Colorado Medicinal Cannabis Program
Application Information
March 21, 2001
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State of Colorado -- Board of Health
Rules and Regulations Pertaining to Medical Use of Marijuana
Adopted March 21, 2001
http://www.cdphe.state.co.us/op/medmarijuanaruls2.pdf
Regulation 1: Establishment and confidentiality of the registry for the medical use
of marijuana
A. The Colorado Department of Public Health and Environment ("the
department") shall create and maintain a confidential registry ("the
registry") of patients who have applied for and are entitled to receive a registry
identification card. All personal medical records and personal identifying information
held by the department in compliance with these regulations shall be confidential
information. No person shall be permitted to gain access to any information about patients
in this registry, or any information otherwise maintained in the registry by the
department about physicians and primary care-givers of patients in the registry, except
for authorized employees of the department in the course of their official duties and
authorized employees of state and local law enforcement agencies which have stopped or
arrested a person who claims to be engaged in the medical use of marijuana and in
possession of a registry identification card issued pursuant to regulations two and three.
The department may release information concerning a specific patient to that patient with
the written authorization of such patient.
B. Any officer or employee or agent of the department who violates this regulation by
releasing or making public confidential information in the registry shall be subject to
any existing statutory penalties for a breach of confidentiality of the registry.
Regulation 2: Application for a registry identification card
A. An "adult applicant" is defined as a patient eighteen years of age or
older. A "minor applicant" is defined as a patient less than eighteen years of
age.
B. In order to be placed in the registry and to receive a registry identification card,
an adult applicant must reside in Colorado and submit an application form supplied by the
department. The adult applicant must provide the following information with the
application:
i) The applicants name, address, date of birth, and social security number;
ii) The name and address of the applicants primary care-giver, if one is
designated at the time of application;
iii) Written documentation from the applicants physician that the applicant has
been diagnosed with a debilitating medical condition as defined in regulation six and the
physicians conclusion that the applicant might benefit from the medical use of
marijuana; and
iv) The name, address, and telephone number of the physician who has concluded the
applicant might benefit from the medical use of marijuana.
C. In order for a minor applicant to be placed in the registry and to receive a
registry identification card, the minor applicant must reside in Colorado and a parent
residing in Colorado must consent in writing to serve as the minor applicants
primary care-giver. Such parent must submit an application form supplied by the
department. The parent of the minor applicant must provide the following information with
the application:
i) The applicants name, address, date of birth, and social security number;
ii) Written documentation from two of the applicants physicians that the
applicant has been diagnosed with a debilitating medical condition as defined in
regulation six and each physicians conclusion that the applicant might benefit from
the
medical use of marijuana;
iii) The name, address, and telephone number of the two physicians who have concluded
the applicant might benefit from the medical use of marijuana;
iv) Consent from each of the applicants parents residing in Colorado that the
applicant may engage in the medical use of marijuana; and
v) Documentation that one of the physicians referred to in (iii) has explained the
possible risks and benefits of medical use of marijuana to the applicant and each of the
applicants parents residing in Colorado.
D. To maintain an effective registry identification card, a patient must annually
resubmit to the department, at least thirty days prior to the expiration date, updated
written documentation of the information required in paragraphs B and C of this
regulation. In addition, the patient must provide the name and address of the primary
care-giver, if any is designated at such time.
Regulation 3: Verification of medical information; issuance, denial, revocation,
and form of registry identification cards
A. The department shall verify medical information contained in the patients
application within thirty days of receiving the application. Verification of medical
information shall consist of determining that there is documentation stating the applicant
has a current diagnosis with a debilitating medical condition as defined in regulation six
by a physician who has a current license to practice medicine issued by the State of
Colorado.
B. No more than five days after verifying medical information of the applicant, the
department shall issue a serially numbered registry identification care to the patient.
The card shall state the following:
i) The patients name, address, date of birth, and social security number;
ii) That the patients name has been certified to the department as a person with
a
debilitating medical condition, whereby the person may address such condition
with the medical use of marijuana;
iii) The date of issuance of such card and the date of expiration, which shall be one
year from the date of issuance;
iv) The name and address of the patients primary care-giver, if any is designated
at
the time of application;
v) How to notify the department of any change in name, address, medical status,
physician, or primary care-giver.
C. Except for minor applicants, where the department fails within thirty-five days of
receipt of application to issue a registry identification card or fails to issue verbal or
written notice of denial of such application, the patients application for such card
will be deemed to have been approved. "Receipt" shall be deemed to have occurred
upon delivery to the department or deposit in the united states mails. No application
shall be deemed received prior to June 1, 2001.
D. The department shall deny the application if it determines that information has been
falsified or it cannot verify the medical information as provided in paragraph A of this
regulation. A patient whose application has been denied by the department may not reapply
during the six months following the date of denial. The denial of a registry
identification card shall be considered a final agency action.
E. In addition to any other penalties provided by law, the department shall revoke for
a period of one year the registry identification card of any patient found to have
willfully violated the provisions of Section 14 of Amendment 20 of the Colorado
Constitution or the implementing legislation of Section 14.
Regulation 4: Change in applicant information
A. When there has been a change in the name, address, physician or primary care-giver
of a patient who has been issued a registry identification card, that patient must notify
the department within ten days. A patient who has not designated a primary care-giver at
the time of application to the department may do so in writing at any time during the
effective period of the registry identification card, and the primary care-giver may act
in this capacity after such designation.
B. A patient who no longer has a debilitating medical condition as defined in
regulation six shall return his registry identification card to the department within
twenty-four hours of receiving such information by his or her physician.
Regulation 5: Communications with law enforcement officials about patients in the
registry
A. Authorized employees of state or local law enforcement agencies shall be granted
access to the information contained within the departments registry only for the
purpose of verifying that an individual who has presented a registry identification card
to a state or local law enforcement official is lawfully in possession of such card. The
department shall report to authorized state or local law enforcement officials whether a
patients registry identification card has been suspended because the patient no
longer has a debilitating medical condition.
B. Authorized employees of state or local law enforcement agencies shall immediately
notify the department when any person in possession of a registry identification card has
been determined by a court of law to have willfully violated the provisions of this
section 14 of the Colorado constitution or its implementing legislation, or has pled
guilty to such offense.
Regulation 6: Debilitating medical conditions and the process for adding new
debilitating medical conditions
A. Debilitating medical conditions are defined as cancer, glaucoma, and infection with
or positive status for human immunodeficiency virus. Patients undergoing treatment for
such conditions are defined as having a debilitating medical condition.
B. Debilitating medical condition also includes a chronic or debilitating disease or
medical condition other than HIV infection, cancer or glaucoma; or treatment for such
conditions, which produces for a specific patient one or more of the following, and for
which, in the professional opinion of the patients physician, such condition or
conditions may reasonably be alleviated by the medical use of marijuana: cachexia; severe
pain; severe nausea; seizures, including those that are characteristic of epilepsy; or
persistent muscle spasms, including those that are characteristic of multiple sclerosis.
C. Patients who have had a diagnosis of a debilitating medical condition in the past
but do not have active disease and are not undergoing treatment for such condition are not
suffering from a debilitating medical condition for which the medical use of marijuana is
authorized.
D. Beginning June 1, 2001, the department shall accept physician or patient petitions
to add debilitating medical conditions to the list provided in paragraphs A and B of this
regulation. The department shall determine if a public rulemaking hearing to modify this
regulation is appropriate, and if so, shall petition the Board of Health to set a date for
such hearing within one hundred twenty days of receipt of the patient or physician
petition. If the department determines that a public rulemaking hearing is not
appropriate, it shall notify the petitioner of its action within one hundred eighty days
of receipt of submission of the petition. In making its determination, the department will
consider whether there is information that the proposed condition is chronic,
debilitating, and may be specifically diagnosed, and whether there is scientific evidence
that treatment with marijuana may have a beneficial effect.
Regulation 7: Determination of fees to pay for administrative costs of the medical
use of marijuana program
The department shall provide each applicant with information concerning the medical use
of marijuana program. The department shall collect one hundred forty dollars from each
applicant at the time of application to pay for the direct and indirect costs to
administer the medical use of marijuana program. Such fee shall not be refundable to the
applicant if the application is denied or revoked or if the patient no longer has a
debilitating medical condition. The amount of the fee shall be evaluated annually by the
department, and the department shall propose modifications to the board, as appropriate.
If the patient provides updated information at any time during the effective period of the
registry identification card, the department shall not charge a fee to modify the registry
information concerning the patient.
For more information, contact:
Colorado Board of Health
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South EDO-A5
Denver, CO 80246-1530
(303) 692-3464
1-800-886-7689 (within Colorado)
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