1. Michigan Medical Marihuana Program Michigan Department of Community Health Bureau of Health Professions April 14, 2009

2. Initiated Law 1 of 2008 Referred to as the Medical Marihuana Act (MMA) Primary purpose of the act is to create a registry of authorized “users” Act was effective December 4, 2008 Program must be implemented by April 4, 2009 Responsibility assigned to MDCH Bureau of Health Professions

3. Purpose of Registry To create a list of individuals who meet the definition of a qualified patient that can use marihuana for medical purposes To identify individual who is designated as the primary caregiver for a qualified patient

4. Registration Process Submits DCH approved application, fee, and physician certification to MDCH DCH reviews and approves/denies application with 15 days of receipt DCH issues registration card with 5 days of approval

5. Registration is good for only one year Must reapply each year by submitting a completed application form, fee and physician certification form

6. Physician’s role Voluntary participation Completion of the Physician’s Certification –Patient was evaluated –Patient has 1 or more qualifying medical conditions –Potential for therapeutic or palliative benefit Physician is not prescribing marihuana

7. Qualifying conditions Cancer Glaucoma HIV AIDS Hepatitis C Amyotrophic lateral sclerosis Crohn’s disease Agitation of Alzheimer’s disease Nail patella Or the treatment of these conditions Treatment of chronic or debilitating disease or medical condition or its treatment that produces 1 or more of the following: Cachexia or wasting syndrome Severe and chronic pain Severe nausea Seizures such as epilepsy Severe or persistent muscle spasms such as multiple sclerosis

8. How does someone become a caregiver? Patient identifies individual as the primary caregiver on the registration application form The primary caregiver must: –be 21 years old –have no felony convictions involving illegal drugs –agree to assist patient with medical use of marihuana

9. How much marihuana can qualifying patient possess? 2.5 ounces of usable marihuana (excludes seeds, stalks and roots) 12 marihuana plants kept in an enclosed, locked facility

10. How much marihuana can primary caregiver possess per patient? Caregiver can only possess marihuana if designated to do so by qualifying patient Limits per patient are: –2.5 ounces of usable marihuana (excludes seeds, stalks and roots) –12 marihuana plants kept in an enclosed, locked facility No more than 5 patients per caregiver

11. How does the qualified patient get the marihuana? Act is silent on this issue State is not authorized to regulate growing sites or quality of product under this Act

12. Qualifying Medical Condition Review Panel Review petitions for additional medical conditions or treatments to be added to the list of conditions or treatments for which the use of medical marihuana is approved Provide recommendations to DCH regarding whether petitions should be approved or denied

13. Employer Concerns Employees holding an approved registration card Patients holding an approved registration card

14. Relevant Provisions Sec. 7.(b) This act shall not permit any person to do any of the following: –(1) Undertake any task under the influence of marihuana, when doing so would constitute negligence or professional malpractice –(3)(B) Smoke marihuana in any public place

15. Sec.7.(c) Nothing in this act shall be construed to require: –(2) An employer to accommodate the ingestion of marihuana in any workplace or any employee working while under the influence of marihuana

16. Patient Obligation Question: – If a patient holds a registration card, does the facility have to allow the patient to smoke in the facility? Response: –If the facility is a non-smoking facility, the facility is under no obligation to allow the patient to smoke. –The law prohibits smoking in public places. –Remember marihuana can be ingested in other ways

17. Question: –Is the patient or their caregiver obligated to inform the facility that they hold a registration card? Response: –No. Participation in the program is confidential and the patient is under no obligation to inform the facility. –Patients should be encouraged to share the information with health care providers.

18. Additional Information www.michigan.gov/mmp –Updates on program –Act and Administrative Rules – Applications –Forms for record updates such as address changes and designated caregiver changes –Frequently Asked Questions

19. Contact MMP Mailing Address: –P.O. Box 30670 Lansing, Michigan 48909 Street Address: –611 W. Ottawa Street Lansing, Michigan 48933 Telephone Number: –517-373-0395 Email Address: bhpinfo@michigan.govbhpinfo@michigan.gov

20. Contact Information Rae Ramsdell Bureau of Health Professions Licensing Director (517)-373-6873 rhramsd@michigan.gov