North Dakota may have been the last state out of those voting on medical marijuana to make the ballot in 2016, but that doesn’t appear to have stopped North Dakota from achieving victory. With almost half of the votes being counted in North Dakota, Measure 5 has a commanding 22% lead. I think it’s safe at this point to say that North Dakota has legalized medical marijuana! The Measure 5 campaign got some late support from the Drug Policy Alliance and the Marijuana Policy Project, which appears to have given the campaign a boost based off of the results, although there’s no way to know for sure since there was never any polling released.
North Dakota doesn’t have a large population, but it does have suffering patients there nonetheless. Safe access is on it’s way to North Dakota! A very big hat tip to the campaign team, which was a grassroots effort from what I can tell. To be honest there doesn’t seem to be a lot of information out there about how the effort was organized and victory achieved, but I’m hopeful those stories will come out in coming weeks. Regardless, congratulations to all involved, you did it, and the world is a better place because of your efforts! Below is a quote from Tom Angell of the Marijuana Majority, followed by the official initiative language of the measure that was passed in North Dakota today:
“More than half the states in the country now have medical marijuana laws, thanks to the decisions tonight by North Dakota voters and those in Florida. To be candid, very few people in our movement expected this result, and it happened with almost no coordination or major assistance from national organizations.
“The fact that North Dakotans approved medical cannabis with an effort that was largely off the radar of most political operatives shows that truly any state could be the next to change its marijuana laws. Marijuana is medicine, and now North Dakotans will be able to utilize it without fear of being sent to jail.”
INITIATED CONSTITUTIONAL MEASURE NO. 5
FULL TEXT OF THE MEASURE
IF MATERIAL IS UNDERSCORED, IT IS NEW MATERIAL WHICH IS BEING ADDED. IF MATERIAL IS OVERSTRUCK BY DASHES, THE MATERIAL IS BEING
DELETED. IF THE MATERIAL IS NOT UNDERSCORED OR OVERSTRUCK, THE MATERIAL IS EXISTING LAW THAT IS NOTING CHANGED.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF NORTH DAKOTA:
SECTION 1. CHAPTER 19-24 OF THE NORTH DAKOTA CENTURY CODE IS CREATED AND ENACTED AS FOLLOWS:
This Act may be cited as the “North Dakota Compassionate Care Act”.
The following words and terms, when used in these regulations, should have the following meaning, unless the context clearly indicates otherwise:
1. “Act” means the North Dakota Compassionate Care Act.
2. “Adulterated” means made impure or inferior by adding extraneous ingredients. Goods that are prepared in food establishments that are
licensed facilities in response and that contain marijuana for medical use by a registered patient are not considered to be adulterated.
3. “Advisory board” means a nine-member committee established, chaired, and appointed by the governor, in conjunction with the attorney
general, to evaluate and make recommendations to the state legislature and the Department.
4. “Applicant” means any person applying to participate in the North Dakota Compassionate Care Act.
5. “Cardholder” means a registered patient of any age or a registered designated caregiver who has been issued and possesses a valid
registry identification card.
6. “Compassion center agent” means a principal officer, board member, employee, or agent of a registered compassion center who is twentyone
years of age or older and has not been convicted of an excluded felony offense, and has not been convicted of a drug misdemeanor
within five years.
7. “Debilitating medical condition” means one or more of the following:
a. Cancer and its treatments;
b. Positive status for human immunodeficiency virus (HIV);
c. Acquired immune deficiency syndrome (AIDS);
d. Decompensated cirrhosis (Hepatitis C);
e. Amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease);
f. Post-traumatic stress disorder (PTSD);
g. Agitation of Alzheimer’s disease, dementia, or the treatment of these conditions;
h. Crohn’s d isease or Fibromyalgia;
i. Spinal stenosis or chronic back pain including neuropathy or damage to the nervous tissue of the spinal cord with objective
neurological indication of intractable spasticity;
I. A chronic or debilitating disease medical condition or its treatment that produces one or more of the following: cachexia or wasting
syndrome; severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than
three months or for which other treatment options produced serious side effects; intractable nausea; seizures; or severe and
persistent muscle spasms, including but not limited to those characteristic of multiple sclerosis;
m. Any other medical condition or its treatment added by the North Dakota Department of Health.
8. “Department” means the North Dakota Department of Health.
9. “Designated caregiver” means a person who:
a. Is at least twenty-one years of age;
b. Has agreed to assist with a patient’s medical use of marijuana;
c. Has not been convicted of a felony offense; and
d. Assists no more than five qualifying patients with their medical use of marijuana.
10. “Incidental amount of marijuana” means marijuana seeds, stalks and roots of the plant that are not included when calculating the allowable
amounts of marijuana specified in these rules. This includes the weight of any non-marijuana ingredients combined with marijuana, such
as ingredients added to prepare a topical ointment, food or drink.
11. “Marijuana”, also known as cannabis, is an annual, dioecious, flowering herb that produces a group of chemicals called cannabinoids.
12. “Marijuana paraphernalia” is limited to equipment, products and materials that are ordinarily used in planting, propagating, cultivating,
growing, harvesting, processing, preparing, testing, analyzing, packaging, repackaging, storing, containing, ingesting, inhaling or otherwise
introducing marijuana into the human body. It includes:
a. Scales and balances;
b. Separation gins and sifters, used or intended for use in removing twigs and seeds from, or in otherwise cleaning or refining,
c. Envelopes and other containers used or intended for use in packaging small quantities of marijuana for medical use;
d. Containers and other objects used or intended for use in storing medical marijuana; and
e. Objects used or intended for use in ingesting, inhaling or otherwise introducing marijuana into the human body, including but not
(1) Metal, wooden, acrylic, glass, stone, plastic or ceramic pipes with or without screens, permanent screens, hashish heads or
punctured metal bowls;
(2) Water pipes;
(3) Carburetion tubes and devices;
(4) Smoking and carburetion masks;
(5) Roach clips, meaning objects used to hold burning marijuana cigarettes that have become too small or too short to be held
in the hand;
(6) Chamber pipes;
(7) Carburetor pipes;
(8) Electric pipes;
(9) Air-driven pipes;
(11) Bongs designed for marijuana and not for cocaine; or
(12) Ice pipes or chillers.
13. “Medical use” means the acquisition, possession, use, delivery, transfer or transportation of marijuana or paraphernalia relating to the
administration of marijuana to treat or alleviate a registered patient’s debilitating medical condition or symptoms associated with the
registered patient’s debilitating medical condition.
14. “Onsite assessment” means a visit by an employee of the Department for the purpose of ensuring compliance with the requirements of
15. “Physician” means a properly licensed physician in the state of North Dakota. If the qualifying patient’s debilitating medical condition is
Post-Traumatic Stress Disorder, the physician must also be a licensed psychiatrist.
16. “Post-Traumatic Stress Disorder”means that a patient meets the diagnostic criteria for Post-Traumatic Stress Disorder (PTSD), per DSM-
5 or subsequent current edition, including symptoms of intense physical reactions such as tachycardia, shortness of breath, rapid
breathing, muscle tension, and sweating.
17. “Qualifying patient” means a person who has been diagnosed by a physician as having a debilitating medical condition.
18. “Registry identification card” means a document issued by the Department that identifies a person as a registered patient or registered
19. “Tincture” means a mixture created from a concentrated extract of marijuana.
20. “Topical treatment” means a mixture or extract of marijuana made into a balm, lotion, ointment or rubbing alcohol solution that is applied
21. “Usable amount of medical marijuana for medical use” means three ounces or less of usable marijuana as defined below.
22. “Usable marijuana” means the dried leaves and flowers of the marijuana plant, and any mixture or preparation of those dried leaves and
flowers, including but not limited to tinctures, ointments, and other preparations. It does not include the weight of any non-marijuana
ingredients combined with marijuana, such as ingredients added to prepare a topical administration, food, or drink.
23. “Verification system” means a phone or web-based system established and maintained by the Department that is available to law
enforcement personnel and compassion center agents on a twenty-four-hour basis for verification of registry identification cards.
24. “Written certification” means a document dated and signed by a physician, stating that in the physician’s opinion the patient is likely to
receive therapeutic or palliative benefit from the medical use of marijuana to treat or alleviate the patient’s debilitating medical condition or
symptoms associated with the debilitating medical condition. A written certification shall be made only in the course of a bona fide physician-
patient relationship where the qualifying patient is under the physician’s care for the qualifying patient’s primary care or for the qualifying
patient’s debilitating condition after the physician has completed an assessment of the qualifying patient’s medical history and current
medical condition. The bona fide physician-patient relationship may not be limited to authorization for the patient to use medical marijuana
or consultation for that purpose. The written certification shall specify the qualifying patient’s debilitating medical condition.
19-24-03. Qualifying patient identification card application requirements.
1. The Department shall issue a registry identification card to an applicant for the purpose of participating in the medical marijuana program
upon the written certification of the applicant’s physician, supporting application documents and a non-refundable application fee with a
personal check or a cashier’s check made out to “North Dakota Department of Health, compassionate care program”. The following
information shall be provided in the participant enrollment form submitted to the Department in order for a registry identification card to be
obtained and processed.
2. An attached original written certification for patient eligibility form shall contain:
a. The name, address and telephone number of the applicant’s physician;
b. The physician’s clinical licensure;
c. The patient applicant’s name and date of birth;
d. The medical justification for the physician’s certification of the patient’s debilitating medical condition;
e. The physician’s signature and date;
f. The name, address and date of birth of the applicant;
g. The name, address and date of birth of the applicant’s primary caregiver(s), if any;
h. A reasonable photographic copy of the applicant’s North Dakota driver’s license or comparable state of North Dakota or federal
issued photo identification card verifying North Dakota residence; state of North Dakota issued identification card must be available
for inspection/verification. Should the applicant be a minor, a certificated copy of a birth record will meet the identification requirement;
i. The length of time the applicant has been under the care of the physician providing the medical provider certification for patient
j. The applicant’s or guardian’s signature and date; and
k. A signed consent for release of medical information related to the patient’s debilitating medical condition, on a form provided
by the North Dakota Department of Health.
19-24-04. Designated caregiver registry identification card application requirements.
1. The Department shall issue a registry identification card to a primary caregiver applicant for the purpose of managing the well-being of one
to five qualified patients, including themselves if the caregiver is a qualified patient, in response to the requirements of this rule upon the
completion and approval of the primary caregiver application form, available from the medical marijuana program, and a non-refundable
application fee, in the form of a personal check or a cashier’s check made out to “North Dakota Department of Health, compassionate care
program”. In order for a registry identification card to be obtained and processed, the following information shall be submitted to the medical
a. A certified copy of a birth record verifying that the applicant is at least twenty-one years of age;
b. A reasonable photographic copy of the applicant’s North Dakota driver’s license or comparable state of North Dakota or federal
issued photo identification card verifying North Dakota residence; state of North Dakota issued identification card must be available
c. Written approval by the qualified patient(s) authorizing responsibility for managing the well-being of a qualified patient(s) with respect
to the use of marijuana;
d. The name(s), address(es), telephone number(s) and date of birth of the qualified patient(s);
e. The name, address, and telephone number for each of the qualified patient’s physicians;
f. The name, address, and telephone number of the applicant; and
g. The applicant’s signature and date.
2. Designated caregiver application requirements:
a. Criminal history screening requirements:
(1) All designated caregiver applicants are required to consent to a nationwide and statewide criminal history screening
background check. All applicable application fees associated with the nationwide and statewide criminal history screening
background check shall be paid by the primary caregiver applicant.
(2) Individuals convicted of an excluded felony offense are prohibited from serving as a designated caregiver. The applicant and
qualified patient shall be notified by registered mail of his or her disqualification from being a designated caregiver.
19-24-05. Registry identification cards.
1. Department inquiry:
a. The Department may verify information on each application and accompanying documentation by the following methods:
(1) Contacting each applicant by telephone, mail, or if proof of identity is uncertain, the Department shall require a face-to-face
meeting and the production of additional identification materials;
(2) Contacting the North Dakota Board of Medicine to verify that the physician is licensed to practice medicine in North Dakota
and is in good standing; and
(3) Contacting the physician to obtain further documentation that the applicant’s medical diagnosis and medical condition qualify
the applicant for enrollment in the compassionate care program.
2. Upon verification of the information contained in an application submitted in response to this subsection, the Department shall approve or
deny an application within forty-five calendar days of receipt.
3. Department registry identification card: The Department shall issue a registry identification card within thirty calendar days of approving an
application. A registry identification card shall contain a ten-digit alphanumeric identification, maintained by the Department, which identifies
the qualified patient or primary caregiver. Unless suspended or revoked, or if the physician stated in the written certification that the
qualifying patient would benefit from marijuana until a specified earlier date, a registry identification card shall be valid for a period of one
year from the date of issuance and shall expire at midnight on the day indicated on the registry identification card as the expiration date.
4. Supplemental requirement:
a. A registered qualifying patient or registered designated caregiver who possesses a registry identification card shall notify the
Department of any of the following within ten calendar days of the change. An extension shall be granted by the medical marijuana
program upon the showing of good cause.
(1) A change in card holder’s name or address;
(2) Knowledge of a change that would render the patient no longer qualified to participate in the program, such as a cure of
the debilitating condition causing the need for medical marijuana;
(3) Knowledge of a change that renders the patient’s physician no longer a qualified “physician” as defined in subsection 15
of section 19-24-02 of these regulations; or
(4) Knowledge of a change that renders the patient’s caregiver no longer eligible as defined in these regulations.
b. Before a registered qualifying patient changes his or her designated caregiver, the qualifying patient must notify the Department in
c. If a cardholder loses his or her registry identification card, he or she shall notify the Department in writing within ten days of becoming
aware the card has been lost. Upon notification, the Department shall issue a new registry identification card. Unless documentation
in the initial application has changed, the qualified patient or designated caregiver shall not be required to submit a new application.
d. When a cardholder notifies the Department of items listed in subsection 4 but remains eligible, the Department shall issue the
cardholder a new registry identification card with a new random ten-digit alphanumeric identification number within ten days of
receiving the updated information and the cardholder shall pay a twenty-five dollar fee. If the person notifying the Department is a
registered qualifying patient, the Department shall also issue his or her registered designated caregiver, if any, a new registry
identification card within ten days of receiving the updated information.
e. If a registered qualifying patient ceases to be a registered qualifying patient or changes his or her registered designated caregiver,
the Department shall promptly notify the designated caregiver by certified, registered mail. The registered designated caregiver’s
protections under this chapter as to that qualifying patient shall expire fifteen days after notification by the Department.
f. A cardholder who fails to make a notification to the Department that is required by subsection 4 is subject to a civil infraction,
punishable by a penalty of no more than one hundred fifty dollars and is also subject to the immediate revocation of the registry
identification card and all lawful privileges provided under the Act.
g. If the registered qualifying patient’s certifying physician notifies the Department in writing that either the registered qualifying patient
has ceased to suffer from a debilitating medical condition or that the physician no longer believes the patient would receive
therapeutic or palliative benefit from the medical use of marijuana, the card shall become null and void. However, the registered
qualifying patient shall have fifteen days to dispose of the patient’s marijuana.
5. Registry identification card application denial: The state health officer or designee shall deny an application if the applicant fails to provide
the information required, if the Department determines that the information provided is false, or if the patient does not have a debilitating
medical condition eligible for enrollment in the program, as determined by the state health officer. A person whose application has been
denied shall not reapply for six months from the date of the denial, unless otherwise authorized by the Department, and is prohibited from
all lawful privileges provided by this rule and Act.
6. The Department shall deny an application or renewal of a qualifying patient’s registry identification card if the applicant:
a. Did not provide the required information and materials;
b. Previously had a registry identification card revoked; or
c. Provided false or falsified information.
7. The Department shall deny an application or renewal for a designated caregiver chosen by a qualifying patient whose registry identification
card was granted if:
a. The designated caregiver does not meet the requirements of subsection 2 of section 19-24-04;
b. The applicant did not provide the information required;
c. The designated caregiver previously had a registry identification card revoked; or
d. The applicant or the designated caregiver provides false or falsified information.
8. The department shall notify the qualifying patient who has designated someone to serve as his or her designated caregiver if a registry
identification card will not be issued to the designated caregiver.
9. Denial of an application or renewal is considered a final department action, subject to judicial review. Jurisdiction and venue for judicial
review are vested in the district court.
10. Registry identification card renewal application: Each registry identification card issued by the department is valid in accordance with
subsection 2 of section 19-24-03. A qualified patient or primary caregiver shall apply for a registry identification card renewal no less than
forty-five calendar days prior to the expiration date of the existing registry identification card in order to prevent interruption of possession
of a valid (unexpired) registry identification card.
11. Non-transferable registration of registry identification card: A registry identification card shall not be transferred, by assignment or otherwise,
to other persons or locations. Any attempt shall result in the immediate revocation of the registry identification card and all lawful privileges
provided by this rule and Act.
12. Automatic expiration of registry identification card by administrative withdrawal: Upon request the qualified patient or designated caregiver
shall discontinue the medical marijuana program by an administrative withdrawal. A qualified patient or designated caregiver that intends
to seek an administrative withdrawal shall notify the licensing authority in writing no less than thirty calendar days prior to withdrawal.
19-24-06. Addition of debilitating medical conditions.
1. Any citizen may petition the Department to add conditions or treatments to the list of debilitating medical conditions listed in subsection 7
of section 19-24-02.
2. The Department shall not add a condition or treatment to the list of debilitating medical conditions unless it finds that (1) the medical
condition or treatment is debilitating and (2) marijuana is more likely than not to have the potential to be beneficial to treat or alleviate the
debilitation associated with the medical condition or treatment.
3. Contents of the petition: In connection with any petition to add conditions or treatments to the list of debilitating medical conditions listed in
subsection 7 of section 19-24-02, a petitioner shall provide the following information to the Department:
a. The extent to which the condition is generally accepted by the medical community and other experts as a valid, existing debilitating
b. If one or more treatments of the condition, rather than the condition itself, are alleged to be the cause of the patient’s suffering, the
extent to which the treatments causing suffering are generally accepted by the medical community and other experts as valid
treatments for the condition;
c. The extent to which the condition or treatments cause severe suffering, such as severe or chronic pain or severe nausea or
vomiting, or otherwise severely impair the patient’s ability to carry on activities of daily living;
d. The ability of conventional medical therapies other than those that cause suffering to alleviate suffering caused by the condition or
e. The extent to which evidence that is generally accepted among the medical community and other experts supports a finding that
the use of marijuana alleviates suffering caused by the condition or treatment; and
f. Letters of support from physicians or other licensed health care professionals knowledgeable about the condition or treatment.
4. Evaluation of a petition.
a. Upon review of materials submitted in response to subsection 3 above, the Department shall make a determination as to whether
the petition has merit.
b. A petition will be determined to have merit if it contains all of the material required in subsection 3 above and the debilitating
condition that is the subject of the petition has not been considered through this process in the prior two years, unless significant,
generally accepted, scientific discoveries have been made that are substantially likely to reverse the prior decision.
c. A decision that a petition does not have merit will be made in writing, stating the reason(s) it has been determined not to have merit
and that it is the final decision, subject to judicial review.
d. A final decision on a petition determined to have merit will be made within one hundred eighty days of receipt of the petition in
response to the following process.
(1) The Department will post the complete petition on the department’s website for a sixty-day public comment period.
(2) The Department will post notice of a public hearing no fewer than ten days prior to the public hearing.
(3) The Department will hold a public hearing within the sixty-day public comment period.
(4) After the public hearing and closure of the sixty-day public comment period, the Department will review the petition and
comments. During this review, the Department may conduct additional research, including consultation with additional
(5) The Department of Health will draft a written decision on whether to grant the petition and add the debilitating medical
condition for review and ultimate decision by the State Health Officer. This written decision will be detailed enough to provide
the specific grounds and references to support the decision. The State Health Officer will issue the final decision on the
(6) If the petition to add a debilitating medical condition is granted, draft regulations adding the condition to subsection 7 of
section 19-24-02 will be drafted and published in response to the Administrative A g e n c i e s Practice Act process.
5. The approval or denial of any petition is a final decision of the Department subject to judicial review. Jurisdiction and venue are vested in
the district court.
19-24-07. Registration and operation of compassion centers.
1. Requirements for operation of a compassion center.
a. General requirements.
(1) No person shall operate a compassion center without a Department issued certificate of registration. The application and
renewal requirements for a certificate of registration are in subsections 6 and 10 of section 19-24-07 of these regulations.
(2) A compassion center shall be operated on a not-for-profit basis. A compassion center need not be recognized as a taxexempt
organization by the Internal Revenue Service and is not required to incorporate in response to title 8; however, a
compassion center shall maintain appropriate documentation of its not-for-profit status, and such documentation shall be
available for inspection in response to subdivision g of subsection 2 of section 19-24-07 of these regulations.
(3) A compassion center shall not acquire, possess, cultivate, manufacture, deliver, transfer, transport, supply or dispense
marijuana for any purpose except to assist registered qualifying patients with the medical use of marijuana directly or through
the qualifying patient’s registered designated caregiver.
(4) Use of pesticides is prohibited:
(a) There are no pesticides authorized for use on marijuana; as such, a compassion center shall not apply pesticides in
the cultivation of marijuana.
(b) Prohibited pesticides include but are not limited to the following:
((3)) Cargamates; and
((4)) Insecticidal, fungicidal or growth regulatory compounds.
b. Location of a compassion center: A compassion center shall not be located within one thousand feet of the property line of a
preexisting public or private school.
(1) A compassion center shall as part of its initial application, provide to the Department a true, correct, and current copy of its
bylaws, and shall maintain such bylaws in accordance with the Act and these regulations.
(2) The bylaws of a compassion center shall include at a minimum:
(a) The ownership structure of the compassion center;
(b) The composition of the board of directors; and
(c) Such provisions relative to the disposition of revenues to establish and maintain the not-for-profit character of the
d. Maintenance of accurate books and records:
(1) Registered compassion centers shall keep detailed financial reports of proceeds and expenses.
(2) Registered compassion centers shall maintain all inventory, sales and financial records in accordance with generally
accepted accounting principles (“GAAP”).
(3) The Department or an audit firm contracted by the Department shall at all times have access to all books and records kept
by any compassion center.
2. Security requirements: A compassion center shall implement appropriate security and safety measures to deter and prevent the
unauthorized entrance into areas containing marijuana and the theft of marijuana. Such measures shall include the following:
a. Exterior of premises: With respect to the exterior of a compassion center:
(1) Access from outside the premises shall be kept to a minimum and be well controlled.
(2) The outside perimeter of the premises shall be well lighted.
(3) Entry into any area(s) where marijuana is held shall be limited to authorized personnel.
b. Alarm system:
(1) A compassion center shall have a fully operational security alarm system at each authorized physical address that will provide
suitable protection against theft and diversion. For the purpose of these regulations, a fully operational security alarm system
(a) Immediate automatic or electronic notification to alert local or municipal law enforcement agencies to an unauthorized
breach of security at the compassion center or at any other authorized physical address;
(b) Immediate automatic or electronic notification to local or municipal public safety personnel of a loss of electrical
support backup system; and
(c) When appropriate, the security system shall provide protection against theft or diversion that is facilitated or hidden
by tampering with computers or electronic records.
(2) A compassion center shall conduct a maintenance inspection/test of the alarm system for each authorized location at intervals
not to exceed thirty days from the previous inspection/test. A compassion center shall promptly make all necessary repairs
to ensure the proper operation of the alarm system.
(3) In the event of a failure of the security system, due to loss of electrical support or mechanical malfunction, that is expected
to exceed an eight-hour period, a compassion center shall:
(a) Within twenty-four hours of discovery of the event, notify the Department by telephone; and
(b) Provide alternative security measures approved by the Department or close the authorized physical address(es)
impacted by the failure/malfunction until the security alarm system has been restored to full operation.
(4) A compassion center shall maintain documentation in an auditable form for a period of at least twenty-four months after the
(a) All maintenance inspections/tests conducted in response to subparagraph 2 of subdivision b of subsection 2 of section
19-24-07 of these regulations, and any servicing, modification or upgrade performed on the security alarm system.
The record shall include, as a minimum, the date of the action, a summary of the action(s) performed and the name,
signature and title of the individual who performed the action(s);
(b) Any alarm activation or other event which requires response by public safety personnel; and
(c) Any unauthorized breach(es) of security.
c. Video surveillance: A compassion center shall provide an appropriate video surveillance system that includes the following areas
and access to recorded surveillance.
(1) Video surveillance should record access areas, customer service areas, growing areas and anywhere the marijuana is
handled, to include processing and packaging areas.
(2) Video footage will be digitally recorded and held for an appropriate time period consistent with the state Department of Health
records retention policy.
d. Inventory controls.
(1) Coding and computer interface: A compassion center shall:
(a) Employ a bar coding inventory control system to track batch, strain and amounts of marijuana in inventory and
amounts sold, to include patient’s card registration numbers.
(b) Be responsible for developing and hosting a secure computer interface to receive patient card user data from the
(2) Storage of marijuana: A compassion center shall ensure that usable marijuana is stored in a locked area with adequate
security. For purpose of these regulations ” adequate security”, at a minimum, should be assessed, established and
maintained based on:
(a) The quantity of usable marijuana that will be kept on hand at each authorized location;
(b) The compassion center’s inventory system for tracking and dispensing usable marijuana;
(c) The number of principal officers, board members, agents, volunteers or employees who have or could have access
to the usable marijuana;
(d) The geographic location of the compassion center (i.e.: high-crime or low-crime area);
(e) The scope and sustainability of the alarm system; and
(f) The root cause analysis of any breach of security and/or inventory discrepancy for usable marijuana at that location.
e. Comprehensive and monthly inventories:
(1) A compassion center shall:
(a) Notify the Department and local law enforcement within twenty-four hours any time there is a suspected loss of
marijuana and shall cooperate fully with any investigation into the suspected loss.
(b) Conduct an initial comprehensive inventory of all medical marijuana, including usable marijuana available for
dispensing, mature marijuana plants and unusable marijuana, at each authorized location on the date the
compassion center first dispenses medical marijuana.
(c) Conduct the comprehensive inventory required by subdivision e of subsection 2 of section 19-24-07 of these
regulations at intervals not to exceed twenty-four months from the date of the previous comprehensive inventory.
(d) Conduct a monthly inventory review of stored, usable marijuana.
(2) If an inventory conducted in response to subparagraph 1 of subdivision e of subsection 2 of section 19-24-07 of these
regulations identifies a discrepancy, the Department and appropriate local law enforcement authorities will be notified of the
discrepancy within twenty-four hours of discovery of the event.
(3) Documentation of all inventories conducted in response to subparagraph 1 of subdivision e of subsection 2 of section 19-24-
07 of these regulations shall include, as a minimum, the date of the inventory, a summary of the inventory findings and the
name, signature and title of the individual(s) who conducted the inventory.
f. Maximum amount of compassion center inventory. A registered compassion center:
(1) Shall possess no more than one thousand marijuana plants irrespective of the stages of growth.
(2) Shall possess no more than three thousand five hundred ounces of usable marijuana regardless of formulation.
(3) May not purchase usable marijuana or mature marijuana plants from any person other than another registered compassion
g. Inspection. Compassion centers are subject to random inspection by the Department.
(1) During an inspection, the department may review the compassion center’s confidential records, including its financial and
dispensing records, which may track transactions according to qualifying patient’s registry identification numbers to protect
their confidentiality and its security protocols.
(2) The Department will review the facility to ensure compliance with subsections 2 and 3 of section 19-24-07 of these regulations.
(3) The Department will inspect the facility for the presence of pesticides listed in subparagraph 4 of subdivision a of subsection
1 of section 19-24-07, fungus and molds.
(4) The Department will collect samples for random quality sampling by a laboratory selected by the Department.
(5) Sample results will be compared to compassion center test results.
(6) The compassion center will be invoiced for the cost of random sampling testing.
h. Dispensing marijuana.
(1) Design and security features of medical marijuana containers:
(a) Marijuana shall be dispensed in sealed, tamperproof containers clearly identified as having been issued by the
compassion center and that meet the requirements in subparagraph 7 of subdivision i of subsection 3 of section 19-
24-07 of these regulations.
b) Patients and designated caregivers should receive written instruction that the marijuana shall remain in this container
when it is not being prepared for ingestion or being ingested.
(2) No marijuana shall be dispensed unless or until the patient or caregiver identification card has been verified as valid in the
computer system identified in subparagraph 1 of subdivision d of subsection 2 of section 19-24-07 of these regulations.
(3) Maximum amount of usable marijuana to be dispensed.
(a) A compassion center or principal officer, board member, agent, volunteer or employee of a compassion center:
((1)) Shall not dispense, deliver or otherwise transfer marijuana to a person other than a qualifying patient who
has designated the compassion center as a primary caregiver or to such patient’s other primary caregiver.
((2)) Shall not dispense more than three ounces of usable marijuana to a qualifying patient directly or through a
qualifying patient’s caregiver during a fourteen day period.
((3)) Shall not dispense an amount of usable marijuana to a qualifying patient or a qualifying patient’s caregiver
that the compassion center principal officer, board member, agent, volunteer or employee knows would
cause the recipient to possess more marijuana than is permitted under the Act or these regulations.
(b) In addition to any other penalties that may be applicable under the Act or these regulations, any person found to
have violated subdivision h of subsection 2 of section 19-24-07 of these regulations is not eligible to be an
employee, agent, principal officer or board member of any compassion center and such person’s registry
identification card shall be immediately revoked.
3. Operations manual. A compassion center shall, as part of its initial application, provide to the Department a true, correct and current copy
of its operating manual, and shall maintain such operating manual in accordance with the Act and these regulations. Such manual shall
include, as a minimum, the following requirements:
a. Procedures for the oversight of the compassion center including, but not limited to, documentation of the reporting and management
structure of the compassion center;
b. Procedures for safely dispensing medical marijuana to registered qualifying patients or their registered primary caregiver;
c. Procedures to ensure accurate record keeping, including protocols to ensure that quantities purchased do not suggest re-distribution;
d. Employee security policies;
e. Safety and security procedures, including a disaster plan with procedures to be followed in case of fire or other emergencies;
f. Personal safety and crime prevention techniques;
g. A job description or employment contract developed for all employees and a volunteer agreement for all volunteers which includes
duties, responsibilities, authority, qualification and supervision;
h. The compassion center’s alcohol and drug free work place policy;
i. A description of the compassion center’s outreach activities to registered qualifying patients or their registered primary caregiver,
which shall, as a minimum, include:
(1) Providing each new registered patient who visits the compassion center with frequently asked questions, designed by the
Department, that explain the limitations on the right to use medical marijuana under state law;
(2) Ingestion options of usable marijuana provided by the compassion center;
(3) Safe smoking techniques shall be provided to registered qualifying patients; and
(4) Potential side effects and how this information shall be communicated.
j. A description of the packaging of the useable marijuana that the compassion center shall be utilizing, as a minimum, include:
(1) Employee security policies;
(2) Safety and security procedures, including a disaster plan with procedures to be followed in case of fire or other emergencies;
(3) Personal safety and crime prevention techniques;
(4) A job description or employment contract developed for all employees and a volunteer agreement for all volunteers which
includes duties, responsibilities, authority, qualification and supervision;
(5) The compassion center’s alcohol and drug free work place policy;
(6) A description of the compassion center’s outreach activities to registered qualifying patients or their registered primary
caregiver, which shall as a minimum include:
(a) Providing each new registered patient who visits the compassion center with frequently asked questions, designed
by the department, that explain the limitations on the right to use medical marijuana under state law;
(b) Ingestion options of usable marijuana provided by the compassion center;
(c) Safe smoking techniques that shall be provided to registered qualifying patients; and
(d) Potential side effects and how this information shall be communicated.
(7) A description of the packaging of the useable marijuana that the compassion center shall be utilizing which shall, as a
(a) The name of the strain, batch and quantity;
(b) The statement “this product is for medical use only, not for resale”; and
(c) Details indicating (1) the medical marijuana is free of contaminants and (2) the levels of active ingredients in the
product within plus or minus error of five percentage points.
(8) A description of the documentation that will accompany a registered compassion center agent when transporting marijuana
on behalf of the registered compassion center. The documentation must specify, at least, the amount of marijuana being
transported, the date the marijuana is being transported, the registry identification number of the registered compassion
center, and a contact number to verify that the marijuana is being transported on behalf of the registered compassion center.
(9) Detailed procedures regarding the testing of medical marijuana. As part of its initial application, a compassion center shall
provide to the Department detailed procedures regarding the testing of medical marijuana and shall adhere to such
procedures in connection with the operation of the compassion center. Such procedures shall include a description of how
the marijuana will be tested, including:
(a) Whether the testing will be conducted in house or through a contracted facility;
(b) How marijuana will be transported securely in connection with such testing;
(c) What tests are conducted, including what testing procedures are used;
(d) How results are tracked and how samples are disposed; and
(e) The selection process and the number of samples tested.
4. Required training. Each compassion center shall develop, implement and maintain on the premises an on-site training curriculum, or enter
into contractual relationships with outside resources capable of meeting employee, agent and volunteer training needs. Each employee,
agent or volunteer, at the time of initial appointment, shall receive, as a minimum, training in the following:
a. Professional conduct, ethics and state and federal laws regarding patient confidentiality;
b. Informational developments in the field of medical use of marijuana;
c. The proper use of security measures and controls that have been adopted; and
d. Specific procedural instructions for responding to an emergency, including robbery or violent accident.
a. Records: Each compassion center shall maintain:
(1) A personnel record for each employee, agent or volunteer for a period of at least six months after termination of the
individual’s affiliation with the compassion center. The record shall include, as a minimum, the following:
(a) An application for employment or to volunteer;
(b) A record of any disciplinary action taken;
(c) Documentation of all required training. Documentation shall include a signed statement from the individual indicating
the date, time and place of said training and topics discussed, including the name and title of presenters;
(2) A record of the source of any funds that will be used to open or maintain the compassion center, including the name, address
and date of birth of any investor contributing more than five thousand dollars; and
(3) A record of any instances in which a business or not-for-profit that any of the prospective board members managed or served
on the board of was convicted, fined, censured or had a registration or license suspended or revoked in any administrative
or judicial proceeding.
b. Registry identification cards and background checks for principal officers, board members, agents, volunteers or employees of a
(1) In response to the requirements of this rule, and upon the approval of the submitted application, the Department shall issue
a registry photo identification card to each principal officer, board member, agent, volunteer or employee of a compassion
center who is associated with the compassion center and meets the requirements under these regulations. In order for a
registry identification card to be obtained, the following items shall be submitted to the medical marijuana program.
(a) A certified copy of a birth record verifying that the applicant is at least twenty-one years of age;
(b) A reasonable photographic copy of the applicant’s North Dakota driver’s license or comparable state of North Dakota
or federal issued photo identification card verifying North Dakota residence; identification card must be available for
(c) A written and signed statement from an officer or executive staff member of the compassion center stating that the
applicant is associated with the compassion center and in what capacity;
(d) The name, address and telephone number of the applicant;
(e) The name, address and telephone number of the compassion center with which the agent is associated;
(f) The applicant’s signature and date;
(g) A non-refundable, non-returnable application or renewal fee of one hundred twenty-five dollars in the form of a check
made out to “North Dakota Department of Health, compassionate care program”.
(2) Each principal officer, board member, agent, volunteer or employee of a compassion center shall consent to a full nationwide
and statewide criminal history screening background check.
(a) Each applicant shall submit a full state of North Dakota criminal history screening check and a full nationwide criminal
history screening check to demonstrate compliance with the eligibility requirements of these regulations.
(b) All applicable fees associated with the required criminal history screening background checks shall be paid by the
compassion center or the applicant.
(c) Individuals convicted of a felony offense, within five years from the date of application, are prohibited from being a
compassion center agent.
(3) The Department may verify information on each application and the accompanying documentation as set forth in subsection
1 of section 19-24-04 of these regulations.
(4) The Department shall notify the compassion center in writing of the purpose for denying the registry identification card. The
state health officer or designee shall deny an application if the applicant fails to provide the information required or if the
department determines that the information provided is false. Denial of an application or renewal is considered a final
department action, subject to judicial review. Jurisdiction and venue for judicial review are vested in the district court.
(5) The Department shall issue each principal officer, board member, agent, volunteer or employee of a compassion center a
registry identification card within thirty days of receipt of the information required by subparagraphs 1 and 2 of subdivision b
of subsection 5 of section 19-24-07. The registry identification card shall contain such information as set forth in subdivision
b of subsection 5 of section 19-24-07 of these regulations.
(6) Each compassion center shall notify the department in writing within ten days of when a principal officer, board member,
agent, volunteer or employee ceases to work at the compassion center. The individual’s registry identification card shall be
deemed null and void and the individual shall be liable for any other penalties that may apply to the individual’s nonmedical
use of marijuana.
c. Expiration date of registry identification cards. The registry identification card of a principal officer, board member, agent, volunteer
or employee shall expire one year after its issuance or upon the expiration of the compassion center’s registration certificate,
whichever comes first.
6. Application for operation of a compassion center. Applicants shall only be accepted during an open application period announced by the
department and shall include the following items:
a. A non-refundable application fee, made payable to the “North Dakota department of health, compassionate care program”, in the
amount of five thousand dollars;
b. The proposed legal name, articles of incorporation and bylaws of the compassion center;
c. The proposed physical address(es) of the compassion center, including any additional address(es) to be used for the secure
cultivation of medical marijuana, and with the following details:
(1) If precise addresses are known, evidence of compliance to the following rules shall be included:
(a) Compliance to the local zoning laws for each physical address to be utilized as a compassion center or for the secure
cultivation of medical marijuana;
(b) Evidence that all of the physical addresses identified in this section are not located within one thousand feet of a
property line of a preexisting public or private school.
(2) If precise addresses have not been determined, identification of the general location(s) where it would be sited, and when
it would be established;
d. A description of the enclosed, locked facility, meeting all requirements of subsection 2 of section 19-24-07 that would be used in the
cultivation of marijuana, including steps to ensure that the marijuana production shall not be visible from the street or other public
e. Evidence of the compassion center’s not-for-profit status, which can be:
(1) Documentation of recognition as a tax-exempt organization by the United States Internal Revenue Service; or
(2) Other written materials which will allow the department to determine the compassion center’s ability to comply with the
f. The name, address, and date of birth of each principal officer and board member of the compassion center;
g. A description of proposed security and safety measures, which demonstrate compliance with subsection 2 of section 19-24-07 of
h. A draft operations manual, which demonstrates compliance with subsection 3 of section 19-24-07 of these regulations;
i. An example of the design and security features of medical marijuana containers which demonstrates compliance with subdivision
h of subsection 2 of section 19-24-07 of these regulations;
j. A list of all persons or business entities having direct or indirect authority over the management or policies of the compassion center;
k. A list of all persons or business entities having five percent or more ownership in the compassion center, whether direct or indirect
and whether the interest is in profits, land or building, including owners of any business entity which owns all or part of the land or
l. The identities of all creditors holding a security interest in the premises, if any.
7. Complete application required. Only applications, which the Department has determined to be complete, shall be eligible for review.
8. Compassion center application review criteria. The Department shall evaluate applications for a compassion center registration certificate
using an impartial and numerically scored competitive bidding process developed by the Department. The Department shall consider the
a. Documentation of not-for-profit status, consistent with subdivision e of subsection 5 of section 19-24-07 of these regulations;
b. The suitability of the proposed location or locations, including but not limited to compliance with any local zoning laws and the
geographic convenience to patients from throughout the state of North Dakota to compassion centers if the applicant were approved;
c. The principal officer and board members’ character and relevant experience, including any training or professional licensing related
to medicine, pharmaceuticals, natural treatments, botany, food science, food safety or marijuana cultivation and preparation and
their experience running business or not-for-profit entities;
d. The proposed compassion center’s plan for operations and services, including its staffing and training plans, whether it has sufficient
capital to operate and its ability to provide an adequate supply and variety of medical marijuana and medical marijuana based
products to the registered patients in the state;
e. The sufficiency of the applicant’s plans for record keeping;
f. The sufficiency of the applicant’s plans for safety, security and the prevention of diversion, including proposed locations and security
g. The applicant’s plan for making medical marijuana available on an affordable basis to registered qualifying patients enrolled in
Medicaid or receiving supplemental security income or social security disability insurance;
h. The applicant’s plan for safe and accurate packaging and labeling of medical marijuana, which shall include, without limitations,
these minimum requirements for packaging and labeling:
(1) The name of the strain, batch, and quantity of the medical marijuana;
(2) A statement providing that “this product is for medical use only, not for resale”;
(3) Details indicating the medical marijuana is free of contaminants; and
(4) Details indicating the levels of active ingredients in the product.
i. The applicant’s plan for testing medical marijuana for contaminants and potency of active ingredients; and
j. The applicant’s ability to grow marijuana without use of pesticides.
9. Issuance of a registration certificate authorizing operation of a compassion center. When an applicant to operate a compassion center is
notified that the department has approved its application, it shall submit the following additional items to the department before the
registration certificate authorizing operation of a compassion center will be issued.
a. A certification fee, made payable to the “North Dakota Department of Health, compassion care program”, in the amount of twentyfive
b. The legal name, articles of incorporation, and bylaws of the compassion center;
c. The physical address of the compassion center and any additional address(es) to be used for the secure cultivation of marijuana,
(1) Evidence demonstrating the following:
(a) Compliance with all local zoning laws for each physical address to be utilized as a compassion center or for the
secure cultivation of medical marijuana; and
(b) That none of the physical addresses identified in subdivision c of subsection 9 of section 19-24-08 of these regulations are
located within one thousand feet of the property line of preexisting public or private schools;
(2) It is not necessary to resubmit any information provided in response to subparagraph 1 of subdivision c of subsection 6 of
section 19-24-07 of these regulations unless there has been a change in that information;
d. Any updates to previously submitted information including, but not limited to, information about officers, principals, board members,
agents, employees, and compliance with subsections 2 and 3 of section 19-24-08 of these regulations;
e. A current certificate of occupancy, or equivalent document, to demonstrate compliance with the provisions of the state fire code for
each physical address to be utilized as a compassion center or for the secure cultivation of medical marijuana.
10. Expiration, termination, or renewal of a registration certificate.
a. Expiration: A compassion center’s registration shall expire two years after its registration certificate is issued. The compassion
center may submit a renewal application at any time beginning ninety days prior to the expiration of its registration certificate. Such
renewal application must be submitted a minimum of thirty days prior to the expiration of its registration certificate to avoid suspension
of the certificate.
b. Renewal: The department shall grant a compassion center’s renewal application within thirty days of its submission if the following
conditions are all satisfied.
(1) The compassion center submits materials required under subsection 9 of section 19-24-07 of these regulations, including a
twenty-five thousand dollar fee, which shall be refunded if the renewal application is rejected;
(2) The department has not ever suspended the compassion center’s registration for violations of the Act or these regulations;
(3) Inspections conducted pursuant to the Act and these regulations do not raise any serious concerns about the continued
operation of the registered compassion center applying for renewal;
(4) The applicant continues to meet all of the requirements for the operation of a compassion center as set forth in the Act and
in these regulations.
c. Suspension: The department will suspend a registration certificate authorizing the operation of a compassion center, with or
without notice, for any violation of an applicable law or regulation.
d. Termination: Upon receipt of written notice that a registration certificate has been terminated, the compassion center has thirty
business days to request, in writing, a hearing, for the purpose of review of such action. The hearing process shall follow the
procedures in subsection 8 through subsection 17 of section 19-24-09 of these regulations:
(1) A written decision will be issued by the department within thirty days of the completion of the hearing. The decision will lift
the suspension or terminate a registration certificate. The written decision will state with specificity the reasons for the
(2) The termination of a registration certificate is a final decision of the department, subject to judicial review. Jurisdiction and
venue are vested in the district court.
11. Non-transferable registration certificate authorizing operation of a compassion center.
a. A registration certificate authorizing operation of a compassion center shall not be transferred by assignment or otherwise to other
persons or locations. Unless the compassion center applies for and receives an amended registration certificate authorizing operation
of a compassion center, the registration certificate shall be void and returned to the department when one or more of the following
(1) A change in ownership of the compassion center;
(2) A change in one or more authorized physical locations; or
(3) The compassion center discontinues its operation.
b. A compassion center shall provide the department with a written notice of any change described in subsection 11 of section 19-24-
07 of these regulations at least sixty days prior to the proposed effective date of the change. The department may waive all or part
of the required advance notice to address emergent or emergency situations.
c. Transactions which usually do not constitute a change of ownership include the following:
(1) Changes in the membership of the board of directors or board of trustees; or
(2) Two or more legal entities merge and the entity to whom the registration certificate authorizing operation of a compassion
center was issued survives.
d. Management agreements are generally not considered a change in ownership if the entity to whom the registration certificate
authorizing operation of a compassion center was issued continues to retain ultimate authority for the operation of the compassion
center; however, if the ultimate authority is surrendered and transferred from the entity to whom the registration certificate authorizing
operation of a compassion center was issued to a new manager, then a change of ownership has occurred.
19-24-08. Cultivation and growing of marijuana.
1. If the qualifying patient’s home is located more than forty miles from the nearest compassionate care center, the qualified patient or designated
caregiver may cultivate up to eight marijuana plants in an enclosed, locked facility.
2. The enclosed, locked facility shall not be within one thousand feet of a public school.
3. The qualified patient or designated caregiver must give local law enforcement officials a notice of intent to grow marijuana in an enclosed,
locked facility. The notice must include qualified patient name, a copy of the written certification from the physician, and the address of the
location where the marijuana will be cultivated.
19-24-09. On-site visits/interviews.
1. The Department or its designee may perform on-site interviews of a qualified patient or primary caregiver to determine eligibility for the
program. The Department may enter the premises of a qualified patient or primary caregiver during business hours for purposes of
interviewing a program applicant. Twenty-four hours’ notice will be provided to the qualified patient or primary caregiver prior to an on-site
2. All qualified patients or primary caregivers shall provide the Department or the department’s designee immediate access to any material
and information necessary for determining eligibility with these requirements.
3. Failure by the qualified patient or primary caregiver to provide the Department access to the premises or information may result in action
up to and including the revocation of the qualified patient or primary caregiver registry identification card and referral to state law
4. Any failure to adhere to these rules, documented by the Department during an interview, may result in sanction(s), including suspension,
revocation, non-renewal or denial of licensure and referral to state or local law enforcement.
5. The Department shall refer credible criminal complaints against a qualified patient or primary caregiver to the appropriate North Dakota
state or appropriate local authorities.
6. Corrective action:
a. If violations of these requirements are cited as a result of monitoring, the qualified patient or primary caregiver shall be provided with
an official written report of the findings following the monitoring visit.
b. Unless otherwise specified by the Department, the qualified patient or primary caregiver shall correct the violation within five calendar
days of receipt of the official written report citing the violation(s).
c. The violation shall not be deemed corrected until the Department verifies in writing after receiving notice of the corrective action that
the corrective action is satisfactory.
d. If the violation has not been corrected, the department may issue a notice of contemplated action to revoke the qualified patient’s
or designated caregiver’s registry identification card.
e. Suspension of registry identification card without prior hearing: If immediate action is required to protect the health and safety of the
general public, the department may suspend the qualified patient or designated caregiver registry identification card without notice.
(1) A qualified patient or primary caregiver whose registry identification card has been summarily suspended is entitled to a
record review not later than thirty calendar days after the registry identification card was summarily suspended.
(2) The record review requested subsequent to a summary suspension shall be conducted by the department.
(3) The Department shall conduct the record review on the summary suspension by reviewing all documents submitted by both
card holder and the department.
(4) The sole issue at a record review on a summary suspension is whether the card holder’s registry identification card shall
remain suspended pending a final adjudicatory hearing and ruling.
(5) A card holder given notice of summary suspension by the Department may submit a written request for a record review. To
be effective, the written request shall:
(a) Be made within thirty calendar days, as determined by the postmark, from the date of the notice issued by the
(b) Be properly addressed to the medical marijuana program;
(c) State the applicant’s name, address and telephone number(s);
(d) Provide a brief narrative rebutting the circumstances of the suspension; and
(e) Additional documentation must be included with the request for a record review.
7. Summary suspension. Revocation and appeal process:
a. Participation in the medical marijuana program by a qualified patient or primary caregiver does not relieve the qualified patient or
primary caregiver from:
(1) Criminal prosecution or civil penalties for activities not authorized in this rule and Act;
(2) Liability for damages or criminal prosecution arising out of the operation of a vehicle while under the influence of marijuana;
(3) Criminal prosecution or civil penalty for possession, distribution or transfers of marijuana or use of marijuana;
(a) In a school bus or public vehicle;
(b) On school grounds or property;
(c) In the workplace of the qualified patient’s or primary caregiver’s employment;
(d) At a public park, recreation center, youth center or other public place;
(e) To a person not approved by the department pursuant to this rule;
(f) Outside North Dakota or attempts to obtain or transport marijuana from outside North Dakota; or
(g) That exceeds the allotted amount of usable medical use marijuana.
b. Revocation of registry identification card: Violation of any provision of this rule may result in either the summary suspension of the
qualified patient’s or primary caregiver’s registry identification card, or a notice of contemplated action to suspend or revoke the
qualified patient’s or primary caregiver’s registry identification card, and all lawful privileges under the Act.
c. Grounds for revocation or suspension of registry identification card, denial of renewal application for registry identification card. A
registry identification card may be revoked or suspended, and a renewal application may be denied for:
(1) Failure to comply with any provisions of these requirements;
(2) Failure to allow a monitoring visit by authorized representatives of the department;
(3) The discovery of repeated violations of these requirements during monitoring visits.
8. Request for hearing: A qualified patient or primary caregiver whose registry identification card has been summarily suspended, or who has
received a notice of contemplated action to suspend or revoke, may request a hearing, in addition to a request for a record review, for the
purpose of review of such action. The request for hearing shall be filed within thirty calendar days of the date the action is taken or the
notice of contemplated action is received. The request shall include the following:
a. A statement of the facts relevant to the review of the action;
b. A statement of the provision of the Act and the rules promulgated under the Act that are relevant to the review of the action;
c. A statement of the arguments that the qualified patient/primary caregiver considers relevant to the review of the action; and
d. Any other evidence considered relevant.
9. Hearing process:
a. All formal adjudicatory hearings held in response to these regulations shall be conducted by a hearing officer duly appointed by the
State Health Officer.
b. Except for telephonic hearings, hearings shall be conducted in Bismarck at the state Department of Health or, upon written request
by an aggrieved person, in the place or area affected.
c. All hearings held pursuant to this section shall be open to the public.
d. The hearing shall be recorded on audiotape or other means of sound reproduction, or by a certified court reporter. The decision as
to the type of recording shall be at the discretion of the department.
e. Any hearing provided for in this rule may be held telephonically, in the interest of a speedy resolution.
f. The Department shall schedule and hold the hearing as soon as practicable, however, in any event no later than sixty calendar days
from the date the department receives the request for hearing. The hearing officer shall extend the sixty-day time period upon motion
for good cause shown or the parties shall extend the sixty day time period by mutual agreement. The Department shall issue notice
of hearing, not less than twenty days prior to the hearing, which shall include:
(1) A statement of the time, place and nature of the hearing;
(2) A statement of the legal authority and jurisdiction under which the hearing is to be held;
(3) A short and plain statement of the matters of fact and law asserted;
(4) Notice to any other parties to give prompt notice of issues controverted in fact or law; and
(5) All necessary telephone numbers if a telephonic hearing shall be conducted.
10. All parties shall be given the opportunity to respond and present evidence and argument on all relevant issues.
11. Record of proceeding: The record of the proceeding shall include the following:
a. All pleadings, motions and intermediate rulings;
b. Evidence received or considered;
c. A statement of matters officially noticed;
d. Questions and offers of proof, objections and rulings thereon;
e. Proposed findings and conclusions; and
f. Any action recommended by the hearing officer.
12. A party may request a transcription of the proceedings. The party requesting the transcript shall bear the cost of transcription.
13. Procedures and evidence:
a. Any party shall be represented by a person licensed to practice law in North Dakota or an individual may represent him or herself.
b. The rules of evidence as applied in the courts do not apply in these proceedings. Any relevant evidence shall be admitted and such
evidence shall be sufficient in itself to support a finding if the evidence is reliable, regardless of the existence of any statutory or
common law rule that shall make admission of such evidence improper in a civil action. Irrelevant, immaterial or unduly repetitious
evidence shall be excluded at a party’s request or on the hearing officer’s own initiative.
c. Documentary evidence shall be received in evidence in the form of true copies of the original.
d. Documentary and other physical evidence shall be authenticated or identified by any reasonable means that shows that the matter
in question is what the proponent claims it to be.
e. The experience, technical competence and specialized knowledge of the hearing officer, the Department or the department’s staff
shall be used in the evaluation of evidence.
f. Evidence on which the hearing officer shall base his or her decision is limited to the following:
(1) All evidence, including any records, investigation reports and documents in the department’s possession of which the
department desires to avail itself as evidence in making a decision that is offered and made a part of the record of the
(2) Testimony and exhibits introduced by the parties.
g. The record shall include all briefs, proposed findings and exceptions and shall show the ruling on each finding, exception or
h. A party to a hearing shall submit to the hearing officer, and to all other parties to the hearing, all documents to be introduced at the
hearing no later than five business days from the scheduled hearing date to ensure the hearing officer and other parties receive the
documents prior to the hearing.
i. The Department may choose to:
(1) Issue subpoenas for witnesses and other sources of evidence, either on the agency’s initiative or at the request of any party;
(2) Administer oaths to witnesses; limit unduly repetitive proof, rebuttal and cross-examination.
14. Conduct of proceeding: Unless the hearing officer reasonably determines a different procedure is appropriate, the hearing shall be conducted
in accordance with the procedures set forth in this rule. The following procedures shall apply:
a. The Department shall present an opening statement on the merits and the cardholder shall make a statement of the defense or
reserve the statement until presentation of that party’s case;
b. After the opening statements, if made, the department shall present its case in chief in support of the department’s petition;
c. Upon the conclusion of the department’s case, the cardholder shall present its case in defense;
d. Upon conclusion of the cardholder’s case, the Department shall present rebuttal evidence;
e. After presentation of the evidence by the parties, the Department shall present a closing argument; the cardholder then shall present
its closing argument and the department shall present a rebuttal argument; and
f. Thereafter, the matter shall be submitted for recommendation by the hearing officer.
15. Continuances: The hearing officer shall not grant a continuance except for good cause shown. A motion to continue a hearing shall be
made at least ten calendar days before the hearing date.
16. Telephonic hearings:
a. Any party requesting a telephonic hearing shall do so within ten business days of the date of the notice. Immediately after the parties
agree to conduct the hearing by telephone, notice of the telephonic hearing shall be made to all parties and shall include all necessary
b. Any party that has agreed to a telephonic hearing, but subsequently requests an in-person hearing shall do so in writing to the
hearing officer no later than ten calendar days before the scheduled date of the hearing. The decision to grant or deny the request
for an in-person hearing shall be at the discretion of the hearing officer for good cause shown. The hearing officer’s decision to grant
or deny the hearing shall be issued in writing and shall include the specific reasons for granting or denying the request. Should the
hearing officer grant the request, the hearing shall be rescheduled to a time convenient for all parties. Should the hearing officer
deny the request, the telephonic hearing shall proceed as scheduled.
c. The location or locations of the parties during the hearing shall have a speaker telephone and facsimile machine available so that
all shall hear the proceedings and documents shall be transmitted between witnesses and the hearing officer.
d. The cardholder shall initiate the telephone call. The department is responsible for ensuring the telephone number to the department’s
location for the telephonic hearing is accurate and the department representative is available at said telephone number at the time
the hearing is to commence. Failure to provide the correct telephone number or failure to be available at the commencement of the
hearing shall be treated as a failure to appear and shall subject the petitioner to a default judgment.
e. The in-person presence of some parties or witnesses at the hearing does not prevent the participation of other parties or witnesses
by telephone with prior approval of the hearing officer.
17. Recommended action and final decision:
a. At the request of the hearing officer or upon motion by either party granted by the hearing officer, and before the hearing officer
recommends action by the secretary, the parties shall submit briefs including findings of fact and conclusions of law for consideration
by the hearing officer. The hearing officer holds the discretion to request briefs or grant a motion to submit briefs on any point of
law deemed appropriate by the hearing officer. Briefs submitted shall include supporting reasons for any findings or legal conclusions
and citations to the record and to relevant law. Should the hearing officer request briefs or grant a party’s motion to submit briefs,
the hearing shall be continued until the hearing officer has given the briefs sufficient consideration and brings the hearing to a close.
The hearing, however, shall be completed no later than forty-five calendar days from the date of continuance.
b. No more than thirty calendar days after completion of the hearing, the hearing officer shall prepare a written decision containing
recommendation of action to be taken by the secretary. The recommendation shall propose to sustain, modify or reverse the initial
decision of the department or the department’s agent.
c. The secretary shall accept, reject or modify the hearing officer’s recommendation no later than ten calendar days after receipt of
the hearing officer’s recommendation. The final decision or order shall be issued in writing and shall include:
(1) A brief summary of the evidence;
(2) A statement of findings of fact based upon the evidence;
(3) Conclusions and the reasons thereof, on all material issues of fact, law or discretion involved;
(4) Any other conclusions required by law of the department; and
(5) A concise statement of the department’s specific determination or action taken to sustain, modify or reverse the initial
decision of the department or the department’s agent.
d. Service shall be made by registered or certified mail.
e. The final decision or order shall be public information and shall become a part of the record.
In the event any particular clause or section of these regulations should be declared invalid or unconstitutional by any court of competent jurisdiction,
the remaining portions shall remain in full effect.
19-24-11. Privacy of the compassionate care Act records and paperwork.
The Department cannot release any records, paperwork, or details of any applicant, card holder, compassionate care agent, or registered
designated caregiver without their written permission except as necessary for authorized employees of the department to perform official
duties of the department. In the event written permission is given to the department, the department is only allowed to give out the information
requested for a thirty-day period.
1. Annual report. The Department shall submit to the legislature an annual report that does not disclose any identifying information about
cardholders, compassionate care centers or physicians but contains at least all of the following information:
a. The number of registry identification card applications and renewals.
b. The number of qualifying patients and designated caregivers approved in each county.
c. The nature of the debilitating medical condition(s) of the qualifying patients.
d. The number of registry identification cards revoked.
e. The number of physicians providing written certifications for qualifying patients.
f. The number of registered nonprofit, compassionate care centers.
19-24-12. Facility restrictions.
1. Any nursing care institution, hospice, assisted living center, assisted living facility, assisted living home, residential care institution,
adult day health care facility or adult foster care home licensed in the state of North Dakota may adopt reasonable restrictions on the
use of marijuana by their residents or persons receiving inpatient services, including:
a. That the facility will not store or maintain the patient’s supply of marijuana.
b. That the facility, caregivers or hospice agencies serving the facility’s residents are not responsible for providing the marijuana for
c. That marijuana can be consumed by a method other than smoking.
d. That marijuana is consumed only in a place specified by the facility.
2. Nothing in the section requires a facility listed in subsection 1 to adopt restrictions on the medical use of marijuana.
3. A facility listed in subsection 1 may not unreasonably limit a registered, qualifying patient’s access to or use of marijuana authorized
under this chapter unless failing to do so would cause the facility to lose a monetary or licensing-related benefit under federal law or
19-24-13. Compassionate care fund – Private donations.
1. The compassionate care fund is established consisting of fees collected, civil penalties imposed and private donations received under this
chapter. The Department shall administer the fund. Monies in the fund are continuously appropriated.
2. The State Health Officer may accept and spend private grants, gifts, donations, contributions and devises to assist in carrying out the
provisions of this chapter, including but not limited to providing funds for the individuals who are financially distressed for purchase of
medical cannabis products.
3. Monies in the compassionate care fund do not revert to the state of North Dakota’s general fund at the end of the fiscal year