Bill Amendment: FL S7066 | 2015 | Regular Session

NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: Low-THC Cannabis

Status: 2015-05-01 - Died on Calendar [S7066 Detail]

Download: Florida-2015-S7066-Senate_Committee_Amendment_481462.html
       Florida Senate - 2015                        COMMITTEE AMENDMENT
       Bill No. CS for SB 7066
       
       
       
       
       
       
                                Ì481462&Î481462                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                                       .                                
                                       .                                
                                       .                                
                                       .                                
                                       .                                
       —————————————————————————————————————————————————————————————————




       —————————————————————————————————————————————————————————————————
       The Committee on Rules (Richter) recommended the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 139 - 771
    4  and insert:
    5         (e) “Independent testing laboratory” means a laboratory,
    6  and the managers, employees, or contractors of the laboratory,
    7  which have no direct or indirect interest in a dispensing
    8  organization.
    9         (f)(b) “Low-THC cannabis” means a plant of the genus
   10  Cannabis, the dried flowers of which contain 0.8 percent or less
   11  of tetrahydrocannabinol and more than 10 percent of cannabidiol
   12  weight for weight; the seeds thereof; the resin extracted from
   13  any part of such plant; or any compound, manufacture, salt,
   14  derivative, mixture, or preparation of such plant or its seeds
   15  or resin that is dispensed only from a dispensing organization.
   16         (g) “Low-THC cannabis product” means any product derived
   17  from low-THC cannabis, including the resin extracted from any
   18  part of such plant or any compound, manufacture, salt,
   19  derivative, mixture, or preparation of such plant or its seeds
   20  or resin which is dispensed from a dispensing organization. Low
   21  THC cannabis products include, but are not limited to, oils,
   22  tinctures, creams, encapsulations, and food products. Low-THC
   23  cannabis food products may not include candy or similar
   24  confectionary products that appeal to children. All low-THC
   25  cannabis products must maintain concentrations, weight for
   26  weight, of 0.8 percent or less of tetrahydrocannabinol and more
   27  than 10 percent of cannabidiol.
   28         (h)(c) “Medical use” means administration of the ordered
   29  amount of low-THC cannabis. The term does not include:
   30         1. The possession, use, or administration by smoking.
   31         2.The term also does not include The transfer of low-THC
   32  cannabis to a person other than the qualified patient for whom
   33  it was ordered or the qualified patient’s legal representative
   34  who is registered in the compassionate use registry on behalf of
   35  the qualified patient.
   36         3. The use or administration of low-THC cannabis or low-THC
   37  cannabis products:
   38         a. On any form of public transportation.
   39         b. In any public place.
   40         c. In a registered qualified patient’s place of work, if
   41  restricted by his or her employer.
   42         d. In a correctional facility.
   43         e. On the grounds of any preschool, primary school, or
   44  secondary school.
   45         f. On a school bus.
   46         (i)(d) “Qualified patient” means a resident of this state
   47  who has been added to the compassionate use registry by a
   48  physician licensed under chapter 458 or chapter 459 to receive
   49  low-THC cannabis from a dispensing organization.
   50         (j)(e) “Smoking” means burning or igniting a substance and
   51  inhaling the smoke. Smoking does not include the use of a
   52  vaporizer.
   53         (2) PHYSICIAN ORDERING.—
   54         (a)Effective January 1, 2015, A physician licensed under
   55  chapter 458 or chapter 459 who has examined and is treating a
   56  patient suffering from cancer, human immunodeficiency virus,
   57  acquired immune deficiency syndrome, epilepsy, amyotrophic
   58  lateral sclerosis, autism, multiple sclerosis, Crohn’s disease,
   59  Parkinson’s disease, paraplegia, quadriplegia, or terminal
   60  illness a physical medical condition that chronically produces
   61  symptoms of seizures or severe and persistent muscle spasms may
   62  order for the patient’s medical use low-THC cannabis to treat
   63  such disease, disorder, or condition; or to alleviate symptoms
   64  of such disease, disorder, or condition; or to alleviate
   65  symptoms caused by a treatment for such disease, disorder, or
   66  condition, if no other satisfactory alternative treatment
   67  options exist for that patient and all of the following
   68  conditions apply:
   69         1.(a) The patient is a permanent resident of this state.
   70         2.(b) The physician determines that the risks of ordering
   71  low-THC cannabis are reasonable in light of the potential
   72  benefit for that patient. If a patient is younger than 18 years
   73  of age, a second physician must concur with this determination,
   74  and such determination must be documented in the patient’s
   75  medical record.
   76         3.(c) The physician registers the patient, the patient’s
   77  legal representative if requested by the patient, and himself or
   78  herself as the orderer of low-THC cannabis for the named patient
   79  on the compassionate use registry maintained by the department
   80  and updates the registry to reflect the contents of the order.
   81  If the patient is a minor, the physician must register a legal
   82  representative on the compassionate use registry. The physician
   83  shall deactivate the patient’s registration when treatment is
   84  discontinued.
   85         4.(d) The physician maintains a patient treatment plan that
   86  includes the dose, route of administration, planned duration,
   87  and monitoring of the patient’s symptoms and other indicators of
   88  tolerance or reaction to the low-THC cannabis.
   89         5.(e) The physician submits the patient treatment plan, as
   90  well as any other requested medical records, quarterly to the
   91  University of Florida College of Pharmacy for research on the
   92  safety and efficacy of low-THC cannabis on patients pursuant to
   93  subsection (8).
   94         6.(f) The physician obtains the voluntary informed consent
   95  of the patient or the patient’s legal guardian to treatment with
   96  low-THC cannabis after sufficiently explaining the current state
   97  of knowledge in the medical community of the effectiveness of
   98  treatment of the patient’s conditions or symptoms condition with
   99  low-THC cannabis, the medically acceptable alternatives, and the
  100  potential risks and side effects.
  101         (b)A physician who improperly orders low-THC cannabis is
  102  subject to disciplinary action under the applicable practice act
  103  and under s. 456.072(1)(k).
  104         (3) PENALTIES.—
  105         (a) A physician commits a misdemeanor of the first degree,
  106  punishable as provided in s. 775.082 or s. 775.083, if the
  107  physician orders low-THC cannabis for a patient without a
  108  reasonable belief that the patient is suffering from at least
  109  one of the conditions listed in subsection (2).:
  110         1. Cancer or a physical medical condition that chronically
  111  produces symptoms of seizures or severe and persistent muscle
  112  spasms that can be treated with low-THC cannabis; or
  113         2. Symptoms of cancer or a physical medical condition that
  114  chronically produces symptoms of seizures or severe and
  115  persistent muscle spasms that can be alleviated with low-THC
  116  cannabis.
  117         (b) Any person who fraudulently represents that he or she
  118  has at least one condition listed in subsection (2) cancer or a
  119  physical medical condition that chronically produces symptoms of
  120  seizures or severe and persistent muscle spasms to a physician
  121  for the purpose of being ordered low-THC cannabis by such
  122  physician commits a misdemeanor of the first degree, punishable
  123  as provided in s. 775.082 or s. 775.083.
  124         (4) PHYSICIAN EDUCATION.—
  125         (a) Before ordering low-THC cannabis for use by a patient
  126  in this state, the appropriate board shall require the ordering
  127  physician licensed under chapter 458 or chapter 459 to
  128  successfully complete an 8-hour course and subsequent
  129  examination offered by the Florida Medical Association or the
  130  Florida Osteopathic Medical Association that encompasses the
  131  clinical indications for the appropriate use of low-THC
  132  cannabis, the appropriate delivery mechanisms, the
  133  contraindications for such use, as well as the relevant state
  134  and federal laws governing the ordering, dispensing, and
  135  possessing of this substance. The first course and examination
  136  shall be presented by October 1, 2014, and shall be administered
  137  at least annually thereafter. Successful completion of the
  138  course may be used by a physician to satisfy 8 hours of the
  139  continuing medical education requirements required by his or her
  140  respective board for licensure renewal. This course may be
  141  offered in a distance learning format.
  142         (b) The appropriate board shall require the medical
  143  director of each dispensing organization approved under
  144  subsection (5) to successfully complete a 2-hour course and
  145  subsequent examination offered by the Florida Medical
  146  Association or the Florida Osteopathic Medical Association that
  147  encompasses appropriate safety procedures and knowledge of low
  148  THC cannabis.
  149         (c) Successful completion of the course and examination
  150  specified in paragraph (a) is required for every physician who
  151  orders low-THC cannabis each time such physician renews his or
  152  her license. In addition, successful completion of the course
  153  and examination specified in paragraph (b) is required for the
  154  medical director of each dispensing organization each time such
  155  physician renews his or her license.
  156         (d) A physician who fails to comply with this subsection
  157  and who orders low-THC cannabis may be subject to disciplinary
  158  action under the applicable practice act and under s.
  159  456.072(1)(k).
  160         (5) DUTIES AND POWERS OF THE DEPARTMENT.—By January 1,
  161  2015, The department shall:
  162         (a) The department shall create a secure, electronic, and
  163  online compassionate use registry for the registration of
  164  physicians and patients as provided under this section. The
  165  registry must be accessible to law enforcement agencies and to a
  166  dispensing organization in order to verify patient authorization
  167  for low-THC cannabis and record the low-THC cannabis dispensed.
  168  The registry must prevent an active registration of a patient by
  169  multiple physicians.
  170         (b)1.Beginning 7 days after the effective date of this
  171  act, the department shall accept applications for licensure as a
  172  dispensing organization. The department shall review each
  173  application to determine whether the applicant meets the
  174  criteria in subsection (6) and qualifies for licensure.
  175         2. Within 10 days after receiving an application for
  176  licensure, the department shall examine the application, notify
  177  the applicant of any apparent errors or omissions, and request
  178  any additional information the department is allowed by law to
  179  require. An application for licensure must be filed with the
  180  department no later than 5 p.m. on the 30th day after the
  181  effective date of this act, and all applications must be
  182  complete no later than 5 p.m. on the 60th day after the
  183  effective date of this act.
  184         3.Prior to the 75th day after the effective date of this
  185  act, the department shall select by lottery two applicants who
  186  meet the criteria in subsection (6) in each of the following
  187  regions:
  188         a.Northwest Florida, consisting of Bay, Calhoun, Escambia,
  189  Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon,
  190  Liberty, Madison, Santa Rosa, Okaloosa, Taylor, Wakulla, Walton,
  191  and Washington counties.
  192         b.Northeast Florida, consisting of Alachua, Baker,
  193  Bradford, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist,
  194  Hamilton, Lafayette, Levy, Marion, Nassau, Putnam, St. Johns,
  195  Suwannee, and Union counties.
  196         c.Central Florida, consisting of Brevard, Citrus, Hardee,
  197  Hernando, Hillsborough, Indian River, Lake, Orange, Osceola,
  198  Pasco, Pinellas, Polk, Seminole, St. Lucie, Sumter, and Volusia
  199  counties.
  200         d.Southwest Florida, consisting of Charlotte, Collier,
  201  DeSoto, Glades, Hendry, Highlands, Lee, Manatee, Okeechobee, and
  202  Sarasota counties.
  203         e.Southeast Florida, consisting of Broward, Miami-Dade,
  204  Martin, Monroe, and Palm Beach counties.
  205         4.After the department has selected by lottery the 10
  206  dispensing organizations pursuant to subparagraph 3., the
  207  department shall select by lottery 10 more applicants who meet
  208  the criteria in subsection (6) for licensure. Once licensed,
  209  those applicants are authorized to operate in any region in the
  210  state, but a dispensing organization may not have cultivation or
  211  processing facilities outside the region in which it is
  212  licensed.
  213         5.The department shall license an applicant selected
  214  pursuant to subparagraph 3. or subparagraph 4. unless the
  215  applicant fails to pay the licensure fee within 10 days of
  216  selection. If a selected applicant fails to timely pay the
  217  licensure fee, the department shall select by lottery another
  218  applicant from the existing pool of eligible applicants.
  219         6.If the department revokes a license or denies the
  220  renewal of a license pursuant to paragraph (f), the department
  221  shall conduct a new lottery using the selection process outlined
  222  in this paragraph. The selection process must begin 24 hours
  223  after such revocation or denial.
  224         7.If the department does not have a sufficient pool of
  225  qualified applicants to issue 2 licenses in each region, or to
  226  license 10 dispensing organizations pursuant to subparagraph 4.,
  227  the department shall conduct a lottery using the process in this
  228  paragraph every 6 months until each region has 2 licensed
  229  dispensing organizations and 10 additional dispensing
  230  organizations are licensed, totaling 20 licensed dispensing
  231  organizations in this state.
  232         8.This section is exempt from s. 120.60(1) Authorize the
  233  establishment of five dispensing organizations to ensure
  234  reasonable statewide accessibility and availability as necessary
  235  for patients registered in the compassionate use registry and
  236  who are ordered low-THC cannabis under this section, one in each
  237  of the following regions: northwest Florida, northeast Florida,
  238  central Florida, southeast Florida, and southwest Florida.
  239         (c) The department shall use develop an application form
  240  that requires the applicant to state:
  241         1. Whether the application is for initial licensure or
  242  renewal licensure;
  243         2. The name, the physical address, the mailing address, the
  244  address listed on the Department of Agriculture and Consumer
  245  Services certificate required in paragraph (6)(b), and the
  246  contact information for the applicant and for the nursery that
  247  holds the Department of Agriculture and Consumer Services
  248  certificate, if different from the applicant;
  249         3. The name, address, and contact information for the
  250  operating nurseryman of the organization that holds the
  251  Department of Agriculture and Consumer Services certificate;
  252         4. The name, address, license number, and contact
  253  information for the applicant’s medical director; and
  254         5. All information required to be included by subsection
  255  (6).
  256         (d) The department shall and impose an initial application
  257  fee of $50,000, an initial licensure fee of $125,000, and a
  258  biennial renewal fee of $125,000 that is sufficient to cover the
  259  costs of administering this section. An applicant for approval
  260  as a dispensing organization must be able to demonstrate:
  261         1. The technical and technological ability to cultivate and
  262  produce low-THC cannabis. The applicant must possess a valid
  263  certificate of registration issued by the Department of
  264  Agriculture and Consumer Services pursuant to s. 581.131 that is
  265  issued for the cultivation of more than 400,000 plants, be
  266  operated by a nurseryman as defined in s. 581.011, and have been
  267  operated as a registered nursery in this state for at least 30
  268  continuous years.
  269         2. The ability to secure the premises, resources, and
  270  personnel necessary to operate as a dispensing organization.
  271         3. The ability to maintain accountability of all raw
  272  materials, finished products, and any byproducts to prevent
  273  diversion or unlawful access to or possession of these
  274  substances.
  275         4. An infrastructure reasonably located to dispense low-THC
  276  cannabis to registered patients statewide or regionally as
  277  determined by the department.
  278         5. The financial ability to maintain operations for the
  279  duration of the 2-year approval cycle, including the provision
  280  of certified financials to the department. Upon approval, the
  281  applicant must post a $5 million performance bond.
  282         6. That all owners and managers have been fingerprinted and
  283  have successfully passed a level 2 background screening pursuant
  284  to s. 435.04.
  285         7. The employment of a medical director who is a physician
  286  licensed under chapter 458 or chapter 459 to supervise the
  287  activities of the dispensing organization.
  288         (e) The department shall inspect each dispensing
  289  organization’s properties, cultivation facilities, processing
  290  facilities, and retail facilities before they begin operations
  291  and at least once every 2 years thereafter. The department may
  292  conduct additional announced or unannounced inspections,
  293  including followup inspections, at reasonable hours in order to
  294  ensure that such property and facilities maintain compliance
  295  with all applicable requirements in subsections (6) and (7) and
  296  to ensure that the dispensing organization has not committed any
  297  other act that would endanger the health, safety, or security of
  298  a qualified patient, dispensing organization staff, or the
  299  community in which the dispensing organization is located.
  300  Licensure under this section constitutes permission for the
  301  department to enter and inspect the premises and facilities of
  302  any dispensing organization. The department may inspect any
  303  licensed dispensing organization, and a dispensing organization
  304  must make all facility premises, equipment, documents, low-THC
  305  cannabis, and low-THC cannabis products available to the
  306  department upon inspection. The department may test any low-THC
  307  cannabis or low-THC cannabis product in order to ensure that it
  308  is safe for human consumption and that it meets the requirements
  309  in this section.
  310         (f)The department may suspend or revoke a license, deny or
  311  refuse to renew a license, or impose an administrative penalty
  312  not to exceed $10,000 for the following acts or omissions:
  313         1.A violation of this section or department rule.
  314         2.Failing to maintain qualifications for licensure.
  315         3.Endangering the health, safety, or security of a
  316  qualified patient.
  317         4.Improperly disclosing personal and confidential
  318  information of the qualified patient.
  319         5.Attempting to procure a license by bribery or fraudulent
  320  misrepresentation.
  321         6.Being convicted or found guilty of, or entering a plea
  322  of nolo contendere to, regardless of adjudication, a crime in
  323  any jurisdiction which directly relates to the business of a
  324  dispensing organization.
  325         7.Making or filing a report or record that the licensee
  326  knows to be false.
  327         8.Willfully failing to maintain a record required by this
  328  section or rule of the department.
  329         9.Willfully impeding or obstructing an employee or agent
  330  of the department in the furtherance of his or her official
  331  duties.
  332         10.Engaging in fraud or deceit, negligence, incompetence,
  333  or misconduct in the business practices of a dispensing
  334  organization.
  335         11.Making misleading, deceptive, or fraudulent
  336  representations in or related to the business practices of a
  337  dispensing organization.
  338         12.Having a license or the authority to engage in any
  339  regulated profession, occupation, or business that is related to
  340  the business practices of a dispensing organization revoked,
  341  suspended, or otherwise acted against, including the denial of
  342  licensure, by the licensing authority of any jurisdiction,
  343  including its agencies or subdivisions, for a violation that
  344  would constitute a violation under state law. A licensing
  345  authority’s acceptance of a relinquishment of licensure or a
  346  stipulation, consent order, or other settlement, offered in
  347  response to or in anticipation of the filing of charges against
  348  the license, shall be construed as an action against the
  349  license.
  350         13.Violating a lawful order of the department or an agency
  351  of the state, or failing to comply with a lawfully issued
  352  subpoena of the department or an agency of the state.
  353         (g) The department shall create a permitting process for
  354  all dispensing organization vehicles used for the transportation
  355  of low-THC cannabis or low-THC cannabis products.
  356         (h)(c)The department shall monitor physician registration
  357  and ordering of low-THC cannabis for ordering practices that
  358  could facilitate unlawful diversion or misuse of low-THC
  359  cannabis and take disciplinary action as indicated.
  360         (i)(d)The department shall adopt rules as necessary to
  361  implement this section.
  362         (6) DISPENSING ORGANIZATION.—
  363         (a) An applicant seeking licensure as a dispensing
  364  organization, or the renewal of its license, must submit an
  365  application to the department. The department must review all
  366  applications for completeness, including an appropriate
  367  inspection of the applicant’s property and facilities to verify
  368  the authenticity of the information provided in, or in
  369  connection with, the application. An applicant authorizes the
  370  department to inspect his or her property and facilities for
  371  licensure by applying under this subsection.
  372         (b) In order to receive or maintain licensure as a
  373  dispensing organization, an applicant must provide proof that:
  374         1.The applicant, or a separate entity that is owned solely
  375  by the same persons or entities in the same ratio as the
  376  applicant, possesses a valid certificate of registration issued
  377  by the Department of Agriculture and Consumer Services pursuant
  378  to s. 581.131 for the cultivation of more than 400,000 plants,
  379  is operated by a nurseryman as defined in s. 581.011, and has
  380  been operated as a registered nursery in this state for at least
  381  30 continuous years.
  382         2. The personnel on staff or under contract for the
  383  applicant have experience cultivating and introducing multiple
  384  varieties of plants in this state, including plants that are not
  385  native to Florida; experience with propagating plants; and
  386  experience with genetic modification or breeding of plants.
  387         3. The personnel on staff or under contract for the
  388  applicant include at least one person who:
  389         a. Has at least 5 years’ experience with United States
  390  Department of Agriculture Good Agricultural Practices and Good
  391  Handling Practices;
  392         b. Has at least 5 years’ experience with United States Food
  393  and Drug Administration Good Manufacturing Practices for food
  394  production;
  395         c. Has a doctorate degree in organic chemistry or
  396  microbiology;
  397         d. Has at least 5 years’ of experience with laboratory
  398  procedures which includes analytical laboratory quality control
  399  measures, chain of custody procedures, and analytical laboratory
  400  methods;
  401         e. Has experience with cannabis cultivation and processing,
  402  including cannabis extraction techniques and producing cannabis
  403  products;
  404         f. Has experience and qualifications in chain of custody or
  405  other tracking mechanisms;
  406         g. Works solely on inventory control; and
  407         h. Works solely for security purposes.
  408         4. The persons who have a direct or indirect interest in
  409  the dispensing organization and the applicant’s managers,
  410  employees, and contractors who directly interact with low-THC
  411  cannabis or low-THC cannabis products have been fingerprinted
  412  and have successfully passed a level 2 background screening
  413  pursuant to s. 435.04.
  414         5. The applicant owns, or has at least a 2-year lease of,
  415  all properties, facilities, and equipment necessary for the
  416  cultivation and processing of low-THC cannabis. The applicant
  417  must provide a detailed description of each facility and its
  418  equipment, a cultivation and processing plan, and a detailed
  419  floor plan. The description must include proof that:
  420         a. The applicant is capable of sufficient cultivation and
  421  processing to serve at least 15,000 patients with an assumed
  422  daily use of 1,000 mg per patient per day of low-THC cannabis or
  423  low-THC cannabis product;
  424         b. The applicant has arranged for access to all utilities
  425  and resources necessary to cultivate or process low-THC cannabis
  426  at each listed facility; and
  427         c. Each facility is secured and has theft-prevention
  428  systems including an alarm system, cameras, and 24-hour security
  429  personnel.
  430         6. The applicant has diversion and tracking prevention
  431  procedures, including:
  432         a. A system for tracking low-THC material through
  433  cultivation, processing, and dispensing, including the use of
  434  batch and harvest numbers;
  435         b. An inventory control system for low-THC cannabis and
  436  low-THC cannabis products;
  437         c. A vehicle tracking and security system; and
  438         d. A cannabis waste-disposal plan.
  439         7. The applicant has recordkeeping policies and procedures
  440  in place.
  441         8. The applicant has a facility emergency management plan.
  442         9. The applicant has a plan for dispensing low-THC cannabis
  443  throughout the state. This plan must include planned retail
  444  facilities and a delivery plan for providing low-THC cannabis
  445  and low-THC cannabis products to qualified patients who cannot
  446  travel to a retail facility.
  447         10. The applicant has financial documentation, including:
  448         a. Documentation that demonstrates the applicant’s
  449  financial ability to operate. If the applicant’s assets, credit,
  450  and projected revenues meet or exceed projected liabilities and
  451  expenses and the applicant provides independent evidence that
  452  the funds necessary for startup costs, working capital, and
  453  contingency financing exist and are available as needed, the
  454  applicant has demonstrated the financial ability to operate.
  455  Financial ability to operate must be documented by:
  456         I. The applicant’s audited financial statements. If the
  457  applicant is a newly formed entity and does not have a financial
  458  history of business upon which audited financial statements may
  459  be submitted, the applicant must provide audited financial
  460  statements for the separate entity that is owned solely by the
  461  same persons or entities in the same ratio as the applicant that
  462  possesses the valid certificate of registration issued by the
  463  Department of Agriculture and Consumer Services;
  464         II.The applicant’s projected financial statements,
  465  including a balance sheet, an income and expense statement, and
  466  a statement of cash flow for the first 2 years of operation,
  467  which provides evidence that the applicant has sufficient
  468  assets, credit, and projected revenues to cover liabilities and
  469  expenses; and
  470         III.A statement of the applicant’s estimated startup costs
  471  and sources of funds, including a break-even projection and
  472  documentation demonstrating that the applicant has the ability
  473  to fund all startup costs, working capital costs, and
  474  contingency financing requirements.
  475  
  476  All documents required under this sub-subparagraph shall be
  477  prepared in accordance with generally accepted accounting
  478  principles and signed by a certified public accountant. The
  479  statements required by sub-sub-subparagraphs II. and III. may be
  480  presented as a compilation.
  481         b.A list of all subsidiaries of the applicant;
  482         c.A list of all lawsuits pending and completed within the
  483  past 7 years of which the applicant was a party; and
  484         d.Proof of a $1 million performance and compliance bond,
  485  or other equivalent means of security deemed equivalent by the
  486  department, such as an irrevocable letter of credit or a deposit
  487  in a trust account or financial institution, payable to the
  488  department, which must be posted once the applicant is approved
  489  as a dispensing organization. The purpose of the bond is to
  490  secure payment of any administrative penalties imposed by the
  491  department and any fees and costs incurred by the department
  492  regarding the dispensing organization license, such as the
  493  dispensing organization failing to pay 30 days after the fine or
  494  costs become final. The department may make a claim against such
  495  bond or security until 1 year after the dispensing
  496  organization’s license ceases to be valid or until 60 days after
  497  any administrative or legal proceeding authorized in this
  498  section involving the dispensing organization concludes,
  499  including any appeal, whichever occurs later.
  500         11. The employment of a medical director who is a physician
  501  licensed under chapter 458 or chapter 459 to supervise the
  502  activities of the dispensing organization.
  503         (c) An approved dispensing organization shall maintain
  504  compliance with the criteria in paragraphs (b), (d), and (e) and
  505  subsection (7) demonstrated for selection and approval as a
  506  dispensing organization under subsection (5) at all times.
  507  Before dispensing low-THC cannabis or low-THC cannabis products
  508  to a qualified patient or to the qualified patient’s legal
  509  representative, the dispensing organization shall verify the
  510  identity of the qualified patient or the qualified patient’s
  511  legal representative by requiring the qualified patient or the
  512  qualified patient’s legal representative to produce a
  513  government-issued identification card and shall verify that the
  514  qualified patient and the qualified patient’s legal
  515  representative have has an active registration in the
  516  compassionate use registry, that the order presented matches the
  517  order contents as recorded in the registry, and that the order
  518  has not already been filled. Upon dispensing the low-THC
  519  cannabis, the dispensing organization shall record in the
  520  registry the date, time, quantity, and form of low-THC cannabis
  521  dispensed.
  522         (d) A dispensing organization may have cultivation
  523  facilities, processing facilities, and retail facilities.
  524         1. All matters regarding the location of cultivation
  525  facilities and processing facilities are preempted to the state.
  526  Cultivation facilities and processing facilities must be closed
  527  to the public, and low-THC cannabis may not be dispensed on the
  528  premises of such facilities.
  529         2. A municipality must determine by ordinance the criteria
  530  for the number and location of, and other permitting
  531  requirements for, all retail facilities located within its
  532  municipal boundaries. A retail facility may be established in a
  533  municipality only after such an ordinance has been created. A
  534  county must determine by ordinance the criteria for the number,
  535  location, and other permitting requirements for all retail
  536  facilities located within the unincorporated areas of that
  537  county. A retail facility may be established in the
  538  unincorporated areas of a county only after such an ordinance
  539  has been created. Retail facilities must have all utilities and
  540  resources necessary to store and dispense low-THC cannabis and
  541  low-THC cannabis products. Retail facilities must be secured and
  542  have theft-prevention systems, including an alarm system,
  543  cameras, and 24-hour security personnel. Retail facilities may
  544  not sell, or contract for the sale of, anything other than low
  545  THC cannabis or low-THC cannabis products on the property of the
  546  retail facility. Before a retail facility may dispense low-THC
  547  cannabis or a low-THC cannabis product, the dispensing
  548  organization must have a computer network compliant with the
  549  federal Health Insurance Portability and Accountability Act of
  550  1996 which is able to access and upload data to the
  551  compassionate use registry and which shall be used by all retail
  552  facilities.
  553         (e) Within 15 days of such information becoming available,
  554  a dispensing organization must provide the department with
  555  updated information, as applicable, including:
  556         1. The location and a detailed description of any new or
  557  proposed facilities.
  558         2. The updated contact information, including electronic
  559  and voice communication, for all dispensing organization
  560  facilities.
  561         3. The registration information for any vehicles used for
  562  the transportation of low-THC cannabis and low-THC cannabis
  563  products, including confirmation that all such vehicles have
  564  tracking and security systems.
  565         4. A plan for the recall of any or all low-THC cannabis or
  566  low-THC cannabis products.
  567         (f)1. A dispensing organization may transport low-THC
  568  cannabis or low-THC cannabis products in vehicles departing from
  569  their places of business only in vehicles that are owned or
  570  leased by the licensee or by a person designated by the
  571  dispensing organization, and for which a valid vehicle permit
  572  has been issued for such vehicle by the department.
  573         2.A vehicle owned or leased by the dispensing organization
  574  or a person designated by the dispensing organization and
  575  approved by the department must be operated by such person when
  576  transporting low-THC cannabis or low-THC products from the
  577  licensee’s place of business.
  578         3.A vehicle permit may be obtained by a dispensing
  579  organization upon application and payment of a fee of $5 per
  580  vehicle to the department. The signature of the person
  581  designated by the dispensing organization to drive the vehicle
  582  must be included on the vehicle permit application. Such permit
  583  remains valid and does not expire unless the licensee or any
  584  person designated by the dispensing organization disposes of his
  585  or her vehicle, or the licensee’s license is transferred,
  586  canceled, not renewed, or is revoked by the department,
  587  whichever occurs first. The department shall cancel a vehicle
  588  permit upon request of the licensee or owner of the vehicle.
  589         4.By acceptance of a license issued under this section,
  590  the licensee agrees that the licensed vehicle is, at all times
  591  it is being used to transport low-THC cannabis or low-THC
  592  cannabis products, subject to inspection and search without a
  593  search warrant by authorized employees of the department,
  594  sheriffs, deputy sheriffs, police officers, or other law
  595  enforcement officers to determine that the licensee is
  596  transporting such products in compliance with this section.
  597         (7)TESTING AND LABELING OF LOW-THC CANNABIS.
  598         (a)All low-THC cannabis and low-THC cannabis products must
  599  be tested by an independent testing laboratory before the
  600  dispensing organization may dispense them. The independent
  601  testing laboratory shall provide the dispensing organization
  602  with lab results. Before dispensing, the dispensing organization
  603  must determine that the lab results indicate that the low-THC
  604  cannabis or low-THC cannabis product meets the definition of
  605  low-THC cannabis or low-THC cannabis product, is safe for human
  606  consumption, and is free from harmful contaminants.
  607         (b)All low-THC cannabis and low-THC cannabis products must
  608  be labeled before dispensing. The label must include, at a
  609  minimum:
  610         1. A statement that the low-THC cannabis or low-THC
  611  cannabis product meets the requirements in paragraph (a);
  612         2.The name of the independent testing laboratory that
  613  tested the low-THC cannabis or low-THC cannabis product;
  614         3.The name of the cultivation and processing facility
  615  where the low-THC cannabis or low-THC cannabis product
  616  originates; and
  617         4.The batch number and harvest number from which the low
  618  THC cannabis or low-THC cannabis product originates.
  619         (8) SAFETY AND EFFICACY RESEARCH FOR LOW-THC CANNABIS.—The
  620  University of Florida College of Pharmacy shall establish and
  621  maintain a safety and efficacy research program for the use of
  622  low-THC cannabis or low-THC cannabis products to treat
  623  qualifying conditions and symptoms. The program must include a
  624  fully integrated electronic information system for the broad
  625  monitoring of health outcomes and safety signal detection. The
  626  electronic information system must include information from the
  627  compassionate use registry; provider reports, including
  628  treatment plans, adverse event reports, and treatment
  629  discontinuation reports; patient reports of adverse impacts;
  630  event-triggered interviews and medical chart reviews performed
  631  by University of Florida clinical research staff; information
  632  from external databases, including Medicaid billing reports and
  633  information in the prescription drug monitoring database for
  634  registered patients; and all other medical reports required by
  635  the University of Florida to conduct the research required by
  636  this subsection. The department must provide access to
  637  information from the compassionate use registry and the
  638  prescription drug monitoring database, established in s.
  639  893.055, as needed by the University of Florida to conduct
  640  research under this subsection. The Agency for Health Care
  641  Administration must provide access to registered patient
  642  Medicaid records, to the extent allowed under federal law, as
  643  needed by the University of Florida to conduct research under
  644  this subsection.
  645         (9) The persons who have direct or indirect interest in the
  646  dispensing organization and the dispensing organization’s
  647  managers, employees, and contractors who directly interact with
  648  low-THC cannabis or low-THC cannabis products are prohibited
  649  from making recommendations, offering prescriptions, or
  650  providing medical advice to qualified patients.
  651         (10)(7) EXCEPTIONS TO OTHER LAWS.—
  652         (a) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  653  any other provision of law, but subject to the requirements of
  654  this section, a qualified patient and the qualified patient’s
  655  legal representative who is registered with the department on
  656  the compassionate use registry may purchase and possess for the
  657  patient’s medical use up to the amount of low-THC cannabis
  658  ordered for the patient. Nothing in this section exempts any
  659  person from the prohibition against driving under the influence
  660  provided in s. 316.193.
  661         (b) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  662  any other provision of law, but subject to the requirements of
  663  this section, an approved dispensing organization and its
  664  owners, managers, and employees and the owners, managers, and
  665  employees of contractors who have direct contact with low-THC
  666  cannabis or low-THC cannabis product may manufacture, possess,
  667  sell, deliver, distribute, dispense, and lawfully dispose of
  668  reasonable quantities, as established by department rule, of
  669  low-THC cannabis. For purposes of this subsection, the terms
  670  “manufacture,” “possession,” “deliver,” “distribute,” and
  671  “dispense” have the same meanings as provided in s. 893.02.
  672         (c) An approved dispensing organization and its owners,
  673  managers, and employees are not subject to licensure or
  674  regulation under chapter 465 or chapter 499 for manufacturing,
  675  possessing, selling, delivering, distributing, dispensing, or
  676  lawfully disposing of reasonable quantities, as established by
  677  department rule, of low-THC cannabis.
  678         (d) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  679  any other law, but subject to the requirements of this section,
  680  a licensed laboratory and its employees may receive and possess
  681  low-THC cannabis for the sole purpose of testing the low-THC
  682  cannabis to ensure compliance with this section.
  683         (11) Rules adopted by the department under this section are
  684  
  685  ================= T I T L E  A M E N D M E N T ================
  686  And the title is amended as follows:
  687         Delete lines 19 - 98
  688  and insert:
  689         dates; requiring the department to select two
  690         applicants in specified regions for licensure as a
  691         dispensing organization; requiring the department to
  692         issue 10 additional licenses to qualified applicants
  693         by lottery; authorizing applicants to operate in any
  694         region of the state; prohibiting a dispensing
  695         organization from having cultivation or processing
  696         facilities outside the region in which it is licensed;
  697         requiring the department to select by lottery another
  698         applicant in certain circumstances; requiring the
  699         department to conduct a new lottery after the
  700         revocation or the denial of renewal of a license;
  701         requiring the department to conduct a lottery at
  702         specified intervals if there are available dispensing
  703         organization licenses; providing an exemption for the
  704         application process; requiring the department to use
  705         an application form that requires specified
  706         information from the applicant; requiring the
  707         department to impose specified application fees;
  708         requiring the department to inspect each dispensing
  709         organization’s properties, cultivation facilities,
  710         processing facilities, and retail facilities before
  711         those facilities may operate; authorizing followup
  712         inspections at reasonable hours; providing that
  713         licensure constitutes permission for the department to
  714         enter and inspect the premises and facilities of any
  715         dispensing organization; authorizing the department to
  716         inspect any licensed dispensing organization;
  717         requiring dispensing organizations to make all
  718         facility premises, equipment, documents, low-THC
  719         cannabis, and low-THC cannabis products available to
  720         the department upon inspection; authorizing the
  721         department to test low-THC cannabis or low-THC
  722         cannabis products; authorizing the department to
  723         suspend or revoke a license, deny or refuse to renew a
  724         license, or impose a maximum administrative penalty
  725         for specified acts or omissions; requiring the
  726         department to create a permitting process for vehicles
  727         used for the transportation of low-THC cannabis or
  728         low-THC cannabis products; authorizing the department
  729         to adopt rules as necessary for implementation of
  730         specified provisions and procedures, and to provide
  731         specified guidance; providing procedures and
  732         requirements for an applicant seeking licensure as a
  733         dispensing organization or the renewal of its license;
  734         requiring the dispensing organization to verify
  735         specified information of specified persons in certain
  736         circumstances; authorizing a dispensing organization
  737         to have cultivation facilities, processing facilities,
  738         and retail facilities; authorizing a retail facility
  739         to be established in a municipality only after such an
  740         ordinance has been created; authorizing a retail
  741         facility to be established in the unincorporated areas
  742         of a county only after such an ordinance has been
  743         created; requiring retail facilities to have all
  744         utilities and resources necessary to store and
  745         dispense low-THC and low-THC cannabis products;
  746         requiring retail facilities to be secured with
  747         specified theft-prevention systems; requiring a
  748         dispensing organization to provide the department with
  749         specified updated information within a specified
  750         period; authorizing a dispensing organization to
  751         transport low-THC cannabis or low-THC cannabis
  752         products in vehicles in certain circumstances;
  753         requiring such vehicles to be operated by specified
  754         persons in certain circumstances; requiring a fee for
  755         a vehicle permit; requiring the signature of the
  756         designated driver with a vehicle permit application;
  757         providing for expiration of the permit in certain
  758         circumstances; requiring the department to cancel a
  759         vehicle permit upon the request of specified persons;
  760         providing that the licensee authorizes the inspection
  761         and search of his or her vehicle without a search
  762         warrant by specified persons; requiring all low-THC
  763         cannabis and low-THC cannabis products to be tested by
  764         an independent testing laboratory before the
  765         dispensing organization may dispense it; requiring the
  766         independent testing laboratory to provide the lab
  767         results to the dispensing organization for a specified
  768         determination; requiring all low-THC cannabis and low
  769         THC cannabis products to be labeled with specified
  770         information before dispensing; requiring the
  771         University of Florida College of Pharmacy to establish
  772         and maintain a specified safety and efficacy research
  773         program; providing program requirements; requiring the
  774         department to provide information from the
  775         prescription drug monitoring program to the University
  776         of Florida as needed; requiring the Agency for Health
  777         Care Administration to provide access to specified
  778         patient records under certain circumstances;
  779         prohibiting persons who have direct or indirect
  780         interest in a dispensing organization and the
  781         dispensing organization’s managers, employees, and
  782         contractors who directly interact with low-THC
  783         cannabis and low-THC cannabis products from making
  784         recommendations, offering prescriptions, or providing
  785         medical advice to qualified patients; providing

feedback