AB1040,36,22 7. Severe chronic pain.
AB1040,36,33 8. Severe chronic nausea.
AB1040,36,44 9. Severe muscle spasms.
AB1040,36,55 10. Parkinson's disease.
AB1040,36,66 11. Multiple sclerosis.
AB1040,36,77 12. Amyotrophic lateral sclerosis.
AB1040,36,88 13. Chronic motor or vocal tic disorder.
AB1040,36,99 14. Tourette syndrome.
AB1040,36,1010 15. Inflammatory bowel disease.
AB1040,36,1111 16. Any terminal illness with a probable life expectancy of less than one year.
AB1040,36,14 12(2) (a) Written confirmation from a prescriber under par. (b) or sub. (1) (e) is
13valid for 2 years from the day that the prescriber determines the patient has or
14continues to have at least one of the conditions described under sub. (1) (e).
AB1040,36,1815 (b) No earlier than 90 days prior to the expiration of the written confirmation
16from a prescriber under this paragraph or sub. (1) (e), a patient may obtain and
17submit written confirmation from a prescriber consistent with sub. (1) (e) that the
18patient continues to have at least one of the conditions described under sub. (1) (e).
AB1040,36,22 19(3) At the time a patient applies to the office for inclusion on the patient and
20caregiver registry under this section and annually thereafter, a patient shall pay a
21fee of $100 or, if the patient qualifies for a hardship exception as determined by the
22office, a fee of $50.
AB1040,37,3 23(4) If a patient is added to the registry under sub. (1) or submits written
24confirmation that the patient continues to have at least one of the conditions
25described under sub. (1) (e) consistent with sub. (2), the office shall record on the

1registry the prescriber who determined that the patient has or continues to have at
2least one of the conditions described under sub. (1) (e) and the condition under sub.
3(1) (e) that qualifies the patient for inclusion on the patient and caregiver registry.
AB1040,37,7 4(5) If an individual under the age of 18 is added to the registry and legal custody
5of the individual has been awarded by a court, all person's awarded legal custody of
6the individual shall inform any noncustodial parent of the individual that the
7individual is included on the registry.
AB1040,37,13 8(6) (a) A patient included in the patient and caregiver registry under this
9section may designate up to 3 caregivers who may purchase and possess medical
10cannabis products on the patient's behalf, except as provided in par. (b). A caregiver
11designated by a patient shall be included in the patient and caregiver registry under
12this section and shall be issued a registry identification card that evidences their
13inclusion as a caregiver in the registry.
AB1040,37,1714 (b) If a patient is under the age of 18, the office shall designate the patient's
15parents or guardians as the patient's caregivers. The minor patient's parents or
16guardians may designate one additional caregiver who may purchase and possess
17medical cannabis products on the minor patient's behalf.
AB1040,37,2218 (c) No individual may act as a caregiver under this subsection unless the
19individual is 21 years of age or older, is a resident, and has not been convicted of a
20crime, unless at least 10 years have passed since the completion of any sentence
21imposed for the crime, including any period of incarceration, parole, or extended
22supervision, and any period of probation imposed for the crime.
AB1040,37,2423 (d) No individual may act as a caregiver under this section for more than 5
24patients, except as provided in par. (e).
AB1040,38,4
1(e) A patient who resides in a residential care facility may designate an
2employee of the residential care facility as the patient's caregiver. The office shall
3promulgate rules to establish reasonable limits on the number of patients for which
4an employee of a residential care facility may be designated as a caregiver.
AB1040,38,85 (f) Neither a patient nor any parent or guardian of a minor patient may
6designate an individual as a caregiver for the patient unless the caregiver
7affirmatively consents to act as the patient's caregiver and to be included on the
8patient and caregiver registry.
AB1040,38,179 (g) At the time a patient applies to the office for inclusion on the patient and
10caregiver registry under this section and at any time that a patient submits written
11confirmation from a prescriber consistent with sub. (1) (e) that the patient continues
12to have at least one of the conditions described under sub. (1) (e), the patient shall
13provide a complete list of caregivers designated by the patient. A complete list of
14caregivers under this paragraph shall include the names and addresses of each
15caregiver designated by the patient or, if the patient is a minor, a parent or guardian
16of the patient and an affirmation that each caregiver has consented to act as the
17patient's caregiver.
AB1040,38,2418 (h) A patient or, if the patient is a minor, a parent or guardian of a patient may
19update the designated caregivers for the patient at any time by submitting to the
20office an updated list of caregivers designated by the patient or, if the patient is a
21minor, a parent or guardian of the patient. An updated list of caregivers under this
22paragraph shall include the names and addresses of each caregiver designated by the
23patient or, if the patient is a minor, a parent or guardian of the patient and an
24affirmation that each caregiver has consented to act as the patient's caregiver.
AB1040,39,10
1(i) Before any caregiver is added to the patient and caregiver registry under this
2subsection, the office, with the assistance of the department of justice, shall conduct
3a background investigation of the caregiver. If the office determines that any
4information obtained as a result of the background investigation provides a
5reasonable basis for further investigation, the office may require the caregiver to be
6fingerprinted on 2 fingerprint cards, each bearing a complete set of the applicant's
7fingerprints, or by other technologies approved by law enforcement agencies. The
8department of justice shall submit any such fingerprint cards to the federal bureau
9of investigation for the purposes of verifying the identity of the caregiver and
10obtaining records of his or her criminal arrests and convictions.
AB1040,39,1611 (j) Any individual who is a caregiver included on the patient and caregiver
12registry under this subsection may revoke his or her consent to act as a patient's
13caregiver at any time and remove himself or herself from the patient and caregiver
14registry by submitting a written statement to the office that the individual no longer
15consents to act as a caregiver for a patient under this subsection and wishes to be
16removed from the patient and caregiver registry.
AB1040,39,19 17(7) (a) For purposes of this subsection, “patient's residence” includes a
18temporary accommodation if the patient intends to or did stay at the temporary
19accommodation overnight.
AB1040,39,2420 (b) A patient who holds a valid registry identification card under this section
21may use medical cannabis products and may possess medical cannabis products only
22at the patient's residence, between the dispensary from which the products were
23purchased and the patient's residence, and between the patient's residences if the
24patient has more than one residence.
AB1040,40,5
1(c) A caregiver who holds a valid registry identification card under this section
2may possess untampered and unopened medical cannabis products only at the
3caregiver's residence, between the dispensary from which the products were
4purchased and the caregiver's or the caregiver's patient's residence, and between the
5caregiver's and the caregiver's patient's residence.
AB1040,40,86 (d) A patient or caregiver who holds a valid registry identification card under
7this section may acquire medical cannabis products only from a dispensary operating
8pursuant to this chapter, and only in the amounts specified under s. 259.10 (5).
AB1040,40,10 9(8) The office shall remove a patient from the patient and caregiver registry
10under this section if the office finds that any of the following has occurred:
AB1040,40,1111 (a) The patient has not paid the annual fee required under sub. (3).
AB1040,40,1412 (b) The patient fails to submit written confirmation that the patient continues
13to have at least one of the conditions described under sub. (1) (e) prior to the
14expiration of the written confirmation consistent with sub. (2).
AB1040,40,1715 (c) The patient has been convicted for a violation of the federal Controlled
16Substances Act under 21 USC 801 to 971, the Uniform Controlled Substances Act
17under ch. 961, or any controlled substances law of another state.
AB1040,40,1818 (d) The patient has been convicted of any felony.
AB1040,40,2019 (e) The patient has been found to have violated any provision of this chapter
20or any rules promulgated under this chapter by fraud.
AB1040,40,2121 (f) The patient is no longer a resident.
AB1040,40,2322 (g) The patient voluntarily requests to be removed from the patient and
23caregiver registry.
AB1040,40,25 24(9) The office shall remove a caregiver from the patient and caregiver registry
25under this section if the office finds that any of the following has occurred:
AB1040,41,1
1(a) The caregiver has been convicted of any crime.
AB1040,41,32 (b) The caregiver has been found to have violated any provision of this chapter
3or any rules promulgated under this chapter by fraud.
AB1040,41,44 (c) The caregiver is no longer a resident.
AB1040,41,8 5(10) If a patient is removed from the patient and caregiver registry under this
6section, the office shall remove any caregivers designated for that patient from the
7patient and caregiver registry unless the caregiver is a caregiver for another patient
8who is on the patient and caregiver registry under this section.
AB1040,41,11 9259.10 Medical cannabis dispensaries. (1) No person may sell or transfer
10medical cannabis products to patients and caregivers except for a dispensary
11operated by the office.
AB1040,41,14 12(2) The office shall establish 5 dispensaries in the state. In establishing
13dispensaries in the state, the office shall place one dispensary in each of the 5 regions
14that the department has established for data analysis and communication purposes.
AB1040,41,17 15(3) (a) Each dispensary may obtain packaged and labeled medical cannabis
16products from processors licensed under s. 94.57 (5) and dispense medical cannabis
17products consistent with this section.
AB1040,41,2418 (b) No dispensary may dispense medical cannabis products to any person
19except for a patient or caregiver who presents photo identification and a valid
20registry identification card issued by the office under s. 259.04. Before a dispensary
21may dispense medical cannabis products to a patient or caregiver, the dispensary
22shall confirm the patient or caregiver is included on the patient and caregiver
23registry under s. 259.04 by searching the registry for the patient's or caregiver's
24unique identification code.
AB1040,42,7
1(4) Each dispensary shall be adequately staffed to advise patients and
2caregivers on appropriate medical cannabis products to use or consume and
3appropriate dosages. At a minimum, each dispensary shall have on staff at all times
4at least one pharmacist who is qualified to advise patients and caregivers on
5appropriate uses and dosages of medical cannabis products and potential
6interactions between medical cannabis products and other drugs, as defined in s.
7450.01 (10), that the patient uses.
AB1040,42,21 8(5) (a) Before a dispensary may dispense medical cannabis products to a
9patient or the patient's caregiver, the dispensary shall direct a qualified pharmacist
10who is employed by the dispensary to consult with the patient or the patient's
11caregiver and review the patient's records under the prescription drug monitoring
12program under s. 961.385. After consulting with the patient or the patient's
13caregiver and reviewing the patient's records under the prescription drug
14monitoring program, if the patient has never been dispensed medical cannabis
15products in this state, the pharmacist shall recommend a daily dosage for the patient
16and record the recommended daily dosage in the patient and caregiver registry
17under s. 259.04. If the patient has previously been recommended a daily dosage, the
18consulting pharmacist may update the patient's recommended daily dosage. If the
19consulting pharmacist recommends an updated daily dosage for the patient, the
20pharmacist shall record that updated recommendation in the patient and caregiver
21registry under s. 259.04.
AB1040,43,522 (b) A dispensary may dispense to a patient who has never been dispensed
23medical cannabis products in this state or the patient's caregiver not more than a
2430-day supply of medical cannabis products based on the dosage recommendation
25made by a qualified pharmacist employed by a dispensary and recorded in the

1patient and caregiver registry under s. 259.04. After dispensing to a patient an
2initial 30-day supply of medical cannabis products, a dispensary may dispense not
3more than a 90-day supply of medical cannabis products based on the most recent
4dosage recommendation made by a qualified pharmacist employed by a dispensary
5and recorded in the patient and caregiver registry under s. 259.04.
AB1040,43,96 (c) No dispensary may dispense any medical cannabis products to a patient or
7to a caregiver for a patient who, based on the amount of medical cannabis products
8previously dispensed and the patient's recommended daily dosage, has or should
9have more than a 7-day supply of medical cannabis products.
AB1040,43,1410 (d) A dispensary shall designate one or more employees to generate records for
11the prescription drug monitoring program under s. 961.385 when a medical cannabis
12product is dispensed to a patient or caregiver and to record the following information
13in the registry when a medical cannabis product is dispensed to a patient or
14caregiver:
AB1040,43,1515 1. The form and quantity of medical cannabis products dispensed.
AB1040,43,1716 2. The pharmacist who consulted with the patient or caregiver prior to
17dispensing.
AB1040,43,1818 3. The individual to whom the medical cannabis products are dispensed.
AB1040,43,1919 4. The date the medical cannabis products are dispensed.
AB1040,43,2120 5. The estimated number of days of therapy that the dispensed medical
21cannabis products may be used by the patient.
AB1040,43,25 22(6) The office shall promulgate rules to establish qualifications for pharmacists
23to advise patients and caregivers at dispensaries under this section on appropriate
24uses and dosages of medical cannabis products and potential interactions between
25medical cannabis products and other drugs that the patient uses.
AB1040,44,3
1(7) A dispensary, and any employee of a dispensary, may not make any
2statement or other indication that the consumption or use of medical cannabis may
3cure, mitigate, treat, or prevent any disease or medical condition.
AB1040,44,5 4259.15 Advertising prohibited. (1) No dispensary may advertise its
5services.
AB1040,44,7 6(2) No prescriber may advertise that he or she may provide a written
7confirmation under s. 259.04 (1) (e).
AB1040,44,12 8259.20 Sales prices. The office shall set the price of medical cannabis
9products offered for sale at dispensaries. The office may set the price of medical
10cannabis products only at a level sufficient to recoup product and operational costs.
11The office may update prices under this subsection whenever the office determines
12it is necessary.
AB1040,44,15 13259.25 Enforcement. (1) The office may conduct investigations, hold
14hearings, and make findings as to whether a person has violated any provision of this
15chapter or any rule promulgated under this chapter.
AB1040,44,18 16(2) If, after holding a public hearing, the office determines that a person has
17violated any provision of this chapter or any rule promulgated under this chapter,
18the office may impose a penalty pursuant to s. 259.30.
AB1040,44,21 19(3) If the office has reason to believe that a person has engaged in activities for
20which a license is required without a license, the office may petition the circuit court
21for a temporary restraining order or an injunction as provided in ch. 813.
AB1040,44,24 22(4) The enforcement actions permitted under this section are cumulative. The
23imposition of an enforcement action may not bar the imposition of any other
24enforcement action.
AB1040,45,4
1259.30 Penalties. (1) The office may remove a patient or caregiver from the
2patient and caregiver registry if the office determines that the patient or caregiver
3has intentionally possessed, used, sold, or transferred cannabis or medical cannabis
4products in violation of this chapter or any rules promulgated under this chapter.
AB1040,45,7 5(2) (a) Any person who violates any provision of this chapter or any rules
6promulgated under this chapter by fraud shall be fined not less than $2,000 nor more
7than $10,000.
AB1040,45,128 (b) Except as provided in par. (a), any person who violates any provision of this
9chapter or any rules promulgated under this chapter may be required to forfeit not
10less than $200 nor more than $5,000 or, for an offense committed within 5 years of
11an offense for which a penalty has been assessed under this section, may be required
12to forfeit not less than $400 nor more than $10,000.
AB1040,45,15 13(3) All of the remedies and penalties under this chapter shall be cumulative.
14No action for recovery of one penalty shall be a bar to or affect the recovery of any
15other penalty or be a bar to any criminal prosecution.
AB1040,34 16Section 34. 450.01 (16) (L) of the statutes is created to read:
AB1040,45,1817 450.01 (16) (L) Performing the duties specified in s. 259.10 as an employed
18pharmacist of a medical cannabis dispensary.
AB1040,35 19Section 35 . 450.03 (1) (eg) and (er) of the statutes are created to read:
AB1040,45,2220 450.03 (1) (eg) Any person acting within the scope of a valid grower license
21under s. 94.57 (4), a valid processor license under s. 94.57 (5), or a valid laboratory
22license under s. 94.57 (6).
AB1040,45,2523 (er) A medical cannabis dispensary operating pursuant to s. 259.10. This
24paragraph does not apply to a person serving as a pharmacist in a medical cannabis
25dispensary operating pursuant to s. 259.10.
AB1040,36
1Section 36. 450.07 (1m) of the statutes is renumbered 450.07 (1m) (a).
AB1040,37 2Section 37 . 450.07 (1m) (b) of the statutes is created to read:
AB1040,46,63 450.07 (1m) (b) No license under this section is required for a dispensary
4operating pursuant to s. 259.10 or a person acting within the scope of a valid grower
5license under s. 94.57 (4), a valid processor license under s. 94.57 (5), or a valid
6laboratory license under s. 94.57 (6).
AB1040,38 7Section 38 . 450.071 (1) of the statutes is renumbered 450.071 (1) (a) and
8amended to read:
AB1040,46,119 450.071 (1) (a) No Except as provided in par. (b), no person may engage in the
10wholesale distribution of a prescription drug in this state without obtaining a license
11from the board for each facility from which the person distributes prescription drugs.
AB1040,46,16 12(b) 1. The board shall exempt from the licensure requirement under this section
13a manufacturer that distributes prescription drugs or devices manufactured by the
14manufacturer from licensing and other requirements under this section to the extent
15the license or requirement is not required under federal law or regulation, unless the
16board determines that it is necessary to apply a requirement to a manufacturer.
AB1040,39 17Section 39 . 450.071 (1) (b) 2. of the statutes is created to read:
AB1040,46,2118 450.071 (1) (b) 2. No license under this section is required for a dispensary
19operating pursuant to s. 259.10 or a person acting within the scope of a valid grower
20license under s. 94.57 (4), a valid processor license under s. 94.57 (5), or a valid
21laboratory license under s. 94.57 (6).
AB1040,40 22Section 40. 450.10 (2m) of the statutes is created to read:
AB1040,46,2523 450.10 (2m) No pharmacist may be found guilty of unprofessional conduct for
24performing the duties specified in s. 259.10 as an employed pharmacist of a medical
25cannabis dispensary.
AB1040,41
1Section 41. 452.14 (3) (n) of the statutes is amended to read:
AB1040,47,52 452.14 (3) (n) Treated any person unequally solely because of sex, race, color,
3handicap, national origin, use of medical cannabis products, as defined in s. 94.57 (1)
4(f),
ancestry, marital status, lawful source of income, or status as a victim of domestic
5abuse, sexual assault, or stalking, as defined in s. 106.50 (1m) (u).
AB1040,42 6Section 42 . 767.445 of the statutes is created to read:
AB1040,47,8 7767.445 Medical cannabis. (1) In this section, “medical cannabis product”
8has the meaning given in s. 94.57 (1) (f).
AB1040,47,14 9(2) A court may not consider lawful use or possession of medical cannabis
10products under s. 94.57 or ch. 259 in determining custody or placement of a child
11under this chapter, except in cases in which a child has access to the medical cannabis
12products. A court may consider the unlawful use or possession of cannabis, as
13defined in s. 94.57 (1) (a), in determining custody or placement of a child under this
14chapter.
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