contains cannabis or any tetrahydrocannabinol or THC analog in a total concentration of 0. See Utah Code 26B-4-201
Conditional medical cannabis card: means an electronic medical cannabis card that the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an applicant for a medical cannabis card to access medical cannabis during the department's review of the application. See Utah Code 26B-4-201
Controlled substance database: means the controlled substance database created in Section 58-37f-201. See Utah Code 26B-4-201
Department: means the Department of Health and Human Services. See Utah Code 26B-4-201
Government issued photo identification: means any of the following forms of identification:
(a)
a valid state-issued driver license or identification card;
(b)
a valid United States federal-issued photo identification, including:
(i)
a United States passport;
(ii)
a United States passport card;
(iii)
a United States military identification card; or
(iv)
a permanent resident card or alien registration receipt card; or
Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
Limited medical provider: means an individual who:
(a)
meets the recommending qualifications; and
(b)
has no more than 15 patients with a valid medical cannabis patient card or provisional patient card as a result of the individual's recommendation, in accordance with Subsection 26B-4-204(1)(b). See Utah Code 26B-4-201
Medical cannabis: means cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage form. See Utah Code 26B-4-201
Medical cannabis card: means a medical cannabis patient card, a medical cannabis guardian card, a medical cannabis caregiver card, or a conditional medical cannabis card. See Utah Code 26B-4-201
Medical cannabis cardholder: means :
(a)
a holder of a medical cannabis card; or
(b)
a facility or assigned employee, described in Subsection(17)(b), only:
(i)
within the scope of the facility's or assigned employee's performance of the role of a medical cannabis patient cardholder's caregiver designation under Subsection 26B-4-214(1)(b); and
(ii)
while in possession of documentation that establishes:
(A)
a caregiver designation described in Subsection 26B-4-214(1)(b);
(B)
the identity of the individual presenting the documentation; and
(C)
the relation of the individual presenting the documentation to the caregiver designation. See Utah Code 26B-4-201
Medical cannabis caregiver card: means an electronic document that a cardholder may print or store on an electronic device or a physical card or document that:
(a)
the department issues to an individual whom a medical cannabis patient cardholder or a medical cannabis guardian cardholder designates as a designated caregiver; and
Medical cannabis device: means a device that an individual uses to ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage form. See Utah Code 26B-4-201
Medical cannabis guardian card: means an electronic document that a cardholder may print or store on an electronic device or a physical card or document that:
(a)
the department issues to the parent or legal guardian of a minor with a qualifying condition; and
Medical cannabis patient card: means an electronic document that a cardholder may print or store on an electronic device or a physical card or document that:
(a)
the department issues to an individual with a qualifying condition; and
acquires or intends to acquire medical cannabis or a cannabis product in a medicinal dosage form from a cannabis processing facility or another medical cannabis pharmacy or a medical cannabis device; or
(ii)
possesses medical cannabis or a medical cannabis device; and
(b)
sells or intends to sell medical cannabis or a medical cannabis device to a medical cannabis cardholder. See Utah Code 26B-4-201
Medical cannabis treatment: means cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis device. See Utah Code 26B-4-201
Medicinal dosage form: includes a portion of unprocessed cannabis flower that:
(i)
the medical cannabis cardholder has recently removed from the container described in Subsection (42)(a)(ii) for use; and
(ii)
does not exceed the quantity described in Subsection (42)(a)(ii). See Utah Code 26B-4-201
Nonresident patient: means an individual who:
(a)
is not a resident of Utah or has been a resident of Utah for less than 45 days;
(b)
has a currently valid medical cannabis card or the equivalent of a medical cannabis card under the laws of another state, district, territory, commonwealth, or insular possession of the United States; and
recommendation: means , for a recommending medical provider, the act of suggesting the use of medical cannabis treatment, which:
(a)
certifies the patient's eligibility for a medical cannabis card; and
(b)
may include, at the recommending medical provider's discretion, directions of use, with or without dosing guidelines. See Utah Code 26B-4-201
Recommending medical provider: means a qualified medical provider or a limited medical provider. See Utah Code 26B-4-201
State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
State central patient portal: means the website the department creates, in accordance with Section 26B-4-236, to facilitate patient safety, education, and an electronic medical cannabis order. See Utah Code 26B-4-201
Subject to Section 26B-4-246, within 15 days after the day on which an individual who satisfies the eligibility criteria in this section or Section 26B-4-214 submits an application in accordance with this section or Section 26B-4-214, the department shall:
(i)
issue a medical cannabis patient card to an individual described in Subsection (2)(a);
(ii)
issue a medical cannabis guardian card to an individual described in Subsection (2)(b);
(iii)
issue a provisional patient card to a minor described in Subsection (2)(c); and
(iv)
issue a medical cannabis caregiver card to an individual described in Subsection 26B-4-214(4).
(b)
(i)
Upon the entry of a recommending medical provider‘s medical cannabis recommendation for a patient in the state electronic verification system, either by the provider or the provider’s employee or by a medical cannabis pharmacy medical provider or medical cannabis pharmacy in accordance with Subsection 26B-4-229(10)(a), the department shall issue to the patient an electronic conditional medical cannabis card, in accordance with this Subsection (1)(b).
(ii)
A conditional medical cannabis card is valid for the lesser of:
(A)
60 days; or
(B)
the day on which the department completes the department’s review and issues a medical cannabis card under Subsection (1)(a), denies the patient’s medical cannabis card application, or revokes the conditional medical cannabis card under Subsection (8).
(iii)
The department may issue a conditional medical cannabis card to an individual applying for a medical cannabis patient card for which approval of the Compassionate Use Board is not required.
(iv)
An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and obligations under law applicable to a holder of the medical cannabis card for which the individual applies and for which the department issues the conditional medical cannabis card.
(2)
(a)
An individual is eligible for a medical cannabis patient card if:
(i)
(A)
the individual is at least 21 years old; or
(B)
the individual is 18, 19, or 20 years old, the individual petitions the Compassionate Use Board under Section 26B-1-421, and the Compassionate Use Board recommends department approval of the petition;
(ii)
the individual is a Utah resident;
(iii)
the individual’s recommending medical provider recommends treatment with medical cannabis in accordance with Subsection (4);
(iv)
the individual signs an acknowledgment stating that the individual received the information described in Subsection (9); and
(v)
the individual pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5), the department sets in accordance with Section 63J-1-504.
(b)
(i)
An individual is eligible for a medical cannabis guardian card if the individual:
(A)
is at least 18 years old;
(B)
is a Utah resident;
(C)
is the parent or legal guardian of a minor for whom the minor’s qualified medical provider recommends a medical cannabis treatment, the individual petitions the Compassionate Use Board under Section 26B-1-421, and the Compassionate Use Board recommends department approval of the petition;
(D)
the individual signs an acknowledgment stating that the individual received the information described in Subsection (9);
(E)
pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5), the department sets in accordance with Section 63J-1-504, plus the cost of the criminal background check described in Section 26B-4-215 .
(ii)
The department shall notify the Department of Public Safety of each individual that the department registers for a medical cannabis guardian card.
(c)
(i)
A minor is eligible for a provisional patient card if:
(A)
the minor has a qualifying condition;
(B)
the minor’s qualified medical provider recommends a medical cannabis treatment to address the minor’s qualifying condition;
(C)
one of the minor’s parents or legal guardians petitions the Compassionate Use Board under Section 26B-1-421, and the Compassionate Use Board recommends department approval of the petition; and
(D)
the minor’s parent or legal guardian is eligible for a medical cannabis guardian card under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a medical cannabis caregiver card under Section 26B-4-214.
(ii)
The department shall automatically issue a provisional patient card to the minor described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis guardian card to the minor’s parent or legal guardian.
(d)
If the parent or legal guardian of a minor described in Subsections (2)(c)(i)(A) through (C) does not qualify for a medical cannabis guardian card under Subsection (2)(b), the parent or legal guardian may designate up to two caregivers in accordance with Subsection 26B-4-214(1)(c) to ensure that the minor has adequate and safe access to the recommended medical cannabis treatment.
(3)
(a)
An individual who is eligible for a medical cannabis card described in Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the department:
(i)
through an electronic application connected to the state electronic verification system;
(ii)
with the recommending medical provider; and
(iii)
with information including:
(A)
the applicant’s name, gender, age, and address;
(B)
the number of the applicant’s government issued photo identification;
(C)
for a medical cannabis guardian card, the name, gender, and age of the minor receiving a medical cannabis treatment under the cardholder’s medical cannabis guardian card; and
(D)
for a provisional patient card, the name of the minor’s parent or legal guardian who holds the associated medical cannabis guardian card.
(b)
The department shall ensure that a medical cannabis card the department issues under this section contains the information described in Subsection (3)(a)(iii).
(c)
(i)
If a recommending medical provider determines that, because of age, illness, or disability, a medical cannabis patient cardholder requires assistance in administering the medical cannabis treatment that the recommending medical provider recommends, the recommending medical provider may indicate the cardholder’s need in the state electronic verification system, either directly or, for a limited medical provider, through the order described in Subsections 26B-4-204(1)(c) and (d).
(ii)
If a recommending medical provider makes the indication described in Subsection (3)(c)(i):
(A)
the department shall add a label to the relevant medical cannabis patient card indicating the cardholder’s need for assistance;
(B)
any adult who is 18 years old or older and who is physically present with the cardholder at the time the cardholder needs to use the recommended medical cannabis treatment may handle the medical cannabis treatment and any associated medical cannabis device as needed to assist the cardholder in administering the recommended medical cannabis treatment; and
(C)
an individual of any age who is physically present with the cardholder in the event of an emergency medical condition, as that term is defined in Section 31A-1-301, may handle the medical cannabis treatment and any associated medical cannabis device as needed to assist the cardholder in administering the recommended medical cannabis treatment.
(iii)
A non-cardholding individual acting under Subsection (3)(c)(ii)(B) or (C) may not:
(A)
ingest or inhale medical cannabis;
(B)
possess, transport, or handle medical cannabis or a medical cannabis device outside of the immediate area where the cardholder is present or with an intent other than to provide assistance to the cardholder; or
(C)
possess, transport, or handle medical cannabis or a medical cannabis device when the cardholder is not in the process of being dosed with medical cannabis.
(4)
To recommend a medical cannabis treatment to a patient or to renew a recommendation, a recommending medical provider shall:
(a)
visit with the patient face-to-face for an initial recommendation unless the patient:
(i)
prefers a virtual visit; and
(ii)
(A)
is on hospice or has a terminal illness according to the patient’s medical provider; or
(B)
is a resident of an assisted living facility, as defined in Section 26B-2-201, or a nursing care facility, as defined in Section 26B-2-201;
(b)
before recommending or renewing a recommendation for medical cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage form:
(i)
verify the patient’s and, for a minor patient, the minor patient’s parent or legal guardian’s government issued photo identification described in Subsection (3)(a);
(ii)
review any record related to the patient and, for a minor patient, the patient’s parent or legal guardian in:
(A)
for a qualified medical provider, the state electronic verification system; and
(B)
the controlled substance database created in Section 58-37f-201; and
(iii)
consider the recommendation in light of the patient’s qualifying condition, history of substance use or opioid use disorder, and history of medical cannabis and controlled substance use during a visit with the patient; and
(c)
state in the recommending medical provider’s recommendation that the patient:
(i)
suffers from a qualifying condition, including the type of qualifying condition; and
(ii)
may benefit from treatment with cannabis in a medicinal dosage form or a cannabis product in a medicinal dosage form.
(5)
(a)
Except as provided in Subsection (5)(b) or (c), a medical cannabis card that the department issues under this section is valid for the lesser of:
(i)
an amount of time that the recommending medical provider determines; or
(ii)
one year from the day the card is issued.
(b)
(i)
A medical cannabis card that the department issues in relation to a terminal illness described in Section 26B-4-203 expires after one year.
(ii)
The recommending medical provider may revoke a recommendation that the provider made in relation to a terminal illness described in Section 26B-4-203 if the medical cannabis cardholder no longer has the terminal illness.
(c)
A medical cannabis card that the department issues in relation to acute pain as described in Section 26B-4-203 expires 30 days after the day on which the department first issues a conditional or full medical cannabis card.
(6)
(a)
A medical cannabis patient card or a medical cannabis guardian card is renewable if:
(i)
at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or (b); or
(ii)
the cardholder received the medical cannabis card through the recommendation of the Compassionate Use Board under Section 26B-1-421.
(b)
The recommending medical provider who made the underlying recommendation for the card of a cardholder described in Subsection (6)(a) may renew the cardholder’s card through phone or video conference with the cardholder, at the recommending medical provider’s discretion.
(c)
Before having access to a renewed card, a cardholder under Subsection (2)(a) or (b) shall pay to the department a renewal fee in an amount that:
(i)
subject to Subsection 26B-1-310(5), the department sets in accordance with Section 63J-1-504; and
(ii)
may not exceed the cost of the relatively lower administrative burden of renewal in comparison to the original application process.
(d)
If a minor meets the requirements of Subsection (2)(c), the minor’s provisional patient card renews automatically at the time the minor’s parent or legal guardian renews the parent or legal guardian’s associated medical cannabis guardian card.
(7)
(a)
A cardholder under this section shall carry the cardholder’s valid medical cannabis card with the patient’s name.
(b)
(i)
A medical cannabis patient cardholder or a provisional patient cardholder may purchase, in accordance with this part and the recommendation underlying the card, cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis device.
(ii)
A cardholder under this section may possess or transport, in accordance with this part and the recommendation underlying the card, cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis device.
(iii)
To address the qualifying condition underlying the medical cannabis treatment recommendation:
(A)
a medical cannabis patient cardholder or a provisional patient cardholder may use cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form, or a medical cannabis device; and
(B)
a medical cannabis guardian cardholder may assist the associated provisional patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form, or a medical cannabis device.
(8)
(a)
The department may revoke a medical cannabis card that the department issues under this section if:
(i)
the recommending medical provider withdraws the medical provider’s recommendation for medical cannabis; or
(ii)
the cardholder:
(A)
violates this part; or
(B)
is convicted under state or federal law of, after March 17, 2021, a drug distribution offense.
(b)
The department may not refuse to issue a medical cannabis card to a patient solely based on a prior revocation under Subsection (8)(a)(i).
(9)
The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to provide information regarding the following to an individual receiving a medical cannabis card:
(a)
risks associated with medical cannabis treatment;
(b)
the fact that a condition’s listing as a qualifying condition does not suggest that medical cannabis treatment is an effective treatment or cure for that condition, as described in Subsection 26B-4-203(1); and
(c)
other relevant warnings and safety information that the department determines.
On or before September 1, 2021, the department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to allow an individual from another state to register with the department in order to purchase medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the individual is visiting the state.
(b)
The department may only provide the registration process described in Subsection (11)(a):
(i)
to a nonresident patient; and
(ii)
for no more than two visitation periods per calendar year of up to 21 calendar days per visitation period.
(12)
(a)
A person may submit to the department a request to conduct a research study using medical cannabis cardholder data that the state electronic verification system contains.
(b)
The department shall review a request described in Subsection (12)(a) to determine whether an institutional review board, as that term is defined in Section 26B-4-201, could approve the research study.
(c)
At the time an individual applies for a medical cannabis card, the department shall notify the individual:
(i)
of how the individual’s information will be used as a cardholder;
(ii)
that by applying for a medical cannabis card, unless the individual withdraws consent under Subsection (12)(d), the individual consents to the use of the individual’s information for external research; and
(iii)
that the individual may withdraw consent for the use of the individual’s information for external research at any time, including at the time of application.
(d)
An applicant may, through the medical cannabis card application, and a medical cannabis cardholder may, through the state central patient portal, withdraw the applicant’s or cardholder’s consent to participate in external research at any time.
(e)
The department may release, for the purposes of a study described in this Subsection (12), information about a cardholder under this section who consents to participate under Subsection (12)(c).
(f)
If an individual withdraws consent under Subsection (12)(d), the withdrawal of consent:
(i)
applies to external research that is initiated after the withdrawal of consent; and
(ii)
does not apply to research that was initiated before the withdrawal of consent.
