The Legalization of Marijuana in Colorado: The Impact Vol. 2/August 2014 THIS PAGE INTENTIONALLY LEFT BLANK The Legalization of Marijuana in Colorado: The Impact Vol. 2/August 2014 Table of Contents Executive Summary Introduction Purpose ..................................................................................................................................1 The Debate ............................................................................................................................1 Background ...........................................................................................................................2 Colorado’s History with Marijuana Legalization ...........................................................2 Early Medical Marijuana 2000 – 2008 ....................................................................2 Medical Marijuana Commercialization and Expansion 2009–Present .............3 Recreational Marijuana 2013-Present ....................................................................4 SECTION 1: Impaired Driving Introduction ....................................................................................................................7 Findings ...........................................................................................................................7 Data ..................................................................................................................................8 Related Material ...........................................................................................................16 Sources ...........................................................................................................................19 SECTION 2: Youth Marijuana Use Introduction ........................................................................................................................23 Findings ...............................................................................................................................24 Data ......................................................................................................................................25 Related Material .................................................................................................................34 Comments ...........................................................................................................................38 Sources .................................................................................................................................40 SECTION 3: Adult Marijuana Use Introduction ........................................................................................................................43 Findings ...............................................................................................................................44 Data ......................................................................................................................................45 Related Material .................................................................................................................51 Sources .................................................................................................................................55 Table of Contents The Legalization of Marijuana in Colorado: The Impact Vol. 2/August 2014 SECTION 4: Emergency Room and Hospital Marijuana-Related Admissions Introduction ........................................................................................................................59 Findings ...............................................................................................................................59 Data ......................................................................................................................................60 Related Material .................................................................................................................66 Comments ...........................................................................................................................69 Sources .................................................................................................................................70 SECTION 5: Marijuana-Related Exposure Introduction ........................................................................................................................73 Findings ...............................................................................................................................74 Data ......................................................................................................................................75 Related Material or Comments ........................................................................................77 Sources .................................................................................................................................79 SECTION 6: Treatment Introduction ........................................................................................................................81 Findings ...............................................................................................................................81 Data ......................................................................................................................................82 Projection .............................................................................................................................84 Related Material and Comments .....................................................................................84 Sources .................................................................................................................................87 SECTION 7: Diversion of Colorado Marijuana Introduction ........................................................................................................................89 Findings ...............................................................................................................................90 Data ......................................................................................................................................91 Projection .............................................................................................................................93 Microcosm of Unreported Diversion ..............................................................................94 Some Examples of Interdictions.......................................................................................94 Some Examples of Investigations ....................................................................................98 Some Examples of Diversion to Youth .........................................................................102 Comments .........................................................................................................................105 Sources ...............................................................................................................................109 SECTION 8: Diversion by Parcel Introduction ......................................................................................................................113 Findings .............................................................................................................................113 Table of Contents The Legalization of Marijuana in Colorado: The Impact Vol. 2/August 2014 Data ....................................................................................................................................115 Some U.S. Postal Service Case Examples .....................................................................117 Courier Delivery Service Companies ............................................................................118 Sources ...............................................................................................................................121 SECTION 9: THC Extraction Labs Introduction ......................................................................................................................123 Findings .............................................................................................................................124 Data ....................................................................................................................................125 Some Case Examples .......................................................................................................127 Related Material ...............................................................................................................131 Sources ...............................................................................................................................132 SECTION 10: Related Data Topics .................................................................................................................................135 Crime .................................................................................................................................135 Organized Crime ..............................................................................................................137 Marijuana-Related Pet Poisoning ..................................................................................140 Revenue .............................................................................................................................143