Pubdate: Wed, 22 Jun 2011 Source: Helena Independent Record (MT) Copyright: 2011 Helena Independent Record Contact: http://helenair.com/app/contact/letters_to_editor/ Website: http://helenair.com/ Details: http://www.mapinc.org/media/1187 Author: Charles S. Johnson, IR State Bureau LAWYERS CLAIM CANNABIS CONFUSION With Montana's new, more restrictive medical marijuana law taking effect in just 11 days, questions arose in court Tuesday about the product's availability after June 30, confusion over the law and two physicians' future unwillingness to recommend medical pot. The questions came up in the second day of a hearing on an attempt by the Montana Cannabis Industry Association and others to stop the law from taking effect on constitutional grounds. The state attorney general's office disagreed, arguing the law, enacted this year, passes constitutional muster. District Judge James Reynolds said he won't rule immediately from the bench when the hearing ends today. He said he intends to issue an order by June 30, but perhaps not a full decision by then. Bozeman attorney James Goetz, representing the Cannabis Industry Association, pointed out inconsistencies and confusions in the new law and their practical consequences. Assistant Attorney General Jim Molloy said the situation isn't much different than shortly after Montana voters in 2004 approved an initiative legalizing medical marijuana and can be worked out. Goetz questioned Roy Kemp, chief regulator for the state Department of Public Health and Human Services, about the availability of medical marijuana before and after July 1. Kemp said cardholders can buy medical pot from caregivers before July 1 or grow it themselves, like one-third of current patients do. Goetz asked what happens after July 1, when commercial growers and caregivers are eliminated. After that, patients can either grow their own product, or they may obtain it from providers (the new name for caregivers). Providers can supply medical pot to only three patients apiece but can't be paid for their services in a legislative effort to squeeze the money out of the industry. The attorney noted that the law requires caregivers to turn in their mature marijuana plants, seedlings, leaves and cuttings before July 1, leaving no marijuana available after that unless cardholders are growing their own. Goetz asked Kemp where a cancer patient needing to control nausea during chemotherapy would turn to obtain medical marijuana after July 1. "They likely would not have any resources whatsoever," Kemp said. Goetz asked Kemp if this isn't this "a Catch-22 situation." Replied Kemp: "I would agree under your original analysis it seems to lead you right back to the beginning, which is an impossible place to begin." Molloy, however, suggested through witnesses that paid medical marijuana consultants could help patients grow pot for a fee, Another issue involved the state agency's interpretation of the law that a husband registered as a provider can't grow medical marijuana for his wife who's a cardholder. This was part of the agency's website, which contains frequently asked questions about the new law. "What conceivable worldly purpose does this provision serve?" Goetz asked. "This section is difficult and is under department review," Kemp said. "If the department has misinterpreted this section, it will be redone." Last week, three Republican legislators, including the bill sponsor, Sen. Jeff Essmann of Billings, wrote the department to dispute its interpretation on this matter. Two physicians testified that they will close their practices and no longer recommend medical marijuana to patients if a new state law goes into effect July 1. Drs. John Stowers of Great Falls and Michael Geci-Black of Bozeman, both plaintiffs in the lawsuit, each objected to another provision in the new law. It would require the state Board of Medical Examiners to conduct a review of any physician who recommended medical marijuana to 25 or more patients over a 12-month period, at the doctor's expense. "I will absolutely no longer provide this service to our community," said Stowers, an emergency room physician who has operated a clinic to issue medical marijuana cards three to five days a month. "Even if they find in my favor, I believe it's a black mark on my record for my life." He said it sets up "another standard of care that doesn't exist in any level of medicine." In his testimony Monday, Geci-Black said, "My opinion is that the implementation of this bill will force me to close my practice in Bozeman." Dr. Mary Anne Guggenheim of Helena, a member of the Board of Medical Examiners, said she wasn't sure how the board would deal with the required reviews. However, she said the board isn't out to punish doctors, but instead seeks to protect patients. Results of any board investigations will remain confidential, she said, unless the board takes disciplinary action. The hearing concludes at 8:30 a.m. today in state District Court in Helena. - --- MAP posted-by: Richard R Smith Jr.