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Trends in State Medical Marijuana Policies. Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project. Federal Law. Marijuana is classified as a Schedule I substance “high potential for abuse” “no currently accepted medical use in treatment” in U.S.
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Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project
Federal Law • Marijuana is classified as a Schedule I substance • “high potential for abuse” • “no currently accepted medical use in treatment” in U.S. • cannot be prescribed, but can be used for research • Several petitions to reschedule have been filed, but ultimately rejected • DEA Administrative Law Judge Francis Young found it would be “unreasonable, arbitrary and capricious” to fail to reschedule (1988)
Early State Therapeutic Research Laws • From 1978 to 1995, 25 states enacted therapeutic research laws • Seven were operational at one point • They relied on federal approval and federal marijuana • None were operational past the 1980s, and most were never operational
California and Arizona’s 1996 Initiatives • California and Arizona voters passed medical marijuana laws on Nov. 5, 1996 • Only California’s law was effective • Removes the state’s criminal penalties from medical marijuana possession and cultivation by patients and caregivers • Relies on a doctor’s recommendation, not a prescription. This was found to be protected by the First Amendment in Conant v. Walters.
Early Medical Marijuana Laws: Home Cultivation & Caregivers • California (1996) • Alaska (1998) • Oregon (1998) • Washington (1998) • Maine (1999) • Colorado (2000) • Hawaii (2000) • Nevada (2001) • Vermont (2004) • Montana (2004) • Michigan (2008) • Rhode Island (2006)
New Mexico Allows State-Licensed Producers • New Mexico’s law, enacted in 2007, implemented in 2009, allows state-regulated “licensed producers” AG Holder: “For those organizations that are doing so sanctioned by state law and do it in a way that is consistent with state law, and given the limited resources that we have, that will not be an emphasis for this administration.”
Department of Justice “Ogden Memo” • Pursing priorities of disrupting trafficking “should not focus … on individuals whose actions are in clear and unambiguous compliance” with state medical marijuana laws such as patients and caregivers • Examples of “illegal drug trafficking activity of potential federal interest” such as violence, ties to criminal enterprises, and sales to minors • Did not provide a defense in federal court
States Begin to Allow State-Regulated Dispensaries New Laws With Regulated Dispensaries • New Mexico (2007, implemented 2009) • New Jersey (2010, not yet implemented fully) • D.C. (2010, not yet implemented fully) • Arizona (2010, not yet implemented fully) • Delaware (2011, dispensaries on hold) Expanded Laws, Adding Regulated Dispensaries • Maine (2009, implemented 2010) • Colorado (2010, implemented 2010-2011) • Rhode Island (2009, not implemented fully)
Federal Intimidation Stalls Some Dispensary Programs • Washington Gov. Gregoire vetoes dispensary regulation bill following U.S. attorney letter(May 2011) • June 2011 DOJ “Cole memo” says only patients are not an enforcement priority; prosecutors could target commercial operations, large-scale production • Delaware Gov. Markell suspends implementation of dispensary program following U.S. attorney letter(Feb. 2012) • Arizona, Rhode Island, and New Jersey were temporarily stalled but are moving forward • D.C. and Vermont are moving forward
Qualifying Conditions • California: Physicians can recommend for any condition • All, or almost all, of the laws include: Severe pain Severe nausea Wasting or cachexia Seizures Muscle spasms Glaucoma HIV/AIDS Cancer • Some laws include: Crohn’s disease Hepatitis C ALS (Lou Gehrig’s Disease) Post-Traumatic Stress Disorder Agitation of Alzheimer’s
Marijuana and Plant Limits • California: Any amount for personal use • Usable marijuana • Ranges from one to 24 ounces • Federal patients receive 8-11 oz. per month • Most recent: 6 oz. in Delaware/ 3 oz. every 14 days • Plants • Lowest: 2 mature and 7 immature (Vermont) • Highest: • 15 total in Washington state • 12 mature, 12 immature in Rhode Island • Some states have a defense for more
Recent Laws Generally Include More Regulations • Requirements that marijuana be cultivated in enclosed, locked locations • Stricter doctor-patient relationships • Registry identification cards
Newer Laws Often Include Increased Patient Protections • Employment protections • Child custody protections • Organ donations and other medical care • Landlord-tenant issues • Recognizing out-of-state ID cards Musician Timothy Garren of Washington state, 56, died after being denied a liver transplant in 2008.
What’s Next? • States continue enacting medical marijuana laws • 18 bills introduced for new laws, 10 still pending • As many as three ballot initiatives in 2012 • Most include both home cultivation and dispensaries, some one or the other • Federal policy and preemption cases will affect the laws, including how well-regulated and safe access will be
For more information on state medical marijuana laws, please visit:www.mpp.org/statelaws