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           HB 811                                                                                                2021
    1                                         A bill to be entitled
    2               An act relating to physician certifications for the
    3               medical use of marijuana; amending s. 381.986, F.S.;
    4               increasing the number of consecutive supply limits of
    5               marijuana a qualified physician may issue in his or
    6               her physician certification for the medical use of
    7               marijuana; providing a higher supply limit for certain
    8               disabled qualified patients; revising the frequency
    9               with which qualified physicians must evaluate existing
10                  qualified patients for a physician certification for
11                  the medical use of marijuana; providing an effective
12                  date.
13
14         Be It Enacted by the Legislature of the State of Florida:
15
16                  Section 1.        Paragraphs (f) and (g) of subsection (4) of
17         section 381.986, Florida Statutes, are amended to read:
18                  381.986      Medical use of marijuana.—
19                  (4)     PHYSICIAN CERTIFICATION.—
20                  (f)     A qualified physician may not issue a physician
21         certification for more than five three 70-day supply limits of
22         marijuana or more than ten six 35-day supply limits of marijuana
23         in a form for smoking. If the qualified patient is a service-
24         disabled veteran as defined in s. 295.187(3) or a totally and
25         permanently disabled person as defined in s. 196.012(11), a
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        HB 811                                                                                                2021
26      qualified physician may not issue a physician certification for
27      more than ten 70-day supply limits of marijuana or more than
28      twenty 35-day supply limits of marijuana in a form for smoking.
29      The department shall quantify by rule a daily dose amount with
30      equivalent dose amounts for each allowable form of marijuana
31      dispensed by a medical marijuana treatment center. The
32      department shall use the daily dose amount to calculate a 70-day
33      supply.
34               1.      A qualified physician may request an exception to the
35      daily dose amount limit, the 35-day supply limit of marijuana in
36      a form for smoking, and the 4-ounce possession limit of
37      marijuana in a form for smoking established in paragraph
38      (14)(a). The request shall be made electronically on a form
39      adopted by the department in rule and must include, at a
40      minimum:
41               a.      The qualified patient's qualifying medical condition.
42               b.      The dosage and route of administration that was
43      insufficient to provide relief to the qualified patient.
44               c.      A description of how the patient will benefit from an
45      increased amount.
46               d.      The minimum daily dose amount of marijuana that would
47      be sufficient for the treatment of the qualified patient's
48      qualifying medical condition.
49               2.      A qualified physician must provide the qualified
50      patient's records upon the request of the department.
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        HB 811                                                                                                2021
51               3.      The department shall approve or disapprove the request
52      within 14 days after receipt of the complete documentation
53      required by this paragraph. The request shall be deemed approved
54      if the department fails to act within this time period.
55               (g)      A qualified physician must evaluate an existing
56      qualified patient at least once every 52 30 weeks, or at least
57      once every 104 weeks if the qualified patient is a service-
58      disabled veteran as defined in s. 295.187(3) or a totally and
59      permanently disabled person as defined in s. 196.012(11), before
60      issuing a new physician certification. A physician must:
61               1.      Determine if the patient still meets the requirements
62      to be issued a physician certification under paragraph (a).
63               2.      Identify and document in the qualified patient's
64      medical records whether the qualified patient experienced either
65      of the following related to the medical use of marijuana:
66               a.      An adverse drug interaction with any prescription or
67      nonprescription medication; or
68               b.      A reduction in the use of, or dependence on, other
69      types of controlled substances as defined in s. 893.02.
70               3.      Submit a report with the findings required pursuant to
71      subparagraph 2. to the department. The department shall submit
72      such reports to the Consortium for Medical Marijuana Clinical
73      Outcomes Research established pursuant to s. 1004.4351.
74               Section 2.        This act shall take effect July 1, 2021.
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