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
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 includeThe 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 illnessa physical medical condition that chronically produces61symptoms of seizures or severe and persistent muscle spasmsmay 62 order for the patient’s medical use low-THC cannabis to treat 63 such disease, disorder, or condition;orto 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 68conditionsapply: 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 symptomsconditionwith 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).:1101. Cancer or a physical medical condition that chronically111produces symptoms of seizures or severe and persistent muscle112spasms that can be treated with low-THC cannabis; or1132. Symptoms of cancer or a physical medical condition that114chronically produces symptoms of seizures or severe and115persistent muscle spasms that can be alleviated with low-THC116cannabis.117 (b) Any person who fraudulently represents that he or she 118 has at least one condition listed in subsection (2)cancer or a119physical medical condition that chronically produces symptoms of120seizures or severe and persistent muscle spasmsto 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 1,1612015,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 the233establishment of five dispensing organizations to ensure234reasonable statewide accessibility and availability as necessary235for patients registered in the compassionate use registry and236who are ordered low-THC cannabis under this section, one in each237of the following regions: northwest Florida, northeast Florida,238central Florida, southeast Florida, and southwest Florida. 239 (c) The department shall usedevelopan 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 shallandimpose an initial application 257 fee of $50,000, an initial licensure fee of $125,000, and a 258 biennial renewal fee of $125,000that is sufficient to cover the259costs of administering this section.An applicant for approval260as a dispensing organization must be able to demonstrate:2611. The technical and technological ability to cultivate and262produce low-THC cannabis. The applicant must possess a valid263certificate of registration issued by the Department of264Agriculture and Consumer Services pursuant to s. 581.131 that is265issued for the cultivation of more than 400,000 plants, be266operated by a nurseryman as defined in s. 581.011, and have been267operated as a registered nursery in this state for at least 30268continuous years.2692. The ability to secure the premises, resources, and270personnel necessary to operate as a dispensing organization.2713. The ability to maintain accountability of all raw272materials, finished products, and any byproducts to prevent273diversion or unlawful access to or possession of these274substances.2754. An infrastructure reasonably located to dispense low-THC276cannabis to registered patients statewide or regionally as277determined by the department.2785. The financial ability to maintain operations for the279duration of the 2-year approval cycle, including the provision280of certified financials to the department. Upon approval, the281applicant must post a $5 million performance bond.2826. That all owners and managers have been fingerprinted and283have successfully passed a level 2 background screening pursuant284to s. 435.04.2857. The employment of a medical director who is a physician286licensed under chapter 458 or chapter 459 to supervise the287activities 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 a506dispensing 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 havehasan 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 otherprovision oflaw, 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,andemployees 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