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Written Testimony submitted to the Joint Committee on S 1739 PDF Print E-mail

Testimony of the Massachusetts Cannabis Reform Coalition
Submitted to the Joint Committee on the Judiciary
186th General Court of the Commonwealth of Massachusetts
July 14, 2009

RE:  S 1739, "An Act relative to the arrest and prosecution for the possession of marihuana for medical purposes" 

A frequent recurrence to the fundamental principles of the constitution, and a constant adherence to those of piety, justice, moderation, temperance, industry, and frugality, are absolutely necessary to preserve the advantages of liberty, and to maintain a free government. The people ought, consequently, to have a particular attention to all those principles, in the choice of their officers and representatives: and they have a right to require of their lawgivers and magistrates, an exact and constant observance of them, in the formation and execution of the laws necessary for the good administration of the commonwealth.

Article XVIII, A Declaration of the Rights of the Inhabitants of the Commonwealth of Massachusetts

           

Chairpersons Creem and O'Flaherty, honorable members of the committee:

     Massachusetts adopted a medicinal marijuana law in 1992.  Then Governor, William Weld signed it into law.  Unfortunately, that law requires the Department of Public Health to supply the medicine to approved patients, and the department has been unable to obtain such a supply.  Since that time, thirteen other states, nine by initiatives for laws, have adopted laws that effectively permit qualifying patients access to marijuana.  This committee and the Joint Committee on Public Health have heard testimony on amendments to effectuate the 1992 law every session since then.

     It is now time for the legislature to act by passing S 1739, "An Act relative to the arrest and prosecution for the possession of marihuana for medical purposes" or surely as the sun rose this morning, an initiative petition will be filed either by August 5, 2009, or you will have a reprieve while residents suffer, until August 2011, unless you do your duty.

     As the attached election results from 2000, 2002, 2004, 2006 and 2008 demonstrate your constituents who vote favor legislation like S. 1739.

     This committee and all other members of the General Court must now recognize it is the will of the people that the Commonwealth not punish persons who use cannabis as a medicine under the supervision of health care professionals and the persons who grow it for them.

     By enacting the legislation before you relieve the stress medical users suffer as they live in fear of prosecution.

    By enacting the legislation before you, you help secure the Commonwealth's reputation as a world leader in medical research, treatment and education.  The cannabinols are a category of drugs that rival the opiates in terms of their range of application.  There is one notable difference: a lethal overdose of cannabinols is scientifically impossible.  Physicians who want to gain experience treating people with cannabinols, the medical school student who wants to learn from them and patients who will seek treatment of their various maladies with cannabinols, will go to California, Canada, or some other locale where medical experimentation and treatment with cannabis-derived drugs is not countered with the threat of arrest and imprisonment.

     By enacting the legislation before you, you secure the fair treatment of current and prospective employees of Massachusetts businesses, who happen to live in Maine, Vermont, Rhode Island and other states where the medicinal use of marijuana is legal.  Drug screenings are used by many employers, and those patients from states where there medicine is legal may be denied the opportunity to become taxpaying Massachusetts workers.

     By enacting the legislation before you, you will not suffer the loss of any votes.  The polling data indicates legalizing the medicinal use of cannabis is more popular than most incumbents in Massachusetts.

     Attached for your consideration, in addition to the election results you will find the Report of the Rhode Island Department of Public Health to that state's House Committee on Health, Education and Welfare and Senate Committee on the Judiciary, dated January 14, 2009, on the success of the "Rhode Island Medical Marijuana Program."  The RI program was amended this past month, over the veto of the Governor, to license and regulate the distribution of medical marijuana to authorized patients.

     In May, the US Supreme Court let stand a unanimous 2008 Fourth District CA Court of Appeals ruling that determined that state laws allowing for the medical use of cannabis by qualified patients "do not create a 'positive conflict' [with federal law.]"  By declining to hear the appeal the Court makes it clear that the United States Constitution permits states to enact and implement independent medical marijuana policies.

     Last May the Joint Committee on Public Health heard testimony on H 2160, a proposed law similar to the one before this Committee.  The testimony before that committee was videotaped and is available for viewing at:

http://tinyurl.com/pmttmp

http://tinyurl.com/pzowba

http://tinyurl.com/pyhdn9

http://tinyurl.com/qslhhb

http://tinyurl.com/o5oelc

     In the institutional memory of this committee since the 182nd session of the General Court are materials submitted by our organization and others supporting making cannabis available as a medicine, the only policy that fulfills the ideals of the people of Massachusetts when they adopted the Great Charter of 1780 wherein it is proclaimed:

The end of the institution, maintenance, and administration of government, is to secure the existence of the body politic, to protect it, and to furnish the individuals who compose it with the power of enjoying in safety and tranquillity their natural rights, and the blessings of life:  . . . . among which may be reckoned the right of enjoying and defending their lives and liberties; that of acquiring, possessing and protecting property; in fine, that of seeking and obtaining their safety and happiness . . . . .

Respectfully submitted,
The officers and directors of the
Massachusetts Cannabis Reform Coalition
by its Clerk and Treasurer
Steven S. Epstein

 

Return of Votes For Massachusetts State Election November 4, 2008

Shall the state representative from this district be instructed to vote in favor of legislation that would allow seriously ill patients, with their doctor's written recommendation, to possess and grow small amounts of marijuana for their personal medical use?
Districts voting on this question:
 

Yes

No

Blank

First Middlesex      15,677

     5,423

     1,693

Twenty-First Middlesex

14,154

      5,915

2,289

Thirteenth Norfolk

16,372

      6,125

1,880

Sixth Plymouth

15,267

6,155

1,853

Total all districts

61,470

23,618

7,715

 

Return of Votes For Massachusetts State Election November 7, 2006

Shall the {senator/representative} from this district be instructed to vote in favor of legislation that would allow seriously ill patients, with their doctor's written recommendation, to possess and grow small amounts of marijuana for their personal medical use?
Districts voting on this question:

 

Yes

No

Blank

Third Middlesex Senate

     37,432

     18,505      8,036
Seventh Norfolk Rep

     8,389

     4,820

3,133

Total all districts

     45,821

     23,325

11,169

 

Return of Votes For Massachusetts State Election November 2, 2004

Shall the {senator/representative} from this district be instructed to vote in favor of legislation that would allow seriously ill patients, with their doctor's written recommendation, to possess and grow small amounts of marijuana for their personal medical use?
Districts voting on this question: 

Yes

No

Blank

Worcester & Norfolk Senate

     48,739

     22,611

     6,742

Third Berkshire Rep. 

10,909

4,173

2,418

Twenty-Fourth Middlesex Rep. 

14,551

4,705

1,911

Sixth Norfolk Rep

10,791

4,506

4,562

Seventh Plymouth Rep

13,784

5,902

1,542

Total votes all districts

98,774

41,897

17,175

Return of Votes For Massachusetts State Election November 2, 2002

Shall the {senator/representative} from this district be instructed to vote in favor of legislation that would allow seriously ill patients, with their doctor's written recommendation, to possess and grow small amounts of marijuana for their personal medical use?
District voting on this question: 

Yes

No

Blank

Fourteenth Worcester Rep.   

     6,717

     4,197

     1,566

Return of Votes For Massachusetts State Election November 7, 2000

Shall the state representative from this district be instructed to vote in favor of legislation that would allow patients with certain diseases, who have a written doctor's recommendation, to possess and grow small amounts of marijuana for their personal use, until such time as the federal government puts into place an effective distribution system for these patients?
District voting on this question:
 

Yes

No

Blank

Fourth Barnstable Rep.   

     14,315

     8,804

     3,892

 

 

 

Rhode Island Department of Health

 

Three Capitol Hill
Providence, RI 02908-5094
www.health.ri.gov

DATE: January 14, 2009

TO: Representative Joseph M. McNamara, Chairperson
      House Committee on Health, Education and Welfare

      Senator Michael J. McCaffrey, Chairperson
      Senate Committee on the Judiciary

FROM: Charles Alexandre
     
Chief, Health Professions Regulation

SUBJECT: Rhode Island Medical Marijuana Program

The Edward O. Hawkins and Thomas C. Slater Medical Marijuana Act was enacted on January 3, 2006. This report is submitted pursuant to section 21-28.6-6(k) of the Act.

The Department of Health implemented the Medical Marijuana Program on April 3, 2006. The first registration cards were issued to qualified patients and their designated caregivers on or about May 1, 2006. As of December 30, 2008 five hundred sixty one (561) qualified patients are registered with the program. An additional four hundred fifty eight (458) designated caregivers are currently registered. To date the Department has revoked one (1) patient registration upon this individual’s arrest and arraignment on charges of contributing to the delinquency of a minor, narcotics and weapons charges and one (1) caregiver for possession of marijuana in an a amount greater that allowed.

The Department charges a registration fee for qualified patients of $75 at the time of application. Patients who submit satisfactory evidence to the Department of being a recipient of Medicaid, Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) pay a $10 registration fee.

Pursuant to Public Law 2007, Chapters 72 and 495, the following revisions were made to the program:

Medical Marijuana Program

Page 2

  • A registration fee for caregivers was implemented wherein applicants are charged a registration fee of $75 for each caregiver unless they submit evidence of being a recipient of Medicaid, SSI or SSDI and are charged a fee of $10;
  • The amount of useable marijuana and marijuana plants was reduced for caregivers with multiple patients;
  • Patient and caregiver name and address was removed from the registration cards; and
  • The registration period was extended from one to two years.

The following table depicts the number of registered patients and caregivers as of December 30, 2008.

 

Active Pending Revoked

Minor
Patient

Non-

Medicaid/SSI

1

0

0

Patient
Total

1

0

0

Adult
Patient
Medicaid/SSI

294

9

1

Non-

Medicaid/SSI

266

12

1

Total

561

19

2

Caregiver

458

19

1

 

 

 

Section 21-28.6-6(d) allows a patient to designate two (2) caregivers to assist with the patient’s medical use of marijuana. The caregiver may not have a felony drug conviction. Section 21-28.6-3(6) allows a caregiver to assist a maximum of five patients.

 

ACTIVE MMP PATIENTS
Patients with 0 caregivers       92
Patients with 1 caregiver

165

Patients with 2 caregivers

304

ACTIVE CAREGIVERS
Caregivers with 1 patient

335

Caregivers with 2 patients

45

Caregivers with 3 patients

4

Caregivers with 4 patients

1

Caregivers with 5 patients

1

 

 

Medical Marijuana Program
Page 3

Two hundred twenty nine (229) Rhode Island licensed physicians have certified patients for the program. A breakdown of qualifying diagnosis, comparing 2006 with 2008, is depicted in the following table. Note that some patients may have more than one diagnosis.

 

Diagnosis Count Percent
2006 2008 2006 2008
Cancer or Treatment

29

85

11.55%

11.95%

Glaucoma or Treatment

6

12

2.39%

1.69%

Positive Status for HIV or
Treatment

28

60

11.16%

 8.44%

AIDS or Treatment

14

32

5.58%

4.50%

Hepatitis C or Treatment

31

69

12.35%

9.70%

Chronic or Debilitating

Disease or Condition

143

453

56.97%

63.71%

Total

     209

   618

 

 

“Chronic or debilitating disease or conditions” include cachexia or “wasting” syndrome, severe, debilitating, chronic pain, severe nausea, seizures, including, but not limited to, those characteristic of epilepsy, severe persistent muscle spasms, including, but not limited to, those characteristic of multiple sclerosis or Crohn’s disease, or agitation of Alzheimer’s disease

Since the program’s implementation the Department has had several requests for information with respect to the use of marijuana by nursing home residents. Specifically the facility requested information regarding provisions to obtain marijuana for the resident’s use. The statute does not address the use of marijuana in inpatient facilities.

Pursuant to section 21-28.6-6(k) of the Act the Department is unaware of any specific cost to law enforcement agencies or any litigation regarding the implementation of the Act. The United States Food and Drug Administration has not altered its position regarding the use of marijuana for medical purposes; nor has it approved alternative delivery systems for marijuana.

There has been minimal community response to the implementation of the medical marijuana program. The most frequent request to the Department is for information regarding the purchase of marijuana. There continues to be confusion regarding the availability of marijuana to registered patients and caregivers.

Additional information or questions about the Medical Marijuana Program should be directed to Charles Alexandre, Chief of Health Professions Regulations at (401) 222-2828 or via email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

 

 

 

 

 

 

 

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