Department of Health Division of Medical Marijuana Renae Sisk - PowerPoint PPT Presentation

North Dakota Department of Health Division of Medical Marijuana Renae Sisk Program Administrator

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Apr. 17, 2017: Jan. 26, 2017: Nov. 8, 2016: Governor signs SB 2344 and the Delayed implementation ND Voters Approve Medical Marijuana Program goes approved Measure 5 and it goes into effect into effect Dec. 8, 2016 29 states with medical marijuana 7 states and the District of Columbia with recreational marijuana https://www.nytimes.com/elections/results/north-dakota-ballot-measure-5-medical-marijuana

Marijuana is still illegal under the federal Controlled Substances Act Importance of Regulations

How will ND Regulate Medical Marijuana? North Dakota Century Code, chapter 19-24.1 https://www.ndhealth.gov/MM/PDF/t19c24-1.pdf North Dakota Administrative Code 33-44-01 In process of being finalized and implemented. North Dakota Department of Health; Division of Medical Marijuana Regulatory agency Interim Division Director, Jason Wahl  Program Administrator, Renae Sisk  Administrative Assistant, Donna Doll  Will hire a full time inspector 

Marijuana components THC Psychoactive CBD Non-psychoactive Different concentrations of both THC and CBD are used for different symptoms of qualifying medical conditions

Qualifying Medical Conditions Cancer  A chronic or debilitating disease or  medical condition or treatment for such HIV/AIDS  disease that produces Cirrhosis caused by hepatitis C  Cachexia or wasting syndrome  Amyotrophic lateral sclerosis (ALS)  Severe debilitating pain that has not Posttraumatic stress disorder (PTSD)   responded to previously prescribed Agitation of Alzheimer’s disease or related  medication or surgical measures for dementia more than three months or for which A terminal illness  other treatment options produced Crohn’s disease serious side effects  Fibromyalgia  Intractable nausea  Spinal stenosis or chronic back pain with  Seizures, or  objective neurological indication of intractable spasticity Severe and persistent muscle spasms,  Glaucoma including those characteristic of  multiple sclerosis Epilepsy 

Bona Fide Provider-Patient Relationship A treatment or counseling relationship between a health care provider and patient in which all of the following are present:  The health care provider has reviewed the patient’s relevant medical records and completed a full assessment of the patient’s medical history and current medical condition, including a relevant, in-person, medical evaluation of the patient.  The health care provider has created and maintained records of the patient’s condition in accordance with medically accepted standards.  The patient is under the health care provider’s continued care for the debilitating medical condition that qualifies the patient for the medical use of marijuana.  The health care provider has a reasonable expectation that provider will continue to provide follow-up care to the patient to monitor the medical use of marijuana as a treatment of the patient’s debilitating medical condition.  The relationship is not for the sole purpose of providing written certification for the medical use of marijuana.

* Qualifying Medical Condition *Healthcare Provider Authorization Registered Qualifying Patient Registered Designated Caregiver

Process Overview Approved patient Patient can Health Care Patient applies Patient has a receives a purchase usable Provider for a registry debilitating registry marijuana at executes a identification medical identification registered written card with DoH condition card dispensary certification

*Patients and Caregivers must have a ND medical marijuana card. *Patients and Caregivers must purchase their product from registered ND dispensaries. *Marijuana cannot cross state lines. *Authorizing healthcare providers must be licensed in ND & have a license in good standing.

Compassion Centers 2 Grower/Manufacturing Facilities 8 Dispensaries

Types of Usable Marijuana Not for Minors! * Products with >6% THC *Smokable form Usable Marijuana Maximum purchase amounts per Not 30 days: for minors *2.5 ounces total — dried leaves and flowers; Dried Leaves & Medical Marijuana and Flowers Products *2000 mg THC total — other products Cannabinoid Medical Concentrate or Cannabinoid Extract Product Max 6% THC per serving Tinctures Topicals Max Max 50 Transdermal 50 mg mg THC Capsules THC per per patches serving serving

Administrative Rules (proposed) Lab Packaging & Labeling ……. Transportation Incident Reporting; Adverse Reaction & Testing Overdose Reporting Storage Advertising & Marketing Inventory Control And more…

Laboratory to test for (proposed) • Pesticides Microbiological Contaminants • • Mycotoxins Residual Solvents • Concentration Levels • • Water Activity and Moisture Content (leaves/flowers only) Lab selected by NDDoH, contract for services/testing Lab agents will be registered with NDDoH

Proposed

Proposed

Compassion Center: Operations Manual Organization/Structure • Security Policies • • Inventory Control Provisions Packaging and Labeling • • Transportation • Recall Procedures Cultivation Plans • Quality Assurance •

Administrative Rules Process Nov. 10-16, 2017 Dec. 13, 2017 Dec. 26, 2017 Feb. 1, 2018 Apr. 1, 2018 Nov. 3, 2017 Dec. 11, 2017 Dec. 14, 2017 Jan. 2, 2018 Mar. 14, 2018

Information Management System

What does NDCC 19-24.1 say about “schools”?  NDCC 19-24.1-14(1)(d)(2)  Physical address for compassion centers…must be 1000 feet from a pre -existing public or private school  NDCC 19-24.1-33(2)(a)  A person cannot possess or consume usable marijuana on a school bus, school van, school grounds (public or private), or at any location while a school sanctioned event is occurring at that location.  NDCC 19-24.1-37(3)  Upon a cardholder’s written request, the department may confirm the cardholder’s status as a registered qualifying patient or designated caregiver to a third party…such as a school

Contact Information Renae ae Sisk sk Jas ason Wah ahl Program Administrator Interim Division Director North Dakota Department of Health North Dakota Department of Health Division of Medical Marijuana Division of Medical Marijuana 600 East Blvd Ave, Dept 301 600 East Blvd Ave, Dept 301 Bismarck, ND 58505-0200 Bismarck, ND 58505-0200 Phone: 701.328.1334 Phone: 701.328.4925 Email: rsisk@nd.gov Email: jwahl@nd.gov