Here Are the Official Medical Marijuana Regulations for Massachusetts

The Public Health Council approved of rules compiled by the Massachusetts Department of Public Health.

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Massachusetts officials have cleared the smoke on the medical marijuana rules and regulations, just six months after voters approved of a ballot initiative to allow the drug to be used by patients with debilitating illnesses.

On Wednesday, the Department of Public Health, the office tasked with compiling an in-depth set of standards for the sale, distribution and use of the drug for medical purposes, brought their draft legislation before the state’s Public Health Council for a vote.

Just hours after reviewing the laws suggested by DPH officials, the council unanimously approved of what was presented, after making a few minor changes to the wording put forth in the pot law package. The final recommendations include allowing a qualifying patient up to 10 ounces of marijuana for a personal 60-day supply, and changing the name of medical marijuana treatment centers to “registered marijuana dispensaries,” while barring advertising that promotes marijuana-infused, edible products that resemble any form of commercially available candy.

“DPH has carefully considered hundreds of opinions and concerns from across the Commonwealth to create a medical marijuana system that is right for Massachusetts,” said DPH Interim Commissioner Dr. Lauren Smith. “The final regulations reflect a balanced approach that will provide appropriate access to patients, while maintaining a secure system that keeps our communities safe.”

The regulations address the cultivating process, advertising, and also where and how dispensaries that sell medical marijuana will be able to sprout up, laws that even opponents of the original petition, filed November, are comfortable with.

“I don’t see marijuana as medicine as I define it as a physician. But voters have spoken and it’s very important for the medical society, and physicians in general, to work very hard to try and make sure the law is implemented correctly, and to protect public health and safety,” said Dr. James Broadhurst, family doctor at UMass Memorial Medical Center.

Although the regulations were passed, and will go into effect on May 24, officials said it will still be time before the licensing process for opening marijuana shops begins, which will likely be in the fall of 2013.

Below are the official rules that were voted and accepted by the Public Health Council on Wednesday:

Registered Marijuana Dispensaries: DPH requires each non-profit organization, now known as a Registered Marijuana Dispensary (RMD), previously known as medical marijuana treatment centers, to operate their own cultivation and dispensing facilities. This allows for uniform seed-to-sale control and maximized security. Limited wholesale distribution of marijuana is allowed between dispensaries to maximize appropriate access to patients with legitimate needs. The change in nomenclature, proposed and adopted by the Public Health Council, stems from a recognition that the activity of these entities is limited to cultivation, preparation, and dispensing of products, and that they do not provide treatment to patients.

Promoting Patient Access: Recognizing the challenges presented by having access to only one RMD, DPH has responded to public comment by adopting a regulation in which patients may choose which RMD to purchase products from, similar to a pharmacy, instead of being required to designate only one RMD. This inclusive framework will promote appropriate access for patients in need, while strict requirements on RMDs will ensure security.

Hardship Cultivation: DPH minimizes home cultivation by optimizing access through a variety of approaches, including: 1) Mandating the industry provides and finances discounted rates for low-income residents at all RMDs. 2) allowing secure home delivery where necessary, and 3) encouraging personal caregivers to pick up product in lieu of cultivation.

Personal Caregivers: A family member or friend who is at least twenty-one (21) years old may care for a patient using marijuana for medical purposes. DPH’s final regulation requires that except in the case of certain health care workers providing care to a qualifying patient, or immediate family members, a caregiver may only serve one patient. A qualifying patient may have up to two caregivers.

Debilitating Medical Condition: DPH does not further define which medical conditions qualify patients for medicinal use of marijuana, instead leaving that important decision to physicians and their patients. DPH does, however, define the word ‘debilitating,’ clarifying that medical marijuana is intended for use in patients with serious conditions.

Defining a 60-Day Supply: Balancing the potential for diversion with legitimate patient needs, the final regulation allows up to 10 ounces for a personal 60-day supply. Physicians retain the autonomy and authority to increase the amount of a 60-day supply in limited circumstances as they see fit in their professional judgment.

Defining a Bona-Fide Physician-Patient Relationship: Means a relationship between a physician, acting in the usual course of his or her professional practice, and a patient in which the physician has conducted a clinical visit, completed and documented a full assessment of the patient’s medical history and current medical condition, has explained the potential benefits and risks of marijuana use, and has a role in the ongoing care and treatment of the patient.

Limiting Pediatric Access: The regulation restricts access to those less than 18 years of age, requiring parent or guardian approval and certification by two physicians, one of whom must be a pediatrician or pediatric specialist. The regulation allows youth access for a life-limiting illness, likely to result in death within two years. Recognizing the need of a small population of youth with debilitating conditions that may not lead rapidly to death, two physicians may override the life-limiting restriction if they determine the benefits of medical use of marijuana outweigh the risks.

Laboratory Testing: The regulations require a quality assurance and periodic testing plan for contaminants, such as pests, mold, mildew, heavy metals and pesticides. The testing is to be done by an accredited, independent laboratory and paid for by the RMD.

Municipal Oversight: DPH has responsibility for the medical marijuana program throughout the state, including registration of individuals and RMDs, inspection of RMDs, and enforcement. DPH has developed an inclusive framework for engaging municipal government. DPH does not preclude municipalities from assessing fees or passing certain local regulations, including zoning or siting. The regulation takes local support into account in the consideration of applications. The regulation also requires that applicants notify communities early in the application process, and grants certain rights to local authorities in the inspection of RMDs.

Advertising: Recognizing the concerns of the substance abuse prevention community and municipalities, while also taking into account the need for qualifying patients to have access to information about RMDs, DPH has limited certain advertising materials, including, for example, prohibiting ads that depict or encourage the recreational use of marijuana, or portray youth, or show smoking or smokable products.

Deceptive Packaging: The regulations prohibit marijuana-infused, edible products from resembling any form of commercially available candy.

  • LukeScooto

    As a whole-hearted supporter of the law, and a voter for it, these final regs are ridiculous, BUT, it could have went down alot worse. So with that being said, as a voter in Massachusetts, and user of MM, I begrudgingly approve of the final DPH regulations. Baby steps. I bet if all MM users were gay, we would have gotten a full end to prohibition years ago…

    • Mike Cann

      You cant monopolize gayness like you can on cultivating marijuana. Don’t give them a pass at all. They sold us out. Everyone of them. From DPH to those groups representing patients that said nothing about the caregiver system being almost inoperable. Funny, they favor the dispensary model which is the only model that will conflict with federal laws? Why? Monopoly profits…

      • LukeScooto

        Its garbage but its a start. You gotta start small and get a foot in the door. Just ten or twenty years ago this would have been unheard of around here, and Mass is probably the most or 2nd most liberal state in the country. It will take time and public pressure to fine tune things or for them to get better or worse. At least we’re making real progress, that generations before us laid the ground work on and did the time for.

    • Andy Dyland

      We do have top shelf mmj strains and RSO for cancer.Discreet delivery contact text/call 6013404352 and you will get respond asap

  • Mike Cann

    Balanced regulations? I’d bet that 95% of the caregiver will not comply with these regs. That’s a travesty. Ignored testimony and submitted the same draft as the final regs after so many testified against them? No faith in DPH or the folks supposedly representing patients in MA. All working for mega dispensary owners? It would seem, yes.. Might as well make it a monopoly for those dispensaries who will be breaking federal laws? This is crazy and bad regulation. Why make legalized monopolies that force conflict with federal laws when caregivers almost always stay below federal limits? Makes zero sense unless you favor monopoly that is…

    • LukeScooto

      Everything is about the dollar, and in this case thats the only real incentive the state has in this whole mess. If they make money, they’re happy. I think once theres an end to federal prohibition and you dont need a team of lawyers to open a small co-op, that the market will be alot more open to mom and pop types with high test medicine vs the mass produced meh stuff.

  • Jim Fowler

    From the eyes of a third party outsider who is a legal caregiver to three in a neighboring state, i feel that these rules to a poorly written law are absolutely 100% certifiably asinine! I see that unlike our state that believes in provifding means of welfare and inco9me for her own before we consider an outsider, I see that the state of Massachusetts has decided to get their kneepads out an welcoming the thrusting advances of big marijuana business from afar!! I directly see this as a big “eff you” from the state capital to the people who count most, her medicinal cannabis patients!!

  • Chuck Berry

    What a waste of peoples’ time and attention. The political process seems to fear being decisive and helpful to the general citizenship. Most of which have or currently use this product. Meanwhile families will be disrupted or broken by the legal process of criminalizing and incarcerating users. The population is held hostage by the law and the criminal elements in our society. Isn’t it time for our politicians to reflect the will of the people? This is to little to late. Meanwhile all the bad effects of criminalizing the use of marijuana continues.

  • anthony j

    I have a note from my mds office that explains my conditions and their opinion that mm would be of health value to me. How do I go about getting a license to purchase mm, the online mds r very expensive ?

  • Roger Irwin

    I got told my my pain managing clinic Doctor in MA, that “HE WAS GOD & HE WAS THE BOSS & HE DIDN’T HAVE TO ACCEPT MY MEDICAL MARIJUANA RECOMMENDATION 7 I HAD TO BE 100% MARIJUANA FREE WITHIN 7 WEEKS OF MY 1ST VISIT OR HE WOULD DROP ME A A PATIENT”. WELL I Called Cannamed of Boston where I got my recommendation & they refereed me to Attorney Richard Comenzo (1-617)717-8655 or 1(781)344-0008 who is a major Advocate for the Medical Marijuana law.I called him,left a message about what was going on.& Attorney Comenzo called back within 24 hours.He told me to go to the Board of Registration In Medicine website ( goggle it & it will pop right up). located in Waltham ,MA. And to click “file a complaint.I got the complaint form printed out,Filled it out ( you will need any medical records that prove you where in need of the medical Recomdnetation & any paperwork from any pain clinic you had gone to ( easily done,just waiting on Cannamed of Boston to send me my reccords). Then to mail it all of to the Board of Registration In Medicine. I got told by them,that NO DOCTOR CAN REFUSE YOU SERVICE NOR REFUSE TO PRESCRIBE YOU NEEDED NARCOTICS OR PAIN MEDICINE, IF YOU ARE A LEGAL MARIJUANA RECOMMENDATION HOLDER IN MA.& ONCE THEY GOT MY COMPLAINT FORM THEY WOULD VERBALLY THREATEN THE PAIN CLINIC & IF MY PAIN CLINIC WAS TO DROP ME DUE TO HAVING MEDICAL MARIJUANA IN MY SYSTEM,THEN THEY WOULD IMN. (upon me calling them & letting them know ,that my pain clinic had dropped me as a patient,would IMN. take away the pain clinic’s license due to “discrimination of patience whom have a medical marijuana recommendation).
    So there is help out there.I also was told Attorney Comenzo that is the cheapest method/ to start off with,the other method IF the pain clinic STILL refused me service after being warned ,then I could sue them for Discrimination under the Medical Marijuana laws.BUT he then would need a small retainer ( for paperwork he had to file etc..& then he would take a % of the winnings from the Discrimination Law suit he would then be filing with the courts.He told me that under the law,No doctor,pain clinic etc.. can order you to be off your medical marijuana nor can they refuse you service to any & all medicines you need to manage your pain .
    So before you take NO as an answer from a doctors office or pain clinic,make sure you give them a copy of your paper recommendation ( both sides) & give it to them,if they refuse to take it,then imn. Google The Board of Licensing In Medicine & fill out the “complaint form” & then that place will get back to you & hear your side out & then either warn the doctors office or even fine the Doctor or clinic.
    I have been dealing with this on-going BS now for almost 2 yrs. & it wasn’t until this pain clinic ORDERED ME TO BE 100% MARIJUANA CLEAN WITHIN 7 WEEKS (via weekly urine tests) Then he would drop me as a patience.I was at my wits end by the time I got home.BUT with help from Cannamed of Boston.I got the correct info. & are now going though the complaint process.

  • Mark

    Medical marijuana is mainly used for cancer prevention.


  • Andy Dyland

    We do have top shelf mmj strains aand RSO for cancer.Discreet delivery contact text/call 6013404352 and you will get respond asap