the marijuana movement - butler health system...pros and cons of (medicinal) marijuana legislation...

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The Marijuana Movement

Ryan West, MS, CFI

Corporate Trainer

Speaker:

is marijuana addictive? effects on the brain and body

pro’s and con’s of medical marijuana legislation

PA’s “medical marijuana” act

The Marijuana Movement

The Marijuana Movement

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Pronounce the following word correctly…

Cannabinoid

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How many cannabinoid receptors have been identified in the

human body?

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How many endogenous cannabinoids have been identified in the

human body?

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How many medical conditions are covered under PA’s MM law?

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What is the primary cannabinoid with the greatest medical

potential at this time?

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for me?

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for me?

Can marijuana cause physical dependence?

Can marijuana cause psychological dependence?

Does marijuana contain medicinal properties?

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National Institutes of Health

More than 100 controlled clinical trials since 1975 (as of 2012)…

Findings led to several synthetics, indicated for:

Chronic Pain

Spasticity

Nausea

AnorexiaTourette’s

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Plant Properties

Resin Glands

Cannabinoids

Terpenes

EffectsBehavioral

Short-term memory issues

Learning /Problem-solving

difficulty

Speech slowed

Visual Distortion = Accidents

Paranoia

Severe Anxiety

“Munchies” – Raid vending

machines / steal lunches

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FRONTAL LOBE

Executive functions, thinking, planning,

organizing, problem solving, emotions, behavior

and impulse control, personality

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National Institutes of Health

More than 100 controlled clinical trials since 1975 (as of 2012)…

Cannabis use linked to…

Schizophrenic psychosis

Adult-onset bipolar d/o

Severe memory impairment, esp. long-term

Addiction/withdrawal

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Pros and Cons of (Medicinal) Marijuana Legislation

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Pros

Revenue generation

Decreased support for the black market

Improvement in law enforcement efficiency

Effective against intractable diseases

Alternative to pain management

Considered by many to be a victimless crime

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JAMA Internal Medicine

Research by the University of Pennsylvania found that states with MM laws (1999 – 2010)…

Had fewer opiate OD deaths,

averaging 20 percent after first year

and 33 percent decrease after 5th year

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FBI UCR

From 1990 to 2006, crime in all 50 states was analyzed and compared to the 11 states where

medical marijuana had been legalized…

No significant increase in the following crimes

was noted:

murder, rape, assault, robbery, burglary, larceny,

auto theftThe Marijuana Movement

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National Vital Statistics System

Examined the effects of legalizing medical marijuana and suicide rates (1990 – 2007)…

States with MM laws experienced a 10.3%

average reduction in men in their 20s and 30s.

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Cons

Destigmatizing a federally-illicit substance

Many argue that it is addictive

Changes behavior, alters perceptions

Use may lead to other, more dangerous drugs

Risk of diversion by children increased

Exposure to second-hand smoke

Damage to brain, lungs, and heart

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National Institute on Drug Abuse

Analyzed drunk-driving data (May 2015)…

- 12.6% of drivers test positive for THC

- Nearly impossible to control and test

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Rocky Mountain High Intensity Drug Trafficking Area

2015 report

- From 2011 – 2013, Marijuana-related ER

visits increased 57%

- Marijuana-related school suspensions and

expulsions up 30%+

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Pennsylvania’s “Medical Marijuana” LawAct 16, Public Law 84, Title 35

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How to get a medical marijuana card in California

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14 Chapters

89 Sections

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Chapter 1 – Preliminary Provisions~

Section 102 – Declaration of policy

“The General Assembly finds and declares as follows:

Scientific evidence suggests that medical marijuana is

one potential therapy that may mitigate suffering in

some patients and also enhance quality of life.”

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Chapter 3 – Program~

Section 303 – Lawful use of medical marijuana

Patients MUST…

Receive certification from their healthcare practitioner

Have a “serious medical condition”

Possess a valid ID card

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“Serious Medical Conditions” covered

~

ALS

Autism

Cancer

Crohn’s Disease

Chronic, intractable pain

Epilepsy

Glaucoma

HIV/AIDS

Huntington’s Disease

IBD

Intractable Seizures

Multiple Sclerosis

Neuropathies

Parkinson’s Disease

PTSD

Sickle cell anemia

Spinal cord damage

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Routes of administration….

Pill

Oil

Topical gels, creams, ointments

Vaporization or nebulization

Tincture

Liquid

Smoke Illegal

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Chapter 4 – Practitioners~

Section 401 – Practitioner registration

Physicians MUST…

Apply for registration

Have the proper credentials

Take a 4-hour course

Access Rx drug monitoring program prior to issuing cert.

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Practitioners can NOT….

- Hold a direct interest in a MM organization

- Advertise their services

- Issue certification to a patient w/o “serious medical

condition”

- Issue cert. for their own use or a family or household

member

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Chapter 5 – Patients~

Section 501 – Identification cards

Cards valid for 1 year

Can be further restricted by physician

Under 18 must have a caregiver

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Chapter 5 – Patients~

Section 505 – Prohibitions

A patient may NOT…

Operate the following “under the influence” with more than

“10 ng/ml of active THC” in the blood:

- Chemicals that require a permit

- High-voltage electricity

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Chapter 5 – Patients~

Section 505 – Prohibitions

A patient may NOT…

Perform employment duties at heights or confined spaces

Life-threatening tasks deemed by employer

Public health or safety risk deemed by employer

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Chapter 6 – Medical Marijuana Organizations~

Section 601 – Medical marijuana organizations

- Growers/processors (up to 25)

- Dispensaries (up to 50)

*Both must submit applications

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Chapter 7 – Medical Marijuana Controls~

Section 704 – Laboratory

Growers/processors and dispensaries MUST…

- Contract with independent laboratory to test MM produced

- Set reasonable price-per-dose for MM

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Chapter 8 – Dispensaries~

Section 801 – Dispensing to patients and caregivers

Dispensaries MUST…

- Have a physician onsite during business hours

- Provide no more than a 30-day individual-dose supply

- Not be located within 1,000 ft of schools or day-care centers

- Provide safety insert and warning statement

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Chapter 9 – Tax on Medical Marijuana~

Section 902 – Medical marijuana program fund

All fees discussed previously

5% tax on gross receipts of grower/processor, paid quarterly

40% of revenue to state dept. operations

15% to cover patients with hardships who need MM

10% to DDAP for D&A abuse and prevention

30% to research into MM

5% to Law Enforcement

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Presented By:

Ryan West, MS, CFI724.825.1101 cell

rwest@greenbriar.net

Questions ???