HB 599-FN - AS INTRODUCED
2021 SESSION
21-0043
11/05
HOUSE BILL 599-FN
AN ACT relative to the therapeutic cannabis medical oversight board.
SPONSORS: Rep. Acton, Rock. 10; Rep. M. Pearson, Rock. 34
COMMITTEE: Health, Human Services and Elderly Affairs
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ANALYSIS
This bill requires the medical director of the department of health and human services to
conduct a review of qualifying medical conditions under the therapeutic cannabis law. The bill also
requires members of the therapeutic cannabis medical oversight board to disclose certain conflicts of
interest before participating in matters in which such conflicts of interest exist.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
 HB 599-FN - AS INTRODUCED
21-0043
11/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty One
AN ACT relative to the therapeutic cannabis medical oversight board.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 1 Statement of Intent. The general court recognizes its obligation to ensure the medical
2 oversight board adheres to standard state conflict of interest provisions. Even the perception of
3 conflict of interest could adversely impact the board’s statutory role to monitor and contribute to the
4 oversight of the clinical, quality, and public health related matters of the use of cannabis for
5 therapeutic purposes. The general court also recognizes its obligation to protect the health and
6 safety of the 8,302 qualified patients enrolled in the therapeutic cannabis program (TCP 2019
7 Annual Data Report). The United States Surgeon General and the Centers for Disease Control and
8 Prevention have issued recent advisories on the health risks and side-effects of marijuana use.
9 2 Medical Director; Review Required. The medical director, department of health and human
10 services, as chairperson of the therapeutic cannabis medical oversight board, is directed to conduct a
11 review of the current medical and scientific evidence pertaining to approved qualifying medical
12 conditions under RSA 126-X:1, IX and make recommendations to the commissioner to add or remove
13 qualifying medical conditions pursuant to subparagraph RSA 126-X:12, IV(a). This review should
14 include, but not be limited to, recent scientific advances in treatment for glaucoma, epilepsy, PTSD
15 and autism spectrum disorder now in use since passage of the therapeutic cannabis law in 2013.
16 3 Report Required. The commissioner of the department of health and human services shall
17 report on recommended legislation based on the medical director's findings no later than 90 days
18 after the passage of this act to the joint legislative oversight committee on health and human
19 services established pursuant to RSA 126-A:13.
20 4 Therapeutic Cannabis Medical Oversight Board; Membership. Amend the introductory
21 paragraph of RSA 126-X:12, II to read as follows:
22 II. The board shall consist of the medical director, department of health and human services,
23 or designee, a qualifying patient, appointed by the commissioner of the department, a clinical
24 representative from an alternative treatment center, appointed by the commissioner, and 10 medical
25 providers also appointed by the commissioner. Board members shall, prior to participating in
26 any matter, disclose whether they have a private, financial, or pecuniary interest which
27 may directly or indirectly affect or influence the performance of their duties relative to
28 that matter. The medical provider members shall represent the following fields:
29 5 Effective Date.
30 I. Sections 1 and 4 of this act shall take effect 60 days after its passage.
31 II. The remainder of this act shall take effect upon its passage.
 LBA
21-0043
1/13/21
HB 599-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to the therapeutic cannabis medical oversight board.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
STATE: FY 2021 FY 2022 FY 2023 FY 2024
Appropriation $0 $0 $0 $0
Revenue $0 $0 $0 $0
Indeterminable Indeterminable Indeterminable
Expenditures $0
Increase Increase Increase
Funding Source: [ X ] General [ ] Education [ ] Highway [ ] Other
METHODOLOGY:
This bill makes several changes to the therapeutic cannabis medical oversight board, including:
1. Transferring responsibility from certain clinical review and research functions from the
13-member board to the Medical Director of the Department of Health and Human
Services. Such review would involve a combination of 21 identified diagnoses.
2. Requiring that the above review be completed and reported to the Joint Legislative
Oversight Committee on Health and Human Services within 90 days of the bill’s passage.
The Department notes that this is an additional reporting requirement beyond the
current annual reporting requirement of the board.
3. Adding language related to conflict of interest of board members, requiring disclosure of
a private, financial, or pecuniary interest in certain board matters.
The Department states that (1) and (2) above would require additional resources, but that the
amount of any such increase is indeterminable.
Any fiscal impact is assumed to take place in FY 2022 and beyond.
AGENCIES CONTACTED:
Department of Health and Human Services