OOPS! C.D.P.H.E. scrambles to undo ‘harms’ to Medical Marijuana patients & caregivers as public hearing is postponed.

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OOPS!

C.D.P.H.E. scrambles to undo ‘harms’ to Medical Marijuana patients & caregivers as public hearing is postponed. Registry program problems persist.

PAST HISTORY: In 1998, medical marijuana was to be on the Colorado ballot, but Secretary of State Vicky Buckley did not count the votes because she said there were not enough valid signatures on the petitions. After her death, boxes of petition sheets were found in her office and a recount of all the signatures initiated by proponents proved the State made a mistake. A judge then ordered the medical marijuana question be placed on the ballot again, Nov. 7, 2000. Soon after, voters approved the initiative into Colorado Constitutional law.

CURRENT EVENTS: Shortly after a February 20th , 2009 prehearing conference on proposed changes to some Medical Marijuana Registry Program policies, The Colorado Department of Public Health and Environment C.D.P.H.E. apparently erroneously publishes on a state internet website scans of the names and contact information provided by 120 people in attendance at the meeting. A letter was sent to a little under 5,000 legal patients notifying them of the January 20, 2009 prehearing for rulemaking associated with a now postponed March 18th public hearing and since there was no known published announcement, only legal patients and caregivers were invited to the event.

When a state attorney representing the registry was initially contacted, there were claims of ‘clear protection’ for the state’s mistake being available through the Open Meetings Act. This is believed to be incorrect, however, since no published notice was known to be made of the prehearing conference. The action appears to be, in direct violation of both federal HIPPA and Colorado Article 18 Section 18 privacy and confidentiality provisions of law.

The published identities were incorporated in a .pdf file document entitled, “prehearing conference summary” which was still available online at the Colorado Board of Health website even after March 6, 2009 when authorities were contacted and alerted about the potentially dangerous situation. Initial discreet contacts with a number of the affected individuals found a wide range of responses from “disinterest”, and “disbelief” to “Shock and verbalized complaints of privacy and confidentiality breach”. By March 7, 2009, however, the questionable pages had been removed from the state site.
The passed around top sheet was entitled, “ Colorado Board of Health Attendance Prehearing Conference for March 18, 2009 Rulemaking Hearing Concerning Amendments to 5CCR 1006-2 Rules and Regulations Pertaining to the Medical Use of Marijuana” and the second sign-up sheet looked similar. The third sheet, however, was found to be a “Visitor Sign-in Sheet” with handwritten in “M.J.” in big letters, and the final two contact sheets were blank. NONE of the provided sign-up sheets made any mention of the fact that they would subsequently be published on the internet for the world to see.

When the people of the state of Colorado approved Medical Marijuana in 2000, specific language included the development of a confidential registry and preservation of privacy and confidentiality. (See also, 0-4-287 - ARTICLE XVIII - Miscellaneous Art. XVIII – Miscellaneous Section 14 Section 3 a). Of course, there are, already in place, considerable federal protections (see also: the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-19 for private patients suffering from life threatening and/or debilitated illnesses.) But, important to note is the fact that such language is included in the new law, as well.

We may never know why the state board of health decided not to follow its own rules and procedures. It is not like a public hearing is a rare thing, is it? The rules are relatively easy to follow, including publishing notice of hearing and other provisions found in the ”Colorado Revised Statutes Title 24 GOVERNMENT –STATE: ADMINISTRATION ARTICLE 4 Rule-making and Licensing Procedures by State Agencies”

All of the individuals contacted, wished to remain anonymous, with some being unaware that the state had actually published their contact information online via eight pages of scans of “sign-up sheets” which had been passed around by a state worker at the over-capacity prehearing conference meeting. There were also found to be more than one complaint of expressed fear for possible robberies of their medical marijuana, or even of possible future intervention from law enforcement authorities at caregivers, collectives, dispensaries, and patients affected who had unwittingly provided their contact information.

As of press date, there have been no reported incidents of this nature identified, so direct evidence of ‘harms’ experienced by the affected individuals whose identities have been published is unavailable. We are unaware of any attorneys seeking interested parties for possible lawsuits, as well.

During the nine year history of the Medical Marijuana Registry there has been primarily one individual who has been essentially running the program. It is supposed to be self-sustaining. Exponentially the patient base had grown, especially in recent years with the advent of more sympathetic physicians and clinics specializing in providing recommendations statewide. For this reason alone, there appear to be more problems on the horizon.

“I had provided my physicians signature paperwork to re-certify back in January and still haven’t received my license(certificate) in the mail. First, it was returned in the mail because I didn’t include a copy of my photo identification, “ reports a frustrated Susan Johnson, legal patient from Colorado Springs. “ When I called the other day, I was told by a state contact that although my correct paperwork may have been mailed over a month and a half ago, they are still over a month behind opening mail, so it might take up to one more month before I receive my legal protection.” Johnson said she is frustrated and four months is unacceptable to have to wait to receive this important documentation.

The State Board of Health hearing was scheduled for March 18, but health officials have said\that the board is now seeking a larger venue because of significant public interest in the issue. As of press time, a date and venue have yet to be identified, however, it is believed to be sometime held the middle of June, 2009.

Proposed changes to the registry program include limiting primary caregivers to five marijuana patients and requiring notarized signatures on applications.
The public can submit written comments to the board until May 15.

By Timothy Tipton
commjexpert@gmail.com
excerpted from
Issue#2 of Medical Marijuana News

moderator of the North Denver Medical Marijuana Discussion Group(http://medmarijuana.meetup.com/119)

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Joined: 12/07/2010
Colorado MMJ Registry

I am a physician that was doing MMJ evaluations in Denver until I, and 17 other physicians, were stopped in our tracks. The Colorado MMJ Advisory Committee, which evaluates issues and gives advise to the MMJ Registry, decided at its Oct. meeting that any physician with "restrictions or conditions" on their license could no longer sign MMJ evaluations. The CO constitution states that a "physician in good standing" can write for MMJ and after almost 10 years of MMJ being legal in CO SB-109 changed the wording to say that only a "physician without restrictions" on their license can write for MMJ. The Advisory Committee, on the advice of the Colorado Board of Medical Examiners, took this to mean any physcian with "restrictions or conditions" on their license could no longer write for MMJ. Restrictions on a medical license are not the same as conditions on a medical license; this was discussed at the Nov meeting of the AC (Advisory Committee) but the final decision on this language won't be made until possibly March, 2011. So what does this mean? In July, after SB-109 was passed, the registry began holding MMJ applications that were signed by doctors with restrictions or conditions on their licenses. These were applications that had been signed as far back as Feb. 2010 but were just then being processed in July 2010. After the recommendation by the Colorado Medical Board to the MMJ AC in Oct, 2010, although no vote was taken by the committee, the Registry sent back applications to 2,000 or so patients whose apps. had been signed by the doctors whose licenses were in question. The note on the applications told patients that the physician could not recommend MMJ due to restrictions or conditions placed on their license by the Colorado Medical Board, the patient needed to have new paperwork submitted.
I worked at a clinic that did MMJ evaluations and we received hundreds of phone calls from patients who were, of course, livid. Many patients felt they had been the victims of fraud even though their evaluations and applications were done in good faith. In one fell swoop, the MMJ registry had made 18 physicians ineligible to write for MMJ even though many of the physicians had had patient applications approved prior to this, and subsequently made thousands of patients, caregivers and dispensary owners illegal. At the AC meeting in Nov, 2010 the Committee chairperson said that because of the outcry by so many people, the registry would rethink their decision to include physicians with "conditions" on their licenses with physicians with "restrictions" on their licenses. Because of this, the patients who received initial denials of their applications would get a letter from the registry saying the patients could resubmit their appication, with no extra fee, and the registry would hold onto the applications until the final decision was made about the status of physician licenses, probably next March. The applications would neither be accapted nor denied, but the patients would then be 'legal". No such letter has been sent to the patients yet, according to the registry, the lawyers are still working on the leter. It took the registry one week to make the decision to send back the applications and then send 2,000 of them back however they have not been able to come up with a letter of explanation to the patients in a month. Many patients have already redone their applications, they have repaid another physician for a second evaluation that didn't need to be done. Patients are still upset.
The MMJ registry is having the next meeting tomorrow. They have published a draft of regulations they hope to discuss. These regulations are so onerous I doubt anyone, physician or caregiver, could or would want to comply. You can read this by looking at their website on CDPHE. The jist of this is that physicians cannot just do MMJ evaluations, they must take care of the whole patient. Caregivers cannot just supply MMJ, they must take care of the whole patient. Patients in Colorado need to unite and stand up for your rights because with these regulations there will be no physicians to write for MMJ nor any caregivers to supply it.

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