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DHSS releases draft rules for medical marijuana Physicians Criteria

Title 19 – DEPARTMENT OF HEALTH AND SENIOR SERVICES Division 30 –


Division of Regulation and Licensure Chapter 95 –

Medical Marijuana 19 CSR 30-95.110 Physicians


Purpose: Under Article XIV of the Missouri Constitution, patients with qualifying medical conditions have the right to discuss freely with their physicians the possible benefits of medical marijuana use, and physicians have the right to provide professional advice concerning the same.


This rule explains how the department will implement provisions of Article XIV related to Physicians.




(1) Physician Certification. Physicians will submit certifications electronically through a department-provided, web-based system. In the event of system failure, the department will arrange to accept physician certifications in an alternative, department-provided format and will notify the public of those arrangements through its website.


(A) Physician certifications must be dated on the day the physician met with and examined the qualifying patient for certification purposes.

(B) Physician certifications must include at least the following information:


1. The physician’s name, as it appears in the records of the Missouri Division of Professional Registration;

2. The physician’s licensee number;

3. Whether the physician is licensed to practice medicine or osteopathy;

4. The physician’s business address, telephone number, and email address;

5. The qualifying patient’s name, date of birth, and Social Security number;

6. The qualifying patient’s qualifying condition;

7. The physician’s recommendation for the amount of medical marijuana the qualifying patient should be allowed to purchase in a thirty- (30-) day period, which shall be no less than four ounces of dried, unprocessed marijuana or its equivalent;

8. Statements confirming the following:


A. In the case of a non-emancipated qualifying patient under the age of eighteen (18), before certifying the qualifying patient for use of medical marijuana, the physician received the written consent of a parent or legal guardian who will serve as a primary caregiver for the qualifying patient;


B. The physician met with and examined the qualifying patient, reviewed the qualifying patient’s medical records or medical history, reviewed the qualifying patient’s current medications and allergies to medications, discussed the qualifying patient’s current symptoms, and created a medical record for the qualifying patient regarding the meeting;


C. In the opinion of the physician, the qualifying patient suffers from the qualifying condition; and


D. The physician discussed with the qualifying patient risks associated with medical marijuana, including known contraindications applicable to the patient, risks of medical marijuana use to fetuses, and risks of medical marijuana use to breastfeeding infants; and 9. The signature of the physician.

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