Marijuana and Ohio THE IMPACTS OF HOUSE BILL 523 ON THE BUCKEYE STATE

Marijuana and Ohio THE IMPACTS OF HOUSE BILL 523 ON THE BUCKEYE STATE

Marijuana Status (Medicinal) - 25 States and DC California 1996 Alaska 1998 Oregon 1998 Washington 1998 Maine 1999 Colorado 2000 Hawaii - 2000 Nevada 2000 Montana 2004 Vermont 2004 Rhode Island 2006 New Mexico 2007 Michigan 2008 Arizona 2010 DC 2010 New Jersey 2010 Delaware 2011 Connecticut 2012 Massachusetts - 2012 Illinois 2013 New Hampshire 2013 Maryland 2014 Minnesota 2014 New York 2014 Pennsylvania 2016 Ohio 2016

When Does Medical Marijuana Come to Ohio? Ohio s Medical Marijuana Program (HB523) Effective September 8, 2016 Must be fully operational by September, 2018 General guidelines by legislature Rules created by: State of Ohio Board of Pharmacy Ohio Department of Commerce State of Ohio Medical Board How do people get marijuana in between? Affirmative Defense Must have physician s recommendation Marijuana can be brought in from other states, however

Really How Do I Get Marijuana in Ohio? Pre-Ohio Set Up September 8, 2016 through??? Affirmative Defense for patients and caregivers Must have physician s recommendation Physicians have to take course before being able to recommend Marijuana can be brought in from other states, however Michigan closest state? Colorado or other medical state? How do they get marijuana? Black market?

June 30, 2016 Cleveland Plain Dealer If patients can't get medical marijuana from another state, where can they get it? "Wherever they can find it available -- any source is allowed," (Senator Dave) Burke said. That includes drug dealers selling marijuana illegally grown here or trafficked in from elsewhere. Burke said the law does not change enforcement of laws against that activity but was meant to help Ohio patients. "It's the paradox we've been working with the whole time," Burke said. "With or without the bill, that segment of law is not being enforced. Reporter Jackie Borchardt

After Ohio Implements Marijuana will be available to any citizen who: Has a qualifying medical condition THC maximum 35% plant matter or 70% concentrates No age restriction (children must have parent approval) Receives a recommendation from a physician Has received a report from OARRS for the last 12 months Obtained from their physician There is a possibility of a caregiver Does not grow it at home Can receive it in an oil, tinctures, plant material, edibles and patches but no smoking Landlords cannot remove patient because of marijuana use

And More Board of Pharmacy must establish a program for vets and the indigent in obtaining medical marijuana Physician must obtain training before certification Doctor s cannot recommend to themselves Cannot be within 500 feet of a school, church, public library, etc. 15% of all dispensary licenses to Blacks or African Americans, American Indians, Hispanic or Latinos and Asians All testing facilities are limited to colleges and universities for first year Financial Institutions are allowed to partake in the medical marijuana program Money distributed to patient accounts at state liquor stores, deputy registrar or other state agency that takes payments Money can be used at dispensaries

What is Covered? AIDS Inflammatory Bowel Disease ALS (Lou Gehrig s Disease) Multiple Sclerosis Alzheimer s disease Chronic or Severe Pain Cancer Parkinson s Disease Chronic Traumatic Encephalopathy (Concussion syndrome) Crohn s Disease Epilepsy or other seizure disorder Fibromyalgia Glaucoma Hepatitis C Positive HIV Status PTSD Sickle Cell Anemia Spinal Cord Disease Tourette s Syndrome Traumatic Brain Injury Ulcerative Colitis

Marijuana as Medicine - FDA In process HU308 Bladder control; chronic pain treatment HU331 Hypertension Cannabis-based medications Marinol Synthetic THC nausea for AIDS patients Sativex pain and spasticity in patients; cancer patients Epidiolex seizure activity; children with seizure issues Nabilone synthetic CBD/THC nausea for cancer patients

Employer Protection Employers can fire an employee for marijuana use Still adhere to drug free workplace But Numbers in Colorado show there will be an increase of adult use, so will there be enough qualified workers How can they keep workers on staff? Possibility of a lawsuit

Are Medical Cardholders in the Workforce? In states where measured, patients: Have less than 5% of all patients have the life threatening issues Over 90% use for chronic pain Average cardholder - 32 year old white male with no history of chronic illness and a history of substance abuse Cardholders are in the workforce Source: www.saveoursociety.org

Workplace Tests 2012-2013 2013-2014 US Workplace 5% 14.3% Colorado 20% 14% Washington 23% 16% Quest Diagnostics Employee Drug Testing (2015) Positive results nationally have increased by 14% since 2013 Double digit increases in Colorado (20%/14%) and Washington (23%/16%) 415,000 estimated pot users in the workforce in Colorado in 2013 Marijuana most frequently for positive tests

Marijuana Use and Employers Journal of the American Medical Association (The Efficacy of Pre-employment Drug Screening for Marijuana and Cocaine in Predicting Employment Outcome) Marijuana users: 78% more absenteeism, 85% more workplace injuries 64% more discipline problems 55% more industrial accidents Marijuana is the number one drug detected in workplace illicit-drug testing. Among the 7.1 million drug tests for the combined U.S. Workforce conducted by Quest Diagnostics, nearly 55% of positive drug tests were for marijuana, followed by 14.6% for cocaine and 9.3% for amphetamines. As many as 3 of 25 non-fatally injured drivers (12%) and 4 of 25 fatally injured drivers (16%) had marijuana (THC) in their bloodstream at the time of accident. Source:Marijuana Impairs Driving-Related Skills and Workplace Performance, National Institute on Drug Abuse

Colorado HIDTA report fatalities 2006-2011 Traffic fatalities decreased 16% 2006-2011 Traffic fatalities involving drivers testing positive for marijuana increased 114% 2006 positive for pot -28% of fatal vehicle crashes involving drugs 2011 positive for pot 56% of fatal vehicle crashes involving drugs Source: Rocky Mountain HIDTA

DUID Marijuana Detected Positive for THC 2500 2000 1500 1000 500 0 2009 2010 2011 Source Colorado Department of Public Health and the Environment Positive for THC 2009 791 THC positives 2010 1489 THC positives 2011 2030 THC positives Source: Rocky Mountain HIDTA

Teen drivers Liberty Mutual/SADD survey 19% admitted to driving after smoking marijuana 36% - marijuana smoking no distraction while driving 34% who admitted to smoking while high said it made them a better driver

Drug related expulsions - Colorado 6,000 5,000 4,000 3,000 2,000 Expulsions 1,000 0 Source: Rocky Mountain HIDTA

Average Past Month Use Age 12-17 (2013-2014) 12.00% 10.00% 8.52% 11.31% 8.00% 6.00% 5.99% 4.00% 2.00% 0.00% Non-Medical Marijuana States Medical Marijuana States Legalized Marijuana States Source: Rocky Mountain HIDTA

Colorado Adult Marijuana Use Past Month Pot Use (18-25) 30.00% 25.00% 20.00% 15.00% Past Month Pot Use (18-25) 10.00% National 18.78% Colorado 27.26% 5.00% 0.00% National Colorado 2006 21.43% 2011 27.26% * 27% increase Source: Rocky Mountain HIDTA

Colorado Adult Marijuana Use Past month marijuana use (26+) National average 4.8% Colorado average 8.19% 2008 5.32% 2011 8.19% 54% increase in 3 years Source: Rocky Mountain HIDTA

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Waxing Creation Issues Wax is to marijuana as freebasing is to cocaine Vapors fill room and ignite with a spark Risk of burns and homes blowing up Learn how to cook wax on YouTube FEMA issued bulletin in February to identify BHO production 32 hash oil explosions in Colorado in 2014 and 0 in 2012 Closed Wax System more expensive

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