Emerging Issues With Marijuana Legalization

Faye Caldwell

Email: [email protected] Disclaimer: no Legal advice or attorney-client relationship

This presentation has been prepared by Caldwell Everson, PLLC for informational purposes only. The information presented does not constitute legal advice and is not to be acted on as such. This information is not intended to create, and receipt of it does not establish an attorney-client relationship. By participating in this presentation you are not and do not become a client of Caldwell Everson PLLC. Any information contained herein is not intended as a substitute for legal counsel. You should not rely upon any information contained in this presentation without seeking legal advice from an attorney of your choice and who practices law in your state.

© Caldwell Everson PLLC 2 As of November 29, 2018: 33 states + D.C. + 2 U.S. territories (Guam, PR) have passed Comprehensive “Medical marijuana” Laws Laws vary widely 13 other states have passed low THC/High CBD laws All passed since 2014 in mostly southern states after CNN documentary Some states with comprehensive medical marijuana laws also have CBD laws 10 states + D.C. + 1 U.S. territory (CNMI) have passed recreational marijuana laws All except US territory also had comprehensive medical marijuana laws

4 states prohibit marijuana for all purposes

© Caldwell Everson PLLC (Idaho, Kansas, Nebraska, South Dakota) 3 State Medical Marijuana Laws 33 states + D.C.

Alaska (1998) Maine (1999) New York (2014) (2010) Maryland (2014) North Dakota (2016) Arkansas (2016) (2012) Ohio (2016) (1996) Michigan (2008) Oklahoma (2018) (2000) (2014) Oregon (1998) Connecticut (2012) Missouri (2018) Pennsylvania (2016) Delaware (2011) Montana (2004) Rhode Island (2006) Florida (2016) (2000) Utah (2018) Hawaii (2000) New Hampshire (2013) Vermont (2004) Illinois (2013) (2010) Washington (1998) Louisiana (2015) New Mexico (2007) West Virginia (2017) Washington, D.C. (2010) © Caldwell Everson PLLC 4 State Recreational Marijuana Laws 10 states + D.C.

Alaska (2014) California (2016) All states also have comprehensive medical Colorado (2012) marijuana laws Maine (2016) Massachusetts (2016) Vermont: 1st state to pass by legislature; Michigan (2018) only state that does not allow sales (only home cultivation) Nevada (2016) Oregon (2014) Vermont (2018) Washington (2012) Washington, D.C. (2014)

© Caldwell Everson PLLC 5 Low THC/High CBD Laws

State (Year) THC/CBD levels allowed Alabama (2014) ≤ 3% THC Georgia (2015) ≤ 5% THC and equal or greater amount of CBD Indiana (2017) At least 5% CBD by weight, no more than .3% THC by weight Iowa (2014) ≤ 3% THC (2014) No definition Mississippi (2014) ≤ .5% THC and more than of 15% CBD North Carolina (2014) < .9% THC by weight, at least 5% CBD by weight, no other psychoactive substance South Carolina (2014) .9% THC and > 15% CBD, or at lea 98% CBD and not more than .90% THC by volume Tennessee (2014) ≤ .9% THC Texas (2015) ≤ .5% THC by weight and no less than 10% by weight CBD Virginia (2015) At least 15% CBD but no more than 5% THC Wisconsin (2013) CBD must be in form without psychoactive effect; THC and CBD levels not defined Wyoming (2015) ≤ .3% THC and at least 5% CBD by weight

© Caldwell Everson PLLC 6 Recreational, Medical, and Low THC/High CBD Marijuana Laws

7 © Caldwell Everson PLLC 2018 Marijuana Legislation

Medical Marijuana Recreational Marijuana

Passed: 3 states (by voter Passed: 2 states, 1 U.S. territory, initiatives) Canada • Oklahoma (passed 6/26/18) • Vermont (passed 01/2018) • Missouri (passed 11/6/18) • 1st state to pass by legislature • Utah (passed 11/6/18) • Michigan (voter initiative 11/6/18) • Compromise legislation in progress • Northern Mariana Islands • Legislature also passed for • Canada (sales began Oct. 2018) terminally ill Introduced: in at least 12 states Introduced: in at least 20 states • New Jersey, New York © Caldwell Everson PLLC 8 Federal Marijuana Law & Policy Overview

• Marijuana is still illegal under federal law (Schedule I drug) • 2016 DEA denied petition to reschedule; agreed to increase access for research • Aug. 2018: DEA announced proposal to significantly increase amount permitted for research in 2019 • Medical Marijuana is NOT a legitimate medical explanation under U.S. DOT drug testing regulations • Notice reaffirming issue

June 25, 2018: FDA approved 1st drug derived from marijuana plant (Epidiolex) for 2 types of severe childhood epilepsy (< .1% THC) • Sept. 2018: DEA reclassified as Schedule 5 drug 9 © Caldwell Everson PLLC Federal Marijuana Law & Policy

Jan. 2017: new administration

Feb. 2017: creation of 1st Congressional Caucus

Attorney General Sessions anti-marijuana policy • Jan. 4, 2018: Sessions Memo- rescinded Cole Memo (anti-enforcement policy) Sept. 28, 2018: Rohrabacher-Blumenauer renewed through Dec. 7, 2018 • 1st time approved as amendment rather than as appropriations rider Nov. 7, 2018: Sessions resigns

More than a dozen bills introduced regarding marijuana

© Caldwell Everson PLLC 10 Federal Marijuana Law & Policy Examples of Proposed Legislation

• The Marijuana Freedom and Opportunity Act • Farm Bill • STATES Act (S.B. 18725) • Research Act of 2018 (H.R. 5634) • The Fairness in Federal Drug Testing Under State Laws Act (HR 6589) • Would prohibit federal agencies from discriminating against workers solely based on status as marijuana consumer or testing positive for marijuana • Would exempt positions requiring top security clearances as well as positive probable cause drug tests

© Caldwell Everson PLLC 11 State Medical Marijuana Laws Current Trends

Providing explicit Anti-discrimination provisions; employment protections Positive language

E.g., schools, custody, housing, Providing other protections medical care

Qualifying Conditions Program expansion: • Total Physician based recommendations increasing access and • Adding PTSD, chronic pain, Autism, Tourette’s, easing restrictions alternative to opioid use and/or abuse Physician/Provider requirements Other program requirements

© Caldwell Everson PLLC 12 State Recreational Marijuana Laws Overview

All states with recreational cannabis laws also have comprehensive medical marijuana laws • Requirements different (e.g., possession limits, potency, taxes, etc.) • Vermont: only state passed by legislature; sales not permitted Impairment/driving under the influence • Most states prohibit, but no guidance • Some states have “per se” limits of THC in blood; no consensus on limits

Current trend is explicitly providing NO employment protections

• 1 state may provide employment protections for off-duty use (Maine)

© Caldwell Everson PLLC 13 Medical Marijuana Laws Employment Considerations

State ADA disability/ FMLA discrimination laws

Drug lawful testing/ activities/ Drug-free Medical “off-duty” workplace Marijuana use laws laws Laws Un- employment Workers’ Benefits comp

© Caldwell Everson PLLC 14 Employment Protections Generally 3 Categories

Explicit No Unclear OR 1 statutory 2 employment 3 possible employment protections protections protections (7 States) under other (13 States) state laws (13 states + D.C.) • Laws silent/vague and no state • Newer laws (10 since 2010) • Laws explicit and/or silent/ supreme court decision or court have anti-discrimination vague and state supreme has found possible protection provisions court has found no protection under other state law (i.e., disability discrimination law) • Laws vary and extent of • Not insulated from all action protections not entirely and current trend is to add • Some states have other case law clear protection or state issued guidance © Caldwell Everson PLLC 15 Employment Protections Explicit Protections

13 states; language and degree of protection varies

Arizona (2010) Positive Drug Test Disability Definition of Arkansas (2016) Language Employer • Some states treat as • Most states do Connecticut (2012) • 4 states have positive disability NV, NY Delaware (2011) drug test language not define employer, but Illinois (2013) (e.g., employer may not Safety-Sensitive discriminate based upon a some do AR, CT Maine (1999) Positions “patient’s positive drug Exceptions Minnesota (2014) test for marijuana • 2 states include safety- components or Nevada (2000) sensitive positions that • metabolites”) Most laws New York (2014) may not be performed contain • AZ, DE, MN, OK Oklahoma (2018) with specified amount exceptions (e.g., Pennsylvania (2016) of active THC in blood; not required to • 2018 Proposed limits vary accommodate use Rhode Island (2006) at workplace, legislation to add (NY, • PA: 10 ng/mL RI) working under West Virginia (2017) • WV: 3 ng/mL © Caldwell Everson PLLC influence) 16 Employment Protections Explicitly NO Protections

7 States; language varies

State Supreme Court Statute California (1996) Decisions Legislation Colorado (2000) • 2 states passed in • 5 states’ supreme 2016 appear to • Even in these states, Florida (2016) courts have found no Montana (2004) provide explicitly proposed legislation duty to accommodate no employment seeking to add Ohio (2016) off-duty medical protections; no explicit employment Oregon (1998) marijuana use (laws court decisions yet protections CA, OR, Washington (1998) were silent/vague on • FL, OH WA off-duty use) • CA, CO, MT, OR, WA • pending case in FL • Employer not insulated from actions; still may be • OH has strongest challenged in court (Fed. language and guidance Cases in CA, MT, WA) 17 © Caldwell Everson PLLC Employment Protections Unclear/Possible protections under other state laws

13 States + D.C.; do not affirmatively address employment/vague

State Supreme Court State Issued Alaska (1998) 2018 legislation Hawaii (2000) decision Guidance Louisiana (2015) • 1 state supreme court • Some states have • Proposed legislation Maryland (2014) has found possible other state issued to add explicit Massachusetts (2012) protections under other guidance protections NJ, MD, Michigan (2008) state law (state disability documents NJ, VT HI Missouri (2018) discrimination law) MA New Hampshire (2013) • 1 state has New Jersey (2010) Pending Lawsuits established a New Mexico (2007) Other Court Decisions working group to North Dakota (2016) consider • Some states have other • Pending lawsuits employment Utah (2018) court decisions (federal in at least 3 states protections HI Vermont (2004) court decisions) MA, NJ, NM Washington, D.C. (2010) • MI, NJ, NM, DC 18 © Caldwell Everson PLLC Employment Protections 2017-2018 Proposed Legislation Proposed legislation to have/add explicit employment protections

States with proposed medical marijuana legislation • E.g., IN, KY, WI

Amendments to existing marijuana and/or discrimination laws

• States with NO employment protections (E.g., CA, OR, WA)

• States with unclear protections (E.g., HI, MD, MA, NJ) • States with explicit protections seeking to add positive drug test language (E.g., RI, NY)

19 © Caldwell Everson PLLC Employment Protections Court Decisions 2 Courts found no duty New court to accommodate 0 decisions medical marijuana 1 • Decisions were based on state • 2 decisions in states w/ explicit laws that did not contain 7 protections; both courts found implied explicit protections Laws rights of action; rejected preemption

• No court decisions construing • 2 court decisions in states with unclear explicit protections protections; courts reached opposite results

© Caldwell Everson PLLC • Other decisions 20 Employment Protections Pre-2017 Court Decisions

California Colorado Montana Oregon Washington

Emerald Steel v. Ross v. Ragingwire Johnson v. Columbia Roe v. Teletech, 257 BOLI, 230 P.3d 518 Telecomms, 174 P.3d Coats v. Dish Falls, 1009 Mont. P.3d 586 (Wash. (Or. 2010) 200 (Cal. 2008) Network, 350 P.3d LEXIS 120 (Mont. 2011) (holding CA medical 849 (Colo. 2015) 2009) (unpub) (holding federal law (holding WA’s medical marijuana law does not preempts OR medical marijuana act doesn’t (holding no cause of require employer to (holding MT’s medical marijuana law, provide private cause of action for wrongful accommodate use of marijuana act didn’t therefore employee action against employer discharge under CO’s medical marijuana and provide private right of engaged in illegal use of for discharging “lawful activities” no cause of action action and doesn’t drugs and employer not employee who uses statute because off- under CA’s require employers to required to medical marijuana nor duty use not lawful discrimination statute accommodate medical accommodate use of does it “create a clear activity since illegal or for wrongful use of marijuana; no medical marijuana public policy that would under federal law) termination in violation violation of MT Human under state support a claim for of public policy) Rights Act) employment wrongful discharge”) discrimination laws) 21 © Caldwell Everson PLLC Employment Protections 2017-2018 Court Decisions

Connecticut Rhode Island Massachusetts

Noffsinger v. SSC Niantic Op. Callaghan v. Darlington Barbuto v. Advantage Sales & Co., No. 3:16-cv-01938 (D. Fabrics Corp., PC-2014-5680 Mktg., 78 N.E.3d 37 (Ma. 2017) Conn. 2017 & 2018) (R.I. Super. May 2017) Massachusetts Supreme Judicial Federal district court found anti- Superior court held anti- discrimination provision provides Court held although medical discrimination provision implied private right of action marijuana act itself didn’t provide contained implied private right of and could sue under RI Civil explicit/implicit cause of action, action and not preempted by Rights Act for disability employee may assert disability federal law (CSA, FDA, FDCA); discrimination; found medical discrimination claim under MA law granted summary judgment to marijuana cardholder status for failing to accommodate use of employee signaled medical condition that medical marijuana caused her to be disabled 22 © Caldwell Everson PLLC Employment Protections 2017-2018 Court Decisions

New Jersey Montana

Carlson v. Charter Communs., No. CV Cotto v. Ardagh Glass Packing, Inc., No. 16-86-H-SHE (D. Mont. Aug. 11, 2017) 18-1037 (RBK/AMD), 2018 U.S. Dist. LEXIS 135194 (D.N.J. Aug. 10, 2018) Federal district court held that the plain language of Montana’s Medical Marijuana Federal district court dismissed claims; held Act barred an employee’s claims for neither CUMMA nor New Jersey Law wrongful discharge and for employment Against Discrimination (NJLAD) requires an discrimination under Montana’s Wrongful employer to waive drug test requirement as Discharge from Employment Act and Human Rights Act a condition of employment 9th Circuit affirmed dismissal, 2018 U.S. App. LEXIS 32696 (9th Cir. Nov. 19, 2018)

23 © Caldwell Everson PLLC Employment Protections Court Decisions Courts have interpreted similar provisions differently

Whether statutory provision re: Whether federal law preempts Whether Federal Drug-Free Workplace no duty for “onsite” state medical marijuana law, Act preempts state medical marijuana accommodations requires off- thus no duty to accommodate law when employer is federal duty accommodations contractor Silence=employer not State law State law pre-empted, no required to preempted by duty to accommodate accommodate off- federal law (Carlson- D. MT. 2017, aff’d duty use (Emerald Steel- on other grounds 2018 U.S. (Roe- WA 2011) OR 2010) App. LEXIS 32696 (9th Cir. Nov. 9, 2016))* Silence=employer State law not required to State law not preempted, preempted by federal duty to accommodate accommodate off- law duty use (Noffsinger-D.CT 2017-18; (Callaghan-RI 2017; Barbuto-MA 2017) (Callaghan-RI 2017; Noffsinger- CT 2017- Barbuto- MA 2017) 18; Barbuto-MA 2017) 24 © Caldwell Everson PLLC Employment Protections Pending Lawsuits

States with Explicit States with Explicit No States with Unclear/Possible Protections Protections Protections Arizona Florida Massachusetts • Lawsuit pending in federal • Lawsuit pending in state New Jersey district court seeking court alleging disability protection under AZ’s discrimination under Fl. New Mexico medical marijuana statute Civil Rights Act Fl. Stat. § and alleging disability 760.01 discrimination under both state and federal disability discrimination statutes

© Caldwell Everson PLLC 25 Medical Marijuana Program Expansion

New Jersey Ne w Yo r k Pennsylvania • April 2018 • March 2018: executive • Aug. 17, 2018: doubled • expanded to include plant order to expand access licensees; approved new material (smoking illegal) • Since expansion, ~100 new products patients added/day • Expanded conditions • Program for med schools to • Proposed reforms • Expanded licensed providers be involved in research • Eliminates physician registry • Thomas Jefferson University requirements • Expanded qualifying launching 1st university • Removes limits on amounts based, graduate-level dispensed conditions certificate programs in • Expands access to forms medical marijuana education

© Caldwell Everson PLLC 26 Medical Marijuana Qualifying Conditions Total Physician Based Expansion of Qualifying Recommendations Conditions States seeking to eliminate specified Connecticut list of conditions • Added 8 conditions for adults • 2018 Passed legislation Louisiana • Maine • Missouri (catchall) • Added at least 5 conditions • Oklahoma Michigan • Virginia (CBD law) • Added 11 conditions (considered 22) • 2018 Proposed legislation New Jersey • New Jersey • Added 6 conditions • New York • Pennsylvania Pennsylvania • Added 4 conditions

© Caldwell Everson PLLC 27 Medical Marijuana Qualifying Conditions 2017-2018 Common Conditions

Chronic, intractable PTSD Migraines pain CO, IL, LA, MO*, MN, NH, NJ, CT, NJ GA (CBD), IL, LA, MI, MO, NH, NY, NY, UT, VT CT*, NJ*

Autism/Autism Arthritis Anxiety spectrum disorder CT, HI, MI NJ LA, MI, MN, UT Obstructive sleep Tourette’s apnea Lupus MI, MO, NJ HI MN 28 © Caldwell Everson PLLC Medical Marijuana Qualifying Conditions Included as alternative/substitute for prescription opioids and/or for opioid abuse and addiction treatment

• 2018 Passed legislation • Failed/vetoed in: • Illinois • Connecticut • Pennsylvania • Hawaii (opioid addiction) • New Jersey • Maine • New York • Maryland • Utah* • New Mexico • 2018 Proposed • New Hampshire (2017) • Colorado 29 © Caldwell Everson PLLC Medical Marijuana Increasing access Many states are revising provider requirements to expand patient access to medical marijuana

• who may recommend/certify • E.g., HI: APRN • E.g. Expanding , NY: Nurse practitioners and physician assistants • who may administer • E.g., MA: Nurse practitioners, treating elderly in nursing homes, hospices

• physician requirements (i.e., physician opt-out from registry) Easing • E.g., NJ, PA

© Caldwell Everson PLLC 30 Medical Marijuana Increasing access

Other ways states are increasing access • Where, who, and how to obtain • E.g., NH: “support person” may now obtain from dispensary • E.g., NY: Increases in # of licenses • Reducing fees • Increasing length of certifications • Telehealth Example: Hawaii 2018 amendments to medical marijuana law • Allows 3-year certifications (instead of annual) • Permits Telehealth after initial in-person visit • Recognizes out-of-state reciprocity • Increases THC limit in certain manufactured marijuana products © Caldwell Everson PLLC 31 Impairment and the Law

Some state laws (marijuana/DUI laws) relate to impairment for marijuana

Some states have “per se” limits; no consensus on limit

• 5 ng/mL THC in blood (CO, MT, WA) • 2 ng/mL THC in blood (OH, NV) • 1 ng/mL THC in blood (PA) Recent legislation contains per se limits for certain safety sensitive positions • 10 ng/mL THC in blood (PA) • 3 ng/mL THC in blood (WV) © Caldwell Everson PLLC 32 CONTACT INFORMATION

Faye Caldwell Caldwell Everson PLLC

Email: [email protected] Phone: (713) 654-3000 Website: http://caldwelleverson.com/

© Caldwell Everson PLLC 33