New Jersey Compassionate Use Medical Marijuana Act

On August 10, 2018, the District Court for the District of New Jersey granted an employer’s motion to dismiss a lawsuit for disability discrimination, finding that neither the New Jersey Law Against Discrimination (“NJLAD”) nor the New Jersey Compassionate Use Medical Marijuana Act (“CUMMA”) require an employer to waive a drug test. By way of background, the plaintiff, Daniel Cotto (“Cotto”), a forklift operator, hit his head on a forklift and was subsequently asked by his employer, defendant Ardagh Glass Packing, Inc. (“Ardagh”), to take a drug test as a condition of continued employment. Cotto advised that he would not pass the drug test due to medically-prescribed drugs that he was taking, including medical marijuana. As a result of Cotto’s inability to pass the drug test, Ardagh placed him on indefinite suspension. Cotto sued Ardagh for disability discrimination, arguing that the decriminalization of medical marijuana under CUMMA, together with the protections of the NJLAD, compelled Ardagh to provide an accommodation for him, presumably by waiving the drug test.

In dismissing the Complaint, the Court found that CUMMA does not obligate employers to accommodate the medical use of marijuana in any workplace, and Ardagh was, therefore, within its rights to refuse to waive a drug test for federally-prohibited narcotics. Because the indefinite suspension resulted from the treatment (the medical marijuana use), not the disability itself, it was not discriminatory. While undue prejudice toward treatment for a disability can be deemed discrimination against the disability itself, the Court found that such was not the case where marijuana remains illegal under federal law. The Court found its holding to be consistent with most courts across the country that have concluded that, unless provided for by statute, the decriminalization of medical marijuana does not shield employees from adverse employment actions.

This is the first New Jersey decision on medical marijuana use in the workplace, and, although the decision is narrow, it provides guidance on how New Jersey courts may address medical marijuana in the workplace in the absence of express statutory guidance.

On July 16, 2018, the New Jersey Department of Health’s Division of Medicinal Marijuana (the “DOH”) issued a Request for Applications (“RFA”) for up to six additional Alternative Treatment Centers (“ATCs”), commonly referred to as medical marijuana dispensaries.  The DOH will award two licenses in the northern region of the state, two in the central region, and two in the southern region.  This would double the number of ATCs currently operating in New Jersey.

The six additional ATCs will be vertically integrated (similar to the current ATCs in operation), but will be allowed to operate either as non-profit or for-profit entities.  Applicants are allowed to submit an ATC permit application for more than one region, but must submit a separate application for each region and rank the priority of its applications.

The RFA process is open to all applicants with the exception of entities already holding a permit to dispense medical marijuana (including affiliates) in New Jersey and individuals/entities with a 25% stake or more in any of the currently permitted ATCs (or entities responsible for the management of such ATCs).

Those interested in submitting an application must act immediately as the DOH has set an aggressive timeline for the application process.  Instructions for the submission of applications and all necessary forms will be available on the DOH’s website on August 1, 2018 and all completed applications must be submitted no later than August 31, 2018.  Further, every applicant must attend a mandatory, pre-application conference on August 9, 2018.  The purpose of that conference is to provide a structured and formal opportunity for the DOH to respond to questions regarding the RFA process.  Applicants that fail to attend this conference will not be allowed to submit an application.

Applications will be evaluated on a 1000-point scale pursuant to three criteria, each of which has several measures.  Each applicant will also be required to provide detailed information regarding its organizational and ownership structure.

We suggest applicants work closely with their attorneys, accountants and other advisors to complete their applications timely and consistent with New Jersey law.

The number of authorized medical marijuana users in New Jersey is growing.  According to a 2017 Marist Poll, the number of adult Americans using marijuana is 22%.  Thus, employers should not be sitting idle, waiting for the decriminalization of recreational marijuana in New Jersey before making decisions regarding marijuana in the workplace.  Marijuana is already in the workplace.  Employers need to be proactive and should consider the following actions now:

  • Revisit drug-related policies – including, for example, to confirm that on-the-clock use or impairment is expressly prohibited.
  • Consider modifying or eliminating drug screens for marijuana, if appropriate.
  • Review job descriptions to ensure appropriate positions are properly identifiable as safety-sensitive.
  • Provide training to managers/supervisors on drug-related policies, as well as on the ability to spot physical manifestations of impairment.
  • To the extent possible, provide reasonable accommodations for an employee’s off-duty medical marijuana use and avoid related adverse employment actions, so long as doing so would not impact workplace safety or place the employer at risk of violating federal law or losing a federal contract or funding.
  • Document performance issues and do so consistently. Therefore, if someone who happens to be a medical marijuana cardholder is terminated for a legitimate, non-discriminatory reason, the employer has a defense to a subsequent allegation that the termination was discriminatory.
  • Apply all policies and procedures consistently.
  • Consult with legal counsel on the nuances of the changing landscape of New Jersey and federal law.
  • Consult with legal counsel if you are a multi-state employer as the laws in each state are drastically different.

While the likely decriminalization of recreational marijuana is all the buzz in New Jersey, employers cannot forget that they need to be prepared now to address an employee who is a medical marijuana card holder under New Jersey’s Compassionate Use of Medical Marijuana Act (CUMMA) to avoid inadvertent disability discrimination.

Under the Americans with Disabilities Act (ADA), there is no legal requirement to accommodate medical marijuana use because marijuana is illegal under federal law.  While CUMMA also states that “nothing [requires] an employer to accommodate the medical use of marijuana in any workplace,” it is not clear what this means for an employee’s off-duty medical marijuana use.  New Jersey also has pending legislation, Bill A1838, which establishes protection from adverse employment actions for authorized medical marijuana patients unless the use impairs the employee’s ability to perform job responsibilities.

Although New Jersey courts have not yet decided these issues as they relate to medical marijuana use under the New Jersey Law Against Discrimination (LAD), the LAD could also require employers to reasonably accommodate an employee’s off-duty medical marijuana use and may provide protection from adverse employment actions for such use.

Thus, unless an employee is using marijuana during work hours or showing up to work impaired – which no employer is obligated to tolerate – the best practice is to accommodate an employee and avoid any related adverse employment action, so long as doing so would not impact workplace safety.  Moreover, no employer would be obligated to place itself in violation of federal law or cause itself to lose a federal contract or funding.

Employers should consult counsel before making employment decisions related to off-duty medical marijuana use and should review their policies and job descriptions to ensure compliance with the changing legal landscape.

With the legalization of medical marijuana through New Jersey’s Compassionate Use of Medical Marijuana Act, and the decriminalization of recreational marijuana on the horizon, employers may want to revisit their drug screening policies and consider eliminating testing for marijuana for positions that are not safety-sensitive or subject to federal law mandating a drug-free workplace.

With the increasing number of authorized medical marijuana patients, and pending legislation that would render it illegal for an employer to take an adverse action against an authorized medical marijuana patient, eliminating or modifying marijuana screening may protect employers from inadvertently discriminating against an applicant or employee based on a disability.

Eliminating/modifying drug screens could also prevent employers from losing prime candidates for positions that are not safety-sensitive.  In fact, some employers are concerned that they would be unable to maintain staff if they declined to hire all qualified candidates that tested positive for marijuana.  This is particularly true where unemployment rates are low and, according to a 2017 Marist Poll, 22% of Americans use marijuana.

While employers who do not test risk workplace safety concerns/liability for employees who show up to work impaired as well as decreased productivity, it should be noted that marijuana screens detect the presence of marijuana in the system and not present impairment.  Accordingly, it may be more practical to train people to recognize when an employee is impaired at work as opposed to relying on a drug screen.

Marijuana policies will vary greatly depending on the nature of service an employer provides.  Employers should consult with their attorneys to decide how to approach marijuana policies and ensure compliance with the changing legal landscape.

On June 18, 2018, the New Jersey Department of Health (the “DOH”) published for comment its proposed amendments to the administrative regulations to New Jersey’s Medical Marijuana Program (“MMP”).  These regulations establish the standards by which the DOH implements the Compassionate Use Medical Marijuana Act, codified at N.J.S.A. 24:6I-1 et. seq.

The proposed regulatory amendments are a follow up to Governor Phil Murphy’s Executive Order 6 that charged the DOH with reviewing the MMP to identify ways to expand access to marijuana for medical purposes.

The DOH’s proposed amendments include:

  • Reducing the registration fee for qualifying patients and their caregivers from $200 to $100;
  • Adding senior citizens and military veterans to those eligible for the reduced registration fee of $20;
  • Authorizing qualifying patients to designate up to two primary caregivers instead of only one;
  • Reflecting the addition of six qualifying debilitating medical conditions: PTSD, by statutory enactment; and five new conditions (anxiety, chronic pain of visceral origin, chronic pain associated with musculoskeletal disorders, migraines, and Tourette syndrome), by the State Health Commissioner’s March 22, 2018, petition decision;
  • Streamlining the petition process for the addition of qualifying debilitating medical conditions by removing the requirement that petitions must first be referred to the Medicinal Marijuana Review Panel;
  • Emphasizing the advisory role of the Medicinal Marijuana Review Panel to include the provision of guidance and recommendations to the State Health Commissioner regarding the use of marijuana for medical purposes;
  • Allowing physicians to opt out of inclusion on the public list of physicians participating in the MMP;
  • Removing the requirement of psychiatric evaluation as a condition of physician certification of minors as qualifying patients;
  • Creating an endorsement system for cultivation, manufacturing, and dispensing marijuana for medicinal purposes;
  • Authorizing the manufacturing and dispensing of medicinal marijuana in non-topical formulations;
  • Repealing the three-strain limit on authorized cultivation and dispensary activity;
  • Elevating the MMP to division status within the Department of Health;
  • Establishing an application process by which the six current alternative treatment centers can apply for satellite locations; and
  • Identifying the DOH’s criteria for evaluating applications for additional alternative treatment centers.

Interested parties have until August 17, 2018 to submit written comments to the DOH.  An unofficial copy of the DOH’s proposed amendments is available on the department’s website here.

Senator Nicholas J. Scutari, D-Union, recently introduced a new bill that seeks to simultaneously legalize recreational marijuana for adults and provide broader patient access to medical marijuana under New Jersey’s Compassionate Use Medical Marijuana Act. This is the first bill to jointly address access to medical and recreational marijuana in New Jersey. Scutari’s comprehensive bill allows for a total of 218 marijuana dispensaries throughout New Jersey: 120 recreational and 98 medical. Other provisions of the bill include a requirement that municipalities opposed to marijuana sales within their borders must pass an ordinance prohibiting sales within 180 days of the law’s enactment, a provision permitting recreational marijuana dispensaries to create a “consumption area” where customers can use marijuana onsite, as well as a phase-out plan for the 7% tax currently imposed on medical marijuana.

Introduced just three weeks before the Legislature’s budget deadline, the bill faces an uphill battle. However, it has received vocal support from two other legislators. Senator Joseph Vitale, D-Middlesex, has signed on as co-prime sponsor of the bill, and Assemblyman Jamel Holley released a statement pledging his support for the bill.

I recently authored a guest column for NJ Cannabis Insider titled, “What’s next for medical marijuana in N.J.” The article outlines several compliance-related takeaways for the thousands of individuals and businesses eager to enter what is expected to become a multi-billion industry in New Jersey – medical (and, ultimately, recreational) marijuana.

There are three key considerations that any aspiring entrant to N.J.’s medical marijuana program should keep top of mind when developing a business plan that appropriately balances access with compliance:

  • Be well capitalized, and provide as much transparency around sources of funds as possible.
  • Because applications will be vetted by law enforcement, remember to provide a physical security plan, a cybersecurity plan, training manuals for employees and a written compliance plan demonstrating that the business will self-monitor. Having a retired law enforcement official as a consultant to the business is an additional, worthwhile consideration.
  • Provide regulators with a credible, written plan for product quality assurance since your business will be providing an ingestible product that is not subject to regulation by the Food and Drug Administration.

The coming months promise to be exciting as the state’s medical marijuana program continues to evolve. Please stay tuned for more updates from CSG’s Cannabis Law Group.

You can read the entire guest column here.

Amid the vibrant public discussion of the full legalization of marijuana in New Jersey, it’s important to note that significant changes are also coming to the way medical marijuana is distributed in the state. As previously documented in this blog, Governor Phil Murphy has already enacted important reforms expanding patient access to medical marijuana under New Jersey’s Compassionate Use Medical Marijuana Act (“the Act”). On the legislative side, a bill that, among other things, removes limits on the amount of medical marijuana that may be dispensed at one time is advancing in the Assembly.

Jake Honig’s Law, as Assembly Bill 3421 and its counterpart Senate Bill 1955 are known, is so named to honor a seven-year old boy who tragically lost his battle with cancer. The bill removes from the Act the cap on the amount of medical marijuana that a patient may be dispensed in a thirty-day period. It also allows alternative treatment centers to distribute medical marijuana in oil form, and it revokes the prohibition against making edible forms of medical marijuana available only to qualifying patients who are minors.

The statement accompanying the bill explains its purpose as follows:

“In honor of Jake, who passed away on January 21, 2018, this bill seeks to remove certain restrictions on access to medical marijuana in order to reduce the suffering experienced by, and improve the quality of life of, New Jersey patients, like Jake, seeking treatment for a debilitating medical condition.”

Governor Phil Murphy today announced a massive expansion of New Jersey’s medical marijuana program, also known as the New Jersey Compassionate Use Medical Marijuana Act, N.J.S.A. 24:6I-1 et seq. Effective immediately, doctors can now prescribe medical marijuana to patients suffering from five additional categories of debilitating conditions, namely anxiety, migraines, Tourette’s syndrome, chronic pain related to musculoskeletal disorders and chronic visceral pain.

Further, in an effort to increase accessibility and affordability, the biennial registration fee for patients will be slashed from $200 to $100 with a special rate of $20 available for veterans, seniors and indigent patients receiving government assistance. Other notable changes to the program include the ability for the state’s five – soon to be six – alternative treatment centers (ATCs) to maintain more than one cultivation site and dispense medical marijuana at satellite locations within the state, the eradication of the one-caregiver-per-patient rule and the elimination of the requirement that doctors prescribing medical marijuana appear on a public registry. Under the new regulatory regime, any New Jersey physician in good standing who has completed an active controlled dangerous substances registration with the State Division of Consumer Affairs can become certified to prescribe medical marijuana to qualifying patients.

The Governor touted these measures as necessary to eliminate barriers to access for patients who suffer from illnesses that can be treated with medical marijuana. This announcement comes as Governor Murphy continues his push to legalize recreational marijuana in New Jersey.