Coalition MeetingSeptember 5, 2013

Patients may obtain a medical marijuana (MM) certification from the State of Illinois to purchase MM legally from a State approved MM dispensary.

On the date HB01 becomes legal “prescription and nonprescription medicines and drugs” includes medical cannabis purchased from a registered dispensing organization.

Medical MarijuanaHouse Bill 01

Patients will be able to obtain 2 ½ ounces of marijuana every 14 days (Section 10)

Equals 183 total joints every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Medical MarijuanaQuantity

The bill allows for prescriptions to be written for a wide range of conditions including:

Crohn’s Disease and IBS (Diarrhea),

Causalgia (Pain),

Myoclonus (Muscle twitching),

Tourette’s Syndrome,

Cachexia (Anorexia),

Dystonia (Lou Gehrig's Disease, Parkinson, Writer’s Cramp, Carpal Tunnel),

Post Concussive Syndrome (Headaches),

In Colorado, 94 percent of people who use medical marijuana cite severe and chronic pain as their reason for needing medical marijuana. This condition is allowed in the Illinios HB01 as Complex Regional Pain Syndrome I and II.

Average user in CO is 42 years old. 67% of CO users are male. (As of 6/2013)

Medical MarijuanaQualifying Conditions

The bill follows the Illinois Vehicle Code Sections 11 501 and 501.2 which states:A person shall not drive or be in actual physical control of any vehicle within this State while under the influence of …..any other drug or combination of drugs to a degree that renders the person incapable of safely driving……

How do you test for it?There are no immediate testing mechanisms available for marijuana (like the

breathalyzer for alcohol) for law enforcement to determine if someone is under the influence. How will the law be enforced?

Does Not Contain Prior verbiage allowing qualified medical marijuana patient to operate a motor vehicle after 6 hours have passed since consuming marijuana

Marijuana is the identified drug in 14% of fatal car crashes. (National Institute on Drug Abuse, 2010)

Medical MarijuanaDriving Under the Influence

The bill poses serious risk & long term harm to Illinois youth

18 year olds can get a prescription without parental consent.

Adolescents equate “medical” with harmless or “safe.” i.e. “if doctors think its ok then it must be…” Thus, medical marijuana laws normalize marijuana use, and that gives adolescents the green light to use.

Marijuana use has a direct impact on short term memory, attention span, depth perception, learning and judgment. Marijuana alters brain development when taken during adolescence (National Institute on Drug Abuse, 2011)

Schools can’t refuse to enroll a medical marijuana patient. How will schools enforce drug free school rules if the school has to allow medical marijuana patients into the school?

Medical MarijuanaAnd Minors

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Is the FDA involved in policing the production and sale of Medical Marijuana?

NO

Not distributed through pharmacies or doctor offices.

Unlike other drugs, which are carefully controlled and regulated, marijuana does not go through the FDA’s testing procedures because you can’t get a plant through the FDA’s process.

There will be up to 22 cultivation centers. One per Illinois State Police District boundary as of 1/1/2013.

There will be up to 60 dispensaries for distribution and sale of medical marijuana.

Medical MarijuanaAnd the FDA (NOT)

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)

Illinois State Police District Boundaries

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.•The bill will enable patients to drive under the influence of marijuana

1.The bill allows people to drive with an unlimited amount of marijuana in their system unless they are impaired. But impairment is elusive – how do you test for it?2.There are no immediate testing mechanisms available for marijuana (like the breathalyzer for alcohol) for law enforcement to determine if someone is under the influence. How will the law be enforced?

22

Lake Forest/Lake Bluff reside in

District 2.

Location Regulation

May not be located within 2,500 feet of the property line of a pre-existing or private preschool, elementary, secondary school, day care center, day care home, group day care home, part day child care facility, or an area zoned for residential use.

2,500 is approximately ½ mile (.47)

May not sell or distribute any cannabis to any individual or entity other than a dispensary organization registered under this Act.

Cultivation Centers

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.•The bill will enable patients to drive under the influence of marijuana

1.The bill allows people to drive with an unlimited amount of marijuana in their system unless they are impaired. But impairment is elusive – how do you test for it?2.There are no immediate testing mechanisms available for marijuana (like the breathalyzer for alcohol) for law enforcement to determine if someone is under the influence. How will the law be enforced?

•The bill will enable patients to drive under the influence of marijuana1.The bill allows people to drive with an unlimited amount of marijuana in their system unless they are impaired. But impairment is elusive – how do you test for it?2.There are no immediate testing mechanisms available for marijuana (like the breathalyzer for alcohol) for law enforcement to determine if someone is under the influence. How will the law be enforced?

Location Regulation

Geographically dispersed throughout the State to allow all registered qualifying patients reasonable proximity and access to a dispensing organization

May not be located within 1,000 feet of the property line of a pre-existing or private preschool, elementary, secondary school, day care center, day care home, group day care home, part day child care facility.

A registered dispensing organization may not be located in a house, apartment, condominium, or an area zoned for residential use.

1,000 feet is approximately 1/5 mile (.19 miles)

Dispensaries1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.•The bill will enable patients to drive under the influence of marijuana

1.The bill allows people to drive with an unlimited amount of marijuana in their system unless they are impaired. But impairment is elusive – how do you test for it?2.There are no immediate testing mechanisms available for marijuana (like the breathalyzer for alcohol) for law enforcement to determine if someone is under the influence. How will the law be enforced?

18 year high school students can be under the influence of MM at school

No one (student, staff, admin, etc) can use or possess MM on school grounds

No one with a school bus permit can use MM

Student with a MM certification can not be prevented from attending LFHS

LFHS policies can not discriminate against students with MM certification

LFC (post-secondary) can prevent use of MM on college property

How does this affect LFHS

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

LFHS has four student policies which mention alcohol and drugs1. Student Discipline Policy – “.. influence of drugs - …as defined in applicable Illinois and Federal Narcotics

Laws shall not be permitted ….”

2. Athletic Code of Conduct – “…drugs or chemicals, or any substance used to obtain an altered mental state or “high.”

3. Student Handbook- Using, possession, distributing, purchasing, or selling: Any illegal drug, controlled substance, or cannabis (including marijuana and hashish)

4. Extra-curricular Activity Code of Conduct - any form of drugs/drug paraphernalia or look-likes other than those prescribed by a physician.

LFHS is a drug- and alcohol free workplace for employees – “.. Cannot be under the

influence of a controlled substance……Not legally obtained, …..controlled substance definition: referenced in federal or State controlled substance acts…”

LFHS Alcohol and Drug Policies

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Recommend one alcohol and drug policy with consistent verbiage that addresses MM

Recommend policy prohibiting student use of machinery

Look to IHSA for policy on sport participation and change to banned substances

Recommendations toLFHS

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

MM can not be used any public place.

Public place includes: all parts of building owned in whole or in part, or leased, by the State or a local unit of government.

Does not include private residence unless the private residence is used to provide licensed child care, foster care or other similar social services.

May not be used knowingly in close proximity to anyone under the age of 18 years of age

MM can not be used in any place where smoking is prohibited under the Smoke Free Illinois Act

MM may not be used by an active duty law enforcement officer, correctional officer, correctional probation officer or firefighter.

How does this affect our communities

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Pass civil ordinance to close “knowingly” clause regarding using MM around youth under 18

Pass local ordinance to prevent MM evaluation centers from opening in town.

Limit or prevent cash only medical facilities from opening

How Can City Council Help1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Study from the Dunedin Longitudinal Study, which was conducted in Dunedin, New Zealand.

Cohort of 1037 individuals born in 1972 and 1973, who were followed from birth and were seen every 2 years to age 38. 95% retention rate

Participants' cannabis use was ascertained in interviews at ages 18, 21, 26, 32, and 38 years. IQ testing was done at age 8, 11, and 13 years, before the start of cannabis use, and again at age 38, after a pattern of persistent cannabis use had developed. One third of the cohort had never used cannabis.

After controlling for alcohol or drug dependence, socioeconomic status, and years of education, the researchers found that persistent cannabis use was associated with an 8 point IQ decline when it was begun during the teenage years but not when begun in the adult years, after the age of 18.

Between the ages of 8 and 38 years, individuals who began using cannabis in adolescence and continued to use it for years thereafter lost an average of 8 IQ points. In contrast, IQ among individuals who never used cannabis actually rose slightly, Dr. Meier said

Is MM HarmfulStudy finds IQ drop of 8 points

(Irreparable)

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.

Youth perception medical is not harmful

Medical marijuana laws normalize use, making teens think that marijuana is not harmful

Perception medicine is safe is a contributing factor to Rx abuse

Youth addicted to marijuana accounted for 62% of youth admissions to Washington State treatment programs. Similar results locally

1 in 6 youth become addicted to marijuana

Is MM Harmful?Isn’t it medicine?

1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)1.Any patient will be able to obtain 2 ½ ounces of marijuana every 14 days (HB 001, Section 10, (a), (1), page 3)This equals 183 total joints (marijuana cigarettes) every two weeks or 13 joints per day. Even addicted users don’t smoke that much.