COUNCIL OF THE DISTRICT OF COLUMBIA COMMITTEE ON THE JUDICIARY AND PUBLIC SAFETY DRAFT COMMITTEE REPORT 1350 Pennsylvania Avenue, NW, Washington, DC 20004 TO: All Councilmembers FROM: Councilmember Tommy Wells, Chairperson Committee on the Judiciary and Public Safety DATE: July 1, 2014 SUBJECT: Report on Bill 20-766, “Medical Marijuana Expansion Amendment Act of 2014” The Committee on the Judiciary and Public Safety, to which Bill 20-766, “Medical Marijuana Expansion Amendment Act of 2014” was referred, reports favorably thereon with amendments, and recommends approval by the Council. CONTENTS I. II. III. IV. V. VI. VII. VIII. IX. Background And Need ...............................................................1 Legislative Chronology..............................................................5 Position Of The Executive .........................................................6 Comments Of Advisory Neighborhood Commissions ..............7 Summary Of Testimony and Statements ...................................7 Fiscal Impact ............................................................................10 Section-By-Section Analysis ...................................................10 Committee Action ....................................................................10 Attachments .............................................................................11 I. BACKGROUND AND NEED INTRODUCTION Bill 20-766, the “Medical Marijuana Expansion Amendment Act of 2014” was introduced on April 8, 2014 by Chairman Mendelson and Councilmembers Alexander, Barry, Bowser, Bonds, Catania, Evans, Cheh, Graham, Grosso, McDuffie, Orange, and Wells. It was referred sequentially to the Committee on the Judiciary and Public Safety and the Committee on Health. On June 12, 2014, the two committees held a joint hearing on Bill 20-766 and a related bill, Bill 20-678, the “Medical Marijuana Plant Cultivation Amendment Act of 2014.”1 A summary of the testimony provided at the hearing is found below in section V. 1 Bill 20-678 was referred sequentially to the Committee on Health and then to the Committee on the Judiciary and Public Safety. Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 2 of 11 Bill 20-766 would redefine the term “qualifying medical condition” to allow physicians to decide when medical marijuana should be recommended for patients. Bill 20-678 would increase the number of plants that a cultivation center may grow from 95 to 500. As both bills amend the Legalization of Marijuana for Medical Treatment initiative of 1998, the Committee has incorporated Bill 20-678 into its print of Bill 20-766. BACKGROUND In 1998, voters in the District of Columbia passed Initiative 59, the “Legalization of Marijuana for Medical Treatment Initiative of 1998.” Before the votes could be counted, Congress blocked the implementation of the Initiative with a rider on a District appropriations bill. Although 69 percent of District voters approved Initiative 59 – including a majority of voters in all eight wards and every precinct – Congress continued to block implementation of the law by attaching riders to the District’s appropriation bill every year.2 In December of 2009, Congress finally passed a rider-free appropriation bill for the District, thereby allowing the initiative to move forward.3 In 2010, the Council passed Bill 18-622, the “Legalization of Marijuana for Medical Treatment Initiative Amendment Act of 2010,” (“2010 Act”) in order to “ensure that the cultivation, distribution, possession, and use of medical marijuana is properly regulated.”4 Four years later, the District’s medical marijuana program has only 452 registered patients.5 As a result, the Committee on Health held a public roundtable on October 21, 2013 to discuss the medical marijuana program. At that roundtable, witnesses testified as to the deficiencies of the medical marijuana program and how the program could be improved. Two primary suggestions emerged from that discussion: (1) Expanding the list of qualifying conditions and (2) Allowing cultivation centers to possess more living marijuana plants. Expanding the Qualifying Conditions Initiative 59 specified which illnesses would qualify an individual to use medical marijuana.6 As introduced, the 2010 Act charged the Department of Health (“DOH”) with establishing a list of qualifying medical conditions and treatments based on available research. After the hearing on the 2010 Act, the Committee on Health amended the introduced bill to The Committee on Health’s Committee Report on Bill 18-622, p. 2, available at http://dcclims1.dccouncil.us/images/00001/20100729125059.pdf. 3 Id. 4 D.C. Law 18-210, effective July 27, 2010. The Committee on Health’s Committee Report on Bill 18-622, p. 1, available at http://dcclims1.dccouncil.us/images/00001/20100729125059.pdf. 5 Medical Marijuana Program Update, District of Columbia Department of Health, June 19, 2014, available at http://doh.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/MMPProgramUpdateMemo140619docx.pd f. 6 “All seriously ill individuals may obtain and use marijuana for medical purposes when a licensed physician has found the use of marijuana to be medically necessary and has recommended the use of marijuana for the treatment (or to mitigate the side effects of other treatments such as chemotherapy, including the use of AZT, protease inhibitors, etc., radiotherapy, etc.) or diseases and conditions associated with HIV and AIDS, glaucoma, muscle spasm, cancer and other serious or chronic illnesses for which the recommending physician reasonably believes that marijuana has demonstrated utility.” See Section 2 of the Legalization of Marijuana for Medical Treatment Initiative of 2009, effective February 25, 2010 (D.C. Act 13-138). 2 Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 3 of 11 provide a statutory list of conditions and treatments for which medical marijuana may be recommended, while authorizing DOH to add conditions and treatments to that list if the conditions meet specified requirements. The statutory list of qualifying conditions is limited to HIV/AIDS, glaucoma, conditions characterized by severe and persistent muscle spasms, such as multiple sclerosis, cancer, and any other condition, as determined by rulemaking, that is: (1) Chronic or long-lasting; (2) Debilitating or interferes with the basic functions of life; and (3) A serious medical condition for which the use of medical marijuana is beneficial that cannot be effectively treated by any ordinary medical or surgical measure or for which there is scientific evidence that the use of medical marijuana is likely to be significantly less addictive than the ordinary medical treatment for that condition. The statutory list of qualifying medical treatments is limited to chemotherapy, the use of azidothymidine or protease inhibitors, radiotherapy, or any other treatment, as determined by rulemaking, whose side effects require treatment through the administration of medical marijuana in the same manner as a qualifying medical condition. While most states have a statutory list of qualifying conditions, the District’s list is arguably the most restrictive in the country, as most jurisdictions include conditions such as cachexia and chronic pain in their laws. Because most states allow a state agency to add qualifying conditions, the restrictiveness of a state’s medical marijuana program depends in large part on the willingness and ability of the state agency to add conditions. Since the passage of the 2010 Act, the Department of Health expanded the list of qualifying conditions pursuant to its rulemaking authority. Specifically, the DOH added six new qualifying conditions: decompensated cirrhosis, amyotrophic lateral sclerosis (Lou Gehrig’s disease), hospice patients with less than 6 month to live, cachexia or wasting syndrome for individuals who are 18 years old and older, Alzheimer’s disease,7 and seizure disorders.8 While the Committee is pleased that the DOH added these conditions, “we shouldn’t be carving out exceptions like this for the families who complain the loudest and have particularly heartbreaking stories.”9 At the public hearing on Bill 20-766, a number of witnesses testified as to how the restrictive list of qualifying conditions, even with the addition of conditions by rulemaking, was harmful to themselves or members of their family. For example, Kristen Farthing testified that endometriosis – a condition that causes symptoms so severe that women with the condition lose, on average, 10.8 hours a week due to pain and other symptoms – meets every criterion in the District’s law for being a “qualifying condition,” but still has not been added to the list.10 Similarly, Lauren Padgett testified that she uses cannabis to effectively manage the chronic pain, nausea, and inflammation caused by lupus.11 While Ms. Padgett’s doctor is comfortable with her using marijuana on her own to treat the pain, her doctor will not Alzheimer’s Disease must be diagnosed by a neurologist, but can be recommended by any qualifying physician. The diagnosis of seizure disorders must be made by a Board-certified pediatrician, but can be recommended by any qualified physician. 9 Testimony of Ken Archer, p. 2 (“DC should do the right thing and remove all qualifying conditions, not just those about which they hear the loudest complaints.”). 10 Testimony of Kristin Farthing, p. 1-2. 11 Id. 7 8 Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 4 of 11 formally recommend it for her unless her condition – lupus – is approved by either the DOH or the Council.12 Over the past few years, there has been a growing trend within the medical marijuana movement to allow doctors, as opposed to politicians, decide when to recommend medical marijuana. Currently, two states allow doctors to decide when medical marijuana is appropriate: California and Massachusetts. California’ law provides that a physician may recommend medical marijuana for “any other chronic or persistent medical symptom that either: (A) Substantially limits the ability of the person to conduct one or more major life activities as defined in the Americans with Disabilities Act of 1990 (Public Law 101-336); or (B) If not alleviated, may cause serious harm to the patient’s safety or physical or mental health.”13 Similarly, Massachusetts’s law provides that a physician may recommend medical marijuana for any “other conditions as determined in writing by a qualifying patient’s physician.” 14 The idea of allowing physicians to decide when to recommend medical marijuana is supported by the District’s Department of Health. Dr. Joxel Garcia, Director of the Department of Health, testified that, “a physician who provides ongoing care and treatment of his or her patient is in the best position to discuss and recommend the benefits and risks of a selected therapy, including marijuana, as well as recognize any potential side effects or drug interactions for their patient.” The Committee concurs. Accordingly, Bill 20-766 would repeal the statutory list of qualifying conditions, and instead allow physicians to decide when the use of medical marijuana would be appropriate for their patients. Using a patient-centric model – where the primary focus is on patient safety and care – will make the medical marijuana program in the District work better for those patients in need of medical treatment. Increasing the Number of Plants The 2010 Act also prohibited cultivation centers from possessing more than 95 living marijuana plants at any one time.15 At the public hearing on Bill 20-766 and Bill 20-678, a number of witnesses testified about how this plant limit was impacting the medical marijuana program. For example, Ken Archer testified that child patients typically ingest oil extracted from the marijuana plant. Mr. Archer noted that the process to extract oil from the plant requires a large number of plants.16 Similarly, Kristin Farthing testified that increasing the plant count will help manufacturers create products for patients like her who have asthma, and as a result must find alternative ways to use marijuana, other than smoking the plant.17 David Guard testified that Testimony of Lauren Padgett, p. 2 (“Having a restrictive conditions list sends the message to people who are not covered that their suffering is not great enough to get the medicine they deserve.”). 13 California Health and Safety Code § 11362.7(h). 14 105 CMR 725.010(J). 15 Section 7(e)(2) of the Legalization of Marijuana for Medical Treatment initiative of 1998, effective February 25, 2010 (D.C. Law 13-315; D.C. Official Code § 7-1671.06(e)(2)). 16 Testimony of Ken Archer, p. 2. 17 Testimony of Kristen Farthing, p. 1-2. 12 Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 5 of 11 the plant count needs to be increased to allow the District to make available recent innovations such as the development of strains high in cannabidiol18 for the treatment of seizure disorders.19 Currently, only three other jurisdictions – New Mexico, Rhode Island, and Delaware – have capped the number of plants that a cultivation center may grow at a finite number. New Mexico’s medical marijuana program has experienced shortages on several occasions. 20 New Mexico raised its plant count from 95 to 150 living plants in 2010, yet the state is again considering raising the plant cap to 300.21 When dispensaries cannot meet the demand of its patients, some patients may consider buying marijuana on the criminal market, while other will simply suffer without a medicine that can improve their quality of life.22 The plant limit was originally set at 95 living plants because of concern that the federal government would be more prone to enforce federal marijuana laws against what they perceived to be large-scale medical marijuana centers.23 The plant limit was also created to avoid triggering a federal mandatory minimum in sentencing that requires 5 years of imprisonment for individuals found possessing 100 or more living marijuana plants.24 However, the most recent guidance from the Department of Justice on the issue has rendered that concern moot. Deputy Attorney General James Cole wrote in an August 29, 2013 memorandum that “prosecutors should not consider the size or commercial nature of a marijuana operation alone as a proxy for assessing whether marijuana trafficking implicates [DOJ’s] enforcement priorities.”25 In addition, the landscape surrounding medical marijuana in the United States has changed dramatically over the past few years. The Committee believes that the benefits of increasing the plant count outweigh the perceived concerns. Accordingly, Bill 20-766 would increase the allowable plant count from 95 to 500 plants. For all the reasons explained above, the Committee recommends approval of this bill as amended. II. February 4, 2014 LEGISLATIVE CHRONOLOGY Bill 20-678, the “Medical Marijuana Plant Cultivation Amendment Act of 2014,” is introduced by Councilmember Grosso, and cosponsored by Councilmembers Cheh, Evans, Bowser, and Wells. Cannabidiol, typically referred to as “CBD,” is one of at least 60 active cannabinoids found in marijuana. CBD is considered to have a wider scope of medical applications than tetrahydrocannabinol (“THC”), especially for epilepsy and other seizure disorders. 19 Testimony of David A. Guard, p. 2. 20 Testimony of Robert Capecchi, p. 1-2. 21 Peter St. Cyr, Medical Pot Rules Spark Debate, Sante Fe Reporter, June 16, 2014, available at http://www.sfreporter.com/santafe/article-8798-medical-pot-rules-spark-debate.html. 22 Letter from Robert J. Cappecchi to Deborah Harvey, Delaware Division of Public Health, October 21, 2013, available at http://www.mpp.org/states/delaware/DE-compassion-center-regs-comments.pdf. 23 Testimony of Robert Capecchi, p. 3. 24 21 U.S.C. § 841(b)(1)(B). 25 Guidance Regarding Marijuana Enforcement, Deputy Attorney General James Cole, United States Department of Justice, August 29, 2013, available at http://www.justice.gov/iso/opa/resources/3052013829132756857467.pdf. 18 Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 6 of 11 February 4, 2014 Bill 20-678 is referred sequentially to the Committee on Health and the Committee on the Judiciary and Public Safety. February 14, 2014 Notice of Intent to Act on Bill 20-678 is published in the District of Columbia Register. April 8, 2014 Bill 20-766, the “Medical Marijuana Expansion Amendment Act of 2014,” is introduced by Chairman Mendelson and Councilmembers Alexander, Barry, Bowser, Bonds, Catania, Evans, Cheh, Graham, Grosso, McDuffie, Orange, and Wells. April 8, 2014 Bill 20-766 is referred sequentially to the Committee on the Judiciary and Public Safety and the Committee on Health. April 18, 2014 Notice of Intent to Act on Bill 20-766 is published in the District of Columbia Register. May 9, 2014 Notice of a Public Hearing on both Bill 20-678 and Bill 20-766 is published in the District of Columbia Register. June 12, 2014 The Committee on the Judiciary and Public Safety and the Committee on Health hold a joint public hearing on Bill 20-678 and Bill 20-766. July 1, 2014 The Committee on the Judiciary and Public Safety marks-up Bill 20-766.26 III. POSITION OF THE EXECUTIVE Dr. Joxel Garcia, MD, MBA, Director, Department of Health testified on behalf of the Executive. Dr. Garcia testified in support of expanding the qualifying medical conditions to mean any condition for which use of medical marijuana may be beneficial, as determined between the patient and their physician. Dr. Garcia stated that he thinks that a patient-centric model – where the primary focus is on patient safety and care – is the best model for the District, especially considering the lack of clinical trial that would support FDA approval of medical marijuana. Dr. Garcia suggested adding the phrase “bona fide” to the bill between the word “patient’s” and the word “physician” so that the new provision reads: “(17) “Qualifying medical condition” means any condition for which treatment with medical marijuana would be beneficial, as determined by the patient’s bona fide physician.”27 Dr. Garcia, however, stated that there is currently no demonstrated need to expand the plant limit to 500 plants. Dr. Garcia stated that most, if not all, cultivation centers will be required to submit a new plan to expand their facilities 26 The bill contains section 2 of Bill 20-678. 27 The Committee did not include this suggestion in the committee print because District law already requires a “bona fide physician-patient relationship” before a physician can recommend the use of medical marijuana to a qualified patient. See D.C. Official Code § 7-1671.05(a). Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 7 of 11 to meet the increase in plants, as currently operating cultivation centers have designed their facility schematics based upon the current limit of 95 plants. IV. COMMENTS OF ADVISORY NEIGHBORHOOD COMMISSIONS The Committee received no testimony or comments from Advisory Neighborhood Commissions. V. SUMMARY OF TESTIMONY AND STATEMENTS The Committee on the Judiciary and Public Safety held a public hearing on Bills 20-766 and 20-678 on June 12, 2014. The testimony summarized below is from that hearing. A copy of the witness list is attached to this report; the video recording of the hearings (available online at http://oct.dc.gov/services/on_demand_video/channel_13.asp) is incorporated by reference. A copy of submitted testimony is part of the hearing record and is available through the Office of the Secretary. The following witnesses testified at the hearing: Ken Archer, public witness, testified in support of both bills. Mr. Archer stated that his son has been diagnosed with epilepsy, causing him to have a large number of seizures. Mr. Archer said that he tried several treatments and medications for epilepsy, but that these medications did not work for his son. Mr. Archer said that he plans to give his son medical marijuana if he loses control of his son’s seizures again. Mr. Archer stated that raising the plant count is important because child medical marijuana patients typically ingest oils extracted from the plant, which require far more plants than it would if the plant was being smoked. Mr. Archer also stated that medication decisions should be made between patients and their doctors. Kristen Farthing, public witness, testified in support of both bills. Ms. Farthing testified that she has been diagnosed with endometriosis, which causes a number of severe symptoms. Ms. Farthing stated that she has tried a number of medications and treatments, but that these drugs often have severe side effects. Despite the fact that endometriosis meets every criterion in the District’s law for being a “qualifying condition,” Ms. Farthing has been unable to get a recommendation to use medical marijuana. Ms. Farthing also pointed out that her specialized gynecological surgeon lives in Maryland. As a result, she will have to find a new doctor in the District because a recommendation for medical marijuana from Maryland cannot be filled in the District, even though prescriptions for pain killers can. John Evans, public witness, testified in support of both bills. Mr. Evans said that he works to ensure that veterans with PTSD have safe access to medical marijuana. Mr. Evans stated that increasing the plant count is critical to patient care, as it would allow a greater variety of strains and allow for the production of concentrates and other edible forms of medical marijuana. Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 8 of 11 Richard Kennedy, PhD, public witness, testified in support of both bills. Mr. Kennedy stated that the number of plants being grown is far too low for a city of D.C.’s size and it is more efficient to expand the existing grow centers rather than opening new ones. Mr. Kennedy also stated that letting doctors decide when to recommend medical marijuana merely applies the same rule that exists for other drugs. Vanessa West, General Manager, Metropolitan Wellness Center, testified in support of both bills. Ms. West stated that the cost of medical marijuana in the District is twice as high as any other medical marijuana program in the country. Ms. West urged the Department of Health to engage cultivators and understand the requirements for them to produce edibles, so that we can modify the program and open the door for edible production in the next 90 days. Garrett Vogel, Americans for Safe Access/Virginia NORML, testified in support of both bills. Mr. Vogel stated that he has a rare condition that causes severe seizures, and that the use of medical marijuana has allowed him to cut the use of prescription medications in half. Mr. Vogel stated that with the increased number of qualifying conditions, the plant count should be increased to allow patients to access oils, extracts, and other edibles. David Guard, Capitol Care/Cultivation, testified in support of both bills. Mr. Guard stated that the bill would bring relief to many District residents who have failed to find success with other treatment options. Mr. Guard said increasing the plant count is critical to ensuring a diverse, consistent, and affordable supply of medical marijuana to approved patients. Mr. Guard stated that recent innovations such as the development of strains high in CBD for the treatment of seizure disorders require the ability to select from a larger genetic pool to ensure that growers procedure the appropriate products for each unique patient population. Robert Capecchi, Deputy Director of State Policies, Marijuana Policy Project, testified in support of Bill 20-678. Mr. Capecchi stated that this bill was necessary to ensure that all of the District’s medical marijuana patients have access to the medicine their physician has recommended they use. Mr. Capecchi also stated that only three other jurisdictions have capped the number of plants a grower may cultivate: New Mexico, Rhode Island, and Delaware. Mr. Capecchi reported that there have been problem with shortages in New Mexico and Delaware. Mr. Capecchi stated that given the Department of Health’s recent approval of new qualifying conditions, it is virtually certain that D.C. will face the same shortages. Michael Liszewski, Director of Gov’t Affairs, Americans for Safe Access, testified in support of both bills. Mr. Liszewski stated that the bill would become a model for the rest of the nation. Mr. Liszewski stated it is important for physicians to make the determination of whether medical marijuana is appropriate for qualified patients. Mr. Liszewski stated that the medical marijuana program has not met its goals for registering patients, and that this is in large part because of the restrictive list of qualifying conditions. Steph Sherer, Executive Director, Americans for Safe Access/Private Citizen, testified in support of both bills. Ms. Sherer stated that the restrictive list of qualifying conditions forces patients, like herself, to find medical marijuana in an illegal manner. Ms. Sherer also stated that Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 9 of 11 she uses alcohol-based tinctures to administer medical marijuana, and that this form of ingesting medical marijuana requires approximately four pounds of medical marijuana per year. Dr. Malik Burnett, MD, MBA, Policy Manager, Office of National Affairs, Drug Policy Alliance, testified in support of both bills. Dr. Burnett stated that the bill would improve access for patients to participate in the medical marijuana program and will also restore the full integrity of the doctor-patient relationship. Mr. Burnett noted a 1999 report on Marijuana and Medicine which states that “the adverse effects of marijuana use are within the range tolerated for other medications.” Corey Barnette, Proprietor, District Growers, testified in support of both bills. Mr. Barnette stated that the law should be changed to allow dispensaries and growers to transfer their licenses to new locations. Mr. Barnette said that the rule prohibiting these businesses from relocating could impact the supply of medical marijuana for patients. Mr. Barnette also stated that growers have difficulty finding capital because of federal law. Rabbi Jeffrey Khan, Owner and Operator, Takoma Wellness Center, testified in support of both bills. Rabbi Khan asked the Council to pass the legislation in order to untie the hands of physicians in the District and allow doctors to decide, case by base, what is best for folks living with illness. Rabbi Khan also stated that the medical marijuana program will experience shortages if the plant count is not increased. Lauren Padgett, public witness, testified in support of Bill 20-766. Ms. Padgett testified that she has been living with chronic pain from lupus since 2009, and that she uses cannabis to manage her symptoms. Unlike other painkillers prescribed to her, marijuana provided her relief without the harmful side effects. Ms. Padgett also stated that her doctor is comfortable with her using marijuana on her own, but she won’t formally recommend it for her unless the condition is approved by law. Ms. Padgett stated that the restrictive conditions list sends the message to people who are not covered that their suffering is not great enough to get the medicine that they deserve. Cathy Jolly, Business Development, Franwell, Inc., shared her company’s tracking system, which allows medical marijuana programs to more effectively track the production of marijuana from seed to sale. Ms. Jolly stated that Colorado’s tracking system allows the state to locate and audit each of the 450,000 living plants currently being grown in Colorado. Such a tracking system also allows states to test edible marijuana products to ensure their concentration. Dr. Krishna Updhya, MD, MPH, FAAP, public witness, testified in opposition to Bill 20-766. Dr. Updhya stated that marijuana is not a medicine and that there is no medical justification for expanding the qualifying conditions. Dr. Updhya stated that there is also evidence that medical marijuana causes harm. For example, research shows that three-fourths of adolescents in substance abuse treatment programs in Denver reported use of someone else’s medical marijuana. Dr. Patricia D. Hawkins, PhD, Executive Director, DC Community AIDS Network, testified in support of both bills. Dr. Hawkins stated that raising the plant limit is necessary to Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 10 of 11 meet the existing and anticipated demand related to increasing the number of qualifying conditions. Dr. Hawkins stated that there is not yet an extensive body of large-sample, peerreviewed research, but that it is imperative to allow physicians to determine whether or not medical marijuana will be the treatment of choice for an individual. VI. IMPACT ON EXISTING LAW Bill 20-766 makes two amendments to the Legalization of Marijuana for Medical Treatment initiative of 1998.28 First, the bill would repeal the statutory list of qualifying conditions, and instead allow physicians to decide when and for what conditions medical marijuana would be appropriate. Second, the bill increases the number of living plants that a cultivation center may possess from 95 to 500. VII. FISCAL IMPACT The attached DATE Fiscal Impact Statement from the Chief Financial Officer states that funds are sufficient to implement Bill 20-766. This legislation requires no additional resources or personnel. VIII. SECTION-BY-SECTION ANALYSIS Section 1 States the short title of Bill 20-766. Section 2 Subsection (a) Amends the definition of “qualifying medical condition” to allow physicians to decide when and for what conditions medical marijuana would be appropriate, thereby removing the statutory list of qualifying conditions for which medical marijuana is available. Subsection (b) Increases the number of living plants that a cultivation center may possess from 95 to 500. Section 3 Adopts the fiscal impact statement. Section 4 Provides the effective date. IX. COMMITTEE ACTION On July 1, 2014, the Committee met to consider Bill 20-766. The meeting was called to order at __:__ _M, and Bill 20-766 was the only voting on the agenda. After ascertaining a quorum (Chairperson Wells and Councilmembers __, __, and __), Chairperson Wells moved the 28 The Legalization of Marijuana for Medical Treatment initiative of 1998, effective February 25, 2010 (D.C. Law 13-315; D.C. Official Code § 7-1671.01 et seq.). Committee on the Judiciary and Public Safety DRAFT Report on Bill 20-766 July 1, 2014 Page 11 of 11 report, with leave for staff to make technical, editorial, and conforming changes. After an opportunity for discussion, the vote to approve the report was _______ ( ). Chairperson Wells then moved the print, with leave for staff and the General Counsel to make technical changes and conforming changes. Councilmember ______began the discussion . . . After an opportunity for discussion, the vote to approve the print was _________ (__).The meeting adjourned at __:__ _M. X. ATTACHMENTS 1. Bill 20-766 as introduced. 2. Witness list. 3. Fiscal impact statement. 4. Legal sufficiency determination by the General Counsel. 5. Comparative Print. 6. Committee Print for Bill 20-766.