The "Put Patients First Act" seeks to amend the South Carolina Code of Laws to create a legal framework for the medical use of marijuana. It allows registered patients to use marijuana for medical purposes, permits physicians to recommend its use, and enables individuals to serve as registered caregivers. The bill establishes a confidential registry for issuing identification cards to patients and caregivers, provides legal protections against criminal liability for authorized actions, and allows for the operation of dispensaries to cultivate and dispense medical marijuana. It also sets limits on the quantity of marijuana that can be possessed and cultivated, outlines penalties for violations, and repeals existing laws related to controlled substances therapeutic research.

Additionally, the act details the application process for obtaining registry identification cards, including requirements for patients and caregivers, and specifies the criteria for dispensary registration. It mandates background checks for dispensary personnel, outlines security measures, and emphasizes consumer protection regarding product quality. The bill also includes provisions to protect registered patients and caregivers from discrimination and legal repercussions related to their medical use of marijuana. It clarifies that health insurance providers are not liable for reimbursement claims related to medical marijuana and that employers are not required to accommodate its use in the workplace. Overall, the legislation aims to streamline and regulate the medical marijuana framework in South Carolina while ensuring patient safety and legal protections.