SB 7 — Medical Marijuana Use in Health Facilities

alsoREPRESENTATIVE(S)LiederandFeret,Bacon,Boesenecker,Carter,alsoREPRESENTATIVE(S)LiederandFeret,Bacon, Duran,Froelich,GonzalezR.,Hamrick,Lindsay,Nguyen,Phillips,Rutinel.Boesenecker, Carter, Duran,Froelich, GonzalezR., Hamrick,Lindsay,Nguyen, Phillips,Rutinel.

CCONCERNING ONCERNING THE USE OF MEDICAL MARIJUANA BY TERMINALLY ILL PATIENTS IN HEALTH FACILITIES.

Be it enacted by the General Assembly ofofthe the State ofofColorado: Colorado:

(1) Shorttitle.THESHORTTITLEOFTHISSECTIONISShorttitle.THE "RYANSHORTTITLEOFTHIS 'SLSECTION AWIS "."RYAN'S LA w".

(a) IADDITIONTOTHEDEFINITIONSSETFORTHINSECTIONIN 14(1)ADDITION OFTO THE DEFINITIONS SETFORTH IN SECTION 14 (l)O F ARTICLE XVIII OFTHESTATECONSTITUTIONANDINSECTIONOFTHESTATE CONSTITUTION AND IN SECTION 25-1.5-106(2), AS USED IN THIS SECTION,UNLESSSECTION, UNLESS THE CONTEXT OTHERWISE REQUIRESREQUIRES: :

________ Capital letters oror&bitalic bold & italic numbers indicate new material added to existing law;

dashes through words or numbers indicate deletionsdeletionsfrom from existing law andandsuch such material is notnotpart part of the act.

(I)(I)"HEALTH "HEALTHFACILITY" FACILITYMEANS "MEANS A FACILITY LICENSED OR CERTIFIED PURSUANT TO SECTION 25-1.5-103 (1)OR(1) OR ARTICLE 3OF3 OF THIS TITLE25.TITLE 25.

(II) "TERMINALLY ILLILL" "OROR "TERMINAL ILLNESSILLNESS" "HASHAS THE MEANING SET FORTH IN SECTION25-45-103SECTION 25-45-103 (3).

(b) DEFINITIONSINSECTIONDEFINITIONS 25-1.5-106(2)APPLYTOTERMSASTHEYINSECTION 25-1.5-106 (2) APPLYTOTERMS ASTHEY ARE USED IN THIS SECTION.

(3) WWHEN HEN A PATIENT WHO IS REGISTERED WITH THE MEDICAL MARIJUANAPROGRAMMARIJUANA ,PURSUANTPROGRAM, TOSECTIONPURSUANTTO SECTION 14 OFARTICLEOF ARTICLE XVIII OFTHEOF THE STATE CONSTITUTIONCONSTITUTION, ,HASHAS A TERMINAL ILLNESS AND IS CHECKED IN TO OR RESIDING AT A HEALTH FACILITYFACILITY, ,THETHE HEALTH FACILITY MAY ALLOW THE PATIENT TO USE MEDICAL MARIJUANA IN A MANNER THATTHAT: :

(a) DDOES OES NOT INVOLVE SMOKING OR VAPINGVAPING; ;

(b) ISIs IN ACCORDANCE WITH THE PATIENTPATIENT'S 'S PRESCRIPTION OR PHYSICIANRECOMMENDATIONMADEPURSUANTTOSECTIONPHYSICIANRECOMMENDATIONMADEPURSUANTTOSECTION25-l.5-106(5); 25-1.5-106(5);

AND (c) ISIsIN IN ACCORDANCE WITH SECTION 14 OF ARTICLEXVIIIARTICLE XVIII OF THE STATE CONSTITUTIONCONSTITUTION. .

(a) REQUIRETHEPATIENTORTHEPATIENTREQUIRETHE SCAREGIVERTOPROVIDEPATIENTORTHE PATIENT'S CAREGIVERTO PROVIDE A COPY OF THE PATIENT'S VALID REGISTRY IDENTIFICATION CARD;

(b) DDOCUMENT OCUMENT THE PATIENTPATIENT'S S MEDICAL MARIJUANA PROGRAM REGISTRATIONANDMEDICALMARIJUANAUSAGEINTHEPATIENTREGISTRATION SMEDICALAND RECORDSMEDICAL ;MARIJUANA USAGE IN THE PATIENT'S MEDICAL RECORDS;

(c) DDEVELOP EVELOP AND DISSEMINATE WRITTEN GUIDELINES FOR THE POSSESSIONPOSSESSION, USEUSE, ,ADMINISTRATIONADMINISTRATION, ,ANDSTORAGEOFMEDICALMARIJUANAAND WITHINSTORAGE THEOFMEDICAL HEALTHMARIJUANA FACILITYWITHIN ;AND (d) R EASONABLY RESTRICT THE MANNERHEALTH INFACILITY; WHICH A PATIENT MAY PAGE 2-SENATE BILL 26-007 POSSESS,USE ,ADMINISTER ,AND STORE MEDICAL MARIJUANA ,INCLUDING REQUIRINGMEDICALMARIJUANATOBESTOREDINALOCKEDCONTAINER ,TO ENSURE :

(I)AND TESAFETYOFTHEHEALTHFACILITY(d) 'SOTHERPATIENTSREASONABLY ,GUESTSRESTRICT ,THE MANNER IN WHICH A PATIENT MAY PA G E 2-SENATE BILL 26-007 POSSESS, USE, ADMINISTER, AND EMPLOYEESSTORE ;MEDICAL MARIJUANA, INCLUDING REQUIRINGMEDICALMARIJUANATO BESTORED INALOCKEDCONTAINER, TO ENSURE:

(II)(I)THESAFETYOFTHEHEALTH THEFACILITY'SOTHERPATIENTS, SAFEGUESTS, OPERATIONSAND OFEMPLOYEES; THE HEALTH FACILITY;AND (III) OMPLIANCE WITH OTHER STATE LAWS .

(5)(11)THE ASAFE HEALTHOPERATIONS FACILITYOF ISTHE NOTHEALTH REQUIREDFACILITY; TO STORE , SECURE , INVENTORY ,DISPENSE,LABEL DOCUMENT ,OROTHERWISEHANDLEMEDICAL MARIJUANA FOR A PATIENT .

(6)(a)AND AHEALTHFACILITYANDITSEMPLOYEESARENOTLIABLEFOR(III) CONDUCT PERFORMED IN COMPLIANCE WITH THISOTHER SECTION , SECTION14 OF ARTICLE XVIII OF THE STATE CONSTITUTION,ANDLAWS. THE HEALTH FACILITY S GUIDELINES UNLESS SUCH CONDUCT IS PERFORMED NEGLIGENTLY OR RECKLESSLY .

(b)(5) A HEALTH FACILITY,ITSFACILITY EMPLOYEESIS ,AND ITS AGENTS ARE NOT SUBJECTTOCIVILREQUIRED ,CRIMINALTO ,ADMINISTRATIVESTORE, ,OREMPLOYMENTLIABILITYSECURE, FORINVENTORY, PROHIBITINGDISPENSE, ORLABEL, RESTRICTINGDOCUMENT,OROTHERWISEHANDLE THE POSSESSIONUSE ,ADMINISTRATION , OR STORAGE OF MEDICAL MARIJUANA INFORA ACCORDANCEPATIENT. WITH THE WRITTEN GUIDELINES DEVELOPED BY THE HEALTH FACILITY PURSUANT TO SUBSECTION (4)(c)OF THIS SECTION.

(7)(6)(a) THEA DEPARTMENTHEALTH SHALLFACILITY NOTAND REQUIREITS COMPLIANCEEMPLOYEES WITHARENOT THISLIABLE SECTIONFOR ASCONDUCT APERFORMED CONDITIONIN TOCOMPLIANCE OBTAINWITH ,RETAINTHIS ,ORSECTION, RENEWSECTION A14 LICENSEOF ORARTICLE CERTIFICATIONXVIII THATOF ISTHE REQUIREDSTATE FORCONSTITUTION, AAND THE HEALTH FACILITYFACILITY'S TOGUIDELINES OPERATEUNLESS PURSUANTSUCH TOCONDUCT SECTIONIS 25-1.5-103.PERFORMED NEGLIGENTLY OR RECKLESSLY.

(8)(b) (a)A AHEALTHHEALTH FACILITYFACILITY, MAYITS SUSPENDEMPLOYEES, COMPLIANCEAND WITHITS THISAGENTS SECTIONARE IFNOT ASUBJECTTO FEDERALCIVIL, REGULATORYCRIMINAL, AGENCYADMINISTRATIVE, ,THEOREMPLOYMENT FEDERALLIABILITY CENTERS FOR MEDICAREPROHIBITING ANDOR MEDICAIDRESTRICTING SERVICESTHE ,ORPOSSESSION, USE, ADMINISTRATION, OR STORAGE OF MEDICAL MARIJUANA IN ACCORDANCE WITH THE UWRITTEN NITEDSGUIDELINES TATESDEVELOPED DEPARTMENTBY THE HEALTH FACILITY PURSUANT TO SUBSECTION (4)(C) OF JUSTICE:THIS SECTION.

(I)(7) INITIATESTHE ANDEPARTMENT ENFORCEMENTSHALL ACTIONNOT AGAINSTREQUIRE THECOMPLIANCE HEALTHWITH FACILITYTHIS RELATEDSECTION AS A CONDITION TO THEOBTAIN, HEALTHRETAIN, FACILITYOR SRENEW COMPLIANCEA WITHLICENSE THEOR PAGECERTIFICATION 3-SENATETHAT BILLIS 26-007REQUIRED MEDICALFOR MARIJUANAA PROGRAMHEALTH ;FACILITY TO OPERATE PURSUANT TO SECTION 25-1.5-103.

(II)(8) ISUES(a)A AHEALTH REGULATIONFACILITY ORMAY OTHERWISESUSPEND PROVIDESCOMPLIANCE NOTIFICATIONWITH TOTHIS THESECTION HEALTHIF FACILITYA THATFEDERAL EXPRESSLYREGULATORY PROHIBITSAGENCY, THE USEFEDERAL OFMEDICALCENTERS MARIJUANAFOR INMEDICARE HEALTHAND FACILITIESMEDICAID ;ORSERVICES, (III)OR AFFIRMATIVELY PROHIBITS COMPLIANCE WITH THE MEDICALUNITED MARIJUANASTATES PROGRAMDEPARTMENT .OF JUSTICE:

(b)(I) AINITIATES HEALTHAN FACILITYENFORCEMENT THATACTION HASAGAINST SUSPENDEDTHE COMPLIANCEHEALTH WITHFACILITY THISRELATED SECTION PURSUANT TO SUBSECTIONTHE (8)(a)OFHEALTH THISFACILITY'S SECTIONCOMPLIANCE SHALLWITH RESUMETHE COMPLIANCEWITHTHISSECTIONUPONNOTIFICATIONTHATPA ITG MAYE DO3-SENATE SOBILL FROM26-007 THEMEDICAL FEDERALMARIJUANA ENTITYPROGRAM; THAT CAUSED THE SUSPENSION .

(9)(II) TISSUES HEA DEPARTMENTREGULATION SHALLOR NOTOTHERWISE REQUIREPROVIDES ANOTIFICATION TO THE HEALTH FACILITY TOTHAT COMPLYEXPRESSLY WITHPROHIBITS THISTHE SECTIONUSE IFOF SUCHMEDICAL COMPLIANCEMARIJUANA WOULD RESULT IN :HEALTH FACILITIES;

(a)OR A(III) VIOLATIONAFFIRMATIVELY OFPROHIBITS STATECOMPLIANCE LAWWITH ;THE MEDICAL MARIJUANA PROGRAM.

(b) THELOSSOFFEDERALFUNDINGTOTHESTATEORTOTHEHEALTHA FACILITY;HEALTH FACILITY THAT HAS SUSPENDED COMPLIANCE WITH THIS SECTION PURSUANT TO SUBSECTION (8)(a) OF THIS SECTION SHALL RESUME COMPLIANCE WITH THIS SECTION UPON NOTIFICATION THAT IT MAY DO SO FROM THE FEDERAL ENTITY THAT CAUSED THE SUSPENSION.

(c)(9)THE NONCOMPLIANCEBYTHEHEALTHFACILITYWITHDEPARTMENT CONDITIONSOFSHALL PARTICIPATIONNOT INREQUIRE THEA FEDERALHEALTH MEDICAREFACILITY ORTO MEDICAIDCOMPLY PROGRAMSWITH ;ORTHIS (d)SECTION NIF ONCOMPLIANCESUCH BYCOMPLIANCE THEWOULD HEALTHRESULT FACILITYIN: WITH ANY ACCREDITATION OR LICENSING REQUIREMENTS .

(10)(a) THISSECTIONDOESNOTREQUIREAHEALTHFACILITYTOPERMITAVIOLATION THE POSSESSION , USE, ADMINISTRATION , OR STORAGE OF MEDICALSTATE MARIJUANALAW; ON THE PREMISES OF THE HEALTH FACILITY .

(b)THE LOSS OF FEDERAL FUNDINGTO THE STATEORTOTHE HEALTH FACILITY;

(c) NONCOMPLIANCE BYTHEHEALTH FACILITY WITH CONDITIONS OF PARTICIPATION IN THE FEDERAL MEDICARE OR MEDICAID PROGRAMS;

OR (d) NONCOMPLIANCE BY THE HEALTH FACILITY WITH ANY ACCREDITATION OR LICENSING REQUIREMENTS.

(10)THIS SECTION DOESNOTREQUIREAHEALTH FACILITYTO PERMIT THE POSSESSION, USE, ADMINISTRATION, OR STORAGE OF MEDICAL MARIJUANA ON THE PREMISES OF THE HEALTH FACILITY.

InColoradoRevisedStatutes,25-1.5-106,amend(2)InColoradoRevised Statutes, 25-1.5-106amend (2) introductory portion as follows:

Medical marijuana program - powers and duties of state health agency - rules - enforcement - fees - medical marijuana programcashfund-subaccount-"Ethan'sLaw"-definitions-repeal.program cash fund -subaccount- "Ethan's Law" -definitions - repeal.

(2) Definitions.Definitions.In addition to the definitions set forth in section 14 PAGE 4-SENATE BILL 26-007 (1) ofarticle XVIII ofthe state constitution, as used in this sectionAND IN SECTION 25-1.5-106.1, unless the context otherwise requires:

In addition to the definitions set forth in section 14 PAGE 4-SENATE BILL 26-007 (1) of article XVIII of the state constitution, as used in this seAND IN SECTION 25-1.5-106.1, unless the context otherwise requires: