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On May 22, 2003 – Maryland became the ninth state to legalize the medical use of . Governor Robert L. Ehrlich, Jr. signed a bill (which went into effect on October 1, 2003), that applies to defendants possessing less than one ounce of and who can prove they used out of medical necessity and with a doctor’s recommendation. Under Maryland’s medical law, patients are protected from a criminal record and possible imprisonment. The maximum penalty for possession of by a patient with a valid doctor’s recommendation is $100. Ehrlich, the first Republican governor to sign a bill relaxing penalties for medicinal use of , signed the measure despite intense pressure from the Bush administration to veto it.

Recently, Frederick County Circuit Court Judge John H. Tisdale granted “probation before judgment” to a woman charged with possession. A letter from the woman’s physician proved her medical necessity both to the court and to the assistant state’s attorney. The medical patient was then granted one year of probation and was not fined. Under Maryland law, if she avoids legal trouble for the duration of her probation, the charges will be dropped entirely. If, however, she violates her probation, the maximum penalty for her medical use remains at $100, with no possible jail time.
II. Becoming A Patient

Since Maryland only provides an affirmative defense in court for medical patients, there is no real process for becoming a patient other than receiving a valid doctor’s recommendation. Therefore, there is no registration fee, identification card, or list of eligible medical conditions provided. Additionally, Maryland’s medical law does not state what is considered to be valid written documentation to prove eligibility, or find a physician to recommend medical .
A. Age Limits

Age limits are not addressed under Maryland’s medical law.
B. Personal Records

Americans for Safe Access strongly urges all patients to keep copies of all paperwork they have related to their status as a medical patient as proof of legal status. This is meant to protect patients from possible future encounters with law enforcement agents.
III. Limitations and Protections under the Initiative

Under MCL § 5-601 (2004), in a prosecution for the use or possession of , the defendant may introduce and the court shall consider as a mitigating factor any evidence of medical necessity. If the court finds that the person used or possessed because of medical necessity, on conviction of a violation of this section, the maximum penalty that the court may impose on the person is a fine not exceeding $100.

Additionally, in a prosecution involving drug paraphernalia related to , the defendant may introduce and the court shall consider as a mitigating factor any evidence of medical necessity.
A. Possession, Growing, and Consumption Limitations

Maryland’s medical law only protects patients who possess less than one ounce of with a doctor’s recommendation. No additional provisions are given concerning the growing or consumption of for medical reasons.
B. Paraphernalia associated with medical use

Maryland’s medical law further states that: “if the court finds that the person used or possessed drug paraphernalia related to because of medical necessity, the maximum penalty that the court may impose on the person is a fine not exceeding $100.”
C. Access to Medical

No provision is made in Maryland’s medical law for accessibility of medical to patients. This includes the absence of any mention of growing/dispensing collectives and cooperatives.
D. Caregivers

No mention of caregivers is made in Maryland’s medical law.
E. Housing and Employment

Maryland’s medical law does not discuss whether patients are protected from punitive consequences for their conduct as a patient in either their housing or employment situations.
F. Reciprocity

Maryland Residents: Maryland currently has no reciprocity agreements with other states to honor Maryland’s medical patients. This includes even those states that currently have medical laws of their own. However, in Montana, medical patients from other states who are valid medical patients under that state’s law are protected under Section 4(8) of the Montana Medical Act [Sec. 50-46-201(8), MCA]. A registry identification card or its equivalent issued by another state government to permit the medical use of by a qualifying patient or to permit a person to assist with a qualifying patient’s medical use of has the same force and effect as a registry identification card issued by the Department of Public Health and Human Services in Montana. Therefore, medical patients from Maryland should be protected in Montana under Montana state law. See the Montana Patients Guide for details on the protections and limitations that Montana state law affords medical patients.

In states with no medical program, use, regardless of a doctor’s recommendation, is illegal. Medical patients may be arrested and charged with civil or criminal offenses in those states.
G. Law Enforcement

Maryland’s medical law is also void of any provisions regarding law enforcement. This includes protections afforded to patients, punitive liability for patients (other than a $100 fine), and state liability regarding medical .
H. Confidentiality

The issue of confidentiality is not discussed under Maryland’s medical law.
I. Insurance

The issue of insurance coverage is not discussed under Maryland’s medical law.
Source : www.safeaccessnow.org

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