House gives initial passage to changes to Missouri medical marijuana provisions

The Missouri House has given initial approval to a bill addressing issues with implementing a medical marijuana industry approved by voters in 2018.  This comes as its Special Oversight Committee continues to explore problems in the issuing of cultivation licenses.

Representative Jonathan Patterson (Photo: Tim Bommel, Missouri House Communications)

House Bill 1896 would give the Department of Health and Senior Services authority to review criminal background checks to ensure no workers in the medical marijuana industry have committed a disqualifying felony criminal offense.  Article 14 of the Missouri Constitution, passed in 2018 by Missouri voters, includes the authority for DHSS to conduct criminal background checks, but the FBI does not share that information with non-law enforcement entities.

HB 1896 would give DHSS statutory authority to satisfy the FBI’s concerns.  It would also make it a Class-E felony for a state agency to share data about medical marijuana card applicants with the federal government.

The House on Thursday added a provision to the bill that would require a medical marijuana card applicant to meet in-person with a Missouri doctor in order to be certified.

That piece was proposed by Representative Jonathan Patterson (R), a Lee’s Summit surgeon, who said it would strengthen the fledgling program.

“Because if you are doing these certifications online or over the phone then the strength of the certification is really diminished, so as we’re starting this program we want everything to be above board,” said Patterson.

Some lawmakers opposed Patterson’s amendment, saying it took a narrowly focused bill to fix a problem holding up the system, and added roadblocks to some potential medical marijuana patients.

“The Department testified to us the other day that the ‘North Star’ of Amendment 2 and the ‘North Star’ of their implementation of this was patient access, and all I see in here is a limitation on the physician I can go to,” said Representative Peter Merideth (D-St. Louis).

Representative Peter Merideth (Photo: Tim Bommel, Missouri House Communications)

Merideth is also critical of Patterson’s amendment having first appeared on the House floor and not being the subject of a committee hearing.

“When people passed Amendment 2 do you think they had in mind an online doctor from some other country or another state?”  Patterson asked.

“I think we should ask them,” Merideth responded.  “That’s the point of a public hearing on something like this so that they can come in and say, ‘Here’s how it impacts me,’ so I can hear from a doctor, so I can hear from a patient.”

O’Fallon attorney, Representative Nick Schroer (R), said he believes Patterson’s amendment will lead to court challenges.

“This is going to prohibit the actual implementation of what the voters intended and what the voters requested,” said Schroer.

Other lawmakers said requiring certification from only Missouri doctors would be a burden to those who live near the borders and visit doctors from neighboring states.

Patterson argued his amendment would protect patients.

“The people of Missouri … wanted a safe program that provided patients access.  They wanted a safe program of Missouri-grown marijuana sold in Missouri to Missourians certified by a Missouri physician that is licensed to practice here,” said Patterson.

The House also added a provision to require DHSS employees involved in medical marijuana regulation to disclose any “actual or perceived” conflicts of interest to the Department.

Another favorable vote would send the legislation to the Senate.

The House Special Committee on Government Oversight has held several hearings into apparent inconsistencies in the approval of licenses to cultivate marijuana for medical use in the state.  More such hearings are expected as early as next week.

House votes to clear needle exchange programs to fight IV drug use, disease

The Missouri House has passed a bill that would legalize programs already operating in the state that give drug abusers clean needles.  Supporters say those fight the spread of intravenous diseases and expose drug users to treatment options.

Representative Holly Rehder (photo: Tim Bommel, Missouri House Communications)

Those running needle exchanges in Missouri now could be charged with violating the state’s drug paraphernalia law.  They are protected only by handshake agreements with local law enforcement who recognize the benefit of the programs.

House Bill 168 would exempt from that law needle exchange programs that are registered with the Department of Health and Senior Services.

“Syringe access programs have been found to cause a 13-percent reduction in use.  They play a very large role in referral for treatment, and they’ve also been found to decrease needle sharing by 20-percent,” said Sikeston Republican Holly Rehder, the bill’s sponsor.

She said the CDC has identified 13 counties in Missouri as ripe for an outbreak of Hepatitis C and HIV.  She said preventing an outbreak would save lives and save the state money.

“In 2016 the cost to the state for Hep-C and HIV treatment was $70-million.  In 2017 it was $63-million, and in 2018 it was $80-million,” said Rehder.

Missouri has plenty of examples in other states to look to, to see how needle exchange programs have run and what results they’ve had.

“We’ve had over 30 states enact legislation to allow these to take place,” said Columbia Democrat Martha Stevens.

Supporters say in places with needle exchange programs, drug users are five times more likely to enter treatment.  That’s because when users go to get needles, they’re getting them from a health care professional who can tell them about treatment options.

“This could be the entryway into someone getting treatment.  This could be the first healthcare professional that one of these IV drug users ever meets,” said Lee’s Summit Republican Jonathan Patterson.

“So often people who are using, once they get to using needles, they don’t have anyone in their life that knows how to get them help, that knows how to get them plugged in when they reach out for help,” said Rehder.  “Having this person who meets them where they’re at, becomes their friend, and becomes that medical professional with the knowledge to get them plugged in, and that’s who they go to reach out to when they’re ready for help.”

The House’s 124-27 vote sends the bill to the Senate, where it stalled last year.  Rehder has said she has assurances from members of that chamber that it will be supported this year.

Earlier stories: 

House Committee considers legalizing needle exchange programs to fight disease, addiction

Missouri House asked again to revamp HIV infection laws, endorse needle exchange programs

Missouri House votes to support needle exchange programs to fight IV drug abuse, disease