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ASA suggests all medical marijuana participants read and review the current california attorney general guidelines for medical marijuana law enforcement

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Attorney General Guidelines

On August 25, 2008, the Attorney General of California issued
comprehensive guidelines concerning medical marijuana. Among
its other provisions, the Guidelines make clear that storefront dispensaries
may operate legally under California law, so long as
they do not operate for profit and follow other applicable regulations.
The full Attorney General Guidelines can be read at

www.AmericansForSafeAccess.org/AGGuidelines
Disclaimer: Medical marijuana law in California is continually evolving and medical marijuana remains illegal
under federal law.

If something in this August 2009 manual appears out of date or inaccurate, please consult with an attorney or contact ASA at 510-251-1856 or 1-888-929-4367.

Fortunately, many patients and caregivers never encounter law
enforcement problems. Those that do, fairly regularly report successful
interactions with local and county police. Many municipalities
offer strong protection to medical marijuana patients.

However, even in friendly jurisdictions, patients are still being
harassed and arrested for medical marijuana, even if they present
a valid, current doctor’s recommendation and a cooperative dispensary
membership card.

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Become a Member of ASA!
Your contribution allows us to spend more time working for
patients and less time raising money. Your ongoing support is crucial
to our success! There are three ways to contribute:
1. Online: Visit www.AmericansForSafeAccess.org/Donate
2. By Phone: Call us toll-free at 1-888-929-4367
3. By Mail: Send a check or money order to:
Americans for Safe Access
1322 Webster Street, Suite 208
Oakland, CA 94612

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ASA suggestions for medical marijuana caregiving and assistance

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Becoming a Legal Caregiver

Health and Safety Code 11362.5, the California medical marijuana
law, protects patients and their primary caregivers from prosecution
for marijuana law violations. By state law, a designated caregiver
is allowed to possess, manufacture, and provide marijuana,
in all its varieties and forms, for the patient in his/her care. The
caregiver is not allowed to use this marijuana for his/her personal
use, nor can s/he provide this medicine to non-qualified patients.

There is no official registration system to become a caregiver for
a medical marijuana patient, so it is a good idea to draft an
agreement yourselves. This can be an oral or written agreement
in which the patient designates you as his/her “primary caregiver.”

A sample agreement can be found at:

www.AmericansForSafeAccess.org/CaregiverAgreement

At this time, you should discuss the needs of your patient, related
to both medical marijuana and other care, decide a plan of
action, and then get to work.

The role of caregiver is more clearly defined in the law’s text as
an “individual designated by the person exempted under this section
who has consistently assumed responsibility for the housing,
health, or safety of that person.” The courts have strictly construed
this definition to require caregivers to assist patients in
matters of personal health and well-being beyond the mere provision
of medical marijuana.

Obtaining Medical Marijuana for Qualified
Patients

Even though the CUA encourages “federal and state governments
to implement a plan to provide for the safe and affordable
distribution of marijuana to all patients in medical need of marijuana,”
no such well-defined plan exists. Until such time as it
does, patients may use collectives or cooperatives to obtain their
medicine. SB 420 explicitly allows for medical marijuana collectives
and cooperatives, and nothing in state law prohibits collectives
and cooperatives from dispensing as part of their operation.
The following models have developed since the passage of the
CUA and SB 420:

1. The Cooperative Model seeks to combine the efforts of
patients and caregivers, as the two groups work together to educate
the public and grow marijuana. Each individual involved is
expected to give what he or she can to the endeavor. In return,
the cooperative offers its members safe access to medical marijuana,
often at no cost. While caregivers can be part of a cooperative,
none need to participate for a cooperative to be viable. It
should be noted that cooperatives are entities defined by state
law, and that law must be consulted and followed before a cooperative
is formed.

2. The Collective Model is considered very similar to the
Cooperative Model, with the difference being that state law does
not define collectives.

3. The Collective Dispensing Model is perhaps the most commonly
used model across the state. Due to the conflict between
state and federal law, specifically with regard to “distribution,”
ASA encourages caution when implementing such a model. From
a patient’s standpoint, this model is the most simple mechanism
through which the patient can receive medical marijuana. Each
dispensary maintains its own membership of legally qualified
patients, and those members are allowed safe access to marijuana.

A Collective or Cooperative Dispensary with patient services is
a more comprehensive model. Using this model, the dispensary
does not simply provide its members the opportunity to secure
marijuana, but it also offers other services to meet the needs of
the patient’s general well being. At these facilities, health-care
providers may offer services, such as peer counseling, hospice style
care, classes on various topics like cultivation, as well as
other special events benefiting patients.

++++++++++++++++++++++++++++++++++++++++++++++++++

Become a Member of ASA!
Your contribution allows us to spend more time working for
patients and less time raising money. Your ongoing support is crucial
to our success! There are three ways to contribute:
1. Online: Visit www.AmericansForSafeAccess.org/Donate
2. By Phone: Call us toll-free at 1-888-929-4367
3. By Mail: Send a check or money order to:
Americans for Safe Access
1322 Webster Street, Suite 208
Oakland, CA 94612

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ASA suggests every medical marijuana patient become legal and register with the state

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Becoming a Legal Patient
The CUA allows seriously ill people to legally grow and use marijuana
as medicine.

In order to qualify under California law, a
patient must have a doctor’s recommendation or approval. A doc-
tor may recommend or approve the medical use of marijuana for
any condition for which it provides relief.

Ask Your Regular Doctor for a Recommendation

Be forthright with your doctor. There is nothing wrong with
using medical marijuana or discussing it with your doctor. A federal
court has ruled that, under the First Amendment, doctors
may not be punished for recommending medical marijuana.
•

Ask for a written recommendation. Although an oral one is
acceptable, it is difficult to verify. A written recommendation
is more helpful in defending oneself against criminal charges.
•

Tell your doctor specifically what condition or symptoms you
treat with marijuana. Honestly describe the amount of marijuana
you use, how often, and by what delivery method.
•

When recommending quantities of marijuana for medicinal
use, doctors may recommend a certain amount based on your
need and experience with what works.

If this amount is
above the state minimum or local guidelines, doctors do not
need to specify an amount; they only need to note that a
patient requires more to meet their medical need than the
guideline amount for that jurisdiction.
•

If your doctor does not issue medical marijuana recommendations,
you may need to visit a medical marijuana specialist.

Medical Marijuana Specialists

There are a number of California physicians and clinics available
for medical marijuana consultations. Before consulting a medical
marijuana specialist, patients should already have medical records
of diagnosis and treatment or a physician referral. You can find a
listing of some specialists at www.canorml.org. Be aware that:
• The doctor will want to see your medical records.
• It can cost more than $100 to see a medical marijuana specialist.
• Paying the money does not guarantee that you will get a recommendation.
If you have more questions on how to become a legal patient,
contact ASA or see:

www.AmericansForSafeAccess.org/CAPatient

+++++++++++++++++++++++++++++++++++++++++++++++++

Become a Member of ASA!
Your contribution allows us to spend more time working for
patients and less time raising money. Your ongoing support is crucial
to our success! There are three ways to contribute:
1. Online: Visit www.AmericansForSafeAccess.org/Donate
2. By Phone: Call us toll-free at 1-888-929-4367
3. By Mail: Send a check or money order to:
Americans for Safe Access
1322 Webster Street, Suite 208
Oakland, CA 94612

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