Florida Senate - 2016                        COMMITTEE AMENDMENT
       Bill No. SB 460
       
       
       
       
       
       
                                Ì466428AÎ466428                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                   Comm: WD            .                                
                  02/04/2016           .                                
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       The Committee on Fiscal Policy (Bradley) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 381.986, Florida Statutes, is amended to
    6  read:
    7         381.986 Compassionate use of low-THC cannabis.—
    8         (1) DEFINITIONS.—As used in this section, the term:
    9         (a) “Caregiver” means an individual who is 21 years of age
   10  or older, a permanent resident of the state, and registered with
   11  the Department of Health to assist a patient with the medical
   12  use of low-THC cannabis.
   13         (b)(a) “Dispensing organization” means an organization
   14  approved by the department to cultivate, process, and dispense
   15  low-THC cannabis pursuant to this section.
   16         (c) “Independent testing laboratory” means a laboratory,
   17  and the managers, employees, or contractors of the laboratory,
   18  which has no direct or indirect interest in a dispensing
   19  organization.
   20         (d)(b) “Low-THC cannabis” means a plant of the genus
   21  Cannabis, the dried flowers of which contain 0.8 percent or less
   22  of tetrahydrocannabinol and more than 10 percent of cannabidiol
   23  weight for weight; the seeds thereof; the resin extracted from
   24  any part of such plant; or any compound, manufacture, salt,
   25  derivative, mixture, or preparation of such plant or its seeds
   26  or resin that is dispensed only from a dispensing organization.
   27         (e)(c) “Medical use” means administration of the ordered
   28  amount of cannabis or low-THC cannabis. The term does not
   29  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 caregiver legal
   34  representative on behalf of the qualified patient.
   35         3. The use or administration of cannabis, low-THC cannabis,
   36  or low-THC cannabis products:
   37         a. On any form of public transportation.
   38         b. In any public place.
   39         c. In a registered qualified patient’s place of work, if
   40  restricted by his or her employer.
   41         d. In a correctional facility.
   42         e. On the grounds of any preschool, primary school, or
   43  secondary school.
   44         f. On a school bus.
   45         (f)(d) “Qualified patient” means a resident of this state
   46  who has been added to the compassionate use registry by a
   47  physician licensed under chapter 458 or chapter 459 to receive
   48  low-THC cannabis from a dispensing organization.
   49         (g)(e) “Smoking” means burning or igniting a substance and
   50  inhaling the smoke. Smoking does not include the use of a
   51  vaporizer.
   52         (2) PHYSICIAN ORDERING.—Effective January 1, 2015, A
   53  physician licensed under chapter 458 or chapter 459 who has
   54  examined and is treating a patient suffering from cancer or a
   55  physical medical condition that chronically produces symptoms of
   56  seizures or severe and persistent muscle spasms may order for
   57  the patient’s medical use low-THC cannabis to treat such
   58  disease, disorder, or condition or to alleviate symptoms of such
   59  disease, disorder, or condition, if no other satisfactory
   60  alternative treatment options exist for that patient. A
   61  physician licensed under chapter 458 or chapter 459 may order
   62  cannabis for the use of patients as established in s. 499.0295.
   63  Before a physician orders cannabis or low-THC cannabis, and all
   64  of the following conditions must apply:
   65         (a) The patient is a permanent resident of this state.
   66         (b) The physician determines that the risks of ordering
   67  cannabis or low-THC cannabis are reasonable in light of the
   68  potential benefit for that patient. For low-THC cannabis, if a
   69  patient is younger than 18 years of age, a second physician must
   70  concur with this determination, and such determination must be
   71  documented in the patient’s medical record.
   72         (c) The physician registers as the orderer of cannabis or
   73  low-THC cannabis for the named patient on the compassionate use
   74  registry maintained by the department and updates the registry
   75  to reflect the contents of the order. The physician must also
   76  register the patient and the patient’s caregiver. The physician
   77  shall deactivate the patient’s and his or her caregiver’s
   78  registrations registration when treatment is discontinued.
   79         (d) The physician maintains a patient treatment plan that
   80  includes the dose, route of administration, planned duration,
   81  and monitoring of the patient’s symptoms and other indicators of
   82  tolerance or reaction to the cannabis or low-THC cannabis.
   83         (e) The physician submits the patient treatment plan
   84  quarterly to the University of Florida College of Pharmacy for
   85  research on the safety and efficacy of low-THC cannabis on
   86  patients.
   87         (f) The physician obtains the voluntary informed consent of
   88  the patient or the patient’s legal guardian to treatment with
   89  cannabis or low-THC cannabis after sufficiently explaining the
   90  current state of knowledge in the medical community of the
   91  effectiveness of treatment of the patient’s condition with low
   92  THC cannabis, the medically acceptable alternatives, and the
   93  potential risks and side effects.
   94         (g) The physician is not a medical director employed by a
   95  dispensing organization.
   96         (3) PENALTIES.—
   97         (a) A physician commits a misdemeanor of the first degree,
   98  punishable as provided in s. 775.082 or s. 775.083, if the
   99  physician orders cannabis or low-THC cannabis for a patient
  100  without a reasonable belief that the patient is suffering from:
  101         1. Cancer or a physical medical condition that chronically
  102  produces symptoms of seizures or severe and persistent muscle
  103  spasms that can be treated with low-THC cannabis; or
  104         2. Symptoms of cancer or a physical medical condition that
  105  chronically produces symptoms of seizures or severe and
  106  persistent muscle spasms that can be alleviated with low-THC
  107  cannabis; or.
  108         3. For the ordering of cannabis, a condition that meets the
  109  requirements specified in s. 499.0295.
  110         (b) Any person who fraudulently represents that he or she
  111  has cancer, or a physical medical condition that chronically
  112  produces symptoms of seizures or severe and persistent muscle
  113  spasms, or a condition that meets the requirements specified in
  114  s. 499.0295 to a physician for the purpose of being ordered
  115  cannabis or low-THC cannabis by such physician commits a
  116  misdemeanor of the first degree, punishable as provided in s.
  117  775.082 or s. 775.083.
  118         (c) A physician who orders cannabis or low-THC cannabis and
  119  receives compensation from a dispensing organization related to
  120  the ordering of cannabis or low-THC cannabis is subject to
  121  disciplinary action under the applicable practice act and s.
  122  456.072(1)(n).
  123         (4) PHYSICIAN EDUCATION.—
  124         (a) Before ordering low-THC cannabis for use by a patient
  125  in this state, the appropriate board shall require the ordering
  126  physician licensed under chapter 458 or chapter 459 to
  127  successfully complete an 8-hour course and subsequent
  128  examination offered by the Florida Medical Association or the
  129  Florida Osteopathic Medical Association that encompasses the
  130  clinical indications for the appropriate use of low-THC
  131  cannabis, the appropriate delivery mechanisms, the
  132  contraindications for such use, as well as the relevant state
  133  and federal laws governing the ordering, dispensing, and
  134  possessing of this substance. The first course and examination
  135  shall be presented by October 1, 2014, and shall be administered
  136  at least annually thereafter. Successful completion of the
  137  course may be used by a physician to satisfy 8 hours of the
  138  continuing medical education requirements required by his or her
  139  respective board for licensure renewal. This course may be
  140  offered in a distance learning format.
  141         (b) The appropriate board shall require the medical
  142  director of each dispensing organization approved under
  143  subsection (5) to successfully complete a 2-hour course and
  144  subsequent examination offered by the Florida Medical
  145  Association or the Florida Osteopathic Medical Association that
  146  encompasses appropriate safety procedures and knowledge of low
  147  THC cannabis.
  148         (c) Successful completion of the course and examination
  149  specified in paragraph (a) is required for every physician who
  150  orders low-THC cannabis each time such physician renews his or
  151  her license. In addition, successful completion of the course
  152  and examination specified in paragraph (b) is required for the
  153  medical director of each dispensing organization each time such
  154  physician renews his or her license.
  155         (d) A physician who fails to comply with this subsection
  156  and who orders low-THC cannabis may be subject to disciplinary
  157  action under the applicable practice act and under s.
  158  456.072(1)(k).
  159         (5) DUTIES AND POWERS OF THE DEPARTMENT.—By January 1,
  160  2015, The department shall:
  161         (a) The department shall create a secure, electronic, and
  162  online compassionate use registry for the registration of
  163  physicians, and patients, and caregivers as provided under this
  164  section and s. 499.0295. The registry must be accessible to law
  165  enforcement agencies and to a dispensing organization in order
  166  to verify patient authorization for cannabis or low-THC cannabis
  167  and record the cannabis or low-THC cannabis dispensed. The
  168  registry must prevent an active registration of a patient or
  169  caregiver by multiple physicians.
  170         (b) The department shall establish a system for issuing and
  171  renewing patient and caregiver registration cards; establish the
  172  circumstances under which the cards may be revoked by, or must
  173  be returned to, the department; and establish fees to implement
  174  such system. The department must require, at a minimum, the
  175  registration cards to:
  176         1. Provide the name, address, and date of birth of the
  177  patient or caregiver.
  178         2. Have a full-face, passport-type, color photograph of the
  179  patient or caregiver taken within the 90 days before
  180  registration.
  181         3. Identify whether the cardholder is a patient or
  182  caregiver.
  183         4. List a unique numeric identifier for the patient or
  184  caregiver which is matched to the identifier used for such
  185  person in the department’s compassionate use registry.
  186         5. Provide the expiration date, which shall be 1 year after
  187  the date of the physician’s initial order of low-THC cannabis.
  188         6. For the caregiver, provide the name and unique numeric
  189  identifier of the patient that the caregiver is assisting.
  190         7. Be resistant to counterfeiting or tampering.
  191         (c)(b)The department shall authorize the establishment of
  192  five dispensing organizations to ensure reasonable statewide
  193  accessibility and availability as necessary for patients
  194  registered in the compassionate use registry and who are ordered
  195  low-THC cannabis under this section, one in each of the
  196  following regions: northwest Florida, northeast Florida, central
  197  Florida, southeast Florida, and southwest Florida. The
  198  department shall develop an application form and impose an
  199  initial application and biennial renewal fee that is sufficient
  200  to cover the costs of administering this section. An applicant
  201  for approval as a dispensing organization must be able to
  202  demonstrate:
  203         1. The technical and technological ability to cultivate and
  204  produce low-THC cannabis. The applicant must possess a valid
  205  certificate of registration issued by the Department of
  206  Agriculture and Consumer Services pursuant to s. 581.131 that is
  207  issued for the cultivation of more than 400,000 plants, be
  208  operated by a nurseryman as defined in s. 581.011, and have been
  209  operated as a registered nursery in this state for at least 30
  210  continuous years.
  211         2. The ability to secure the premises, resources, and
  212  personnel necessary to operate as a dispensing organization.
  213         3. The ability to maintain accountability of all raw
  214  materials, finished products, and any byproducts to prevent
  215  diversion or unlawful access to or possession of these
  216  substances.
  217         4. An infrastructure reasonably located to dispense low-THC
  218  cannabis to registered patients statewide or regionally as
  219  determined by the department.
  220         5. The financial ability to maintain operations for the
  221  duration of the 2-year approval cycle, including the provision
  222  of certified financials to the department. Upon approval, the
  223  applicant must post a $5 million performance bond.
  224         6. That all owners and managers have been fingerprinted and
  225  have successfully passed a level 2 background screening pursuant
  226  to s. 435.04.
  227         7. The employment of a medical director who is a physician
  228  licensed under chapter 458 or chapter 459 to supervise the
  229  activities of the dispensing organization.
  230         (d) The department must inspect each dispensing
  231  organization’s properties, cultivation facilities, processing
  232  facilities, and retail facilities before the organization begins
  233  operations and at least biennially upon renewal of the
  234  dispensing organization’s approval. The department may conduct
  235  announced or unannounced inspections, including followup
  236  inspections, at reasonable hours in order to ensure that such
  237  property and facilities maintain compliance with this section
  238  and s. 499.0295 and to ensure that the dispensing organization
  239  has not committed any act that would endanger the health,
  240  safety, or security of a qualified patient, the dispensing
  241  organization staff, or the community in which the dispensing
  242  organization is located. Approval under this section constitutes
  243  permission for the department to enter and inspect the premises
  244  and facilities of any dispensing organization. The department
  245  may inspect any approved dispensing organization, and a
  246  dispensing organization must make all facility premises,
  247  equipment, documents, cannabis, low-THC cannabis, and low-THC
  248  cannabis products available to the department upon inspection.
  249         (e) The department must ensure that each dispensing
  250  organization adheres to the testing and labeling requirements
  251  for cannabis, low-THC cannabis, and low-THC cannabis products
  252  established in subsection (7). The department may test any
  253  cannabis, low-THC cannabis, or low-THC cannabis product in order
  254  to ensure that it is safe for human consumption and that it
  255  meets the requirements in this section and section 499.0295.
  256         (f)1.Subject to subparagraph 2., the department may impose
  257  an administrative penalty not to exceed $10,000 for each
  258  instance of the following violations:
  259         a.Violating this section, s. 499.0295, or department rule.
  260         b.Failing to maintain qualifications for approval.
  261         c.Endangering the health, safety, or security of a
  262  qualified patient.
  263         d.Improperly disclosing personal and confidential
  264  information of the qualified patient.
  265         e.Attempting to procure a license by bribery or fraudulent
  266  misrepresentation.
  267         f.Being convicted or found guilty of, or entering a plea
  268  of nolo contendere to, regardless of adjudication, a crime in
  269  any jurisdiction which directly relates to the business of a
  270  dispensing organization.
  271         g.Making or filing a report or record that the dispensing
  272  organization knows to be false.
  273         h.Willfully failing to maintain a record required by this
  274  section or a rule of the department.
  275         i.Willfully impeding or obstructing an employee or agent
  276  of the department in the furtherance of his or her official
  277  duties.
  278         j.Engaging in fraud or deceit, negligence, incompetence,
  279  or misconduct in the business practices of a dispensing
  280  organization.
  281         k.Making misleading, deceptive, or fraudulent
  282  representations in or related to the business practices of a
  283  dispensing organization.
  284         l.Having a license or the authority to engage in any
  285  regulated profession, occupation, or business that is related to
  286  the business practices of a dispensing organization revoked,
  287  suspended, or otherwise acted against, including the denial of
  288  licensure, by the licensing authority of any jurisdiction,
  289  including its agencies or subdivisions, for a violation that
  290  would constitute a violation under state law. A licensing
  291  authority’s acceptance of a relinquishment of licensure or a
  292  stipulation, consent order, or other settlement, offered in
  293  response to or in anticipation of the filing of charges against
  294  the license, shall be construed as an action against the
  295  license.
  296         m.Violating a lawful order of the department or an agency
  297  of the state, or failing to comply with a lawfully issued
  298  subpoena of the department or an agency of the state.
  299         2.Before imposing an administrative penalty under this
  300  paragraph, the department shall provide to the dispensing
  301  organization notice of the alleged violation and allow 20
  302  business days for the dispensing organization to take corrective
  303  action to cure the alleged violation and, if applicable, to
  304  implement corrective action to prevent a future violation. If
  305  the dispensing organization takes appropriate corrective action
  306  to cure the alleged violation and, if applicable, takes
  307  appropriate corrective action to prevent a future violation, the
  308  violation shall be deemed cured and an administrative penalty
  309  may not be imposed. If the violation is not cured, the
  310  department may impose an administrative penalty on the
  311  dispensing organization and may suspend, revoke, deny, or refuse
  312  to renew the approval of the dispensing organization.
  313         (g)The department shall renew the approval of a dispensing
  314  organization biennially if the dispensing organization meets the
  315  requirements of this section, pays the biennial renewal fee,
  316  and, if applicable, has cured each violation alleged under
  317  paragraph (f).
  318         (h)(c)The department shall monitor physician registration
  319  and ordering of cannabis and low-THC cannabis for ordering
  320  practices that could facilitate unlawful diversion or misuse of
  321  cannabis or low-THC cannabis and take disciplinary action as
  322  indicated.
  323         (i)(d)The department shall adopt rules necessary to
  324  implement this section.
  325         (6) DISPENSING ORGANIZATION.—
  326         (a) An approved dispensing organization shall maintain
  327  compliance with the criteria demonstrated for selection and
  328  approval as a dispensing organization under subsection (5) at
  329  all times. Before dispensing low-THC cannabis to a qualified
  330  patient or his or her caregiver or cannabis to a patient or his
  331  or her caregiver who qualifies under the requirements in s.
  332  499.0295, the dispensing organization shall verify that the
  333  patient or caregiver has an identification card for cannabis or
  334  low-THC cannabis issued by the department, active registration
  335  in the compassionate use registry, the order presented matches
  336  the order contents as recorded in the registry, and the order
  337  has not already been filled. Upon dispensing the cannabis or
  338  low-THC cannabis, the dispensing organization shall record in
  339  the registry the date, time, quantity, and form of cannabis or
  340  low-THC cannabis dispensed.
  341         (b) A dispensing organization may have cultivation
  342  facilities, processing facilities, and retail facilities.
  343         1. All regulation of cultivation facilities and processing
  344  facilities is preempted to the state.
  345         2. The cultivation facilities and processing facilities
  346  must be closed to the public.
  347         3. A municipality may determine by ordinance the criteria
  348  for the number and location of, and other permitting
  349  requirements that do not conflict with state law or rule for,
  350  all retail facilities located within its municipal boundaries. A
  351  county may determine by ordinance the criteria for the number,
  352  location, and other permitting requirements that do not conflict
  353  with state law or rule for all retail facilities located within
  354  the unincorporated areas of that county.
  355         4. Retail facilities must have all utilities and resources
  356  necessary to store and dispense cannabis, low-THC cannabis, and
  357  cannabis and low-THC cannabis products.
  358         5. Retail facilities must be secured and have theft
  359  prevention systems, including an alarm system, cameras, and 24
  360  hour security personnel.
  361         6. Before a retail facility may dispense cannabis, low-THC
  362  cannabis or a low-THC cannabis product, the dispensing
  363  organization must have a computer network compliant with the
  364  federal Health Insurance Portability and Accountability Act of
  365  1996 which is able to access and upload data to the
  366  compassionate use registry and which shall be used by all retail
  367  facilities operated by that dispensing organization.
  368         7. Other than cannabis, low-THC cannabis, and cannabis and
  369  low-THC cannabis products, a dispensing organization may not
  370  dispense or sell any other type of retail product other than the
  371  paraphernalia required for the medical use of cannabis or low
  372  THC cannabis in the form required on the physician’s order for
  373  such cannabis.
  374         (c) Within 15 days after such information becomes
  375  available, a dispensing organization must provide the department
  376  with updated information, as applicable, including:
  377         1. The location and a detailed description of any new or
  378  proposed facilities.
  379         2. The updated contact information, including electronic
  380  and voice communication, for all dispensing organization
  381  facilities.
  382         3. The registration information for any vehicles used for
  383  the transportation of cannabis, low-THC cannabis, and cannabis
  384  and low-THC cannabis products, including confirmation that all
  385  such vehicles have tracking and security systems.
  386         4. A plan for the recall of any or all cannabis, low-THC
  387  cannabis, or cannabis and low-THC cannabis products.
  388         (d) To ensure the safe transport of cannabis and low-THC
  389  cannabis to dispensing organization facilities, laboratories, or
  390  patients, the dispensing organization must:
  391         1. Maintain a transportation manifest, which must be
  392  retained for at least 1 year.
  393         2. Ensure only vehicles in good working order are used to
  394  transport low-THC cannabis.
  395         3. Lock cannabis and low-THC cannabis in separate
  396  compartments or containers within the vehicle.
  397         4. Require at least two persons to be in a vehicle
  398  transporting cannabis or low-THC cannabis, and require at least
  399  one person to remain in the vehicle while the cannabis or low
  400  THC cannabis is being delivered.
  401         5. Provide specific safety and security training to
  402  employees transporting or delivering cannabis or low-THC
  403  cannabis.
  404         (7)TESTING AND LABELING OF LOW-THC CANNABIS.
  405         (a)All cannabis, low-THC cannabis, and cannabis and low
  406  THC cannabis products must be tested by an independent testing
  407  laboratory before the dispensing organization may dispense them.
  408  The independent testing laboratory shall provide the dispensing
  409  organization with test results. Before dispensing, the
  410  dispensing organization must determine that the test results
  411  indicate that the low-THC cannabis or low-THC cannabis product
  412  meets the definition of low-THC cannabis or low-THC cannabis
  413  product, that all cannabis and low-THC cannabis is safe for
  414  human consumption, and that all cannabis and low-THC cannabis is
  415  free from contaminants that are unsafe for human consumption.
  416         (b)All cannabis, low-THC cannabis, and cannabis and low
  417  THC cannabis products must be labeled before dispensing. The
  418  label must include, at a minimum:
  419         1.For low-THC cannabis and low-THC cannabis products, a
  420  statement that the low-THC cannabis or low-THC cannabis product
  421  meets the requirements in paragraph (a);
  422         2.The name of the independent testing laboratory that
  423  tested the cannabis, low-THC cannabis, or cannabis or low-THC
  424  cannabis product;
  425         3.The name of the cultivation and processing facility
  426  where the cannabis, low-THC cannabis, or cannabis or low-THC
  427  cannabis product originates; and
  428         4.The batch number and harvest number from which the
  429  cannabis, low-THC cannabis, or cannabis or low-THC cannabis
  430  product originates.
  431         (8)Persons who have direct or indirect interest in the
  432  dispensing organization and the dispensing organization’s
  433  managers, employees, and contractors who directly interact with
  434  cannabis, low-THC cannabis, or cannabis or low-THC cannabis
  435  products are prohibited from ordering cannabis, low-THC
  436  cannabis, or cannabis or low-THC cannabis products, offering
  437  prescriptions, or providing medical advice to qualified
  438  patients.
  439         (9)(7) EXCEPTIONS TO OTHER LAWS.—
  440         (a) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  441  any other provision of law, but subject to the requirements of
  442  this section, a qualified patient and the qualified patient’s
  443  caregiver legal representative may purchase and possess for the
  444  patient’s medical use up to the amount of low-THC cannabis
  445  ordered for the patient.
  446         (b) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  447  any other provision of law, but subject to the requirements of
  448  this section, an approved dispensing organization and its
  449  owners, managers, and employees may manufacture, possess, sell,
  450  deliver, distribute, dispense, and lawfully dispose of
  451  reasonable quantities, as established by department rule, of
  452  low-THC cannabis. For purposes of this subsection, the terms
  453  “manufacture,” “possession,” “deliver,” “distribute,” and
  454  “dispense” have the same meanings as provided in s. 893.02.
  455         (c) An approved dispensing organization and its owners,
  456  managers, and employees are not subject to licensure or
  457  regulation under chapter 465 for manufacturing, possessing,
  458  selling, delivering, distributing, dispensing, or lawfully
  459  disposing of reasonable quantities, as established by department
  460  rule, of low-THC cannabis.
  461         Section 2. Paragraph (b) of subsection (2) of section
  462  499.0295, Florida Statutes, is amended, and subsection (10) is
  463  added to that section, to read:
  464         499.0295 Experimental treatments for terminal conditions.—
  465         (2) As used in this section, the term:
  466         (b) “Investigational drug, biological product, or device”
  467  means:
  468         1. A drug, biological product, or device that has
  469  successfully completed phase 1 of a clinical trial but has not
  470  been approved for general use by the United States Food and Drug
  471  Administration and remains under investigation in a clinical
  472  trial approved by the United States Food and Drug
  473  Administration; or
  474         2. Cannabis, as defined in s. 893.02, that is manufactured
  475  and sold by an approved dispensing organization as defined in s.
  476  381.986.
  477         (10)(a) Notwithstanding s. 893.13, s. 893.135, s. 893.147,
  478  or any other law an eligible patient and the eligible patient’s
  479  caregiver, as defined in s. 381.986, may purchase and possess
  480  cannabis, for the patient’s medical use, as defined in s.
  481  381.986, if:
  482         1. The patient meets all the requirements of this section;
  483         2. The patient is added to the compassionate use registry
  484  established under s. 381.986 by a physician who has met the
  485  training requirements for ordering low-THC cannabis established
  486  in s. 381.986(4); and
  487         3. All cannabis purchased and possessed by the patient and
  488  his or her caregiver is obtained from an approved dispensing
  489  organization as defined in s. 381.986.
  490         (b) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  491  any other law, but subject to the requirements of this section,
  492  an approved dispensing organization and its owners, managers,
  493  employees and contractors may cultivate, manufacture, possess,
  494  sell, deliver, distribute, dispense, and lawfully dispose of
  495  cannabis as defined in s. 893.02.
  496         1. Before dispensing cannabis to an eligible patient or his
  497  or her caregiver pursuant to this section, a dispensing
  498  organization must require the eligible patient or his or her
  499  legal caregiver to produce his or her identification card as
  500  issued by the Department of Health and must verify that the
  501  eligible patient has an active registration on the compassionate
  502  use registry.
  503         2. Before dispensing, all cannabis must be tested by an
  504  independent testing laboratory, as defined in s. 381.986(1)(b),
  505  and must meet all testing and labeling criteria established for
  506  low-THC cannabis in s. 381.986(7) and by the department in rule
  507  other than criteria regarding percentages of
  508  tetrahydrocannabinol or cannabidiol.
  509         3. When manufacturing, selling, delivering, dispensing,
  510  distributing, and lawfully disposing of cannabis, as defined in
  511  s. 893.02, pursuant to this section an approved dispensing
  512  organization must meet all criteria established in s. 381.986
  513  applicable to cultivating, manufacturing, selling, delivering,
  514  dispensing, distributing, and lawfully disposing of low-THC
  515  cannabis except that cannabis produced pursuant to this section
  516  is not restricted as to the amount of tetrahydrocannabinol or
  517  cannabidiol.
  518         (c) An approved dispensing organization as defined in s.
  519  381.986 and its owners, managers, employees and contractors are
  520  not subject to licensure or regulation under chapter 465 or
  521  chapter 499 for manufacturing, possessing, selling, delivering,
  522  distributing, dispensing, or lawfully disposing of cannabis.
  523         (d) Notwithstanding s. 893.13, s. 893.135, s. 893.147, or
  524  any other law, but subject to the requirements of this section
  525  and s. 381.986, an independent testing laboratory and its
  526  employees may receive and possess cannabis for the sole purpose
  527  of testing the cannabis to ensure compliance with this section
  528  and s. 381.986(7).
  529         (e) As used in this subsection, the terms “manufacture,”
  530  “possession,” “deliver,” “distribute,” and “dispense” have the
  531  same meanings as provided in s. 893.02.
  532         (f) This section does not impair the approval of a
  533  dispensing organization under s. 381.986.
  534         Section 3. This act shall take effect July 1, 2016.
  535  
  536  ================= T I T L E  A M E N D M E N T ================
  537  And the title is amended as follows:
  538         Delete everything before the enacting clause
  539  and insert:
  540                        A bill to be entitled                      
  541         An act relating to the medical use of cannabis;
  542         amending s. 381.986, F.S.; defining terms; restricting
  543         the use of cannabis and low-THC cannabis in certain
  544         areas; establishing that a physician may order
  545         cannabis for the use of certain patients; requiring
  546         physicians to register patients and their caregivers
  547         on the compassionate use registry; restricting
  548         dispensing organization medical directors from
  549         ordering cannabis and low-THC cannabis; specifying
  550         that cannabis may be ordered only for conditions that
  551         meet the requirements of s. 499.0295, F.S.;
  552         establishing a licensure violation for physicians who
  553         order cannabis or low-THC cannabis and receive
  554         compensation from a dispensing organization; requiring
  555         the Department of Health to establish a system for
  556         issuing identification cards to patients and
  557         caregivers; specifying what information must be
  558         included on the identification cards; requiring the
  559         department to inspect a dispensing organization’s
  560         properties and facilities; requiring the department to
  561         ensure that each dispensing organization adheres to
  562         testing and labeling requirements for cannabis, low
  563         THC cannabis, and low-THC cannabis products;
  564         establishing fines for violations; establishing
  565         violations for which fines may be imposed; requiring
  566         the department to provide 20 business days for a
  567         dispensing organization to cure a violation; allowing
  568         the department to impose an administrative penalty on,
  569         or suspend, revoke, or deny the approval of, a
  570         dispensing organization when violations are not cured;
  571         requiring the department to biennially renew the
  572         approval of a dispensing organization; specifying that
  573         dispensing organizations may have certain types of
  574         facilities; preempting the regulation of cultivation
  575         facilities and processing facilities to the state;
  576         requiring that cultivation facilities and processing
  577         facilities be closed to the public; allowing local
  578         governments to determine the location and other
  579         permitting requirements for retail facilities; placing
  580         certain requirements on retail facilities; restricting
  581         dispensing organizations from selling retail products
  582         other than paraphernalia required for the use of
  583         cannabis or low-THC cannabis as ordered; requiring
  584         dispensing organizations to update the department with
  585         certain information within 15 days; requiring
  586         dispensing organizations to meet specified
  587         requirements for the transportation of cannabis and
  588         low-THC cannabis; establishing testing and labeling
  589         requirements for cannabis and low-THC cannabis; making
  590         technical and conforming changes; amending s.
  591         499.0295, F.S.; revising the term “investigational
  592         drug, biological product, or device” to include
  593         cannabis, as defined in s. 893.02, F.S., under certain
  594         circumstances; authorizing certain patients to
  595         purchase and medically use cannabis under certain
  596         circumstances; allowing dispensing organizations to
  597         cultivate, manufacture, possess, sell, deliver,
  598         distribute, dispense, and lawfully dispose of cannabis
  599         under certain circumstances and when meeting certain
  600         criteria; exempting dispensing organizations and their
  601         owners, managers, employees and contractors from
  602         certain licensure requirements; exempting independent
  603         testing laboratories from criminal prohibitions for
  604         the purpose of testing cannabis; stating that certain
  605         terms are defined in s. 893.02, F.S.; clarifying that
  606         the provisions in the section do not impair the
  607         approval of a dispensing organization under 381.986,
  608         F.S.; providing an effective date.