i) subject to Subsection (2)(c), a proposed name and address, located in a zone
337     described in Subsection 4-41a-406(1)(a) or (b), where the applicant will operate the cannabis

338     production establishment [that is not within 1,000 feet of a community location or within 600
339     feet of an area zoned primarily for residential use, as measured from the nearest entrance to the
340     cannabis production establishment by following the shortest route of ordinary pedestrian travel
341     to the property boundary of the community location or residential area, unless the relevant
342     county or municipality recommends in writing that the department waive the community
343     location proximity limit];
344          (ii) the name and address of any individual who has:
345          (A) a financial or voting interest of 2% or greater in the proposed cannabis production
346     establishment; or
347          (B) the power to direct or cause the management or control of a proposed cannabis
348     production establishment;
349          (iii) an operating plan that:
350          (A) complies with Section 4-41a-204;
351          (B) includes operating procedures that comply with this chapter and any law the
352     municipality or county in which the person is located adopts that is consistent with Section
353     4-41a-406; and
354          (C) the department approves;
355          (iv) evidence that the applicant has obtained and maintains a performance bond that a
356     surety authorized to transact surety business in the state issues in an amount of at least:
357          (A) $250,000 for each cannabis cultivation facility for which the applicant applies; or
358          (B) $50,000 for each cannabis processing facility or independent cannabis testing
359     laboratory for which the applicant applies;
360          [(v) if the municipality or county where the proposed cannabis production
361     establishment would be located requires a local land use permit, a copy of the applicant's
362     approved application for the local land use permit; and]
363          [(vi)] (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
364     department sets in accordance with Section 63J-1-504[.]; and
365          (vi) a description of any investigation or adverse action taken by any licensing
366     jurisdiction, government agency, law enforcement agency, or court in any state for any
367     violation or detrimental conduct in relation to any of the applicant's cannabis-related operations
368     or businesses.

369          (c) (i) A person may not locate a cannabis production establishment:
370          (A) within 1,000 feet of a community location; or
371          (B) in or within 600 feet of an area that the relevant municipality or county has zoned
372     as primarily residential.
373          (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured
374     from the nearest entrance to the cannabis production establishment by following the shortest
375     route of ordinary pedestrian travel to the property boundary of the community location or
376     residential area.
377          (iii) The department may grant a waiver to reduce the proximity requirements in
378     Subsection (2)(c)(i) by up to 20% if the department determines that it is not reasonably feasible
379     for the applicant to site the proposed cannabis production establishment without the waiver.
380          (iv) An applicant for a license under this section shall provide evidence of compliance
381     with the proximity requirements described in Subsection (2)(c)(i).
382          (3) If the department approves an application for a license under this section:
383          (a) the applicant shall pay the department an initial license fee in an amount that,
384     subject to Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504;
385     and
386          (b) the department shall notify the Department of Public Safety of the license approval
387     and the names of each individual described in Subsection (2)(b)(ii).
388          (4) (a) Except as provided in Subsection (4)(b), the department shall require a separate
389     license for each type of cannabis production establishment and each location of a cannabis
390     production establishment.
391          (b) The department may issue a cannabis cultivation facility license and a cannabis
392     processing facility license to a person to operate at the same physical location or at separate
393     physical locations.
394          (5) If the department receives more than one application for a cannabis production
395     establishment within the same city or town, the department shall consult with the local land use
396     authority before approving any of the applications pertaining to that city or town.
397          (6) The department may not issue a license to operate an independent cannabis testing
398     laboratory to a person who:
399          (a) holds a license or has an ownership interest in a medical cannabis pharmacy, a

400     cannabis processing facility, or a cannabis cultivation facility;
401          (b) has an owner, officer, director, or employee whose family member holds a license
402     or has an ownership interest in a medical cannabis pharmacy, a cannabis processing facility, or
403     a cannabis cultivation facility; or
404          (c) proposes to operate the independent cannabis testing laboratory at the same physical
405     location as a medical cannabis pharmacy, a cannabis processing facility, or a cannabis
406     cultivation facility.
407          (7) The department may not issue a license to operate a cannabis production
408     establishment to an applicant if any individual described in Subsection (2)(b)(ii):
409          (a) has been convicted under state or federal law of:
410          (i) a felony; or
411          (ii) after December 3, 2018, a misdemeanor for drug distribution; or
412          (b) is younger than 21 years old.
413          (8) If an applicant for a cannabis production establishment license under this section
414     holds a license under Title 4, Chapter 41, Hemp and Cannabinoid Act, or Title 26, Chapter 61a,
415     Utah Medical Cannabis Act, the department:
416          (a) shall consult with the Department of Health regarding the applicant if the license
417     the applicant holds is a license under Title 26, Chapter 61a, Utah Medical Cannabis Act; and
418          (b) may not give preference to the applicant based on the applicant's status as a holder
419     of a license described in this Subsection (8).
420          (9) The department may revoke a license under this part:
421          (a) if the cannabis production establishment does not begin cannabis production
422     operations within one year after the day on which the department issues the initial license;
423          (b) after the cannabis production establishment makes the same violation of this
424     chapter three times; [or]
425          (c) if any individual described in Subsection (2)(b) is convicted, while the license is
426     active, under state or federal law of:
427          (i) a felony; or
428          (ii) after December 3, 2018, a misdemeanor for drug distribution[.]; or
429          (d) if the licensee fails to provide the information described in Subsection (2)(b)(vi) at
430     the time of application, or fails to supplement the information described in Subsection

431     (2)(b)(vi) with any investigation or adverse action that occurs after the submission of the
432     application.
433          (10) (a) A person who receives a cannabis production establishment license under this
434     chapter, if the municipality or county where the licensed cannabis production establishment
435     will be located requires a local land use permit, shall submit to the department a copy of the
436     licensee's approved application for the land use permit within 120 days after the day on which
437     the department issues the license.
438          (b) If a licensee fails to submit to the department a copy of the licensee's approved land
439     use permit application in accordance with Subsection (10)(a), the department may revoke the
440     licensee's license.
441          [(10)] (11) The department shall deposit the proceeds of a fee that the department
442     imposes under this section into the Qualified Production Enterprise Fund.
443          [(11)] (12) The department shall begin accepting applications under this part on or
444     before January 1, 2020.
445          [(12)] (13) The department's authority to issue a license under this section is plenary
446     and is not subject to review.
447          Section 4. Section 4-41a-204 is amended to read:
448          4-41a-204. Operating plan.
449          (1) A person applying for a cannabis production establishment license or license
450     renewal shall submit to the department for the department's review a proposed operating plan
451     that complies with this section and that includes:
452          (a) a description of the physical characteristics of the proposed facility, including a
453     floor plan and an architectural elevation;
454          (b) a description of the credentials and experience of:
455          (i) each officer, director, and owner of the proposed cannabis production
456     establishment; and
457          (ii) any highly skilled or experienced prospective employee;
458          (c) the cannabis production establishment's employee training standards;
459          (d) a security plan;
460          (e) a description of the cannabis production establishment's inventory control system,
461     including a description of how the inventory control system is compatible with the state

462     electronic verification system described in Section 26-61a-103;
463          (f) storage protocols, both short- and long-term, to ensure that cannabis is stored in a
464     manner that is sanitary and preserves the integrity of the cannabis;
465          (g) for a cannabis cultivation facility, the information described in Subsection (2);
466          (h) for a cannabis processing facility, the information described in Subsection (3); and
467          (i) for an independent cannabis testing laboratory, the information described in
468     Subsection (4).
469          (2) (a) A cannabis cultivation facility shall ensure that the facility's operating plan
470     includes the facility's intended:
471          (i) cannabis cultivation practices, including the facility's intended pesticide use and
472     fertilizer use; and
473          (ii) subject to Subsection (2)(b), acreage or square footage under cultivation and
474     anticipated cannabis yield.
475          (b) Except as provided in Subsection [(2)(c) or (d):(i)] (2)(c)(i) or (d)(ii), a cannabis
476     cultivation facility [that cultivates cannabis indoors] may not:
477          (i) for a facility that cultivates cannabis only indoors:
478          (A) use more than 100,000 square feet for cultivation; or
479          (B) hang, suspend, stack or otherwise position plants above other plants to cultivate
480     more plants through use of vertical space; [and]
481          (ii) [a cannabis cultivation] for a facility that cultivates cannabis only outdoors [may
482     not], use more than four acres for cultivation[.]; and
483          (iii) for a facility that cultivates cannabis through a combination of indoor and outdoor
484     cultivation, use more combined indoor square footage and outdoor acreage than allowed under
485     the department's formula described in Subsection (2)(e).
486          (c) (i) Each licensee may annually apply to the department for authorization to exceed
487     the cannabis cultivation facility's current cultivation size limitation by up to 20%.
488          (ii) The department may, after conducting a review as described in Subsection
489     4-41a-205(2)(a), grant the authorization described in Subsection (2)(c)(i).
490          (d) If a licensee describes an intended acreage or square footage under cultivation
491     under Subsection (2)(a)(ii) that is less than the limitation described in Subsection (2)(b):
492          (i) the licensee may not cultivate more than the licensee's identified intended acreage or

493     square footage under cultivation; and
494          (ii) notwithstanding Subsection (2)(b), the department may allocate the remaining
495     difference in acreage or square footage under cultivation to another licensee.
496          (e) The department shall, in accordance with Title 63G, Chapter 3, Utah
497     Administrative Rulemaking Act, establish a formula for combined usage of indoor and outdoor
498     cultivation that:
499          (i) does not exceed, in estimated cultivation yield, the aggregate limitations described
500     in Subsection (2)(b)(i) or (ii); and
501          (ii) allows a cannabis cultivation facility to operate both indoors and outdoors.
502          (f) Notwithstanding an applicant's proposed operating plan, a cannabis production
503     establishment is subject to land use regulations, as defined in Sections 10-9a-103 and
504     17-27a-103, regarding the availability of outdoor cultivation in an industrial zone.
505          (3) A cannabis processing facility's operating plan shall include the facility's intended
506     cannabis processing practices, including the cannabis processing facility's intended:
507          (a) offered variety of cannabis product;
508          (b) cannabinoid extraction method;
509          (c) cannabinoid extraction equipment;
510          (d) processing equipment;
511          (e) processing techniques; and
512          (f) sanitation and manufacturing safety procedures for items for human consumption.
513          (4) An independent cannabis testing laboratory's operating plan shall include the
514     laboratory's intended:
515          (a) cannabis and cannabis product testing capability;
516          (b) cannabis and cannabis product testing equipment; and
517          (c) testing methods, standards, practices, and procedures for testing cannabis and
518     cannabis products.
519          Section 5. Section 4-41a-205 is amended to read:
520          4-41a-205. Number of licenses -- Cannabis cultivation facilities.
521          (1) Except as provided in Subsection (2)(a), the department [may not] shall issue at
522     least five but not more than [10] eight licenses to operate a cannabis cultivation facility.
523          (2) (a) The department may issue [up to five] a number of licenses to operate a cannabis

524     cultivation facility that, in addition to the [10] licenses described in Subsection (1), does not
525     cause the total number of licenses to exceed 15 if the department determines, in consultation
526     with the Department of Health and after an annual or more frequent analysis of the current and
527     anticipated market for cannabis in a medicinal dosage form and cannabis products in a
528     medicinal dosage form, that each additional license is necessary to provide an adequate supply,
529     quality, or variety of cannabis in a medicinal dosage form and cannabis products in a medicinal
530     dosage form to medical cannabis cardholders.
531          (b) If the recipient of one of the initial [10] licenses described in Subsection (1) ceases
532     operations for any reason or otherwise abandons the license, the department may but is not
533     required to grant the vacant license to another applicant based on an analysis as described in
534     Subsection (2)(a).
535          (3) If there are more qualified applicants than the number of available licenses for
536     cannabis cultivation facilities under Subsections (1) and (2), the department shall evaluate the
537     applicants and award the limited number of licenses described in Subsections (1) and (2) to the
538     applicants that best demonstrate:
539          (a) experience with establishing and successfully operating a business that involves:
540          (i) complying with a regulatory environment;
541          (ii) tracking inventory; and
542          (iii) training, evaluating, and monitoring employees;
543          (b) an operating plan that will best ensure the safety and security of patrons and the
544     community;
545          (c) positive connections to the local community; and
546          (d) the extent to which the applicant can reduce the cost to patients of cannabis in a
547     medicinal dosage form or cannabis products in a medicinal dosage form.
548          (4) The department may conduct a face-to-face interview with an applicant for a
549     license that the department evaluates under Subsection (3).
550          Section 6. Section 4-41a-301 is amended to read:
551          4-41a-301. Cannabis production establishment agent -- Registration.
552          (1) An individual may not act as a cannabis production establishment agent unless the
553     department registers the individual as a cannabis production establishment agent.
554          (2) The following individuals, regardless of the individual's status as a qualified

555     medical provider, may not serve as a cannabis production establishment agent, have a financial
556     or voting interest of 2% or greater in a cannabis production establishment, or have the power to
557     direct or cause the management or control of a cannabis production establishment:
558          (a) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
559          (b) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
560     Practice Act;
561          (c) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
562     58, Chapter 68, Utah Osteopathic Medical Practice Act; or
563          (d) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
564     Act.
565          (3) An independent cannabis testing laboratory agent may not act as an agent for a
566     medical cannabis pharmacy, [the state central fill medical cannabis pharmacy] a medical
567     cannabis courier, a cannabis processing facility, or a cannabis cultivation facility.
568          (4) (a) The department shall, within 15 business days after the day on which the
569     department receives a complete application from a cannabis production establishment on
570     behalf of a prospective cannabis production establishment agent, register and issue a cannabis
571     production establishment agent registration card to the prospective agent if the cannabis
572     production establishment:
573          (i) provides to the department:
574          (A) the prospective agent's name and address;
575          (B) the name and location of a licensed cannabis production establishment where the
576     prospective agent will act as the cannabis production establishment's agent; and
577          (C) the submission required under Subsection (4)(b); and
578          (ii) pays a fee to the department in an amount that, subject to Subsection 4-41a-104(5),
579     the department sets in accordance with Section 63J-1-504.
580          (b) [Each] Except for an applicant reapplying for a cannabis production establishment
581     agent registration card within less than one year after the expiration of the applicant's previous
582     cannabis production establishment agent registration card, each prospective agent described in
583     Subsection (4)(a) shall:
584          (i) submit to the department:
585          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and

586          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
587     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
588     Generation Identification System's Rap Back Service; and
589          (ii) consent to a fingerprint background check by:
590          (A) the Bureau of Criminal Identification; and
591          (B) the Federal Bureau of Investigation.
592          (c) The Bureau of Criminal Identification shall:
593          (i) check the fingerprints the prospective agent submits under Subsection (4)(b) against
594     the applicable state, regional, and national criminal records databases, including the Federal
595     Bureau of Investigation Next Generation Identification System;
596          (ii) report the results of the background check to the department;
597          (iii) maintain a separate file of fingerprints that prospective agents submit under
598     Subsection (4)(b) for search by future submissions to the local and regional criminal records
599     databases, including latent prints;
600          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
601     Generation Identification System's Rap Back Service for search by future submissions to
602     national criminal records databases, including the Next Generation Identification System and
603     latent prints; and
604          (v) establish a privacy risk mitigation strategy to ensure that the department only
605     receives notifications for an individual with whom the department maintains an authorizing
606     relationship.
607          (d) The department shall:
608          (i) assess an individual who submits fingerprints under Subsection (4)(b) a fee in an
609     amount that the department sets in accordance with Section 63J-1-504 for the services that the
610     Bureau of Criminal Identification or another authorized agency provides under this section; and
611          (ii) remit the fee described in Subsection (4)(d)(i) to the Bureau of Criminal
612     Identification.
613          (5) The department shall designate, on an individual's cannabis production
614     establishment agent registration card:
615          (a) the name of the cannabis production establishment where the individual is
616     registered as an agent; and

617          (b) the type of cannabis production establishment for which the individual is
618     authorized to act as an agent.
619          (6) A cannabis production establishment agent shall comply with:
620          (a) a certification standard that the department develops; or
621          (b) a [third-party] certification standard that the department [designates by rule, in
622     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act] has reviewed and
623     approved.
624          (7) (a) The department shall ensure that the certification standard described in
625     Subsection (6) includes training:
626          [(a)] (i) in Utah medical cannabis law;
627          [(b)] (ii) for a cannabis cultivation facility agent, in cannabis cultivation best practices;
628          [(c)] (iii) for a cannabis processing facility agent, in cannabis processing,
629     manufacturing safety procedures for items for human consumption, and sanitation best
630     practices; and
631          [(d)] (iv) for an independent cannabis testing laboratory agent, in cannabis testing best
632     practices.
633          (b) The department shall review the training described in Subsection (7)(a) annually or
634     as often as necessary to ensure compliance with this section.
635          (8) For an individual who holds or applies for a cannabis production establishment
636     agent registration card:
637          (a) the department may revoke or refuse to issue the card if the individual violates the
638     requirements of this chapter; and
639          (b) the department shall revoke or refuse to issue the card if the individual is convicted
640     under state or federal law of:
641          (i) a felony; or
642          (ii) after December 3, 2018, a misdemeanor for drug distribution.
643          (9) (a) A cannabis production establishment agent registration card expires two years
644     after the day on which the department issues the card.
645          (b) A cannabis production establishment agent may renew the agent's registration card
646     if the agent:
647          (i) is eligible for a cannabis production establishment registration card under this

648     section;
649          (ii) certifies to the department in a renewal application that the information in
650     Subsection (4)(a) is accurate or updates the information; and
651          (iii) pays to the department a renewal fee in an amount that:
652          (A) subject to Subsection 4-41a-104(5), the department sets in accordance with Section
653     63J-1-504; and
654          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
655     comparison to the original application process.
656          Section 7. Section 4-41a-302 is amended to read:
657          4-41a-302. Cannabis production establishment agent registration card --
658     Rebuttable presumption.
659          (1) A cannabis production establishment agent whom the department registers under
660     Section 4-41a-301 shall carry the individual's cannabis production establishment agent
661     registration card with the agent at all times when:
662          (a) the agent is on the premises of a cannabis production establishment where the agent
663     is registered;
664          (b) the agent is transporting cannabis in a medicinal dosage form, a cannabis product in
665     a medicinal dosage form, or a medical cannabis device between:
666          (i) two cannabis production establishments; or
667          (ii) a cannabis production establishment and[:(A)] a medical cannabis pharmacy; [or]
668     and
669          [(B) the state central fill medical cannabis pharmacy; and]
670          (c) if the cannabis production establishment agent is an agent of a cannabis
671     [cultivating] cultivation facility, the agent is transporting raw cannabis plants to a cannabis
672     processing facility or an independent cannabis testing laboratory.
673          (2) If a cannabis processing facility agent possesses cannabis in a medicinal dosage
674     form, a cannabis product in a medicinal dosage form, or a medical cannabis device and
675     produces the registration card in the agent's possession in compliance with Subsection (1)
676     while handling, at a cannabis production establishment, or transporting the cannabis, cannabis
677     product, or medical cannabis device in compliance with Subsection (1):
678          (a) there is a rebuttable presumption that the agent possesses the cannabis, cannabis

679     product, or medical cannabis device legally; and
680          (b) a law enforcement officer does not have probable cause, based solely on the agent's
681     possession of the cannabis in medicinal dosage form, cannabis product in medicinal dosage
682     form, or medical cannabis device in compliance with Subsection (1), to believe that the
683     individual is engaging in illegal activity.
684          (3) (a) A cannabis production establishment agent who fails to carry the agent's
685     cannabis production establishment agent registration card in accordance with Subsection (1) is:
686          (i) for a first or second offense in a two-year period:
687          (A) guilty of an infraction; and
688          (B) subject to a $100 fine; or
689          (ii) for a third or subsequent offense in a two-year period:
690          (A) guilty of a class C misdemeanor; and
691          (B) subject to a $750 fine.
692          (b) (i) The prosecuting entity shall notify the department and the relevant cannabis
693     production establishment of each conviction under Subsection (3)(a).
694          (ii) For each violation described in Subsection (3)(a)(ii), the department may assess the
695     relevant cannabis production establishment a fine of up to $5,000, in accordance with a fine
696     schedule that the department establishes by rule in accordance with Title 63G, Chapter 3, Utah
697     Administrative Rulemaking Act.
698          (c) An individual who is guilty of a violation described in Subsection (3)(a) is not
699     guilty for a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
700     underlying the violation described in Subsection (3)(a).
701          Section 8. Section 4-41a-403 is amended to read:
702          4-41a-403. Advertising.
703          (1) [A] Except as provided in Subsection (2), (3), or (4), a cannabis production
704     establishment may not advertise to the general public in any medium.
705          (2) [Notwithstanding Subsection (1), a] A cannabis production establishment may
706     advertise an employment opportunity at the cannabis production [facility] establishment.
707          (3) A cannabis production establishment may maintain a website that:
708          (a) contains information about the establishment and employees; and
709          (b) does not advertise any medical cannabis, cannabis products, or medical cannabis

710     devices.
711          (4) Notwithstanding any municipal or county ordinance prohibiting signage, a cannabis
712     production establishment may use signage on the outside of the cannabis production
713     establishment that:
714          (a) includes only:
715          (i) the cannabis production establishment's name and hours of operation; and
716          (ii) a green cross;
717          (b) does not exceed four feet by five feet in size; and
718          (c) complies with local ordinances regulating signage.
719          Section 9. Section 4-41a-404 is amended to read:
720          4-41a-404. Cannabis, cannabis product, or medical cannabis device
721     transportation.
722          (1) (a) Only the following individuals may transport cannabis in a medicinal dosage
723     form, a cannabis product in a medicinal dosage form, or a medical cannabis device under this
724     chapter:
725          (i) a registered cannabis production establishment agent; or
726          (ii) a medical cannabis cardholder who is transporting a medical cannabis treatment
727     that the cardholder is authorized to possess under this chapter.
728          (b) Only an agent of a cannabis [cultivating] cultivation facility, when the agent is
729     transporting cannabis plants to a cannabis processing facility or an independent cannabis
730     testing laboratory, may transport unprocessed cannabis outside of a medicinal dosage form.
731          (2) Except for an individual with a valid medical cannabis card under Title 26, Chapter
732     61a, Utah Medical Cannabis Act, who is transporting a medical cannabis treatment shall
733     possess a transportation manifest that:
734          (a) includes a unique identifier that links the cannabis, cannabis product, or medical
735     cannabis device to a relevant inventory control system;
736          (b) includes origin and destination information for any cannabis, cannabis product, or
737     medical cannabis device that the individual is transporting; and
738          (c) identifies the departure and arrival times and locations of the individual
739     transporting the cannabis, cannabis product, or medical cannabis device.
740          (3) (a) In addition to the requirements in Subsections (1) and (2), the department may

741     establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
742     Act, requirements for transporting cannabis in a medicinal dosage form, a cannabis product in a
743     medicinal dosage form, or a medical cannabis device to ensure that the cannabis, cannabis
744     product, or medical cannabis device remains safe for human consumption.
745          (b) The transportation described in Subsection (3)(a) is limited to transportation:
746          (i) between a cannabis cultivation facility and:
747          (A) another cannabis cultivation facility; or
748          (B) a cannabis processing facility; and
749          (ii) between a cannabis processing facility and:
750          (A) another cannabis processing facility;
751          (B) an independent cannabis testing laboratory; or
752          (C) a medical cannabis pharmacy[; or].
753          [(D) the state central fill medical cannabis pharmacy.]
754          (4) (a) It is unlawful for a registered cannabis production establishment agent to make a
755     transport described in this section with a manifest that does not meet the requirements of this
756     section.
757          (b) Except as provided in Subsection (4)(d), an agent who violates Subsection (4)(a) is:
758          (i) guilty of an infraction; and
759          (ii) subject to a $100 fine.
760          (c) An individual who is guilty of a violation described in Subsection (4)(b) is not
761     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
762     underlying the violation described in Subsection (4)(b).
763          (d) If the agent described in Subsection (4)(a) is transporting more cannabis, cannabis
764     product, or medical cannabis devices than the manifest identifies, except for a de minimis
765     administrative error:
766          (i) the penalty described in Subsection (4)(b) does not apply; and
767          (ii) the agent is subject to penalties under Title 58, Chapter 37, Utah Controlled
768     Substances Act.
769          (5) Nothing in this section prevents the department from taking administrative
770     enforcement action against a cannabis production establishment or another person for failing to
771     make a transport in compliance with the requirements of this section.

772          Section 10. Section 4-41a-406 is amended to read:
773          4-41a-406. Local control.
774          (1) As used in this section:
775          (a) "Land use decision" means the same as that term is defined in Sections 10-9a-103
776     and 17-27a-103.
777          (b) "Land use permit" means the same as that term is defined in Sections 10-9a-103
778     and 17-27a-103.
779          (c) "Land use regulation" means the same as that term is defined in Sections 10-9a-103
780     and 17-27a-103.
781          [(1)] (2) (a) If a municipality's or county's zoning ordinances provide for an industrial
782     zone, [the municipality or county shall ensure that the ordinances allow for cannabis
783     production establishments in at least one type of industrial zone.] the operation of a cannabis
784     production establishment shall be a permitted industrial use in any industrial zone unless the
785     municipality or county has designated by ordinance, before an individual submits a land use
786     permit application for a cannabis production establishment, at least one industrial zone in
787     which the operation of a cannabis production establishment is a permitted use.
788          (b) If a municipality's or county's zoning ordinances provide for an agricultural zone,
789     [the municipality or county shall ensure that the ordinances allow for cannabis production
790     establishments in at least one type of agricultural zone.] the operation of a cannabis production
791     establishment shall be a permitted agricultural use in any agricultural zone unless the
792     municipality or county has designated by ordinance, before an individual submits a land use
793     permit application for a cannabis production establishment, at least one agricultural zone in
794     which the operation of a cannabis production establishment is a permitted use.
795          (c) The operation of a cannabis production establishment shall be a permitted use on
796     land that the municipality or county has not zoned.
797          [(2) (a)] (3) A municipality or county may not [deny or revoke a land use permit to
798     operate a cannabis production facility]:
799          (a) on the sole basis that the applicant or cannabis production establishment violates
800     federal law regarding the legal status of cannabis[. (b) A municipality or county may not],
801     deny or revoke:
802          (i) a land use permit to operate a cannabis production facility; or

803          (ii) a business license to operate a cannabis production facility [on the sole basis that
804     the applicant or cannabis production establishment violates federal law regarding the legal
805     status of cannabis.];
806          (b) require a certain distance between a cannabis production establishment and:
807          (i) another cannabis production establishment;
808          (ii) a medical cannabis pharmacy;
809          (iii) a retail tobacco specialty business, as that term is defined in Section 26-62-103; or
810          (iv) an outlet, as that term is defined in Section 32B-1-202; or
811          (c) enforce a land use regulation or land use decision against or impose a land use
812     restriction on a cannabis production establishment if the county or municipality does not also
813     enforce the land use regulation or land use decision against or impose the land use restriction
814     on:
815          (i) for a cannabis cultivation facility, a similar agricultural operation within the same
816     zone, subject to the land use regulations that apply in the underlying zone; or
817          (ii) for a cannabis processing facility or an independent testing laboratory, a similar
818     manufacturing operation within the same zone, subject to the land use regulations that apply in
819     the underlying zone.
820          (4) An applicant for a land use permit to operate a cannabis production establishment
821     shall comply with the land use requirements and application process described in:
822          (a) Title 10, Chapter 9a, Municipal Land Use, Development, and Management Act,
823     including Section 10-9a-528; and
824          (b) Title 17, Chapter 27a, County Land Use, Development, and Management Act,
825     including Section 17-27a-525.
826          Section 11. Section 4-41a-501 is amended to read:
827          4-41a-501. Cannabis cultivation facility -- Operating requirements.
828          (1) A cannabis cultivation facility shall ensure that any cannabis growing at the
829     cannabis cultivation facility is not visible from the ground level of the cannabis cultivation
830     facility perimeter.
831          (2) A cannabis cultivation facility shall use a unique identifier that is connected to the
832     cannabis cultivation facility's inventory control system to identify:
833          (a) beginning at the time a cannabis plant is eight inches tall and has a root ball, each

834     cannabis plant;
835          (b) each unique harvest of cannabis plants;
836          (c) each batch of cannabis the facility transfers to a medical cannabis pharmacy, [the
837     state central fill medical cannabis pharmacy,] a cannabis processing facility, or an independent
838     cannabis testing laboratory; and
839          (d) any excess, contaminated, or deteriorated cannabis of which the cannabis
840     cultivation facility disposes.
841          Section 12. Section 4-41a-701 is amended to read:
842          4-41a-701. Cannabis and cannabis product testing.
843          (1) A cannabis cultivation facility may not offer any cannabis for sale to a cannabis
844     processing facility unless an independent cannabis testing laboratory has tested a representative
845     sample of the cannabis or cannabis product to determine that the presence of contaminants,
846     including mold, fungus, pesticides, microbial contaminants, heavy metals, or foreign material,
847     does not exceed an amount that is safe for human consumption.
848          (2) A cannabis processing facility may not offer any cannabis or cannabis products for
849     sale to a medical cannabis pharmacy [or the state central fill medical cannabis pharmacy,] and a
850     medical cannabis pharmacy [and the state central fill medical cannabis pharmacy] may not
851     offer any cannabis or cannabis product for sale unless an independent cannabis testing
852     laboratory has tested a representative sample of the cannabis or cannabis product to determine:
853          (a) (i) the amount of total composite tetrahydrocannabinol and cannabidiol in the
854     cannabis or cannabis product; and
855          (ii) the amount of any other cannabinoid in the cannabis or cannabis product that the
856     label claims the cannabis or cannabis product contains;
857          (b) that the presence of contaminants, including mold, fungus, pesticides, microbial
858     contaminants, heavy metals, or foreign material, does not exceed an amount that is safe for
859     human consumption; and
860          (c) for a cannabis product that is manufactured using a process that involves extraction
861     using hydrocarbons, that the cannabis product does not contain a level of a residual solvent that
862     is not safe for human consumption.
863          (3) By rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
864     Act, the department:

865          (a) may determine the amount of any substance described in Subsections (2)(b) and (c)
866     that is safe for human consumption; and
867          (b) shall establish protocols for a recall of cannabis or a cannabis product by a cannabis
868     production establishment.
869          (4) The department may require testing for a toxin if:
870          (a) the department receives information indicating the potential presence of a toxin; or
871          (b) the department's inspector has reason to believe a toxin may be present based on the
872     inspection of a facility.
873          (5) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
874     Utah Administrative Rulemaking Act, the standards, methods, practices, and procedures for the
875     testing of cannabis and cannabis products by independent cannabis testing laboratories.
876          (6) The department may require an independent cannabis testing laboratory to
877     participate in a proficiency evaluation that the department conducts or that an organization that
878     the department approves conducts.
879          Section 13. Section 4-41a-901 is enacted to read:
880          4-41a-901. Academic medical cannabis research -- License.
881          (1) A medical cannabis research licensee may, subject to department rules described in
882     Subsection (4), obtain from a cannabis production establishment, and possess, cannabis for
883     academic medical cannabis research.
884          (2) The department shall license a research university to obtain and possess cannabis
885     for the purpose of academic medical cannabis research if the research university submits to the
886     department:
887          (a) the location where the research university intends to conduct the research;
888          (b) the research university's research plan; and
889          (c) the name of the employee of the research university who will:
890          (i) supervise the obtaining of cannabis;
891          (ii) be responsible to possess and secure the cannabis; and
892          (iii) oversee the academic research.
893          (3) The department shall maintain a list of each medical cannabis research licensee.
894          (4) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
895     Administrative Rulemaking Act, to:

896          (a) establish requirements for a licensee to:
897          (i) participate in academic medical cannabis research;
898          (ii) obtain from a cannabis production establishment, and possess, cannabis for
899     academic medical cannabis research; and
900          (b) set sampling and testing procedures.
901          (5) A medical cannabis research licensee shall provide to the department written
902     consent allowing a representative of the department and local law enforcement to enter all
903     premises where the licensee possesses or stores cannabis for the purpose of:
904          (a) conducting a physical inspection; or
905          (b) ensuring compliance with the requirements of this chapter.
906          (6) An individual who has been convicted of a drug related felony within the last 10
907     years may not obtain, possess, or conduct any research on cannabis under a medical cannabis
908     research licensee's license under this part.
909          (7) The department may set a fee, in accordance with Subsection 4-2-103(2), for the
910     application for a medical cannabis research license.
911          Section 14. Section 4-41a-902 is enacted to read:
912          4-41a-902. Cannabis production establishment product for academic research.
913          A cannabis production establishment may sell cannabis and cannabis products to a
914     medical cannabis research licensee for the purpose of academic research.
915          Section 15. Section 4-41a-903 is enacted to read:
916          4-41a-903. Unlawful acts.
917          (1) It is unlawful for a person who is not operating under the license of a medical
918     cannabis research licensee to obtain or possess cannabis for academic medical cannabis
919     research.
920          (2) It is unlawful for a cannabis production establishment to offer, sell, or otherwise
921     provide cannabis or cannabis products for the purpose of academic research to an entity that is
922     not a medical cannabis research licensee.
923          (3) The department may seize from a medical cannabis research licensee and destroy
924     cannabis or cannabis products that do not comply with this chapter.
925          Section 16. Section 10-9a-528 is enacted to read:
926          10-9a-528. Cannabis production establishments and medical cannabis

927     pharmacies.
928          (1) As used in this section:
929          (a) "Cannabis production establishment" means the same as that term is defined in
930     Section 4-41a-102.
931          (b) "Medical cannabis pharmacy" means the same as that term is defined in Section
932     26-61a-102.
933          (2) (a) (i) A municipality may not regulate a cannabis production establishment in
934     conflict with:
935          (A) Title 4, Chapter 41a, Cannabis Production Establishments, and applicable
936     jurisprudence; and
937          (B) this chapter.
938          (ii) A municipality may not regulate a medical cannabis pharmacy in conflict with:
939          (A) Title 26, Chapter 61a, Utah Medical Cannabis Act, and applicable jurisprudence;
940     and
941          (B) this chapter.
942          (b) The Department of Agriculture and Food has plenary authority to license programs
943     or entities that operate a cannabis production establishment.
944          (c) The Department of Health has plenary authority to license programs or entities that
945     operate a medical cannabis pharmacy.
946          (3) (a) Within the time period described in Subsection (3)(b), a municipality shall
947     prepare and adopt a land use regulation, development agreement, or land use decision in
948     accordance with this title and:
949          (i) regarding a cannabis production establishment, Section 4-41a-406; or
950          (ii) regarding a medical cannabis pharmacy, Section 26-61a-507.
951          (b) A municipality shall take the action described in Subsection (3)(a):
952          (i) before January 1, 2021, within 45 days after the day on which the municipality
953     receives a petition for the action; and
954          (ii) after January 1, 2021, in accordance with Subsection 10-9a-509.5(2).
955          Section 17. Section 15A-5-103 is amended to read:
956          15A-5-103. Nationally recognized codes incorporated by reference.
957          The following codes are incorporated by reference into the State Fire Code:

958          (1) the International Fire Code, 2018 edition, excluding appendices, as issued by the
959     International Code Council, Inc., except as amended by Part 2, Statewide Amendments and
960     Additions to International Fire Code Incorporated as Part of State Fire Code;
961          (2) National Fire Protection Association, NFPA 96, Standard for Ventilation Control
962     and Fire Protection of Commercial Cooking Operations, 2017 edition, except as amended by
963     Part 3, Amendments and Additions to National Fire Protection Association Incorporated as
964     Part of State Fire Code; [and]
965          (3) National Fire Protection Association, NFPA 1403, Standard on Live Fire Training
966     Evolutions, 2012 edition, except as amended by Part 3, Amendments and Additions to National
967     Fire Protection Association Incorporated as Part of State Fire Code[.]; and
968          (4) National Fire Protection Association, NFPA 1, Chapter 38, Marijuana Growing,
969     Processing, and Extraction Facilities, 2018 edition.
970          Section 18. Section 17-27a-525 is enacted to read:
971          17-27a-525. Cannabis production establishments and medical cannabis
972     pharmacies.
973          (1) As used in this section:
974          (a) "Cannabis production establishment" means the same as that term is defined in
975     Section 4-41a-102.
976          (b) "Medical cannabis pharmacy" means the same as that term is defined in Section
977     26-61a-102.
978          (2) (a) (i) A county may not regulate a cannabis production establishment in conflict
979     with:
980          (A) Title 4, Chapter 41a, Cannabis Production Establishments, and applicable
981     jurisprudence; and
982          (B) this chapter.
983          (ii) A county may not regulate a medical cannabis pharmacy in conflict with:
984          (A) Title 26, Chapter 61a, Utah Medical Cannabis Act, and applicable jurisprudence;
985     and
986          (B) this chapter.
987          (b) The Department of Agriculture and Food has plenary authority to license programs
988     or entities that operate a cannabis production establishment.

989          (c) The Department of Health has plenary authority to license programs or entities that
990     operate a medical cannabis pharmacy.
991          (3) (a) Within the time period described in Subsection (3)(b), a county shall prepare
992     and adopt a land use regulation, development agreement, or land use decision in accordance
993     with this title and:
994          (i) regarding a cannabis production establishment, Section 4-41a-406; or
995          (ii) regarding a medical cannabis pharmacy, Section 26-61a-507.
996          (b) A county shall take the action described in Subsection (3)(a):
997          (i) before January 1, 2021, within 45 days after the day on which the county receives a
998     petition for the action; and
999          (ii) after January 1, 2021, in accordance with Subsection 10-9a-509.5(2).
1000          Section 19. Section 26-61a-102 is amended to read:
1001          26-61a-102. Definitions.
1002          As used in this chapter:
1003          (1) "Blister" means a plastic cavity or pocket used to contain no more than a single
1004     dose of cannabis or a cannabis product in a blister pack.
1005          (2) "Blister pack" means a plastic, paper, or foil package with multiple blisters each
1006     containing no more than a single dose of cannabis or a cannabis product.
1007          (3) "Cannabis" means marijuana.
1008          (4) "Cannabis cultivation facility" means the same as that term is defined in Section
1009     4-41a-102.
1010          (5) "Cannabis processing facility" means the same as that term is defined in Section
1011     4-41a-102.
1012          (6) "Cannabis product" means a product that:
1013          (a) is intended for human use; and
1014          (b) contains cannabis or tetrahydrocannabinol.
1015          (7) "Cannabis production establishment" means the same as that term is defined in
1016     Section 4-41a-102.
1017          [(7)] (8) "Cannabis production establishment agent" means the same as that term is
1018     defined in Section 4-41a-102.
1019          [(8)] (9) "Cannabis production establishment agent registration card" means the same

1020     as that term is defined in Section 4-41a-102.
1021          [(9)] (10) "Community location" means a public or private school, a church, a public
1022     library, a public playground, or a public park.
1023          [(10)] (11) "Department" means the Department of Health.
1024          [(11)] (12) "Designated caregiver" means an individual:
1025          (a) whom an individual with a medical cannabis patient card or a medical cannabis
1026     guardian card designates as the patient's caregiver; and
1027          (b) who registers with the department under Section 26-61a-202.
1028          [(12)] (13) "Dosing parameters" means quantity, routes, and frequency of
1029     administration for a recommended treatment of cannabis in a medicinal dosage form or a
1030     cannabis product in a medicinal dosage form.
1031          (14) "Financial institution" means a bank, trust company, savings institution, or credit
1032     union, chartered and supervised under state or federal law.
1033          (15) "Home delivery medical cannabis pharmacy" means a medical cannabis pharmacy
1034     that the department authorizes, as part of the pharmacy's license, to deliver medical cannabis
1035     shipments to a medical cannabis cardholder's home address to fulfill electronic orders that the
1036     state central patient portal facilitates.
1037          [(13)] (16) "Independent cannabis testing laboratory" means the same as that term is
1038     defined in Section 4-41a-102.
1039          [(14)] (17) "Inventory control system" means the system described in Section
1040     4-41a-103.
1041          [(15) "Local health department" means the same as that term is defined in Section
1042     26A-1-102.]
1043          [(16) "Local health department distribution agent" means an agent designated and
1044     registered to distribute state central fill shipments under Sections 26-61a-606 and 26-61a-607.]
1045          [(17)] (18) "Marijuana" means the same as that term is defined in Section 58-37-2.
1046          [(18)] (19) "Medical cannabis" means cannabis in a medicinal dosage form or a
1047     cannabis product in a medicinal dosage form.
1048          [(19)] (20) "Medical cannabis card" means a medical cannabis patient card, a medical
1049     cannabis guardian card, or a medical cannabis caregiver card.
1050          [(20)] (21) "Medical cannabis cardholder" means a holder of a medical cannabis card.

1051          [(21)] (22) "Medical cannabis caregiver card" means an [official] electronic document
1052     that a cardholder may print or store on an electronic device or a physical card or document that:
1053          (a) the department issues to an individual whom a medical cannabis patient cardholder
1054     or a medical cannabis guardian cardholder designates as a designated caregiver; and
1055          (b) is connected to the electronic verification system.
1056          (23) "Medical cannabis courier" means a courier that:
1057          (a) the department licenses in accordance with Section 26-61a-604; and
1058          (b) contracts with a home delivery medical cannabis pharmacy to deliver medical
1059     cannabis shipments to fulfill electronic orders that the state central patient portal facilitates.
1060          [(22)] (24) (a) "Medical cannabis device" means a device that an individual uses to
1061     ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal
1062     dosage form.
1063          (b) "Medical cannabis device" does not include a device that:
1064          (i) facilitates cannabis combustion; or
1065          (ii) an individual uses to ingest substances other than cannabis.
1066          [(23)] (25) "Medical cannabis guardian card" means an [official] electronic document
1067     that a cardholder may print or store on an electronic device or a physical card or document that:
1068          (a) the department issues to the parent or legal guardian of a minor with a qualifying
1069     condition; and
1070          (b) is connected to the electronic verification system.
1071          [(24)] (26) "Medical cannabis patient card" means an [official] electronic document
1072     that a cardholder may print or store on an electronic device or a physical card or document that:
1073          (a) the department issues to an individual with a qualifying condition; and
1074          (b) is connected to the electronic verification system.
1075          [(25)] (27) "Medical cannabis pharmacy" means a person that:
1076          (a) (i) acquires or intends to acquire:
1077          (A) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
1078     form from a cannabis processing facility; or
1079          (B) a medical cannabis device; or
1080          (ii) possesses cannabis in a medicinal dosage form, a cannabis product in a medicinal
1081     dosage form, or a medical cannabis device; and

1082          (b) sells or intends to sell cannabis in a medicinal dosage form, a cannabis product in a
1083     medicinal dosage form, or a medical cannabis device to a medical cannabis cardholder.
1084          [(26)] (28) "Medical cannabis pharmacy agent" means an individual who:
1085          (a) is an employee of a medical cannabis pharmacy; and
1086          (b) who holds a valid medical cannabis pharmacy agent registration card.
1087          [(27)] (29) "Medical cannabis pharmacy agent registration card" means a registration
1088     card issued by the department that authorizes an individual to act as a medical cannabis
1089     pharmacy agent.
1090          (30) "Medical cannabis shipment" means a shipment of medical cannabis or a medical
1091     cannabis product that a home delivery medical cannabis pharmacy or a medical cannabis
1092     courier delivers to a medical cannabis cardholder's home address to fulfill an electronic medical
1093     cannabis order that the state central patient portal facilitates.
1094          [(28)] (31) "Medical cannabis treatment" means cannabis in a medicinal dosage form, a
1095     cannabis product in a medicinal dosage form, or a medical cannabis device.
1096          [(29)] (32) (a) "Medicinal dosage form" means:
1097          (i) for processed medical cannabis or a medical cannabis product, the following with a
1098     specific and consistent cannabinoid content:
1099          (A) a tablet;
1100          (B) a capsule;
1101          (C) a concentrated oil;
1102          (D) a liquid suspension;
1103          (E) a topical preparation;
1104          (F) a transdermal preparation;
1105          (G) a sublingual preparation;
1106          (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or
1107     rectangular cuboid shape; or
1108          (I) for use only after the individual's qualifying condition has failed to substantially
1109     respond to at least two other forms described in this Subsection [(29)] (32)(a)(i), a resin or
1110     wax;
1111          (ii) for unprocessed cannabis flower, a blister pack, with each individual blister:
1112          (A) containing a specific and consistent weight that does not exceed one gram and that

1113     varies by no more than 10% from the stated weight; and
1114          (B) after December 31, 2020, labeled with a barcode that provides information
1115     connected to an inventory control system and the individual blister's content and weight; and
1116          (iii) a form measured in grams, milligrams, or milliliters.
1117          (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that:
1118          (i) the medical cannabis cardholder has recently removed from the blister pack
1119     described in Subsection [(29)] (32)(a)(ii) for use; and
1120          (ii) does not exceed the quantity described in Subsection [(29)] (32)(a)(ii).
1121          (c) "Medicinal dosage form" does not include:
1122          (i) any unprocessed cannabis flower outside of the blister pack, except as provided in
1123     Subsection [(29)] (32)(b); or
1124          (ii) a process of vaporizing and inhaling concentrated cannabis by placing the cannabis
1125     on a nail or other metal object that is heated by a flame, including a blowtorch.
1126          (33) "Payment provider" means an entity that contracts with a cannabis production
1127     establishment or medical cannabis pharmacy to facilitate transfers of funds between the
1128     establishment or pharmacy and other businesses or individuals.
1129          [(30)] (34) "Pharmacy medical provider" means the medical provider required to be on
1130     site at a medical cannabis pharmacy under Section 26-61a-403.
1131          [(31)] (35) "Provisional patient card" means a card that:
1132          (a) the department issues to a minor with a qualifying condition for whom:
1133          (i) a qualified medical provider has recommended a medical cannabis treatment; and
1134          (ii) the department issues a medical cannabis guardian card to the minor's parent or
1135     legal guardian; and
1136          (b) is connected to the electronic verification system.
1137          [(32)] (36) "Qualified medical provider" means an individual who is qualified to
1138     recommend treatment with cannabis in a medicinal dosage form under Section 26-61a-106.
1139          [(33) "Qualified Distribution Enterprise Fund" means the enterprise fund created in
1140     Section 26-61a-110.]
1141          [(34)] (37) "Qualified Patient Enterprise Fund" means the enterprise fund created in
1142     Section 26-61a-109.
1143          [(35)] (38) "Qualifying condition" means a condition described in Section 26-61a-104.

1144          [(36) "State central fill agent" means an employee of the state central fill medical
1145     cannabis pharmacy that the department registers in accordance with Section 26-61a-602.]
1146          [(37) "State central fill medical cannabis pharmacy" means the central fill pharmacy
1147     that the department creates in accordance with Section 26-61a-601.]
1148          (39) "State central patient portal" means the website the department creates, in
1149     accordance with Section 26-61a-601, to facilitate patient safety, education, and an electronic
1150     medical cannabis order.
1151          [(38)] (40) "State central [fill medical provider] patient portal medical provider" means
1152     a physician or pharmacist that the [state central fill medical cannabis pharmacy] department
1153     employs in relation to the state central patient portal to consult with medical cannabis
1154     cardholders in accordance with Section [26-61a-601] 26-61a-602.
1155          [(39) "State central fill shipment" means a shipment of cannabis in a medicinal dosage
1156     form, cannabis product in a medicinal dosage form, or a medical cannabis device that the state
1157     central fill medical cannabis pharmacy prepares and ships for distribution to a medical cannabis
1158     cardholder in a local health department.]
1159          [(40)] (41) "State electronic verification system" means the system described in Section
1160     26-61a-103.
1161          (42) "Valid form of photo identification" means a valid United States federal- or
1162     state-issued photo identification, including:
1163          (a) a driver license;
1164          (b) a United States passport;
1165          (c) a United States passport card; or
1166          (d) a United States military identification card.
1167          Section 20. Section 26-61a-103 is amended to read:
1168          26-61a-103. Electronic verification system.
1169          (1) The Department of Agriculture and Food, the department, the Department of Public
1170     Safety, and the Department of Technology Services shall:
1171          (a) enter into a memorandum of understanding in order to determine the function and
1172     operation of the state electronic verification system in accordance with Subsection (2);
1173          (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah
1174     Procurement Code, to develop a request for proposals for a third-party provider to develop and

1175     maintain the state electronic verification system in coordination with the Department of
1176     Technology Services; and
1177          (c) select a third-party provider who:
1178          (i) meets the requirements contained in the request for proposals issued under
1179     Subsection (1)(b); and
1180          (ii) may not have any commercial or ownership interest in a cannabis production
1181     establishment or a medical cannabis pharmacy.
1182          (2) The Department of Agriculture and Food, the department, the Department of Public
1183     Safety, and the Department of Technology Services shall ensure that, on or before March 1,
1184     2020, the state electronic verification system described in Subsection (1):
1185          (a) allows an individual, with the individual's qualified medical provider in the qualified
1186     medical provider's office, to apply for a medical cannabis patient card or, if applicable, a
1187     medical cannabis guardian card;
1188          (b) allows an individual to apply to renew a medical cannabis patient card or a medical
1189     cannabis guardian card in accordance with Section 26-61a-201;
1190          (c) allows a qualified medical provider to:
1191          (i) access dispensing and card status information regarding a patient:
1192          (A) with whom the qualified medical provider has a provider-patient relationship; and
1193          (B) for whom the qualified medical provider has recommended or is considering
1194     recommending a medical cannabis card;
1195          (ii) electronically recommend, during a visit with a patient, treatment with cannabis in a
1196     medicinal dosage form or a cannabis product in a medicinal dosage form and optionally
1197     recommend dosing parameters;
1198          (iii) electronically renew a recommendation to a medical cannabis patient cardholder or
1199     medical cannabis guardian cardholder:
1200          (A) for the qualified medical provider who originally recommended a medical cannabis
1201     treatment, as that term is defined in Section 26-61a-102, using telehealth services; or
1202          (B) for a qualified medical provider who did not originally recommend the medical
1203     cannabis treatment, during a face-to-face visit with a patient; and
1204          [(iv) at the request of a medical cannabis cardholder, initiate a state central fill
1205     shipment in accordance with Section 26-61a-603;]

1206          (iv) notate a determination of physical difficulty or undue hardship, described in
1207     Subsection 26-61a-202(1), to qualify a patient to designate a caregiver;
1208          (d) connects with:
1209          (i) an inventory control system that a medical cannabis pharmacy [and the state central
1210     fill medical cannabis pharmacy use] uses to track in real time and archive purchases of any
1211     cannabis in a medicinal dosage form, cannabis product in a medicinal dosage form, or a
1212     medical cannabis device, including:
1213          (A) the time and date of each purchase;
1214          (B) the quantity and type of cannabis, cannabis product, or medical cannabis device
1215     purchased;
1216          (C) any cannabis production establishment, any medical cannabis pharmacy, or [the
1217     state central fill] any medical cannabis [pharmacy] courier associated with the cannabis,
1218     cannabis product, or medical cannabis device; and
1219          (D) the personally identifiable information of the medical cannabis cardholder who
1220     made the purchase; and
1221          (ii) any commercially available inventory control system that a cannabis production
1222     establishment utilizes in accordance with Section 4-41a-103 to use data that the Department of
1223     Agriculture and Food requires by rule, in accordance with Title 63G, Chapter 3, Utah
1224     Administrative Rulemaking Act, from the inventory tracking system that a licensee uses to
1225     track and confirm compliance;
1226          (e) provides access to:
1227          (i) the department to the extent necessary to carry out the department's functions and
1228     responsibilities under this chapter;
1229          (ii) the Department of Agriculture and Food to the extent necessary to carry out the
1230     functions and responsibilities of the Department of Agriculture and Food under Title 4, Chapter
1231     41a, Cannabis Production Establishments; and
1232          (iii) the Division of Occupational and Professional Licensing to the extent necessary to
1233     carry out the functions and responsibilities related to the participation of the following in the
1234     recommendation and dispensing of medical cannabis:
1235          (A) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
1236          (B) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse

1237     Practice Act;
1238          (C) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
1239     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
1240          (D) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
1241     Assistant Act;
1242          (f) provides access to and interaction with the state central [fill medical cannabis
1243     pharmacy, state central fill agents, and local health department distribution agents, to facilitate
1244     the state central fill shipment process] patient portal;
1245          (g) provides access to state or local law enforcement:
1246          (i) during a traffic stop for the purpose of determining if the individual subject to the
1247     traffic stop is in compliance with state medical cannabis law; or
1248          (ii) after obtaining a warrant; and
1249          (h) creates a record each time a person accesses the database that identifies the person
1250     who accesses the database and the individual whose records the person accesses.
1251          (3) The department may release [de-identified] limited data that the system collects for
1252     the purpose of:
1253          (a) conducting medical and other department approved research; [and]
1254          (b) providing the report required by Section 26-61a-703[.]; and
1255          (c) other official department purposes.
1256          (4) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
1257     Administrative Rulemaking Act, to establish:
1258          (a) the limitations on access to the data in the state electronic verification system as
1259     described in this section; and
1260          (b) standards and procedures to ensure accurate identification of an individual
1261     requesting information or receiving information in this section.
1262          (5) (a) Any person who knowingly and intentionally releases any information in the
1263     state electronic verification system in violation of this section is guilty of a third degree felony.
1264          (b) Any person who negligently or recklessly releases any information in the state
1265     electronic verification system in violation of this section is guilty of a class C misdemeanor.
1266          (6) (a) Any person who obtains or attempts to obtain information from the state
1267     electronic verification system by misrepresentation or fraud is guilty of a third degree felony.

1268          (b) Any person who obtains or attempts to obtain information from the state electronic
1269     verification system for a purpose other than a purpose this chapter authorizes is guilty of a third
1270     degree felony.
1271          (7) (a) Except as provided in Subsection (7)(e), a person may not knowingly and
1272     intentionally use, release, publish, or otherwise make available to any other person information
1273     obtained from the state electronic verification system for any purpose other than a purpose
1274     specified in this section.
1275          (b) Each separate violation of this Subsection (7) is:
1276          (i) a third degree felony; and
1277          (ii) subject to a civil penalty not to exceed $5,000.
1278          (c) The department shall determine a civil violation of this Subsection (7) in
1279     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
1280          (d) Civil penalties assessed under this Subsection (7) shall be deposited into the
1281     General Fund.
1282          (e) This Subsection (7) does not prohibit a person who obtains information from the
1283     state electronic verification system under Subsection (2)(a), (c), or (f) from:
1284          (i) including the information in the person's medical chart or file for access by a person
1285     authorized to review the medical chart or file;
1286          (ii) providing the information to a person in accordance with the requirements of the
1287     Health Insurance Portability and Accountability Act of 1996; or
1288          (iii) discussing or sharing that information about the patient with the patient.
1289          Section 21. Section 26-61a-106 is amended to read:
1290          26-61a-106. Qualified medical provider registration -- Continuing education --
1291     Treatment recommendation.
1292          (1) (a) Except as provided in Subsection (1)(b), an individual may not recommend a
1293     medical cannabis treatment unless the department registers the individual as a qualified
1294     medical provider in accordance with this section.
1295          (b) An individual who meets the qualifications in Subsections 26-61a-106(2)(a)(iii)
1296     and (iv) may recommend a medical cannabis treatment without registering under Subsection
1297     (1)(a) until January 1, 2021.
1298          (2) (a) The department shall, within 15 days after the day on which the department

1299     receives an application from an individual, register and issue a qualified medical provider
1300     registration card to the individual if the individual:
1301          (i) provides to the department the individual's name and address;
1302          (ii) provides to the department a report detailing the individual's completion of the
1303     applicable continuing education requirement described in Subsection (3);
1304          (iii) provides to the department evidence that the individual:
1305          (A) has the authority to write a prescription;
1306          (B) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
1307     Controlled Substances Act; and
1308          (C) possesses the authority, in accordance with the individual's scope of practice, to
1309     prescribe a Schedule II controlled substance;
1310          (iv) provides to the department evidence that the individual is:
1311          (A) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
1312     Practice Act;
1313          (B) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
1314     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
1315          (C) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
1316     Act, whose declaration of services agreement, as that term is defined in Section 58-70a-102,
1317     includes the recommending of medical cannabis, and whose supervising physician is a
1318     qualified medical provider; and
1319          (v) pays the department a fee in an amount that:
1320          (A) the department sets, in accordance with Section 63J-1-504; and
1321          (B) does not exceed $300 for an initial registration.
1322          (b) The department may not register an individual as a qualified medical provider if the
1323     individual is:
1324          (i) a pharmacy medical provider [or a state central fill medical provider]; or
1325          (ii) an owner, officer, director, board member, employee, or agent of a cannabis
1326     production establishment [or], a medical cannabis pharmacy, or a medical cannabis courier.
1327          (3) (a) An individual shall complete the continuing education described in this
1328     Subsection (3) in the following amounts:
1329          (i) for an individual as a condition precedent to registration, four hours; and

1330          (ii) for a qualified medical provider as a condition precedent to renewal, four hours
1331     every two years.
1332          (b) In accordance with Subsection (3)(a), a qualified medical provider shall:
1333          (i) complete continuing education:
1334          (A) regarding the topics described in Subsection (3)(d); and
1335          (B) offered by the department under Subsection (3)(c) or an accredited or approved
1336     continuing education provider that the department recognizes as offering continuing education
1337     appropriate for the recommendation of cannabis to patients; and
1338          (ii) make a continuing education report to the department in accordance with a process
1339     that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
1340     Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
1341     Professional Licensing and:
1342          (A) for an advanced practice registered nurse licensed under Title 58, Chapter 31b,
1343     Nurse Practice Act, the Board of Nursing;
1344          (B) for a qualified medical provider licensed under Title 58, Chapter 67, Utah Medical
1345     Practice Act, the Physicians Licensing Board;
1346          (C) for a qualified medical provider licensed under Title 58, Chapter 68, Utah
1347     Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board;
1348     and
1349          (D) for a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
1350     Assistant Act, the Physician Assistant Licensing Board.
1351          (c) The department may, in consultation with the Division of Occupational and
1352     Professional Licensing, develop the continuing education described in this Subsection (3).
1353          (d) The continuing education described in this Subsection (3) may discuss:
1354          (i) the provisions of this chapter;
1355          (ii) general information about medical cannabis under federal and state law;
1356          (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
1357     including risks and benefits;
1358          (iv) recommendations for medical cannabis as it relates to the continuing care of a
1359     patient in pain management, risk management, potential addiction, or palliative care; and
1360          (v) best practices for recommending the form and dosage of medical cannabis products

1361     based on the qualifying condition underlying a medical cannabis recommendation.
1362          (4) (a) Except as provided in Subsection (4)(b) or (c), a qualified medical provider may
1363     not recommend a medical cannabis treatment to more than 175 of the qualified medical
1364     provider's patients at the same time, as determined by the number of medical cannabis cards
1365     under the qualified medical provider's name in the state electronic verification system.
1366          (b) Except as provided in Subsection (4)(c), a qualified medical provider may
1367     recommend a medical cannabis treatment to up to 300 of the qualified medical provider's
1368     patients at any given time, as determined by the number of medical cannabis cards under the
1369     qualified medical provider's name in the state electronic verification system, if:
1370          (i) the appropriate American medical board has certified the qualified medical provider
1371     in the specialty of anesthesiology, gastroenterology, neurology, oncology, pain, hospice and
1372     palliative medicine, physical medicine and rehabilitation, rheumatology, or psychiatry; or
1373          (ii) a licensed business employs or contracts with the qualified medical provider for the
1374     specific purpose of providing hospice and palliative care.
1375          (c) (i) Notwithstanding Subsection (4)(b), a qualified medical provider described in
1376     Subsection (4)(b) may petition the Division of Occupational and Professional Licensing for
1377     authorization to exceed the limit described in Subsection (4)(b) by graduating increments of
1378     100 patients per authorization, not to exceed three authorizations.
1379          (ii) The Division of Occupational and Professional Licensing shall grant the
1380     authorization described in Subsection (4)(c)(i) if:
1381          (A) the petitioning qualified medical provider pays a $100 fee;
1382          (B) the division performs a review that includes the qualified medical provider's
1383     medical cannabis recommendation activity in the state electronic verification system, relevant
1384     information related to patient demand, and any patient medical records that the division
1385     determines would assist in the division's review; and
1386          (C) after the review described in this Subsection (4)(c)(ii), the division determines that
1387     granting the authorization would not adversely affect public safety, adversely concentrate the
1388     overall patient population among too few qualified medical providers, or adversely concentrate
1389     the use of medical cannabis among the provider's patients.
1390          (5) A qualified medical provider may recommend medical cannabis to an individual
1391     under this chapter only in the course of a qualified medical provider-patient relationship after

1392     the qualifying medical provider has completed and documented in the patient's medical record
1393     a thorough assessment of the patient's condition and medical history based on the appropriate
1394     standard of care for the patient's condition.
1395          (6) (a) Except as provided in Subsection (6)(b), a qualified medical provider may not
1396     advertise that the qualified medical provider recommends medical cannabis treatment.
1397          (b) For purposes of Subsection (6)(a), the communication of the following, through a
1398     website does not constitute advertising:
1399          (i) a green cross;
1400          (ii) a qualifying condition that the qualified medical provider treats; or
1401          (iii) a scientific study regarding medical cannabis use.
1402          (7) (a) A qualified medical provider registration card expires two years after the day on
1403     which the department issues the card.
1404          (b) The department shall renew a qualified medical provider's registration card if the
1405     provider:
1406          (i) applies for renewal;
1407          (ii) is eligible for a qualified medical provider registration card under this section,
1408     including maintaining an unrestricted license as described in Subsection (2)(a)(iii);
1409          (iii) certifies to the department in a renewal application that the information in
1410     Subsection (2)(a) is accurate or updates the information;
1411          (iv) submits a report detailing the completion of the continuing education requirement
1412     described in Subsection (3); and
1413          (v) pays the department a fee in an amount that:
1414          (A) the department sets, in accordance with Section 63J-1-504; and
1415          (B) does not exceed $50 for a registration renewal.
1416          (8) The department may revoke the registration of a qualified medical provider who
1417     fails to maintain compliance with the requirements of this section.
1418          (9) A qualified medical provider may not receive any compensation or benefit for the
1419     qualified medical provider's medical cannabis treatment recommendation from:
1420          (a) a cannabis production establishment or an owner, officer, director, board member,
1421     employee, or agent of a cannabis production establishment;
1422          (b) a medical cannabis pharmacy or an owner, officer, director, board member,

1423     employee, or agent of a medical cannabis pharmacy; or
1424          (c) a qualified medical provider or pharmacy medical provider.
1425          Section 22. Section 26-61a-107 is amended to read:
1426          26-61a-107. Standard of care -- Physicians and pharmacists not liable -- No
1427     private right of action.
1428          (1) An individual described in Subsection (2) is not subject to the following solely for
1429     violating a federal law or regulation that would otherwise prohibit recommending, prescribing,
1430     or dispensing medical cannabis, a medical cannabis product, or a cannabis-based drug that the
1431     United States Food and Drug Administration has not approved:
1432          (a) civil or criminal liability; or
1433          (b) licensure sanctions under Title 58, Chapter 17b, Pharmacy Practice Act, Title 58,
1434     Chapter 31b, Nurse Practice Act, Title 58, Chapter 67, Utah Medical Practice Act, Title 58,
1435     Chapter 68, Utah Osteopathic Medical Practice Act, or Title 58, Chapter 70a, Utah Physician
1436     Assistant Act.
1437          (2) The limitations of liability described in Subsection (1) apply to:
1438          (a) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
1439     Practice Act, a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
1440     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act, or a physician assistant licensed
1441     under Title 58, Chapter 70a, Utah Physician Assistant Act:
1442          (i) (A) whom the department has registered as a qualified medical provider; and
1443          (B) who recommends treatment with cannabis in a medicinal dosage form or a
1444     cannabis product in a medicinal dosage form to a patient in accordance with this chapter; or
1445          (ii) before January 1, 2021, who:
1446          (A) has the authority to write a prescription; and
1447          (B) recommends a medical cannabis treatment to a patient who has a qualifying
1448     condition; and
1449          (b) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act:
1450          (i) whom the department has registered as a pharmacy medical provider [or a state
1451     central fill medical provider]; and
1452          (ii) who dispenses, in a medical cannabis pharmacy [or the state central fill medical
1453     cannabis pharmacy], treatment with cannabis in a medicinal dosage form or a cannabis product

1454     in a medicinal dosage form to a medical cannabis cardholder in accordance with this chapter.
1455          (3) Nothing in this section or chapter reduces or in any way negates the duty of an
1456     individual described in Subsection (2) to use reasonable and ordinary care in the treatment of a
1457     patient:
1458          (a) who may have a qualifying condition; and
1459          (b) (i) for whom the individual described in Subsection (2)(a)(i) or (ii) has
1460     recommended or might consider recommending a treatment with cannabis or a cannabis
1461     product; or
1462          (ii) with whom the pharmacist described in Subsection (2)(b) has interacted in the
1463     dosing or dispensing of cannabis or a cannabis product.
1464          Section 23. Section 26-61a-109 is amended to read:
1465          26-61a-109. Qualified Patient Enterprise Fund -- Creation -- Revenue neutrality.
1466          (1) There is created an enterprise fund known as the "Qualified Patient Enterprise
1467     Fund."
1468          (2) The fund created in this section is funded from:
1469          (a) money the department deposits into the fund under this chapter;
1470          (b) appropriations the Legislature makes to the fund; and
1471          (c) the interest described in Subsection (3).
1472          (3) Interest earned on the fund shall be deposited into the fund.
1473          (4) The department may only use money in the fund to fund the department's
1474     responsibilities under this chapter[, except for the responsibilities described in Subsection
1475     26-61a-110(4)].
1476          (5) The department shall set fees authorized under this chapter in amounts that the
1477     department anticipates are necessary, in total, to cover the department's cost to implement this
1478     chapter.
1479          Section 24. Section 26-61a-111 is amended to read:
1480          26-61a-111. Nondiscrimination for medical care or government employment --
1481     Notice to prospective and current public employees.
1482          (1) For purposes of medical care, including an organ or tissue transplant, a patient's
1483     use, in accordance with this chapter, of cannabis in a medicinal dosage form or a cannabis
1484     product in a medicinal dosage form:

1485          (a) is considered the equivalent of the authorized use of any other medication used at
1486     the discretion of a physician; and
1487          (b) does not constitute the use of an illicit substance or otherwise disqualify an
1488     individual from needed medical care.
1489          (2) (a) Notwithstanding any other provision of law and except as provided in
1490     Subsection (2)(b), the state or any political subdivision shall treat an employee's use of medical
1491     cannabis in accordance with this chapter or Section 58-37-3.7 in the same way the state or
1492     political subdivision treats employee use of [opioids and opiates] prescribed controlled
1493     substances.
1494          (b) Subsection (2)(a) does not apply where the application of Subsection (2)(a) would
1495     jeopardize federal funding, a federal security clearance, or any other federal background
1496     determination required for the employee's position.
1497          (3) (a) (i) A state employer or a political subdivision employer shall take the action
1498     described in Subsection (3)(a)(ii) before:
1499          (A) giving to a current employee an assignment or duty that arises from or directly
1500     relates to an obligation under this chapter; or
1501          (B) hiring a prospective employee whose assignments or duties would include an
1502     assignment or duty that arises from or directly relates to an obligation under this chapter.
1503          (ii) The employer described in Subsection (3)(a)(i) shall give the employee or
1504     prospective employee described in Subsection (3)(a)(i) a written notice that notifies the
1505     employee or prospective employee:
1506          (A) that the employee's or prospective employee's job duties may require the employee
1507     or prospective employee to engage in conduct which is in violation of the criminal laws of the
1508     United States; and
1509          (B) that in accepting a job or undertaking a duty described in Subsection (3)(a)(i),
1510     although the employee or prospective employee is entitled to the protections of Title 67,
1511     Chapter 21, Utah Protection of Public Employees Act, the employee may not object or refuse to
1512     carry out an assignment or duty that may be a violation of the criminal laws of the United
1513     States with respect to the manufacture, sale, or distribution of cannabis.
1514          (b) The Department of Human Resource Management shall create, revise, and publish
1515     the form of the notice described in Subsection (3)(a).

1516          (c) Notwithstanding Subsection 67-21-3(3), an employee who has signed the notice
1517     described in Subsection (3)(a) may not:
1518          (i) claim in good faith that the employee's actions violate or potentially violate the laws
1519     of the United States with respect to the manufacture, sale, or distribution of cannabis; or
1520          (ii) refuse to carry out a directive that the employee reasonably believes violates the
1521     criminal laws of the United States with respect to the manufacture, sale, or distribution of
1522     cannabis.
1523          (d) An employer of an employee who has signed the notice described in Subsection
1524     (3)(a) may not take retaliatory action as defined in Section 67-19a-101 against a current
1525     employee who refuses to sign the notice described in Subsection (3)(a).
1526          Section 25. Section 26-61a-115 is enacted to read:
1527          26-61a-115. Analogous to prescribed controlled substances.
1528          When an employee, officer, or agent of the state or a political subdivision makes a
1529     finding, determination, or otherwise considers an individual's possession or use of cannabis, a
1530     cannabis product, or a medical cannabis device, the employee, officer, or agent may not
1531     consider the individual's possession or use any differently than the lawful possession or use of
1532     any prescribed controlled substance, if the individual's possession or use complies with:
1533          (1) this chapter;
1534          (2) Title 4, Chapter 41a, Cannabis Production Establishments; or
1535          (3) Subsection 58-37-3.7(2) or (3).
1536          Section 26. Section 26-61a-201 is amended to read:
1537          26-61a-201. Medical cannabis patient card -- Medical cannabis guardian card
1538     application -- Fees -- Studies.
1539          (1) On or before March 1, 2020, the department shall, within 15 days after the day on
1540     which an individual who satisfies the eligibility criteria in this section or Section 26-61a-202
1541     submits an application in accordance with this section or Section 26-61a-202:
1542          (a) issue a medical cannabis patient card to an individual described in Subsection
1543     (2)(a);
1544          (b) issue a medical cannabis guardian card to an individual described in Subsection
1545     (2)(b);
1546          (c) issue a provisional patient card to a minor described in Subsection (2)(c); and

1547          (d) issue a medical cannabis caregiver card to an individual described in Subsection
1548     26-61a-202(4).
1549          (2) (a) An individual is eligible for a medical cannabis patient card if:
1550          (i) (A) the individual is at least 21 years old; or
1551          (B) the individual is 18, 19, or 20 years old, the individual petitions the compassionate
1552     use board under Section 26-61a-105, and the compassionate use board recommends department
1553     approval of the petition;
1554          (ii) the individual is a Utah resident;
1555          (iii) the individual's qualified medical provider recommends treatment with medical
1556     cannabis in accordance with Subsection (4);
1557          (iv) the individual signs an acknowledgment stating that the individual received the
1558     information described in Subsection (8); and
1559          (v) the individual pays to the department a fee in an amount that, subject to Subsection
1560     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
1561          (b) (i) An individual is eligible for a medical cannabis guardian card if the individual:
1562          (A) is at least 18 years old;
1563          (B) is a Utah resident;
1564          (C) is the parent or legal guardian of a minor for whom the minor's qualified medical
1565     provider recommends a medical cannabis treatment, the individual petitions the compassionate
1566     use board under Section 26-61a-105, and the compassionate use board recommends department
1567     approval of the petition;
1568          (D) the individual signs an acknowledgment stating that the individual received the
1569     information described in Subsection (8);
1570          (E) pays to the department a fee in an amount that, subject to Subsection
1571     26-61a-109(5), the department sets in accordance with Section 63J-1-504, plus the cost of the
1572     criminal background check described in Section 26-61a-203; and
1573          (F) the individual has not been convicted of a misdemeanor or felony drug distribution
1574     offense under either state or federal law, unless the individual completed any imposed sentence
1575     six months or more before the day on which the individual applies for a medical cannabis
1576     guardian card.
1577          (ii) The department shall notify the Department of Public Safety of each individual that

1578     the department registers for a medical cannabis guardian card.
1579          (c) (i) A minor is eligible for a provisional patient card if:
1580          (A) the minor has a qualifying condition;
1581          (B) the minor's qualified medical provider recommends a medical cannabis treatment
1582     to address the minor's qualifying condition;
1583          (C) the minor's parent or legal guardian petitions the compassionate use board under
1584     Section 26-61a-105, and the compassionate use board recommends department approval of the
1585     petition; and
1586          (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card
1587     under Subsection (2)(b).
1588          (ii) The department shall automatically issue a provisional patient card to the minor
1589     described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
1590     guardian card to the minor's parent or legal guardian.
1591          (3) (a) An individual who is eligible for a medical cannabis card described in
1592     Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the
1593     department:
1594          (i) through an electronic application connected to the state electronic verification
1595     system;
1596          (ii) with the recommending qualified medical provider while in the recommending
1597     qualified medical provider's office; and
1598          (iii) with information including:
1599          (A) the applicant's name, gender, age, and address;
1600          (B) the number of the applicant's valid form of photo identification [that is a valid
1601     United States federal- or state-issued photo identification, including a driver license, a United
1602     States passport, a United States passport card, or a United States military identification card];
1603          (C) for a medical cannabis guardian card, the name, gender, and age of the minor
1604     receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
1605     and
1606          (D) for a provisional patient card, the name of the minor's parent or legal guardian who
1607     holds the associated medical cannabis guardian card.
1608          (b) The department shall ensure that a medical cannabis card the department issues

1609     under this section contains the information described in Subsection (3)(a)(iii).
1610          (c) (i) If a qualified medical provider determines that, because of age, illness, or
1611     disability, a medical cannabis patient cardholder requires assistance in administering the
1612     medical cannabis treatment that the qualified medical provider recommends, the qualified
1613     medical provider may indicate the cardholder's need in the state electronic verification system.
1614          (ii) If a qualified medical provider makes the indication described in Subsection
1615     (3)(c)(i):
1616          (A) the department shall add a label to the relevant medical cannabis patient card
1617     indicating the cardholder's need for assistance; and
1618          (B) any adult who is 21 years old or older and who is physically present with the
1619     cardholder at the time the cardholder needs to use the recommended medical cannabis
1620     treatment may handle the medical cannabis treatment and any associated medical cannabis
1621     device as needed to assist the cardholder in administering the recommended medical cannabis
1622     treatment, including in the event of an emergency medical condition under Subsection
1623     26-61a-204(2).
1624          (iii) A non-cardholding individual acting under Subsection (3)(c)(ii)(B) may not:
1625          (A) ingest or inhale medical cannabis;
1626          (B) possess, transport, or handle medical cannabis or a medical cannabis device outside
1627     of the immediate area where the cardholder is present or with an intent other than to provide
1628     assistance to the cardholder; or
1629          (C) possess, transport, or handle medical cannabis or a medical cannabis device when
1630     the cardholder is not in the process of being dosed with medical cannabis.
1631          (4) To recommend a medical cannabis treatment to a patient or to renew a
1632     recommendation, a qualified medical provider shall:
1633          (a) before recommending cannabis in a medicinal dosage form or a cannabis product in
1634     a medicinal dosage form:
1635          (i) verify the patient's and, for a minor patient, the minor patient's parent or legal
1636     guardian's valid form of identification described in Subsection (3)(a);
1637          (ii) review any record related to the patient and, for a minor patient, the patient's parent
1638     or legal guardian in:
1639          (A) the state electronic verification system; and

1640          (B) the controlled substance database created in Section 58-37f-201; and
1641          (iii) consider the recommendation in light of the patient's qualifying condition and
1642     history of medical cannabis and controlled substance use; and
1643          (b) state in the qualified medical provider's recommendation that the patient:
1644          (i) suffers from a qualifying condition, including the type of qualifying condition; and
1645          (ii) may benefit from treatment with cannabis in a medicinal dosage form or a cannabis
1646     product in a medicinal dosage form.
1647          (5) (a) Except as provided in Subsection (5)(b), a medical cannabis card that the
1648     department issues under this section is valid for the lesser of:
1649          (i) an amount of time that the qualified medical provider determines; or
1650          (ii) (A) for the first issuance, 30 days; or
1651          (B) for a renewal, six months.
1652          (b) (i) A medical cannabis card that the department issues in relation to a terminal
1653     illness described in Section 26-61a-104 does not expire.
1654          (ii) The recommending qualified medical provider may revoke a recommendation that
1655     the provider made in relation to a terminal illness described in Section 26-61a-104 if the
1656     medical cannabis cardholder no longer has the terminal illness.
1657          (6) (a) A medical cannabis patient card or a medical cannabis guardian card is
1658     renewable if:
1659          (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or
1660     (b); or
1661          (ii) the cardholder received the medical cannabis card through the recommendation of
1662     the compassionate use board under Section 26-61a-105.
1663          (b) A cardholder described in Subsection (6)(a) may renew the cardholder's card:
1664          (i) using the application process described in Subsection (3); or
1665          (ii) through phone or video conference with the qualified medical provider who made
1666     the recommendation underlying the card, at the qualifying medical provider's discretion.
1667          (c) A cardholder under Subsection (2)(a) or (b) who renews the cardholder's card shall
1668     pay to the department a renewal fee in an amount that:
1669          (i) subject to Subsection 26-61a-109(5), the department sets in accordance with Section
1670     63J-1-504; and

1671          (ii) may not exceed the cost of the relatively lower administrative burden of renewal in
1672     comparison to the original application process.
1673          (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional
1674     patient card renews automatically at the time the minor's parent or legal guardian renews the
1675     parent or legal guardian's associated medical cannabis guardian card.
1676          (e) The department may revoke a medical cannabis guardian card if the cardholder
1677     under Subsection (2)(b) is convicted of a misdemeanor or felony drug distribution offense
1678     under either state or federal law.
1679          (7) (a) A cardholder under this section shall carry the cardholder's valid medical
1680     cannabis card with the patient's name.
1681          (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may
1682     purchase, in accordance with this chapter and the recommendation underlying the card,
1683     cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a
1684     medical cannabis device.
1685          (ii) A cardholder under this section may possess or transport, in accordance with this
1686     chapter and the recommendation underlying the card, cannabis in a medicinal dosage form, a
1687     cannabis product in a medicinal dosage form, or a medical cannabis device.
1688          (iii) To address the qualifying condition underlying the medical cannabis treatment
1689     recommendation:
1690          (A) a medical cannabis patient cardholder or a provisional patient cardholder may use
1691     cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form,
1692     or a medical cannabis device; and
1693          (B) a medical cannabis guardian cardholder may assist the associated provisional
1694     patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis
1695     product in a medicinal dosage form, or a medical cannabis device.
1696          (c) If [neither] a licensed medical cannabis pharmacy [nor the state central fill medical
1697     cannabis pharmacy] is not operating within the state after January 1, 2021, a cardholder under
1698     this section is not subject to prosecution for the possession of:
1699          (i) no more than 113 grams of marijuana in a medicinal dosage form;
1700          (ii) an amount of cannabis product in a medicinal dosage form that contains no more
1701     than 20 grams of tetrahydrocannabinol; or

1702          (iii) marijuana drug paraphernalia.
1703          (8) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
1704     Utah Administrative Rulemaking Act, a process to provide information regarding the following
1705     to an individual receiving a medical cannabis card:
1706          (a) risks associated with medical cannabis treatment;
1707          (b) the fact that a condition's listing as a qualifying condition does not suggest that
1708     medical cannabis treatment is an effective treatment or cure for that condition, as described in
1709     Subsection 26-61a-104(1); and
1710          (c) other relevant warnings and safety information that the department determines.
1711          (9) The department may establish procedures by rule, in accordance with Title 63G,
1712     Chapter 3, Utah Administrative Rulemaking Act, to implement the application and issuance
1713     provisions of this section.
1714          (10) (a) A person may submit[,] to the department a request to conduct a [medical]
1715     research study using medical cannabis cardholder data that the state electronic verification
1716     system contains.
1717          (b) The department shall review a request described in Subsection (10)(a) to determine
1718     whether an institutional review board, as that term is defined in Section 26-61-102, could
1719     approve the [medical] research study [is valid].
1720          (c) [If the department makes a determination under Subsection (10)(b) that the medical
1721     research study is valid,] At the time an individual applies for a medical cannabis card, the
1722     department shall notify [each relevant] the individual:
1723          (i) of how the individual's information will be used as a cardholder [asking for];
1724          (ii) that by applying for a medical cannabis card, unless the individual withdraws
1725     consent under Subsection (10)(d), the individual consents to the use of the individual's
1726     information for external research; and
1727          (iii) that the individual may withdraw consent for the use of the individual's
1728     information for external research at any time, including at the time of application.
1729          (d) An applicant may, through the medical cannabis card application, and a medical
1730     cannabis cardholder may, through the state central patient portal, withdraw the applicant's or
1731     cardholder's consent to participate in [the study] external research at any time.
1732          [(d)] (e) The department may release, for the purposes of a study described in this

1733     Subsection (10), information about a cardholder under this section who consents to participate
1734     under Subsection (10)(c).
1735          (f) If an individual withdraws consent under Subsection (10)(d), the withdrawal of
1736     consent:
1737          (i) applies to external research that is initiated after the withdrawal of consent; and
1738          (ii) does not apply to research that was initiated before the withdrawal of consent.
1739          [(e)] (g) The department may establish standards for a medical research study's
1740     validity, by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
1741     Rulemaking Act.
1742          Section 27. Section 26-61a-202 is amended to read:
1743          26-61a-202. Medical cannabis caregiver card -- Registration -- Renewal --
1744     Revocation.
1745          (1) A cardholder described in Section 26-61a-201 may designate, through the state
1746     central patient portal, up to two individuals to serve as a designated caregiver for the
1747     cardholder if a qualified medical provider notates in the electronic verification system that the
1748     provider determines that, due to physical difficulty or undue hardship, including concerns of
1749     distance to a medical cannabis pharmacy, the cardholder needs assistance to obtain the medical
1750     cannabis treatment that the qualified medical provider recommends.
1751          (2) An individual that the department registers as a designated caregiver under this
1752     section:
1753          (a) may carry a valid medical cannabis caregiver card;
1754          (b) in accordance with this chapter, may purchase, possess, transport, or assist the
1755     patient in the use of cannabis in a medicinal dosage form, a cannabis product in a medicinal
1756     dosage form, or a medical cannabis device on behalf of the designating medical cannabis
1757     cardholder;
1758          (c) may not charge a fee to an individual to act as the individual's designated caregiver
1759     or for a service that the designated caregiver provides in relation to the role as a designated
1760     caregiver;
1761          (d) may accept reimbursement from the designating medical cannabis cardholder for
1762     direct costs the designated caregiver incurs for assisting with the designating cardholder's
1763     medicinal use of cannabis; and

1764          (e) if [neither] a licensed medical cannabis pharmacy [nor the state central fill medical
1765     cannabis pharmacy] is not operating within the state after January 1, 2021, is not subject to
1766     prosecution for the possession of:
1767          (i) no more than 113 grams of marijuana in a medicinal dosage form;
1768          (ii) an amount of cannabis product in a medicinal dosage form that contains no more
1769     than 20 grams of tetrahydrocannabinol; or
1770          (iii) marijuana drug paraphernalia.
1771          (3) (a) The department shall:
1772          (i) within 15 days after the day on which an individual submits an application in
1773     compliance with this section, issue a medical cannabis card to the applicant if the applicant:
1774          (A) is designated as a caregiver under Subsection (1);
1775          (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
1776          (C) complies with this section; and
1777          (ii) notify the Department of Public Safety of each individual that the department
1778     registers as a designated caregiver.
1779          (b) The department shall ensure that a medical cannabis caregiver card contains the
1780     information described in Subsection (5)(b).
1781          (4) An individual is eligible for a medical cannabis caregiver card if the individual:
1782          (a) is at least 21 years old;
1783          (b) is a Utah resident;
1784          (c) pays to the department a fee in an amount that, subject to Subsection
1785     26-61a-109(5), the department sets in accordance with Section 63J-1-504, plus the cost of the
1786     criminal background check described in Section 26-61a-203;
1787          (d) signs an acknowledgment stating that the applicant received the information
1788     described in Subsection 26-61a-201(8); and
1789          (e) has not been convicted of a misdemeanor or felony drug distribution offense that is
1790     a felony under either state or federal law, unless the individual completes any imposed sentence
1791     two or more years before the day on which the individual submits the application.
1792          (5) An eligible applicant for a medical cannabis caregiver card shall:
1793          (a) submit an application for a medical cannabis caregiver card to the department
1794     through an electronic application connected to the state electronic verification system; and

1795          (b) submit the following information in the application described in Subsection (5)(a):
1796          (i) the applicant's name, gender, age, and address;
1797          (ii) the name, gender, age, and address of the cardholder described in Section
1798     26-61a-201 who designated the applicant; and
1799          (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
1800     gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
1801     cannabis guardian cardholder.
1802          (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the
1803     department issues under this section is valid for the lesser of:
1804          (a) an amount of time that the cardholder described in Section 26-61a-201 who
1805     designated the caregiver determines; or
1806          (b) the amount of time remaining before the card of the cardholder described in Section
1807     26-61a-201 expires.
1808          (7) (a) If a designated caregiver meets the requirements of Subsection (4), the
1809     designated caregiver's medical cannabis caregiver card renews automatically at the time the
1810     cardholder described in Section 26-61a-201 who designated the caregiver:
1811          (i) renews the cardholder's card; and
1812          (ii) renews the caregiver's designation, in accordance with Subsection (7)(b).
1813          (b) The department shall provide a method in the card renewal process to allow a
1814     cardholder described in Section 26-61a-201 who has designated a caregiver to:
1815          (i) signify that the cardholder renews the caregiver's designation;
1816          (ii) remove a caregiver's designation; or
1817          (iii) designate a new caregiver.
1818          (8) The department may revoke a medical cannabis caregiver card if the designated
1819     caregiver:
1820          (a) violates this chapter; or
1821          (b) is convicted under state or federal law of:
1822          (i) a felony; or
1823          (ii) after December 3, 2018, a misdemeanor for drug distribution.
1824          Section 28. Section 26-61a-203 is amended to read:
1825          26-61a-203. Designated caregiver -- Guardian -- Criminal background check.

1826          (1) [Each] Except for an applicant reapplying for a medical cannabis card within less
1827     than one year after the expiration of the applicant's previous medical cannabis card, each
1828     applicant for a medical cannabis guardian card under Section 26-61a-201 or a medical cannabis
1829     caregiver card under Section 26-61a-202 shall:
1830          (a) submit to the department, at the time of application:
1831          (i) a fingerprint card in a form acceptable to the Department of Public Safety; and
1832          (ii) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
1833     registration of the applicant's fingerprints in the Federal Bureau of Investigation Next
1834     Generation Identification System's Rap Back Service; and
1835          (b) consent to a fingerprint background check by:
1836          (i) the Bureau of Criminal Identification; and
1837          (ii) the Federal Bureau of Investigation.
1838          (2) The Bureau of Criminal Identification shall:
1839          (a) check the fingerprints the applicant submits under Subsection (1)(a) against the
1840     applicable state, regional, and national criminal records databases, including the Federal
1841     Bureau of Investigation Next Generation Identification System;
1842          (b) report the results of the background check to the department;
1843          (c) maintain a separate file of fingerprints that applicants submit under Subsection
1844     (1)(a) for search by future submissions to the local and regional criminal records databases,
1845     including latent prints;
1846          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
1847     Generation Identification System's Rap Back Service for search by future submissions to
1848     national criminal records databases, including the Next Generation Identification System and
1849     latent prints; and
1850          (e) establish a privacy risk mitigation strategy to ensure that the department only
1851     receives notifications for an individual with whom the department maintains an authorizing
1852     relationship.
1853          (3) The department shall:
1854          (a) assess an applicant who submits fingerprints under Subsection (1)(a) a fee in an
1855     amount that the department sets in accordance with Section 63J-1-504 for the services that the
1856     Bureau of Criminal Identification or another authorized agency provides under this section; and

1857          (b) remit the fee described in Subsection (3)(a) to the Bureau of Criminal
1858     Identification.
1859          Section 29. Section 26-61a-204 is amended to read:
1860          26-61a-204. Medical cannabis card -- Patient and designated caregiver
1861     requirements -- Rebuttable presumption.
1862          (1) (a) A medical cannabis cardholder who possesses cannabis in a medicinal dosage
1863     form or a cannabis product in a medicinal dosage form that the cardholder purchased under this
1864     chapter shall:
1865          (i) carry at all times the cardholder's medical cannabis card;
1866          (ii) carry, with the cannabis in a medicinal dosage form or cannabis product in a
1867     medicinal dosage form, a label that identifies that the cannabis or cannabis product:
1868          (A) was sold from a licensed medical cannabis pharmacy [or the state central fill
1869     medical cannabis pharmacy]; and
1870          (B) includes an identification number that links the cannabis or cannabis product to the
1871     inventory control system; and
1872          (iii) possess not more than:
1873          (A) 113 grams of unprocessed cannabis; or
1874          (B) an amount of cannabis product that contains 20 grams of total composite
1875     tetrahydrocannabinol.
1876          (b) A medical cannabis cardholder who possesses cannabis in a medicinal dosage form
1877     or a cannabis product in a medicinal dosage form in violation of Subsection (1)(a) is:
1878          (i) guilty of an infraction; and
1879          (ii) subject to a $100 fine.
1880          (c) A medical cannabis cardholder who possesses between 113 and 226 grams of
1881     unprocessed cannabis or a total amount of cannabis product that contains between 20 and 40
1882     grams of total composite tetrahydrocannabinol is:
1883          (i) guilty of a class B misdemeanor; and
1884          (ii) subject to a fine of $1,000.
1885          (d) An individual who is guilty of a violation described in Subsection (1)(b) or (c) is
1886     not guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the
1887     conduct underlying the penalty described in Subsection (1)(b) or (c).

1888          (e) A medical cannabis cardholder who possesses more than 226 grams of unprocessed
1889     cannabis or a total amount of cannabis product that contains more than 40 grams of total
1890     composite tetrahydrocannabinol is subject to the penalties described in Title 58, Chapter 37,
1891     Utah Controlled Substances Act.
1892          (2) (a) As used in this Subsection (2), "emergency medical condition" means the same
1893     as that term is defined in Section 31A-22-627.
1894          (b) Except as described in Subsection (2)(c), a medical cannabis patient cardholder or a
1895     provisional patient cardholder may not use, in public view, cannabis or a cannabis product.
1896          (c) In the event of an emergency medical condition, an individual described in
1897     Subsection (2)(b) may use, and the holder of a medical cannabis guardian card or a medical
1898     cannabis caregiver card may administer to the cardholder's charge, in public view, cannabis in a
1899     medicinal dosage form or a cannabis product in a medicinal dosage form.
1900          (3) If a medical cannabis cardholder carrying the cardholder's card possesses cannabis
1901     in a medicinal dosage form or a cannabis product in compliance with Subsection (1), or a
1902     medical cannabis device that corresponds with the cannabis or cannabis product:
1903          (a) there is a rebuttable presumption that the cardholder possesses the cannabis,
1904     cannabis product, or medical cannabis device legally; and
1905          (b) there is no probable cause, based solely on the cardholder's possession of the
1906     cannabis in medicinal dosage form, cannabis product in medicinal dosage form, or medical
1907     cannabis device, to believe that the cardholder is engaging in illegal activity.
1908          (4) (a) If a law enforcement officer stops an individual who possesses cannabis in a
1909     medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis
1910     device, and the individual represents to the law enforcement officer that the individual holds a
1911     valid medical cannabis card, but the individual does not have the medical cannabis card in the
1912     individual's possession at the time of the stop by the law enforcement officer, the law
1913     enforcement officer shall attempt to access the state electronic verification system to determine
1914     whether the individual holds a valid medical cannabis card.
1915          (b) If the law enforcement officer is able to verify that the individual described in
1916     Subsection (4)(a) is a valid medical cannabis cardholder, the law enforcement officer:
1917          (i) may not arrest or take the individual into custody for the sole reason that the
1918     individual is in possession of cannabis in a medicinal dosage form, a cannabis product in a

1919     medicinal dosage form, or a medical cannabis device; and
1920          (ii) may not seize the cannabis, cannabis product, or medical cannabis device.
1921          Section 30. Section 26-61a-301 is amended to read:
1922          26-61a-301. Medical cannabis pharmacy -- License -- Eligibility.
1923          (1) A person may not operate as a medical cannabis pharmacy without a license that
1924     the department issues under this part.
1925          (2) (a) (i) Subject to Subsections (4) and (5) and to Section 26-61a-305, the department
1926     shall[,] issue a license to operate a medical cannabis pharmacy in accordance with Title 63G,
1927     Chapter 6a, Utah Procurement Code[,].
1928          (ii) The department may not issue a license to operate a medical cannabis pharmacy to
1929     an applicant who is not eligible for a license under this section.     
1930          (b) An applicant is eligible for a license under this section if the applicant submits to
1931     the department:
1932          (i) subject to Subsection (2)(c), a proposed name and address where the applicant will
1933     operate the medical cannabis pharmacy;
1934          (ii) the name and address of an individual who:
1935          (A) has a financial or voting interest of 2% or greater in the proposed medical cannabis
1936     pharmacy; or
1937          (B) has the power to direct or cause the management or control of a proposed cannabis
1938     production establishment;
1939          (iii) evidence that the applicant [has obtained] will obtain and [maintains] maintain a
1940     performance bond that a surety authorized to transact surety business in the state issues in an
1941     amount of at least $125,000 for each application that the applicant submits to the department;
1942          (iv) an operating plan that:
1943          (A) complies with Section 26-61a-304; and
1944          (B) includes operating procedures to comply with the operating requirements for a
1945     medical cannabis pharmacy described in this chapter and with a relevant municipal or county
1946     law that is consistent with Section 26-61a-507;
1947          [(v) if the municipality or county where the proposed medical cannabis pharmacy
1948     would be located requires a local land use permit, a copy of the person's approved application
1949     for the local land use permit; and]

1950          [(vi)] (v) an application fee in an amount that, subject to Subsection 26-61a-109(5), the
1951     department sets in accordance with Section 63J-1-504[.]; and
1952          (vi) a description of any investigation or adverse action taken by any licensing
1953     jurisdiction, government agency, law enforcement agency, or court in any state for any
1954     violation or detrimental conduct in relation to any of the applicant's cannabis-related operations
1955     or businesses.
1956          (c) (i) A person may not locate a medical cannabis pharmacy:
1957          (A) within 200 feet of a community location; or
1958          (B) in or within 600 feet of an area that the relevant municipality or county has zoned
1959     as primarily residential.
1960          (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured
1961     from the nearest entrance to the medical cannabis pharmacy establishment by following the
1962     shortest route of ordinary pedestrian travel to the property boundary of the community location
1963     or residential area.
1964          (iii) The department may grant a waiver to reduce the proximity requirements in
1965     Subsection (2)(c)(i) by up to 20% if the department determines that it is not reasonably feasible
1966     for the applicant to site the proposed medical cannabis pharmacy without the waiver.
1967          [(ii)] (iv) An applicant for a license under this section shall provide evidence of
1968     compliance with the proximity [requirement] requirements described in Subsection (2)(c)(i).
1969          [(d) Except as provided in Subsection (2)(c), a medical cannabis pharmacy is a
1970     permitted use in all zoning districts within a municipality or county.]
1971          (d) The department may not issue a license to an eligible applicant that the department
1972     has selected to receive a license until the selected eligible applicant obtains the performance
1973     bond described in Subsection (2)(b)(iii).
1974          (e) If the department receives more than one application for a medical cannabis
1975     pharmacy within the same city or town, the department shall consult with the local land use
1976     authority before approving any of the applications pertaining to that city or town.
1977          (3) If the department [determines that] selects an applicant [is eligible] for a medical
1978     cannabis pharmacy license under this section, the department shall:
1979          (a) charge the applicant an initial license fee in an amount that, subject to Subsection
1980     26-61a-109(5), the department sets in accordance with Section 63J-1-504; and

1981          (b) notify the Department of Public Safety of the license approval and the names of
1982     each individual described in Subsection (2)(b)(ii).
1983          (4) The department may not issue a license to operate a medical cannabis pharmacy to
1984     an applicant if an individual described in Subsection (2)(b)(ii):
1985          (a) has been convicted under state or federal law of:
1986          (i) a felony; or
1987          (ii) after December 3, 2018, a misdemeanor for drug distribution; or
1988          (b) is younger than 21 years old.
1989          (5) If an applicant for a medical cannabis pharmacy license under this section holds a
1990     license under Title 4, Chapter 41, Hemp and Cannabinoid Act, or Title 4, Chapter 41a,
1991     Cannabis Production Establishments, the department:
1992          (a) shall consult with the Department of Agriculture and Food regarding the applicant;
1993     and
1994          (b) may not give preference to the applicant based on the applicant's status as a holder
1995     of a license described in this Subsection (5).
1996          (6) The department may revoke a license under this part if:
1997          (a) the medical cannabis pharmacy does not begin operations within one year after the
1998     day on which the department issues the initial license;
1999          (b) the medical cannabis pharmacy makes the same violation of this chapter three
2000     times; [or]
2001          (c) an individual described in Subsection (2)(b)(ii) is convicted, while the license is
2002     active, under state or federal law of:
2003          (i) a felony; or
2004          (ii) after December 3, 2018, a misdemeanor for drug distribution[.]; or
2005          (d) the licensee fails to provide the information described in Subsection (2)(b)(vi) at
2006     the time of application, or fails to supplement the information described in Subsection
2007     (2)(b)(vi) with any investigation or adverse action that occurs after the submission of the
2008     application.
2009          (7) (a) A person who receives a medical cannabis pharmacy license under this chapter,
2010     if the municipality or county where the licensed medical cannabis pharmacy will be located
2011     requires a local land use permit, shall submit to the department a copy of the licensee's

2012     approved application for the land use permit within 120 days after the day on which the
2013     department issues the license.
2014          (b) If a licensee fails to submit to the department a copy the licensee's approved land
2015     use permit application in accordance with Subsection (7)(a), the department may revoke the
2016     licensee's license.
2017          [(7)] (8) The department shall deposit the proceeds of a fee imposed by this section in
2018     the Qualified Patient Enterprise Fund.
2019          [(8)] (9) The department shall begin accepting applications under this part on or before
2020     March 1, 2020.
2021          [(9)] (10) (a) The department's authority to issue a license under this section is plenary
2022     and is not subject to review.
2023          (b) Notwithstanding Subsection (2), the decision of the department to award a license
2024     to an applicant is not subject to:
2025          (i) Title 63G, Chapter 6a, Part 16, Protests; or
2026          (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board.
2027          Section 31. Section 26-61a-302 is amended to read:
2028          26-61a-302. Medical cannabis pharmacy owners and directors -- Criminal
2029     background checks.
2030          (1) Each applicant [for] to whom the department issues a notice of intent to award a
2031     license to operate as a medical cannabis pharmacy shall submit, [at the time of application]
2032     before the department may award the license, from each individual who has a financial or
2033     voting interest of 2% or greater in the applicant or who has the power to direct or cause the
2034     management or control of the applicant:
2035          (a) a fingerprint card in a form acceptable to the Department of Public Safety;
2036          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
2037     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
2038     Generation Identification System's Rap Back Service; and
2039          (c) consent to a fingerprint background check by:
2040          (i) the Bureau of Criminal Identification; and
2041          (ii) the Federal Bureau of Investigation.
2042          (2) The Bureau of Criminal Identification shall:

2043          (a) check the fingerprints the applicant submits under Subsection (1) against the
2044     applicable state, regional, and national criminal records databases, including the Federal
2045     Bureau of Investigation Next Generation Identification System;
2046          (b) report the results of the background check to the department;
2047          (c) maintain a separate file of fingerprints that applicants submit under Subsection (1)
2048     for search by future submissions to the local and regional criminal records databases, including
2049     latent prints;
2050          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
2051     Generation Identification System's Rap Back Service for search by future submissions to
2052     national criminal records databases, including the Next Generation Identification System and
2053     latent prints; and
2054          (e) establish a privacy risk mitigation strategy to ensure that the department only
2055     receives notifications for an individual with whom the department maintains an authorizing
2056     relationship.
2057          (3) The department shall:
2058          (a) assess an individual who submits fingerprints under Subsection (1) a fee in an
2059     amount that the department sets in accordance with Section 63J-1-504 for the services that the
2060     Bureau of Criminal Identification or another authorized agency provides under this section; and
2061          (b) remit the fee described in Subsection (3)(a) to the Bureau of Criminal
2062     Identification.
2063          Section 32. Section 26-61a-304 is amended to read:
2064          26-61a-304. Operating plan.
2065          A person applying for a medical cannabis pharmacy license shall submit to the
2066     department a proposed operation plan for the medical cannabis pharmacy that complies with
2067     this section and that includes:
2068          (1) a description of the physical characteristics of the proposed facility, including a
2069     floor plan and an architectural elevation;
2070          (2) a description of the credentials and experience of:
2071          (a) each officer, director, or owner of the proposed medical cannabis pharmacy; and
2072          (b) any highly skilled or experienced prospective employee;
2073          (3) the medical cannabis pharmacy's employee training standards;

2074          (4) a security plan;
2075          (5) a description of the medical cannabis pharmacy's inventory control system,
2076     including a plan to make the inventory control system compatible with the state electronic
2077     verification system; [and]
2078          (6) storage protocols, both short- and long-term, to ensure that cannabis is stored in a
2079     manner that is sanitary and preserves the integrity of the cannabis[.]; and
2080          (7) a description of the proposed medical cannabis pharmacy's strategic plan for
2081     opening the medical cannabis pharmacy, including gauging appropriate timing based on:
2082          (a) the supply of medical cannabis and medical cannabis products, in consultation with
2083     the Department of Agriculture and Food; and
2084          (b) the quantity and condition of the population of medical cannabis cardholders, in
2085     consultation with the department.
2086          Section 33. Section 26-61a-305 is amended to read:
2087          26-61a-305. Maximum number of licenses.
2088          (1) (a) Except as provided in Subsection (1)(b), if a sufficient number of applicants
2089     apply, the department [may not] shall issue [more than seven] 12 medical cannabis pharmacy
2090     licenses in accordance with this section.
2091          [(b) (i) In addition to the licenses described in Subsection (1)(a), the department shall
2092     issue an eighth license if the state central fill medical cannabis pharmacy:]
2093          [(A) is not operational by January 1, 2021; or]
2094          [(B) ceases operations after January 1, 2021.]
2095          [(ii) In addition to the licenses described in Subsections (1)(a) and (1)(b)(i), the
2096     department shall issue a ninth license if the state central fill medical cannabis pharmacy:]
2097          [(A) is not operational by July 1, 2021; or]
2098          [(B) ceases operations after July 1, 2021.]
2099          [(iii) In addition to the licenses described in Subsections (1)(a), (1)(b)(i), and (1)(b)(ii),
2100     the department shall issue a tenth license if the state central fill medical cannabis pharmacy:]
2101          [(A) is not operational by January 1, 2022; or]
2102          [(B) ceases operations after January 1, 2022.]
2103          [(iv) The department shall issue the licenses described in Subsection (1)(b)(i), (ii), and
2104     (iii), if a final order of a court enjoins or invalidates the operation of the state central fill

2105     medical cannabis pharmacy.]
2106          (b) If fewer than 12 qualified applicants apply for a medical cannabis pharmacy
2107     license, the department shall issue a medical cannabis pharmacy license to each qualified
2108     applicant.
2109          (c) The department may issue licenses in two phases in accordance with this
2110     Subsection (1)(c).
2111          (i) Using one procurement process, the department may issue seven licenses to an
2112     initial group of medical cannabis pharmacies and five licenses to a second group of medical
2113     cannabis pharmacies.
2114          (ii) If the department issues licenses in two phases in accordance with this Subsection
2115     (1)(c), the department shall:
2116          (A) divide the state into no less than four geographic regions;
2117          (B) issue at least one license in each geographic region during each phase of issuing
2118     licenses; and
2119          (C) complete the process of issuing medical cannabis pharmacy licenses no later than
2120     July 1, 2020.
2121          (2) (a) If there are more qualified applicants than there are available licenses for
2122     medical cannabis pharmacies, the department shall:
2123          [(a)] (i) evaluate each applicant and award the license to the applicant that best
2124     demonstrates:
2125          [(i)] (A) experience with establishing and successfully operating a business that
2126     involves complying with a regulatory environment, tracking inventory, and training, evaluating,
2127     and monitoring employees;
2128          [(ii)] (B) an operating plan that will best ensure the safety and security of patrons and
2129     the community;
2130          [(iii)] (C) positive connections to the local community;
2131          [(iv)] (D) the suitability of the proposed location and the location's accessibility for
2132     qualifying patients; [and]
2133          [(v)] (E) the extent to which the applicant can reduce the cost of cannabis or cannabis
2134     products for patients; and
2135          (F) a strategic plan described in Subsection 26-61a-304(7) that has a comparatively

2136     high likelihood of success; and
2137          [(b)] (ii) ensure a geographic dispersal among licensees that is sufficient to reasonably
2138     maximize access to the largest number of medical cannabis cardholders.
2139          (b) In making the evaluation described in Subsection (2)(a), the department may give
2140     increased consideration to applicants who indicate a willingness to:
2141          (i) operate as a home delivery medical cannabis pharmacy that accepts electronic
2142     medical cannabis orders that the state central patient portal facilitates; and
2143          (ii) accept payments through:
2144          (A) a payment provider that the Division of Finance approves, in consultation with the
2145     state treasurer, in accordance with Section 26-61a-603; or
2146          (B) a financial institution in accordance with Subsection 26-61a-603(4).
2147          (3) The department may conduct a face-to-face interview with an applicant for a
2148     license that the department evaluates under Subsection (2).
2149          (4) (a) The department may designate a medical cannabis pharmacy as a home delivery
2150     medical cannabis pharmacy if the department determines that the medical cannabis pharmacy's
2151     operating plan demonstrates the functional and technical ability to:
2152          (i) safely conduct transactions for medical cannabis shipments;
2153          (ii) accept electronic medical cannabis orders that the state central patient portal
2154     facilitates; and
2155          (iii) accept payments through:
2156          (A) a payment provider that the Division of Finance approves, in consultation with the
2157     state treasurer, in accordance with Section 26-61a-603; or
2158          (B) a financial institution in accordance with Subsection 26-61a-603(4).
2159          (b) An applicant seeking a designation as a home delivery medical cannabis pharmacy
2160     shall identify in the applicant's operating plan any information relevant to the department's
2161     evaluation described in Subsection (4)(a), including:
2162          (i) the name and contact information of the payment provider;
2163          (ii) the nature of the relationship between the prospective licensee and the payment
2164     provider;
2165          (iii) the processes of the following to safely and reliably conduct transactions for
2166     medical cannabis shipments:

2167          (A) the prospective licensee; and
2168          (B) the electronic payment provider or the financial institution described in Subsection
2169     (4)(a)(iii); and
2170          (iv) the ability of the licensee to comply with the department's rules regarding the
2171     secure transportation and delivery of medical cannabis or medical cannabis product to a
2172     medical cannabis cardholder.
2173          (c) Notwithstanding any county or municipal ordinance, a medical cannabis pharmacy
2174     that the department designates as a home delivery medical cannabis pharmacy may deliver
2175     medical cannabis shipments in accordance with this chapter.
2176          Section 34. Section 26-61a-401 is amended to read:
2177          26-61a-401. Medical cannabis pharmacy agent -- Registration.
2178          (1) An individual may not serve as a medical cannabis pharmacy agent of a medical
2179     cannabis pharmacy unless the department registers the individual as a medical cannabis
2180     pharmacy agent.
2181          (2) Except as provided in Section 26-61a-403, [the following individuals, regardless of
2182     the individual's status as] a qualified medical provider[,] may not act as a medical cannabis
2183     pharmacy agent, have a financial or voting interest of 2% or greater in a medical cannabis
2184     pharmacy, or have the power to direct or cause the management or control of a medical
2185     cannabis pharmacy[:].
2186          [(a) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
2187     Practice Act;]
2188          [(b) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
2189     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or]
2190          [(c) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
2191     Assistant Act.]
2192          (3) (a) The department shall, within 15 days after the day on which the department
2193     receives a complete application from a medical cannabis pharmacy on behalf of a prospective
2194     medical cannabis pharmacy agent, register and issue a medical cannabis pharmacy agent
2195     registration card to the prospective agent if the medical cannabis pharmacy:
2196          (i) provides to the department:
2197          (A) the prospective agent's name and address;

2198          (B) the name and location of the licensed medical cannabis pharmacy where the
2199     prospective agent seeks to act as the medical cannabis pharmacy agent; and
2200          (C) the submission required under Subsection (3)(b); and
2201          (ii) pays a fee to the department in an amount that, subject to Subsection
2202     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
2203          (b) [Each] Except for an applicant reapplying for a medical cannabis pharmacy agent
2204     registration card within less than one year after the expiration of the applicant's previous
2205     medical cannabis pharmacy agent registration card, each prospective agent described in
2206     Subsection (3)(a) shall:
2207          (i) submit to the department:
2208          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
2209          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
2210     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
2211     Generation Identification System's Rap Back Service; and
2212          (ii) consent to a fingerprint background check by:
2213          (A) the Bureau of Criminal Identification; and
2214          (B) the Federal Bureau of Investigation.
2215          (c) The Bureau of Criminal Identification shall:
2216          (i) check the fingerprints the prospective agent submits under Subsection (3)(b) against
2217     the applicable state, regional, and national criminal records databases, including the Federal
2218     Bureau of Investigation Next Generation Identification System;
2219          (ii) report the results of the background check to the department;
2220          (iii) maintain a separate file of fingerprints that prospective agents submit under
2221     Subsection (3)(b) for search by future submissions to the local and regional criminal records
2222     databases, including latent prints;
2223          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
2224     Generation Identification System's Rap Back Service for search by future submissions to
2225     national criminal records databases, including the Next Generation Identification System and
2226     latent prints; and
2227          (v) establish a privacy risk mitigation strategy to ensure that the department only
2228     receives notifications for an individual with whom the department maintains an authorizing

2229     relationship.
2230          (d) The department shall:
2231          (i) assess an individual who submits fingerprints under Subsection (3)(b) a fee in an
2232     amount that the department sets in accordance with Section 63J-1-504 for the services that the
2233     Bureau of Criminal Identification or another authorized agency provides under this section; and
2234          (ii) remit the fee described in Subsection (3)(d)(i) to the Bureau of Criminal
2235     Identification.
2236          (4) The department shall designate, on an individual's medical cannabis pharmacy
2237     agent registration card the name of the medical cannabis pharmacy where the individual is
2238     registered as an agent.
2239          (5) A medical cannabis pharmacy agent shall comply with a certification standard that
2240     the department develops in collaboration with the Division of Occupational and Professional
2241     Licensing and the Board of Pharmacy, or a third-party certification standard that the department
2242     designates by rule, in collaboration with the Division of Occupational and Professional
2243     Licensing and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah
2244     Administrative Rulemaking Act.
2245          (6) The department shall ensure that the certification standard described in Subsection
2246     (5) includes training in:
2247          (a) Utah medical cannabis law; and
2248          (b) medical cannabis pharmacy best practices.
2249          (7) The department may revoke the medical cannabis pharmacy agent registration card
2250     of, or refuse to issue a medical cannabis pharmacy agent registration card to, an individual
2251     who:
2252          (a) violates the requirements of this chapter; or
2253          (b) is convicted under state or federal law of:
2254          (i) a felony; or
2255          (ii) after December 3, 2018, a misdemeanor for drug distribution.
2256          (8) (a) A medical cannabis pharmacy agent registration card expires two years after the
2257     day on which the department issues or renews the card.
2258          (b) A medical cannabis pharmacy agent may renew the agent's registration card if the
2259     agent:

2260          (i) is eligible for a medical cannabis pharmacy agent registration card under this
2261     section;
2262          (ii) certifies to the department in a renewal application that the information in
2263     Subsection (3)(a) is accurate or updates the information; and
2264          (iii) pays to the department a renewal fee in an amount that:
2265          (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
2266     Section 63J-1-504; and
2267          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
2268     comparison to the original application process.
2269          Section 35. Section 26-61a-403 is amended to read:
2270          26-61a-403. Pharmacy medical providers -- Registration -- Continuing education.
2271          (1) (a) A medical cannabis pharmacy:
2272          (i) shall employ a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy
2273     Practice Act, as a pharmacy medical provider;
2274          (ii) may employ a physician who has the authority to write a prescription and is
2275     licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah
2276     Osteopathic Medical Practice Act, as a pharmacy medical provider;
2277          (iii) shall ensure that a pharmacy medical provider described in Subsection (1)(a)(i)
2278     works onsite during all business hours; and
2279          (iv) shall designate one pharmacy medical provider described in Subsection (1)(a)(i) as
2280     the pharmacist-in-charge to oversee the operation of and generally supervise the medical
2281     cannabis pharmacy.
2282          (b) An individual may not serve as a pharmacy medical provider unless the department
2283     registers the individual as a pharmacy medical provider in accordance with Subsection (2).
2284          (2) (a) The department shall, within 15 days after the day on which the department
2285     receives an application from a medical cannabis pharmacy on behalf of a prospective pharmacy
2286     medical provider, register and issue a pharmacy medical provider registration card to the
2287     prospective pharmacy medical provider if the medical cannabis pharmacy:
2288          (i) provides to the department:
2289          (A) the prospective pharmacy medical provider's name and address;
2290          (B) the name and location of the licensed medical cannabis pharmacy where the

2291     prospective pharmacy medical provider seeks to act as a pharmacy medical provider;
2292          (C) a report detailing the completion of the continuing education requirement described
2293     in Subsection (3); and
2294          (D) evidence that the prospective pharmacy medical provider is a pharmacist who is
2295     licensed under Title 58, Chapter 17b, Pharmacy Practice Act, or a physician who has the
2296     authority to write a prescription and is licensed under Title 58, Chapter 67, Utah Medical
2297     Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
2298          (ii) pays a fee to the department in an amount that, subject to Subsection
2299     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
2300          (b) The department may not register a qualified medical provider or a state central [fill]
2301     patient portal medical provider as a pharmacy medical provider.
2302          (3) (a) A pharmacy medical provider shall complete the continuing education described
2303     in this Subsection (3) in the following amounts:
2304          (i) as a condition precedent to registration, four hours; and
2305          (ii) as a condition precedent to renewal of the registration, four hours every two years.
2306          (b) In accordance with Subsection (3)(a), the pharmacy medical provider shall:
2307          (i) complete continuing education:
2308          (A) regarding the topics described in Subsection (3)(d); and
2309          (B) offered by the department under Subsection (3)(c) or an accredited or approved
2310     continuing education provider that the department recognizes as offering continuing education
2311     appropriate for the medical cannabis pharmacy practice; and
2312          (ii) make a continuing education report to the department in accordance with a process
2313     that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
2314     Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
2315     Professional Licensing and:
2316          (A) for a pharmacy medical provider who is licensed under Title 58, Chapter 17b,
2317     Pharmacy Practice Act, the Board of Pharmacy;
2318          (B) for a pharmacy medical provider licensed under Title 58, Chapter 67, Utah Medical
2319     Practice Act, the Physicians Licensing Board; and
2320          (C) for a pharmacy medical provider licensed under Title 58, Chapter 68, Utah
2321     Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board.

2322          (c) The department may, in consultation with the Division of Occupational and
2323     Professional Licensing, develop the continuing education described in this Subsection (3).
2324          (d) The continuing education described in this Subsection (3) may discuss:
2325          (i) the provisions of this chapter;
2326          (ii) general information about medical cannabis under federal and state law;
2327          (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
2328     including risks and benefits;
2329          (iv) recommendations for medical cannabis as it relates to the continuing care of a
2330     patient in pain management, risk management, potential addiction, and palliative care; or
2331          (v) best practices for recommending the form and dosage of a medical cannabis
2332     product based on the qualifying condition underlying a medical cannabis recommendation.
2333          (4) (a) A pharmacy medical provider registration card expires two years after the day
2334     on which the department issues or renews the card.
2335          (b) A pharmacy medical provider may renew the provider's registration card if the
2336     provider:
2337          (i) is eligible for a pharmacy medical provider registration card under this section;
2338          (ii) certifies to the department in a renewal application that the information in
2339     Subsection (2)(a) is accurate or updates the information;
2340          (iii) submits a report detailing the completion of the continuing education requirement
2341     described in Subsection (3); and
2342          (iv) pays to the department a renewal fee in an amount that:
2343          (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
2344     Section 63J-1-504; and
2345          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
2346     comparison to the original application process.
2347          Section 36. Section 26-61a-502 is amended to read:
2348          26-61a-502. Dispensing -- Amount a medical cannabis pharmacy may dispense --
2349     Reporting -- Form of cannabis or cannabis product.
2350          (1) (a) A medical cannabis pharmacy may not sell a product other than, subject to this
2351     chapter:
2352          (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy acquired

2353     from a cannabis processing facility that is licensed under Section 4-41a-201;
2354          (ii) a cannabis product in a medicinal dosage form that the medical cannabis pharmacy
2355     acquired from a cannabis processing facility that is licensed under Section 4-41a-201;
2356          (iii) a medical cannabis device; or
2357          (iv) educational material related to the medical use of cannabis.
2358          (b) A medical cannabis pharmacy may only sell an item listed in Subsection (1)(a) to
2359     an individual with:
2360          (i) a medical cannabis card; and
2361          (ii) a corresponding valid form of photo identification [that is a valid United States
2362     federal- or state-issued photo identification, including a driver license, a United States passport,
2363     a United States passport card, or a United States military identification card].
2364          (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
2365     cannabis-based drug that the United States Food and Drug Administration has approved.
2366          (2) A medical cannabis pharmacy may not dispense:
2367          (a) to a medical cannabis cardholder in any one [12] 28-day period, more than the
2368     lesser of:
2369          [(i) an amount sufficient to provide 14 days of treatment based on the dosing
2370     parameters that the relevant qualified medical provider recommends; or]
2371          [(ii) (A) 56 grams by weight of unprocessed cannabis that is in a medicinal dosage form
2372     and that carries a label clearly displaying the amount of tetrahydrocannabinol and cannabidiol
2373     in the cannabis; or]
2374          [(B) an amount of cannabis products that is in a medicinal dosage form and that
2375     contains, in total, greater than 10 grams of total composite tetrahydrocannabinol;]
2376          [(b) to a medical cannabis cardholder whose primary residence is located more than
2377     100 miles from the nearest medical cannabis pharmacy or local health department, in any one
2378     28-day period, more than the lesser of:]
2379          (i) an amount sufficient to provide 30 days of treatment based on the dosing parameters
2380     that the relevant qualified medical provider recommends; or
2381          (ii) (A) 113 grams by weight of unprocessed cannabis that is in a medicinal dosage
2382     form and that carries a label clearly displaying the amount of tetrahydrocannabinol and
2383     cannabidiol in the cannabis; or

2384          (B) an amount of cannabis products that is in a medicinal dosage form and that
2385     contains, in total, greater than 20 grams of total composite tetrahydrocannabinol; or
2386          [(c)] (b) to an individual whose qualified medical provider did not recommend dosing
2387     parameters, until the individual consults with the pharmacy medical provider in accordance
2388     with Subsection (4), any cannabis or cannabis products.
2389          (3) An individual with a medical cannabis card may not purchase:
2390          (a) more cannabis or cannabis products than the amounts designated in Subsection (2)
2391     in any one [12-day] 28-day period; or
2392          (b) if the relevant qualified medical provider did not recommend dosing parameters,
2393     until the individual consults with the pharmacy medical provider in accordance with
2394     Subsection (4), any cannabis or cannabis products.
2395          (4) If a qualified medical provider recommends treatment with medical cannabis or a
2396     cannabis product but does not provide dosing parameters:
2397          (a) the qualified medical provider shall document in the recommendation:
2398          (i) an evaluation of the qualifying condition underlying the recommendation;
2399          (ii) prior treatment attempts with cannabis and cannabis products; and
2400          (iii) the patient's current medication list; and
2401          (b) before the relevant medical cannabis cardholder may obtain cannabis in a medicinal
2402     dosage form or a cannabis product in a medicinal dosage form, the pharmacy medical provider
2403     shall:
2404          (i) review pertinent medical records, including the qualified medical provider
2405     documentation described in Subsection (4)(a); and
2406          (ii) unless the pertinent medical records show dosing parameters from a state central
2407     patient portal medical provider in accordance with Subsection (5), after completing the review
2408     described in Subsection (4)(b)(i) and consulting with the recommending qualified medical
2409     provider as needed, determine the best course of treatment through consultation with the
2410     cardholder regarding:
2411          (A) the patient's qualifying condition underlying the recommendation from the
2412     qualified medical provider;
2413          (B) indications for available treatments;
2414          (C) dosing parameters; and

2415          (D) potential adverse reactions.
2416          (5) (a) A state central patient portal medical provider may provide the consultation and
2417     make the determination described in Subsection (4)(b) for a medical cannabis patient
2418     cardholder regarding an electronic order that the state central patient portal facilitates.
2419          (b) The state central patient portal medical provider described in Subsection (5)(a)
2420     shall document the dosing parameters determined under Subsection (5)(a) in the pertinent
2421     medical records.
2422          [(5)] (6) A medical cannabis pharmacy shall:
2423          (a) (i) access the state electronic verification system before dispensing cannabis or a
2424     cannabis product to a medical cannabis cardholder in order to determine if the cardholder or,
2425     where applicable, the associated patient has met the maximum amount of cannabis or cannabis
2426     products described in Subsection (2); and
2427          (ii) if the verification in Subsection [(5)] (6)(a)(i) indicates that the individual has met
2428     the maximum amount described in Subsection (2):
2429          (A) decline the sale; and
2430          (B) notify the qualified medical provider who made the underlying recommendation;
2431          (b) submit a record to the state electronic verification system each time the medical
2432     cannabis pharmacy dispenses cannabis or a cannabis product to a medical cannabis cardholder;
2433          (c) package any cannabis or cannabis product that is in a blister pack in a container
2434     that:
2435          (i) complies with Subsection 4-41a-602(2);
2436          (ii) is tamper-resistant and tamper-evident; and
2437          (iii) opaque; and
2438          (d) for a product that is a cube that is designed for ingestion through chewing or
2439     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
2440     of over-consumption.
2441          [(6)] (7) (a) Except as provided in Subsection [(6)] (7)(b), a medical cannabis
2442     pharmacy may not sell medical cannabis in the form of a cigarette or a medical cannabis device
2443     that is intentionally designed or constructed to resemble a cigarette.
2444          (b) A medical cannabis pharmacy may sell a medical cannabis device that warms
2445     cannabis material into a vapor without the use of a flame and that delivers cannabis to an

2446     individual's respiratory system.
2447          [(7)] (8) A medical cannabis pharmacy may not give, at no cost, a product that the
2448     medical cannabis pharmacy is allowed to sell under Subsection (1).
2449          [(8)] (9) The department may impose a uniform fee on each medical cannabis
2450     cardholder transaction in a medical cannabis pharmacy in an amount that, subject to Subsection
2451     26-61a-109(5), the department sets in accordance with Section 63J-1-504.
2452          Section 37. Section 26-61a-503 is amended to read:
2453          26-61a-503. Partial filling.
2454          (1) As used in this section, "partially fill" means to provide less than the full amount of
2455     cannabis or cannabis product that the qualified medical provider recommends, if the qualified
2456     medical provider recommended specific dosing parameters.
2457          (2) A pharmacy medical provider may partially fill a recommendation for a medical
2458     cannabis treatment at the request of the qualified medical provider who issued the medical
2459     cannabis treatment recommendation or the medical cannabis cardholder.
2460          (3) The department shall make rules, in collaboration with the Division of
2461     Occupational and Professional Licensing and the Board of Pharmacy and in accordance with
2462     Title 63G, Chapter 3, Utah Administrative Rulemaking Act, specifying how to record the date,
2463     quantity supplied, and quantity remaining of a partially filled medical cannabis treatment
2464     recommendation.
2465          (4) A pharmacy medical provider who is a pharmacist may, upon the request of a
2466     medical cannabis cardholder, determine different dosing parameters, subject to the dosing
2467     limits in Subsection 26-61a-502(2), to fill the quantity remaining of a partially filled medical
2468     cannabis treatment recommendation if:
2469          (a) the pharmacy medical provider determined dosing parameters for the partial fill
2470     under Subsection 26-61a-502(4) or (5); and
2471          (b) the medical cannabis cardholder reports that:
2472          (i) the partial fill did not substantially affect the qualifying condition underlying the
2473     medical cannabis recommendation; or
2474          (ii) the patient experienced an adverse reaction to the partial fill or was otherwise
2475     unable to successfully use the partial fill.
2476          Section 38. Section 26-61a-505 is amended to read:

2477          26-61a-505. Advertising.
2478          (1) Except as provided in Subsections (2) and (3), a medical cannabis pharmacy may
2479     not advertise in any medium.
2480          (2) [A] Notwithstanding any municipal or county ordinance, a medical cannabis
2481     pharmacy may use signage on the outside of the medical cannabis pharmacy that includes only:
2482          (a) the medical cannabis pharmacy's name and hours of operation; and
2483          (b) a green cross.
2484          (3) A medical cannabis pharmacy may maintain a website that includes information
2485     about:
2486          (a) the location and hours of operation of the medical cannabis pharmacy;
2487          (b) a product or service available at the medical cannabis pharmacy;
2488          (c) personnel affiliated with the medical cannabis pharmacy;
2489          (d) best practices that the medical cannabis pharmacy upholds; and
2490          (e) educational material related to the medical use of cannabis.
2491          Section 39. Section 26-61a-506 is amended to read:
2492          26-61a-506. Cannabis, cannabis product, or medical cannabis device
2493     transportation.
2494          (1) Only the following individuals may transport cannabis in a medicinal dosage form,
2495     a cannabis product in a medicinal dosage form, or a medical cannabis device under this
2496     chapter:
2497          (a) a registered medical cannabis pharmacy agent;
2498          [(b) a registered state central fill agent;]
2499          [(c)] (b) a registered medical cannabis courier [for a state central fill shipment
2500     described in Section 26-61a-605] agent; or
2501          [(d)] (c) a medical cannabis cardholder who is transporting a medical cannabis
2502     treatment that the cardholder is authorized to transport.
2503          (2) Except for an individual with a valid medical cannabis card under this chapter who
2504     is transporting a medical cannabis treatment that the cardholder is authorized to transport, an
2505     individual described in Subsection (1) shall possess a transportation manifest that:
2506          (a) includes a unique identifier that links the cannabis, cannabis product, or medical
2507     cannabis device to a relevant inventory control system;

2508          (b) includes origin and destination information for cannabis, a cannabis product, or a
2509     medical cannabis device that the individual is transporting; and
2510          (c) identifies the departure and arrival times and locations of the individual
2511     transporting the cannabis, cannabis product, or medical cannabis device.
2512          (3) (a) In addition to the requirements in Subsections (1) and (2), the department may
2513     establish by rule, in collaboration with the Division of Occupational and Professional Licensing
2514     and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative
2515     Rulemaking Act, requirements for transporting cannabis in a medicinal dosage form, a
2516     cannabis product in a medicinal dosage form, or a medical cannabis device to ensure that the
2517     cannabis, cannabis product, or medical cannabis device remains safe for human consumption.
2518          (b) The transportation described in Subsection [(3)(a)] (1)(a) is limited to
2519     transportation[: (i) ] between a medical cannabis pharmacy and:
2520          (i) another medical cannabis pharmacy; [and] or
2521          (ii) for a medical cannabis shipment, a medical cannabis cardholder's home address.
2522          [(ii) between the state central fill medical cannabis pharmacy and:]
2523          [(A) another state central fill medical cannabis pharmacy location; or]
2524          [(B) a local health department.]
2525          (4) (a) It is unlawful for a registered medical cannabis pharmacy agent[,] or a registered
2526     [state central fill] medical cannabis courier agent[, or a courier described in Section
2527     26-61a-605] to make a transport described in this section with a manifest that does not meet the
2528     requirements of this section.
2529          (b) Except as provided in Subsection (4)(d), an agent [or courier] who violates
2530     Subsection (4)(a) is:
2531          (i) guilty of an infraction; and
2532          (ii) subject to a $100 fine.
2533          (c) An individual who is guilty of a violation described in Subsection (4)(b) is not
2534     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
2535     underlying the violation described in Subsection (4)(b).
2536          (d) If the individual described in Subsection (4)(a) is transporting more cannabis,
2537     cannabis product, or medical cannabis devices than the manifest identifies, except for a de
2538     minimis administrative error:

2539          (i) this chapter does not apply; and
2540          (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled
2541     Substances Act.
2542          Section 40. Section 26-61a-507 is amended to read:
2543          26-61a-507. Local control.
2544          [(1) (a) (i) Except as provided in Subsection (1)(a)(ii), to be eligible to obtain or
2545     maintain a license under Section 26-61a-301, a person shall demonstrate that the intended
2546     medical cannabis pharmacy location is located at least:]
2547          [(A) 600 feet from a community location's property boundary following the shortest
2548     route of ordinary pedestrian travel;]
2549          [(B) 200 feet from the patron entrance to the community location's property boundary;
2550     and]
2551          [(C) 600 feet from an area zoned primarily residential.]
2552          [(ii) A municipal or county land use authority may recommend in writing that the
2553     department waive the community location proximity requirement described in Subsection
2554     (1)(a)(i).]
2555          (1) The operation of a medical cannabis pharmacy:
2556          (a) shall be a permitted use:
2557          (i) in any zone, overlay, or district within the municipality or county except for a
2558     primarily residential zone; and
2559          (ii) on land that the municipality or county has not zoned; and
2560          (b) is subject to the land use regulations, as defined in Sections 10-9a-103 and
2561     17-27a-103, that apply in the underlying zone.
2562          [(b) (i)] (2) A municipality or county may not [deny or revoke a land use permit to
2563     operate a medical cannabis pharmacy]:
2564          (a) on the sole basis that the applicant or medical cannabis pharmacy violates federal
2565     law regarding the legal status of cannabis[. (ii) A municipality or county may not], deny or
2566     revoke:
2567          (i) a land use permit, as that term is defined in Sections 10-9a-103 and 17-27a-103, to
2568     operate a medical cannabis pharmacy; or
2569          (ii) a business license to operate a medical cannabis pharmacy [on the sole basis that

2570     the applicant or medical cannabis pharmacy violates federal law regarding the legal status of
2571     cannabis.];
2572          (b) require a certain distance between a medical cannabis pharmacy and:
2573          (i) another medical cannabis pharmacy;
2574          (ii) a cannabis production establishment;
2575          (iii) a retail tobacco specialty business, as that term is defined in Section 26-62-103; or
2576          (iv) an outlet, as that term is defined in Section 32B-1-202; or
2577          (c) enforce a land use regulation or land use decision, as those terms are defined in
2578     Sections 10-9a-103 and 17-27a-103, against or impose a land use restriction on a medical
2579     cannabis pharmacy if the county or municipality does not also enforce the land use regulation
2580     or land use decision against or impose the land use restriction on any other pharmacy within the
2581     same zone.
2582          [(2)] (3) A municipality or county may enact an ordinance that:
2583          (a) is not in conflict with this chapter; and
2584          (b) governs the time, place, or manner of medical cannabis pharmacy operations in the
2585     municipality or county.
2586          (4) An applicant for a land use permit to operate a medical cannabis pharmacy shall
2587     comply with the land use requirements and application process described in:
2588          (a) Title 10, Chapter 9a, Municipal Land Use, Development, and Management Act,
2589     including Section 10-9a-528; and
2590          (b) Title 17, Chapter 27a, County Land Use, Development, and Management Act,
2591     including Section 17-27a-525.
2592          Section 41. Section 26-61a-601 is repealed and reenacted to read:
2593          26-61a-601. State central patient portal -- Department duties.
2594          (1) On or before July 1, 2020, the department shall establish or contract to establish, in
2595     accordance with Title 63G, Chapter 6a, Utah Procurement Code, a state central patient portal as
2596     described in this section.
2597          (2) The state central patient portal shall:
2598          (a) authenticate each user to ensure the user is a valid medical cannabis patient
2599     cardholder;
2600          (b) allow a medical cannabis patient cardholder to:

2601          (i) obtain and download the cardholder's medical cannabis card;
2602          (ii) review the cardholder's medical cannabis purchase history; and
2603          (iii) manage the cardholder's personal information, including withdrawing consent for
2604     the use of the cardholder's information for a study described in Subsection 26-61a-201(10);
2605          (c) if the cardholder's qualified medical provider recommended the use of medical
2606     cannabis without providing dosing parameters and the cardholder has not yet received the
2607     counseling or consultation required in Subsection 26-61a-502(4):
2608          (i) alert the cardholder of the outstanding need for consultation; and
2609          (ii) provide the cardholder with access to the contact information for each state central
2610     patient portal medical provider and each pharmacy medical provider;
2611          (d) except as provided in Subsection (2)(f), facilitate an electronic medical cannabis
2612     order to a home delivery medical cannabis pharmacy;
2613          (e) prohibit a patient from completing an electronic medical cannabis order described
2614     in Subsection (2)(d) if the purchase would exceed the limitations described in Subsection
2615     26-61a-501(2)(a) or (b);
2616          (f) provide educational information to medical cannabis patient cardholders regarding
2617     the state's medical cannabis laws and regulatory programs and other relevant information
2618     regarding medical cannabis; and
2619          (g) allow the patient to designate up to two caregivers who may receive a medical
2620     cannabis caregiver card to purchase and transport medical cannabis on behalf of the patient in
2621     accordance with this chapter.
2622          (3) The department may make rules in accordance with Title 63G, Chapter 3, Utah
2623     Administrative Rulemaking Act, to implement the state central patient portal.
2624          Section 42. Section 26-61a-602 is repealed and reenacted to read:
2625          26-61a-602. State central patient portal medical provider.
2626          (1) In relation to the state central patient portal:
2627          (a) the department may only employ, as a state central patient portal medical provider:
2628          (i) a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy Practice Act; or
2629          (ii) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
2630     58, Chapter 68, Utah Osteopathic Medical Practice Act; and
2631          (b) if the department employs a state central patient portal medical provider, ensure

2632     that a state central patient portal medical provider is available during all business hours.
2633          (2) A state central patient portal medical provider may:
2634          (a) provide consultations to medical cannabis cardholders; and
2635          (b) determine dosing parameters in accordance with Subsection 26-61a-502(5).
2636          Section 43. Section 26-61a-603 is repealed and reenacted to read:
2637          26-61a-603. Payment provider for electronic medical cannabis transactions.
2638          (1) A cannabis production establishment seeking to use a payment provider, a medical
2639     cannabis pharmacy, or a prospective home delivery medical cannabis pharmacy shall submit to
2640     the Division of Finance and the state treasurer information regarding the payment provider the
2641     prospective licensee will use to conduct financial transactions related to medical cannabis,
2642     including:
2643          (a) the name and contact information of the payment provider;
2644          (b) the nature of the relationship between the establishment, pharmacy, or prospective
2645     pharmacy and the payment provider; and
2646          (c) for a prospective home delivery medical cannabis pharmacy, the processes the
2647     prospective licensee and the payment provider have in place to safely and reliably conduct
2648     financial transactions for medical cannabis shipments.
2649          (2) The Division of Finance shall, in consultation with the state treasurer:
2650          (a) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
2651     make rules to establish standards for identifying payment providers that demonstrate the
2652     functional and technical ability to safely conduct financial transactions related to medical
2653     cannabis, including medical cannabis shipments;
2654          (b) review submissions the Division of Finance and the state treasurer receive under
2655     Subsection (1);
2656          (c) approve a payment provider that meets the standards described in Subsection (2)(a);
2657     and
2658          (d) establish a list of approved payment providers.
2659          (3) Any licensed cannabis production establishment, licensed medical cannabis
2660     pharmacy, or medical cannabis courier may use a payment provider that the Division of
2661     Finance approves, in consultation with the state treasurer, to conduct transactions related to the
2662     establishment's, pharmacy's, or courier's respective medical cannabis business.

2663          (4) If Congress passes legislation that allows a cannabis-related business to facilitate
2664     payments through or deposit funds in a financial institution, a cannabis production
2665     establishment or a medical cannabis pharmacy may facilitate payments through or deposit
2666     funds in a financial institution in addition to or instead of a payment provider that the Division
2667     of Finance approves, in consultation with the state treasurer, under this section.
2668          Section 44. Section 26-61a-604 is repealed and reenacted to read:
2669          26-61a-604. Home delivery of medical cannabis shipments -- Medical cannabis
2670     couriers -- License.
2671          (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
2672     Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home
2673     delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders that the
2674     state central patient portal facilitates, including rules regarding the safe and controlled delivery
2675     of medical cannabis shipments.
2676          (2) A person may not operate as a medical cannabis courier without a license that the
2677     department issues under this section.
2678          (3) (a) Subject to Subsections (5) and (6), the department shall issue a license to
2679     operate as a medical cannabis courier to an applicant who is eligible for a license under this
2680     section.
2681          (b) An applicant is eligible for a license under this section if the applicant submits to
2682     the department:
2683          (i) the name and address of an individual who:
2684          (A) has a financial or voting interest of 2% or greater in the proposed medical cannabis
2685     pharmacy; or
2686          (B) has the power to direct or cause the management or control of a proposed cannabis
2687     production establishment;
2688          (ii) an operating plan that includes operating procedures to comply with the operating
2689     requirements for a medical cannabis courier described in this chapter; and
2690          (iii) an application fee in an amount that, subject to Subsection 26-61a-109(5), the
2691     department sets in accordance with Section 63J-1-504.
2692          (4) If the department determines that an applicant is eligible for a license under this
2693     section, the department shall:

2694          (a) charge the applicant an initial license fee in an amount that, subject to Subsection
2695     26-61a-109(5), the department sets in accordance with Section 63J-1-504; and
2696          (b) notify the Department of Public Safety of the license approval and the names of
2697     each individual described in Subsection (3)(b)(ii).
2698          (5) The department may not issue a license to operate as a medical cannabis courier to
2699     an applicant if an individual described in Subsection (3)(b)(ii):
2700          (a) has been convicted under state or federal law of:
2701          (i) a felony; or
2702          (ii) after the effective date of this bill, a misdemeanor for drug distribution; or
2703          (b) is younger than 21 years old.
2704          (6) The department may revoke a license under this part if:
2705          (a) the medical cannabis courier does not begin operations within one year after the day
2706     on which the department issues the initial license;
2707          (b) the medical cannabis courier makes the same violation of this chapter three times;
2708     or
2709          (c) an individual described in Subsection (3)(b)(ii) is convicted, while the license is
2710     active, under state or federal law of:
2711          (i) a felony; or
2712          (ii) after the effective date of this bill, a misdemeanor for drug distribution.
2713          (7) The department shall deposit the proceeds of a fee imposed by this section in the
2714     Qualified Patient Enterprise Fund.
2715          (8) The department shall begin accepting applications under this section on or before
2716     July 1, 2020.
2717          (9) The department's authority to issue a license under this section is plenary and is not
2718     subject to review.
2719          (10) Each applicant for a license as a medical cannabis courier shall submit, at the time
2720     of application, from each individual who has a financial or voting interest of 2% or greater in
2721     the applicant or who has the power to direct or cause the management or control of the
2722     applicant:
2723          (a) a fingerprint card in a form acceptable to the Department of Public Safety;
2724          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the

2725     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
2726     Generation Identification System's Rap Back Service; and
2727          (c) consent to a fingerprint background check by:
2728          (i) the Bureau of Criminal Identification; and
2729          (ii) the Federal Bureau of Investigation.
2730          (11) The Bureau of Criminal Identification shall:
2731          (a) check the fingerprints the applicant submits under Subsection (10) against the
2732     applicable state, regional, and national criminal records databases, including the Federal
2733     Bureau of Investigation Next Generation Identification System;
2734          (b) report the results of the background check to the department;
2735          (c) maintain a separate file of fingerprints that applicants submit under Subsection (10)
2736     for search by future submissions to the local and regional criminal records databases, including
2737     latent prints;
2738          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
2739     Generation Identification System's Rap Back Service for search by future submissions to
2740     national criminal records databases, including the Next Generation Identification System and
2741     latent prints; and
2742          (e) establish a privacy risk mitigation strategy to ensure that the department only
2743     receives notifications for an individual with whom the department maintains an authorizing
2744     relationship.
2745          (12) The department shall:
2746          (a) assess an individual who submits fingerprints under Subsection (10) a fee in an
2747     amount that the department sets in accordance with Section 63J-1-504 for the services that the
2748     Bureau of Criminal Identification or another authorized agency provides under this section; and
2749          (b) remit the fee described in Subsection (12)(a) to the Bureau of Criminal
2750     Identification.
2751          (13) The department shall renew a license under this section every year if, at the time
2752     of renewal:
2753          (a) the licensee meets the requirements of this section; and
2754          (b) the licensee pays the department a license renewal fee in an amount that, subject to
2755     Subsection 26-61a-109(5), the department sets in accordance with Section 63J-1-504.

2756          (14) A person applying for a medical cannabis courier license shall submit to the
2757     department a proposed operating plan that complies with this section and that includes:
2758          (a) a description of the physical characteristics of any proposed facilities, including a
2759     floor plan and an architectural elevation, and delivery vehicles;
2760          (b) a description of the credentials and experience of each officer, director, or owner of
2761     the proposed medical cannabis courier;
2762          (c) the medical cannabis courier's employee training standards;
2763          (d) a security plan; and
2764          (e) storage and delivery protocols, both short and long term, to ensure that medical
2765     cannabis shipments are stored and delivered in a manner that is sanitary and preserves the
2766     integrity of the cannabis.
2767          Section 45. Section 26-61a-605 is amended to read:
2768          26-61a-605. Medical cannabis shipment transportation.
2769          (1) The [state central fill medical cannabis pharmacy] department shall ensure that [the
2770     state central fill] each home delivery medical cannabis pharmacy is capable of delivering,
2771     directly or through a medical cannabis courier, medical cannabis shipments in a secure
2772     manner[, cannabis in medicinal dosage form, a cannabis product in medicinal dosage form, and
2773     a medical cannabis device to each local health department in the state within two business days
2774     after the day on which the state central fill medical cannabis pharmacy receives a request for a
2775     state central fill shipment resulting from a recommendation of a qualified medical provider
2776     under Section 26-61a-603].
2777          (2) (a) [The department] A home delivery medical cannabis pharmacy may contract
2778     with a [private entity for the entity to serve as a courier for the state central fill medical
2779     cannabis pharmacy, delivering state central fill] licensed medical cannabis courier to deliver
2780     medical cannabis shipments to [local health departments for distribution to medical cannabis
2781     cardholders] fulfill electronic medical cannabis orders that the state central patient portal
2782     facilitates.
2783          (b) If [the department] a home delivery medical cannabis pharmacy enters into a
2784     contract described in Subsection (2)(a), the [department] pharmacy shall:
2785          [(i) issue the contract described in Subsection (2)(a) in accordance with Title 63G,
2786     Chapter 6a, Utah Procurement Code;]

2787          [(ii)] (i) impose security and personnel requirements on the [contracted private entity]
2788     medical cannabis courier sufficient to ensure the security and safety of [state central fill]
2789     medical cannabis shipments; and
2790          [(iii)] (ii) provide regular oversight of the [contracted private entity] medical cannabis
2791     courier.
2792          (3) Except for an individual with a valid medical cannabis card who transports a
2793     shipment the individual receives, an individual may not transport a [state central fill] medical
2794     cannabis shipment unless the individual is:
2795          (a) a registered [state central fill] medical cannabis pharmacy agent; or
2796          (b) [an] a registered agent of the [private] medical cannabis courier described in
2797     Subsection (2).
2798          (4) An individual transporting a [state central fill] medical cannabis shipment under
2799     Subsection (3) shall possess a transportation manifest that:
2800          (a) includes a unique identifier that links the [state central fill] medical cannabis
2801     shipment to a relevant inventory control system;
2802          (b) includes origin and destination information for [a state central fill] the medical
2803     cannabis shipment the individual is transporting; and
2804          (c) indicates the departure and arrival times and locations of the individual transporting
2805     the [state central fill] medical cannabis shipment.
2806          (5) In addition to the requirements in Subsections (3) and (4), the department may
2807     establish by rule, in collaboration with the Division of Occupational and Professional Licensing
2808     and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah Administrative
2809     Rulemaking Act, requirements for transporting [state central fill] medical cannabis shipments
2810     that are related to safety for human consumption of cannabis or a cannabis product.
2811          (6) (a) It is unlawful for an individual to transport a [state central fill] medical cannabis
2812     shipment with a manifest that does not meet the requirements of Subsection (4).
2813          (b) Except as provided in Subsection (6)(d), an individual who violates Subsection
2814     (6)(a) is:
2815          (i) guilty of an infraction; and
2816          (ii) subject to a $100 fine.
2817          (c) An individual who is guilty of a violation described in Subsection (6)(b) is not

2818     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
2819     underlying the violation described in Subsection (6)(b).
2820          (d) If the individual described in Subsection (6)(a) is transporting more cannabis,
2821     cannabis product, or medical cannabis devices than the manifest identifies, except for a de
2822     minimis administrative error:
2823          (i) this chapter does not apply; and
2824          (ii) the individual is subject to penalties under Title 58, Chapter 37, Utah Controlled
2825     Substances Act.
2826          Section 46. Section 26-61a-606 is amended to read:
2827          26-61a-606. Medical cannabis courier agent -- Background check -- Registration
2828     card -- Rebuttable presumption.
2829          (1) An individual may not serve as a [local health department distribution] medical
2830     cannabis courier agent unless:
2831          (a) the individual is an employee of a [local health department] licensed medical
2832     cannabis courier; and
2833          (b) the department registers the individual as a [local health department distribution]
2834     medical cannabis courier agent.
2835          (2) (a) The department shall, within 15 days after the day on which the department
2836     receives a complete application from a [local health department] medical cannabis courier on
2837     behalf of a [prospective local health department distribution] medical cannabis courier agent,
2838     register and issue a [local health department distribution] medical cannabis courier agent
2839     registration card to the prospective agent if the [local health department] medical cannabis
2840     courier:
2841          (i) provides to the department:
2842          (A) the prospective agent's name and address;
2843          (B) the name and [location] address of the [local health department where the
2844     prospective agent seeks to act as a local health department distribution agent] medical cannabis
2845     courier; [and]
2846          (iii) the name and address of each home delivery medical cannabis pharmacy with
2847     which the medical cannabis courier contracts to deliver medical cannabis shipments; and
2848          [(C)] (D) the submission required under Subsection (2)(b); [and]

2849          (ii) as reported under Subsection (2)(c), has not been convicted under state or federal
2850     law of:
2851          (A) a felony; or
2852          (B) after December 3, 2018, a misdemeanor for drug distribution[.]; and
2853          (iii) pays the department a fee in an amount that, subject to Subsection 26-61a-109(5),
2854     the department sets in accordance with Section 63J-1-504.
2855          (b) [Each] Except for an applicant reapplying for a medical cannabis courier agent
2856     registration card within less than one year after the expiration of the applicant's previous
2857     medical cannabis courier agent registration card, each prospective agent described in
2858     Subsection (2)(a) shall:
2859          (i) submit to the department:
2860          (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
2861          (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
2862     registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
2863     Generation Identification System's Rap Back Service; and
2864          (ii) consent to a fingerprint background check by:
2865          (A) the Bureau of Criminal Identification; and
2866          (B) the Federal Bureau of Investigation.
2867          (c) The Bureau of Criminal Identification shall:
2868          (i) check the fingerprints the prospective agent submits under Subsection (2)(b) against
2869     the applicable state, regional, and national criminal records databases, including the Federal
2870     Bureau of Investigation Next Generation Identification System;
2871          (ii) report the results of the background check to the department;
2872          (iii) maintain a separate file of fingerprints that prospective agents submit under
2873     Subsection (2)(b) for search by future submissions to the local and regional criminal records
2874     databases, including latent prints;
2875          (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
2876     Generation Identification System's Rap Back Service for search by future submissions to
2877     national criminal records databases, including the Next Generation Identification System and
2878     latent prints; and
2879          (v) establish a privacy risk mitigation strategy to ensure that the department only

2880     receives notifications for an individual with whom the department maintains an authorizing
2881     relationship.
2882          (d) The department shall:
2883          (i) assess an individual who submits fingerprints under Subsection (2)(b) a fee in an
2884     amount that the department sets in accordance with Section 63J-1-504 for the services that the
2885     Bureau of Criminal Identification or another authorized agency provides under this section; and
2886          (ii) remit the fee described in Subsection (2)(d)(i) to the Bureau of Criminal
2887     Identification.
2888          (3) The department shall designate on an individual's [local health department
2889     distribution] medical cannabis courier agent registration card the name of the [local health
2890     department] medical cannabis courier where the individual is registered as an agent and each
2891     home delivery medical cannabis courier for which the medical cannabis courier delivers
2892     medical cannabis shipments.
2893          (4) (a) A [local health department distribution] medical cannabis courier agent shall
2894     comply with a certification standard that the department develops, in collaboration with the
2895     Division of Occupational and Professional Licensing and the Board of Pharmacy, or a
2896     third-party certification standard that the department designates by rule in collaboration with
2897     the Division of Occupational and Professional Licensing and the Board of Pharmacy and in
2898     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
2899          (b) The department shall ensure that the certification standard described in Subsection
2900     (4)(a) includes training in:
2901          (i) Utah medical cannabis law;
2902          (ii) the [state central fill] medical cannabis [pharmacy] shipment process; and
2903          (iii) [local health department distribution] medical cannabis courier agent best
2904     practices.
2905          (5) (a) A medical cannabis courier agent registration card expires two years after the
2906     day on which the department issues or renews the card.
2907          (b) A medical cannabis courier agent may renew the agent's registration card if the
2908     agent:
2909          (i) is eligible for a medical cannabis courier agent registration card under this section;
2910          (ii) certifies to the department in a renewal application that the information in

2911     Subsection (2)(a) is accurate or updates the information; and
2912          (iii) pays to the department a renewal fee in an amount that:
2913          (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
2914     Section 63J-1-504; and
2915          (B) may not exceed the cost of the relatively lower administrative burden of renewal in
2916     comparison to the original application process.
2917          [(5)] (6) The department may revoke or refuse to issue or renew the [local health
2918     department distribution] medical cannabis courier agent registration card of an individual who:
2919          (a) violates the requirements of this chapter; or
2920          (b) is convicted under state or federal law of:
2921          (i) a felony; or
2922          (ii) after December 3, 2018, a misdemeanor for drug distribution.
2923          [(6)] (7) A [local health department distribution] medical cannabis courier agent who
2924     the department has registered under this section shall carry the agent's [local health department
2925     distribution] medical cannabis courier agent registration card with the agent at all times when:
2926          (a) the agent is on the premises of the [local health department] medical cannabis
2927     courier, a medical cannabis pharmacy, or a medical cannabis cardholder's home address; and
2928          (b) the agent is handling a medical cannabis shipment [of cannabis or cannabis product
2929     from the state central fill medical cannabis pharmacy].
2930          [(7)] (8) If a [local health department distribution] medical cannabis courier agent
2931     handling a medical cannabis shipment [of cannabis or cannabis product from the state central
2932     fill medical cannabis pharmacy] possesses the shipment in compliance with Subsection [(6)]
2933     (7):
2934          (a) there is a rebuttable presumption that the agent possesses the shipment legally; and
2935          (b) there is no probable cause, based solely on the agent's possession of the medical
2936     cannabis shipment [containing medical cannabis in medicinal dosage form, a cannabis product
2937     in medicinal dosage form, or a medical cannabis device,] that the agent is engaging in illegal
2938     activity.
2939          [(8)] (9) (a) A [local health department distribution] medical cannabis courier agent
2940     who violates Subsection [(6)] (7) is:
2941          (i) guilty of an infraction; and

2942          (ii) subject to a $100 fine.
2943          (b) An individual who is guilty of a violation described in Subsection [(8)(a)] (9)(a) is
2944     not guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the
2945     conduct underlying the violation described in Subsection [(8)(a)] (9)(a).
2946          Section 47. Section 26-61a-607 is amended to read:
2947          26-61a-607. Home delivery of medical cannabis shipments.
2948          [(1) Each local health department shall designate:]
2949          [(a) one or more of the local health department's locations as a state central fill
2950     shipment distribution location; and]
2951          [(b) a sufficient number of personnel to ensure that at least one individual is available
2952     at all times during business hours:]
2953          [(i) whom the department has registered as a local health department distribution agent;
2954     and]
2955          [(ii) to distribute state central fill shipments to medical cannabis cardholders in
2956     accordance with this section.]
2957          [(2)] (1) An individual may not [retrieve a] receive and a medical cannabis pharmacy
2958     agent or a medical cannabis courier agent may not deliver a medical cannabis shipment from
2959     [the state central fill] a home delivery medical cannabis pharmacy [at a local health
2960     department] unless:
2961          (a) the individual receiving the shipment presents:
2962          [(a)] (i) a valid form of photo identification [that is a valid United States federal- or
2963     state-issued photo identification, including a driver license, a United States passport, a United
2964     States passport card, or a United States military identification card]; and
2965          [(b)] (ii) a valid medical cannabis card under the same name that appears on the valid
2966     form of photo identification [described in Subsection (2)(a).]; and
2967          (b) the delivery occurs at the medical cannabis cardholder's home address that is on file
2968     in the state electronic verification system.
2969          [(3)] (2) Before a [local health department distribution] medical cannabis pharmacy
2970     agent or a medical cannabis courier agent distributes a [state central fill] medical cannabis
2971     shipment to a medical cannabis cardholder, the [local health department distribution] agent
2972     shall:

2973          (a) verify the shipment information using the state electronic verification system;
2974          (b) ensure that the individual satisfies the identification requirements in Subsection
2975     [(2)] (1);
2976          (c) verify that payment is complete; and
2977          (d) record the completion of the shipment transaction in the electronic verification
2978     system.
2979          [(4)] (3) The [local health department] medical cannabis courier shall:
2980          (a) (i) store each [state central fill] medical cannabis shipment [that the local health
2981     department receives,] in a secure manner until the recipient medical cannabis cardholder
2982     [retrieves] receives the shipment or the [local health department] medical cannabis courier
2983     returns the shipment to the [state central fill] home delivery medical cannabis pharmacy in
2984     accordance with Subsection [(5), in a single, secure, locked area that is equipped with a
2985     security system that detects and records entry into the area] (4); and
2986          (ii) ensure that only a [local health department distribution] medical cannabis courier
2987     agent is able to access the [area] medical cannabis shipment until the recipient medical
2988     cannabis cardholder receives the shipment;
2989          (b) return any [unclaimed state central fill] undelivered medical cannabis shipment to
2990     the [state central fill] home delivery medical cannabis pharmacy, in accordance with
2991     Subsection [(5)(a)] (4), after the [local health department] medical cannabis courier has
2992     possessed the [state central fill] shipment for 10 business days; and
2993          (c) return any [state central fill] medical cannabis shipment to the [state central fill]
2994     home delivery medical cannabis pharmacy, in accordance with Subsection [(5)(b)] (4), if a
2995     medical cannabis cardholder [returns] refuses to accept the shipment [to the local health
2996     department after retrieving the shipment].
2997          [(5)] (4) (a) If a [local health department] medical cannabis courier or home delivery
2998     medical cannabis pharmacy agent returns an [unclaimed state central fill] undelivered medical
2999     cannabis shipment [under Subsection (4)(b)] that remains unopened, the [state central fill]
3000     home delivery medical cannabis pharmacy may repackage or otherwise reuse the shipment [for
3001     another state central fill shipment].
3002          (b) If a [local health department] medical cannabis courier or home delivery medical
3003     cannabis pharmacy agent returns [a returned state central fill] an undelivered or refused

3004     medical cannabis shipment under Subsection [(4)(c)] (3) that appears to be opened in any way,
3005     the [state central fill] home delivery medical cannabis pharmacy shall dispose of the [returned]
3006     shipment by:
3007          (i) rendering the [state central fill] shipment unusable and unrecognizable before
3008     transporting the shipment from the [state central fill] home delivery medical cannabis
3009     pharmacy; and
3010          (ii) disposing of the [state central fill] shipment in accordance with:
3011          (A) federal and state laws, rules, and regulations related to hazardous waste;
3012          (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.;
3013          (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and
3014          (D) other regulations that the department makes in accordance with Title 63G, Chapter
3015     3, Utah Administrative Rulemaking Act.
3016          Section 48. Section 26-61a-702 is amended to read:
3017          26-61a-702. Enforcement -- Fine -- Citation.
3018          (1) (a) The department may, for a medical cannabis pharmacy's violation of this chapter
3019     or an applicable administrative rule:
3020          (i) revoke the medical cannabis pharmacy license;
3021          (ii) refuse to renew the medical cannabis pharmacy license; or
3022          (iii) assess the medical cannabis pharmacy an administrative penalty.
3023          (b) The department may, for a medical cannabis pharmacy agent's or [state central fill]
3024     medical cannabis courier agent's violation of this chapter:
3025          (i) revoke the medical cannabis pharmacy agent or [state central fill] medical cannabis
3026     courier agent registration card;
3027          (ii) refuse to renew the medical cannabis pharmacy agent or [state central fill] medical
3028     cannabis courier agent registration card; or
3029          (iii) assess the medical cannabis pharmacy agent or [state central fill] medical cannabis
3030     courier agent an administrative penalty.
3031          (2) The department shall deposit an administrative penalty imposed under this section
3032     into the General Fund.
3033          (3) For a person subject to an uncontested citation, a stipulated settlement, or a finding
3034     of a violation in an adjudicative proceeding under this section, the department may:

3035          (a) for a fine amount not already specified in law, assess the person a fine of up to
3036     $5,000 per violation, in accordance with a fine schedule that the department establishes by rule
3037     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act; or
3038          (b) order the person to cease and desist from the action that creates a violation.
3039          (4) The department may not revoke a medical cannabis pharmacy's license or a medical
3040     cannabis courier's license without first directing the medical cannabis pharmacy or a medical
3041     cannabis courier's license to appear before an adjudicative proceeding conducted under Title
3042     63G, Chapter 4, Administrative Procedures Act.
3043          (5) If, within 20 calendar days after the day on which the department issues a citation
3044     for a violation of this chapter, the person that is the subject of the citation fails to request a
3045     hearing to contest the citation, the citation becomes the department's final order.
3046          (6) The department may, for a person who fails to comply with a citation under this
3047     section:
3048          (a) refuse to issue or renew the person's license or agent registration card; or
3049          (b) suspend, revoke, or place on probation the person's license or agent registration
3050     card.
3051          (7) (a) Except where a criminal penalty is expressly provided for a specific violation of
3052     this chapter, if an individual violates a provision of this chapter, the individual is:
3053          (i) guilty of an infraction; and
3054          (ii) subject to a $100 fine.
3055          (b) An individual who is guilty of a violation described in Subsection (7)(a) is not
3056     guilty of a violation of Title 58, Chapter 37, Utah Controlled Substances Act, for the conduct
3057     underlying the violation described in Subsection (7)(a).
3058          Section 49. Section 26-61a-703 is amended to read:
3059          26-61a-703. Report.
3060          (1) By the November interim meeting each year beginning in 2020, the department
3061     shall report to the Health and Human Services Interim Committee on:
3062          (a) the number of applications and renewal applications filed for medical cannabis
3063     cards;
3064          (b) the number of qualifying patients and designated caregivers;
3065          (c) the nature of the debilitating medical conditions of the qualifying patients;

3066          (d) the age and county of residence of cardholders;
3067          (e) the number of medical cannabis cards revoked;
3068          (f) the number of practitioners providing recommendations for qualifying patients;
3069          (g) the number of license applications and renewal license applications received;
3070          (h) the number of licenses the department has issued in each county;
3071          (i) the number of licenses the department has revoked;
3072          (j) the quantity [and timeliness of state central fill] of medical cannabis shipments[,
3073     including the amount of time between recommendation to] that the state central [fill medical
3074     cannabis pharmacy and arrival of a state central fill shipment at a local health department]
3075     patient portal facilitates;
3076          [(k) the market share of state central fill shipments;]
3077          (k) the number of overall purchases of medical cannabis and medical cannabis products
3078     from each medical cannabis pharmacy;
3079          (l) the expenses incurred and revenues generated from the medical cannabis program;
3080     and
3081          [(m) the expenses incurred and revenues generated from the state central fill medical
3082     cannabis pharmacy, including a profit and loss statement; and]
3083          [(n)] (m) an analysis of product availability[, including the price differential between
3084     comparable products,] in medical cannabis pharmacies [and the state central fill medical
3085     cannabis pharmacy].
3086          (2) The department may not include personally identifying information in the report
3087     described in this section.
3088          Section 50. Section 30-3-10 is amended to read:
3089          30-3-10. Custody of a child -- Custody factors.
3090          (1) If a married couple having one or more minor children are separated, or the married
3091     couple's marriage is declared void or dissolved, the court shall enter, and has continuing
3092     jurisdiction to modify, an order of custody and parent-time.
3093          (2) In determining any form of custody and parent-time under Subsection (1), the court
3094     shall consider the best interest of the child and may consider among other factors the court
3095     finds relevant, the following for each parent:
3096          (a) evidence of domestic violence, neglect, physical abuse, sexual abuse, or emotional

3097     abuse, involving the child, the parent, or a household member of the parent;
3098          (b) the parent's demonstrated understanding of, responsiveness to, and ability to meet
3099     the developmental needs of the child, including the child's:
3100          (i) physical needs;
3101          (ii) emotional needs;
3102          (iii) educational needs;
3103          (iv) medical needs; and
3104          (v) any special needs;
3105          (c) the parent's capacity and willingness to function as a parent, including:
3106          (i) parenting skills;
3107          (ii) co-parenting skills, including:
3108          (A) ability to appropriately communicate with the other parent;
3109          (B) ability to encourage the sharing of love and affection; and
3110          (C) willingness to allow frequent and continuous contact between the child and the
3111     other parent, except that, if the court determines that the parent is acting to protect the child
3112     from domestic violence, neglect, or abuse, the parent's protective actions may be taken into
3113     consideration; and
3114          (iii) ability to provide personal care rather than surrogate care;
3115          (d) in accordance with Subsection (10), the past conduct and demonstrated moral
3116     character of the parent;
3117          (e) the emotional stability of the parent;
3118          (f) the parent's inability to function as a parent because of drug abuse, excessive
3119     drinking, or other causes;
3120          (g) whether the parent has intentionally exposed the child to pornography or material
3121     harmful to minors, as "material" and "harmful to minors" are defined in Section 76-10-1201;
3122          (h) the parent's reasons for having relinquished custody or parent-time in the past;
3123          (i) duration and depth of desire for custody or parent-time;
3124          (j) the parent's religious compatibility with the child;
3125          (k) the parent's financial responsibility;
3126          (l) the child's interaction and relationship with step-parents, extended family members
3127     of other individuals who may significantly affect the child's best interests;

3128          (m) who has been the primary caretaker of the child;
3129          (n) previous parenting arrangements in which the child has been happy and
3130     well-adjusted in the home, school, and community;
3131          (o) the relative benefit of keeping siblings together;
3132          (p) the stated wishes and concerns of the child, taking into consideration the child's
3133     cognitive ability and emotional maturity;
3134          (q) the relative strength of the child's bond with the parent, meaning the depth, quality,
3135     and nature of the relationship between the parent and the child; and
3136          (r) any other factor the court finds relevant.
3137          (3) There is a rebuttable presumption that joint legal custody, as defined in Section
3138     30-3-10.1, is in the best interest of the child, except in cases when there is:
3139          (a) evidence of domestic violence, neglect, physical abuse, sexual abuse, or emotional
3140     abuse involving the child, a parent, or a household member of the parent;
3141          (b) special physical or mental needs of a parent or child, making joint legal custody
3142     unreasonable;
3143          (c) physical distance between the residences of the parents, making joint decision
3144     making impractical in certain circumstances; or
3145          (d) any other factor the court considers relevant including those listed in this section
3146     and Section 30-3-10.2.
3147          (4) (a) The person who desires joint legal custody shall file a proposed parenting plan
3148     in accordance with Sections 30-3-10.8 and 30-3-10.9.
3149          (b) A presumption for joint legal custody may be rebutted by a showing by a
3150     preponderance of the evidence that it is not in the best interest of the child.
3151          (5) (a) A child may not be required by either party to testify unless the trier of fact
3152     determines that extenuating circumstances exist that would necessitate the testimony of the
3153     child be heard and there is no other reasonable method to present the child's testimony.
3154          (b) (i) The court may inquire of the child's and take into consideration the child's
3155     desires regarding future custody or parent-time schedules, but the expressed desires are not
3156     controlling and the court may determine the child's custody or parent-time otherwise.
3157          (ii) The desires of a child 14 years of age or older shall be given added weight, but is
3158     not the single controlling factor.

3159          (c) (i) If an interview with a child is conducted by the court pursuant to Subsection
3160     (5)(b), the interview shall be conducted by the judge in camera.
3161          (ii) The prior consent of the parties may be obtained but is not necessary if the court
3162     finds that an interview with a child is the only method to ascertain the child's desires regarding
3163     custody.
3164          (6) (a) Except as provided in Subsection (6)(b), a court may not discriminate against a
3165     parent due to a disability, as defined in Section 57-21-2, in awarding custody or determining
3166     whether a substantial change has occurred for the purpose of modifying an award of custody.
3167          (b) The court may not consider the disability of a parent as a factor in awarding custody
3168     or modifying an award of custody based on a determination of a substantial change in
3169     circumstances, unless the court makes specific findings that:
3170          (i) the disability significantly or substantially inhibits the parent's ability to provide for
3171     the physical and emotional needs of the child at issue; and
3172          (ii) the parent with a disability lacks sufficient human, monetary, or other resources
3173     available to supplement the parent's ability to provide for the physical and emotional needs of
3174     the child at issue.
3175          (c) Nothing in this section may be construed to apply to adoption proceedings under
3176     Title 78B, Chapter 6, Part 1, Utah Adoption Act.
3177          (7) This section does not establish a preference for either parent solely because of the
3178     gender of the parent.
3179          (8) This section establishes neither a preference nor a presumption for or against joint
3180     physical custody or sole physical custody, but allows the court and the family the widest
3181     discretion to choose a parenting plan that is in the best interest of the child.
3182          (9) When an issue before the court involves custodial responsibility in the event of a
3183     deployment of one or both parents who are servicemembers, and the servicemember has not yet
3184     been notified of deployment, the court shall resolve the issue based on the standards in Sections
3185     78B-20-306 through 78B-20-309.
3186          (10) In considering the past conduct and demonstrated moral standards of each party
3187     under Subsection (2)(d) or any other factor a court finds relevant, the court may not:
3188          (a) consider or treat a parent's lawful possession or use of cannabis in a medicinal
3189     dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis device, in

3190     accordance with Title 4, Chapter 41a, Cannabis Production Establishments, Title 26, Chapter
3191     61a, Utah Medical Cannabis Act, or Subsection 58-37-3.7(2) or (3) any differently than the
3192     court would consider or treat the lawful possession or use of [an opioid or opiate] any
3193     prescribed controlled substance; or
3194          (b) discriminate against a parent because of the parent's status as a:
3195          (i) cannabis production establishment agent, as that term is defined in Section
3196     4-41a-102;
3197          (ii) medical cannabis pharmacy agent, as that term is defined in Section 26-61a-102;
3198          (iii) [state central fill] medical cannabis courier agent, as that term is defined in Section
3199     26-61a-102; or
3200          (iv) medical cannabis cardholder in accordance with Title 26, Chapter 61a, Utah
3201     Medical Cannabis Act.
3202          Section 51. Section 58-17b-302 is amended to read:
3203          58-17b-302. License required -- License classifications for pharmacy facilities.
3204          (1) A license is required to act as a pharmacy, except:
3205          (a) as specifically exempted from licensure under Section 58-1-307; and
3206          (b) for the operation of a medical cannabis pharmacy [or the state central fill medical
3207     cannabis pharmacy] under Title 26, Chapter 61a, Utah Medical Cannabis Act.
3208          (2) The division shall issue a pharmacy license to a facility that qualifies under this
3209     chapter in the classification of a:
3210          (a) class A pharmacy;
3211          (b) class B pharmacy;
3212          (c) class C pharmacy;
3213          (d) class D pharmacy;
3214          (e) class E pharmacy; or
3215          (f) dispensing medical practitioner clinic pharmacy.
3216          (3) (a) Each place of business shall require a separate license.
3217          (b) If multiple pharmacies exist at the same address, a separate license shall be required
3218     for each pharmacy.
3219          (4) (a) The division may further define or supplement the classifications of pharmacies.
3220          (b) The division may impose restrictions upon classifications to protect the public

3221     health, safety, and welfare.
3222          (5) Each pharmacy[, including the state central fill medical cannabis pharmacy,] shall
3223     have a pharmacist-in-charge, except as otherwise provided by rule.
3224          (6) Whenever an applicable statute or rule requires or prohibits action by a pharmacy,
3225     the pharmacist-in-charge and the owner of the pharmacy shall be responsible for all activities
3226     of the pharmacy, regardless of the form of the business organization.
3227          Section 52. Section 58-17b-310 is amended to read:
3228          58-17b-310. Continuing education.
3229          (1) The division in collaboration with the board may establish by rule continuing
3230     education requirements for each classification of licensure under this chapter.
3231          (2) The division shall accept and apply toward an hour requirement that the division
3232     establishes under Subsection (1) continuing education that a pharmacist completes in
3233     accordance with [Sections] Section 26-61a-403 [and 26-61a-601].
3234          Section 53. Section 58-17b-502 is amended to read:
3235          58-17b-502. Unprofessional conduct.
3236          (1) "Unprofessional conduct" includes:
3237          (a) willfully deceiving or attempting to deceive the division, the board, or their agents
3238     as to any relevant matter regarding compliance under this chapter;
3239          (b) except as provided in Subsection (2):
3240          (i) paying or offering rebates to practitioners or any other health care providers, or
3241     receiving or soliciting rebates from practitioners or any other health care provider; or
3242          (ii) paying, offering, receiving, or soliciting compensation in the form of a commission,
3243     bonus, rebate, kickback, or split fee arrangement with practitioners or any other health care
3244     provider, for the purpose of obtaining referrals;
3245          (c) misbranding or adulteration of any drug or device or the sale, distribution, or
3246     dispensing of any outdated, misbranded, or adulterated drug or device;
3247          (d) engaging in the sale or purchase of drugs or devices that are samples or packages
3248     bearing the inscription "sample" or "not for resale" or similar words or phrases;
3249          (e) except as provided in Section 58-17b-503 or Part 9, Charitable Prescription Drug
3250     Recycling Act, accepting back and redistributing any unused drug, or a part of it, after it has
3251     left the premises of any pharmacy, unless the drug is in a unit pack, as defined in Section

3252     58-17b-503, or the manufacturer's sealed container, as defined in rule;
3253          (f) an act in violation of this chapter committed by a person for any form of
3254     compensation if the act is incidental to the person's professional activities, including the
3255     activities of a pharmacist, pharmacy intern, or pharmacy technician;
3256          (g) violating:
3257          (i) the federal Controlled Substances Act, Title II, P.L. 91-513;
3258          (ii) Title 58, Chapter 37, Utah Controlled Substances Act; or
3259          (iii) rules or regulations adopted under either act;
3260          (h) requiring or permitting pharmacy interns or technicians to engage in activities
3261     outside the scope of practice for their respective license classifications, as defined in this
3262     chapter and division rules made in collaboration with the board, or beyond their scope of
3263     training and ability;
3264          (i) administering:
3265          (i) without appropriate training, as defined by rule;
3266          (ii) without a physician's order, when one is required by law; and
3267          (iii) in conflict with a practitioner's written guidelines or written protocol for
3268     administering;
3269          (j) disclosing confidential patient information in violation of the provisions of the
3270     Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191, 110 Stat.
3271     1936, as amended, or other applicable law;
3272          (k) engaging in the practice of pharmacy without a licensed pharmacist designated as
3273     the pharmacist-in-charge;
3274          (l) failing to report to the division any adverse action taken by another licensing
3275     jurisdiction, government agency, law enforcement agency, or court for conduct that in
3276     substance would be considered unprofessional conduct under this section;
3277          (m) as a pharmacist or pharmacy intern, compounding a prescription drug in a dosage
3278     form which is regularly and commonly available from a manufacturer in quantities and
3279     strengths prescribed by a practitioner;
3280          (n) failing to act in accordance with Title 26, Chapter 64, Family Planning Access Act,
3281     when dispensing a self-administered hormonal contraceptive under a standing order; and
3282          (o) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.

3283          (2) Subsection (1)(b) does not apply to:
3284          (a) giving or receiving a price discount based on purchase volume;
3285          (b) passing along a pharmaceutical manufacturer's rebate; or
3286          (c) providing compensation for services to a veterinarian.
3287          (3) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
3288     61a, Utah Medical Cannabis Act:
3289          (a) when registered as a pharmacy medical provider, as that term is defined in Section
3290     26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
3291          (b) when [registered] acting as a state central [fill] patient portal medical provider, as
3292     that term is defined in Section 26-61a-102, providing state central [fill] patient portal medical
3293     provider services [in the state central fill medical cannabis pharmacy].
3294          (4) Notwithstanding Subsection (3), the division, in consultation with the board and in
3295     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
3296     unprofessional conduct for a pharmacist described in Subsections (3)(a) and (b).
3297          Section 54. Section 58-37-3.7 is amended to read:
3298          58-37-3.7. Medical cannabis decriminalization.
3299          (1) As used in this section:
3300          (a) "Cannabis" means the same as that term is defined in Section 26-61a-102.
3301          (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
3302          (c) "Medical cannabis card" means the same as that term is defined in Section
3303     26-61a-102.
3304          (d) "Medical cannabis device" means the same as that term is defined in Section
3305     26-61a-102.
3306          (e) "Medical cannabis pharmacy" means the same as that term is defined in Section
3307     26-61a-102.
3308          (f) "Medicinal dosage form" means the same as that term is defined in Section
3309     26-61a-102.
3310          (g) "Qualified medical provider" means the same as that term is defined in Section
3311     26-61a-102.
3312          (h) "Qualifying condition" means the same as that term is defined in Section
3313     26-61a-102.

3314          (i) "Tetrahydrocannabinol" means the same as that term is defined in Section
3315     58-37-3.9.
3316          (2) Before January 1, 2021, an individual is not guilty under this chapter for the use or
3317     possession of marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia if:
3318          (a) at the time of the arrest or citation, the individual:
3319          (i) (A) had been diagnosed with a qualifying condition; and
3320          (B) had a pre-existing provider-patient relationship with an advanced practice
3321     registered nurse licensed under Title 58, Chapter 31b, Nurse Practice Act, a physician licensed
3322     under Title 58, Chapter 67, Utah Medical Practice Act, a physician licensed under Title 58,
3323     Chapter 68, Utah Osteopathic Medical Practice Act, or a physician assistant licensed under
3324     Title 58, Chapter 70a, Utah Physician Assistant Act, who believed that the individual's illness
3325     described in Subsection (2)(a)(i)(A) could benefit from the use in question;
3326          (ii) for possession, was:
3327          (A) the parent or legal guardian of an individual described in Subsection (2)(a)(i) who
3328     is a minor; or
3329          (B) the spouse of an individual described in Subsection (2)(a)(i); or
3330          (iii) (A) for possession, was a medical cannabis cardholder; or
3331          (B) for use, was a medical cannabis patient cardholder or a minor with a qualifying
3332     condition under the supervision of a medical cannabis guardian cardholder; and
3333          (b) the marijuana or tetrahydrocannabinol was in a medicinal dosage form in one of the
3334     following amounts:
3335          (i) no more than 56 grams by weight of unprocessed cannabis; or
3336          (ii) an amount of cannabis products that contains, in total, no more than 10 grams of
3337     total composite tetrahydrocannabinol.
3338          (3) An individual is not guilty under this chapter for the use or possession of
3339     marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia under this chapter if:
3340          (a) at the time of the arrest or citation, the individual:
3341          (i) was not a resident of Utah or has been a resident of Utah for less than 45 days;
3342          (ii) had a currently valid medical cannabis card or the equivalent of a medical cannabis
3343     card under the laws of another state, district, territory, commonwealth, or insular possession of
3344     the United States; and

3345          (iii) had been diagnosed with a qualifying condition as described in Section
3346     26-61a-104; and
3347          (b) the marijuana or tetrahydrocannabinol is in a medicinal dosage form in [a quantity
3348     described in Subsection 26-61a-502(2).] one of the following amounts:
3349          (i) no more than 113 grams by weight of unprocessed cannabis; or
3350          (ii) an amount of cannabis products that contains, in total, no more than 20 grams of
3351     total composite tetrahydrocannabinol.
3352          Section 55. Section 58-37-3.8 is amended to read:
3353          58-37-3.8. Enforcement.
3354          (1) A law enforcement officer, as that term is defined in Section 53-13-103, except for
3355     an officially designated drug enforcement task force regarding conduct that is not in accordance
3356     with Title 26, Chapter 61a, Utah Medical Cannabis Act, may not expend any state or local
3357     resources, including the officer's time, to:
3358          (a) effect any arrest or seizure of cannabis, as that term is defined in Section
3359     26-61a-102, or conduct any investigation, on the sole basis of activity the officer believes to
3360     constitute a violation of federal law if the officer has reason to believe that the activity is in
3361     compliance with the state medical cannabis laws;
3362          (b) enforce a law that restricts an individual's right to acquire, own, or possess a
3363     firearm based solely on the individual's possession or use of cannabis in accordance with state
3364     medical cannabis laws; or
3365          (c) provide any information or logistical support related to an activity described in
3366     Subsection (1)(a) to any federal law enforcement authority or prosecuting entity.
3367          (2) An agency or political subdivision of the state may not take an adverse action
3368     against a person for providing a professional service to a medical cannabis pharmacy, as that
3369     term is defined in Section 26-61a-102, the state central [fill medical cannabis pharmacy]
3370     patient portal, as that term is defined in Section 26-61a-102, or a cannabis production
3371     establishment, as that term is defined in Section 4-41a-102, on the sole basis that the service is
3372     a violation of federal law.
3373          Section 56. Section 58-37-3.9 is amended to read:
3374          58-37-3.9. Exemption for possession or use of cannabis to treat a qualifying
3375     illness.

3376          (1) As used in this section:
3377          (a) "Cannabis" means marijuana.
3378          (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
3379          (c) "Drug paraphernalia" means the same as that term is defined in Section 58-37a-3.
3380          (d) "Medical cannabis cardholder" means the same as that term is defined in Section
3381     26-61a-102.
3382          (e) "Medical cannabis device" means the same as that term is defined in Section
3383     26-61a-102.
3384          (f) " Medicinal dosage form" means the same as that term is defined in Section
3385     26-61a-102.
3386          (g) "Tetrahydrocannabinol" means a substance derived from cannabis or a synthetic
3387     description as described in Subsection 58-37-4(2)(a)(iii)(AA).
3388          (2) Notwithstanding any other provision of law, except as otherwise provided in this
3389     section:
3390          (a) an individual is not guilty of a violation of this title for the following conduct if the
3391     individual engages in the conduct in accordance with Title 4, Chapter 41a, Cannabis
3392     Production Establishments, or Title 26, Chapter 61a, Utah Medical Cannabis Act:
3393          (i) possessing, ingesting, inhaling, producing, manufacturing, dispensing, distributing,
3394     selling, or offering to sell cannabis or a cannabis product; or
3395          (ii) possessing cannabis or a cannabis product with the intent to engage in the conduct
3396     described in Subsection (2)(a)(i); and
3397          (b) an individual is not guilty of a violation of this title regarding drug paraphernalia if
3398     the individual, in accordance with Title 4, Chapter 41a, Cannabis Production Establishments,
3399     and Title 26, Chapter 61a, Utah Medical Cannabis Act:
3400          (i) possesses, manufactures, distributes, sells, or offers to sell a medical cannabis
3401     device; or
3402          (ii) possesses a medical cannabis device with the intent to engage in any of the conduct
3403     described in Subsection (2)(b)(i).
3404          (3) (a) As used in this Subsection (3), "smoking" does not include the vaporization or
3405     heating of medical cannabis.
3406          (b) Title 26, Chapter 61a, Utah Medical Cannabis Act, does not authorize a medical

3407     cannabis cardholder to smoke or combust cannabis or to use a device to facilitate the smoking
3408     or combustion of cannabis.
3409          (c) A medical cannabis cardholder who smokes cannabis or engages in any other
3410     conduct described in Subsection (3)(b):
3411          (i) does not possess the cannabis in accordance with Title 26, Chapter 61a, Utah
3412     Medical Cannabis Act; and
3413          (ii) is subject to charges under this chapter for the use or possession of marijuana,
3414     tetrahydrocannabinol, or marijuana drug paraphernalia for the conduct described in Subsection
3415     (3)(b).
3416          (4) An individual who is assessed a penalty or convicted of a crime under Title 4,
3417     Chapter 41a, Cannabis Production Establishments, or Title 26, Chapter 61a, Utah Medical
3418     Cannabis Act, is not, based on the conduct underlying that penalty or conviction, subject to a
3419     penalty described in this chapter for:
3420          (a) the possession, manufacture, sale, or offer for sale of cannabis or a cannabis
3421     product; or
3422          (b) the possession, manufacture, sale, or offer for sale of drug paraphernalia.
3423          Section 57. Section 58-67-304 is amended to read:
3424          58-67-304. License renewal requirements.
3425          (1) As a condition precedent for license renewal, each licensee shall, during each
3426     two-year licensure cycle or other cycle defined by division rule:
3427          (a) complete qualified continuing professional education requirements in accordance
3428     with the number of hours and standards defined by division rule made in collaboration with the
3429     board;
3430          (b) appoint a contact person for access to medical records and an alternate contact
3431     person for access to medical records in accordance with Subsection 58-67-302(1)(j);
3432          (c) if the licensee practices medicine in a location with no other persons licensed under
3433     this chapter, provide some method of notice to the licensee's patients of the identity and
3434     location of the contact person and alternate contact person for the licensee; and
3435          (d) if the licensee is an associate physician licensed under Section 58-67-302.8,
3436     successfully complete the educational methods and programs described in Subsection
3437     58-67-807(4).

3438          (2) If a renewal period is extended or shortened under Section 58-67-303, the
3439     continuing education hours required for license renewal under this section are increased or
3440     decreased proportionally.
3441          (3) An application to renew a license under this chapter shall:
3442          (a) require a physician to answer the following question: "Do you perform elective
3443     abortions in Utah in a location other than a hospital?"; and
3444          (b) immediately following the question, contain the following statement: "For purposes
3445     of the immediately preceding question, elective abortion means an abortion other than one of
3446     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
3447     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
3448     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
3449     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
3450     the woman is pregnant as a result of rape or incest."
3451          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
3452     to the licensing of an abortion clinic and the enforcement of Title 76, Chapter 7, Part 3,
3453     Abortion, if a physician responds positively to the question described in Subsection (3)(a), the
3454     division shall, within 30 days after the day on which it renews the physician's license under this
3455     chapter, inform the Department of Health in writing:
3456          (a) of the name and business address of the physician; and
3457          (b) that the physician responded positively to the question described in Subsection
3458     (3)(a).
3459          (5) The division shall accept and apply toward the hour requirement in Subsection
3460     (1)(a) any continuing education that a physician completes in accordance with Sections
3461     26-61a-106, 26-61a-403, and [26-61a-601] 26-61a-602.
3462          Section 58. Section 58-67-502 is amended to read:
3463          58-67-502. Unprofessional conduct.
3464          (1) "Unprofessional conduct" includes, in addition to the definition in Section
3465     58-1-501:
3466          (a) using or employing the services of any individual to assist a licensee in any manner
3467     not in accordance with the generally recognized practices, standards, or ethics of the
3468     profession, state law, or division rule;

3469          (b) making a material misrepresentation regarding the qualifications for licensure under
3470     Section 58-67-302.7 or Section 58-67-302.8;
3471          (c) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
3472     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable; or
3473          (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.
3474          (2) "Unprofessional conduct" does not include:
3475          (a) in compliance with Section 58-85-103:
3476          (i) obtaining an investigational drug or investigational device;
3477          (ii) administering the investigational drug to an eligible patient; or
3478          (iii) treating an eligible patient with the investigational drug or investigational device;
3479     or
3480          (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
3481          (i) when registered as a qualified medical provider, as that term is defined in Section
3482     26-61a-102, recommending the use of medical cannabis;
3483          (ii) when registered as a pharmacy medical provider, as that term is defined in Section
3484     26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
3485          (iii) when registered as a state central [fill] patient portal medical provider, as that term
3486     is defined in Section 26-61a-102, providing state central [fill] patient portal medical provider
3487     services [in the state central fill medical cannabis pharmacy].
3488          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
3489     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
3490     unprofessional conduct for a [pharmacist] physician described in Subsection (2)(b).
3491          Section 59. Section 58-68-304 is amended to read:
3492          58-68-304. License renewal requirements.
3493          (1) As a condition precedent for license renewal, each licensee shall, during each
3494     two-year licensure cycle or other cycle defined by division rule:
3495          (a) complete qualified continuing professional education requirements in accordance
3496     with the number of hours and standards defined by division rule in collaboration with the
3497     board;
3498          (b) appoint a contact person for access to medical records and an alternate contact
3499     person for access to medical records in accordance with Subsection 58-68-302(1)(j);

3500          (c) if the licensee practices osteopathic medicine in a location with no other persons
3501     licensed under this chapter, provide some method of notice to the licensee's patients of the
3502     identity and location of the contact person and alternate contact person for access to medical
3503     records for the licensee in accordance with Subsection 58-68-302(1)(k); and
3504          (d) if the licensee is an associate physician licensed under Section 58-68-302.5,
3505     successfully complete the educational methods and programs described in Subsection
3506     58-68-807(4).
3507          (2) If a renewal period is extended or shortened under Section 58-68-303, the
3508     continuing education hours required for license renewal under this section are increased or
3509     decreased proportionally.
3510          (3) An application to renew a license under this chapter shall:
3511          (a) require a physician to answer the following question: "Do you perform elective
3512     abortions in Utah in a location other than a hospital?"; and
3513          (b) immediately following the question, contain the following statement: "For purposes
3514     of the immediately preceding question, elective abortion means an abortion other than one of
3515     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
3516     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
3517     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
3518     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
3519     the woman is pregnant as a result of rape or incest."
3520          (4) In order to assist the Department of Health in fulfilling its responsibilities relating
3521     to the licensing of an abortion clinic, if a physician responds positively to the question
3522     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
3523     renews the physician's license under this chapter, inform the Department of Health in writing:
3524          (a) of the name and business address of the physician; and
3525          (b) that the physician responded positively to the question described in Subsection
3526     (3)(a).
3527          (5) The division shall accept and apply toward the hour requirement in Subsection
3528     (1)(a) any continuing education that a physician completes in accordance with Sections
3529     26-61a-106, 26-61a-403, and [26-61a-601] 26-61a-602.
3530          Section 60. Section 58-68-502 is amended to read:

3531          58-68-502. Unprofessional conduct.
3532          (1) "Unprofessional conduct" includes, in addition to the definition in Section
3533     58-1-501:
3534          (a) using or employing the services of any individual to assist a licensee in any manner
3535     not in accordance with the generally recognized practices, standards, or ethics of the
3536     profession, state law, or division rule;
3537          (b) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
3538     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
3539          (c) making a material misrepresentation regarding the qualifications for licensure under
3540     Section 58-68-302.5; or
3541          (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act.
3542          (2) "Unprofessional conduct" does not include:
3543          (a) in compliance with Section 58-85-103:
3544          (i) obtaining an investigational drug or investigational device;
3545          (ii) administering the investigational drug to an eligible patient; or
3546          (iii) treating an eligible patient with the investigational drug or investigational device;
3547     or
3548          (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
3549          (i) when registered as a qualified medical provider, as that term is defined in Section
3550     26-61a-102, recommending the use of medical cannabis;
3551          (ii) when registered as a pharmacy medical provider, as that term is defined in Section
3552     26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
3553          (iii) when registered as a state central [fill] patient portal medical provider, as that term
3554     is defined in Section 26-61a-102, providing state central [fill] patient portal medical provider
3555     services [in the state central fill medical cannabis pharmacy].
3556          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
3557     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
3558     unprofessional conduct for a [pharmacist] physician described in Subsection (2)(b).
3559          Section 61. Section 59-12-104.10 is amended to read:
3560          59-12-104.10. Exemption from sales tax for cannabis.
3561          (1) As used in this section:

3562          (a) "Cannabis" means the same as that term is defined in Section 26-61a-102.
3563          (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
3564          (c) "Medical cannabis device" means the same as that term is defined in Section
3565     26-61a-102.
3566          (d) "Medical cannabis pharmacy" means the same as that term is defined in Section
3567     26-61a-102.
3568          (e) "Medicinal dosage form" means the same as that term is defined in Section
3569     26-61a-102.
3570          [(f) "State central fill medical cannabis pharmacy" means the same as that term is
3571     defined in Section 26-61a-102.]
3572          (2) In addition to the exemptions described in Section 59-12-104, the sale by a licensed
3573     medical cannabis pharmacy [or the state central fill medical cannabis pharmacy] of the
3574     following is not subject to the taxes this chapter imposes:
3575          (a) cannabis in a medicinal dosage form; or
3576          (b) a cannabis product in a medicinal dosage form.
3577          (3) The sale of a medical cannabis device by a medical cannabis pharmacy [or the state
3578     central fill medical cannabis pharmacy] is subject to the taxes this chapter imposes.
3579          Section 62. Section 78A-2-231 is enacted to read:
3580          78A-2-231. Consideration of lawful use or possession of medical cannabis.
3581          (1) As used in this section:
3582          (a) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
3583          (b) "Dosing parameters" means the same as that term is defined in Section 26-61a-102.
3584          (c) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
3585          (d) "Medical cannabis card" means the same as that term is defined in Section
3586     26-61a-102.
3587          (e) "Medical cannabis device" means the same as that term is defined in Section
3588     26-61a-102.
3589          (f) "Qualified medical provider" means the same as that term is defined in Section
3590     26-61a-102.
3591          (2) In any judicial proceeding in which a judge, panel, jury, or court commissioner
3592     makes a finding, determination, or otherwise considers an individual's possession or use of

3593     medical cannabis, a cannabis product, or a medical cannabis device, the judge, panel, jury, or
3594     court commissioner may not consider or treat the individual's possession or use any differently
3595     than the lawful possession or use of any prescribed controlled substance if:
3596          (a) the individual's possession complies with Title 4, Chapter 41a, Cannabis Production
3597     Establishments;
3598          (b) the individual's possession or use complies with Subsection 58-37-3.7(2) or (3); or
3599          (c) (i) the individual's possession or use complies with Title 26, Chapter 61a, Utah
3600     Medical Cannabis Act; and
3601          (ii) the individual reasonably complies with the dosing parameters determined by the
3602     individual's qualified medical provider or through a consultation described in Subsection
3603     26-61a-502(4) or (5).
3604          (3) Notwithstanding Sections 77-18-1 and 77-2a-3, for probation, release, a plea in
3605     abeyance agreement, a diversion agreement, or a tendered admission under Utah Rules of
3606     Juvenile Procedure, Rule 25, a term or condition may not require that an individual abstain
3607     from the use or possession of medical cannabis, a cannabis product, or a medical cannabis
3608     device, either directly or through a general prohibition on violating federal law, without an
3609     exception related to medical cannabis use, if the individual's use or possession complies with:
3610          (a) Title 26, Chapter 61a, Utah Medical Cannabis Act; or
3611          (b) Subsection 58-37-3.7(2) or (3).
3612          Section 63. Section 78A-6-115 is amended to read:
3613          78A-6-115. Hearings -- Record -- County attorney or district attorney
3614     responsibilities -- Attorney general responsibilities -- Disclosure -- Admissibility of
3615     evidence -- Medical Cannabis.
3616          (1) (a) A verbatim record of the proceedings shall be taken in all cases that might result
3617     in deprivation of custody as defined in this chapter. In all other cases a verbatim record shall
3618     also be made unless dispensed with by the court.
3619          (b) (i) Notwithstanding any other provision, including Title 63G, Chapter 2,
3620     Government Records Access and Management Act, a record of a proceeding made under
3621     Subsection (1)(a) shall be released by the court to any person upon a finding on the record for
3622     good cause.
3623          (ii) Following a petition for a record of a proceeding made under Subsection (1)(a), the

3624     court shall:
3625          (A) provide notice to all subjects of the record that a request for release of the record
3626     has been made; and
3627          (B) allow sufficient time for the subjects of the record to respond before making a
3628     finding on the petition.
3629          (iii) A record of a proceeding may not be released under this Subsection (1)(b) if the
3630     court's jurisdiction over the subjects of the proceeding ended more than 12 months before the
3631     request.
3632          (iv) For purposes of this Subsection (1)(b):
3633          (A) "record of a proceeding" does not include documentary materials of any type
3634     submitted to the court as part of the proceeding, including items submitted under Subsection
3635     (4)(a); and
3636          (B) "subjects of the record" includes the child's guardian ad litem, the child's legal
3637     guardian, the Division of Child and Family Services, and any other party to the proceeding.
3638          (2) (a) Except as provided in Subsection (2)(b), the county attorney or, if within a
3639     prosecution district, the district attorney shall represent the state in any proceeding in a minor's
3640     case.
3641          (b) Subject to the attorney general's prosecutorial discretion in civil enforcement
3642     actions, the attorney general shall enforce all provisions of Title 62A, Chapter 4a, Child and
3643     Family Services, and this chapter, relating to:
3644          (i) protection or custody of an abused, neglected, or dependent child; and
3645          (ii) petitions for termination of parental rights.
3646          (c) The attorney general shall represent the Division of Child and Family Services in
3647     actions involving a minor who is not adjudicated as abused or neglected, but who is receiving
3648     in-home family services under Section 78A-6-117.5. Nothing in this Subsection (2)(c) may be
3649     construed to affect the responsibility of the county attorney or district attorney to represent the
3650     state in those matters, in accordance with Subsection (2)(a).
3651          (3) The board may adopt special rules of procedure to govern proceedings involving
3652     violations of traffic laws or ordinances, wildlife laws, and boating laws. However, proceedings
3653     involving offenses under Section 78A-6-606 are governed by that section regarding suspension
3654     of driving privileges.

3655          (4) (a) For the purposes of determining proper disposition of the minor in dispositional
3656     hearings and establishing the fact of abuse, neglect, or dependency in adjudication hearings and
3657     in hearings upon petitions for termination of parental rights, written reports and other material
3658     relating to the minor's mental, physical, and social history and condition may be received in
3659     evidence and may be considered by the court along with other evidence. The court may require
3660     that the person who wrote the report or prepared the material appear as a witness if the person
3661     is reasonably available.
3662          (b) For the purpose of determining proper disposition of a minor alleged to be or
3663     adjudicated as abused, neglected, or dependent, dispositional reports prepared by the division
3664     under Section 78A-6-315 may be received in evidence and may be considered by the court
3665     along with other evidence. The court may require any person who participated in preparing the
3666     dispositional report to appear as a witness, if the person is reasonably available.
3667          (5) (a) In an abuse, neglect, or dependency proceeding occurring after the
3668     commencement of a shelter hearing under Section 78A-6-306 or the filing of a petition under
3669     Section 78A-6-304, each party to the proceeding shall provide in writing to the other parties or
3670     their counsel any information which the party:
3671          (i) plans to report to the court at the proceeding; or
3672          (ii) could reasonably expect would be requested of the party by the court at the
3673     proceeding.
3674          (b) The disclosure required under Subsection (5)(a) shall be made:
3675          (i) for dispositional hearings under Sections 78A-6-311 and 78A-6-312, no less than
3676     five days before the proceeding;
3677          (ii) for proceedings under Chapter 6, Part 5, Termination of Parental Rights Act, in
3678     accordance with Utah Rules of Civil Procedure; and
3679          (iii) for all other proceedings, no less than five days before the proceeding.
3680          (c) If a party to a proceeding obtains information after the deadline in Subsection
3681     (5)(b), the information is exempt from the disclosure required under Subsection (5)(a) if the
3682     party certifies to the court that the information was obtained after the deadline.
3683          (d) Subsection (5)(a) does not apply to:
3684          (i) pretrial hearings; and
3685          (ii) the frequent, periodic review hearings held in a dependency drug court case to

3686     assess and promote the parent's progress in substance use disorder treatment.
3687          (6) For the purpose of establishing the fact of abuse, neglect, or dependency, the court
3688     may, in its discretion, consider evidence of statements made by a child under eight years of age
3689     to a person in a trust relationship.
3690          (7) (a) As used in this Subsection (7):
3691          (i) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
3692          (ii) "Dosing parameters" means the same as that term is defined in Section 26-61a-102.
3693          (iii) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
3694          (iv) "Medical cannabis cardholder" means the same as that term is defined in Section
3695     26-61a-102.
3696          (v) "Qualified medical provider" means the same as that term is defined in Section
3697     26-61a-102.
3698          (b) A parent's or guardian's use of medical cannabis or a cannabis product is not abuse
3699     or neglect of a child under Section 78A-6-105, nor is it contrary to the best interests of a child,
3700     if:
3701          (i) (A) for a medical cannabis cardholder after January 1, 2021, the parent's or
3702     guardian's possession or use complies with Title 26, Chapter 61a, Utah Medical Cannabis Act,
3703     and there is no evidence that the parent's or guardian's use of medical cannabis unreasonably
3704     deviates from the dosing parameters determined by the parent's or guardian's qualified medical
3705     provider or through a consultation described in Subsection 26-61a-502(4) or (5); or
3706          (B) before January 1, 2021, the parent's or guardian's possession or use complies with
3707     Subsection 58-37-3.7(2) or (3); and
3708          (ii) (A) there is no evidence showing that the child has inhaled, ingested, or otherwise
3709     had cannabis introduced to the child's body;
3710          (B) there is no evidence showing a nexus between the parent's or guardian's use of
3711     medical cannabis or a cannabis product and behavior that would separately constitute abuse or
3712     neglect of the child; or
3713          (C) there is evidence showing a nexus between the parent's or guardian's use of medical
3714     cannabis or a cannabis product and behavior that would separately constitute abuse or neglect
3715     of the child, but the court would not consider the behavior to be abuse or neglect if the
3716     behavior resulted from the use of a prescribed controlled substance.

3717          Section 64. Repealer.
3718          This bill repeals:
3719          Section 26-61a-110, Qualified Distribution Enterprise Fund -- Creation.
3720          Section 26-61a-205, Lost or stolen medical cannabis card.
3721          Section 26-61a-608, Department to set state central fill medical cannabis pharmacy
3722     prices.
3723          Section 26-61a-609, Partial filling.
3724          Section 26-61a-610, Records -- Inspections.
3725          Section 26-61a-611, Advertising.
3726          Section 26-65-101, Title.
3727          Section 26-65-102, Definitions.
3728          Section 26-65-103, Medicinal dosage form.
3729          Section 26-65-201, Insurance coverage.
3730          Section 26-65-202, Rules -- Report to the Legislature.
3731          Section 65. Effective date.
3732          If approved by two-thirds of all the members elected to each house, this bill takes effect
3733     upon approval by the governor, or the day following the constitutional time limit of Utah
3734     Constitution, Article VII, Section 8, without the governor's signature, or in the case of a veto,
3735     the date of veto override.
3736          Section 66. Revisor instructions.
3737          The Legislature intends that the Office of Legislative Research and General Counsel, in
3738     preparing the Utah Code database for publication, in Section 4-41a-201, replace the language
3739     from "the effective date of this bill" to the bill's actual effective date.