Legislature(1999 - 2000)

05/03/1999 05:08 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
         HOUSE HEALTH, EDUCATION AND SOCIAL                                                                                     
            SERVICES STANDING COMMITTEE                                                                                         
                    May 3, 1999                                                                                                 
                     5:08 p.m.                                                                                                  
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                                 
                                                                                                                                
Representative Fred Dyson, Co-Chair                                                                                             
Representative John Coghill, Co-Chair                                                                                           
Representative Joe Green                                                                                                        
Representative Carl Morgan                                                                                                      
Representative Allen Kemplen                                                                                                    
                                                                                                                                
MEMBERS ABSENT                                                                                                                  
                                                                                                                                
Representative Jim Whitaker                                                                                                     
Representative Tom Brice                                                                                                        
                                                                                                                                
COMMITTEE CALENDAR                                                                                                              
                                                                                                                                
* HOUSE BILL NO. 213                                                                                                            
"An Act relating to the medical use of marijuana; and providing for                                                             
an effective date."                                                                                                             
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
(* First public hearing)                                                                                                        
                                                                                                                                
PREVIOUS ACTION                                                                                                                 
                                                                                                                                
BILL: HB 213                                                                                                                    
SHORT TITLE: MEDICAL USE OF MARIJUANA                                                                                           
SPONSOR(S): HEALTH, EDUCATION & SOCIAL SERVICES                                                                                 
                                                                                                                                
Jrn-Date    Jrn-Page           Action                                                                                           
 4/27/99      1026     (H)  READ THE FIRST TIME - REFERRAL(S)                                                                   
 4/27/99      1027     (H)  HES, JUD                                                                                            
 5/03/99               (H)  HES AT  5:00 PM CAPITOL 106                                                                         
                                                                                                                                
WITNESS REGISTER                                                                                                                
                                                                                                                                
MICHAEL PAULEY, Legislative Assistant                                                                                           
   for Senator Loren Leman                                                                                                      
Alaska State Legislature                                                                                                        
Capitol Building, Room 123                                                                                                      
Juneau, Alaska  99801                                                                                                           
Telephone:  (907) 465-3841                                                                                                      
POSITION STATEMENT:  Presented HB 213.                                                                                          
                                                                                                                                
GLORIA DITE-BRAACHTEN                                                                                                           
Box 1025                                                                                                                        
Talkeetna, Alaska  99676                                                                                                        
Telephone:  not provided                                                                                                        
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
MARK CHRYSON, Chairman                                                                                                          
Alaskan Independence Party                                                                                                      
2140 Wolverine Circle                                                                                                           
Wasilla, Alaska  99654                                                                                                          
Telephone:  (907) 376-8385                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
ACTION NARRATIVE                                                                                                                
                                                                                                                                
RONALD L. BROWN                                                                                                                 
333 North Flower Street                                                                                                         
Anchorage, Alaska  99508                                                                                                        
Telephone:  (907) 274-1452                                                                                                      
POSITION STATEMENT:  Testified that HB 213 is an invasion                                                                       
                     of privacy.                                                                                                
                                                                                                                                
BRUCE KRAFT                                                                                                                     
P.O. Box 4498                                                                                                                   
Palmer, Alaska  99645                                                                                                           
Telephone:  (907) 745-6198                                                                                                      
POSITION STATEMENT:  Testified against HB 213.                                                                                  
                                                                                                                                
TOM WHITSTINE                                                                                                                   
HC04, Box 3477                                                                                                                  
Palmer, Alaska  99645                                                                                                           
Telephone:  (907) 745-2036                                                                                                      
POSITION STATEMENT:  Testified that the marijuana initiative                                                                    
                     should be given a chance to work.                                                                          
                                                                                                                                
MICHAEL BARNES                                                                                                                  
814 B Lake Louise                                                                                                               
Kodiak, Alaska  99615                                                                                                           
Telephone:  (907) 487-2768                                                                                                      
POSITION STATEMENT:  Testified that the marijuana initiative                                                                    
                     should be given a chance to work.                                                                          
                                                                                                                                
CATHLEEN ROLPH                                                                                                                  
P.O. Box 2943                                                                                                                   
Soldotna, Alaska  99669                                                                                                         
Telephone:  (907) 262-4561                                                                                                      
POSITION STATEMENT:  Testified against the added requirements of                                                                
                     HB 213.                                                                                                    
                                                                                                                                
CINDY RAE HUTCHENS                                                                                                              
Route 1, Box 94-A                                                                                                               
Kenai, Alaska  99611                                                                                                            
Telephone:  (907) 283-4724                                                                                                      
POSITION STATEMENT:  Testified against registration of                                                                          
                     medical marijuana users.                                                                                   
                                                                                                                                
NATALIE RINGLAND                                                                                                                
50016 Forest Glen                                                                                                               
Kenai, Alaska  99611                                                                                                            
Telephone:  (907) 776-5834                                                                                                      
POSITION STATEMENT:  Testified against registration of                                                                          
                     medical marijuana users.                                                                                   
                                                                                                                                
MIKE MILLIGAN                                                                                                                   
SR 9121                                                                                                                         
Kodiak, Alaska  99615                                                                                                           
Telephone:  (907) 487-4402                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
RICHARD OLSON                                                                                                                   
64615 Star Court                                                                                                                
Homer, Alaska  99603                                                                                                            
Telephone:  (907) 235-6202                                                                                                      
POSITION STATEMENT:  Testified against HB 213.                                                                                  
                                                                                                                                
JULIE CESARINI                                                                                                                  
P.O. Box 812                                                                                                                    
Homer, Alaska  99603                                                                                                            
Telephone:  Not provided                                                                                                        
POSITION STATEMENT:  Testified against the identification cards                                                                 
                     in HB 213.                                                                                                 
                                                                                                                                
ALIDA DUNNING                                                                                                                   
P.O. Box 3526                                                                                                                   
Homer, Alaska  99603                                                                                                            
Telephone:  Not provided                                                                                                        
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
ROGER HANSEN                                                                                                                    
P.O. Box 84951                                                                                                                  
Fairbanks, Alaska  99708                                                                                                        
Telephone:  (907) 457-5816                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
CHARLES ROLLINS                                                                                                                 
P.O. Box 55616                                                                                                                  
North Pole, Alaska  99705                                                                                                       
Telephone:  (907) 488-9030                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
BETTY ROLLINS                                                                                                                   
P.O. Box 55163                                                                                                                  
North Pole, Alaska  99705                                                                                                       
Telephone:  (907) 488-6614                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
SUZANNE PRICE                                                                                                                   
P.O. Box 84951                                                                                                                  
Fairbanks, Alaska  99708                                                                                                        
Telephone:  (907) 457-5816                                                                                                      
POSITION STATEMENT:  Testified that the marijuana initiative                                                                    
                     should be given a chance to work.                                                                          
                                                                                                                                
DIRK NELSON                                                                                                                     
P.O. Box 283                                                                                                                    
Ester, Alaska  99725                                                                                                            
Telephone:  (907) 457-1230                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
DANIEL HANCOCK                                                                                                                  
P.O. Box 82590                                                                                                                  
Fairbanks, Alaska  99708                                                                                                        
Telephone:  (907) 488-2955                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
L. F. STAATS                                                                                                                    
P.O. Box 7395                                                                                                                   
Nikiski, Alaska  99635                                                                                                          
Telephone:  (907) 776-8810                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
JIM KENTSCH                                                                                                                     
2708 West 64th Avenue                                                                                                           
Anchorage, Alaska  99502                                                                                                        
Telephone:  (907) 248-1141                                                                                                      
POSITION STATEMENT:  Testified against HB 213.                                                                                  
                                                                                                                                
JACK ANDERSON                                                                                                                   
1430 West Twelfth Avenue                                                                                                        
Anchorage, Alaska  99501                                                                                                        
Telephone:  (907) 272-9291                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
CARL HUTSON                                                                                                                     
340 South Bragaw                                                                                                                
Anchorage, Alaska  99508                                                                                                        
Telephone:  (907) 248-0175                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
RALPH JONES                                                                                                                     
10309 VFW Road                                                                                                                  
Eagle River, Alaska  99577                                                                                                      
Telephone:  (907) 694-2149                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
JOEL BLATCHFORD                                                                                                                 
1983 Waldron Drive                                                                                                              
Anchorage, Alaska  99507                                                                                                        
Telephone:  (907) 563-3743                                                                                                      
POSITION STATEMENT:  Testified on HB 213.                                                                                       
                                                                                                                                
HAYDEN KADEN                                                                                                                    
P.O. Box 26                                                                                                                     
Gustavus, Alaska  99826                                                                                                         
Telephone:  (907) 697-2309                                                                                                      
POSITION STATEMENT:  Testified against HB 213.                                                                                  
                                                                                                                                
DAVID FINKELSTEIN                                                                                                               
Alaskans for Medical Rights                                                                                                     
P.O. Box 102320                                                                                                                 
Anchorage, Alaska  99510                                                                                                        
Telephone:  (907) 277-2567                                                                                                      
POSITION STATEMENT:  Testified against HB 213.                                                                                  
                                                                                                                                
TAPE 99-48, SIDE A                                                                                                              
Number 0001                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON called the House Health, Education and Social                                                                 
Services Standing Committee meeting to order at 5:08 p.m.  Members                                                              
present at the call to order were Representatives Dyson, Coghill                                                                
Kemplen.  Representatives Green and Morgan joined the meeting at                                                                
5:11 p.m. and 5:51 p.m. respectively.                                                                                           
                                                                                                                                
HB 213 - MEDICAL USE OF MARIJUANA                                                                                               
                                                                                                                                
CO-CHAIRMAN DYSON announced the first order of business as House                                                                
Bill No. 213, "An Act relating to the medical use of marijuana; and                                                             
providing for an effective date."                                                                                               
                                                                                                                                
CO-CHAIRMAN DYSON announced that they would be taking public                                                                    
testimony on a committee substitute (CS) for HB 213 with a couple                                                               
of amendments from the Senate side.  He asked those who testify                                                                 
today to keep their testimony specifically on the bill before them                                                              
and not for the need for medical marijuana.  This bill is trying to                                                             
deal with the concerns of the law enforcement and health agencies.                                                              
                                                                                                                                
Number 0207                                                                                                                     
                                                                                                                                
MICHAEL PAULEY, Legislative Assistant for Senator Loren Leman, came                                                             
forward to explain the CS and the amendments.  The first change is                                                              
registration.  The initiative passed last fall creates a state                                                                  
registry of patients entitled to use marijuana for medical                                                                      
purposes, but registration is not required.  The lack of a                                                                      
registration requirement makes it difficult for law enforcement                                                                 
officers to distinguish between legitimate and illegitimate users                                                               
of marijuana.  It creates a danger that persons with a legitimate                                                               
need for marijuana may be mistakenly arrested.  To eliminate that                                                               
possibility, HB 213 would require registration.  The second change                                                              
would allow law enforcement to have access to the information in                                                                
the registry.  In the current marijuana law, access is limited only                                                             
to those occasions when a law enforcement officer has stopped or                                                                
arrested a person claiming medical use.  Under HB 213, law                                                                      
enforcement would have access to registry information while in the                                                              
course of a criminal investigation or prosecution.  This is a                                                                   
change designed to help law enforcement distinguish between                                                                     
legitimate and illegitimate users of the drug.                                                                                  
                                                                                                                                
Number 0327                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON asked if law enforcement officers can randomly                                                                
search the files under HB 213.                                                                                                  
                                                                                                                                
MR. PAULEY answered no, it would have to be in the course of a                                                                  
criminal investigation.  An example would be when law enforcement                                                               
receives a tip, they can check and find out whether that person is                                                              
lawfully entitled to have the marijuana.                                                                                        
                                                                                                                                
Number 0400                                                                                                                     
                                                                                                                                
MR. PAULEY indicated that the third change in HB 213 deals with                                                                 
possession limits.  The initiative passed last fall allows for                                                                  
possession of an unlimited amount of marijuana so long as it can be                                                             
medically justified.  There are no clear definitions of medically                                                               
justified.  Under HB 213, a clear possession limit is established                                                               
of one ounce in useable form and six plants.  In the draft before                                                               
the committee, the only exception to that possession limit is if                                                                
the Department of Health and Social Services (DHSS) has granted a                                                               
specific waiver, and that is explained in detail in the bill.                                                                   
                                                                                                                                
MR. PAULEY explained that the fourth change deals with registry                                                                 
identification cards:  all patients and primary caregivers would be                                                             
required to be issued a state identification card similar to the                                                                
permits issued to Alaskans for carrying concealed weapons.  If a                                                                
police officer questions a patient or primary caregiver about the                                                               
medical use of marijuana, the person must display their registry                                                                
identification card.  The fifth change deals with the role of                                                                   
primary caregivers under the medical marijuana law.  The                                                                        
legislation will establish a few precautions to prevent abuse.                                                                  
Each patient could have only one primary caregiver, and each                                                                    
primary caregiver can care for only one patient, with some                                                                      
carefully defined exceptions.  The general rule is a one-to-one                                                                 
relationship.                                                                                                                   
                                                                                                                                
Number 0504                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON asked him if a primary caregiver, a doctor, could                                                             
only have one patient.                                                                                                          
                                                                                                                                
Number 0512                                                                                                                     
                                                                                                                                
MR. PAULEY answered that under this legislation, the doctor is not                                                              
a primary caregiver.  A primary caregiver is someone who assists                                                                
the patient in procuring the marijuana.  A primary caregiver can                                                                
only assist one patient unless he is a member of the family unit,                                                               
which is defined on page 5, lines 13-16 of work draft A.  It reads:                                                             
"(e)  A person may be a primary caregiver for only one patient at                                                               
a time unless the primary caregiver is simultaneously caring for                                                                
two or more patients who reside in the same household as the                                                                    
caregiver and are related to the caregiver by at least the fourth                                                               
degree of kinship by blood or marriage."                                                                                        
                                                                                                                                
MR. PAULEY noted that a person who has violated the drug laws of                                                                
Alaska or another state, or a person on probation or parole, cannot                                                             
be primary caregivers.  The sixth change is that physicians who are                                                             
recommending marijuana are required to explore other approved                                                                   
medications and treatments that might provide relief.  This change                                                              
is consistent with the recommendations of the Federal Institute of                                                              
Medicine's study on medical marijuana that was released last month.                                                             
It also protects patients from prosecution by federal drug                                                                      
enforcement employees.                                                                                                          
                                                                                                                                
MR. PAULEY pointed out that one issue that gets lost in the debate                                                              
of medical marijuana in Alaska is the fact that marijuana is an                                                                 
illegal drug under the federal law.  It is illegal regardless of                                                                
what Alaska's statutes say.  Even though Alaska passes a law that                                                               
says that they will provide immunity from state enforcement action                                                              
for using marijuana, there is nothing they can do to shield either                                                              
physicians or patients from potential enforcement action from                                                                   
federal prosecutors.  They are trying to say if there is another                                                                
alternative treatment that would be as effective in addressing the                                                              
patient's debilitating medical condition, certainly one ought to                                                                
recommend those treatments rather than one that could leave the                                                                 
patient at risk of prosecution by federal authorities.  The final                                                               
change closes numerous loopholes in the marijuana initiative.  If                                                               
left uncorrected, these errors could, contrary to the initiative's                                                              
sponsors' intent, allow marijuana be smoked in public places, on                                                                
school grounds, on a school bus, in state prisons and at the                                                                    
workplace.                                                                                                                      
                                                                                                                                
MR PAULEY referred the committee to page 10, lines 15 to 24, which                                                              
lays out some restrictions for the patient, but not the primary                                                                 
caregiver.  House Bill 213 adds a section so those same                                                                         
restrictions also apply to the primary caregiver.  He noted that                                                                
the initiative language says that these restrictions only apply to                                                              
someone in lawful possession of a registry identification card, but                                                             
since registration is not required, in order to have a right to                                                                 
smoke medical marijuana, these restrictions would not apply to                                                                  
anyone who doesn't have a registration card.  If people choose not                                                              
to register with the state, then all these restrictions about not                                                               
being able to smoke in public or sell to another person doesn't                                                                 
apply to them.  He said he doesn't believe it was the intent for                                                                
these loopholes to exist.                                                                                                       
                                                                                                                                
Number 0922                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON understands that the CS gets close to meeting the                                                             
Knowles' administration, the DHSS and the Department of Public                                                                  
Safety (DPS) needs for making this workable.                                                                                    
                                                                                                                                
Number 0946                                                                                                                     
                                                                                                                                
MR. PAULEY agreed that they are comfortable with the amended CS.                                                                
He pointed out another loophole in the initiative drawing their                                                                 
attention to page 11, line 1 of work draft A.  The initiative                                                                   
language reads "(d) Nothing in the section shall require any                                                                    
accommodation of any medical use of marijuana (1) in any place of                                                               
employment; (2) in any correctional facility, (3) on or within 500                                                              
feet of school grounds; (4) at or within 500 feet of a recreation                                                               
or youth center; or (5) on a school bus."  He noted this is another                                                             
example of a drafting error of the initiative because the word                                                                  
"section" should be "chapter."  By using the word "section" instead                                                             
of "chapter," the restrictions only apply to that one section, not                                                              
the rest of the sections.  The word "chapter" ought to be used.                                                                 
This is corrected in HB 213.                                                                                                    
                                                                                                                                
Number 1127                                                                                                                     
                                                                                                                                
GLORIA DITE-BRAACHTEN testified via teleconference from Washington,                                                             
D.C.  She stated that last fall the voters chose to allow patients                                                              
to use marijuana as a treatment for a variety of diseases and                                                                   
conditions.  She indicated that she believes that it should not be                                                              
limited to just cancer, glaucoma, HIV/AIDS; she suffers from a                                                                  
neuromuscular disease, and there are many other conditions that                                                                 
should also be allowed, if the patient and physician would agree                                                                
that marijuana could be used.  "If allowed to pass, SB 94 and HB
213 would sentence me to a life of ever-increasing amounts of hard                                                              
narcotics, such as Percodan, Demerol and morphine, in an effort to                                                              
fight the pain and spasms I suffer."  Her condition requires use of                                                             
muscle relaxers for continued use of her legs, however, if a                                                                    
cigarette of marijuana taken two or three times a day can help make                                                             
her pain bearable and keep her awake enough to care for herself,                                                                
she said she believes that she and her physician should be allowed                                                              
to choose their own course of treatment.                                                                                        
                                                                                                                                
MS. DITE-BRAACHTEN said she believes the voters were not                                                                        
misinformed when they voted for this initiative.  In summary, "The                                                              
effectiveness of one drug over another drug should not be a                                                                     
consideration by our legislators, but should only be a                                                                          
consideration of our physician and the patient."  She asked that                                                                
the bill be left as written unless there is clear and convincing                                                                
evidence that shows they cannot effectively prosecute hard drug                                                                 
users.  She asked that the legislators refrain from determining                                                                 
what types of drugs should be used.                                                                                             
                                                                                                                                
Number 1330                                                                                                                     
                                                                                                                                
MARK CHRYSON, Chairman, Alaskan Independence Party, testified via                                                               
teleconference from the Matanuska-Susitna (Mat-Su) Legislative                                                                  
Information Office (LIO).  "I am chairman of the Alaskan                                                                        
Independence Party.  Right now we have pushing 20,000 members, and                                                              
I would like to thank our ever- and all-knowing legislature for                                                                 
doing my recruiting for me.  If you vote for HB 213, SB 94,                                                                     
whichever version comes up, I guarantee you, some of you will not                                                               
be back.  If any of you states that you received more votes than                                                                
Proposition 8, when a proposition like this, an initiative which                                                                
passed by such an overwhelming majority, you need to leave it alone                                                             
because all you are doing is showing the arrogance of yourselves                                                                
that lawmakers know best; that the voters do not know what they are                                                             
talking about, do not know what we have voted for.  I guarantee                                                                 
you, sirs, please vote against this bill.  There [are] going to be                                                              
problems.  You have two years for an initiative which has been                                                                  
passed by the people before you can touch it.  Let those two years                                                              
go before you do a thing.  Again, thank you for doing the                                                                       
recruiting for the Alaskan Independence Party."                                                                                 
                                                                                                                                
Number 1421                                                                                                                     
                                                                                                                                
RONALD L. BROWN testified via teleconference from Anchorage.  He                                                                
has been in several car accidents and has been put on all sorts of                                                              
drugs for pain.  He still has problems sleeping and would like to                                                               
try something other than the drugs he has had.  He agrees that                                                                  
there shouldn't be limitations on the conditions; that should be up                                                             
to the doctor and the patient, not the legislature.  He said he                                                                 
believes that both HB 213 and SB 94 are an invasion of privacy.                                                                 
                                                                                                                                
Number 1500                                                                                                                     
                                                                                                                                
BRUCE KRAFT testified via teleconference from the Mat-Su LIO saying                                                             
he was opposed to HB 213.  "The voters heard all of the facts and                                                               
voted for the medical use of marijuana.  This Christian act of                                                                  
compassion for those who are suffering should become law                                                                        
unchanged."                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON stated that there is no argument here whether or                                                              
not people need marijuana for their medical condition.  He again                                                                
asked people to testify on the specifics of the bill.  They are                                                                 
trying to meet the requirements the DHSS and the DPS to make the                                                                
law operable.                                                                                                                   
                                                                                                                                
Number 1543                                                                                                                     
                                                                                                                                
TOM WHITSTINE testified from the Mat-Su LIO.  He said they should                                                               
let the initiative work for a couple of years to see what problems                                                              
could come up before they try changing anything in it.  There is a                                                              
good chance that it will work just fine as it is.  He said he                                                                   
doesn't believe the legislature should be changing something that                                                               
the voters passed.  Senator Leman has not answered any of Mr.                                                                   
Whitstine's questions he had on this bill.                                                                                      
                                                                                                                                
Number 1693                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON noted that it is not the legislators saying they                                                              
don't like what was passed but the administration saying that it                                                                
needs clarification.                                                                                                            
                                                                                                                                
Number 1713                                                                                                                     
                                                                                                                                
MICHAEL BARNES testified via teleconference from Kodiak.  He has                                                                
multiple sclerosis (MS) and has been disabled since 1991.  The                                                                  
quality of his life is poor without medical marijuana.  He does                                                                 
worry about the conflict between medical marijuana and the use by                                                               
young people.  In November 1998, the medical marijuana referendum                                                               
passed by a large majority.  Those who were against it lost fair                                                                
and square.  Now it appears that they want to change the will of                                                                
the people and it is the wrong lesson to teach the children about                                                               
democracy.  He believes that the administration wanting to clarify                                                              
the bill is a red herring; it is just not true.  It is obvious that                                                             
they are trying to change the law.  He would appreciate it if they                                                              
wouldn't let that happen.  He urged them to give the initiative a                                                               
chance.  Mr. Barnes noted that in March, the Independent Institute                                                              
of Medicine strongly backed certain medical uses of marijuana.                                                                  
                                                                                                                                
Number 1805                                                                                                                     
                                                                                                                                
CATHLEEN ROLPH testified via teleconference from Kenai.  She spoke                                                              
on behalf of a friend who benefits from the medical use of                                                                      
marijuana and herself as a teacher.  "I myself have been a teacher                                                              
for over 25 years.  For the past six years, I have taught social                                                                
studies to gifted secondary students.  Many times my students                                                                   
tended to make judgements and state opinions based on their gut                                                                 
reaction, on fear.  Sometimes people cast votes based on political                                                              
pressure or for their own self-interest.  I teach my students to                                                                
make decisions based on research and factual information.  I                                                                    
respectfully implore you to do the same.  Please consider the facts                                                             
of the medical marijuana and make an informed decision, not one                                                                 
based on the political climate, the country's drug war or the                                                                   
public's needless fear of marijuana.  It is not addictive, it does                                                              
not cause illness or death as does tobacco.  Children can abuse                                                                 
hair spray, they can huff glue, they can abuse cough syrup, but we                                                              
don't ask people that use those substances to register with the                                                                 
state.  Fact:  Marijuana relieves pain in an inexpensive and                                                                    
fast-acting manner.  Marijuana aids appetites without side effects.                                                             
Patients with illnesses whose symptoms are relieved by marijuana                                                                
are not criminals.  They have letters from their doctors.                                                                       
Marijuana relieves nausea.  Marijuana was already legalized by the                                                              
voters of Alaska without the added contingencies suggested by HB
213.  Medical marijuana laws need to have a chance to work before                                                               
they are tampered with as the voters wish.  I would like to go on                                                               
record as being against the added requirements of the medical                                                                   
marijuana law.  Thank you."                                                                                                     
                                                                                                                                
Number 1898                                                                                                                     
                                                                                                                                
CINDY RAE HUTCHENS testified via teleconference from Kenai.  She                                                                
informed the committee that she is disabled due to severe nausea                                                                
and vomiting and dehydration, and she uses marijuana very                                                                       
effectively.  She is against registration because there is no other                                                             
prescription that requires that same thing.  Medical decisions                                                                  
should be between the doctor and the patient, and it shouldn't be                                                               
up to the politicians.  Heavily abused drugs are used all over the                                                              
state, and they don't have to register with the state of Alaska to                                                              
use those medications, so marijuana shouldn't be any different than                                                             
a drug prescribed from a doctor.                                                                                                
                                                                                                                                
Number 1953                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON reiterated that the problem is that under federal                                                             
law a doctor cannot prescribe marijuana.  If the federal government                                                             
would allow the doctors to prescribe medical marijuana, then there                                                              
wouldn't be this hassle.                                                                                                        
                                                                                                                                
Number 1977                                                                                                                     
                                                                                                                                
NATALIE RINGLAND testified via teleconference from Kenai.  She also                                                             
suffers from MS.  She agrees that the mandatory registration is                                                                 
unfair.  Medical patients should not be treated like sex offenders;                                                             
she is insulted by that.  She urged the legislature to please leave                                                             
this alone and let it work.                                                                                                     
                                                                                                                                
Number 2052                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON reiterated that the police are telling them if                                                                
there isn't a list of who is legal to have marijuana, they will                                                                 
have difficulty enforcing the law against illegal use.                                                                          
                                                                                                                                
Number 2067                                                                                                                     
                                                                                                                                
MIKE MILLIGAN testified via teleconference from Kodiak.  He told                                                                
the committee that the issue for him is health care.  There are a                                                               
lot of people in this state who do not have the health care                                                                     
benefits that some of the people making laws have.  "The biggest                                                                
thing that gets me is that we live in a society where the children                                                              
of a governor and the children of a legislator are considered worth                                                             
more than my children because they are protected by government                                                                  
health care.  If we're going to deny people that maybe can't afford                                                             
the full meal deal that some of us in our society have, then if                                                                 
we're going to deny those benefits, those decisions that are made                                                               
between a doctor and his patient, then we need to look at the whole                                                             
issue of health care.  We need to make health care equal across the                                                             
board."                                                                                                                         
                                                                                                                                
Number 2128                                                                                                                     
                                                                                                                                
RICHARD OLSON testified via teleconference from Homer against HB
213.  He agrees that they should leave it alone and give the                                                                    
initiative a chance to work.  He agrees that prescription drugs are                                                             
more dangerous, addicting and mind altering than marijuana.  He                                                                 
noted that when a doctor prescribes those "evil synthetic drugs" he                                                             
doesn't have to register the caregiver and patient.  He mentioned                                                               
that some of the issues in this bill are already addressed in other                                                             
laws.  He urged the committee to leave it alone.                                                                                
                                                                                                                                
Number 2218                                                                                                                     
                                                                                                                                
JULIE CESARINI testified via teleconference from Homer.  She                                                                    
referred to a book, Marihuana, the Forbidden Medicine by Lester                                                                 
Grinspoon.  This doctor traces his research from the early 1960s to                                                             
prove that children should not be messing around with this to the                                                               
point he came to in the effects on various illnesses for various                                                                
people.  Different substances affect people differently.  She has                                                               
had a lot of experience with friends on prescription drugs who have                                                             
been seriously damaged.  This is a whole political issue that has                                                               
to do with conspiracy against the hemp plant.  It is a money thing.                                                             
Ms. Cesarini wishes the legislature would devote their time to                                                                  
other pressing problems like the children.  She spoke against the                                                               
idea of identification cards.                                                                                                   
                                                                                                                                
Number 2312                                                                                                                     
                                                                                                                                
ALIDA DUNNING testified via teleconference from Homer.  She is                                                                  
concerned with the part of HB 213 that says that the physician has                                                              
to have explored other approved medications and treatments.  She                                                                
wondered if this meant that the doctor would have the patient try                                                               
all these other prescription drugs first.  It is a vague statement.                                                             
It is also vague to say that the physician has concluded that the                                                               
likely benefits of marijuana outweigh the benefits of other                                                                     
alternatives.  It almost makes it sound like it would have to be a                                                              
last resort compared to other widely accepted treatments.  The                                                                  
voters are obviously trying to legalize marijuana.                                                                              
                                                                                                                                
TAPE 99-48, SIDE B                                                                                                              
                                                                                                                                
Number 2355                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON said that section is to make sure that other                                                                  
alternatives are explored and if found to be more appropriate than                                                              
marijuana, then they are applied.                                                                                               
                                                                                                                                
Number 2334                                                                                                                     
                                                                                                                                
ROGER HANSEN testified via teleconference from Fairbanks.  He told                                                              
the committee that while he was in the army he was in an explosion                                                              
and now suffers from chronic pain.  Marijuana has helped him with                                                               
his pain.  The people said this is what they want, and he asked the                                                             
committee to give them a break.                                                                                                 
                                                                                                                                
CO-CHAIRMAN DYSON asked Mr. Hansen if the compulsory registration                                                               
would be a problem for him.                                                                                                     
                                                                                                                                
MR. HANSEN said he didn't like it particularly, but he doesn't have                                                             
a problem with it.                                                                                                              
                                                                                                                                
Number 2213                                                                                                                     
                                                                                                                                
CHARLES ROLLINS testified via teleconference from Fairbanks.  He                                                                
told the committee about the arrests in California of marijuana                                                                 
users and doctors.  He fears that patients will be arrested in                                                                  
Alaska.  The legislature is violating what the people want.                                                                     
                                                                                                                                
Number 2107                                                                                                                     
                                                                                                                                
BETTY ROLLINS testified via teleconference from Fairbanks.  She                                                                 
agrees that the initial initiative was poorly written.  However,                                                                
there has always been a list open to law enforcement, and there has                                                             
always been an identification card.  She said it is quite apparent                                                              
that speaking as attorneys is nothing more than a waste of their                                                                
time.  If the elected representatives refuse to listen to the vote                                                              
of the people, it obviously follows that they will refuse to listen                                                             
to the voice of the people.  "After all we all know our government                                                              
knows what is best for us no matter how we vote or speak.  HB 213,                                                              
the same as SB 94, is ridiculous and confusing in the extreme.  The                                                             
original initiative was bad enough, now it has been made worse.                                                                 
You can't do specifics on an initiative in the two minutes                                                                      
allowed."  She went ahead with her written testimony:                                                                           
                                                                                                                                
     I have listened to your excuses, read your letters and it                                                                  
     is quite obvious that most of you are ignorant of the                                                                      
     repeated studies and most recently the study contracted                                                                    
     by the United States' government as medicinal marijuana.                                                                   
     Gateway drug?  Study after study has proven that the                                                                       
     greatest gateway drug in this nation of all drugs, legal                                                                   
     and illegal, is alcohol.  Alcohol is one of the foremost                                                                   
     destroyer of life.  The same stuff that many of you use                                                                    
     and serve at your fund raisers.  It is sad that AMR                                                                        
     [Americans for Medical Rights], California also refused                                                                    
     to listen when they wrote the bill with the assistance of                                                                  
     the Los Angeles police department, and Alaskans for                                                                        
     Medical Rights did not listen when they boiler plated                                                                      
     AMR's bill.  They were informed at that time that the                                                                      
     list was a violation of doctor/patient privilege and a                                                                     
     violation of our right to constitutional privacy.  Having                                                                  
     listened to the legislature would not now be able to                                                                       
     destroy the accounts of medicinal marijuana for those                                                                      
     individuals who are truly ill.  Had they listened they                                                                     
     would not have recently joined with the state in the                                                                       
     legal proceedings to require that medicinal marijuana is                                                                   
     so very dangerous a list must be required.  They are                                                                       
     speaking out of both sides of their mouth.                                                                                 
                                                                                                                                
Number 2025                                                                                                                     
                                                                                                                                
SUZANNE PRICE testified via teleconference from Fairbanks.  She has                                                             
worked in community mental health.  She has a problem with a                                                                    
legislature that would dismantle and gut an initiative before it                                                                
has time to work.  Her biggest problem is on page 4, where it says                                                              
that the physician has explored other approved medications and                                                                  
treatments that might provide relief and are reasonably available                                                               
to the patients, and can be tolerated by the patients.  She                                                                     
believes that a lot of physicians are going to be very                                                                          
uncomfortable about trying to write out what the legislature wants                                                              
them to say about their patient.  She is uncomfortable with this.                                                               
If a doctor approves marijuana for a patient, that should be it.                                                                
This issue shouldn't be treated as a moral judgement.  She is                                                                   
uncomfortable with the legislature taking an initiative of the                                                                  
people before it has an opportunity to work.                                                                                    
                                                                                                                                
CO-CHAIRMAN DYSON reiterated that it is the DHSS and DPS who have                                                               
come to the legislature and said they can't make it work.  The                                                                  
legislature is trying to figure out something for them to work                                                                  
with.                                                                                                                           
                                                                                                                                
Number 1924                                                                                                                     
                                                                                                                                
DIRK NELSON testified via teleconference from Fairbanks.  He said                                                               
he always has believed that the DPS, the Department of Law and the                                                              
DHSS were required to do things by the people, and now he hears                                                                 
that they are requiring things of the people.  It seems to him that                                                             
the flow of authority seems to have gotten reversed.  "I also                                                                   
noticed earlier when someone said well the legislature felt a need                                                              
to appease the administration's desire to straighten this out.  I                                                               
was thinking how many other issues we have this year where the                                                                  
legislature bent over backwards to appease the Knowles                                                                          
administration.  Maybe this is an anomaly here.  I believe Justice                                                              
Brennan challenged the states to go forth and define their own                                                                  
constitutions and not be restricted by the U.S. Constitution."                                                                  
                                                                                                                                
MR. NELSON paraphrased Lester Grinspoon, the Harvard medical                                                                    
physician:  It has been shown that marijuana has the propensity to                                                              
drive people crazy.  However, unlike many other drugs, it tends to                                                              
be those people who don't use it who are typically driven crazy by                                                              
it.  The restrictions proposed in HB 213 are based upon the                                                                     
assumption that marijuana is a dangerous drug and that this plan is                                                             
illegal in Alaska.  Most of these are fallacies.  He doesn't recall                                                             
the Ravin decision ever being overturned.                                                                                       
                                                                                                                                
Number 1843                                                                                                                     
                                                                                                                                
MR. NELSON wonders why there are police officers doing medical                                                                  
education in schools and legislators taking the place of consulting                                                             
with physicians.  He said he believes that the whole thing violates                                                             
the provisions in the Ravin decision that this is acting                                                                        
unconstitutionally.                                                                                                             
                                                                                                                                
Number 1798                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON said he doesn't know many of the legislators who                                                              
are trying to appease the administration, but in fact of the 200                                                                
and some bills they are working on, a few have originated from the                                                              
administration at the request of the governor to deal with things.                                                              
On some level, folks try to work together to do the things that                                                                 
need to be done.                                                                                                                
                                                                                                                                
Number 1778                                                                                                                     
                                                                                                                                
DANIEL HANCOCK testified via teleconference from Fairbanks saying                                                               
that doctors prescribe drugs that are more powerful and dangerous                                                               
than marijuana everyday.  They seem to manage things without a                                                                  
great deal of guidance from the state legislature.  He can                                                                      
understand the need for registration; that is simply to keep                                                                    
legitimate users from being harassed by law enforcement officials.                                                              
They certainly don't need 15 pages of garbage from the state                                                                    
legislature.  This is just from the legislature; just wait until                                                                
the bureaucrats get done with it.                                                                                               
                                                                                                                                
CO-CHAIRMAN DYSON reiterated that if the federal government would                                                               
make it legal for doctors to prescribe marijuana, there wouldn't be                                                             
this hassle.                                                                                                                    
                                                                                                                                
Number 1714                                                                                                                     
                                                                                                                                
L. F. STAATS testified via teleconference from Kenai.  He said this                                                             
is a waste of tax payers' time and money, and it is not up to the                                                               
legislators to figure out what is the best for patients.                                                                        
                                                                                                                                
CO-CHAIRMAN DYSON agreed with Mr. Staats.                                                                                       
                                                                                                                                
Number 1684                                                                                                                     
                                                                                                                                
JIM KENTSCH testified via teleconference from Anchorage saying he                                                               
was one of the three co-sponsors of Ballot Proposition 8.  He also                                                              
spoke for Ileen Self who had to leave the LIO.  He urged the                                                                    
legislature to listen to the people who showed up to oppose HB 213;                                                             
they are the public whom they serve.  No one who has testified                                                                  
likes this bill.  He said Mike Pauley, Senator Leman's aide, talked                                                             
about the changes to make mandatory registration and a wider access                                                             
to the registry.  He failed to say that this bill would also                                                                    
require the nature of the debilitating medical condition  to be in                                                              
the registry.  If HB 213 were to go into law, this would have a                                                                 
serious, chilling effect on people's willingness to go through all                                                              
the requirements to get medical marijuana.  Proposition 8 has a                                                                 
better way to reconcile the 1990 ballot initiative that                                                                         
re-criminalized marijuana, (in contradistinction to the Ravin                                                                   
decision which still stands).  "Ballot Proposition 8 would take                                                                 
medical marijuana out of the criminal justice system altogether and                                                             
put a less burden on the criminal justice system and on legitimate                                                              
patients."                                                                                                                      
                                                                                                                                
Number 1569                                                                                                                     
                                                                                                                                
JACK ANDERSON testified via teleconference from Anchorage.  He                                                                  
suggested that the legislature throw this bill away and deal with                                                               
more important issues.                                                                                                          
                                                                                                                                
Number 1500                                                                                                                     
                                                                                                                                
CARL HUTSON testified via teleconference from Anchorage.  He is a                                                               
cancer patient and marijuana helps with his pain and nausea.  "I                                                                
voted for this for the simple reason that it is another way for my                                                              
doctor to help me.  ... You are violating my right and I'm trying                                                               
to set an example to my kids that my doctor can help me.  Now you                                                               
guys are trying to make it so hard on the doctor.  That is not                                                                  
right.  ... This is another way to help a person who is real sick."                                                             
                                                                                                                                
CO-CHAIRMAN DYSON reiterated that if they could get marijuana legal                                                             
on a federal level, they wouldn't have to be doing this.                                                                        
                                                                                                                                
Number 1446                                                                                                                     
                                                                                                                                
RALPH JONES testified via teleconference from Anchorage.  He also                                                               
is a cancer survivor and life-long Alaskan.  His problem with HB
213 is that this state has become a police state.  His doctor is                                                                
afraid to write anything down for him because "he doesn't trust the                                                             
cops and neither do I."  He wants to know whether the cops or the                                                               
people who voted for the legislators are running this state.  None                                                              
of the users of medical marijuana want to have marijuana out there                                                              
for everybody to get drugged up on.  The point is to help people                                                                
who are in pain and suffering.                                                                                                  
                                                                                                                                
Number 1328                                                                                                                     
                                                                                                                                
JOEL BLATCHFORD testified via teleconference from Anchorage.  He                                                                
has had operations that limit what he can do, and now has to sneak                                                              
around and use marijuana for pain relief.  No doctor in Alaska will                                                             
treat him.                                                                                                                      
                                                                                                                                
Number 1172                                                                                                                     
                                                                                                                                
HAYDEN KADEN came forward to testify saying he was legal counsel                                                                
for the Alaska legislature from 1967 to 1973.  He has seen many                                                                 
bills come before the legislature where they had to do something                                                                
because of the federal government.  Every once in awhile, the state                                                             
would actually object and not do it and nothing happened.  There                                                                
are six states that have legalized medical marijuana.  Alaska is                                                                
one of them and is on the leading edge.  The federal government is                                                              
going to change the law; they can't stand up to the states bucking                                                              
the system.  The people have said "we are changing this law."  He                                                               
urged the legislature "don't muck with it."                                                                                     
                                                                                                                                
MR. KADEN indicated that the legislators trust the people to elect                                                              
them, but yet they don't trust the people to make a decision about                                                              
something that is fairly cut and dried.  The people of Alaska want                                                              
people to have access to this drug, and they do not want the                                                                    
government mucking around with it.  They do not want cops having a                                                              
list of all these people.  The police can make the decisions in an                                                              
arrest situation.  Alaska had 15 years of legal marijuana, and                                                                  
there were no problems.  In 1989, he called every chief of police                                                               
in the major cities of Alaska to have the victims of marijuana                                                                  
abuse come and testify in the Judiciary Committee.  All the people                                                              
he called informed him that alcohol is the problem, not marijuana.                                                              
He doesn't see any reason for doing this, and he urged them not to                                                              
do anything more on HB 213.                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON asked how the police will know whether someone                                                                
they stop for another reason is a medical user or not.                                                                          
                                                                                                                                
MR. KADEN said if they are stopping them, they are stopping them on                                                             
the street, and the initiative only covers private use.  They are                                                               
not driving around smoking in their cars.                                                                                       
                                                                                                                                
Number 0921                                                                                                                     
                                                                                                                                
DAVID FINKELSTEIN, Alaskans for Medical Rights, came forward to                                                                 
testify.  He referred to Co-Chairman Dyson's last question and said                                                             
that person in the car would be violating a provision of the act                                                                
because it would be use in public.  There is a major role that the                                                              
legislature can play in the implementation of the medical marijuana                                                             
law.  Solving the problems of how patients get their hands on the                                                               
marijuana is something that state and local governments can get                                                                 
involved in.  California has had a variety of approaches and the                                                                
most successful have been when counties decide that they are going                                                              
to take control of it.  The system now leaves patients with very                                                                
few options.  Some of the counties have set up a system where they                                                              
can distribute it themselves.                                                                                                   
                                                                                                                                
MR. FINKELSTEIN agreed with all the comments about the federal                                                                  
government.  He said he believes that someday the federal                                                                       
government will reschedule marijuana as a Schedule II drug.  Many                                                               
national studies have said that marijuana serves a variety of                                                                   
beneficial uses for a variety of conditions.  The only one named                                                                
here that they did not endorse was glaucoma.  The studies did point                                                             
out some very undesirable effects of the delivery system; that                                                                  
smoking is not a great solution for most patients.  Of course,                                                                  
there are other patients whose risk factor to their lungs is low                                                                
enough to not be a major consideration.                                                                                         
                                                                                                                                
MR. FINKELSTEIN spoke against this legislation.  There isn't any                                                                
necessity for it.  He does wish the legislature would get involved                                                              
to solve the distribution problem.  They would hate to see patients                                                             
go out on the black market to try to get marijuana.  People call                                                                
all the time asking where they can get marijuana.  This initiative                                                              
doesn't solve that problem.                                                                                                     
                                                                                                                                
MR. FINKELSTEIN said there are a variety of issues that are subject                                                             
to interpretation; some that are technical mistakes, but none of                                                                
those require legislation this year.  Some can be solved in changes                                                             
in regulations or in a revisor's bill.  They are not convinced that                                                             
anything at this time needs to be solved.  They would like to see                                                               
the new law have a chance to work.  They will be glad to work with                                                              
the legislature next year if there are real problems.                                                                           
                                                                                                                                
CO-CHAIRMAN DYSON asked Mr. Finkelstein how the police should                                                                   
ascertain whether the marijuana is being used medically or not.                                                                 
                                                                                                                                
Number 0581                                                                                                                     
                                                                                                                                
MR. FINKELSTEIN answered that the initiative is clear; if someone                                                               
doesn't have an identification card, they are subject to arrest.                                                                
If a person has more than the limits in the law, they are subject                                                               
to arrest; if they are using in public, they are subject to arrest.                                                             
If they don't have the card, they should be treated like everyone                                                               
else.  They have notified patients that if they want the protection                                                             
of the law, they should register with the state.  Not all patients                                                              
will register, but they do their best to encourage patients to                                                                  
register.                                                                                                                       
                                                                                                                                
Number 0485                                                                                                                     
                                                                                                                                
REPRESENTATIVE GREEN asked if there is a point that a user, even                                                                
with a registration card, can be physically impaired as a vehicle                                                               
driver.  He asked if there is an amount to test for.                                                                            
                                                                                                                                
MR. FINKELSTEIN answered there are two provisions that affect that.                                                             
The first one is an existing law that allows law enforcement to                                                                 
arrest someone on impairment of conditions.  Impairment by a                                                                    
prescription drug would be against the law.  There is also a                                                                    
provision in the initiative that anyone using medical marijuana                                                                 
will not endanger the public or other individuals.  They intended                                                               
that to include driving.                                                                                                        
                                                                                                                                
[HB 213 was held over.]                                                                                                         
                                                                                                                                
ADJOURNMENT                                                                                                                     
                                                                                                                                
Number 0335                                                                                                                     
                                                                                                                                
There being no further business before the committee, the House                                                                 
Health, Education and Social Services Standing Committee meeting                                                                
was adjourned at 6:38 p.m.                                                                                                      

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