medical cannabis card -- Application -- Fees -- Studies. (1) (a) Subject to Section 26B-4-246, within 15 days after the day on which an individual who satisfies the eligibility criteria in this section or Section 26B-4-214 submits an application in accordance with this section or Section 26B-4-214, the department shall issue the appropriate card to the individual for which the individual applied. (b) (i) Upon the entry of a recommending medical provider's medical cannabis recommendation for a patient in the state electronic verification system, either by the provider or the provider's employee or by a medical cannabis pharmacy medical provider or medical cannabis pharmacy in accordance with Subsection 4-41a-1101(10)(a), the department shall issue to the patient an electronic conditional medical cannabis card, in accordance with this Subsection (1)(b). (ii) A conditional medical cannabis card is valid for the lesser of: (A) 60 days; or (B) the day on which the department completes the department's review and issues a medical cannabis card under Subsection (1)(a), denies the patient's medical cannabis card application, or revokes the conditional medical cannabis card under Subsection (8). (iii) The department may issue a conditional medical cannabis card to an individual applying for a medical cannabis patient card for which approval of the Compassionate Use Board is not required. (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and obligations under law applicable to a holder of the medical cannabis card for which the individual applies and for which the department issues the conditional medical cannabis card. (2) (a) An individual is eligible for a medical cannabis patient card if: (i) (A) the individual is at least 21 years old; or (B) the individual is 18, 19, or 20 years old, the individual petitions the Compassionate Use Board under Section 4-41a-112, and the Compassionate Use Board recommends department approval of the petition; (ii) the individual is a Utah resident; (iii) the individual's recommending medical provider recommends treatment with medical cannabis in accordance with Subsection (4); (iv) the individual signs an acknowledgment stating that the individual received the information described in Subsection (9); and (v) the individual pays to the department a fee in an amount that, subject to Subsection 4-41a-104.1(5), the department sets in accordance with Section 63J-1-504. (b) (i) An individual is eligible for a medical cannabis guardian card if the individual: (A) is at least 18 years old; (B) is a Utah resident; (C) (I) is the parent or legal guardian of a minor for whom the minor's recommending medical provider recommends a medical cannabis treatment, the individual petitions the Compassionate Use Board under Section 4-41a-112, and the Compassionate Use Board recommends department approval of the petition; or (II) is the legal guardian of an incapacitated adult and provides acceptable proof of guardianship to the department; (D) signs an acknowledgment stating that the individual received the information described in Subsection (9); and (E) signs an attestation under penalty of perjury that the individual is eligible for a medical cannabis guardian card under Section 26B-4-246. (ii) The department shall notify the Department of Public Safety of each individual that the department registers for a medical cannabis guardian card. (c) (i) A minor is eligible for a provisional patient card if: (A) the minor has a qualifying condition; (B) the minor's recommending medical provider recommends a medical cannabis treatment to address the minor's qualifying condition; (C) one of the minor's parents or legal guardians petitions the Compassionate Use Board under Section 4-41a-112, and the Compassionate Use Board recommends department approval of the petition; and (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a medical cannabis caregiver card under Section 26B-4-214. (ii) The department shall automatically issue a provisional patient card to the minor described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis guardian card to the minor's parent or legal guardian. (d) If the parent or legal guardian does not qualify for a medical cannabis guardian card under Subsection (2)(b), the parent or legal guardian may designate up to two caregivers in accordance with Subsection 26B-4-214(1)(c). (e) The department shall issue a provisional patient card to an incapacitated adult if: (i) the incapacitated adult's legal guardian qualifies for a medical cannabis guardian card under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a medical cannabis caregiver card under Section 26B-4-214; and (ii) the individual's recommending medical provider recommends treatment with medical cannabis in accordance with Subsection (4). (3) (a) An individual who is eligible for a medical cannabis card described in Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the department: (i) through an electronic application connected to the state electronic verification system; (ii) with the recommending medical provider; and (iii) with information including: (A) the applicant's name, gender, age, and address; (B) the number of the applicant's government issued photo identification; (C) for a medical cannabis guardian card, the name, gender, and age of the individual receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card; and (D) for a provisional patient card, the name of the parent or legal guardian who holds the associated medical cannabis guardian card. (b) (i) If a recommending medical provider determines that, because of age, illness, or disability, a medical cannabis patient cardholder requires assistance in administering the medical cannabis treatment that the recommending medical provider recommends, the recommending medical provider may indicate the cardholder's need in the state electronic verification system, either directly or through the order described in Subsections 26B-4-204(1)(b) and (c). (ii) If a recommending medical provider makes the indication described in Subsection (3)(b)(i): (A) the department shall add a label to the relevant medical cannabis patient card indicating the cardholder's need for assistance; (B) any adult who is 18 years old or older and who is physically present with the cardholder at the time the cardholder needs to use the recommended medical cannabis treatment may handle the medical cannabis treatment and any associated medical cannabis device as needed to assist the cardholder in administering the recommended medical cannabis treatment; and (C) an individual of any age who is physically present with the cardholder in the event of an emergency medical condition, as that term is defined in Section 31A-1-301, may handle the medical cannabis treatment and any associated medical cannabis device as needed to assist the cardholder in administering the recommended medical cannabis treatment. (iii) A non-cardholding individual acting under Subsection (3)(b)(ii)(B) or (C) may not: (A) ingest or inhale medical cannabis; (B) possess, transport, or handle medical cannabis or a medical cannabis device outside of the immediate area where the cardholder is present or with an intent other than to provide assistance to the cardholder; or (C) possess, transport, or handle medical cannabis or a medical cannabis device when the cardholder is not in the process of being dosed with medical cannabis. (4) (a) Except as provided in Subsection (4)(b), a recommending medical provider may not recommend medical cannabis to a patient through a virtual visit. (b) A recommending medical provider may recommend medical cannabis to a patient through a virtual visit if the patient: (i) is on hospice or has a terminal illness according to the patient's medical provider; (ii) is a resident of an assisted living facility, as defined in Section 26B-2-201, or a nursing care facility, as defined in Section 26B-2-201; (iii) has previously received a medical cannabis recommendation from the recommending medical provider through a face-to-face visit; or (iv) is a current patient of the recommending medical provider and has met with the recommending medical provider face-to-face previously. (c) A recommending medical provider shall: (i) before recommending or renewing a recommendation for medical cannabis: (A) verify the patient's and, for a minor patient, the minor patient's parent or legal guardian's government issued photo identification described in Subsection (3)(a); (B) review any record related to the patient and, for a minor patient, the patient's parent or legal guardian accessible to the recommending medical provider including in the controlled substance database created in Section 58-37f-201; and (C) consider the recommendation in light of the patient's qualifying condition, history of substance use or opioid use disorder, and history of medical cannabis and controlled substance use during a visit with the patient; and (ii) state in the recommending medical provider's recommendation that the patient: (A) suffers from a qualifying condition, including the type of qualifying condition; and (B) may benefit from treatment with medical cannabis. (5) (a) Except as provided in Subsection (5)(b) or (c), a medical cannabis card that the department issues under this section is valid for the lesser of: (i) an amount of time that the recommending medical provider determines; or (ii) one year from the day the card is issued. (b) (i) A medical cannabis card that the department issues in relation to a terminal illness described in Section 26B-4-203 expires after one year. (ii) The recommending medical provider may revoke a recommendation that the provider made in relation to a terminal illness described in Section 26B-4-203 if the medical cannabis cardholder no longer has the terminal illness. (c) A medical cannabis card that the department issues in relation to acute pain as described in Section 26B-4-203 expires 30 days after the day on which the department first issues a conditional or full medical cannabis card. (6) (a) A medical cannabis patient card or a medical cannabis guardian card is renewable if: (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or (b); or (ii) the cardholder received the medical cannabis card through the recommendation of the Compassionate Use Board under Section 4-41a-112. (b) The recommending medical provider who made the underlying recommendation for the card of a cardholder described in Subsection (6)(a) may renew the cardholder's card through phone or video conference with the cardholder, at the recommending medical provider's discretion. (c) Before having access to a renewed card, a cardholder under Subsection (2)(a) or (b) shall pay to the department a renewal fee in an amount that: (i) subject to Subsection 4-41a-104.1(5), the department sets in accordance with Section 63J-1-504; and (ii) may not exceed the cost of the relatively lower administrative burden of renewal in comparison to the original application process. (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional patient card renews automatically at the time the minor's parent or legal guardian renews the parent or legal guardian's associated medical cannabis guardian card. (7) (a) A cardholder under this section shall carry the cardholder's valid medical cannabis card with the patient's name. (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may purchase, in accordance with this part and the recommendation underlying the card, medical cannabis or a medical cannabis device. (ii) A cardholder under this section may possess or transport, in accordance with this part and the recommendation underlying the card, medical cannabis or a medical cannabis device. (iii) To address the qualifying condition underlying the medical cannabis treatment recommendation: (A) a medical cannabis patient cardholder or a provisional patient cardholder may use medical cannabis or a medical cannabis device; and (B) a medical cannabis guardian cardholder may assist the associated provisional patient cardholder with the use of medical cannabis or a medical cannabis device. (8) (a) The department may revoke a medical cannabis card that the department issues under this section if: (i) the recommending medical provider withdraws the medical provider's recommendation for medical cannabis; or (ii) the cardholder: (A) violates this part; or (B) is convicted under state or federal law of, after March 17, 2021, a drug distribution offense. (b) The department may not refuse to issue a medical cannabis card to a patient solely based on a prior revocation under Subsection (8)(a)(i). (9) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to provide information regarding the following to an individual receiving a medical cannabis card: (a) risks associated with medical cannabis treatment; (b) the fact that a condition's listing as a qualifying condition does not suggest that medical cannabis treatment is an effective treatment or cure for that condition, as described in Subsection 26B-4-203(1); and (c) other relevant warnings and safety information that the department determines. (10) The department may establish procedures by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement the application and issuance provisions of this section. (11) (a) The department shall establish by rule, in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to allow an individual from another state to register with the department in order to purchase medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the individual is visiting the state. (b) The department may only provide the registration process described in Subsection (11)(a): (i) to a nonresident patient; and (ii) for no more than two visitation periods per calendar year of up to 21 calendar days per visitation period. (12) (a) A person may submit to the department a request to conduct a research study using medical cannabis cardholder data that the state electronic verification system contains. (b) The department shall review a request described in Subsection (12)(a) to determine whether an institutional review board, as that term is defined in Section 26B-4-201, could approve the research study. (c) At the time an individual applies for a medical cannabis card, the department shall notify the individual: (i) of how the individual's information will be used as a cardholder; (ii) that by applying for a medical cannabis card, unless the individual withdraws consent under Subsection (12)(d), the individual consents to the use of the individual's information for external research; and (iii) that the individual may withdraw consent for the use of the individual's information for external research at any time, including at the time of application. (d) An applicant may, through the medical cannabis card application, and a medical cannabis cardholder may, through the state central patient portal, withdraw the applicant's or cardholder's consent to participate in external research at any time. (e) The department may release, for the purposes of a study described in this Subsection (12), information about a cardholder under this section who consents to participate under Subsection (12)(c). (f) If an individual withdraws consent under Subsection (12)(d), the withdrawal of consent: (i) applies to external research that is initiated after the withdrawal of consent; and (ii) does not apply to research that was initiated before the withdrawal of consent. (g) The department may establish standards for a medical research study's validity, by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. (13) The department shall record the issuance or revocation of a medical cannabis card under this section in the controlled substance database.
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