19 CSR 20-51.010
Hemp Extract Registration Card
PURPOSE: This rule establishes the application process for a hemp extract registration
card.
PUBLISHER’S NOTE: The secretary of state
has determined that the publication of the
entire text of the material which is incorporated by reference as a portion of this rule
would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the
agency at its headquarters and shall be made
available to the public for inspection and
copying at no more than the actual cost of
reproduction. This note applies only to the
reference material. The entire text of the rule
is printed here.
(1) Definitions. For the purposes of this rule,
the following definitions apply:
(A) “Applicant,” a Missouri resident eighteen (18) years of age or older with intractable
epilepsy or a Missouri resident eighteen (18)
years of age or older who is the parent or legal
guardian responsible for the medical care of a
minor with intractable epilepsy, who is applying for a hemp extract registration card under
this rule;
(B) “Department,” the Department of
Health and Senior Services;
(C) “Hemp extract,” an extract from a
cannabis plant or a mixture or preparation
containing cannabis plant material that—
1. Is composed of no more than three
tenths percent (0.3%) tetrahydrocannabinol
by weight;
2. Is composed of at least five percent
(5%) cannabidiol by weight; and
3. Contains no other psychoactive substance.
(D) “Hemp extract registration card,” a
card issued by the department under section
192.945, RSMo;
(E) “Intractable epilepsy,” epilepsy that, as
determined by a neurologist, does not respond
to three (3) or more treatment options overseen by the neurologist;
(F) “Neurologist,” a physician who is
licensed under Chapter 334, RSMo, and
board certified in neurology;
(G) “Parent,” a parent or legal guardian of
a minor who is responsible for the minor’s
medical care;
(H) “Registrant,” an individual to whom
the department issues a hemp extract registration card under section 192.945, RSMo.
(2) Requirements for All Applicants.
(A) No person shall engage in any activity
for which registration is required until the
application for registration has been processed and the hemp extract registration card
has been issued.
(B) Applications for registration and
renewal shall be made on forms designated by
the department.
(C) Applications shall contain the original
signature of the applicant and shall be provided to the department.
(D) An application which does not contain
or is not accompanied by the required information may be denied sixty (60) days after
notifying the applicant of the deficiency.
(E) An application may be withdrawn by
making a written request to the department.
(F) All applicants shall provide full, true,
and complete answers on the application.
(3) Applications for Individual Registrations.
Missouri residents eighteen (18) years of age
or older who suffer from intractable epilepsy
may apply for a hemp extract registration card.
The application shall be made by completing
the Missouri Hemp Extract Registration Card
Application incorporated by reference in this
rule as published by the department in October
2014 and available on the department’s website
at health.mo.gov or by contacting the department at PO Box 570, Jefferson City, MO
65102-0570. This rule does not incorporate
any subsequent amendments or additions. A
complete application shall also include:
(A) A copy of the applicant’s valid photo
identification; and
(B) A completed Missouri Hemp Extract
Registration Card Neurologist Certification
form as published by the department in October 2014 and available on the department’s
website at health.mo.gov or by contacting the
department at PO Box 570, Jefferson City,
MO 65102-0570. This rule does not incorporate any subsequent amendments or additions.
The certification shall be consistent with a
record from the neurologist attached to the
Hemp Extract Card Registration Application.
(4) Applications by Parents or Legal Guardians
of Minors. A Missouri resident eighteen (18)
years of age or older who is the parent or legal
guardian who is responsible for the medical
care of a minor with intractable epilepsy may
apply for a hemp extract registration card. The
application shall be made by completing the
Missouri Hemp Extract Registration Card
Application incorporated by reference in this
rule as published by the department in October 2014 and available on the department’s
website at health.mo.gov or by contacting the
department at PO Box 570, Jefferson City,
MO 65102-0570. This rule does not incorporate any subsequent amendments or additions.
A complete application shall also include:
(A) A copy of the parent’s or legal
guardian’s valid photo identification; and
(B) A completed Missouri Hemp Extract
Registration Card Neurologist Certification
form as published by the department in October 2014 and available on the department’s
website at health.mo.gov or by contacting the
department at PO Box 570, Jefferson City,
MO 65102-0570. This rule does not incorporate any subsequent amendments or additions. The certification shall be consistent
with a record from the neurologist attached to
the Hemp Extract Card Registration Application.
(5) Hemp extract registrants may possess up
to twenty (20) ounces of hemp extract. A registrant or applicant may request a waiver to
the twenty (20) ounce limit by submitting a
completed Missouri Hemp Extract Registration Card Certification for Waiver form as
published by the department in October 2014
and available on the department’s website at
health.mo.gov or by contacting the department at PO Box 570, Jefferson City, MO
65102-0570. This rule does not incorporate
any subsequent amendments or additions.
(6) Registrants shall—
(A) Show their hemp extract registration
card to the dispensing facility in order to
obtain hemp extract, and allow the facility to
make a photocopy of it; and
(B) Provide their hemp extract registration
card to law enforcement upon request.
(7) Registrants shall not sell or otherwise
transfer hemp extract or a hemp extract registration card to others except as authorized
by law.
(8) Renewals. Registration cards shall be valid
for one (1) year from the date of issuance and
may be renewed if the registrant meets the
requirements in this rule for an initial registration. A waiver issued pursuant to this rule
is valid through the end of the registration
period during which it was issued.
(9) Registration Card. The hemp extract registration card issued by the department shall
contain the following information at minimum:
(A) The registration number;
(B) The registration expiration date;
(C) The registrant’s name, date of birth,
address, telephone number, and email address;
(D) The minor’s name and date of birth if
the registrant is the parent or legal guardian
responsible for the medical care of the minor
with intractable epilepsy;
(E) If applicable, indication that the registrant has a waiver under section 195.207.4,
RSMo, allowing possession of more than
twenty (20) ounces of hemp extract;
(F) This statement: This card shall not be
transferred or altered; and
(G) This statement: This card certifies that
the registrant has complied with the requirements for obtaining a hemp extract registration card under section 192.945, RSMo, and
if noted on this card, the requirements for
obtaining a waiver under section 195.207.4,
RSMo. This card does not certify that the
registrant is in compliance with any other
laws and does not authorize the registrant to
violate any laws.
(10) The department may deny or revoke a
hemp extract registration card if—
(A) The applicant or registrant does not
comply with section 192.945, RSMo, or this
rule;
(B) The applicant or registrant supplies
false or fraudulent information or documentation to the department;
(C) The applicant or registrant fails to notify the department within thirty (30) days of
any change in legal name or address of the
applicant, registrant, or patient;
(D) The applicant or registrant fails to notify the department within thirty (30) days that
the applicant, registrant, or patient no longer
meets the requirements for obtaining or holding a hemp extract registration card; or
(E) The registrant or another has altered
the hemp extract registration card.
AUTHORITY: section 192.945, RSMo Supp.
2014, and section 192.006, RSMo 2000.*
Emergency rule filed Oct. 8, 2014, effective
Oct. 18, 2014, expired April 15, 2015. Original rule filed Oct. 8, 2014, effective March
30, 2015.
*Original authority: 192.006, RSMo 1993, amended 1995.
Public Health