Source: https://legislature.vermont.gov/statutes/fullchapter/18/086
Timestamp: 2019-04-25 17:58:52+00:00

Document:
(a) There is established in the Department of Health the Cannabis Therapeutic Research Program. The Program shall be administered by the Commissioner of Health who shall adopt rules necessary to enable physicians entitled to prescribe regulated drugs under chapter 84 of this title to prescribe cannabis. In adopting such rules, the Department shall take into consideration those pertinent rules and regulations promulgated by the federal Drug Enforcement Agency, the federal Food and Drug Administration, and the National Institute on Drug Abuse.
(b) The Program shall be used only for treating cancer patients and for such other medical uses as are prescribed by the Commissioner by rule.
(1)(A) "Bona fide health care professional-patient relationship" means a treating or consulting relationship of not less than three months' duration, in the course of which a health care professional has completed a full assessment of the registered patient's medical history and current medical condition, including a personal physical examination.
(vi) a patient's debilitating medical condition is of recent or sudden onset.
(2) "Clone" means a plant section from a female marijuana plant not yet root-bound, growing in a water solution, which is capable of developing into a new plant.
(3) "Criminal history record" means all information documenting an individual's contact with the criminal justice system, including data regarding identification, arrest or citation, arraignment, judicial disposition, custody, and supervision.
(C) a disease or medical condition or its treatment that is chronic, debilitating, and produces one or more of the following intractable symptoms: cachexia or wasting syndrome; chronic pain; severe nausea; or seizures.
(5) "Dispensary" means a business organization registered under section 4474e of this title that acquires, possesses, cultivates, manufactures, transfers, transports, supplies, sells, or dispenses marijuana, marijuana-infused products, and marijuana-related supplies and educational materials for or to a registered patient who has designated it as his or her center and to his or her registered caregiver for the registered patient's use for symptom relief. A dispensary may serve patients and caregivers at not more than two locations, as approved by the Department in consideration of factors provided in subsection 4474f(e) of this title, and may cultivate and process marijuana at a separate location from where patients and caregivers are served. All locations shall be considered part of the same dispensary operation under one registration.
(6) "Financier" means a person, other than a financial institution as defined in 8 V.S.A. § 11101, that makes an investment in, or a gift, loan, or other financing to, another person with the expectation of a financial return. If a financier is a business organization, as used in this chapter, the term "financier" includes each owner and principal of that organization.
(7)(A) "Health care professional" means an individual licensed to practice medicine under 26 V.S.A. chapter 23 or 33, an individual licensed as a naturopathic physician under 26 V.S.A. chapter 81, an individual certified as a physician assistant under 26 V.S.A. chapter 31, or an individual licensed as an advanced practice registered nurse under 26 V.S.A. chapter 28.
(B) This definition includes individuals who are professionally licensed under substantially equivalent provisions in New Hampshire, Massachusetts, or New York.
(8) "Immature marijuana plant" means a female marijuana plant that has not flowered and which does not have buds that may be observed by visual examination.
(9) "Marijuana" shall have the same meaning as provided in subdivision 4201(15) of this title.
(10) "Mature marijuana plant" means a female marijuana plant that has flowered and that has buds that may be observed by visual examination.
(11) "Mental health care provider" means a person licensed to practice medicine who specializes in the practice of psychiatry; a psychologist, a psychologist-doctorate, or a psychologist-master as defined in 26 V.S.A. § 3001; a clinical social worker as defined in 26 V.S.A. § 3201; or a clinical mental health counselor as defined in 26 V.S.A. § 3261.
(12) "Ounce" means 28.35 grams.
(B) a person that has the power to direct, or cause the direction of, the management and policies of a business organization, including through the ownership of voting securities, by contract, or otherwise.
(14) "Possession limit" means the amount of marijuana collectively possessed between the registered patient and the patient's registered caregiver that is no more than two mature marijuana plants, seven immature plants, and two ounces of usable marijuana.
(15) "Principal" means a person that has the authority to conduct, manage, or supervise the operation of a business organization, and includes the president, vice president, secretary, treasurer, manager, or similar executive officer of a business organization; a director of a business corporation, nonprofit corporation, or mutual benefit enterprise; a member of a nonprofit corporation, cooperative, or member-managed limited liability company; a manager of a manager-managed limited liability company; and a general partner of a partnership, limited partnership, or limited liability partnership.
(16) "Registered caregiver" means a person who is at least 21 years of age, has met eligibility requirements as determined by the Department in accordance with this chapter, and has agreed to undertake responsibility for managing the well-being of a registered patient with respect to the use of marijuana for symptom relief.
(17) "Registered patient" means a resident of Vermont who has been issued a registration card by the Department, identifying the person as having a debilitating medical condition pursuant to the provisions of this subchapter. "Resident of Vermont" means a person whose domicile is Vermont.
(18) "Secure indoor facility" means a building or room equipped with locks or other security devices that permit access only by a registered caregiver or registered patient.
(19) "Transport" means the movement of marijuana and marijuana-infused products from registered growing locations to their associated dispensaries, between dispensaries, to registered patients and registered caregivers in accordance with delivery protocols, or as otherwise allowed under this subchapter.
(20) "Usable marijuana" means the dried leaves and flowers of marijuana, and any mixture or preparation thereof, and does not include the seeds, stalks, and roots of the plant.
(a) To become a registered patient, a person must be diagnosed with a debilitating medical condition by a health care professional in the course of a bona fide health care professional-patient relationship.
(1) A patient with a debilitating medical condition shall submit a signed application for registration to the Department. If the patient is under 18 years of age, the application must be signed by both the patient and a parent or guardian. The application shall require identification and contact information for the patient and the patient's registered caregiver applying for authorization under section 4474 of this title, if any, and the patient's designated dispensary under section 4474e of this title, if any. The applicant shall attach to the application a medical verification form developed by the Department pursuant to subdivision (2) of this subsection.
(i) A statement of the penalties for providing false information.
(I) "Bona fide health care professional-patient relationship" as defined in section 4472 of this title.
(II) "Debilitating medical condition" as defined in section 4472 of this title.
(III) "Health care professional" as defined in section 4472 of this title.
(iii) A statement that the medical verification form is not considered a prescription and that the only purpose of the medical verification form is to confirm that the applicant patient has a debilitating medical condition.
(i) A statement that a bona fide health care professional-patient relationship exists under section 4472 of this title or that, under subdivision (3)(A) of this subsection (b), the debilitating medical condition is of recent or sudden onset.
(iii) A statement that the patient has a debilitating medical condition as defined in section 4472 of this title, including the specific disease or condition that the patient has and whether the patient meets the criteria under section 4472.
............................. , and that the facts stated above are accurate to the best of my knowledge and belief."
(v) The health care professional's contact information, license number, category of his or her health care profession as defined in subdivision 4472(6) of this title, and contact information for the out-of-state licensing agency, if applicable. The Department shall adopt rules for verifying the goodstanding of out-of-state health care professionals.
(vi) A statement that the medical verification form is not considered a prescription and that the only purpose of the medical verification form is to confirm that the applicant patient has a debilitating medical condition.
(3)(A) The Department shall transmit the completed medical verification form to the health care professional and contact him or her for purposes of confirming the accuracy of the information contained in the form.
(B) If the health care professional is licensed in another state as provided in section 4472 of this title, the Department shall verify that the health care professional is in good standing in that state.
(4) The Department shall approve or deny the application for registration in writing within 30 days from receipt of a completed registration application. If the application is approved, the Department shall issue the applicant a registration card, which shall include the registered patient's name and photograph, the registered patient's designated dispensary, if any, and a unique identifier for law enforcement verification purposes under section 4474d of this title.
(iii) an advanced practice registered nurse appointed by the Office of Professional Regulation.
(B) The Board shall meet periodically to review studies, data, and any other information relevant to the use of marijuana for symptom relief. The Board may make recommendations to the General Assembly for adjustments and changes to this chapter.
(C) Members of the Board shall serve for three-year terms, beginning February 1 of the year in which the appointment is made, except that the first members appointed shall serve as follows: one for a term of two years, one for a term of three years, and one for a term of four years. Members shall be entitled to per diem compensation authorized under 32 V.S.A. § 1010. Vacancies shall be filled in the same manner as the original appointment for the unexpired portion of the term vacated.
(a) A person may submit a signed application to the Department of Public Safety to become a registered patient's registered caregiver. The Department shall approve or deny the application in writing within 30 days. In accordance with rules adopted pursuant to section 4474d of this title, the Department shall consider an individual's criminal history record when making a determination as to whether to approve the application. An applicant shall not be denied solely on the basis of a criminal conviction that is not listed in subsection 4474g(e) of this title or 13 V.S.A. chapter 28. The Department shall approve a registered caregiver's application and issue the person an authorization card, including the caregiver's name, photograph, and a unique identifier, after verifying the person will serve as the registered caregiver for one registered patient only.
(b) Prior to acting on an application, the Department shall obtain from the Vermont Crime Information Center a Vermont criminal record, an out-of-state criminal record, and a criminal record from the Federal Bureau of Investigation for the applicant. Each applicant shall consent to release of criminal records to the Department on forms developed by the Center. The Department shall comply with all laws regulating the release of criminal history records and the protection of individual privacy. The Vermont Crime Information Center shall send to the requester any record received pursuant to this section or inform the Department of Public Safety that no record exists. If the Department disapproves an application, the Department shall promptly provide a copy of any record of convictions and pending criminal charges to the applicant and shall inform the applicant of the right to appeal the accuracy and completeness of the record pursuant to rules adopted by the Vermont Crime Information Center. No person shall confirm the existence or nonexistence of criminal record information to any person who would not be eligible to receive the information pursuant to this subchapter.
(c)(1) Except as provided in subdivision (2) of this subsection, a registered caregiver may serve only one registered patient at a time, and a registered patient may have only one registered caregiver at a time. A registered patient may serve as a registered caregiver for one other registered patient.
(a) The Department shall collect a fee of $50.00 for the application authorized by sections 4473 and 4474 of this title. The fees received by the Department shall be deposited into a registration fee fund and used to offset the costs of processing applications under this subchapter.
(a) A person who has in his or her possession a valid registration card issued pursuant to this subchapter and who is in compliance with the requirements of this subchapter, including the possession limits in section 4472 of this title, shall be exempt from arrest or prosecution under subsection 4230(a) of this title and from seizure of marijuana, marijuana-infused products, and marijuana-related supplies.
(b) A health care professional who has participated in a patient's application process under subdivision 4473(b)(2) of this title shall not be subject to arrest, prosecution, or disciplinary action under 26 V.S.A. chapter 23, penalized in any manner, or denied any right or privilege under State law, except for giving false information, pursuant to subsection 4474c(f) of this title.
(c) No person shall be subject to arrest or prosecution for constructive possession, conspiracy, or any other offense for simply being in the presence or vicinity of a registered patient or registered caregiver engaged in use of marijuana for symptom relief.
(d) A law enforcement officer shall not be required to return marijuana, marijuana-infused products, and marijuana-related supplies seized from a registered patient or registered caregiver. However, if marijuana or marijuana-infused products are seized by a law enforcement officer and if there is a subsequent determination that the patient or caregiver was in compliance with this subchapter, the seized marijuana and marijuana-infused products shall not count toward the possession limits or dispensary allocation set forth in this subchapter for the patient or caregiver.
(C) operating heavy machinery or handling a dangerous instrumentality.
(B) in a manner that endangers the health or well-being of another person.
(E) any public park, public beach, public recreation center, or youth center.
(4) for purposes of workers' compensation, an employer as defined in 21 V.S.A. § 601(3).
(c) A registered patient or registered caregiver who elects to grow marijuana to be used for symptom relief by the patient may do so only if the marijuana is cultivated in a single, secure indoor facility.
(e) Within 72 hours after the death of a registered patient, the patient's registered caregiver shall return to the Department of Public Safety for disposal any marijuana or marijuana plants in the possession of the patient or registered caregiver at the time of the patient's death. If the patient did not have a registered caregiver, the patient's next of kin shall contact the Department of Public Safety within 72 hours after the patient's death and shall ask the Department to retrieve such marijuana and marijuana plants for disposal.
(a) The Department of Public Safety shall maintain and keep confidential, except as provided in subsection (b) of this section and except for purposes of a prosecution for false swearing under 13 V.S.A. § 2904, the records of all persons registered under this subchapter or registered caregivers in a secure database accessible by authorized Department of Public Safety employees only.
(b) In response to a person-specific or property-specific inquiry by a law enforcement officer or agency made in the course of a bona fide investigation or prosecution, the Department may verify the identities and registered property addresses of the registered patient and the patient's registered caregiver, a dispensary, and an owner, a principal, a financier, and the employees of a dispensary.
(c) The Department shall maintain a separate secure electronic database accessible to law enforcement personnel 24 hours a day that uses a unique identifier system to allow law enforcement to verify that a person or entity is a registered patient, a registered caregiver, a dispensary, an owner, a principal, a financier, or an employee of a dispensary.
(d) The Department of Public Safety shall implement the requirements of this subchapter. The Department may adopt rules under 3 V.S.A. chapter 25 and shall develop forms to implement this subchapter.
(e) The Department shall adopt rules for the issuance of a caregiver Registry identification card that shall include standards for approval or denial of an application based on an individual's criminal history record. The rules shall address whether an applicant who has been convicted of an offense listed in subsection 4474g(e) of this title or 13 V.S.A. chapter 28 has been rehabilitated and should be otherwise eligible for a caregiver registry identification card.
(f) The Department shall adopt rules establishing protocols for the safe delivery of marijuana to patients and caregivers.
(1) Acquire, possess, cultivate, manufacture, process, transfer, transport, supply, sell, and dispense marijuana, marijuana-infused products, and marijuana-related supplies and educational materials for or to a registered patient who has designated it as his or her dispensary and to his or her registered caregiver for the registered patient's use for symptom relief.
(A) Marijuana-infused products shall include tinctures, oils, solvents, and edible or potable goods. Only the portion of any marijuana-infused product that is attributable to marijuana shall count toward the possession limits of the dispensary and the patient. The Department of Public Safety shall establish by rule the appropriate method to establish the weight of marijuana that is attributable to marijuana-infused products. A dispensary shall dispense marijuana-infused products in child-resistant packaging as defined in 7 V.S.A. § 1012.
(B) Marijuana-related supplies shall include pipes, vaporizers, and other items classified as drug paraphernalia under chapter 89 of this title.
(2)(A) Acquire marijuana seeds or parts of the marijuana plant capable of regeneration from or dispense them to registered patients or their caregivers or acquire them from another registered Vermont dispensary, provided that records are kept concerning the amount and the recipient.
(B) Acquire, purchase, or borrow marijuana, marijuana-infused products, or services from another registered Vermont dispensary or give, sell, or lend marijuana, marijuana-infused products, or services to another registered Vermont dispensary, provided that records are kept concerning the product, the amount, and the recipient. Each Vermont dispensary is required to adhere to all possession limits pertaining to cultivation as determined by the number of patients designating that dispensary and may not transfer eligibility to another dispensary.
(3)(A) Cultivate and possess at any one time up to 28 mature marijuana plants, 98 immature marijuana plants, and 28 ounces of usable marijuana. However, if a dispensary is designated by more than 14 registered patients, the dispensary may cultivate and possess at any one time two mature marijuana plants, seven immature plants, and four ounces of usable marijuana for every registered patient for which the dispensary serves as the designated dispensary.
(B) Notwithstanding subdivision (A) of this subdivision, if a dispensary is designated by a registered patient under 18 years of age who qualifies for the registry because of seizures, the dispensary may apply to the Department for a waiver of the limits in subdivision (A) of this subdivision (3) if additional capacity is necessary to develop and provide an adequate supply of a product for symptom relief for the patient. The Department shall have discretion whether to grant a waiver and limit the possession amounts in excess of subdivision (A) of this subdivision (3) in accordance with rules adopted pursuant to section 4474d of this title.
(4) With approval from the Department and in accordance with patient delivery protocols set forth in rule, transport and transfer marijuana to a Vermont postsecondary academic institution for the purpose of research.
(5) Acquire, possess, manufacture, process, transfer, transport, market, and test hemp provided by persons registered with the Secretary of Agriculture, Food and Markets under 6 V.S.A. chapter 34 to grow or cultivate hemp.
(b) A dispensary shall have a sliding-scale fee system that takes into account a registered patient's ability to pay.
(c) A dispensary shall not be located within 1,000 feet of the property line of a preexisting public or private school or licensed or regulated child care facility.
(d)(1) A dispensary shall implement appropriate security measures to deter and prevent the unauthorized entrance into areas containing marijuana and the theft of marijuana and shall ensure that each location has an operational security alarm system. All cultivation of marijuana shall take place in a secure, locked facility which is either indoors or outdoors, but not visible to the public and that can only be accessed by the owners, principals, financiers, and employees of the dispensary who have valid Registry identification cards. An outdoor facility is not required to have a roof, provided all other requirements are met. The Department shall perform an annual on-site assessment of each dispensary and may perform on-site assessments of a dispensary without limitation for the purpose of determining compliance with this subchapter and any rules adopted pursuant to this subchapter and may enter a dispensary at any time for such purpose. During an inspection, the Department may review the dispensary's confidential records, including its dispensing records, which shall track transactions according to registered patients' Registry identification numbers to protect their confidentiality.
(2)(A) A registered patient or registered caregiver may obtain marijuana from the dispensary by appointment only.
(B) A dispensary may deliver marijuana to a registered patient or registered caregiver. The marijuana shall be transported in a locked container.
(3) The operating documents of a dispensary shall include procedures for the oversight of the dispensary and procedures to ensure accurate record-keeping.
(4) A dispensary shall submit the results of a financial audit to the Department of Public Safety not later than 90 days after the end of the dispensary's first fiscal year, and every other year thereafter. The audit shall be conducted by an independent certified public accountant, and the costs of any such audit shall be borne by the dispensary. The Department may also periodically require, within its discretion, the audit of a dispensary's financial records by the Department.
(5) A dispensary shall destroy or dispose of marijuana, marijuana-infused products, clones, seeds, parts of marijuana that are not usable for symptom relief or are beyond the possession limits provided by this subchapter, and marijuana-related supplies only in a manner approved by rules adopted by the Department of Public Safety.
(e) A registered patient shall not consume marijuana for symptom relief on dispensary property.
(f) A person may be denied the right to serve as an owner, principal, financier, or employee of a dispensary because of the person's criminal history record in accordance with section 4474g of this title and rules adopted by the Department of Public Safety pursuant to that section.
(g)(1) A dispensary shall notify the Department within 10 days of when an owner, principal, financier, or employee ceases to be associated with or work at the dispensary. His or her Registry identification card shall be deemed null and void, and the person shall be liable for any penalties that may apply.
(2) A dispensary shall notify the Department in writing of the name, address, and date of birth of any proposed new owner, principal, financier, or employee and shall submit a fee for a new Registry identification card before a new owner, principal, financier, or employee begins his or her official duties related to the dispensary and shall submit a complete set of fingerprints for each prospective owner, principal, financier, or employee who is a natural person.
(1) Identify the particular strain of marijuana. Cannabis strains shall be either pure breeds or hybrid varieties of cannabis and shall reflect properties of the plant.
(2) Identify the amount of tetrahydrocannabinol in each single dose marijuana-infused edible or potable product.
(3) Contain a statement to the effect that the State of Vermont does not attest to the medicinal value of cannabis.
(3) training for employees required by subsection (j) of this section.
(2) specific procedural instructions on how to respond to an emergency, including robbery or violent incident.
(E) dispense marijuana to a person other than a registered patient who has designated the dispensary to provide for his or her needs or other than the patient's registered caregiver.
(2) A person found to have violated subdivision (1) of this subsection may no longer serve as an owner, principal, financier, or employee of any dispensary, and such person's Registry identification card shall be immediately revoked by the Department.
(3) The board of a dispensary shall be required to report to the Department of Public Safety any information regarding a person who violates this section.
(D) imposition of any penalty or denial of any right or privilege, including imposition of a civil penalty or disciplinary action by an occupational or professional licensing board or entity, solely for acting in accordance with this subchapter to assist registered patients or registered caregivers.
(2) No owner, principal, financier, or employee of a dispensary shall be subject to arrest, prosecution, search, seizure, or penalty in any manner or denial of any right or privilege, including civil penalty or disciplinary action by an occupational or professional licensing board or entity, solely for working for or with a dispensary to engage in acts permitted by this subchapter.
(A) The form and content of dispensary registration and renewal applications.
(B) Minimum oversight requirements for a dispensary.
(C) Minimum record-keeping requirements for a dispensary.
(D) Minimum security requirements for a dispensary, which shall include a fully operational security alarm system. This provision shall apply to each location where marijuana will be grown, cultivated, harvested, or otherwise prepared for distribution by the dispensary or will be distributed by the dispensary.
(E) Procedures for suspending or terminating the registration of a dispensary that violates the provisions of this subchapter or the rules adopted pursuant to this subchapter.
(F) The medium and manner in which a dispensary may notify registered patients of its services.
(G) Procedures to guide reasonable determinations as to whether an applicant would pose a demonstrable threat to public safety if he or she were to be associated with a dispensary.
(H) Procedures for providing notice to applicants regarding federal law with respect to marijuana.
(2) The Department of Public Safety shall adopt such rules with the goal of protecting against diversion and theft without imposing an undue burden on a registered dispensary or compromising the confidentiality of registered patients and their registered caregivers. Any dispensing records that a registered dispensary is required to keep shall track transactions according to registered patients' and registered caregivers' Registry identification numbers, rather than their names, to protect confidentiality.
(b)(1) Except as provided in subdivision (2) of this subsection, no more than five dispensaries shall hold valid registration certificates at one time. Any time a dispensary registration certificate is revoked, is relinquished, or expires, the Department shall accept applications for a new dispensary.
(2) Once the Registry reaches 7,000 registered patients, the number of dispensary registrations shall expand to six and the Department shall begin accepting applications forthwith.
(7) proposed procedures to ensure accurate record-keeping.
(d) Any time one or more dispensary registration applications are being considered, the Department shall solicit input from registered patients and registered caregivers.
(6) the sufficiency of the applicant's plans for safety and security, including the proposed location and security devices employed.
(f) The Department may deny an application for a dispensary if it determines that an applicant's criminal history record indicates that the association of an owner, principal, or financier with a dispensary would pose a demonstrable threat to public safety.
(4) a registration fee of $20,000.00 for the first year of operation, and an annual fee of $25,000.00 in subsequent years.
(5) a photograph of the person.
(b)(1) Prior to acting on an application for a Registry identification card, the Department shall obtain with respect to the applicant a Vermont criminal history record, an out-of-state criminal history record, and a criminal history record from the Federal Bureau of Investigation. Each applicant shall consent to the release of criminal history records to the Department on forms developed by the Vermont Crime Information Center. A fingerprint-supported, out-of-state criminal history record and a criminal history record from the Federal Bureau of Investigation shall be required only every three years for renewal of a card for a dispensary owner, principal, and financier.
(2) Once a Registry card application has been submitted, a person may serve as an employee of a dispensary pending the background check, provided the person is supervised in his or her duties by someone who is a cardholder. The Department shall issue a temporary permit to the person for this purpose, which shall expire upon the issuance of the Registry card or disqualification of the person in accordance with this section.
(c) When the Department obtains a criminal history record, the Department shall promptly provide a copy of the record to the applicant and to the owner, principal, or financier of the dispensary if the applicant is to be an employee. The Department shall inform the applicant of the right to appeal the accuracy and completeness of the record pursuant to rules adopted by the Department.
(d) The Department shall comply with all laws regulating the release of criminal history records and the protection of individual privacy. No person shall confirm the existence or nonexistence of criminal history record information to any person who would not be eligible to receive the information pursuant to this subchapter.
(e) The Department shall not issue a Registry identification card to any applicant who has been convicted of a drug-related offense or a violent felony or who has a pending charge for such an offense. As used in this subchapter, "violent felony" means a listed crime as defined in 13 V.S.A. § 5301(7) or an offense involving sexual exploitation of children in violation of 13 V.S.A. chapter 64.
(f) The Department shall adopt rules for the issuance of a Registry identification card and shall set forth standards for determining whether an applicant should be denied a Registry identification card because his or her criminal history record indicates that the person's association with a dispensary would pose a demonstrable threat to public safety. The rules shall consider whether a person who has a conviction for an offense not listed in subsection (e) of this section has been rehabilitated. A conviction for an offense not listed in subsection (e) of this section shall not automatically disqualify a person for a Registry identification card. A dispensary may deny a person the opportunity to serve as a board member or an employee based on his or her criminal history record. An applicant who is denied a Registry identification card may appeal the Department's determination in Superior Court in accordance with Rule 75 of the Vermont Rules of Civil Procedure.
(a) A registered patient or his or her caregiver may obtain marijuana only from the patient's designated dispensary and may designate only one dispensary. A registered patient who wishes to change his or her dispensary shall notify the Department in writing on a form issued by the Department and shall submit with the form a fee of $25.00. The Department shall issue a new identification card to the registered patient within 30 days of receiving the notification of change in dispensary. The registered patient's previous identification card shall expire at the time the new identification card takes effect. A registered patient shall submit his or her expired identification card to the Department within 30 days of expiration. A registered patient shall not change his or her designated dispensary more than once in any 30-day period.
(b) The Department of Public Safety shall track the number of registered patients who have designated each dispensary. The Department shall issue a monthly written statement to the dispensary identifying the number of registered patients who have designated that dispensary and the Registry identification numbers of each patient and each patient's designated caregiver, if any.
(F) the Commissioner of Public Safety or his or her designee.
(C) sufficiency of the regulatory and security safeguards contained in this subchapter and adopted by the Department of Public Safety to ensure that access to and use of cultivated marijuana is provided only to cardholders authorized for such purposes.

References: § 11101
 § 3001
 § 3201
 § 3261
 § 1010
 § 601
 § 2904
 § 1012
 § 5301