A North Carolina Republican senator has refiled a bill to legalize medical marijuana in the state, and a key leader in the chamber said that it’s “the right thing” to do, though he tempered expectations about the prospects of advancing the reform in the House in the short term.

The new legislation from Senate Rules and Operations Committee Chairman Bill Rabon (R) would allow patients with qualifying conditions such as cancer, epilepsy, post-traumatic stress disorder (PTSD) and multiple sclerosis to possess and purchase cannabis from licensed dispensaries.

An earlier version of the reform bill cleared the Senate last year, but House Republicans blocked it from advancing further.

In an interview with Spectrum News 1’s “Trying It Together” podcast, Senate President Pro Tempore Phil Berger (R) said that the legislation his chamber advanced was “well-constructed” and “addressed a lot of the concerns that people have” while providing a needed treatment option for patients with serious illnesses.

He said “we’ll see whether or not this session is the right time,” particularly as it concerns how the GOP-controlled House approaches it, but “I think it’s the right thing for us to do.”

Listen to Berger’s cannabis comments, around 30:20 into the audio below:

The Senate president previously acknowledged that opinions are shifting when it comes to marijuana in the state, and he said that Rabon specifically “for a long time has looked at the issue.”

House Speaker Tim Moore (R) is among key lawmakers who have downplayed the idea of enacting medical cannabis legislation, saying at one point that “there are a lot of concerns” with Rabon’s bill that moved through the Senate last year.

Here are the key provisions of the senator’s refiled medical cannabis legislation

Patients would be allowed to access cannabis if they have a “debilitating medical condition” such as cancer, epilepsy, HIV/AIDS, Parkinson’s disease, multiple sclerosis and post-traumatic stress disorder.

Smoking and vaping would also be allowed, but doctors would need to prescribe a specific method of delivery and dosages for patients under the revised legislation. And they would need to reevaluate patients’ eligibility for the program at least once a year.

The bill provides for up to 10 medical marijuana suppliers who control the cultivation and sale of cannabis. Each supplier can operate up to eight dispensaries. That’s double the dispensary cap laid out in the earlier version.

Under the bill, a Compassionate Use Advisory Board would be established, and it could add new qualifying medical conditions.

Separately, a Medical Cannabis Production Commission would be created to ensure that there’s an adequate supply of cannabis for patients, oversee licensing and generate enough revenue to regulate the program.

The measure would further create a North Carolina Cannabis Research Program to “undertake objective, scientific research regarding the administration of cannabis or cannabis-infused products as part of medical treatment.”

There don’t appear to be specific equity provisions that many advocates push for as part of legalization legislation.


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A findings section in the bill states that it’s the intent of the legislature “prioritize the protection of public health and safety in the creation of a system for the cultivation, processing, and selling of medical cannabis.”

Further, “the General Assembly that the regulatory system created by this Article be nimble and able to respond quickly to changes in the rapidly-evolving cannabis industry.”

For his part, Gov. Roy Cooper (D) said last month that he thinks a medical marijuana legalization bill “has an opportunity to pass” this session, and he also reiterated his support for broader decriminalization of cannabis possession, noting racial disparities in enforcement.

Cooper’s public support for decriminalization is a relatively recent development. He first openly backed the policy change in October, saying that it’s time to “end the stigma,” while separately announcing steps he’s taken to explore his options for independently granting relief to people with existing convictions.

Following President Joe Biden’s mass pardon announcement in October, which also involved a call to action for governors to provide state-level relief, Cooper said that he’s directed state attorneys to review pardon authority for marijuana offenses.

The governor separately convened a North Carolina Task Force for Racial Equity in Criminal Justice that previously recommended decriminalizing marijuana. The report from the panel, which is chaired by state Attorney General Josh Stein (D), also included a recommendation for the state to initiate a study on whether to more broadly legalize cannabis sales.

A poll released last year found that 82 percent of North Carolina voters are in favor of legalizing medical cannabis—including 75 percent of Republicans, 87 percent of unaffiliated voters and 86 percent of Democrats.

A separate question found that 60 percent of voters back adult-use legalization.

The survey showed an increase in support for medical cannabis legalization since voters were prompted with the question earlier last year, with the results showing that with three in four say patients should have access to marijuana for medical use.

Under current law, possessing more than half an ounce up to 1.5 ounces of cannabis is a class 1 misdemeanor, subject to up to 45 days imprisonment and a $200 fine. In 2019, there were 3,422 such charges and 1,909 convictions, with 70 percent of those convicted being nonwhite.

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Photo courtesy of Brian Shamblen.

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