Medical Cannabis Implementation Update - PowerPoint Presentation

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Medical Cannabis Implementation Update

September 2016Slide3

Implementation Timeline

Office of Compassionate Use Established

: July 1, 2014

Florida Administrative Code Chapter 64-4 Promulgated, Final Rule Upheld:

May 28, 2015

Dispensing Organization Applications Accepted:

July 8, 2015

Five

Approved

Dispensing

Organizations Announced:

Nov. 23, 2015

All Five Initial Dispensing Organizations Request Cultivation Authorization:

Feb. 5, 2016

Governor

Scott signs HB 307 (Chapter 2016-126, Laws of Florida) into Law:

Mar 25, 2016

The Green Solution

(San

Felasco

Nursery) Approved:

Apr 6, 2016Slide4

6 Approved Dispensing Organizations

Northwest Region

:

Trulieve

(Gadsden)

Northeast Region

:

CHT Medical

(Alachua)

The Green Solution

(Alachua)

Central Region

:

Knox Medical

(Orange)

Southwest Region

:

Surterra Therapeutics

(Hillsborough & Leon)

Southeast Region

:

Modern Health Concepts

(Miami-Dade)Slide5

Implementation Timeline

Dispensing

Organizations Granted Cultivation Authorization:

Surterra

Therapeutics (Alpha Foliage) Feb 11, 2016

Trulieve

(Hackney Nursery) Feb 29, 2016

Modern Health Concepts (Costa Nursery Farms) Mar 14, 2016

Knox

Medical

(Knox Nursery)

May

13, 2016

CHT Medical (Chestnut Hill Tree Farm)

May

22, 2016

The Green Solution (San

Felasco

Nurseries) July, 09,

2016

Dispensing Organizations Granted Dispensing Authorizations:

Trulieve

(Hackney Nursery)

July 20, 2016

Surterra

Therapeutics (Alpha Foliage)

July 27, 2016

Modern Health Concepts (Costa) September 9, 2016

First Dispensing Organization Began Dispensing:

July 23, 2016Slide6

What is a Dispensing Organization?

The

only

entities in Florida that can grow, process, or sell cannabis.

Vertically integrated:

Dispensing organizations are vertically integrated businesses meaning they must cultivate, process, and dispense the low-THC and medical cannabis.

Statewide dispensing:

Dispensing

organizations who have been granted dispensing authorization may dispense statewide. Slide7

Projected Dispensing Locations

Northwest Region

:

- Panama City

- Pensacola

- Quincy

- Tallahassee

Northeast Region

:

- Gainesville

- Jacksonville

- Ocala

- Orange Park

Central Region

:

- Daytona

- Orlando

- Palm Bay

Southwest Region

:

Cape Coral

Sarasota

St. Petersburg

Tampa

Southeast Region

:

- Miami-metro

- Port St. Lucie

- Fort Lauderdale

- West Palm BeachSlide8

Who Qualifies?

Patient Requirements:

Must be diagnosed with a qualifying

condition (outlined below)

Must be a Florida resident

Must be a patient of the ordering physician

for the immediately preceding

3

months

Low-THC Cannabis:

Cancer

Epilepsy

Chronic seizures

Chronic muscle spasms

Medical Cannabis:

Terminal Conditions

* Two physicians must certify that a patient’s condition will be fatal within one year, if it runs its normal course.Slide9

Who Can Order Cannabis?

Only

qualifying physicians may order low-THC and medical cannabis for patients

Qualifying physicians must:

Have an active, unrestricted license under Chapters 458 or 459, Florida Statutes

Complete an 8 hour course and examination provided by the Florida Medical Association and Florida Osteopathic Medical Association

Treat a patient for at least 3 months before patients registration in the registry

Obtain voluntary, written informed consent from the patient/legal representative

Maintain a patient treatment plan for each patient and submit the plan quarterly to the University of Florida School of Pharmacy

Order no more than a 45-day supply for patients

Medical Directors employed by a Dispensing Organization may not order cannabis for patientsSlide10

How Does It Work?

Step 1:

A physician diagnoses a patient with a qualifying condition.

Step 2:

After treating a patient for at least 3 months, and obtaining voluntary, written informed consent, a physician enters an order for no more than a 45 day supply of low-THC, medical cannabis, or a cannabis delivery device into the Compassionate Use Registry.

Step

3:

The ordering physician must submit a patient treatment plan

quarterly

to the University of Florida School of

Pharmacy. The patient treatment plan must be updated in the Compassionate and submitted to the UF School of Pharmacy within 7 days of any change.

Step 4:

A patient may fill his or her order at any dispensary operated by one of Florida’s six approved dispensing organizations. Slide11

Illegal Activity

What is

not

authorized “medical use

”

Smoking cannabis

(but vaporizer is allowed

)

Cannabis ordered by anyone other than a qualified physician, through the Compassionate Use Registry

Cannabis dispensed by anyone other than one of the six approved dispensing organizations

Transfer to

anyone other

than the qualified patient or their legal representative

Use or administration of a low-THC or medical cannabis product

on public transportation, in public, in place of employment, in correctional institutions, on the grounds of a school, on a school bus, or in a vehicle, aircraft or motorboat

.

Home GrowsSlide12

Compassionate Use Registry

All law enforcement organizations may request access to the Compassionate Use Patient Registry

Law enforcement organizations may designate a “master user” that has the ability to create and manage users for their organization

Law enforcement users may search for patients (and legal representatives) in the Compassionate Use Registry

To perform a

search

, you must supply the

first

and

last

n

ames

of the person you wish to search for, and also their Date of

Birth

T

he

p

atient

r

esults

page will show you whether or not the person you searched for is authorized to possess

cannabis, and a cannabis delivery devices Slide13

Potential Anticipated Violations

“Dispensing” from any organization that is not one of the 6 approved

organizations

Physicians “ordering” outside of the confines of the Compassionate Use Registry

Physicians “ordering” for patients not registered in the Compassionate Use

Registry

Physicians ordering more than a 45-day supply

Medical Directors of the approved dispensing organizations may be subject to discipline for some or all violations committed by the dispensing organizations or their

employees