trends in state medical marijuana policies karen o’keefe, esq. director of state policies...

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Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

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Page 1: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Trends in State Medical Marijuana

Policies

Karen O’Keefe, Esq. Director of State PoliciesMarijuana Policy Project

Page 2: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Federal Law• Marijuana is classified as a Schedule I substance• “high potential for abuse”• “no currently accepted medical use in treatment” in

U.S.• cannot be prescribed, but can be used for research

• Several petitions to reschedule have been filed, but ultimately rejected

• DEA Administrative Law Judge Francis Young found it would be “unreasonable, arbitrary and capricious” to fail to reschedule (1988)

Page 3: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Early State Therapeutic Research Laws

• From 1978 to 1995, 25 states enacted therapeutic research lawso Seven were operational at one pointo They relied on federal approval and federal

marijuana

• None were operational past the 1980s, and most were never operational

Page 4: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

California and Arizona’s 1996 Initiatives

• California and Arizona voters passed medical marijuana laws on Nov. 5, 1996

• Only California’s law was effective

• Removes the state’s criminal penalties from medical marijuana possession and cultivation by patients and caregivers

• Relies on a doctor’s recommendation, not a prescription. This was found to be protected by the First Amendment in Conant v. Walters.

Page 5: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Early Medical Marijuana Laws: Home Cultivation &

Caregivers

Page 6: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

California Allows Collectives and Cooperatives (2003)

Page 7: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

New Mexico Allows State-Licensed Producers

• New Mexico’s law, enacted in 2007, implemented in 2009, allows state-regulated “licensed producers”

AG Holder: “For those organizations that are doing so sanctioned by state law and do it in a way that is consistent with state law, and given the limited resources that we have, that will not be an emphasis for this administration.”

Page 8: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Department of Justice “Ogden Memo”

•Pursing priorities of disrupting trafficking “should not focus … on individuals whose actions are in clear and unambiguous compliance” with state medical marijuana laws such as patients and caregivers

•Examples of “illegal drug trafficking activity of potential federal interest” such as violence, ties to criminal enterprises, and sales to minors

•Did not provide a defense in federal court

Page 9: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

States Begin to Allow State-Regulated Dispensaries

New Laws With Regulated Dispensaries •New Mexico (2007, implemented 2009)•New Jersey (2010, not yet implemented fully)•D.C. (2010, not yet implemented fully)•Arizona (2010, not yet implemented fully)•Delaware (2011, dispensaries on hold)

Expanded Laws, Adding Regulated Dispensaries•Maine (2009, implemented 2010)•Colorado (2010, implemented 2010-2011)•Rhode Island (2009, not implemented fully)

Page 10: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Federal Intimidation Stalls Some Dispensary Programs• Washington Gov. Gregoire vetoes dispensary regulation bill

following U.S. attorney letter (May 2011)

• June 2011 DOJ “Cole memo” says only patients are not an enforcement priority; prosecutors could target commercial operations, large-scale production

• Delaware Gov. Markell suspends implementation of dispensary program following U.S. attorney letter (Feb. 2012)

• Arizona, Rhode Island, and New Jersey were temporarily stalled but are moving forward

• D.C. and Vermont are moving forward

Page 11: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Qualifying Conditions• California: Physicians can recommend for any condition

• All, or almost all, of the laws include:Severe pain Severe nausea

Wasting or cachexia Seizures

Muscle spasms Glaucoma

HIV/AIDS Cancer

• Some laws include: Crohn’s disease Hepatitis C

ALS (Lou Gehrig’s Disease) Post-Traumatic Stress Disorder

Agitation of Alzheimer’s

Page 12: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Marijuana and Plant Limits • California: Any amount for personal use

• Usable marijuana• Ranges from one to 24 ounces• Federal patients receive 8-11 oz. per month • Most recent: 6 oz. in Delaware/ 3 oz. every 14 days

• Plants • Lowest: 2 mature and 7 immature (Vermont)• Highest: • 15 total in Washington state • 12 mature, 12 immature in Rhode Island

• Some states have a defense for more

Page 13: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Recent Laws Generally Include More Regulations• Requirements that marijuana be cultivated in

enclosed, locked locations • Stricter doctor-patient relationships • Registry identification cards

Page 14: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

Newer Laws Often Include Increased Patient Protections• Employment protections• Child custody protections • Organ donations and other medical care• Landlord-tenant issues• Recognizing out-of-state ID cards

Musician Timothy Garren of Washington state, 56, died after being denied a liver transplant in 2008.

Page 15: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

33 Medical Marijuana Laws

Page 16: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

What’s Next?

• States continue enacting medical marijuana lawso18 bills introduced for new laws, 10 still pendingoAs many as three ballot initiatives in 2012oMost include both home cultivation and

dispensaries, some one or the other

• Federal policy and preemption cases will affect the laws, including how well-regulated and safe access will be

Page 17: Trends in State Medical Marijuana Policies Karen O’Keefe, Esq. Director of State Policies Marijuana Policy Project

For more information on state medical marijuana laws,

please visit:

www.mpp.org/statelaws