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Timestamp: 2018-07-21 13:40:51
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PA Bulletin, Doc. No. 18-730>
[48 Pa.B. 2810]
The Department of Health (Department) is publishing amended temporary regulations in Chapter 1191 (relating to patients and caregivers—temporary regulations) to read as set forth in Annex A. These amended temporary regulations are published under the Medical Marijuana Act (act) (35 P.S. §§ 10231.101—10231.2110). Section 1107 of the act (35 P.S. § 10231.1107) specifically provides that, to facilitate the prompt implementation of the act, the Department may promulgate temporary regulations that are not subject to sections 201—205 of the act of July 31, 1968 (P.L. 769, No. 240) (45 P.S. §§ 1201—1205), known as the Commonwealth Documents Law, the Regulatory Review Act (71 P.S. §§ 745.1—745.14) and sections 204(b) and 301(10) of the Commonwealth Attorneys Act (71 P.S. §§ 732-204(b) and 732-301(10)).
To implement the Medical Marijuana Program, the Department periodically published temporary regulations regarding various sections of the act. Chapter 1191 sets forth the requirements for a patient and caregiver to become registered with the Department to participate in the Medical Marijuana Program under the act.
The Department is amending the existing temporary regulations in Chapter 1191 for the sake of consistency, and to take into account the need for changes that have arisen as each new set of temporary regulations has been implemented by the Department. Under section 1202 of the act (35 P.S. § 10231.1202), the Department is also amending the existing temporary regulations to effectuate the recommendations made by the Medical Marijuana Advisory Board (Board). After consideration of the Board's Report, the Secretary of Health decided to implement the Board's recommendations through the promulgation of temporary regulations.
These amended temporary regulations in Chapter 1191 will become effective May 17, 2018, and will expire on May 12, 2020.
(Editor's Note: Title 28 of the Pennsylvania Code is amended by adding a temporary regulation in § 1191.34 and amending the temporary regulations in §§ 1191.21—1191.33 to read as set forth in Annex A.)
Fiscal Note: 10-215. No fiscal impact; (8) recommends adoption.
CHAPTER 1191. PATIENTS AND CAREGIVERS—
§ 1191.21. Definitions.
(b) Patient and caregiver information maintained by the Department is confidential and not subject to public disclosure, including disclosure under the Right-to-Know Law (65 P.S. §§ 67.101—67.3104). Patient and caregiver information must include the following:
(c) The Department may issue an identification card to an individual who is under 21 years of age to serve as a caregiver when a sufficient showing is made to the Department that the individual should be permitted to serve as a caregiver, as determined by the Department.
(5) A decision by a patient, the patient's legal guardian or a parent on behalf of a patient to discontinue obtaining medical treatment from the practitioner who issued the patient certification.
(1) The removal of the medical marijuana cardholder from the patient and caregiver registry under § 1191.30 (relating to revocation or suspension of identification card).
§ 1191.25. Application for, and issuance or denial of, identification cards.
(b) An identification card application submitted by or on behalf of a patient must include, at a minimum, the following information:
(5) The patient certification issued by the patient's practitioner, which shall be provided by the practitioner to the Department under § 1181.27(d)(2) (relating to issuing patient certifications).
(c) For an application submitted under this section that designates an individual as a caregiver who is not authorized under the act or this part to serve as a caregiver, the following apply:
(3) An individual designated as a caregiver may not serve as a caregiver unless and until the individual submits an application under subsection (d) and the individual is issued an identification card by the Department.
(d) An identification card application submitted by a caregiver must include, at a minimum, the following information:
(4) The patient certification issued by the patient's practitioner, which will be provided by the practitioner to the Department under § 1181.27(d)(2).
(a) An applicant shall pay no more than one fee of $50 in a 12-month period for an identification card with an identification card application.
(b) Notwithstanding subsection (a):
(1) An applicant shall submit a fee of $25 if the Department issues a replacement identification card as a result of a lost, stolen, destroyed, defaced or illegible identification card.
(2) An applicant shall pay a second fee of $50 in the same 12-month period with an identification card renewal application.
(a) An individual applying for an identification card to serve as a caregiver shall submit fingerprints to the Pennsylvania State Police, or an authorized agent, for the purpose of obtaining a criminal history record check. The Pennsylvania State Police, or an authorized agent, will submit the fingerprints to the Federal Bureau of Investigation for the purpose of verifying the identity of the caregiver and obtaining a current record of any criminal arrests and convictions.
(7) Any requirement or limitation on the patient certification concerning the recommended form of medical marijuana products or limitation on the duration of use, if applicable.
(a) A medical marijuana cardholder shall submit an identification card renewal application to the Department no later than 30 days prior to the expiration date on the card. The form of the renewal application will be prescribed by the Department and will be made available on the Department's publicly-accessible web site and in hard copy upon request. A medical marijuana cardholder shall include with the identification card renewal application a new or updated patient certification issued by the patient's practitioner, which will be provided by the practitioner to the Department under § 1181.27(d)(2) (relating to issuing patient certifications).
§ 1191.30. Revocation or suspension of identification card.
(a) The Department may revoke or suspend a medical marijuana cardholder's identification card upon the occurrence of any of the following:
(3) The patient or caregiver has intentionally, knowingly or recklessly violated the act or regulations as determined by the Department. The suspension or revocation will be in addition to any criminal or other penalty that may apply.
(4) Except for good cause shown, a medical marijuana cardholder does not visit a dispensary within 60 days from the issuance date on an identification card.
(5) A patient notifies the Department in writing that the patient has removed or changed a current caregiver. If the caregiver is not serving as a caregiver for any other patient, the Department will issue a notification to the caregiver that the caregiver's identification card is invalid and shall be promptly returned to the Department.
(c) If a patient's practitioner's registration has been revoked or suspended under § 1181.26 (relating to denial, revocation or suspension of a practitioner registration) or if a patient's practitioner withdraws the patient's patient certification under § 1181.29(c), a medical marijuana cardholder shall submit a new application for an identification card within 90 days of receiving written notice from the Department or prior to the expiration date on the identification card, whichever is sooner.
§ 1191.31. Obtaining medical marijuana products from a dispensary.
(a) A medical marijuana cardholder may only obtain medical marijuana products from a dispensary in accordance with § 1161.24 (relating to limitations on dispensing).
(b) A medical marijuana cardholder may only obtain medical marijuana products from a dispensary based upon the recommendation in a patient certification that has not been revoked under § 1181.29 (relating to revocation of a patient certification) and that may be accessed by a dispensary through the electronic tracking system.
(a) The Department will issue a medical marijuana patient authorization letter to a minor patient instead of issuing an identification card to the minor patient. Upon reaching 18 years of age, a minor patient who has been issued a medical marijuana patient authorization letter will be entitled to receive an identification card upon application under § 1191.25 (relating to application for, and issuance or denial of, identification cards).
§ 1191.34. Effective date and applicability.
[Pa.B. Doc. No. 18-730. Filed for public inspection May 11, 2018, 9:00 a.m.]