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Mississippi Legislature· HB 895Died In Committee

Medical cannabis; eliminate mandatory follow-up visit and extend validity periods of certification and ID cards to 24 months., the official text

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MISSISSIPPI LEGISLATURE

2026 Regular Session

To: Business and Commerce

By: Representative Yancey

House Bill 895

(As Sent to Governor)

AN ACT TO AMEND SECTION 41-137-5, MISSISSIPPI CODE OF 1972,
TO ELIMINATE THE MANDATORY SIX-MONTH FOLLOW-UP VISIT WITH THE PRACTITIONER
AFTER THE PATIENT RECEIVES THE CERTIFICATION; TO AUTHORIZE THE PRACTITIONER TO
REQUEST OR REQUIRE A FOLLOW-UP EVALUATION OF THE PATIENT; TO AMEND SECTION 41-137-25,
MISSISSIPPI CODE OF 1972, TO EXTEND THE VALIDITY PERIOD FOR REGISTRY
IDENTIFICATION CARDS FOR RESIDENT DESIGNATED CAREGIVERS TO TWO YEARS; TO
AMEND SECTION 41-137-39, MISSISSIPPI CODE OF 1972, TO REMOVE THE THC POTENCY
LIMITS FOR CANNABIS TINCTURES, OILS AND CONCENTRATES; AND FOR RELATED PURPOSES.

BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1.  Section
41-137-5, Mississippi Code of 1972, is amended as follows:

41-137-5.  (1)  No person
shall be authorized to use medical cannabis in this state unless the person (a)
has been diagnosed by a practitioner, with whom the person has a bona fide
practitioner-patient relationship within his or her scope of practice, as
having a debilitating medical condition for which the practitioner believes, in
his or her professional opinion, that the person would likely receive medical
or palliative benefit from the medical use of medical cannabis to treat or
alleviate the person's debilitating medical condition or symptoms associated
with the person's debilitating medical condition, (b) has
received a written certification of that diagnosis from
the practitioner, and (c) has been issued a registry identification card
from the MDOH under Section 41-137-23.  A person who has been diagnosed by a
practitioner as specified in paragraph (a) of this subsection shall be a
qualifying patient, and the practitioner who has diagnosed the patient shall
document that diagnosis with a written certification.  However, nothing herein
shall require a practitioner to issue a written certification.

(2)  A written certification
shall:

(a)  Affirm that it is
made in the course of a bona fide practitioner-patient relationship;

(b)  Remain current for
twelve (12) months,
unless the practitioner specifies a shorter period of time;

(c)  Be issued after an
in-person assessment of the patient by a practitioner, or after a telemedicine
evaluation for patients who are homebound or bedbound as certified by a
practitioner with whom the patient has a bona fide practitioner-patient
relationship within his or her scope of practice other than the practitioner
making the written certification.  For purposes of this paragraph (c), an
individual is homebound or bedbound if such individual is physically unable to
leave his or her residence without another person's aid because the individual
has lost the capacity of independent transportation due to a medical, physical,
or mental health condition or infirmity as documented in writing by a practitioner
who has a bona fide practitioner-patient relationship with the patient;

(d)  Only be issued on
behalf of a minor when the minor's parent or guardian is present and provides
signed consent; and

(e)  Be limited to the
allowable amount of cannabis in a thirty-day period..

(3)  No state agency,
department, political subdivision or board shall require a practitioner to
require a patient to submit to a drug test as a condition to receiving a
certification for a registry identification card.  However, a practitioner may
require a drug test from a patient that is within his or her scope of practice.

(4)  After a practitioner
has issued a written certification to a qualifying patient, a practitioner may
assist the patient in registering for a registry identification card with the
Department of Health, in a manner provided by regulations of the Department of
Health.

(5)  After a qualifying
patient receives a written certification from a practitioner, the * * *patient shall be required to make practitioner
may, at his or her discretion, request or require a follow-up * * *visit with the practitioner not less than six (6) months
after the date of issuance of the certification for the practitioner to
evaluate and evaluation to determine the effectiveness of the
patient's medical use of medical cannabis to treat or alleviate the patient's
debilitating medical condition or symptoms associated with the patient's
debilitating medical condition.  Qualifying patients
may make a follow-up visit with a different practitioner than the practitioner
who originally issued their written certification, provided that such
practitioner is otherwise registered and acting within their scope of practice
and the provisions of this chapter.

(6)  Before dispensing
medical cannabis to a cardholder, the dispensary from which the cardholder is
obtaining medical cannabis shall verify the identity of the cardholder and the
authority of the cardholder to use medical cannabis as provided in Section 41-137-39
and shall determine the maximum amount of medical cannabis that a cardholder is
eligible to receive and the amount of medical cannabis that the cardholder has
received from all dispensaries during a specified period of time using the
statewide seed-to-sale tracking system under Section 41-137-11.

(7)  (a)  A practitioner
shall be registered to issue written certifications to qualifying patients by
completing the required application process as set forth by the MDOH.  The MDOH
shall require a practitioner to complete a minimum of eight (8) hours of
continuing education in medical cannabis in order to issue written
certifications.  After the first year of registration, these practitioners
shall complete five (5) hours of continuing education in medical cannabis
annually to maintain this registration.

(b)  A practitioner
shall not be required to have any additional qualifications to be authorized to
certify a qualifying patient for a registry identification card, other than
such requirements for practitioners as provided under the Mississippi Medical
Cannabis Act.

(c)  A practitioner
shall not be required to be registered to certify patients with any state
agency or board other than the MDOH.

(8)  Only physicians and
doctors of osteopathic medicine may issue written certifications to registered
qualifying patients who are minors.

(9)  The requirements of
this section shall not apply to a person who is authorized to purchase topical
cannabis provided under Section 41-137-39( * * *2221), and such persons may possess and
use such products without being in violation of this chapter.

SECTION 2.  Section
41-137-25, Mississippi Code of 1972, is amended as follows:

41-137-25.  (1)  Registry
identification cards must contain all of the following:

(a)  The name of the
cardholder;

(b)  A designation of
whether the cardholder is a qualifying patient, a designated caregiver or a
nonresident;

(c)  The date of
issuance and expiration date of the registry identification card;

(d)  A random ten-digit
alphanumeric identification number, containing at least four (4) numbers and at
least four (4) letters, that is unique to the cardholder;

(e)  If the cardholder
is a designated caregiver, the random identification number of the qualifying
patient the designated caregiver will assist;

(f)  A photograph of
the cardholder;

(g)  The toll-free
phone number or internet address where the card can be verified;

(h)  A notice of the
potential harm caused by medical cannabis; and

(i)  A notice of the
MMCEU daily, monthly and possession limit.

(2)  The expiration date
shall be visible on the registry identification card.  Except as provided in
subsection (3) or
subsection (4) of this section, the expiration date for registry
identification cards for residents shall be one (1) year after the date of issuance, and the
expiration date for registry identification cards for resident
designated caregivers shall be two (2) years after the
date of issuance.  The expiration date for registry identification cards
for nonresidents shall be fifteen (15) days after the date of issuance, except as provided in subsection (4) of
this section.

(3)  If the practitioner
stated in the written certification that the qualifying patient would benefit
from the medical use of medical cannabis until a specified earlier date, then
the registry identification card shall expire on that date, except as provided in subsection (4) of
this section.

(4)
(a)  The expiration date for registry identification cards for residents that
are issued not later than one hundred fifty (150) days after February 2, 2022,
shall be one (1) year after the initial one-hundred-fifty-day period.

(b)
If the practitioner specified an earlier date for the expiration of the
registry identification card as provided under subsection (3) of this section,
then the registry identification card shall be valid for the period specified
by the practitioner, which shall begin after the initial one-hundred-fifty-day
period.

(c)
The expiration date for registry identification cards for nonresidents that are
issued not later than one hundred fifty (150) days after February 2, 2020,
shall be fifteen (15) days after the initial one-hundred-fifty-day period.

SECTION 3.  Section
41-137-39, Mississippi Code of 1972, is amended as follows:

41-137-39.  (1)  (a)  The
MDOH shall obtain criminal records background checks on all persons applying to
become a licensee, an agent, or representative as defined herein, of a medical
cannabis establishment.  This shall include performing criminal records
background checks on all potential employees, current employees, or
representatives/agents of the MDOH Medical Cannabis Program.  The required
criminal history background check includes information provided by the Federal
Bureau of Investigation.

(b)  For the purposes
of this section, an applicant is any person who registers with or applies for
an initial medical cannabis work permit, or a renewal of a medical cannabis
work permit.  Such a person or applicant may also be defined as an agent, an
employee, a representative, etc., as further defined and sometimes used
interchangeably as referenced in this section.

(c)  For purposes of
this section, an agent is a person who acts for or on behalf of, or who
represents a medical cannabis establishment while in the course of business or
employment with the Mississippi Medical Cannabis Program and may also be
referred to as an agent, a representative, or vice versa.

(d)  Representative
means a principal officer, owner of ten percent (10%) or greater economic
interest in a medical cannabis establishment with direct or indirect interest,
officer, director, manager, employee, agent, volunteer, or other type of
representative of a registered medical cannabis licensee establishment.

(e)  Principal officer
means a person(s) who has ultimate responsibility for implementing the
decisions of a cannabis testing facility or other such medical cannabis
establishment and includes, but is not necessarily limited to, the Chief
Executive Officer (CEO), Chief Administrative Office (CAO), Chief Financial
Officer, (CFO), as applicable.  Elected or appointed, the board as a whole
creates agency policies and oversees the agency's managerial positions.

(f)  Board member means
an individual on a medical cannabis establishment's company or agency board which
serves as an organization's governing body.

(g)  Principal owner
means the primary owner of a medical cannabis establishment, but often may be
the sole owner.

(h)  Any and every
person/applicant seeking to become an owner or principal owner, principal
officer, or officer, board member, director, manager, agent/representative,
employee, care giver, or volunteer of a medical cannabis establishment shall
apply for, or authorize the MDOH to obtain state and national criminal
background checks to be conducted by the Mississippi Justice Information Center
of the Department of Public Safety and the Federal Bureau of Investigation.

(i)  Such criminal
background checks shall conform to the applicable federal standards and shall
include the taking of fingerprints.

(j)  Once the
Mississippi Justice Information Center of the Department of Public Safety
completes a state level criminal history background check, they will forward
the fingerprints to the Federal Bureau of Investigation for a national criminal
history background check.

(k)  The person seeking
to become an agent/representative of a medical cannabis establishment shall
authorize the release of such criminal background checks to the MDOH and shall
be responsible for the payment of any fee that the Mississippi Justice
Information Center of the Department of Public Safety or the MDOH charges to
process fingerprint-based state and national criminal background checks.  The
Department of Public Safety and the MDOH each may charge and retain a fee not
to exceed Sixty Dollars ($60.00) for each applicant.

(l)  The Mississippi Justice
Information Center of the Department of Public Safety shall forward to the MDOH
all information obtained concerning the applicant.  MDOH will not disseminate
the information and will only use such information as required to fulfill the
purposes of this act.

(2)  A medical cannabis
establishment may not employ any person who:

(a)  Was convicted of a
disqualifying felony offense; or

(b)  Is under twenty-one
(21) years of age.

(3)  The operating documents
of a medical cannabis establishment must include procedures for the oversight
of the medical cannabis establishment and procedures to ensure accurate record
keeping and adequate security measures.

(4)  A medical cannabis establishment
shall implement appropriate security measures designed to deter and prevent the
theft of medical cannabis and unauthorized entrance into areas containing
medical cannabis.

(5)  All cultivation,
harvesting, processing and packaging of medical cannabis must take place in an
enclosed, locked and secure facility with a physical address provided to the MDOH
during the licensing and registration process.  The facility shall be equipped
with locks or other security devices that permit access only by agents of the
medical cannabis establishment, emergency personnel or adults who are twenty-one
(21) years of age and older and who are accompanied by medical cannabis
establishment agents.

(6)  No medical cannabis
establishment other than a cannabis processing facility or cannabis research
facility may produce cannabis concentrates, cannabis extractions, or other
cannabis products.

(7)  A medical cannabis
establishment may not share office space with or refer patients to a
practitioner.

(8)  Medical cannabis
establishments are subject to inspection by the MDOR and MDOH during business
hours.

(9)  Before medical cannabis
may be dispensed to a cardholder, a dispensary agent must:

(a)  Require that the
individual present a registry identification card;

(b)  Make a diligent
effort to verify that the registry identification card presented to the
dispensary is valid;

(c)  Make a diligent
effort to verify that the person presenting the registry identification card is
the person identified on the registry identification card presented to the
dispensary agent; and

(d)  Not believe that
the amount of medical cannabis dispensed would cause the person to possess more
than the allowable amount of medical cannabis.

(10)  A medical cannabis
establishment shall not sell more than the allowable amount of medical cannabis
to a cardholder.  A resident cardholder shall not obtain more than a total of
twenty-four (24) MMCEUs of allowable medical cannabis in thirty (30) days from
a dispensary or a combination of dispensaries.

The possession limit for
resident cardholders of the allowable amount of medical cannabis shall be a
total of twenty-eight (28) MMCEUs.  There shall not be a possession limit on
nonconsumable medical cannabis, including, but not limited to, suppositories,
ointments, soaps, and lotions or other topical agents.

(11)  For purposes of this
chapter, total THC is defined as THCA multiplied by .877 plus THC Delta 9 and
all other psychoactive forms or isomers of THC added together.  A medical
cannabis establishment shall not sell cannabis flower or trim that has a
potency of greater than thirty percent (30%) total THC. * * *A medical cannabis dispensary shall not sell cannabis
tinctures, oils or concentrates that have a potency of greater than sixty
percent (60%) total THC. Cannabis products that have a potency of
over thirty percent (30%) total THC shall be clearly labeled as "extremely
potent."  Edible cannabis products, including food or drink products, that
have been combined with usable cannabis or cannabis products shall be
physically demarked and labeled with a clear determination of how much total
THC is in a single-serving size and how much THC is in the entire package.

A medical cannabis product
shall contain a notice of harm regarding the use of cannabis products.  Edible
cannabis products shall be homogenized to ensure uniform disbursement of
cannabinoids throughout the product.  All molded edible cannabis products shall
be presented in the form of geometric shapes and shall not be molded to contain
any images or characters designed or likely to appeal to minors, such as
cartoons, toys, animals or children.

(12)  A dispensary may not
dispense more than the allowable amount of cannabis to a registered qualifying
patient or a nonresident cardholder, directly or via a registered designated
caregiver.  Dispensaries shall ensure compliance with this limitation by
maintaining internal, confidential records that include records specifying how
much medical cannabis is being dispensed to the registered qualifying patient
or nonresident cardholder and whether it was dispensed directly to a registered
qualifying patient, nonresident cardholder or to the registered designated
caregiver.

(13)  A nonresident
cardholder shall not obtain more than a total of six (6) MMCEUs of allowable
medical cannabis in a week from a dispensary or a combination of dispensaries.
A nonresident cardholder shall not obtain more than a total of twelve (12)
MMCEUs of allowable cannabis from a dispensary or a combination of dispensaries
in a fifteen-day period.

(14)  A nonresident may
apply to receive a nonresident registry identification card up to thirty (30)
days before arriving in Mississippi.  A nonresident registry identification
card shall be valid for fifteen (15) days.  After the expiration of the card, a
nonresident may apply for a renewal of the card and may be granted another card
which shall be valid for another fifteen-day period.  A nonresident registry
identification card shall only be valid, at a maximum, for two (2) separate
periods of fifteen (15) days in a three-hundred-sixty-five-day period.  An
applicant may indicate on his or her application the specific time period that
he or she wishes for the card to be valid.  The possession limit of the
allowable amount of medical cannabis for nonresident cardholders shall be
fourteen (14) MMCEUs.

(15)  A medical cannabis
dispensary agent or employee shall not issue a written certification.
Employees and agents of a medical cannabis dispensary shall complete at least
eight (8) hours of continuing education in medical cannabis as regulated by the
MDOR in order to be certified to work at a medical cannabis dispensary.  After
the first year of employment, these employees shall complete five (5) hours of
continuing education in medical cannabis annually to maintain this certification.

(16)  Notwithstanding any
other provision to the contrary, a patient with a debilitating medical
condition who is between eighteen (18) years to twenty-five (25) years of age
is not eligible for a medical cannabis registry identification card unless two
(2) practitioners from separate medical practices have diagnosed the patient as
having a debilitating medical condition after an in-person consultation.  One
(1) of these practitioners must be a physician or doctor of osteopathic
medicine.

If one (1) of the
recommending practitioners is not the patient's primary care practitioner, the
recommending practitioner shall review the records of a diagnosing
practitioner.  The requirement that the two (2) practitioners be from separate
medical practices does not apply if the patient is homebound or if the patient
had a registry identification card before the age of eighteen (18).

(17)  Except as otherwise
provided in this section, a medical cannabis establishment shall not allow an
individual who is younger than twenty-one (21) years old to enter the premises
of the establishment unless the individual possesses a registry identification
card and is accompanied by his or her legal guardian.

(18)  A medical cannabis
establishment shall only purchase, grow, cultivate, and use cannabis that is
grown and cultivated in this state.  Any medical cannabis that is grown and
cultivated in this state shall not be transported outside of this state.

(19)  Employees of all medical
cannabis establishments shall apply for a work permit with the MDOH and MDOR,
as applicable, before beginning employment with any establishment.  The
licensing agency for the respective medical cannabis establishment may issue
work permits to these individuals.  These licensing agencies shall maintain a
work registry of all applicants and work permits issued.  The fee for a work
permit shall be Twenty-five Dollars ($25.00) and the permit shall be valid for
five (5) years.  Work permits shall be the property of the employee and shall
not be transferable to other employees.

(20)  For purposes of this
subsection, "plant growth regulator cannabis" shall mean a cannabis
plant whose growth and structure has been modified using plant growth
hormones.  A cannabis cultivation facility shall not cultivate and a cannabis
dispensary shall not sell, transfer or provide for consumption plant growth
regulator cannabis.

(21)  A medical cannabis
dispensary shall only make sales to cardholders inside the dispensary.  A
medical cannabis dispensary shall not sell or otherwise convey medical cannabis
to a cardholder through the means of a drive-through, curbside delivery or
other delivery outside the premises of the dispensary.  Any topical cannabis
product that is purchased by a dispensary from a licensed processor, and that
is not ingested by the liver, may be sold to a cardholder or any person over
the age of twenty-one (21) years old who is not a cardholder.  Such products
shall be placed in an area of the dispensary that does not require access with
a registry identification card.

(22)  Any and all contracts
or agreements entered into by the MDOH and MDOR for information technology
software, hardware, and/or services for the purpose of implementing and/or
operating under the Mississippi Medical Cannabis Act shall include language
reasonably limiting the ability of the vendor to escalate the ongoing cost of
such software, hardware, and/or services during the term of the contract,
including any amendments and/or extensions.

(23)  The MDOR and MDOH
shall not share the name, address or personal data of a registry identification
cardholder to any federal government entity.

SECTION 4.  This act
shall take effect and be in force from and after July 1, 2026.
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