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7 LONG TITLE
8 General Description:
9 This bill amends provisions relating to patient access to medical cannabis
10 recommendations from medical providers.
11 Highlighted Provisions:
12 This bill:
13 ▸ defines terms;
14 ▸ amends a labeling requirement for consistency;
15 ▸ allows a licensed podiatrist to recommend medical cannabis within the course and
16 scope of a practice of podiatry;
17 ▸ requires the state electronic verification system to allow a medical cannabis
18 pharmacy to record a medical cannabis recommendation from a limited medical
19 provider;
20 ▸ allows certain medical providers to operate as limited medical providers to
21 recommend cannabis to a limited number of the provider's patients without
22 registering with the Department of Health (department) as a qualified medical
23 provider;
24 ▸ amends provisions to accommodate the allowance for limited medical providers;
25 ▸ allows a licensed podiatrist to become a qualified medical provider;
26 ▸ requires the department to issue an electronic conditional medical cannabis card to
27 allow certain medical cannabis card applicants access to medical cannabis;
28 ▸ requires medical cannabis pharmacies to record information in an order from a
29 limited medical provider in the state electronic verification system;
30 ▸ imposes certain verification requirements on a medical cannabis pharmacy before
31 entering certain orders from a limited medical provider or processing a transaction
32 for certain conditional medical cannabis cardholders;
33 ▸ requires a medical cannabis component in required continuing education for
34 controlled substance prescribers;
35 ▸ extends a deadline that imposes a limitation on an individual's use or possession of
36 medical cannabis from outside the state; and
37 ▸ makes technical and conforming changes.
38 Money Appropriated in this Bill:
39 None
40 Other Special Clauses:
41 This bill provides a special effective date.
42 This bill provides revisor instructions.
43 Utah Code Sections Affected:
44 AMENDS:
45 4-41a-102, as last amended by Laws of Utah 2020, Chapters 12, 148 and last amended
46 by Coordination Clause, Laws of Utah 2020, Chapter 148
47 4-41a-602, as last amended by Laws of Utah 2020, Chapter 12
48 26-61a-102, as last amended by Laws of Utah 2020, Chapters 12, 148 and last amended
49 by Coordination Clause, Laws of Utah 2020, Chapter 148
50 26-61a-103, as last amended by Laws of Utah 2020, Chapter 12
51 26-61a-106, as last amended by Laws of Utah 2020, Chapter 12
52 26-61a-107, as last amended by Laws of Utah 2020, Chapters 12, 148 and last amended
53 by Coordination Clause, Laws of Utah 2020, Chapter 148
54 26-61a-201, as last amended by Laws of Utah 2020, Chapters 12 and 148
55 26-61a-202, as last amended by Laws of Utah 2020, Chapter 12
56 26-61a-401, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
57 26-61a-403, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
58 26-61a-501, as last amended by Laws of Utah 2020, Chapter 12
59 26-61a-502, as last amended by Laws of Utah 2020, Chapters 12, 148 and last amended
60 by Coordination Clause, Laws of Utah 2020, Chapter 148
61 26-61a-503, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
62 26-61a-601, as last amended by Laws of Utah 2020, Chapter 12
63 58-5a-102, as last amended by Laws of Utah 2020, Chapter 25
64 58-31b-502, as last amended by Laws of Utah 2020, Fifth Special Session, Chapter 4
65 58-37-3.7, as last amended by Laws of Utah 2020, Chapter 12
66 58-37-6.5, as last amended by Laws of Utah 2018, Chapter 318
67 58-67-502, as last amended by Laws of Utah 2020, Chapter 25
68 58-68-502, as last amended by Laws of Utah 2020, Chapter 25
69 58-70a-503, as last amended by Laws of Utah 2020, Chapter 25
70 62A-4a-404, as last amended by Laws of Utah 2020, Chapter 193
71 78A-2-231, as last amended by Laws of Utah 2020, Chapter 12
72 78A-6-115, as last amended by Laws of Utah 2020, Chapters 12, 132, 250, and 354
73 Utah Code Sections Affected by Revisor Instructions:
74 26-61a-201, as last amended by Laws of Utah 2020, Chapters 12 and 148
75 58-37-3.7, as last amended by Laws of Utah 2020, Chapter 12
76
77 Be it enacted by the Legislature of the state of Utah:
78 Section 1. Section 4-41a-102 is amended to read:
79 4-41a-102. Definitions.
80 As used in this chapter:
81 (1) "Active tetrahydrocannabinol" means delta-9-tetrahydrocannabinol and
82 tetrahydrocannabinolic acid.
83 (2) "Cannabis" means the same as that term is defined in Section 26-61a-102.
84 (3) "Cannabis cultivation facility" means a person that:
85 (a) possesses cannabis;
86 (b) grows or intends to grow cannabis; and
87 (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis
88 processing facility, or a medical cannabis research licensee.
89 (4) "Cannabis cultivation facility agent" means an individual who:
90 (a) is an employee of a cannabis cultivation facility; and
91 (b) holds a valid cannabis production establishment agent registration card.
92 (5) "Cannabis processing facility" means a person that:
93 (a) acquires or intends to acquire cannabis from a cannabis production establishment;
94 (b) possesses cannabis with the intent to manufacture a cannabis product;
95 (c) manufactures or intends to manufacture a cannabis product from unprocessed
96 cannabis or a cannabis extract; and
97 (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a
98 medical cannabis research licensee.
99 (6) "Cannabis processing facility agent" means an individual who:
100 (a) is an employee of a cannabis processing facility; and
101 (b) holds a valid cannabis production establishment agent registration card.
102 (7) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
103 (8) "Cannabis production establishment" means a cannabis cultivation facility, a
104 cannabis processing facility, or an independent cannabis testing laboratory.
105 (9) "Cannabis production establishment agent" means a cannabis cultivation facility
106 agent, a cannabis processing facility agent, or an independent cannabis testing laboratory agent.
107 (10) "Cannabis production establishment agent registration card" means a registration
108 card that the department issues that:
109 (a) authorizes an individual to act as a cannabis production establishment agent; and
110 (b) designates the type of cannabis production establishment for which an individual is
111 authorized to act as an agent.
112 (11) "Community location" means a public or private elementary or secondary school,
113 a church, a public library, a public playground, or a public park.
114 (12) "Cultivation space" means, quantified in square feet, the horizontal area in which
115 a cannabis cultivation facility cultivates cannabis, including each level of horizontal area if the
116 cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants above other
117 plants in multiple levels.
118 (13) "Department" means the Department of Agriculture and Food.
119 (14) "Family member" means a parent, step-parent, spouse, child, sibling, step-sibling,
120 uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law, brother-in-law,
121 sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
122 (15) (a) "Independent cannabis testing laboratory" means a person that:
123 (i) conducts a chemical or other analysis of cannabis or a cannabis product; or
124 (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent to
125 conduct a chemical or other analysis of the cannabis or cannabis product.
126 (b) "Independent cannabis testing laboratory" includes a laboratory that the department
127 operates in accordance with Subsection 4-41a-201(14).
128 (16) "Independent cannabis testing laboratory agent" means an individual who:
129 (a) is an employee of an independent cannabis testing laboratory; and
130 (b) holds a valid cannabis production establishment agent registration card.
131 (17) "Inventory control system" means a system described in Section 4-41a-103.
132 (18) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
133 (19) "Medical cannabis card" means the same as that term is defined in Section
134 26-61a-102.
135 (20) "Medical cannabis pharmacy" means the same as that term is defined in Section
136 26-61a-102.
137 (21) "Medical cannabis pharmacy agent" means the same as that term is defined in
138 Section 26-61a-102.
139 (22) "Medical cannabis research license" means a license that the department issues to
140 a research university for the purpose of obtaining and possessing medical cannabis for
141 academic research.
142 (23) "Medical cannabis research licensee" means a research university that the
143 department licenses to obtain and possess medical cannabis for academic research, in
144 accordance with Section 4-41a-901.
145 (24) "Medical cannabis treatment" means the same as that term is defined in Section
146 26-61a-102.
147 (25) "Medicinal dosage form" means the same as that term is defined in Section
148 26-61a-102.
149 (26) "Qualified medical provider" means the same as that term is defined in Section
150 26-61a-102.
151 (27) "Qualified Production Enterprise Fund" means the fund created in Section
152 4-41a-104.
153 (28) "Recommending medical provider" means the same as that term is defined in
154 Section 26-61a-102.
155 [
156 53B-7-702 and a private, nonprofit college or university in the state that:
157 (a) is accredited by the Northwest Commission on Colleges and Universities;
158 (b) grants doctoral degrees; and
159 (c) has a laboratory containing or a program researching a schedule I controlled
160 substance described in Section 58-37-4.
161 [
162 26-61a-103.
163 [
164 synthetic equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA).
165 [
166 tetrahydrocannabinol.
167 Section 2. Section 4-41a-602 is amended to read:
168 4-41a-602. Cannabis product -- Labeling and child-resistant packaging.
169 (1) For any cannabis product that a cannabis processing facility processes or produces
170 and for any raw cannabis that the facility packages, the facility shall:
171 (a) label the cannabis or cannabis product with a label that:
172 (i) clearly and unambiguously states that the cannabis product or package contains
173 cannabis;
174 (ii) clearly displays the amount of total composite tetrahydrocannabinol and
175 cannabidiol in the labeled container;
176 (iii) has a unique identification number that:
177 (A) is connected to the inventory control system; and
178 (B) identifies the unique cannabis product manufacturing process the cannabis
179 processing facility used to manufacture the cannabis product;
180 (iv) identifies the cannabinoid extraction process that the cannabis processing facility
181 used to create the cannabis product;
182 (v) does not display an image, word, or phrase that the facility knows or should know
183 appeals to children; and
184 (vi) discloses each active or potentially active ingredient, in order of prominence, and
185 possible allergen; and
186 (b) package the raw cannabis or cannabis product in a medicinal dosage form in a
187 container that:
188 (i) is tamper evident and tamper resistant;
189 (ii) does not appeal to children;
190 (iii) does not mimic a candy container;
191 (iv) is opaque;
192 (v) complies with child-resistant effectiveness standards that the United States
193 Consumer Product Safety Commission establishes; and
194 (vi) includes a warning label that states:
195 (A) for a container labeled before July 1, 2021, "WARNING: Cannabis has
196 intoxicating effects and may be addictive. Do not operate a vehicle or machinery under its
197 influence. KEEP OUT OF REACH OF CHILDREN. This product is for medical use only. Use
198 only as directed by a qualified medical provider."; or
199 (B) for a container labeled on or after July 1, 2021, "WARNING: Cannabis has
200 intoxicating effects and may be addictive. Do not operate a vehicle or machinery under its
201 influence. KEEP OUT OF REACH OF CHILDREN. This product is for medical use only. Use
202 only as directed by a recommending medical provider.".
203 (2) For any cannabis or cannabis product that the cannabis processing facility processes
204 into a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or rectangular
205 cuboid shape, the facility shall:
206 (a) ensure that the label described in Subsection (1)(a) does not contain a photograph or
207 other image of the content of the container; and
208 (b) include on the label described in Subsection (1)(a) a warning about the risks of
209 over-consumption.
210 (3) The department shall make rules in accordance with Title 63G, Chapter 3, Utah
211 Administrative Rulemaking Act to establish:
212 (a) a standard labeling format that:
213 (i) complies with the requirements of this section; and
214 (ii) ensures inclusion of a pharmacy label; and
215 (b) additional requirements on packaging for cannabis and cannabis products to ensure
216 safety and product quality.
217 Section 3. Section 26-61a-102 is amended to read:
218 26-61a-102. Definitions.
219 As used in this chapter:
220 (1) "Cannabis" means marijuana.
221 (2) "Cannabis cultivation facility" means the same as that term is defined in Section
222 4-41a-102.
223 (3) "Cannabis processing facility" means the same as that term is defined in Section
224 4-41a-102.
225 (4) "Cannabis product" means a product that:
226 (a) is intended for human use; and
227 (b) contains cannabis or tetrahydrocannabinol.
228 (5) "Cannabis production establishment" means the same as that term is defined in
229 Section 4-41a-102.
230 (6) "Cannabis production establishment agent" means the same as that term is defined
231 in Section 4-41a-102.
232 (7) "Cannabis production establishment agent registration card" means the same as that
233 term is defined in Section 4-41a-102.
234 (8) "Community location" means a public or private elementary or secondary school, a
235 church, a public library, a public playground, or a public park.
236 (9) "Conditional medical cannabis card" means an electronic medical cannabis card
237 that the department issues in accordance with Subsection 26-61a-201(1)(b) to allow an
238 applicant for a medical cannabis card to access medical cannabis during the department's
239 review of the application.
240 [
241 [
242 (a) an individual:
243 (i) whom an individual with a medical cannabis patient card or a medical cannabis
244 guardian card designates as the patient's caregiver; and
245 (ii) who registers with the department under Section 26-61a-202; or
246 (b) (i) a facility that an individual designates as a designated caregiver in accordance
247 with Subsection 26-61a-202(1)(b); or
248 (ii) an assigned employee of the facility described in Subsection 26-61a-202(1)(b)(ii).
249 [
250 medical cannabis treatment and suggested usage guidelines.
251 [
252 for a recommended treatment of medical cannabis.
253 [
254 credit union, chartered and supervised under state or federal law.
255 [
256 pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
257 cannabis shipments to a medical cannabis cardholder's home address to fulfill electronic orders
258 that the state central patient portal facilitates.
259 [
260 4-41a-103.
261 [
262 (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the
263 relevant [
264 accordance with Subsection 26-61a-201(4) or (5), recommends; and
265 (b) may not exceed:
266 (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and
267 (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in total,
268 greater than 20 grams of active tetrahydrocannabinol.
269 [
270 unprocessed cannabis flower:
271 (a) that is 60 days after the date of purchase of the cannabis; and
272 (b) after which, the cannabis is no longer in a medicinal dosage form outside of the
273 primary residence of the relevant medical cannabis patient cardholder.
274 (19) "Limited medical provider" means an individual who:
275 (a) meets the recommending qualifications; and
276 (b) has no more than 15 patients with a valid medical cannabis patient card or
277 provisional patient card as a result of the individual's recommendation, in accordance with
278 Subsection 26-61a-106(1)(b).
279 [
280 [
281 cannabis product in a medicinal dosage form.
282 [
283 cannabis guardian card, [
284 cannabis card.
285 [
286 (a) a holder of a medical cannabis card; or
287 (b) a facility or assigned employee, described in Subsection [
288 (i) within the scope of the facility's or assigned employee's performance of the role of a
289 medical cannabis patient cardholder's caregiver designation under Subsection
290 26-61a-202(1)(b); and
291 (ii) while in possession of documentation that establishes:
292 (A) a caregiver designation described in Subsection 26-61a-202(1)(b);
293 (B) the identity of the individual presenting the documentation; and
294 (C) the relation of the individual presenting the documentation to the caregiver
295 designation.
296 [
297 cardholder may print or store on an electronic device or a physical card or document that:
298 (a) the department issues to an individual whom a medical cannabis patient cardholder
299 or a medical cannabis guardian cardholder designates as a designated caregiver; and
300 (b) is connected to the electronic verification system.
301 (25) "Medical cannabis courier agent" means an individual who:
302 (a) is an employee of a medical cannabis courier; and
303 (b) who holds a valid medical cannabis courier agent registration card.
304 [
305 (a) the department licenses in accordance with Section 26-61a-604; and
306 (b) contracts with a home delivery medical cannabis pharmacy to deliver medical
307 cannabis shipments to fulfill electronic orders that the state central patient portal facilitates.
308 [
309 ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal
310 dosage form.
311 (b) "Medical cannabis device" does not include a device that:
312 (i) facilitates cannabis combustion; or
313 (ii) an individual uses to ingest substances other than cannabis.
314 [
315 cardholder may print or store on an electronic device or a physical card or document that:
316 (a) the department issues to the parent or legal guardian of a minor with a qualifying
317 condition; and
318 (b) is connected to the electronic verification system.
319 [
320 cardholder may print or store on an electronic device or a physical card or document that:
321 (a) the department issues to an individual with a qualifying condition; and
322 (b) is connected to the electronic verification system.
323 [
324 (a) (i) acquires or intends to acquire:
325 (A) cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage
326 form from a cannabis processing facility; or
327 (B) a medical cannabis device; or
328 (ii) possesses cannabis in a medicinal dosage form, a cannabis product in a medicinal
329 dosage form, or a medical cannabis device; and
330 (b) sells or intends to sell cannabis in a medicinal dosage form, a cannabis product in a
331 medicinal dosage form, or a medical cannabis device to a medical cannabis cardholder.
332 [
333 (a) is an employee of a medical cannabis pharmacy; and
334 (b) who holds a valid medical cannabis pharmacy agent registration card.
335 [
336 card issued by the department that authorizes an individual to act as a medical cannabis
337 pharmacy agent.
338 [
339 medical cannabis product that a home delivery medical cannabis pharmacy or a medical
340 cannabis courier delivers to a medical cannabis cardholder's home address to fulfill an
341 electronic medical cannabis order that the state central patient portal facilitates.
342 [
343 cannabis product in a medicinal dosage form, or a medical cannabis device.
344 [
345 (i) for processed medical cannabis or a medical cannabis product, the following with a
346 specific and consistent cannabinoid content:
347 (A) a tablet;
348 (B) a capsule;
349 (C) a concentrated liquid or viscous oil;
350 (D) a liquid suspension;
351 (E) a topical preparation;
352 (F) a transdermal preparation;
353 (G) a sublingual preparation;
354 (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or
355 rectangular cuboid shape; or
356 (I) a resin or wax;
357 (ii) for unprocessed cannabis flower, a container described in Section 4-41a-602 that:
358 (A) contains cannabis flowers in a quantity that varies by no more than 10% from the
359 stated weight at the time of packaging;
360 (B) at any time the medical cannabis cardholder transports or possesses the container in
361 public, is contained within an opaque, child-resistant bag that the medical cannabis pharmacy
362 provides; and
363 (C) is labeled with the container's content and weight, the date of purchase, the legal
364 use termination date, and after December 31, 2020, a barcode that provides information
365 connected to an inventory control system; and
366 (iii) a form measured in grams, milligrams, or milliliters.
367 (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that:
368 (i) the medical cannabis cardholder has recently removed from the container described
369 in Subsection [
370 (ii) does not exceed the quantity described in Subsection [
371 (c) "Medicinal dosage form" does not include:
372 (i) any unprocessed cannabis flower outside of the container described in Subsection
373 [
374 (ii) any unprocessed cannabis flower in a container described in Subsection [
375 (35)(a)(ii) after the legal use termination date; or
376 (iii) a process of vaporizing and inhaling concentrated cannabis by placing the cannabis
377 on a nail or other metal object that is heated by a flame, including a blowtorch.
378 [
379 (a) is not a resident of Utah or has been a resident of Utah for less than 45 days;
380 (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis
381 card under the laws of another state, district, territory, commonwealth, or insular possession of
382 the United States; and
383 (c) has been diagnosed with a qualifying condition as described in Section 26-61a-104.
384 [
385 production establishment or medical cannabis pharmacy to facilitate transfers of funds between
386 the establishment or pharmacy and other businesses or individuals.
387 [
388 site at a medical cannabis pharmacy under Section 26-61a-403.
389 [
390 (a) the department issues to a minor with a qualifying condition for whom:
391 (i) a [
392 treatment; and
393 (ii) the department issues a medical cannabis guardian card to the minor's parent or
394 legal guardian; and
395 (b) is connected to the electronic verification system.
396 [
397 (a) who meets the recommending qualifications; and
398 (b) whom the department registers to recommend treatment with cannabis in a
399 medicinal dosage form under Section 26-61a-106.
400 [
401 Section 26-61a-109.
402 [
403 [
404 recommending medical provider, the act of suggesting the use of medical cannabis treatment,
405 which:
406 (a) certifies the patient's eligibility for a medical cannabis card; and
407 (b) may include, at the [
408 directions of use, with or without dosing guidelines.
409 (44) "Recommending medical provider" means a qualified medical provider or a
410 limited medical provider.
411 (45) "Recommending qualifications" means that an individual:
412 (a) (i) has the authority to write a prescription;
413 (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
414 Controlled Substances Act; and
415 (iii) possesses the authority, in accordance with the individual's scope of practice, to
416 prescribe a Schedule II controlled substance; and
417 (b) who is licensed as:
418 (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
419 (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice
420 Act;
421 (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58,
422 Chapter 68, Utah Osteopathic Medical Practice Act; or
423 (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act
424 whose:
425 (A) declaration of services agreement, as that term is defined in Section 58-70a-102,
426 includes the recommending of medical cannabis; and
427 (B) supervising physician is a qualified medical provider.
428 [
429 accordance with Section 26-61a-601, to facilitate patient safety, education, and an electronic
430 medical cannabis order.
431 [
432 pharmacist that the department employs in relation to the state central patient portal to consult
433 with medical cannabis cardholders in accordance with Section 26-61a-602.
434 [
435 26-61a-103.
436 [
437 identification that is either current or has expired within the previous six months:
438 (a) a valid state-issued driver license or identification card;
439 (b) a valid United States [
440 including:
441 [
442 [
443 [
444 [
445 (iv) a permanent resident card or alien registration receipt card; or
446 (c) a passport that another country issued.
447 Section 4. Section 26-61a-103 is amended to read:
448 26-61a-103. Electronic verification system.
449 (1) The Department of Agriculture and Food, the department, the Department of Public
450 Safety, and the Department of Technology Services shall:
451 (a) enter into a memorandum of understanding in order to determine the function and
452 operation of the state electronic verification system in accordance with Subsection (2);
453 (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah
454 Procurement Code, to develop a request for proposals for a third-party provider to develop and
455 maintain the state electronic verification system in coordination with the Department of
456 Technology Services; and
457 (c) select a third-party provider who:
458 (i) meets the requirements contained in the request for proposals issued under
459 Subsection (1)(b); and
460 (ii) may not have any commercial or ownership interest in a cannabis production
461 establishment or a medical cannabis pharmacy.
462 (2) The Department of Agriculture and Food, the department, the Department of Public
463 Safety, and the Department of Technology Services shall ensure that, on or before March 1,
464 2020, the state electronic verification system described in Subsection (1):
465 (a) allows an individual to apply for a medical cannabis patient card or, if applicable, a
466 medical cannabis guardian card, provided that the card may not become active until:
467 (i) the relevant qualified medical provider completes the associated medical cannabis
468 recommendation; or
469 (ii) for medical cannabis card related to a limited medical provider's recommendation,
470 the medical cannabis pharmacy completes the recording described in Subsection (2)(d);
471 (b) allows an individual to apply to renew a medical cannabis patient card or a medical
472 cannabis guardian card in accordance with Section 26-61a-201;
473 (c) allows a qualified medical provider, or an employee described in Subsection (3)
474 acting on behalf of the qualified medical provider, to:
475 (i) access dispensing and card status information regarding a patient:
476 (A) with whom the qualified medical provider has a provider-patient relationship; and
477 (B) for whom the qualified medical provider has recommended or is considering
478 recommending a medical cannabis card;
479 (ii) electronically recommend, after an initial face-to-face visit with a patient described
480 in Subsection 26-61a-201(4)(b), treatment with cannabis in a medicinal dosage form or a
481 cannabis product in a medicinal dosage form and optionally recommend dosing guidelines;
482 (iii) electronically renew a recommendation to a medical cannabis patient cardholder or
483 medical cannabis guardian cardholder:
484 (A) using telehealth services, for the qualified medical provider who originally
485 recommended a medical cannabis treatment during a face-to-face visit with the patient; or
486 (B) during a face-to-face visit with the patient, for a qualified medical provider who
487 did not originally recommend the medical cannabis treatment during a face-to-face visit; and
488 (iv) notate a determination of physical difficulty or undue hardship, described in
489 Subsection 26-61a-202(1), to qualify a patient to designate a caregiver;
490 (d) beginning on the earlier of September 1, 2021, or the date on which the electronic
491 verification system is functionally capable of facility medical cannabis pharmacy recording,
492 allows a medical cannabis pharmacy medical provider or medical cannabis pharmacy agent, in
493 accordance with Subsection 26-61a-501(11)(a), to record:
494 (i) a patient's recommendation from a limited medical provider, including any
495 directions of use, dosing guidelines, or caregiver indications from the limited medical provider;
496 and
497 (ii) a limited medical provider's renewal of the provider's previous recommendation;
498 [
499 (i) an inventory control system that a medical cannabis pharmacy uses to track in real
500 time and archive purchases of any cannabis in a medicinal dosage form, cannabis product in a
501 medicinal dosage form, or a medical cannabis device, including:
502 (A) the time and date of each purchase;
503 (B) the quantity and type of cannabis, cannabis product, or medical cannabis device
504 purchased;
505 (C) any cannabis production establishment, any medical cannabis pharmacy, or any
506 medical cannabis courier associated with the cannabis, cannabis product, or medical cannabis
507 device; and
508 (D) the personally identifiable information of the medical cannabis cardholder who
509 made the purchase; and
510 (ii) any commercially available inventory control system that a cannabis production
511 establishment utilizes in accordance with Section 4-41a-103 to use data that the Department of
512 Agriculture and Food requires by rule, in accordance with Title 63G, Chapter 3, Utah
513 Administrative Rulemaking Act, from the inventory tracking system that a licensee uses to
514 track and confirm compliance;
515 [
516 (i) the department to the extent necessary to carry out the department's functions and
517 responsibilities under this chapter;
518 (ii) the Department of Agriculture and Food to the extent necessary to carry out the
519 functions and responsibilities of the Department of Agriculture and Food under Title 4, Chapter
520 41a, Cannabis Production Establishments; and
521 (iii) the Division of Occupational and Professional Licensing to the extent necessary to
522 carry out the functions and responsibilities related to the participation of the following in the
523 recommendation and dispensing of medical cannabis:
524 (A) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
525 [
526 [
527 Nurse Practice Act;
528 [
529 or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
530 [
531 Assistant Act;
532 [
533 [
534 (i) during a law enforcement encounter, without a warrant, using the individual's driver
535 license or state ID, only for the purpose of determining if the individual subject to the law
536 enforcement encounter has a valid medical cannabis card; or
537 (ii) after obtaining a warrant; and
538 [
539 person who accesses the database and the individual whose records the person accesses.
540 (3) (a) Beginning on the earlier of January 1, 2021, or the date on which the electronic
541 verification system is functionally capable of allowing employee access under this Subsection
542 (3), an employee of a qualified medical provider may access the electronic verification system
543 for a purpose described in Subsection (2)(c) on behalf of the qualified medical provider if:
544 (i) the qualified medical provider has designated the employee as an individual
545 authorized to access the electronic verification system on behalf of the qualified medical
546 provider;
547 (ii) the qualified medical provider provides written notice to the department of the
548 employee's identity and the designation described in Subsection (3)(a)(i); and
549 (iii) the department grants to the employee access to the electronic verification system.
550 (b) An employee of a business that employs a qualified medical provider may access
551 the electronic verification system for a purpose described in Subsection (2)(c) on behalf of the
552 qualified medical provider if:
553 (i) the qualified medical provider has designated the employee as an individual
554 authorized to access the electronic verification system on behalf of the qualified medical
555 provider;
556 (ii) the qualified medical provider and the employing business jointly provide written
557 notice to the department of the employee's identity and the designation described in Subsection
558 (3)(b)(i); and
559 (iii) the department grants to the employee access to the electronic verification system.
560 (4) (a) As used in this Subsection (4), "prescribing provider" means:
561 (i) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
562 [
563 Nurse Practice Act;
564 [
565 or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
566 [
567 Assistant Act.
568 (b) Beginning on the earlier of January 1, 2021, or the date on which the electronic
569 verification system is functionally capable of allowing provider access under this Subsection
570 (4), a prescribing provider may access information in the electronic verification system
571 regarding a patient the prescribing provider treats.
572 (5) The department may release limited data that the system collects for the purpose of:
573 (a) conducting medical and other department approved research;
574 (b) providing the report required by Section 26-61a-703; and
575 (c) other official department purposes.
576 (6) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
577 Administrative Rulemaking Act, to establish:
578 (a) the limitations on access to the data in the state electronic verification system as
579 described in this section; and
580 (b) standards and procedures to ensure accurate identification of an individual
581 requesting information or receiving information in this section.
582 (7) (a) Any person who knowingly and intentionally releases any information in the
583 state electronic verification system in violation of this section is guilty of a third degree felony.
584 (b) Any person who negligently or recklessly releases any information in the state
585 electronic verification system in violation of this section is guilty of a class C misdemeanor.
586 (8) (a) Any person who obtains or attempts to obtain information from the state
587 electronic verification system by misrepresentation or fraud is guilty of a third degree felony.
588 (b) Any person who obtains or attempts to obtain information from the state electronic
589 verification system for a purpose other than a purpose this chapter authorizes is guilty of a third
590 degree felony.
591 (9) (a) Except as provided in Subsection (9)(e), a person may not knowingly and
592 intentionally use, release, publish, or otherwise make available to any other person information
593 obtained from the state electronic verification system for any purpose other than a purpose
594 specified in this section.
595 (b) Each separate violation of this Subsection (9) is:
596 (i) a third degree felony; and
597 (ii) subject to a civil penalty not to exceed $5,000.
598 (c) The department shall determine a civil violation of this Subsection (9) in
599 accordance with Title 63G, Chapter 4, Administrative Procedures Act.
600 (d) Civil penalties assessed under this Subsection (9) shall be deposited into the
601 General Fund.
602 (e) This Subsection (9) does not prohibit a person who obtains information from the
603 state electronic verification system under Subsection (2)(a), (c), or (f) from:
604 (i) including the information in the person's medical chart or file for access by a person
605 authorized to review the medical chart or file;
606 (ii) providing the information to a person in accordance with the requirements of the
607 Health Insurance Portability and Accountability Act of 1996; or
608 (iii) discussing or sharing that information about the patient with the patient.
609 Section 5. Section 26-61a-106 is amended to read:
610 26-61a-106. Qualified medical provider registration -- Continuing education --
611 Treatment recommendation -- Limited medical provider.
612 (1) (a) (i) Except as provided in Subsection (1)(b), an individual may not recommend a
613 medical cannabis treatment unless the department registers the individual as a qualified
614 medical provider in accordance with this section.
615 (ii) Notwithstanding Subsection (1)(a)(i), a qualified medical provider who is podiatrist
616 licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act, may not recommend a
617 medical cannabis treatment except within the course and scope of a practice of podiatry, as that
618 term is defined in Section 58-5a-102.
619 (b) [
620 department gives notice of that the electronic verification system is functionally capable as
621 described in Subsection 26-61a-103(2)(d), an individual who meets the recommending
622 qualifications [
623 cannabis treatment as a limited medical provider without registering under Subsection (1)(a)
624 [
625 (i) the individual recommends the use of medical cannabis to the patient through an
626 order described in Subsection (1)(c) after:
627 (A) a face-to-face visit for an initial recommendation or the renewal of a
628 recommendation for a patient for whom the limited medical provider did not make the patient's
629 original recommendation; or
630 (B) a visit using telehealth services for a renewal of a recommendation for a patient for
631 whom the limited medical provider made the patient's original recommendation; and
632 (ii) the individual's recommendation or renewal would not cause the total number of
633 the individual's patients who have a valid medical cannabis patient card or provisional patient
634 card resulting from the individual's recommendation to exceed 15.
635 (c) The individual described in Subsection (1)(b) shall communicate the individual's
636 recommendation through an order for the medical cannabis pharmacy to record the individual's
637 recommendation or renewal in the state electronic verification system under the individual's
638 recommendation that:
639 (i) (A) that the individual or the individual's employee sends electronically to a medical
640 cannabis pharmacy; or
641 (B) that the individual gives to the patient in writing for the patient to deliver to a
642 medical cannabis pharmacy; and
643 (ii) may include:
644 (A) directions of use or dosing guidelines; and
645 (B) an indication of a need for a caregiver in accordance with Subsection
646 26-61a-201(3)(c).
647 (d) If the limited medical provider gives the patient a written recommendation to
648 deliver to a medical cannabis pharmacy under Subsection (1)(c)(i)(B), the limited medical
649 provider shall ensure that the document includes all of the information that is included on a
650 prescription the provider would issue for a controlled substance, including:
651 (i) the date of issuance;
652 (ii) the provider's name, address and contact information, controlled substance license
653 information, and signature; and
654 (iii) the patient's name, address and contact information, age, and diagnosed qualifying
655 condition.
656 (e) In considering making a recommendation as a limited medical provider, an
657 individual may consult information that the department makes available on the department's
658 website for recommending providers.
659 (2) (a) The department shall, within 15 days after the day on which the department
660 receives an application from an individual, register and issue a qualified medical provider
661 registration card to the individual if the individual:
662 (i) provides to the department the individual's name and address;
663 (ii) provides to the department a report detailing the individual's completion of the
664 applicable continuing education requirement described in Subsection (3);
665 (iii) provides to the department evidence that the individual[
666 recommending qualifications; and
667 [
668 [
669
670 [
671
672 [
673 [
674
675 [
676
677 [
678
679
680
681 [
682 (A) the department sets, in accordance with Section 63J-1-504; and
683 (B) does not exceed $300 for an initial registration.
684 (b) The department may not register an individual as a qualified medical provider if the
685 individual is:
686 (i) a pharmacy medical provider; or
687 (ii) an owner, officer, director, board member, employee, or agent of a cannabis
688 production establishment, a medical cannabis pharmacy, or a medical cannabis courier.
689 (3) (a) An individual shall complete the continuing education described in this
690 Subsection (3) in the following amounts:
691 (i) for an individual as a condition precedent to registration, four hours; and
692 (ii) for a qualified medical provider as a condition precedent to renewal, four hours
693 every two years.
694 (b) In accordance with Subsection (3)(a), a qualified medical provider shall:
695 (i) complete continuing education:
696 (A) regarding the topics described in Subsection (3)(d); and
697 (B) offered by the department under Subsection (3)(c) or an accredited or approved
698 continuing education provider that the department recognizes as offering continuing education
699 appropriate for the recommendation of cannabis to patients; and
700 (ii) make a continuing education report to the department in accordance with a process
701 that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
702 Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
703 Professional Licensing and:
704 (A) for a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing
705 Act, the Podiatric Physician Board;
706 [
707 31b, Nurse Practice Act, the Board of Nursing;
708 [
709 Medical Practice Act, the Physicians Licensing Board;
710 [
711 Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board;
712 and
713 [
714 Assistant Act, the Physician Assistant Licensing Board.
715 (c) The department may, in consultation with the Division of Occupational and
716 Professional Licensing, develop the continuing education described in this Subsection (3).
717 (d) The continuing education described in this Subsection (3) may discuss:
718 (i) the provisions of this chapter;
719 (ii) general information about medical cannabis under federal and state law;
720 (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
721 including risks and benefits;
722 (iv) recommendations for medical cannabis as it relates to the continuing care of a
723 patient in pain management, risk management, potential addiction, or palliative care; and
724 (v) best practices for recommending the form and dosage of medical cannabis products
725 based on the qualifying condition underlying a medical cannabis recommendation.
726 (4) (a) Except as provided in Subsection (4)(b), a qualified medical provider may not
727 recommend a medical cannabis treatment to more than 275 of the qualified medical provider's
728 patients at the same time, as determined by the number of medical cannabis cards under the
729 qualified medical provider's name in the state electronic verification system.
730 (b) A qualified medical provider may recommend a medical cannabis treatment to up to
731 600 of the qualified medical provider's patients at any given time, as determined by the number
732 of medical cannabis cards under the qualified medical provider's name in the state electronic
733 verification system, if:
734 (i) the appropriate American medical board has certified the qualified medical provider
735 in the specialty of anesthesiology, gastroenterology, neurology, oncology, pain, hospice and
736 palliative medicine, physical medicine and rehabilitation, rheumatology, endocrinology, or
737 psychiatry; or
738 (ii) a licensed business employs or contracts with the qualified medical provider for the
739 specific purpose of providing hospice and palliative care.
740 (5) A [
741 an individual under this chapter only in the course of a [
742 relationship after the [
743 documented in the patient's medical record a thorough assessment of the patient's condition and
744 medical history based on the appropriate standard of care for the patient's condition.
745 (6) (a) Except as provided in Subsection (6)(b), an individual may not advertise that the
746 individual recommends medical cannabis treatment in accordance with this chapter.
747 (b) For purposes of Subsection (6)(a), the communication of the following, through a
748 website, by [
749 not constitute advertising:
750 (i) a green cross;
751 (ii) a qualifying condition that the qualified medical provider treats; or
752 (iii) a scientific study regarding medical cannabis use.
753 [
754 [
755 [
756 [
757 [
758 [
759
760 (7) (a) A qualified medical provider registration card expires two years after the day on
761 which the department issues the card.
762 (b) The department shall renew a qualified medical provider's registration card if the
763 provider:
764 (i) applies for renewal;
765 (ii) is eligible for a qualified medical provider registration card under this section,
766 including maintaining an unrestricted license [
767 recommending qualifications;
768 (iii) certifies to the department in a renewal application that the information in
769 Subsection (2)(a) is accurate or updates the information;
770 (iv) submits a report detailing the completion of the continuing education requirement
771 described in Subsection (3); and
772 (v) pays the department a fee in an amount that:
773 (A) the department sets, in accordance with Section 63J-1-504; and
774 (B) does not exceed $50 for a registration renewal.
775 (8) The department may revoke the registration of a qualified medical provider who
776 fails to maintain compliance with the requirements of this section.
777 (9) A [
778 or benefit for the qualified medical provider's medical cannabis treatment recommendation
779 from:
780 (a) a cannabis production establishment or an owner, officer, director, board member,
781 employee, or agent of a cannabis production establishment;
782 (b) a medical cannabis pharmacy or an owner, officer, director, board member,
783 employee, or agent of a medical cannabis pharmacy; or
784 (c) a [
785 Section 6. Section 26-61a-107 is amended to read:
786 26-61a-107. Standard of care -- Physicians and pharmacists not liable -- No
787 private right of action.
788 (1) An individual described in Subsection (2) is not subject to the following solely for
789 violating a federal law or regulation that would otherwise prohibit recommending, prescribing,
790 or dispensing medical cannabis, a medical cannabis product, or a cannabis-based drug that the
791 United States Food and Drug Administration has not approved:
792 (a) civil or criminal liability; or
793 (b) licensure sanctions under Title 58, Chapter 17b, Pharmacy Practice Act, Title 58,
794 Chapter 31b, Nurse Practice Act, Title 58, Chapter 67, Utah Medical Practice Act, Title 58,
795 Chapter 68, Utah Osteopathic Medical Practice Act, or Title 58, Chapter 70a, Utah Physician
796 Assistant Act.
797 (2) The limitations of liability described in Subsection (1) apply to:
798 (a) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act,
799 an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse Practice Act,
800 a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58,
801 Chapter 68, Utah Osteopathic Medical Practice Act, or a physician assistant licensed under
802 Title 58, Chapter 70a, Utah Physician Assistant Act:
803 (i) (A) whom the department has registered as a qualified medical provider; [
804 (B) who makes a recommendation as a limited medical provider; and
805 [
806 cannabis product in a medicinal dosage form to a patient in accordance with this chapter; [
807 and
808 [
809 [
810 [
811
812 (b) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act:
813 (i) whom the department has registered as a pharmacy medical provider; and
814 (ii) who dispenses, in a medical cannabis pharmacy, treatment with cannabis in a
815 medicinal dosage form or a cannabis product in a medicinal dosage form to a medical cannabis
816 cardholder in accordance with this chapter.
817 (3) Nothing in this section or chapter reduces or in any way negates the duty of an
818 individual described in Subsection (2) to use reasonable and ordinary care in the treatment of a
819 patient:
820 (a) who may have a qualifying condition; and
821 (b) (i) for whom the individual described in Subsection (2)(a)(i) or (ii) has
822 recommended or might consider recommending a treatment with cannabis or a cannabis
823 product; or
824 (ii) with whom the pharmacist described in Subsection (2)(b) has interacted in the
825 dosing or dispensing of cannabis or a cannabis product.
826 (4) (a) As used in this Subsection (4), "healthcare facility" means the same as that term
827 is defined in Section 26-21-2.
828 (b) A healthcare facility may adopt restrictions on the possession, use, and storage of
829 medical cannabis on the premises of the healthcare facility by a medical cannabis cardholder
830 who resides at or is actively receiving treatment or care at the healthcare facility.
831 (c) An employee or agent of a healthcare facility described in this Subsection (4) is not
832 subject to civil or criminal liability for carrying out employment duties, including:
833 (i) providing or supervising care to a medical cannabis cardholder; or
834 (ii) in accordance with a caregiver designation under Section [
835 for a medical cannabis cardholder residing at the healthcare facility, purchasing, transporting,
836 or possessing medical cannabis for the relevant patient and in accordance with the designation.
837 (d) Nothing in this section requires a healthcare facility to adopt a restriction under
838 Subsection (4)(b).
839 Section 7. Section 26-61a-201 is amended to read:
840 26-61a-201. Medical cannabis patient card -- Medical cannabis guardian card --
841 Conditional medical cannabis card -- Application -- Fees -- Studies.
842 (1) (a) [
843 day on which an individual who satisfies the eligibility criteria in this section or Section
844 26-61a-202 submits an application in accordance with this section or Section 26-61a-202:
845 [
846 (2)(a);
847 [
848 Subsection (2)(b);
849 [
850 [
851 Subsection 26-61a-202(4).
852 (b) (i) Beginning on the earlier of September 1, 2021, or the date on which the
853 electronic verification system is functionally capable of facilitating a conditional medical
854 cannabis card under this Subsection (1)(b), upon the entry of a recommending medical
855 provider's medical cannabis recommendation for a patient in the state electronic verification
856 system, either by the provider or the provider's employee or by a medical cannabis pharmacy
857 medical provider or medical cannabis pharmacy in accordance with Subsection
858 26-61a-501(11)(a), the department shall issue to the patient an electronic conditional medical
859 cannabis card, in accordance with this Subsection (1)(b).
860 (ii) A conditional medical cannabis card is valid for the lesser of:
861 (A) 60 days; or
862 (B) the day on which the department completes the department's review and issues a
863 medical cannabis card under Subsection (1)(a), denies the patient's medical cannabis card
864 application, or revokes the conditional medical cannabis card under Subsection (8).
865 (iii) The department may issue a conditional medical cannabis card to an individual
866 applying for a medical cannabis patient card for which approval of the Compassionate Use
867 Board is not required.
868 (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
869 obligations under law applicable to a holder of the medical cannabis card for which the
870 individual applies and for which the department issues the conditional medical cannabis card.
871 (2) (a) An individual is eligible for a medical cannabis patient card if:
872 (i) (A) the individual is at least 21 years old; or
873 (B) the individual is 18, 19, or 20 years old, the individual petitions the Compassionate
874 Use Board under Section 26-61a-105, and the Compassionate Use Board recommends
875 department approval of the petition;
876 (ii) the individual is a Utah resident;
877 (iii) the individual's [
878 with medical cannabis in accordance with Subsection (4);
879 (iv) the individual signs an acknowledgment stating that the individual received the
880 information described in Subsection (8); and
881 (v) the individual pays to the department a fee in an amount that, subject to Subsection
882 26-61a-109(5), the department sets in accordance with Section 63J-1-504.
883 (b) (i) An individual is eligible for a medical cannabis guardian card if the individual:
884 (A) is at least 18 years old;
885 (B) is a Utah resident;
886 (C) is the parent or legal guardian of a minor for whom the minor's qualified medical
887 provider recommends a medical cannabis treatment, the individual petitions the Compassionate
888 Use Board under Section 26-61a-105, and the Compassionate Use Board recommends
889 department approval of the petition;
890 (D) the individual signs an acknowledgment stating that the individual received the
891 information described in Subsection [
892 (E) pays to the department a fee in an amount that, subject to Subsection
893 26-61a-109(5), the department sets in accordance with Section 63J-1-504, plus the cost of the
894 criminal background check described in Section 26-61a-203; and
895 (F) the individual has not been convicted of a misdemeanor or felony drug distribution
896 offense under either state or federal law, unless the individual completed any imposed sentence
897 six months or more before the day on which the individual applies for a medical cannabis
898 guardian card.
899 (ii) The department shall notify the Department of Public Safety of each individual that
900 the department registers for a medical cannabis guardian card.
901 (c) (i) A minor is eligible for a provisional patient card if:
902 (A) the minor has a qualifying condition;
903 (B) the minor's qualified medical provider recommends a medical cannabis treatment
904 to address the minor's qualifying condition;
905 (C) the minor's parent or legal guardian petitions the Compassionate Use Board under
906 Section 26-61a-105, and the Compassionate Use Board recommends department approval of
907 the petition; and
908 (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card
909 under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a
910 medical cannabis caregiver card under Section 26-61a-202.
911 (ii) The department shall automatically issue a provisional patient card to the minor
912 described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
913 guardian card to the minor's parent or legal guardian.
914 (d) Beginning on the earlier of January 1, 2021, or the date on which the electronic
915 verification system is functionally capable of servicing the designation, if the parent or legal
916 guardian of a minor described in Subsections (2)(c)(i)(A) through (C) does not qualify for a
917 medical cannabis guardian card under Subsection (2)(b), the parent or legal guardian may
918 designate up to two caregivers in accordance with Subsection 26-61a-202(1)(c) to ensure that
919 the minor has adequate and safe access to the recommended medical cannabis treatment.
920 (3) (a) An individual who is eligible for a medical cannabis card described in
921 Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the
922 department:
923 (i) through an electronic application connected to the state electronic verification
924 system;
925 (ii) with the recommending [
926 (iii) with information including:
927 (A) the applicant's name, gender, age, and address;
928 (B) the number of the applicant's valid form of photo identification;
929 (C) for a medical cannabis guardian card, the name, gender, and age of the minor
930 receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
931 and
932 (D) for a provisional patient card, the name of the minor's parent or legal guardian who
933 holds the associated medical cannabis guardian card.
934 (b) The department shall ensure that a medical cannabis card the department issues
935 under this section contains the information described in Subsection (3)(a)(iii).
936 (c) (i) If a [
937 illness, or disability, a medical cannabis patient cardholder requires assistance in administering
938 the medical cannabis treatment that the [
939 recommends, the [
940 need in the state electronic verification system, either directly or, for a limited medical
941 provider, through the order described in Subsections 26-61a-106(1)(c) and (d).
942 (ii) If a [
943 Subsection (3)(c)(i):
944 (A) the department shall add a label to the relevant medical cannabis patient card
945 indicating the cardholder's need for assistance; and
946 (B) any adult who is 18 years old or older and who is physically present with the
947 cardholder at the time the cardholder needs to use the recommended medical cannabis
948 treatment may handle the medical cannabis treatment and any associated medical cannabis
949 device as needed to assist the cardholder in administering the recommended medical cannabis
950 treatment; and
951 (C) an individual of any age who is physically present with the cardholder in the event
952 of an emergency medical condition, as that term is defined in Section 31A-22-627, may handle
953 the medical cannabis treatment and any associated medical cannabis device as needed to assist
954 the cardholder in administering the recommended medical cannabis treatment.
955 (iii) A non-cardholding individual acting under Subsection (3)(c)(ii)(B) or (C) may not:
956 (A) ingest or inhale medical cannabis;
957 (B) possess, transport, or handle medical cannabis or a medical cannabis device outside
958 of the immediate area where the cardholder is present or with an intent other than to provide
959 assistance to the cardholder; or
960 (C) possess, transport, or handle medical cannabis or a medical cannabis device when
961 the cardholder is not in the process of being dosed with medical cannabis.
962 (4) To recommend a medical cannabis treatment to a patient or to renew a
963 recommendation, a [
964 (a) before recommending cannabis in a medicinal dosage form or a cannabis product in
965 a medicinal dosage form:
966 (i) verify the patient's and, for a minor patient, the minor patient's parent or legal
967 guardian's valid form of identification described in Subsection (3)(a);
968 (ii) review any record related to the patient and, for a minor patient, the patient's parent
969 or legal guardian in:
970 (A) for a qualified medical provider, the state electronic verification system; and
971 (B) the controlled substance database created in Section 58-37f-201; and
972 (iii) consider the recommendation in light of the patient's qualifying condition and
973 history of medical cannabis and controlled substance use during an initial face-to-face visit
974 with the patient; and
975 (b) state in the [
976 patient:
977 (i) suffers from a qualifying condition, including the type of qualifying condition; and
978 (ii) may benefit from treatment with cannabis in a medicinal dosage form or a cannabis
979 product in a medicinal dosage form.
980 (5) (a) Except as provided in Subsection (5)(b), a medical cannabis card that the
981 department issues under this section is valid for the lesser of:
982 (i) an amount of time that the [
983 or
984 (ii) (A) six months for the first issuance, [
985 Subsection (5)(a)(ii)[
986 [
987 original medical cannabis card, the [
988 the patient has been stabilized on the medical cannabis treatment and a one-year renewal period
989 is justified.
990 (b) (i) A medical cannabis card that the department issues in relation to a terminal
991 illness described in Section 26-61a-104 does not expire.
992 (ii) The recommending [
993 that the provider made in relation to a terminal illness described in Section 26-61a-104 if the
994 medical cannabis cardholder no longer has the terminal illness.
995 (6) (a) A medical cannabis patient card or a medical cannabis guardian card is
996 renewable if:
997 (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or
998 (b); or
999 (ii) the cardholder received the medical cannabis card through the recommendation of
1000 the Compassionate Use Board under Section 26-61a-105.
1001 (b) A cardholder described in Subsection (6)(a) may renew the cardholder's card:
1002 (i) using the application process described in Subsection (3); or
1003 (ii) through phone or video conference with the [
1004 provider who made the recommendation underlying the card, at the qualifying medical
1005 provider's discretion.
1006 (c) A cardholder under Subsection (2)(a) or (b) who renews the cardholder's card shall
1007 pay to the department a renewal fee in an amount that:
1008 (i) subject to Subsection 26-61a-109(5), the department sets in accordance with Section
1009 63J-1-504; and
1010 (ii) may not exceed the cost of the relatively lower administrative burden of renewal in
1011 comparison to the original application process.
1012 (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional
1013 patient card renews automatically at the time the minor's parent or legal guardian renews the
1014 parent or legal guardian's associated medical cannabis guardian card.
1015 (e) The department may revoke a medical cannabis guardian card if the cardholder
1016 under Subsection (2)(b) is convicted of a misdemeanor or felony drug distribution offense
1017 under either state or federal law.
1018 (7) (a) A cardholder under this section shall carry the cardholder's valid medical
1019 cannabis card with the patient's name.
1020 (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may
1021 purchase, in accordance with this chapter and the recommendation underlying the card,
1022 cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a
1023 medical cannabis device.
1024 (ii) A cardholder under this section may possess or transport, in accordance with this
1025 chapter and the recommendation underlying the card, cannabis in a medicinal dosage form, a
1026 cannabis product in a medicinal dosage form, or a medical cannabis device.
1027 (iii) To address the qualifying condition underlying the medical cannabis treatment
1028 recommendation:
1029 (A) a medical cannabis patient cardholder or a provisional patient cardholder may use
1030 cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form,
1031 or a medical cannabis device; and
1032 (B) a medical cannabis guardian cardholder may assist the associated provisional
1033 patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis
1034 product in a medicinal dosage form, or a medical cannabis device.
1035 (c) If a licensed medical cannabis pharmacy is not operating within the state after
1036 January 1, 2021, a cardholder under this section:
1037 (i) may possess:
1038 (A) up to the legal dosage limit of unprocessed cannabis in a medicinal dosage form;
1039 (B) up to the legal dosage limit of a cannabis product in a medicinal dosage form; and
1040 (C) marijuana drug paraphernalia; and
1041 (ii) is not subject to prosecution for the possession described in Subsection (7)(c)(i).
1042 (8) The department may revoke a medical cannabis card that the department issues
1043 under this section if the cardholder:
1044 (a) violates this chapter; or
1045 (b) is convicted under state or federal law of:
1046 (i) a felony; or
1047 (ii) after the effective date of this bill, a misdemeanor for drug distribution.
1048 [
1049 3, Utah Administrative Rulemaking Act, a process to provide information regarding the
1050 following to an individual receiving a medical cannabis card:
1051 (a) risks associated with medical cannabis treatment;
1052 (b) the fact that a condition's listing as a qualifying condition does not suggest that
1053 medical cannabis treatment is an effective treatment or cure for that condition, as described in
1054 Subsection 26-61a-104(1); and
1055 (c) other relevant warnings and safety information that the department determines.
1056 [
1057 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement the application and
1058 issuance provisions of this section.
1059 [
1060 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to allow
1061 an individual from another state to register with the Department of Health in order to purchase
1062 medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the
1063 individual is visiting the state.
1064 (b) The department may only provide the registration process described in Subsection
1065 [
1066 (i) to a nonresident patient; and
1067 (ii) for no more than two visitation periods per calendar year of up to 21 calendar days
1068 per visitation period.
1069 [
1070 study using medical cannabis cardholder data that the state electronic verification system
1071 contains.
1072 (b) The department shall review a request described in Subsection [
1073 determine whether an institutional review board, as that term is defined in Section 26-61-102,
1074 could approve the research study.
1075 (c) At the time an individual applies for a medical cannabis card, the department shall
1076 notify the individual:
1077 (i) of how the individual's information will be used as a cardholder;
1078 (ii) that by applying for a medical cannabis card, unless the individual withdraws
1079 consent under Subsection [
1080 information for external research; and
1081 (iii) that the individual may withdraw consent for the use of the individual's
1082 information for external research at any time, including at the time of application.
1083 (d) An applicant may, through the medical cannabis card application, and a medical
1084 cannabis cardholder may, through the state central patient portal, withdraw the applicant's or
1085 cardholder's consent to participate in external research at any time.
1086 (e) The department may release, for the purposes of a study described in this
1087 Subsection [
1088 participate under Subsection [
1089 (f) If an individual withdraws consent under Subsection [
1090 of consent:
1091 (i) applies to external research that is initiated after the withdrawal of consent; and
1092 (ii) does not apply to research that was initiated before the withdrawal of consent.
1093 (g) The department may establish standards for a medical research study's validity, by
1094 rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1095 Section 8. Section 26-61a-202 is amended to read:
1096 26-61a-202. Medical cannabis caregiver card -- Registration -- Renewal --
1097 Revocation.
1098 (1) (a) (i) A cardholder described in Section 26-61a-201 may designate, through the
1099 state central patient portal, up to two individuals, or an individual and a facility in accordance
1100 with Subsection (1)(b), to serve as a designated caregiver for the cardholder [
1101
1102 (ii) The designation described in Subsection (1)(a)(i) takes effect if the state electronic
1103 verification system reflects a recommending medical provider's indication that the provider
1104 determines that, due to physical difficulty or undue hardship, including concerns of distance to
1105 a medical cannabis pharmacy, the cardholder needs assistance to obtain the medical cannabis
1106 treatment that the [
1107 (b) (i) Beginning on the earlier of January 1, 2021, or the date on which the electronic
1108 verification system is functionally capable of servicing the designation, a cardholder described
1109 in Section 26-61a-201 who is a patient in one of the following types of facilities may designate
1110 the facility as one of the caregivers described in Subsection (1)(a):
1111 (A) an assisted living facility, as that term is defined in Section 26-21-2;
1112 (B) a nursing care facility, as that term is defined in Section 26-21-2; or
1113 (C) a general acute hospital, as that term is defined in Section 26-21-2.
1114 (ii) A facility may assign one or more employees to assist patients with medical
1115 cannabis treatment under the caregiver designation described in this Subsection (1)(b).
1116 (iii) The department shall make rules to regulate the practice of facilities and facility
1117 employees serving as designated caregivers under this Subsection (1)(b).
1118 (c) A parent or legal guardian described in Subsection 26-61a-201(2)(d), in
1119 consultation with the minor and the minor's qualified medical provider, may designate, through
1120 the state central patient portal, up to two individuals to serve as a designated caregiver for the
1121 minor, if the department determines that the parent or legal guardian is not eligible for a
1122 medical cannabis guardian card under Section 26-61a-201.
1123 (2) An individual that the department registers as a designated caregiver under this
1124 section and a facility described in Subsection (1)(b):
1125 (a) for an individual designated caregiver, may carry a valid medical cannabis caregiver
1126 card;
1127 (b) in accordance with this chapter, may purchase, possess, transport, or assist the
1128 patient in the use of cannabis in a medicinal dosage form, a cannabis product in a medicinal
1129 dosage form, or a medical cannabis device on behalf of the designating medical cannabis
1130 cardholder;
1131 (c) may not charge a fee to an individual to act as the individual's designated caregiver
1132 or for a service that the designated caregiver provides in relation to the role as a designated
1133 caregiver;
1134 (d) may accept reimbursement from the designating medical cannabis cardholder for
1135 direct costs the designated caregiver incurs for assisting with the designating cardholder's
1136 medicinal use of cannabis; and
1137 (e) if a licensed medical cannabis pharmacy is not operating within the state after
1138 January 1, 2021:
1139 (i) may possess up to the legal dosage limit of:
1140 (A) unprocessed medical cannabis in a medicinal dosage form; and
1141 (B) a cannabis product in a medicinal dosage form; [
1142 (ii) may possess marijuana drug paraphernalia; and
1143 (iii) is not subject to prosecution for the possession described in Subsection (2)(e)(i).
1144 (3) (a) The department shall:
1145 (i) within 15 days after the day on which an individual submits an application in
1146 compliance with this section, issue a medical cannabis card to the applicant if the applicant:
1147 (A) is designated as a caregiver under Subsection (1);
1148 (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
1149 (C) complies with this section; and
1150 (ii) notify the Department of Public Safety of each individual that the department
1151 registers as a designated caregiver.
1152 (b) The department shall ensure that a medical cannabis caregiver card contains the
1153 information described in Subsection (5)(b).
1154 (4) An individual is eligible for a medical cannabis caregiver card if the individual:
1155 (a) is at least 21 years old;
1156 (b) is a Utah resident;
1157 (c) pays to the department a fee in an amount that, subject to Subsection
1158 26-61a-109(5), the department sets in accordance with Section 63J-1-504, plus the cost of the
1159 criminal background check described in Section 26-61a-203;
1160 (d) signs an acknowledgment stating that the applicant received the information
1161 described in Subsection 26-61a-201[
1162 (e) has not been convicted of a misdemeanor or felony drug distribution offense that is
1163 a felony under either state or federal law, unless the individual completes any imposed sentence
1164 two or more years before the day on which the individual submits the application.
1165 (5) An eligible applicant for a medical cannabis caregiver card shall:
1166 (a) submit an application for a medical cannabis caregiver card to the department
1167 through an electronic application connected to the state electronic verification system; and
1168 (b) submit the following information in the application described in Subsection (5)(a):
1169 (i) the applicant's name, gender, age, and address;
1170 (ii) the name, gender, age, and address of the cardholder described in Section
1171 26-61a-201 who designated the applicant; and
1172 (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
1173 gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
1174 cannabis guardian cardholder.
1175 (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the
1176 department issues under this section is valid for the lesser of:
1177 (a) an amount of time that the cardholder described in Section 26-61a-201 who
1178 designated the caregiver determines; or
1179 (b) the amount of time remaining before the card of the cardholder described in Section
1180 26-61a-201 expires.
1181 (7) (a) If a designated caregiver meets the requirements of Subsection (4), the
1182 designated caregiver's medical cannabis caregiver card renews automatically at the time the
1183 cardholder described in Section 26-61a-201 who designated the caregiver:
1184 (i) renews the cardholder's card; and
1185 (ii) renews the caregiver's designation, in accordance with Subsection (7)(b).
1186 (b) The department shall provide a method in the card renewal process to allow a
1187 cardholder described in Section 26-61a-201 who has designated a caregiver to:
1188 (i) signify that the cardholder renews the caregiver's designation;
1189 (ii) remove a caregiver's designation; or
1190 (iii) designate a new caregiver.
1191 (8) The department may revoke a medical cannabis caregiver card if the designated
1192 caregiver:
1193 (a) violates this chapter; or
1194 (b) is convicted under state or federal law of:
1195 (i) a felony; or
1196 (ii) after December 3, 2018, a misdemeanor for drug distribution.
1197 Section 9. Section 26-61a-401 is amended to read:
1198 26-61a-401. Medical cannabis pharmacy agent -- Registration.
1199 (1) An individual may not serve as a medical cannabis pharmacy agent of a medical
1200 cannabis pharmacy unless the department registers the individual as a medical cannabis
1201 pharmacy agent.
1202 (2) [
1203 provider may not act as a medical cannabis pharmacy agent, have a financial or voting interest
1204 of 2% or greater in a medical cannabis pharmacy, or have the power to direct or cause the
1205 management or control of a medical cannabis pharmacy.
1206 (3) (a) The department shall, within 15 days after the day on which the department
1207 receives a complete application from a medical cannabis pharmacy on behalf of a prospective
1208 medical cannabis pharmacy agent, register and issue a medical cannabis pharmacy agent
1209 registration card to the prospective agent if the medical cannabis pharmacy:
1210 (i) provides to the department:
1211 (A) the prospective agent's name and address;
1212 (B) the name and location of the licensed medical cannabis pharmacy where the
1213 prospective agent seeks to act as the medical cannabis pharmacy agent; and
1214 (C) the submission required under Subsection (3)(b); and
1215 (ii) pays a fee to the department in an amount that, subject to Subsection
1216 26-61a-109(5), the department sets in accordance with Section 63J-1-504.
1217 (b) Except for an applicant reapplying for a medical cannabis pharmacy agent
1218 registration card within less than one year after the expiration of the applicant's previous
1219 medical cannabis pharmacy agent registration card, each prospective agent described in
1220 Subsection (3)(a) shall:
1221 (i) submit to the department:
1222 (A) a fingerprint card in a form acceptable to the Department of Public Safety; and
1223 (B) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
1224 registration of the prospective agent's fingerprints in the Federal Bureau of Investigation Next
1225 Generation Identification System's Rap Back Service; and
1226 (ii) consent to a fingerprint background check by:
1227 (A) the Bureau of Criminal Identification; and
1228 (B) the Federal Bureau of Investigation.
1229 (c) The Bureau of Criminal Identification shall:
1230 (i) check the fingerprints the prospective agent submits under Subsection (3)(b) against
1231 the applicable state, regional, and national criminal records databases, including the Federal
1232 Bureau of Investigation Next Generation Identification System;
1233 (ii) report the results of the background check to the department;
1234 (iii) maintain a separate file of fingerprints that prospective agents submit under
1235 Subsection (3)(b) for search by future submissions to the local and regional criminal records
1236 databases, including latent prints;
1237 (iv) request that the fingerprints be retained in the Federal Bureau of Investigation Next
1238 Generation Identification System's Rap Back Service for search by future submissions to
1239 national criminal records databases, including the Next Generation Identification System and
1240 latent prints; and
1241 (v) establish a privacy risk mitigation strategy to ensure that the department only
1242 receives notifications for an individual with whom the department maintains an authorizing
1243 relationship.
1244 (d) The department shall:
1245 (i) assess an individual who submits fingerprints under Subsection (3)(b) a fee in an
1246 amount that the department sets in accordance with Section 63J-1-504 for the services that the
1247 Bureau of Criminal Identification or another authorized agency provides under this section; and
1248 (ii) remit the fee described in Subsection (3)(d)(i) to the Bureau of Criminal
1249 Identification.
1250 (4) The department shall designate, on an individual's medical cannabis pharmacy
1251 agent registration card the name of the medical cannabis pharmacy where the individual is
1252 registered as an agent.
1253 (5) A medical cannabis pharmacy agent shall comply with a certification standard that
1254 the department develops in collaboration with the Division of Occupational and Professional
1255 Licensing and the Board of Pharmacy, or a third-party certification standard that the department
1256 designates by rule, in collaboration with the Division of Occupational and Professional
1257 Licensing and the Board of Pharmacy and in accordance with Title 63G, Chapter 3, Utah
1258 Administrative Rulemaking Act.
1259 (6) The department shall ensure that the certification standard described in Subsection
1260 (5) includes training in:
1261 (a) Utah medical cannabis law; and
1262 (b) medical cannabis pharmacy best practices.
1263 (7) The department may revoke the medical cannabis pharmacy agent registration card
1264 of, or refuse to issue a medical cannabis pharmacy agent registration card to, an individual
1265 who:
1266 (a) violates the requirements of this chapter; or
1267 (b) is convicted under state or federal law of:
1268 (i) a felony; or
1269 (ii) after December 3, 2018, a misdemeanor for drug distribution.
1270 (8) (a) A medical cannabis pharmacy agent registration card expires two years after the
1271 day on which the department issues or renews the card.
1272 (b) A medical cannabis pharmacy agent may renew the agent's registration card if the
1273 agent:
1274 (i) is eligible for a medical cannabis pharmacy agent registration card under this
1275 section;
1276 (ii) certifies to the department in a renewal application that the information in
1277 Subsection (3)(a) is accurate or updates the information; and
1278 (iii) pays to the department a renewal fee in an amount that:
1279 (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
1280 Section 63J-1-504; and
1281 (B) may not exceed the cost of the relatively lower administrative burden of renewal in
1282 comparison to the original application process.
1283 Section 10. Section 26-61a-403 is amended to read:
1284 26-61a-403. Pharmacy medical providers -- Registration -- Continuing education.
1285 (1) (a) A medical cannabis pharmacy:
1286 (i) shall employ a pharmacist who is licensed under Title 58, Chapter 17b, Pharmacy
1287 Practice Act, as a pharmacy medical provider;
1288 (ii) may employ a physician who has the authority to write a prescription and is
1289 licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68, Utah
1290 Osteopathic Medical Practice Act, as a pharmacy medical provider;
1291 (iii) shall ensure that a pharmacy medical provider described in Subsection (1)(a)(i)
1292 works onsite during all business hours; and
1293 (iv) shall designate one pharmacy medical provider described in Subsection (1)(a)(i) as
1294 the pharmacist-in-charge to oversee the operation of and generally supervise the medical
1295 cannabis pharmacy.
1296 (b) An individual may not serve as a pharmacy medical provider unless the department
1297 registers the individual as a pharmacy medical provider in accordance with Subsection (2).
1298 (2) (a) The department shall, within 15 days after the day on which the department
1299 receives an application from a medical cannabis pharmacy on behalf of a prospective pharmacy
1300 medical provider, register and issue a pharmacy medical provider registration card to the
1301 prospective pharmacy medical provider if the medical cannabis pharmacy:
1302 (i) provides to the department:
1303 (A) the prospective pharmacy medical provider's name and address;
1304 (B) the name and location of the licensed medical cannabis pharmacy where the
1305 prospective pharmacy medical provider seeks to act as a pharmacy medical provider;
1306 (C) a report detailing the completion of the continuing education requirement described
1307 in Subsection (3); and
1308 (D) evidence that the prospective pharmacy medical provider is a pharmacist who is
1309 licensed under Title 58, Chapter 17b, Pharmacy Practice Act, or a physician who has the
1310 authority to write a prescription and is licensed under Title 58, Chapter 67, Utah Medical
1311 Practice Act, or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
1312 (ii) pays a fee to the department in an amount that, subject to Subsection
1313 26-61a-109(5), the department sets in accordance with Section 63J-1-504.
1314 (b) The department may not register a [
1315 state central patient portal medical provider as a pharmacy medical provider.
1316 (3) (a) A pharmacy medical provider shall complete the continuing education described
1317 in this Subsection (3) in the following amounts:
1318 (i) as a condition precedent to registration, four hours; and
1319 (ii) as a condition precedent to renewal of the registration, four hours every two years.
1320 (b) In accordance with Subsection (3)(a), the pharmacy medical provider shall:
1321 (i) complete continuing education:
1322 (A) regarding the topics described in Subsection (3)(d); and
1323 (B) offered by the department under Subsection (3)(c) or an accredited or approved
1324 continuing education provider that the department recognizes as offering continuing education
1325 appropriate for the medical cannabis pharmacy practice; and
1326 (ii) make a continuing education report to the department in accordance with a process
1327 that the department establishes by rule, in accordance with Title 63G, Chapter 3, Utah
1328 Administrative Rulemaking Act, and in collaboration with the Division of Occupational and
1329 Professional Licensing and:
1330 (A) for a pharmacy medical provider who is licensed under Title 58, Chapter 17b,
1331 Pharmacy Practice Act, the Board of Pharmacy;
1332 (B) for a pharmacy medical provider licensed under Title 58, Chapter 67, Utah Medical
1333 Practice Act, the Physicians Licensing Board; and
1334 (C) for a pharmacy medical provider licensed under Title 58, Chapter 68, Utah
1335 Osteopathic Medical Practice Act, the Osteopathic Physician and Surgeon's Licensing Board.
1336 (c) The department may, in consultation with the Division of Occupational and
1337 Professional Licensing, develop the continuing education described in this Subsection (3).
1338 (d) The continuing education described in this Subsection (3) may discuss:
1339 (i) the provisions of this chapter;
1340 (ii) general information about medical cannabis under federal and state law;
1341 (iii) the latest scientific research on the endocannabinoid system and medical cannabis,
1342 including risks and benefits;
1343 (iv) recommendations for medical cannabis as it relates to the continuing care of a
1344 patient in pain management, risk management, potential addiction, and palliative care; or
1345 (v) best practices for recommending the form and dosage of a medical cannabis
1346 product based on the qualifying condition underlying a medical cannabis recommendation.
1347 (4) (a) A pharmacy medical provider registration card expires two years after the day
1348 on which the department issues or renews the card.
1349 (b) A pharmacy medical provider may renew the provider's registration card if the
1350 provider:
1351 (i) is eligible for a pharmacy medical provider registration card under this section;
1352 (ii) certifies to the department in a renewal application that the information in
1353 Subsection (2)(a) is accurate or updates the information;
1354 (iii) submits a report detailing the completion of the continuing education requirement
1355 described in Subsection (3); and
1356 (iv) pays to the department a renewal fee in an amount that:
1357 (A) subject to Subsection 26-61a-109(5), the department sets in accordance with
1358 Section 63J-1-504; and
1359 (B) may not exceed the cost of the relatively lower administrative burden of renewal in
1360 comparison to the original application process.
1361 Section 11. Section 26-61a-501 is amended to read:
1362 26-61a-501. Operating requirements -- General.
1363 (1) (a) A medical cannabis pharmacy shall operate:
1364 (i) at the physical address provided to the department under Section 26-61a-301; and
1365 (ii) in accordance with the operating plan provided to the department under Section
1366 26-61a-301 and, if applicable, 26-61a-304.
1367 (b) A medical cannabis pharmacy shall notify the department before a change in the
1368 medical cannabis pharmacy's physical address or operating plan.
1369 (2) An individual may not enter a medical cannabis pharmacy unless the individual:
1370 (a) is at least 18 years old; and
1371 (b) except as provided in Subsection (5), possesses a valid:
1372 (i) medical cannabis pharmacy agent registration card;
1373 (ii) pharmacy medical provider registration card; or
1374 (iii) medical cannabis card.
1375 (3) A medical cannabis pharmacy may not employ an individual who is younger than
1376 21 years old.
1377 (4) A medical cannabis pharmacy may not employ an individual who has been
1378 convicted of a felony under state or federal law.
1379 (5) Notwithstanding Subsection (2), a medical cannabis pharmacy may authorize an
1380 individual who is not a medical cannabis pharmacy agent or pharmacy medical provider to
1381 access the medical cannabis pharmacy if the medical cannabis pharmacy tracks and monitors
1382 the individual at all times while the individual is at the medical cannabis pharmacy and
1383 maintains a record of the individual's access.
1384 (6) A medical cannabis pharmacy shall operate in a facility that has:
1385 (a) a single, secure public entrance;
1386 (b) a security system with a backup power source that:
1387 (i) detects and records entry into the medical cannabis pharmacy; and
1388 (ii) provides notice of an unauthorized entry to law enforcement when the medical
1389 cannabis pharmacy is closed; and
1390 (c) a lock on each area where the medical cannabis pharmacy stores cannabis or a
1391 cannabis product.
1392 (7) A medical cannabis pharmacy shall post, both clearly and conspicuously in the
1393 medical cannabis pharmacy, the limit on the purchase of cannabis described in Subsection
1394 26-61a-502(2).
1395 (8) A medical cannabis pharmacy may not allow any individual to consume cannabis
1396 on the property or premises of the medical cannabis pharmacy.
1397 (9) A medical cannabis pharmacy may not sell cannabis or a cannabis product without
1398 first indicating on the cannabis or cannabis product label the name of the medical cannabis
1399 pharmacy.
1400 (10) (a) Each medical cannabis pharmacy shall retain in the pharmacy's records the
1401 following information regarding each recommendation underlying a transaction:
1402 (i) the [
1403 number;
1404 (ii) the patient's name and address;
1405 (iii) the date of issuance;
1406 (iv) directions of use and dosing guidelines or an indication that the [
1407 recommending medical provider did not recommend specific directions of use or dosing
1408 guidelines; and
1409 (v) if the patient did not complete the transaction, the name of the medical cannabis
1410 cardholder who completed the transaction.
1411 (b) (i) Except as provided in Subsection (10)(b)(ii), a medical cannabis pharmacy may
1412 not sell medical cannabis unless the medical cannabis has a label securely affixed to the
1413 container indicating the following minimum information:
1414 (A) the name, address, and telephone number of the medical cannabis pharmacy;
1415 (B) the unique identification number that the medical cannabis pharmacy assigns;
1416 (C) the date of the sale;
1417 (D) the name of the patient;
1418 (E) the name of the [
1419 medical cannabis treatment;
1420 (F) directions for use and cautionary statements, if any;
1421 (G) the amount dispensed and the cannabinoid content;
1422 (H) the suggested use date;
1423 (I) for unprocessed cannabis flower, the legal use termination date; and
1424 (J) any other requirements that the department determines, in consultation with the
1425 Division of Occupational and Professional Licensing and the Board of Pharmacy.
1426 (ii) A medical cannabis pharmacy may sell medical cannabis to another medical
1427 cannabis pharmacy without a label described in Subsection (10)(b)(i).
1428 (11) A pharmacy medical provider or medical cannabis pharmacy agent shall:
1429 (a) upon receipt of an order from a limited medical provider in accordance with
1430 Subsections 26-61a-106(1)(b) and (c):
1431 (i) for a written order, contact the limited medical provider or the limited medical
1432 provider's office to verify the validity of the recommendation; and
1433 (ii) for a written order that the pharmacy medical provider or medical cannabis
1434 pharmacy agent verifies under Subsection (11)(a)(i) or an electronic order, enter the limited
1435 medical provider's recommendation or renewal, including any associated directions of use,
1436 dosing guidelines, or caregiver indication, in the state electronic verification system;
1437 (b) in processing an order for a holder of a conditional medical cannabis card described
1438 in Subsection 26-61a-201(1)(b) that appears irregular or suspicious in the judgment of the
1439 pharmacy medical provider or medical cannabis pharmacy agent, contact the recommending
1440 medical provider or the recommending medical provider's office to verify the validity of the
1441 recommendation before processing the cardholder's order;
1442 [
1443 Subsection 26-61a-502(4) or (5), verbally offer to a medical cannabis cardholder at the time of
1444 a purchase of cannabis, a cannabis product, or a medical cannabis device, personal counseling
1445 with the pharmacy medical provider; and
1446 [
1447 pharmacy medical provider for counseling.
1448 (12) (a) A medical cannabis pharmacy may create a medical cannabis disposal program
1449 that allows an individual to deposit unused or excess medical cannabis, cannabis residue from a
1450 medical cannabis device, or medical cannabis product in a locked box or other secure
1451 receptacle within the medical cannabis pharmacy.
1452 (b) A medical cannabis pharmacy with a disposal program described in Subsection
1453 (12)(a) shall ensure that only a medical cannabis pharmacy agent or pharmacy medical provider
1454 can access deposited medical cannabis or medical cannabis products.
1455 (c) A medical cannabis pharmacy shall dispose of any deposited medical cannabis or
1456 medical cannabis products by:
1457 (i) rendering the deposited medical cannabis or medical cannabis products unusable
1458 and unrecognizable before transporting deposited medical cannabis or medical cannabis
1459 products from the medical cannabis pharmacy; and
1460 (ii) disposing of the deposited medical cannabis or medical cannabis products in
1461 accordance with:
1462 (A) federal and state law, rules, and regulations related to hazardous waste;
1463 (B) the Resource Conservation and Recovery Act, 42 U.S.C. Sec. 6991 et seq.;
1464 (C) Title 19, Chapter 6, Part 5, Solid Waste Management Act; and
1465 (D) other regulations that the department makes in accordance with Title 63G, Chapter
1466 3, Utah Administrative Rulemaking Act.
1467 (13) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
1468 Utah Administrative Rulemaking Act, protocols for a recall of cannabis and cannabis products
1469 by a medical cannabis pharmacy.
1470 Section 12. Section 26-61a-502 is amended to read:
1471 26-61a-502. Dispensing -- Amount a medical cannabis pharmacy may dispense --
1472 Reporting -- Form of cannabis or cannabis product.
1473 (1) (a) A medical cannabis pharmacy may not sell a product other than, subject to this
1474 chapter:
1475 (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy acquired
1476 from a cannabis processing facility that is licensed under Section 4-41a-201;
1477 (ii) a cannabis product in a medicinal dosage form that the medical cannabis pharmacy
1478 acquired from a cannabis processing facility that is licensed under Section 4-41a-201;
1479 (iii) a medical cannabis device; or
1480 (iv) educational material related to the medical use of cannabis.
1481 (b) A medical cannabis pharmacy may only sell an item listed in Subsection (1)(a) to
1482 an individual with:
1483 (i) (A) a medical cannabis card;
1484 (B) a department registration described in [
1485 26-61a-201; or
1486 (C) until December 31, 2020, a letter from a medical provider in accordance with
1487 Subsection (10); and
1488 (ii) a corresponding valid form of photo identification.
1489 (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
1490 cannabis-based drug that the United States Food and Drug Administration has approved.
1491 (d) Notwithstanding Subsection (1)(b), a medical cannabis pharmacy may not sell a
1492 medical cannabis device to an individual described in Subsection 26-61a-201(2)(a)(i)(B) or to a
1493 minor described in Subsection 26-61a-201(2)(c) unless the individual or minor has the
1494 approval of the Compassionate Use Board in accordance with Subsection 26-61a-105(5).
1495 (2) A medical cannabis pharmacy:
1496 (a) may dispense to a medical cannabis cardholder or to an individual described in
1497 Subsection (10)(b), in any one 28-day period, up to the legal dosage limit of:
1498 (i) unprocessed cannabis that:
1499 (A) is in a medicinal dosage form; and
1500 (B) carries a label clearly displaying the amount of tetrahydrocannabinol and
1501 cannabidiol in the cannabis; and
1502 (ii) a cannabis product that is in a medicinal dosage form; and
1503 (b) may not dispense:
1504 (i) more medical cannabis than described in Subsection (2)(a); or
1505 (ii) to an individual whose [
1506
1507
1508 consults with the pharmacy medical provider in accordance with Subsection (4), any medical
1509 cannabis.
1510 (3) An individual with a medical cannabis card [
1511
1512 (a) may purchase, in any one 28-day period, up to the legal dosage limit of:
1513 (i) unprocessed cannabis in a medicinal dosage form; and
1514 (ii) a cannabis product in a medicinal dosage form;
1515 (b) may not purchase:
1516 (i) more medical cannabis than described in Subsection (3)(a); or
1517 (ii) if the relevant [
1518 directions of use and dosing guidelines, until the individual consults with the pharmacy
1519 medical provider in accordance with Subsection (4), any medical cannabis; and
1520 (c) may not use a route of administration that the relevant [
1521 medical provider or the pharmacy medical provider, in accordance with Subsection (4) or (5),
1522 has not recommended.
1523 (4) If a [
1524 medical cannabis but does not provide directions of use and dosing guidelines:
1525 (a) the qualified medical provider or the medical cannabis pharmacy recording a
1526 recommendation under the order of a limited medical provider, shall document in the
1527 recommendation:
1528 (i) an evaluation of the qualifying condition underlying the recommendation;
1529 (ii) prior treatment attempts with medical cannabis; and
1530 (iii) the patient's current medication list; and
1531 (b) before the relevant medical cannabis cardholder may obtain medical cannabis, the
1532 pharmacy medical provider shall:
1533 (i) review pertinent medical records, including the [
1534 provider documentation described in Subsection (4)(a); and
1535 (ii) unless the pertinent medical records show directions of use and dosing guidelines
1536 from a state central patient portal medical provider in accordance with Subsection (5), after
1537 completing the review described in Subsection (4)(b)(i) and consulting with the recommending
1538 [
1539 consultation with the cardholder regarding:
1540 (A) the patient's qualifying condition underlying the recommendation from the
1541 [
1542 (B) indications for available treatments;
1543 (C) directions of use and dosing guidelines; and
1544 (D) potential adverse reactions.
1545 (5) (a) A state central patient portal medical provider may provide the consultation and
1546 make the determination described in Subsection (4)(b) for a medical cannabis patient
1547 cardholder regarding an electronic order that the state central patient portal facilitates.
1548 (b) The state central patient portal medical provider described in Subsection (5)(a)
1549 shall document the directions of use and dosing guidelines, determined under Subsection (5)(a)
1550 in the pertinent medical records.
1551 (6) A medical cannabis pharmacy shall:
1552 (a) (i) access the state electronic verification system before dispensing cannabis or a
1553 cannabis product to a medical cannabis cardholder in order to determine if the cardholder or,
1554 where applicable, the associated patient has met the maximum amount of medical cannabis
1555 described in Subsection (2); and
1556 (ii) if the verification in Subsection (6)(a)(i) indicates that the individual has met the
1557 maximum amount described in Subsection (2):
1558 (A) decline the sale; and
1559 (B) notify the [
1560 recommendation;
1561 (b) submit a record to the state electronic verification system each time the medical
1562 cannabis pharmacy dispenses medical cannabis to a medical cannabis cardholder;
1563 (c) package any medical cannabis that is in a container that:
1564 (i) complies with Subsection 4-41a-602(2) or, if applicable, [
1565 provisions related to a container for unprocessed cannabis flower in the definition of
1566 "medicinal dosage form" in Section 26-61a-102;
1567 (ii) is tamper-resistant and tamper-evident; and
1568 (iii) opaque; and
1569 (d) for a product that is a cube that is designed for ingestion through chewing or
1570 holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
1571 of over-consumption.
1572 (7) (a) Except as provided in Subsection (7)(b), a medical cannabis pharmacy may not
1573 sell medical cannabis in the form of a cigarette or a medical cannabis device that is
1574 intentionally designed or constructed to resemble a cigarette.
1575 (b) A medical cannabis pharmacy may sell a medical cannabis device that warms
1576 cannabis material into a vapor without the use of a flame and that delivers cannabis to an
1577 individual's respiratory system.
1578 (8) A medical cannabis pharmacy may not give, at no cost, a product that the medical
1579 cannabis pharmacy is allowed to sell under Subsection (1).
1580 (9) The department may impose a uniform fee on each medical cannabis transaction in
1581 a medical cannabis pharmacy in an amount that, subject to Subsection 26-61a-109(5), the
1582 department sets in accordance with Section 63J-1-504.
1583 [
1584
1585
1586 [
1587
1588
1589 [
1590
1591
1592 [
1593 [
1594
1595 [
1596
1597
1598 [
1599
1600 [
1601
1602
1603 [
1604
1605 [
1606 [
1607 [
1608 [
1609
1610
1611 [
1612
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1615 [
1616
1617 [
1618
1619
1620
1621 [
1622
1623 [
1624
1625 [
1626 [
1627
1628 [
1629 [
1630
1631 [
1632 devices regardless of whether the seller has a cannabis-related license under this title or Title 4,
1633 Chapter 41a, Cannabis Production Establishments.
1634 Section 13. Section 26-61a-503 is amended to read:
1635 26-61a-503. Partial filling.
1636 (1) As used in this section, "partially fill" means to provide less than the full amount of
1637 cannabis or cannabis product that the [
1638 if the [
1639 (2) A pharmacy medical provider may partially fill a recommendation for a medical
1640 cannabis treatment at the request of the [
1641 the medical cannabis treatment recommendation or the medical cannabis cardholder.
1642 (3) The department shall make rules, in collaboration with the Division of
1643 Occupational and Professional Licensing and the Board of Pharmacy and in accordance with
1644 Title 63G, Chapter 3, Utah Administrative Rulemaking Act, specifying how to record the date,
1645 quantity supplied, and quantity remaining of a partially filled medical cannabis treatment
1646 recommendation.
1647 (4) A pharmacy medical provider who is a pharmacist may, upon the request of a
1648 medical cannabis cardholder, determine different dosing parameters, subject to the dosing
1649 limits in Subsection 26-61a-502(2), to fill the quantity remaining of a partially filled medical
1650 cannabis treatment recommendation if:
1651 (a) the pharmacy medical provider determined dosing parameters for the partial fill
1652 under Subsection 26-61a-502(4) or (5); and
1653 (b) the medical cannabis cardholder reports that:
1654 (i) the partial fill did not substantially affect the qualifying condition underlying the
1655 medical cannabis recommendation; or
1656 (ii) the patient experienced an adverse reaction to the partial fill or was otherwise
1657 unable to successfully use the partial fill.
1658 Section 14. Section 26-61a-601 is amended to read:
1659 26-61a-601. State central patient portal -- Department duties.
1660 (1) On or before July 1, 2020, the department shall establish or contract to establish, in
1661 accordance with Title 63G, Chapter 6a, Utah Procurement Code, a state central patient portal as
1662 described in this section.
1663 (2) The state central patient portal shall:
1664 (a) authenticate each user to ensure the user is a valid medical cannabis patient
1665 cardholder;
1666 (b) allow a medical cannabis patient cardholder to:
1667 (i) obtain and download the cardholder's medical cannabis card;
1668 (ii) review the cardholder's medical cannabis purchase history; and
1669 (iii) manage the cardholder's personal information, including withdrawing consent for
1670 the use of the cardholder's information for a study described in Subsection
1671 26-61a-201[
1672 (c) if the cardholder's [
1673 use of medical cannabis without providing directions of use and dosing guidelines and the
1674 cardholder has not yet received the counseling or consultation required in Subsection
1675 26-61a-502(4):
1676 (i) alert the cardholder of the outstanding need for consultation; and
1677 (ii) provide the cardholder with access to the contact information for each state central
1678 patient portal medical provider and each pharmacy medical provider;
1679 (d) except as provided in Subsection (2)(e), facilitate an electronic medical cannabis
1680 order:
1681 (i) to a home delivery medical cannabis pharmacy for a medical cannabis shipment; or
1682 (ii) to a medical cannabis pharmacy for a medical cannabis cardholder to obtain in
1683 person from the pharmacy;
1684 (e) prohibit a patient from completing an electronic medical cannabis order described
1685 in Subsection (2)(d) if the purchase would exceed the limitations described in Subsection
1686 26-61a-502(2)(a) or (b);
1687 (f) provide educational information to medical cannabis patient cardholders regarding
1688 the state's medical cannabis laws and regulatory programs and other relevant information
1689 regarding medical cannabis; and
1690 (g) allow the patient to designate up to two caregivers who may receive a medical
1691 cannabis caregiver card to purchase and transport medical cannabis on behalf of the patient in
1692 accordance with this chapter.
1693 (3) The department may make rules in accordance with Title 63G, Chapter 3, Utah
1694 Administrative Rulemaking Act, to implement the state central patient portal.
1695 Section 15. Section 58-5a-102 is amended to read:
1696 58-5a-102. Definitions.
1697 In addition to the definitions under Section 58-1-102, as used in this chapter:
1698 (1) "Board" means the Podiatric Physician Board created in Section 58-5a-201.
1699 (2) "Indirect supervision" means the same as that term is defined by the division by
1700 rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1701 (3) "Medical assistant" means an unlicensed individual working under the indirect
1702 supervision of a licensed podiatric physician and engaging in specific tasks assigned by the
1703 licensed podiatric physician in accordance with the standards and ethics of the podiatry
1704 profession.
1705 (4) "Practice of podiatry" means the diagnosis and treatment of conditions affecting the
1706 human foot and ankle and their manifestations of systemic conditions by all appropriate and
1707 lawful means, subject to Section 58-5a-103.
1708 (5) "Unlawful conduct" includes:
1709 (a) the conduct that constitutes unlawful conduct under Section 58-1-501; and
1710 (b) for an individual who is not licensed under this chapter:
1711 (i) using the title or name podiatric physician, podiatrist, podiatric surgeon, foot doctor,
1712 foot specialist, or D.P.M.; or
1713 (ii) implying or representing that the individual is qualified to practice podiatry.
1714 (6) (a) "Unprofessional conduct" includes, for an individual licensed under this
1715 chapter:
1716 [
1717 [
1718 the individual acquires in treating the patient, except as necessary for professional consultation
1719 regarding treatment of the patient;
1720 [
1721 not licensed to practice podiatry under this chapter;
1722 [
1723 any unlicensed individual to practice podiatry;
1724 [
1725 impairs the individual's ability to practice podiatry;
1726 [
1727 including controlled substances, as defined in Section 58-37-2;
1728 [
1729 [
1730 records, medical records, or reports;
1731 [
1732 agencies or insurance companies with the intent to secure payment not rightfully due;
1733 [
1734 [
1735 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act; or
1736 [
1737 conceal:
1738 [
1739 chapter or an individual under the direction or control of an individual licensed under this
1740 chapter; or
1741 [
1742 58-1-501(1).
1743 (b) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
1744 61a, Utah Medical Cannabis Act, when registered as a qualified medical provider or acting as a
1745 limited medical provider, as those terms are defined in Section 26-61a-102, recommending the
1746 use of medical cannabis within the scope of a practice of podiatry.
1747 Section 16. Section 58-31b-502 is amended to read:
1748 58-31b-502. Unprofessional conduct.
1749 (1) "Unprofessional conduct" includes:
1750 (a) failure to safeguard a patient's right to privacy as to the patient's person, condition,
1751 diagnosis, personal effects, or any other matter about which the licensee is privileged to know
1752 because of the licensee's or person with a certification's position or practice as a nurse or
1753 practice as a medication aide certified;
1754 (b) failure to provide nursing service or service as a medication aide certified in a
1755 manner that demonstrates respect for the patient's human dignity and unique personal character
1756 and needs without regard to the patient's race, religion, ethnic background, socioeconomic
1757 status, age, sex, or the nature of the patient's health problem;
1758 (c) engaging in sexual relations with a patient during any:
1759 (i) period when a generally recognized professional relationship exists between the
1760 person licensed or certified under this chapter and the patient; or
1761 (ii) extended period when a patient has reasonable cause to believe a professional
1762 relationship exists between the person licensed or certified under the provisions of this chapter
1763 and the patient;
1764 (d) (i) as a result of any circumstance under Subsection (1)(c), exploiting or using
1765 information about a patient or exploiting the licensee's or the person with a certification's
1766 professional relationship between the licensee or holder of a certification under this chapter and
1767 the patient; or
1768 (ii) exploiting the patient by use of the licensee's or person with a certification's
1769 knowledge of the patient obtained while acting as a nurse or a medication aide certified;
1770 (e) unlawfully obtaining, possessing, or using any prescription drug or illicit drug;
1771 (f) unauthorized taking or personal use of nursing supplies from an employer;
1772 (g) unauthorized taking or personal use of a patient's personal property;
1773 (h) unlawful or inappropriate delegation of nursing care;
1774 (i) failure to exercise appropriate supervision of persons providing patient care services
1775 under supervision of the licensed nurse;
1776 (j) employing or aiding and abetting the employment of an unqualified or unlicensed
1777 person to practice as a nurse;
1778 (k) failure to file or record any medical report as required by law, impeding or
1779 obstructing the filing or recording of such a report, or inducing another to fail to file or record
1780 such a report;
1781 (l) breach of a statutory, common law, regulatory, or ethical requirement of
1782 confidentiality with respect to a person who is a patient, unless ordered by a court;
1783 (m) failure to pay a penalty imposed by the division;
1784 (n) prescribing a Schedule II controlled substance without complying with the
1785 requirements in Section 58-31b-803, if applicable;
1786 (o) violating Section 58-31b-801;
1787 (p) violating the dispensing requirements of Section 58-17b-309 or Chapter 17b, Part
1788 8, Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if
1789 applicable;
1790 (q) establishing or operating a pain clinic without a consultation and referral plan for
1791 Schedule II or III controlled substances; or
1792 (r) falsely making an entry in, or altering, a medical record with the intent to conceal:
1793 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
1794 or an individual under the direction or control of an individual licensed under this chapter; or
1795 (ii) conduct described in Subsections (1)(a) through (q) or Subsection 58-1-501(1).
1796 (2) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
1797 61a, Utah Medical Cannabis Act, when registered as a qualified medical provider or acting as a
1798 limited medical provider, as [
1799 recommending the use of medical cannabis.
1800 (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
1801 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
1802 unprofessional conduct for an advanced practice registered nurse described in Subsection (2).
1803 Section 17. Section 58-37-3.7 is amended to read:
1804 58-37-3.7. Medical cannabis decriminalization.
1805 (1) As used in this section:
1806 (a) "Cannabis" means the same as that term is defined in Section 26-61a-102.
1807 (b) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
1808 (c) "Legal dosage limit" means the same as that term is defined in Section 26-61a-102.
1809 (d) "Medical cannabis card" means the same as that term is defined in Section
1810 26-61a-102.
1811 (e) "Medical cannabis device" means the same as that term is defined in Section
1812 26-61a-102.
1813 (f) "Medicinal dosage form" means the same as that term is defined in Section
1814 26-61a-102.
1815 (g) "Nonresident patient" means the same as that term is defined in Section
1816 26-61a-102.
1817 (h) "Qualifying condition" means the same as that term is defined in Section
1818 26-61a-102.
1819 (i) "Tetrahydrocannabinol" means the same as that term is defined in Section
1820 58-37-3.9.
1821 (2) Before [
1822 2021, and the effective date of this bill, an individual is not guilty under this chapter for the use
1823 or possession of marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia if:
1824 (a) at the time of the arrest or citation, the individual:
1825 [
1826 [
1827
1828
1829
1830
1831
1832 [
1833 [
1834
1835 [
1836 [
1837 [
1838 [
1839 guardian cardholder; and
1840 (b) (i) for use or possession of marijuana or tetrahydrocannabinol, the marijuana or
1841 tetrahydrocannabinol is one of the following in an amount that does not exceed the legal
1842 dosage limit:
1843 (A) unprocessed cannabis in a medicinal dosage form; or
1844 (B) a cannabis product in a medicinal dosage form; and
1845 (ii) for use or possession of marijuana drug paraphernalia, the paraphernalia is a
1846 medical cannabis device.
1847 (3) A nonresident patient is not guilty under this chapter for the use or possession of
1848 marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia under this chapter if:
1849 (a) for use or possession of marijuana or tetrahydrocannabinol, the marijuana or
1850 tetrahydrocannabinol is one of the following in an amount that does not exceed the legal
1851 dosage limit:
1852 (i) unprocessed cannabis in a medicinal dosage form; or
1853 (ii) a cannabis product in a medicinal dosage form; and
1854 (b) for use or possession of marijuana drug paraphernalia, the paraphernalia is a
1855 medical cannabis device.
1856 (4) (a) There is a rebuttable presumption against an allegation of use or possession of
1857 marijuana or tetrahydrocannabinol if:
1858 (i) an individual fails a drug test based on the presence of [
1859 tetrahydrocannabinol in the sample; and
1860 (ii) the individual provides evidence that the individual possessed or used cannabidiol
1861 or a cannabidiol product.
1862 (b) The presumption described in Subsection (4)(a) may be rebutted with evidence that
1863 the individual purchased or possessed marijuana or tetrahydrocannabinol that is not authorized
1864 under:
1865 (i) Section 4-41-402; or
1866 (ii) Title 26, Chapter 61a, Utah Medical Cannabis Act.
1867 Section 18. Section 58-37-6.5 is amended to read:
1868 58-37-6.5. Continuing education for controlled substance prescribers.
1869 (1) For the purposes of this section:
1870 (a) "Controlled substance prescriber" means an individual, other than a veterinarian,
1871 who:
1872 (i) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
1873 Controlled Substances Act; and
1874 (ii) possesses the authority, in accordance with the individual's scope of practice, to
1875 prescribe schedule II controlled substances and schedule III controlled substances that are
1876 applicable to opioid narcotics, hypnotic depressants, or psychostimulants.
1877 (b) "D.O." means an osteopathic physician and surgeon licensed under Title 58,
1878 Chapter 68, Utah Osteopathic Medical Practice Act.
1879 (c) "FDA" means the United States Food and Drug Administration.
1880 (d) "M.D." means a physician and surgeon licensed under Title 58, Chapter 67, Utah
1881 Medical Practice Act.
1882 (e) "SBIRT" means the Screening, Brief Intervention, and Referral to Treatment
1883 approach used by the federal Substance Abuse and Mental Health Services Administration or
1884 defined by the division, in consultation with the Division of Substance Abuse and Mental
1885 Health, by administrative rule, in accordance with Title 63G, Chapter 3, Utah Administrative
1886 Rulemaking Act.
1887 (2) (a) Beginning with the licensing period that begins after January 1, 2014, as a
1888 condition precedent for license renewal, each controlled substance prescriber shall complete at
1889 least 3.5 continuing education hours per licensing period that satisfy the requirements of
1890 Subsection (3).
1891 (b) (i) Beginning with the licensing period that begins after January 1, 2024, as a
1892 condition precedent for license renewal, each controlled substance prescriber shall complete at
1893 least 3.5 continuing education hours in an SBIRT-training class that satisfies the requirements
1894 of Subsection (4).
1895 (ii) Completion of the SBIRT-training class, in compliance with Subsection (2)(b)(i),
1896 fulfills the continuing education hours requirement in Subsection (3) for the licensing period in
1897 which the class was completed.
1898 (iii) A controlled substance prescriber:
1899 (A) need only take the SBIRT-training class once during the controlled substance
1900 prescriber's licensure in the state; and
1901 (B) shall provide a completion record of the SBIRT-training class in order to be
1902 reimbursed for SBIRT services to patients, in accordance with [
1903 [
1904 (3) A controlled substance prescriber shall complete at least 3.5 hours of continuing
1905 education in one or more controlled substance prescribing classes, except dentists who shall
1906 complete at least two hours, that satisfy the requirements of Subsections (4) and (6).
1907 (4) A controlled substance prescribing class shall:
1908 (a) satisfy the division's requirements for the continuing education required for the
1909 renewal of the controlled substance prescriber's respective license type;
1910 (b) be delivered by an accredited or approved continuing education provider
1911 recognized by the division as offering continuing education appropriate for the controlled
1912 substance prescriber's respective license type; and
1913 (c) include a postcourse knowledge assessment.
1914 (5) An M.D. or D.O. completing continuing professional education hours under
1915 Subsection (4) shall complete those hours in classes that qualify for the American Medical
1916 Association Physician's Recognition Award Category 1 Credit.
1917 (6) The 3.5 hours of the controlled substance prescribing classes under Subsection (4)
1918 shall include educational content covering the following:
1919 (a) the scope of the controlled substance abuse problem in Utah and the nation;
1920 (b) all elements of the FDA Blueprint for Prescriber Education under the FDA's
1921 Extended-Release and Long-Acting Opioid Analgesics Risk Evaluation and Mitigation
1922 Strategy, as published July 9, 2012, or as it may be subsequently revised;
1923 (c) the national and Utah-specific resources available to prescribers to assist in
1924 appropriate controlled substance and opioid prescribing;
1925 (d) patient record documentation for controlled substance and opioid prescribing; [
1926 (e) office policies, procedures, and implementation[
1927 (f) some training regarding medical cannabis, as that term is defined in Section
1928 26-61a-102.
1929 (7) (a) The division, in consultation with the Utah Medical Association Foundation,
1930 shall determine whether a particular controlled substance prescribing class satisfies the
1931 educational content requirements of Subsections (4) and (6) for an M.D. or D.O.
1932 (b) The division, in consultation with the applicable professional licensing boards,
1933 shall determine whether a particular controlled substance prescribing class satisfies the
1934 educational content requirements of Subsections (4) and (6) for a controlled substance
1935 prescriber other than an M.D. or D.O.
1936 (c) The division may by rule establish a committee that may audit compliance with the
1937 Utah Risk Evaluation and Mitigation Strategy (REMS) Educational Programming Project
1938 grant, that satisfies the educational content requirements of Subsections (4) and (6) for a
1939 controlled substance prescriber.
1940 (d) The division shall consult with the Department of Health regarding the medical
1941 cannabis training described in Subsection (6)(f).
1942 (8) A controlled substance prescribing class required under this section:
1943 (a) may be held:
1944 (i) in conjunction with other continuing professional education programs; and
1945 (ii) online; and
1946 (b) does not increase the total number of state-required continuing professional
1947 education hours required for prescriber licensing.
1948 (9) The division may establish rules, in accordance with Title 63G, Chapter 3, Utah
1949 Administrative Rulemaking Act, to implement this section.
1950 (10) A controlled substance prescriber who, on or after July 1, 2017, obtains a waiver
1951 to treat opioid dependency with narcotic medications, in accordance with the Drug Addiction
1952 Treatment Act of 2000, 21 U.S.C. Sec. 823 et seq., may use the waiver to satisfy the 3.5 hours
1953 of the continuing education requirement under Subsection (3) for two consecutive licensing
1954 periods.
1955 Section 19. Section 58-67-502 is amended to read:
1956 58-67-502. Unprofessional conduct.
1957 (1) "Unprofessional conduct" includes, in addition to the definition in Section
1958 58-1-501:
1959 (a) using or employing the services of any individual to assist a licensee in any manner
1960 not in accordance with the generally recognized practices, standards, or ethics of the
1961 profession, state law, or division rule;
1962 (b) making a material misrepresentation regarding the qualifications for licensure under
1963 Section 58-67-302.7 or Section 58-67-302.8;
1964 (c) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
1965 Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
1966 (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act; or
1967 (e) falsely making an entry in, or altering, a medical record with the intent to conceal:
1968 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
1969 or an individual under the direction or control of an individual licensed under this chapter; or
1970 (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
1971 (2) "Unprofessional conduct" does not include:
1972 (a) in compliance with Section 58-85-103:
1973 (i) obtaining an investigational drug or investigational device;
1974 (ii) administering the investigational drug to an eligible patient; or
1975 (iii) treating an eligible patient with the investigational drug or investigational device;
1976 or
1977 (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
1978 (i) when registered as a qualified medical provider or acting as a limited medical
1979 provider, as [
1980 use of medical cannabis;
1981 (ii) when registered as a pharmacy medical provider, as that term is defined in Section
1982 26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
1983 (iii) when registered as a state central patient portal medical provider, as that term is
1984 defined in Section 26-61a-102, providing state central patient portal medical provider services.
1985 (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
1986 in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
1987 unprofessional conduct for a physician described in Subsection (2)(b).
1988 Section 20. Section 58-68-502 is amended to read:
1989 58-68-502. Unprofessional conduct.
1990 (1) "Unprofessional conduct" includes, in addition to the definition in Section
1991 58-1-501:
1992 (a) using or employing the services of any individual to assist a licensee in any manner
1993 not in accordance with the generally recognized practices, standards, or ethics of the
1994 profession, state law, or division rule;
1995 (b) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
1996 Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
1997 (c) making a material misrepresentation regarding the qualifications for licensure under
1998 Section 58-68-302.5;
1999 (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act; or
2000 (e) falsely making an entry in, or altering, a medical record with the intent to conceal:
2001 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
2002 or an individual under the direction or control of an individual licensed under this chapter; or
2003 (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
2004 (2) "Unprofessional conduct" does not include:
2005 (a) in compliance with Section 58-85-103:
2006 (i) obtaining an investigational drug or investigational device;
2007 (ii) administering the investigational drug to an eligible patient; or
2008 (iii) treating an eligible patient with the investigational drug or investigational device;
2009 or
2010 (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
2011 (i) when registered as a qualified medical provider or acting as a limited medical
2012 provider, as [
2013 use of medical cannabis;
2014 (ii) when registered as a pharmacy medical provider, as that term is defined in Section
2015 26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
2016 (iii) when registered as a state central patient portal medical provider, as that term is
2017 defined in Section 26-61a-102, providing state central patient portal medical provider services.
2018 (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
2019 in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
2020 unprofessional conduct for a physician described in Subsection (2)(b).
2021 Section 21. Section 58-70a-503 is amended to read:
2022 58-70a-503. Unprofessional conduct.
2023 (1) "Unprofessional conduct" includes:
2024 (a) violation of a patient confidence to any person who does not have a legal right and a
2025 professional need to know the information concerning the patient;
2026 (b) knowingly prescribing, selling, giving away, or directly or indirectly administering,
2027 or offering to prescribe, sell, furnish, give away, or administer any prescription drug except for
2028 a legitimate medical purpose upon a proper diagnosis indicating use of that drug in the amounts
2029 prescribed or provided;
2030 (c) prescribing prescription drugs for oneself or administering prescription drugs to
2031 oneself, except those that have been legally prescribed for the physician assistant by a licensed
2032 practitioner and that are used in accordance with the prescription order for the condition
2033 diagnosed;
2034 (d) failure to maintain at the practice site a delegation of services agreement that
2035 accurately reflects current practices;
2036 (e) failure to make the delegation of services agreement available to the division for
2037 review upon request;
2038 (f) in a practice that has physician assistant ownership interests, failure to allow the
2039 supervising physician the independent final decision making authority on patient treatment
2040 decisions, as set forth in the delegation of services agreement or as defined by rule;
2041 (g) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
2042 Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable; or
2043 (h) falsely making an entry in, or altering, a medical record with the intent to conceal:
2044 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
2045 or an individual under the direction or control of an individual licensed under this chapter; or
2046 (ii) conduct described in Subsections (1)(a) through (g) or Subsection 58-1-501(1).
2047 (2) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
2048 61a, Utah Medical Cannabis Act, when registered as a qualified medical provider or acting as a
2049 limited medical provider, as [
2050 recommending the use of medical cannabis.
2051 (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
2052 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
2053 unprofessional conduct for a physician assistant described in Subsection (2).
2054 Section 22. Section 62A-4a-404 is amended to read:
2055 62A-4a-404. Fetal alcohol syndrome or spectrum disorder and drug dependency
2056 -- Reporting requirements.
2057 (1) As used in this section:
2058 (a) "Health care provider" means:
2059 (i) an individual licensed under:
2060 (A) Title 58, Chapter 31b, Nurse Practice Act;
2061 (B) Title 58, Chapter 44a, Nurse Midwife Practice Act;
2062 (C) Title 58, Chapter 67, Utah Medical Practice Act;
2063 (D) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
2064 (E) Title 58, Chapter 70a, Utah Physician Assistant Act; or
2065 (F) Title 58, Chapter 77, Direct-Entry Midwife Act; or
2066 (ii) an unlicensed individual who practices midwifery.
2067 (b) "Newborn child" means a child who is 30 days of age or younger.
2068 (c) "[
2069 defined in Section 26-61a-102.
2070 (d) (i) "Substance abuse" means the misuse or excessive use of alcohol or other drugs
2071 or substances.
2072 (ii) "Substance abuse" does not include use of drugs or other substances that are:
2073 (A) obtained by lawful prescription and used as prescribed; or
2074 (B) obtained in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act,
2075 and used as recommended by a [
2076 (2) A health care provider who attends the birth of a newborn child or cares for a
2077 newborn child and determines any of the following, shall report the determination to the
2078 division as soon as possible:
2079 (a) the newborn child:
2080 (i) is adversely affected by the child's mother's substance abuse during pregnancy;
2081 (ii) has fetal alcohol syndrome or fetal alcohol spectrum disorder; or
2082 (iii) demonstrates drug or alcohol withdrawal symptoms; or
2083 (b) the parent of the newborn child or a person responsible for the child's care
2084 demonstrates functional impairment or an inability to care for the child as a result of the
2085 parent's or person's substance abuse.
2086 Section 23. Section 78A-2-231 is amended to read:
2087 78A-2-231. Consideration of lawful use or possession of medical cannabis.
2088 (1) As used in this section:
2089 (a) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
2090 (b) "Directions of use" means the same as that term is defined in Section 26-61a-102.
2091 (c) "Dosing guidelines" means the same as that term is defined in Section 26-61a-102.
2092 (d) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
2093 (e) "Medical cannabis card" means the same as that term is defined in Section
2094 26-61a-102.
2095 (f) "Medical cannabis device" means the same as that term is defined in Section
2096 26-61a-102.
2097 (g) "[
2098 defined in Section 26-61a-102.
2099 (2) In any judicial proceeding in which a judge, panel, jury, or court commissioner
2100 makes a finding, determination, or otherwise considers an individual's possession or use of
2101 medical cannabis, a cannabis product, or a medical cannabis device, the judge, panel, jury, or
2102 court commissioner may not consider or treat the individual's possession or use any differently
2103 than the lawful possession or use of any prescribed controlled substance if:
2104 (a) the individual's possession complies with Title 4, Chapter 41a, Cannabis Production
2105 Establishments;
2106 (b) the individual's possession or use complies with Subsection 58-37-3.7(2) or (3); or
2107 (c) (i) the individual's possession or use complies with Title 26, Chapter 61a, Utah
2108 Medical Cannabis Act; and
2109 (ii) the individual reasonably complies with the directions of use and dosing guidelines
2110 determined by the individual's [
2111 consultation described in Subsection 26-61a-502(4) or (5).
2112 (3) Notwithstanding Sections 77-18-1 and 77-2a-3, for probation, release, a plea in
2113 abeyance agreement, a diversion agreement, or a tendered admission under Utah Rules of
2114 Juvenile Procedure, Rule 25, a term or condition may not require that an individual abstain
2115 from the use or possession of medical cannabis, a cannabis product, or a medical cannabis
2116 device, either directly or through a general prohibition on violating federal law, without an
2117 exception related to medical cannabis use, if the individual's use or possession complies with:
2118 (a) Title 26, Chapter 61a, Utah Medical Cannabis Act; or
2119 (b) Subsection 58-37-3.7(2) or (3).
2120 Section 24. Section 78A-6-115 is amended to read:
2121 78A-6-115. Hearings -- Record -- County attorney or district attorney
2122 responsibilities -- Attorney general responsibilities -- Disclosure -- Admissibility of
2123 evidence -- Cannabis.
2124 (1) (a) A verbatim record of the proceedings shall be taken in all cases that might result
2125 in deprivation of custody as defined in this chapter. In all other cases a verbatim record shall
2126 also be made unless dispensed with by the court.
2127 (b) (i) For purposes of this Subsection (1)(b):
2128 (A) "Record of a proceeding" does not include documentary materials of any type
2129 submitted to the court as part of the proceeding, including items submitted under Subsection
2130 (4)(a).
2131 (B) "Subjects of the record" includes the child's guardian ad litem, the child's legal
2132 guardian, the Division of Child and Family Services, and any other party to the proceeding.
2133 (ii) Notwithstanding any other provision, including Title 63G, Chapter 2, Government
2134 Records Access and Management Act, the court shall release a record of a proceeding made
2135 under Subsection (1)(a) to any person upon a finding on the record for good cause.
2136 (iii) Following a petition for a record of a proceeding made under Subsection (1)(a),
2137 the court shall:
2138 (A) provide notice to all subjects of the record that a request for release of the record
2139 has been made; and
2140 (B) allow sufficient time for the subjects of the record to respond before making a
2141 finding on the petition.
2142 (iv) A record of a proceeding may not be released under this Subsection (1)(b) if the
2143 court's jurisdiction over the subjects of the proceeding ended more than 12 months before the
2144 day on which the request is made.
2145 (2) (a) Except as provided in Subsection (2)(b), the county attorney or, if within a
2146 prosecution district, the district attorney shall represent the state in any proceeding in a minor's
2147 case.
2148 (b) Subject to the attorney general's prosecutorial discretion in civil enforcement
2149 actions, the attorney general shall enforce all provisions of Title 62A, Chapter 4a, Child and
2150 Family Services, and this chapter, relating to:
2151 (i) protection or custody of an abused, neglected, or dependent child; and
2152 (ii) petitions for termination of parental rights.
2153 (3) The board may adopt special rules of procedure to govern proceedings involving
2154 violations of traffic laws or ordinances, wildlife laws, and boating laws. However, proceedings
2155 involving offenses under Section 78A-6-606 are governed by that section regarding suspension
2156 of driving privileges.
2157 (4) (a) For the purposes of determining proper disposition of the minor in dispositional
2158 hearings and establishing the fact of abuse, neglect, or dependency in adjudication hearings and
2159 in hearings upon petitions for termination of parental rights, written reports and other material
2160 relating to the minor's mental, physical, and social history and condition may be received in
2161 evidence and may be considered by the court along with other evidence. The court may require
2162 that the individual who wrote the report or prepared the material appear as a witness if the
2163 individual is reasonably available.
2164 (b) For the purpose of determining proper disposition of a minor alleged to be or
2165 adjudicated as abused, neglected, or dependent, dispositional reports prepared by the division
2166 under Section 78A-6-315 may be received in evidence and may be considered by the court
2167 along with other evidence. The court may require any individual who participated in preparing
2168 the dispositional report to appear as a witness, if the individual is reasonably available.
2169 (5) (a) Except as provided in Subsections (5)(c) through (e), in an abuse, neglect, or
2170 dependency proceeding occurring after the commencement of a shelter hearing under Section
2171 78A-6-306 or the filing of a petition under Section 78A-6-304, each party to the proceeding
2172 shall provide in writing to the other parties or their counsel any information which the party:
2173 (i) plans to report to the court at the proceeding; or
2174 (ii) could reasonably expect would be requested of the party by the court at the
2175 proceeding.
2176 (b) The disclosure required under Subsection (5)(a) shall be made:
2177 (i) for dispositional hearings under Sections 78A-6-311 and 78A-6-312, no less than
2178 five days before the day on which the proceeding is held;
2179 (ii) for proceedings under Chapter 6, Part 5, Termination of Parental Rights Act, in
2180 accordance with Utah Rules of Civil Procedure; and
2181 (iii) for all other proceedings, no less than five days before the day on which the
2182 proceeding is held.
2183 (c) The division is not required to provide a court report or a child and family plan to
2184 each party to the proceeding if:
2185 (i) the information is electronically filed with the court; and
2186 (ii) each party to the proceeding has access to the electronically filed information.
2187 (d) If a party to a proceeding obtains information after the deadline in Subsection
2188 (5)(b), the information is exempt from the disclosure required under Subsection (5)(a) if the
2189 party certifies to the court that the information was obtained after the deadline.
2190 (e) Subsection (5)(a) does not apply to:
2191 (i) pretrial hearings; and
2192 (ii) the frequent, periodic review hearings held in a dependency drug court case to
2193 assess and promote the parent's progress in substance use disorder treatment.
2194 (6) For the purpose of establishing the fact of abuse, neglect, or dependency, the court
2195 may, in the court's discretion, consider evidence of statements made by a child under eight
2196 years of age to an individual in a trust relationship.
2197 (7) (a) As used in this Subsection (7):
2198 (i) "Cannabis" means the same as that term is defined in Section 26-61a-102.
2199 (ii) "Cannabis product" means the same as that term is defined in Section 26-61a-102.
2200 (iii) (A) "Chronic" means repeated or patterned.
2201 (B) "Chronic" does not mean an isolated incident.
2202 (iv) "Directions of use" means the same as that term is defined in Section 26-61a-102.
2203 (v) "Dosing guidelines" means the same as that term is defined in Section 26-61a-102.
2204 (vi) "Medical cannabis" means the same as that term is defined in Section 26-61a-102.
2205 (vii) "Medical cannabis cardholder" means the same as that term is defined in Section
2206 26-61a-102.
2207 (viii) "[
2208 defined in Section 26-61a-102.
2209 (b) In any child welfare proceeding in which the court makes a finding, determination,
2210 or otherwise considers an individual's possession or use of medical cannabis, a cannabis
2211 product, or a medical cannabis device, the court may not consider or treat the individual's
2212 possession or use any differently than the lawful possession or use of any prescribed controlled
2213 substance if:
2214 (i) the individual's possession or use complies with Title 4, Chapter 41a, Cannabis
2215 Production Establishments;
2216 (ii) the individual's possession or use complies with Subsection 58-37-3.7(2) or (3); or
2217 (iii) (A) the individual's possession or use complies with Title 26, Chapter 61a, Utah
2218 Medical Cannabis Act; and
2219 (B) the individual reasonably complies with the directions of use and dosing guidelines
2220 determined by the individual's [
2221 consultation described in Subsection 26-61a-502(4) or (5).
2222 (c) In a child welfare proceeding, a parent's or guardian's use of cannabis or a cannabis
2223 product is not abuse or neglect of a child under Section 78A-6-105 unless there is evidence
2224 showing that:
2225 (i) the child is harmed because of the child's inhalation or ingestion of cannabis, or
2226 because of cannabis being introduced to the child's body in another manner; or
2227 (ii) the child is at an unreasonable risk of harm because of chronic inhalation or
2228 ingestion of cannabis or chronic introduction of cannabis to the child's body in another manner.
2229 (d) Unless there is harm or an unreasonable risk of harm to the child as described in
2230 Subsection (7)(c), in a child welfare proceeding a parent's or guardian's use of medical cannabis
2231 or a cannabis product is not contrary to the best interests of a child if:
2232 (i) for a medical cannabis cardholder after January 1, 2021, the parent's or guardian's
2233 possession or use complies with Title 26, Chapter 61a, Utah Medical Cannabis Act, and there
2234 is no evidence that the parent's or guardian's use of medical cannabis unreasonably deviates
2235 from the directions of use and dosing guidelines determined by the parent's or guardian's
2236 [
2237 26-61a-502(4) or (5); or
2238 (ii) before January 1, 2021, the parent's or guardian's possession or use complies with
2239 Subsection 58-37-3.7(2) or (3).
2240 (e) Subsection (7)(c) does not prohibit a finding of abuse or neglect of a child under
2241 Section 78A-6-105, and Subsection (7)(d) does not prohibit a finding that a parent's or
2242 guardian's use of medical cannabis or a cannabis product is contrary to the best interests of a
2243 child, if there is evidence showing a nexus between the parent's or guardian's use of cannabis or
2244 a cannabis product and behavior that would separately constitute abuse or neglect of the child.
2245 Section 25. Effective date.
2246 If approved by two-thirds of all the members elected to each house, this bill takes effect
2247 upon approval by the governor, or the day following the constitutional time limit of Utah
2248 Constitution, Article VII, Section 8, without the governor's signature, or in the case of a veto,
2249 the date of veto override.
2250 Section 26. Revisor instructions.
2251 The Legislature intends that the Office of Legislative Research and General Counsel, in
2252 preparing the Utah Code database for publication, replace the language "the effective date of
2253 this bill" in Subsections 26-61a-201(8)(b)(ii) and 58-37-3.7(2) to the bill's actual effective date.