Pubdate: Wed, 09 Mar 2011 Source: Yakima Herald-Republic (WA) Copyright: 2011 Yakima Herald-Republic Contact: http://www.yakima-herald.com/ Details: http://www.mapinc.org/media/511 Author: Phil Ferolito BILL WOULD GIVE POT PROVIDERS A PLACE TO GROW, WAY TO SELL TO PATIENTS WHO NEED IT YAKIMA, Wash. -- More than a decade after the use of marijuana to treat chronic pain became a legal defense to possessing the illegal drug, patients still face an obstacle: Where can they get it and not risk getting arrested? Although qualifying patients are allowed to grow a certain amount to use to treat chronic pain, many say they have no way of acquiring seeds to start the plant. Now, over the objections of their more conservative colleagues in Eastern Washington, state lawmakers are walking down a controversial path to make the drug more readily available to qualifying patients -- those whose medical provider recommends the drug for certain conditions. Senate Bill 5073 would allow small, commercial growing operations to produce marijuana for medical purposes and sell it in dispensaries. According to an amended version of the bill, gardens could be established to serve up to three patients and grow a total of 45 plants. Patients and their providers would be protected from arrest and allowed up to 15 plants each and 24 ounces of marijuana for personal medical use at any given time. The original version of the bill was more generous, allowing up to 99 plants to serve up to 25 patients. Medical marijuana operations could be run by patients or a licensed provider. Growers, sellers and patients would have to register with the state Department of Health. The bill is sponsored by Rep. Jeanne Kohl-Welles, D-Seattle, who visited Colorado, where dispensaries paid more than $5.1 million in state and local taxes last year. Her bill passed the Senate 29-20 last week and is now before the Health, Care and Wellness Committee in the House. Supporters say the measure is a way to either control the supply chain in the interest of patients and public safety. Kohl-Welles said the only other option is to "do nothing, with producers and dispensaries continuing to mushroom around the state unregulated." While Yakima has no known dispensaries, "potpreneurs" have opened up in other parts of the state with 120 at last counting. Opponents say the bill will only open the door to abuse. "The point is that it seems to open up a Pandora's box on who gets to grow it, who gets to sell it," said Sen. Curtis King, R-Yakima. "If this is truly a medical issue, then control the growth and have it on a prescription basis through a pharmacy and control it that way." He voted against the bill along with Sens. Janea Holmquist Newbry, R-Moses Lake, and Jim Honeyford, R-Sunnyside. King said he doesn't want Washington to become another Montana, where a similar law has created something of a boom-town mentality with formerly out-of-work electricians and plumbers building indoor commercial growing operations for dispensaries. "And that's what's going to happen here," King predicted. He questions what will happen if the number of growers and stores outpace the medical demand. "Who is going to monitor that?" he questioned. "Who is going to oversee that all these sales are going to the proper patients?" Although registered nurse Dionetta Hudzinski supports marijuana for the treatment of chronic pain in some cases, she admits that policing growing operations and sales could be difficult. "This thing is a can of worms," said Hudzinski, who owns Comfort Care Unlimited in Yakima. She said none of the patients she treats has a medical recommendation for marijuana use -- the current law -- because doctors in the Yakima Valley are reluctant to write them. "It's the stigma that it's addicting, and patients only want it to get high," she said. Dr. Brett Quave, who runs Yakima Valley Memorial Hospital's pain clinic called Water's Edge, doesn't believe in using marijuana to treat pain. All patients at the clinic must pass a urine test. Quave said medical marijuana hasn't been well studied, and he said among physicians there is disagreement over whether its physiological effects actually treat the pain or merely cause the patient to forget about it. "From a personal standpoint, I don't see patients getting better from it," he said. "I don't see it improving their quality of life overall." Hudzinski disagrees. She said marijuana helps patients whose pain comes from muscle spasms. "If you can relax them, their pain goes down," she said. At present, a doctor or nurse practitioner can prescribe marijuana only by signing a letter saying a patient would benefit from its use, Hudzinski said. With some doctors reluctant to sign such letters, many patients are going to clinics outside Yakima where they pay anywhere from $300 to $500 to get a medicinal dose, she said. Susan -- who asked that her last name not be used -- said she was told she could get a prescription from a clinic at the University of Washington for $500. Living only on Social Security and disability, she said she couldn't afford it. She used marijuana illegally through much of 1990s to treat spinal arthritis. "I was in so much pain, I was ready to go jump off of a bridge and someone mentioned it to me," the 64-year-old said. "And I thought 'it's illegal,' but I was in so much pain that I tried it and it worked." Material from the Seattle Times was included in this report. - ---------------------------- The current law Qualifying: A patient must suffer from a "terminal or debilitating medical condition" such as cancer, HIV, multiple sclerosis or intractable pain. Depression and anxiety do not qualify. Recommending: Clinicians can't legally prescribe marijuana but can recommend it. Doctors, naturopaths and physician assistants, among others, sign recommendations on tamper-resistant paper. Possession: A recommendation is an "affirmative defense" in court, but not protection from arrest. Patients can have a 60-day supply (24 ounces and 15 plants); patients can exceed that limit with a proven medical need. Dispensaries: Patients may grow their own or get it from a "designated provider" who can help only one patient "at any one time." Law does not allow or prohibit dispensaries or patient collectives. Federal law: Marijuana remains illegal under federal law. Source: State Department of Health; ACLU of Washington - --- MAP posted-by: Matt