Loading...
CC 2017-06-27_11a Policy Direction_Non Medical Marijuana MEMORANDUM TO: CITY COUNCIL FROM: JAMES A. BERGMAN, CITY MANAGER TERESA MCCLISH, COMMUNITY DEVELOPMENT DIRECTOR BEAU PRYOR, ACTING CHIEF OF POLICE SUBJECT: CONSIDERATION OF A STAFF PRESENTATION, RECEIVE PUBLIC COMMENT, AND PROVIDE KEY POLICY DIRECTION TO STAFF CONCERNING THE DEVELOPMENT OF LOCAL REGULATIONS FOR NON-MEDICAL MARIJUANA INCLUDING LAND USES UNDER THE CONTROL, REGULATE, AND TAX ADULT USE OF MARIJUANA ACT DATE: JUNE 27, 2017 ISSUE: Although soon to be allowed and regulated by State law as a result of the adoption of Proposition 64, the City has not yet considered the need for local regulations for land uses associated with the adult use of non-medical marijuana. Potential land uses that may be allowed by the State if such uses are not regulated or prohibited by a city include personal indoor and outdoor cultivation, commercial indoor and outdoor cultivation, distribution facilities, delivery services, retail sales, testing laboratories, and manufacturing facilities. Although the City’s zoning ordinance only allows those uses expressly identified, the lack of established City policy can create situations that may be detrimental to the public health, safety, and welfare. Direction from the Council will allow staff to develop draft regulations that can be reviewed by the Planning Commission and considered for adoption by the Council. RECOMMENDATION: It is recommended that the City Council: 1) receive an analysis of issues including preliminary recommendations from staff, 2) receive public comment, and 3) direct staff to develop an ordinance regulating personal indoor cultivation and restricted deliveries in a manner similar to the City’s medical marijuana regulations and prohibit all other non-medical marijuana related land uses at this time. BACKGROUND: In November 2016, California voters approved Proposition 64 (57.1% Yes and 42.9% No), the Control, Regulate, and Tax Adult Use of Marijuana Act (AUMA). The stated purpose of the AUMA is to establish a comprehensive system to legalize, control and regulate the cultivation, processing, manufacturing, distribution, testing, and sale of non- Item 11.a. - Page 1 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 2 medical marijuana, including marijuana products, for use by adults 21 years of age and older, and to tax the commercial growth and retail sale of marijuana. The AUMA creates a statewide licensing and regulatory program for non-medical commercial marijuana businesses, including retail sales, cultivators, manufacturers, distributors, and testing labs. The licensing program is similar to the laws adopted in 2015 relating to medical marijuana, and such businesses will need State licenses in order to operate. Such licenses are to be issued by the State by January 1, 2018. A key aspect of the AUMA is the retention of local control by cities. This local control component is broadly crafted and includes the ability for a city to develop regulations that range from prohibiting most activities to regulating land uses through zoning or other local licensing processes. Under the AUMA, the State cannot issue licenses that are contrary to these local regulations. ANALYSIS OF ISSUES: The AUMA gives cities the ability to determine the appropriateness of land uses related to personal cultivation and commercial cultivation, processing, and sales of non-medical marijuana. Under the AUMA, cities can no longer ban indoor cultivation for non-medical use and must allow cultivation of up to six plants per residence. The City may permit this use through “reasonable” regulation. Cities retain the authority to regulate and ban all other cultivation and commercial marijuana activities. Key Questions for Direction 1. Does the City want to establish regulations on the personal indoor cultivation of non-medical marijuana? 2. Does the City want to allow the personal outdoor cultivation of non-medical marijuana? a. If personal outdoor cultivation of non-medical marijuana is to be permitted by the City, what level and topics of regulations should be developed? 3. Does the City want to potentially allow any of the following land uses associated with commercial non-medical marijuana? a. Cultivation b. Manufacturing Facilities c. Volatile Manufacturing Facilities d. Distribution Facilities e. Testing Laboratories f. Retail Sales Locations g. Delivery Services Below is a summary of issues followed by a table of staff’s preliminary recommendations for Council’s consideration. Item 11.a. - Page 2 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 3 Personal Use The AUMA makes it legal for persons 21 years of age or older to smoke or ingest marijuana products, as well as possess, process, transport, purchase, obtain, or give away to persons 21 years of age or older, without any compensation, 28.5 grams of marijuana (1.005 ounces), or 8 grams of concentrated marijuana, including as contained in marijuana products.1 They can also possess, cultivate, harvest, dry or process up to six living marijuana plants for personal use. Personal Cultivation - Indoor The Arroyo Grande Municipal Code currently contains restrictions on cultivation of marijuana for medical purposes for a qualified patient living full-time in a residence and requires very specific performance standards. The AUMA requires local jurisdictions to allow up to six plants to be cultivated for medical or non-medical purposes within a residence and in accessory structures that are enclosed and secure. The AUMA does contain provisions that authorize a city “to enact and enforce reasonable regulations to reasonably regulate the actions and conduct.” Currently, the City’s performance standards in place for medical marijuana are as follows: • The marijuana is cultivated inside a detached single family dwelling on property where the qualified patient resides on a full-time basis. • No more than fifty (50) contiguous square feet of the interior of the dwelling shall be devoted to the cultivation of medical marijuana. The medical marijuana cultivation area shall not exceed ten (10) feet in height. These restrictions apply regardless of how many qualified patients are residing on the property. 1 The AUMA does not allow (1) Smoking or ingesting marijuana or marijuana products in any public place. (2) Smoking marijuana or marijuana products in a location where smoking tobacco is prohibited. (3) Smoking marijuana or marijuana products within 1, 000 feet of a school, day care center, or youth center while children are present at such a school, day care center, or youth center, except in or upon the grounds of a private residence or in accordance with Section 26200 of the Business and Professions Code or Chapter 3.5 of Division 8 of the Business and Professions Code and only if such smoking is not detectable by others on the grounds of such a school, day care center, or youth center while children are present. (4) Possess an open container or open package of marijuana or marijuana products while driving, operating, or riding in the passenger seat or compartment of a motor vehicle, boat, vessel, aircraft, or other vehicle used for transportation. (5) Possess, smoke or ingest marijuana or marijuana products in or upon the grounds of a school, day care center, or youth center while children are present. (6) Manufacture concentrated cannabis using a volatile solvent, unless done in accordance with a license under Chapter 3.5 of Division 8 or Division 10 of the Business and Professions Code. (7) Smoke or ingest marijuana or marijuana products while driving, operating a motor vehicle, boat, vessel, aircraft, or other vehicle used for transportation. (8) Smoke or ingest marijuana or marijuana products while riding in the passenger seat or compartment of a motor vehicle, boat, vessel, aircraft, or other vehicle used for transportation except as permitted on a motor vehicle, boat, vessel, aircraft, or other vehicle used for transportation that is operated in accordance with Section 26200 of the Business and Professions Code and while no persons under the age of 21 years are present. Item 11.a. - Page 3 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 4 • The area used for cultivation complies with California Building, Electrical and Fire Codes as adopted by the City of Arroyo Grande. • The marijuana cultivation is concealed so that it is not visible from the exterior of the property, the public right-of-way, and/or neighboring properties. • The lighting for the cultivation shall not exceed one thousand two hundred (1,200) watts. The use of flammable or combustible products, including but not limited to, propane and butane for cultivation and processing is prohibited. • The cultivation of marijuana shall not take place in a garage, kitchen, bathroom or occupied bedroom of the dwelling. • The marijuana cultivation shall not adversely affect the health or safety of the occupants of other properties in the vicinity by creating dust, glare, heat, noise, noxious gasses, odor, smoke, traffic, vibration or other impacts and shall not be maintained in a manner so as to constitute a hazard due to use or storage of materials, processes, products or wastes. Staff Recommendation 1 - Make current regulations for medical marijuana applicable to non-medical marijuana. Rationale – Based upon the lack of significant complaints, current performance standards appear to be adequately controlling potential neighborhood compatibility and safety concerns. Staff Recommendation 2 - Make current indoor medical marijuana performance standards consistent with the AUMA specifically related to the ability to grow in all private residences (''private residence" means a house, an apartment unit, a mobile home, or other similar dwelling) and not just in detached single family dwellings. Rationale – Since the AUMA is less restrictive for non-medical use, medical users should not be held to a more restrictive standard based upon residence type. Staff Recommendation 3 – Direct staff to develop policies and definitions related to indoor cultivation in accessory structures that are enclosed and secure for cultivation of medical and non-medical marijuana. Rationale – Since the AUMA prohibits cities from banning indoor cultivation in accessory structures, regulations need to be created defining accessory structures and creating development standards related to the meaning of “enclosed and secure” and location specifications such as Item 11.a. - Page 4 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 5 setbacks and heights. The less restrictive AUMA language for non- medical use should be applied to medical users so they are not held to a more restrictive standard. Staff Recommendation 4 – Delete the prohibition of cultivation in a garage, kitchen, bathroom or occupied bedroom of the dwelling for both medical and non- medical cultivation. Rationale – The prohibition seems overly restrictive and may not provide sufficient opportunities to cultivate. In addition, prohibiting cultivation in a secured garage may violate the AUMA. Personal Cultivation - Outdoor The City has experienced neighborhood complaints regarding outdoor cultivation operations mainly due to odor, glare from artificial lighting, noise, vibration from fans, and security issues and currently prohibits personal outdoor cultivation of medical marijuana. Under the AUMA, the City may continue to prohibit outdoor personal cultivation or allow it with reasonable regulations. Area restrictions and performance standards related to noise and odors are difficult to meet and water and energy uses are also potentially problematic. Staff Recommendation 5 – Prohibit outdoor personal cultivation at this time and allow for reconsideration as the industry and public familiarity increases. Rationale – Due to experience gained through staff involvement of issues surrounding neighborhood compatibility including odors and security, staff is concerned with the efficacy of performance standards and impacts to staffing resources already dedicated to currently identified City goals and projects. Commercial Cultivation Commercial Cultivation can occur outdoors, in greenhouses, or in industrial buildings under artificial lighting. Consideration of impacts from each of these options on surrounding uses and community character is a key consideration. A California Department of Food and Agriculture Cannabis Cultivation License would be required by January 2018 if a local jurisdiction allows commercial cultivation. Some operations may need to provide documentation of water supply source. Generally, concerns regarding cultivation from the State Water Board include illegal diversions, sediment pollution from soil erosion, wetland and riparian impacts from fill and excavations, impacts from soil additives, trash and domestic waste and tree removal. However, most of these concerns surround large scale cannabis cultivation operations in non-traditional farming locations. Due to the unique nature of the City, including 296 acres of agriculturally zoned land, it is possible that there may be a desire by some to establish commercial non-medical marijuana cultivation operations within the City. Item 11.a. - Page 5 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 6 Potential community issues could include compatibility situations between agriculture and sensitive uses, such as schools and residential uses, and include sounds, odors, dust and chemicals that may accompany agricultural operations and aesthetic changes to the rural character due to the construction of greenhouses and security fences on large agricultural properties. This issue is also complicated by the transition of marijuana from an illegal substance to a crop being regulated by the Department of Agriculture and the City’s own Right to Farm Ordinance which serves to protect farming operations from nuisance complaints due to off farm impacts such as odors. Staff Recommendation 6 – Prohibit commercial cultivation at this time. Rationale – Due to both experience related to neighborhood compatibility for small operations and the potential for significantly increased impacts for larger operations on City agricultural lands surrounded by sensitive uses, commercial cultivation is not recommended at this time. Other Commercial Marijuana Businesses In order to operate commercial medical cannabis uses in the City, a two-step process would be required in addition to State licensing. First, an approval process would be established for location, size and types of uses allowed. Second, an applicant would be required to receive approval of a permit by the City to assure that all regulatory requirements are met. The State is scheduled to begin accepting license applications in January 2018 for both recreational and medical marijuana businesses and will also require a local permit be approved, if the local agency adopts an ordinance allowing for commercial uses. In order to reduce potential impacts related to marijuana related brick-and-mortar retail, manufacturing or testing, jurisdictions can adopt a per capita formula or other limit on how many dispensaries or retail outlets to allow or to restrict an area to marijuana related industry. Such limitations would reduce the overall number of businesses and thus the regulatory burden for the City. This may address impacts to staff resources to perform necessary audits of marijuana businesses, which may be critical for public health and safety compliance as well as for financial audit requirements. As businesses must deal in cash due to federal banking regulations, the City would need verification of gross revenue and volume of business for any local tax revenue projections. Regarding dispensaries, State law requires dispensaries and cultivation that contains storefronts be located a minimum of 600 feet from schools (kindergarten and grades 1- 12, public and private). Local agencies can be more restrictive and include other sensitive uses such as parks, preschool/daycare centers, and churches. Issues regarding dispensaries include adverse impacts to surrounding areas that could potentially be addressed by requiring design standards, limitations on the size and type of uses, limiting hours of operations, or other methods. Item 11.a. - Page 6 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 7 Regarding marijuana manufacturing businesses, there are two regulatory levels under State Law as overseen by the County Environmental Health Services Division depending on the use of volatile fluids or solvents. Safety of the use of these compounds is dependent on the care, proper storage, vessel size and vessel orientation to the manufacturing facility as well as adjacent existing structures. Additionally, manufacturing processes related to marijuana products require expensive certified extraction/processing equipment. Allowing marijuana related manufacturing businesses to operate requires significant attention to permitting and monitoring and ultimately, a certain acceptance of risk. Alternatively, if such businesses are market driven but opportunities to establish them are too scarce and/or burdensome, they may operate illegally, creating potential impacts to public safety as well. Staff Recommendation 7 – Prohibit dispensaries, manufacturing and related commercial marijuana businesses at this time. Rationale – Such uses are not recommended at this time due to limited land area available for such uses and the proximity to schools and sensitive uses, as well as rigorous permitting and monitoring requirements that would significantly impact staff resources already dedicated to currently identified City goals and projects. If such uses are desired, a tax mechanism should be in place prior to or concurrent to implementation of regulations. Deliveries To date, the City has nearly approved one medical marijuana mobile delivery permit as currently regulated. Up to three such permits may be allowed under the City’s current regulations. A significant amount of Police staff time has gone into ensuring the regulations are feasible to enforce. While currently restricted to medical marijuana operations, the regulations could be modified to apply to non-medical operations as well. Additionally, the number of permits can be increased; however, it has been indicated by law enforcement agencies that it is more difficult to track and enforce regulations with a large number of operators, and if mobile delivery operators do not distribute from a facility inside the jurisdiction. Staff Recommendation 8 – Allow limited deliveries to be permitted in a manner similar to the current process and rules in place for medical marijuana deliveries. Rationale – Limited deliveries are not likely to create adverse impacts as currently regulated. Additionally, the generally less restrictive AUMA language for non-medical use should be applied to medical users so they are not held to a more restrictive standard. Licensing, Taxes and Fees Although the AUMA pre-empted additional sales taxes for marijuana, other excise taxes may still be levied on medical marijuana, including taxes on cultivation and Item 11.a. - Page 7 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 8 manufacturing. The AUMA differs from the Medical Marijuana Regulation & Safety Act (MMRSA) because it does not require evidence of local approval to be submitted with an application for a State-issued recreational marijuana business license, rather it provides that a State license cannot be issued if the activity is in violation of local ordinances. Retailers who sell cannabis and cannabis products will be required to register with the State and begin collecting the 15 percent excise tax on their gross receipts by January 1, 2018. Cultivators will also be required to register by January 1, 2018, to collect and remit the cultivation tax currently set at $9.25 per dry-weight ounce of flowers, and $2.75 per dry-weight ounce for leaves. Cities are also authorized to impose additional taxes to cover the costs of services to enforce the marijuana regulation. However, a ballot measure would need to be prepared and presented to the voters in accordance with the requirements of Proposition 218. Revenues would be entirely dependent on the number and extent of businesses allowed to operate in the City. Public Health and Safety Many organizations have worked hard to destigmatize marijuana, legitimize the industry, and assist in the development of regulations to protect public safety. Some data has emerged regarding potential impacts to public health and safety. Nonetheless, general consensus likely will not be reached for some time. Generally, there are reported correlations, dependent on a multitude of various factors which may or may not be applicable to the decision to locally regulate, regarding potential health and safety impacts after legalization of recreational marijuana (Attachment 2). Reported impacts potentially include: • Increase in homeless population • Increased marijuana use by teens • Increase in marijuana-intoxicated driving • Increase in crime and arrests • Decreased pricing linked to increased access • Increased hospitalizations related to marijuana due to accidental ingestion or overdose • Misuse of pesticides Neighboring Jurisdictions and Community Sentiment Attachment 4 includes a table of the status of marijuana regulation in jurisdictions within San Luis Obispo County. They vary, with agencies in the midst of conducting research or gaining public input. The Grover Beach City Council very recently adopted an ordinance that allows commercial medical cannabis uses in each of the City’s industrial zones. Commercial medical cannabis uses include: inside cultivation, nurseries, manufacturing, testing laboratories, transportation, delivery, distribution (includes storage), and dispensaries (retail sales). The number of dispensaries is limited to two. All greenhouses and outdoor cultivation and nursery uses are prohibited. They also adopted a tax on gross receipts for medical and non-medical commercial cannabis uses Item 11.a. - Page 8 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 9 and a square footage tax on cultivation consistent with Measure L-16 approved by their voters in the November 2016 election. That tax structure will be implemented in conjunction with any establishment of commercial cannabis businesses. Currently, the City of Grover Beach restricts commercial marijuana to medical purposes except for personal possession and cultivation consistent with AUMA. MMRSA v. AUMA Although, this report focuses on non-medical marijuana regulation, the Council may wish to explore allowing commercial industry if restricted to medical marijuana purposes similar to the City of Grover Beach. However, it is anticipated that restrictions relative to medical marijuana under the MMRSA will eventually merge as the State implements its regulatory scheme for the industry relative to the AUMA starting in 2018 (Attachment 3). City Options Both the MMRSA and the AUMA preserve local control with respect to allowing for reasonable regulation. The City has generally taken a fairly conservative approach to the regulation of medical marijuana. Public comment during consideration of the medical marijuana ordinance was very specific to concerns relating to neighborhood nuisances and the benefits of medical related use. To date, staff has not heard or received comments or correspondence to indicate strong support or opposition to a significant expansion of local regulations for non-medical marijuana cultivation or commercial businesses. Due primarily to potential impacts to public health and to staff resources, the preliminary recommendation shown in Table 1 is measured, and primarily keeps the status quo at this time by utilizing existing regulations for personal indoor cultivation and restricted deliveries. The rationale for staff’s recommendation for regulation at this point in time, is based on the following ideas:  Unknowns - The State is still in the process of developing its licensing process and the regulations needed to protect the public health, safety, and welfare. Without knowing the details of future State regulations, it will be difficult and time consuming to create effective, enforceable, and fair rules.  Timing – Establishing land uses prior to the voter’s consideration of taxing opportunities to recoup the cost of mitigating impacts may force the Council to reallocate funds from current projects and priorities as established in the FY 2017-18 budget. Another aspect of timing is that unless there is a clear need to create regulations for an entirely new industry with few comparable experiences of other jurisdictions, doing so carries much more risk related to minimizing conflicting land uses.  City Land Use Attributes – Most commercial non-medical marijuana land uses with the exception of retail sales, will most likely occur on land zoned industrial or agriculture. The City has a relatively small area zoned for industrial uses (22 Item 11.a. - Page 9 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 10 acres out of 3,795 acres). The industrial zone also allows a mix of uses including limited residential and is located near school sites.  Land Speculation – Staff is seeing local speculation resulting in substantial increases in land values. While this is not necessarily considered a detriment, the potential rapid and singular intensification of the marijuana industry in a limited area may disrupt the ability of existing local businesses to compete fairly due to the mostly cash marijuana industry and thus it may be prudent to allow the industry to stabilize at this time. The following General Plan policies may be considered applicable: o Economic Element Policy ED3-4: states: Continue to balance economic goals with strong policies and programs that promote and maintain the community’s environment, quality of life, and rural character. o Land Use Policy LU5-1 Provide for a diversity of retail and service commercial, offices, residential and other compatible uses that support multiple neighborhoods and the greater community, and reduce the need for external trips to adjacent jurisdictions, by designating Mixed Use areas along and near major arterial streets and at convenient, strategic locations in the community. o LU5-6 Allowable uses within the MU category shall not include uses that adversely affect surrounding commercial or residential uses, or contribute to the deterioration of existing environmental conditions in the area. o LU5-8 Provide for different combinations, configurations and mixtures of commercial, office and residential uses designating the East Grand Avenue, El Camino Real and Traffic Way corridors as Mixed Use (MU).  Community Character – A major aspect to the uniqueness of Arroyo Grande is its rural character which is rooted in large areas of prime agricultural soils adjacent to the Arroyo Grande Creek and the row crops grown in them. Staff believes that large scale outdoor growing of marijuana will either take place in greenhouses or behind fences to protect the crops or both. A transition to this type of agricultural crop should be completed gradually, with input from the farming industry as well as with the larger community. Item 11.a. - Page 10 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 11 TABLE 1 Preliminary Staff Recommendations for Non-Medical Marijuana Regulation Staff Re- commend ation No. Potential Changes To City Regulations Prohibit Allow Potential City Regulations If Allowed 1-3 Personal Cultivation (six plants; Indoors) Cannot prohibit under AUMA X Make current regulations for medical marijuana applicable to non-medical marijuana as well 4 Personal Cultivation outdoor X Limitation on number and area ; setbacks; owner authorization; performance measures for odor, noise, etc. 5 Commercial Cultivation (Indoor or outdoor) X Limitation on number and area; ventilation, setbacks, performance measures for odor, noise, etc. 6 Retail X Limit on number, hours of operation, zoning district, 600 foot setback for dispensaries from schools; If taxed, procedure in place for receiving and depositing large all-cash payments and appropriate security arrangements for payment of annual business license fees and tax payments; deliveries must be within an enclosed area; sign limitations. 6 Manufacturing X Limits on energy and water, restrict to level 1 6 Volatile Manufacturing X Strict limitations; monitoring and inspection schedules 6 Testing Laboratories X Monitoring and Inspection schedules 6 Warehousing/Distribution X Deliveries must be within an enclosed area 7 Delivery Services X Make current regulations for medical marijuana applicable to non-medical marijuana deliveries as well In summary, staff believes that a measured approach, combined with seeing how well the State creates regulations and how non-medical marijuana is embraced and integrated into California’s culture and society, will best protect the public health, safety, and welfare while leaving options to reconsider the industry in the near future. Proposed Process Direct staff to draft a proposed ordinance for review and recommendation by the Planning Commission at a public hearing and for consideration by the Council for adoption. FINANCIAL IMPACT: There is no identified direct impact to financial and personnel resources. Depending on the direction provided by the City Council, there may be significant implications regarding potential revenue as well as staff resources relating to enforcement of regulations. This item is not identified in the Critical Needs Action Plan or recently adopted City Council Goals. Item 11.a. - Page 11 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 12 ALTERNATIVES: The following alternatives are provided for the Council’s consideration: 1. Direct staff to develop an ordinance regulating personal indoor cultivation and restricted delivers in a manner similar to the City’s medical marijuana regulations and prohibit all other non-medical marijuana related land uses at this time. 2. Do not make any amendments to the Arroyo Grande Municipal Code that currently allows for limited uses and/or cultivation of medical marijuana at this time and monitor developments in other jurisdictions and at the Federal level. This alternative is not recommended. The Arroyo Grande Municipal Code needs to either be clarified regarding non-medical marijuana prohibitions or what uses are allowed, since it currently is focused only on medical marijuana. Doing nothing could open the door to non-medical marijuana businesses opening in the City based upon State issued permits. 3. Direct staff to draft amendments to sections of the Arroyo Grande Municipal Code to expand allowed uses and/or cultivation of marijuana, and prepare a resolution regarding tax alternatives pertaining to commercial marijuana for a future ballot measure. 4. Direct staff to proceed in a public engagement strategy on the preferred approach to marijuana regulation and return to Council in two months for direction. Given timing considerations, if this option is pursued, an ordinance may need to be brought back and adopted prior to the issuance of permits by the State in January, 2018, clarifying that current prohibitions on commercial medical marijuana activity and outdoor cultivation apply to non-medical marijuana, until further decisions are made on how to proceed. 5. Provide other direction to staff. ADVANTAGES: The advantages of considering amending the City’s ordinance to be consistent with the AUMA provides an opportunity for the public to weigh in on potential use and regulation in the City and ensures that City rules are clear in light of evolving state legislation. DISADVANTAGES: No disadvantages have been identified for consideration of alternatives for amending the City’s ordinance for marijuana regulation. ENVIRONMENTAL REVIEW: None required. Item 11.a. - Page 12 CITY COUNCIL CONSIDERATION OF DEVELOPMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA PAGE 13 PUBLIC NOTIFICATION: A public notice was placed on the City’s website on June 22, 2017. The Agenda was posted at City Hall and on the City’s website in accordance with Government Code Section 54954.2. A mention of this discussion was made to the Arroyo Grande and Grover Beach Chamber of Commerce at their meeting on June 21, 2017. ATTACHMENTS: 1. Background of issue – history of marijuana regulation 2. Rocky Mountain High Intensity Drug Trafficking Area report on The Legalization of Marijuana in Colorado 3. California Legislative Analyst’s Office 2017-1018 Budget – The Governor’s Cannabis Proposals 4. Status of Regulation in neighboring jurisdictions 5. Existing Ordinance No. 678 Item 11.a. - Page 13 ATTACHMENT 1 CONSIDERATION OF AMENDMENT OF AN ORDINANCE RELATING TO NON- MEDICAL MARIJUANA BACKGROUND OF ISSUE In 1996, California voters approved Proposition 215, the Compassionate Use Act (CUA), which decriminalized marijuana use for medical purposes. In 2003, the Medical Marijuana Program Act (MMP) clarified the CUA — which includes issuing identification cards for qualified patients and allowing patients and their primary caregivers to collectively or cooperatively cultivate medical marijuana. In 2008, the City Council adopted Ordinance 599 that prohibited the establishment of medical marijuana dispensaries in the City. On October 9, 2012, the City Council adopted Ordinance 647, relating to the definition of medical marijuana dispensaries to include mobile dispensaries. In 2011, Assembly Bill 2650 was enacted (codified as California Health and Safety Code Section 11362.768) affirming that counties and cities can under state law adopt ordinances that control and restrict the location and establishment of a medical marijuana cooperative, collective, dispensary, operator, establishment, or provider. In 2013, the California Supreme Court unanimously ruled that local governments have the power to ban medical marijuana dispensaries (City of Riverside v. lnland Empire Patients Health & Wellness Center, lnc.). Also in 2013 the State Court of Appeals decided a case that held that cities have authority to prohibit cultivation of all medical marijuana city-wide (Maral v. City of Live Oak ). In both cases, the courts similarly found that the Proposition 215 and the MMP do not preempt a city’s regulatory authority to prohibit all cultivation in the city, if the city so chooses. On October 9, 2015, Gov. Jerry Brown signed a comprehensive package of bills to establish a regulatory structure for medical marijuana. Together, AB 266, AB 243, and SB 643 comprise the Medical Marijuana Regulation & Safety Act (MMRSA). The MCRSA, which is comprised of five separate pieces of legislation, establishes, among other matters, a dual licensing structure requiring both a state license and a local license or permit for medical marijuana activities, a regulatory structure imposing health, safety and testing standards for cultivation and dispensary facilities, and the criteria for licensing medical marijuana businesses. On November 24, 2015, the City Council considered implications of the MMRSA regarding local control and directed staff to prepare an ordinance prohibiting cultivation, delivery and all commercial medical marijuana uses. Item 11.a. - Page 14 ATTACHMENT 1 On December 1, 2015 the Planning Commission adopted Resolution No. 15-2241 recommending that the City Council adopt an ordinance adding Chapter 16.62 to Title 16 of the Arroyo Grande Municipal Code prohibiting medical marijuana dispensaries, cooperatives and collectives, and cultivation of medical marijuana, and limit deliveries of medical marijuana or medical cannabis products. Based on concerns expressed by the public and some Commission members regarding the severity of outright prohibition, the Commission included in their motion a request that Council specifically review and re-evaluate banning all cultivation. On June 14, and June 28, 2016 the City Council introduced and adopted the Ordinance to allow limited indoor cultivation in residences excluding garages and limited mobile deliveries. Item 11.a. - Page 15 ȱ ȱ ATTACHMENT 2 Item 11.a. - Page 16 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ PREPAREDȱBY:ȱ ROCKYȱMOUNTAINȱHIDTAȱ INVESTIGATIVEȱSUPPORTȱCENTERȱ STRATEGICȱINTELLIGENCEȱUNITȱ ȱ INTELLIGENCEȱANALYSTȱKEVINȱWONGȱ INTELLIGENCEȱANALYSTȱCHELSEYȱCLARKEȱ INTELLIGENCEȱANALYSTȱT.ȱGRADYȱHARLOWȱ ȱ ȱ Item 11.a. - Page 17 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ iȱ Table of Contents ȱ ȱ Acknowledgementsȱ ȱ ExecutiveȱSummaryȱ............................................................................................ȱ1ȱ Purposeȱ..................................................................................................................................1ȱ StateȱofȱWashingtonȱDataȱ...................................................................................................5ȱ ȱ Introductionȱ..........................................................................................................ȱ7ȱ Purposeȱ..................................................................................................................................7ȱ TheȱDebateȱ............................................................................................................................7ȱ Backgroundȱ...........................................................................................................................8ȱ Prefaceȱ....................................................................................................................................8ȱ Colorado’sȱHistoryȱwithȱMarijuanaȱLegalizationȱ...........................................................9ȱ MedicalȱMarijuanaȱ2000Ȭ2008ȱ....................................................................................................ȱ9ȱ MedicalȱMarijuanaȱCommercializationȱandȱExpansionȱ2009ȬPresentȱ.................................ȱ9ȱ RecreationalȱMarijuanaȱ2013ȬPresentȱ......................................................................................ȱ11ȱ ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱ......................................................................ȱ13ȱ DefinitionsȱbyȱRockyȱMountainȱHIDTAȱ........................................................................13ȱ SomeȱFindingsȱ....................................................................................................................13ȱ DataȱforȱTrafficȱDeathsȱ......................................................................................................14ȱ TotalȱNumberȱofȱStatewideȱTrafficȱDeathsȱ...........................................................................ȱ15ȱ TrafficȱDeathsȱRelatedȱtoȱMarijuanaȱ......................................................................................ȱ16ȱ OperatorsȱTestingȱPositiveȱforȱMarijuanaȱInvolvedȱinȱFatalȱCrashesȱ..............................ȱ18ȱ NumberȱofȱDriversȱInvolvedȱinȱFatalȱCrashesȱWhoȱTestedȱPositiveȱforȱMarijuanaȱ......ȱ22ȱ DataȱforȱImpairedȱDrivingȱ................................................................................................22ȱ NumberȱofȱPositiveȱCannabinoidȱScreensȱ............................................................................ȱ23ȱ ChemaToxȱandȱColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱDataȱ Combinedȱ(2009Ȭ2013)ȱ......................................................................................................ȱ24ȱ ChemaToxȱDataȱOnlyȱ(2013ȬMay2016)ȱ.................................................................................ȱ24ȱ ColoradoȱStateȱPatrolȱNumberȱofȱDUIDs,ȱ2014ȱandȱ2015ȱ..................................................ȱ25ȱ DenverȱPoliceȱDepartmentȱNumberȱofȱDUIDsȱInvolvingȱMarijuanaȱ..............................ȱ26ȱ LarimerȱCountyȱSheriff’sȱOfficeȱPercentȱofȱDUIDsȱInvolvingȱMarijuanaȱ........................ȱ26ȱ TotalȱNumberȱofȱAccidentsȱinȱColoradoȱ..............................................................................ȱ27ȱ RelatedȱCostsȱ......................................................................................................................27ȱ SomeȱInformationȱfromȱWashingtonȱStateȱ.....................................................................28ȱ Item 11.a. - Page 18 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ iiȱ CaseȱExamplesȱandȱRelatedȱMaterialȱ..............................................................................28ȱ Sourcesȱ.................................................................................................................................34ȱ ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ...............................................................ȱ37ȱ SomeȱFindingsȱ....................................................................................................................37ȱ Dataȱ......................................................................................................................................38ȱ YouthȱAgesȱ12ȱtoȱ17ȱYearsȱOldȱ...............................................................................................ȱ38ȱ PastȱMonthȱMarijuanaȱUseȱYouthȱAgesȱ12ȱtoȱ17ȱYearsȱOldȱ........................................ȱ38ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱYouthȱAgesȱ12ȱtoȱ17ȱYearsȱOld,ȱ2013/2014ȱ...ȱ41ȱ AllȱDrugȱViolations,ȱ2015Ȭ2016ȱSchoolȱYearȱ..................................................................ȱ42ȱ ImpactȱonȱSchoolȱViolationȱNumbersȱ............................................................................ȱ42ȱ DrugȬRelatedȱSuspensions/Expulsionsȱ..........................................................................ȱ43ȱ PercentȱofȱTotalȱSuspensionsȱinȱColoradoȱ.....................................................................ȱ43ȱ PercentȱofȱTotalȱExpulsionsȱinȱColoradoȱ........................................................................ȱ44ȱ PercentȱofȱTotalȱReferralsȱtoȱLawȱEnforcementȱinȱColoradoȱ.......................................ȱ44ȱ ColoradoȱProbationȱPercentȱofȱAllȱUrinalysisȱTestsȱPositiveȱforȱMarijuanaȱ YouthȱAgesȱ10ȱtoȱ17ȱYearsȱOldȱ..................................................................................ȱ45ȱ ColoradoȱHighȱSchoolȱDropoutȱRatesȱ............................................................................ȱ45ȱ ColoradoȱSchoolȱResourceȱOfficerȱSurveyȱ.....................................................................46ȱ PredominantȱMarijuanaȱViolations,ȱ2016ȱ.............................................................................ȱ46ȱ StudentȱMarijuanaȱSource,ȱ2016ȱ.............................................................................................ȱ47ȱ SomeȱCommentsȱfromȱSchoolȱResourceȱOfficersȱ................................................................ȱ47ȱ SchoolȱCounselorȱSurveyȱ..................................................................................................50ȱ PredominantȱMarijuanaȱViolations,ȱ2015ȱ.............................................................................ȱ50ȱ StudentȱMarijuanaȱSource,ȱ2015ȱ.............................................................................................ȱ51ȱ SomeȱCommentsȱfromȱSchoolȱCounselorsȱ...........................................................................ȱ51ȱ YouthȱUseȱSurveysȱNotȱUtilizedȱandȱWhyȱ....................................................................54ȱ HealthyȱKidsȱColoradoȱSurveyȱ(HKCS)ȱ...............................................................................ȱ54ȱ CentersȱforȱDiseaseȱControlȱYouthȱRiskȱBehaviorȱSurveyȱ(YRBS)....................................ȱ56ȱ 2015ȱYRBSȱParticipationȱMapȱ..........................................................................................ȱ56ȱ MonitoringȱtheȱFutureȱ(MTF)ȱStudyȱ.....................................................................................ȱ56ȱ RelatedȱMaterialȱ.................................................................................................................57ȱ Sourcesȱ.................................................................................................................................61ȱ ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ...............................................................ȱ63ȱ SomeȱFindingsȱ....................................................................................................................63ȱ Dataȱ......................................................................................................................................64ȱ CollegeȱAgeȱ18ȱtoȱ25ȱYearsȱOldȱ..............................................................................................ȱ64ȱ PastȱMonthȱMarijuanaȱUseȱCollegeȱAgeȱ18ȱtoȱ25ȱYearsȱOldȱ.......................................ȱ64ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱCollegeȱAgeȱ18ȱtoȱ25ȱYearsȱOld,ȱ2013/2014ȱ...ȱ67ȱ AdultsȱAgeȱ26+ȱYearsȱOldȱ.......................................................................................................ȱ68ȱ Item 11.a. - Page 19 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ iiiȱ PastȱMonthȱMarijuanaȱUseȱAdultsȱAgeȱ26+ȱYearsȱOldȱ................................................ȱ68ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱAdultsȱAgesȱ26+ȱYearsȱOld,ȱ2013/2014ȱ..........ȱ71ȱ ColoradoȱAdultȱMarijuanaȱUseȱDemographicsȱ...................................................................ȱ72ȱ RelatedȱMaterialȱ.................................................................................................................72ȱ Sourcesȱ.................................................................................................................................75ȱ ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱ Admissionsȱ................................................................................ȱ77ȱ SomeȱFindingsȱ....................................................................................................................77ȱ Definitionsȱ...........................................................................................................................78ȱ EmergencyȱDepartmentȱDataȱ...........................................................................................79ȱ MarijuanaȬRelatedȱEmergencyȱDepartmentȱVisits..............................................................ȱ79ȱ ColoradoȱEmergencyȱDepartmentȱRatesȱthatȱareȱLikelyȱRelatedȱtoȱMarijuanaȱ..............ȱ80ȱ ColoradoȱEmergencyȱDepartmentȱRatesȱthatȱCouldȱbeȱRelatedȱtoȱMarijuanaȱ...............ȱ81ȱ EmergencyȱDepartmentȱRatesȱPerȱ100,000ȱMarijuanaȬRelatedȱ.........................................ȱ82ȱ HospitalizationȱDataȱ..........................................................................................................83ȱ HospitalizationsȱRelatedȱtoȱMarijuanaȱ.................................................................................ȱ83ȱ AverageȱMarijuanaȬRelatedȱHospitalizationsȱ......................................................................ȱ83ȱ ColoradoȱHospitalizationȱRatesȱthatȱareȱLikelyȱRelatedȱtoȱMarijuanaȱ.............................ȱ84ȱ ColoradoȱHospitalizationȱRatesȱthatȱCouldȱbeȱRelatedȱtoȱMarijuanaȱ..............................ȱ85ȱ HospitalȱDischargeȱRatesȱPerȱ100,000ȱMarijuanaȬRelatedȱ.................................................ȱ86ȱ Children’sȱHospitalȱMarijuanaȱIngestionȱAmongȱChildrenȱUnderȱ9ȱYearsȱOldȱ............ȱ87ȱ PenroseȱHospitalȱ(ColoradoȱSprings)ȱUrineȱDrugȱScreensȱPositiveȱforȱCannabisȱ.........ȱ87ȱ Costȱ......................................................................................................................................88ȱ RelatedȱMaterialȱ.................................................................................................................88ȱ Sourcesȱ.................................................................................................................................91ȱ ȱ SECTIONȱ5:ȱȱMarijuanaȬRelatedȱExposureȱ.................................................ȱ93ȱ SomeȱFindingsȱ....................................................................................................................93ȱ Dataȱ......................................................................................................................................94ȱ MarijuanaȬRelatedȱExposuresȱ................................................................................................ȱ94ȱ AverageȱNumberȱofȱMarijuanaȬRelatedȱExposuresȱAllȱAges............................................ȱ94ȱ MarijuanaȬRelatedȱExposures,ȱByȱAgeȱRangeȱ.....................................................................ȱ95ȱ AverageȱNumberȱofȱMarijuanaȬRelatedȱExposuresȱChildrenȱAgesȱ0ȱtoȱ5ȱYearsȱOldȱ....ȱ95ȱ AverageȱNumberȱofȱMarijuanaȬRelatedȱExposuresȱYouthȱAgesȱ6ȱtoȱ17ȱYearsȱOldȱ.......ȱ96ȱ AverageȱPercentȱofȱAllȱMarijuanaȬRelatedȱExposures,ȱChildrenȱAgesȱ 0ȱtoȱ5ȱYearsȱOldȱ..................................................................................................................ȱ96ȱ NumberȱofȱMarijuanaȱOnlyȱExposuresȱReportedȱ...............................................................ȱ97ȱ RelatedȱMaterialȱ.................................................................................................................97ȱ Sourcesȱ.................................................................................................................................99ȱ ȱ Item 11.a. - Page 20 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ ivȱ SECTIONȱ6:ȱȱTreatmentȱ.................................................................................ȱ101ȱ SomeȱFindingsȱ..................................................................................................................101ȱ Dataȱ....................................................................................................................................101ȱ TreatmentȱwithȱMarijuanaȱasȱPrimaryȱSubstanceȱAbuse,ȱAllȱAgesȱ...............................ȱ101ȱ DrugȱTypeȱforȱTreatmentȱAdmissionsȱAllȱAgesȱ................................................................ȱ102ȱ PercentȱofȱMarijuanaȱTreatmentȱAdmissionsȱbyȱAgeȱGroupȱ..........................................ȱ103ȱ MarijuanaȱTreatmentȱAdmissionsȱBasedȱonȱCriminalȱJusticeȱReferralsȱ........................ȱ104ȱ CommentsȱfromȱColoradoȱTreatmentȱProvidersȱ........................................................104ȱ RelatedȱMaterialȱ...............................................................................................................105ȱ Sourcesȱ...............................................................................................................................107ȱ ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱ.......................................ȱ109ȱ Definitionsȱ.........................................................................................................................109ȱ SomeȱFindingsȱ..................................................................................................................109ȱ Dataȱ....................................................................................................................................110ȱ ColoradoȱMarijuanaȱInterdictionȱSeizuresȱ.........................................................................ȱ110ȱ AverageȱPoundsȱofȱColoradoȱMarijuanaȱfromȱInterdictionȱSeizuresȱ.............................ȱ111ȱ StatesȱtoȱWhichȱColoradoȱMarijuanaȱWasȱDestinedȱ(2015)ȱ.............................................ȱ112ȱ TopȱThreeȱCitiesȱforȱMarijuanaȱOriginȱ...............................................................................ȱ112ȱ AȱFewȱExamplesȱofȱInterdictionsȱ...................................................................................113ȱ AȱFewȱExamplesȱofȱInvestigationsȱ................................................................................115ȱ Commentsȱ.........................................................................................................................122ȱ Sourcesȱ...............................................................................................................................123ȱ ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱ................................................................ȱ127ȱ SomeȱFindingsȱ..................................................................................................................127ȱ Dataȱ....................................................................................................................................127ȱ ParcelsȱContainingȱMarijuanaȱMailedȱfromȱColoradoȱtoȱAnotherȱStateȱ........................ȱ127ȱ PoundsȱofȱColoradoȱMarijuanaȱSeizedȱbyȱtheȱU.S.ȱPostalȱInspectionȱServiceȱ..............ȱ128ȱ NumberȱofȱStatesȱDestinedȱtoȱReceiveȱMarijuanaȱMailedȱfromȱColoradoȱ....................ȱ128ȱ PrivateȱParcelȱCompaniesȱ...............................................................................................129ȱ SomeȱExamplesȱ.................................................................................................................129ȱ Sourcesȱ...............................................................................................................................132ȱ ȱ SECTIONȱ9:ȱȱRelatedȱDataȱ............................................................................ȱ133ȱ Topicsȱ.................................................................................................................................133ȱ SomeȱFindingsȱ..................................................................................................................133ȱ Crimeȱ.................................................................................................................................134ȱ ColoradoȱCrimeȱ......................................................................................................................ȱ134ȱ CityȱandȱCountyȱofȱDenverȱCrimeȱ......................................................................................ȱ135ȱ Item 11.a. - Page 21 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ vȱ AllȱReportedȱCrimeȱinȱDenverȱ.............................................................................................ȱ136ȱ DenverȱPoliceȱDepartmentȱUnlawfulȱPublicȱDisplay/ConsumptionȱofȱMarijuanaȱ......ȱ136ȱ BoulderȱPoliceȱDepartmentȱMarijuanaȱPublicȱConsumptionȱCitationsȱ.........................ȱ137ȱ RelatedȱMaterialȱ.....................................................................................................................ȱ137ȱ Revenueȱ.............................................................................................................................139ȱ TotalȱRevenueȱfromȱMarijuanaȱTaxes,ȱCalendarȱYearȱ2015ȱ.............................................ȱ139ȱ Colorado’sȱStatewideȱBudget,ȱFYȱ2016ȱ...............................................................................ȱ140ȱ RelatedȱMaterialȱ.....................................................................................................................ȱ140ȱ EventȱPlanners’ȱViewsȱofȱDenverȱ..................................................................................141ȱ NegativeȱMeetingȱPlannerȱPerceptions,ȱ2014ȱ....................................................................ȱ141ȱ Homelessȱ...........................................................................................................................143ȱ SuicideȱDataȱ......................................................................................................................145ȱ AverageȱToxicologyȱofȱSuicidesȱAmongȱAdolescentsȱ Agesȱ10ȱtoȱ19ȱYearsȱOldȱ......................................................................................145ȱ AverageȱToxicologyȱResultsȱbyȱAgeȱGroup,ȱ2012Ȭ2014ȱ.......................................146ȱ EnvironmentalȱImpactȱ.....................................................................................................146ȱ THCȱPotencyȱ.....................................................................................................................148ȱ NationalȱAverageȱTHCȱPotencyȱSubmittedȱCannabisȱSamplesȱ......................................ȱ148ȱ NationalȱAverageȱTHCȱPotencyȱSubmittedȱHashȱOilȱSamplesȱ.......................................ȱ149ȱ MarijuanaȱUseȱandȱAlcoholȱConsumptionȱ...................................................................149ȱ ColoradoȱConsumptionȱofȱAlcoholȱ.....................................................................................ȱ150ȱ ColoradoȱAverageȱConsumptionȱofȱAlcoholȱ.....................................................................ȱ150ȱ RelatedȱMaterialȱ.....................................................................................................................ȱ151ȱ MedicalȱMarijuanaȱRegistryȱ...........................................................................................151ȱ PercentȱofȱMedicalȱMarijuanaȱPatientsȱBasedȱonȱReportingȱConditionȱ.........................ȱ152ȱ RelatedȱMaterialȱ.....................................................................................................................ȱ152ȱ ColoradoȱLicensedȱMarijuanaȱBusinessesȱasȱofȱJanuaryȱ2016ȱ...................................153ȱ BusinessȱComparisons,ȱJanuaryȱ2016ȱ............................................................................153ȱ ColoradoȱBusinessȱComparisons,ȱJanuaryȱ2016ȱ................................................................ȱ153ȱ DemandȱandȱMarketȱSizeȱ...............................................................................................154ȱ ThirdȱQuarterȱ2015ȱReportedȱSalesȱofȱMarijuanaȱinȱColoradoȱ (Januaryȱ–ȱSeptember)ȱ...............................................................................................154ȱ 2014ȱPriceȱofȱMarijuanaȱ...................................................................................................155ȱ LocalȱResponseȱtoȱtheȱMedicalȱandȱRecreationalȱMarijuanaȱIndustryȱ inȱColoradoȱ.................................................................................................................155ȱ Sourcesȱ...............................................................................................................................156ȱ ȱ ȱȱ Item 11.a. - Page 22 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ TableȱofȱContentsȱ viȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱ.............................................................ȱ159ȱ ReportsȱandȱArticlesȱ........................................................................................................159ȱ Governmentȱ............................................................................................................................ȱ159ȱ Youthȱ........................................................................................................................................ȱ161ȱ DrivingȱUnderȱtheȱInfluenceȱofȱDrugsȱ(DUID)ȱ..................................................................ȱ162ȱ Healthȱ......................................................................................................................................ȱ164ȱ UseȱSurveysȱ.............................................................................................................................ȱ166ȱ Miscellaneousȱ.........................................................................................................................ȱ167ȱ Sourcesȱ...............................................................................................................................168ȱ ȱ Item 11.a. - Page 23 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ1ȱ Executive Summary ȱ Purpose ȱ RockyȱMountainȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ(RMHIDTA)ȱisȱtrackingȱtheȱ impactȱofȱmarijuanaȱlegalizationȱinȱtheȱstateȱofȱColorado.ȱȱThisȱreportȱwillȱutilize,ȱ wheneverȱpossible,ȱaȱcomparisonȱofȱthreeȱdifferentȱerasȱinȱColorado’sȱlegalizationȱ history:ȱ ȱ x 2006ȱ–ȱ2008:ȱȱ MedicalȱmarijuanaȱpreȬcommercializationȱeraȱ x 2009ȱ–ȱPresent:ȱ Medicalȱmarijuanaȱcommercializationȱandȱexpansionȱeraȱ x 2013ȱ–ȱPresent:ȱ Recreationalȱmarijuanaȱeraȱ ȱ RockyȱMountainȱHIDTAȱwillȱcollectȱandȱreportȱcomparativeȱdataȱinȱaȱvarietyȱofȱ areas,ȱincludingȱbutȱnotȱlimitedȱto:ȱ ȱ x Impairedȱdrivingȱ x Youthȱmarijuanaȱuseȱ x Adultȱmarijuanaȱuseȱ x Emergencyȱroomȱadmissionsȱ x MarijuanaȬrelatedȱexposureȱcasesȱ x DiversionȱofȱColoradoȱmarijuanaȱ ȱ ThisȱisȱtheȱfourthȱannualȱreportȱonȱtheȱimpactȱofȱlegalizedȱmarijuanaȱinȱColorado.ȱȱItȱ isȱdividedȱintoȱtenȱsections,ȱeachȱprovidingȱinformationȱonȱtheȱimpactȱofȱmarijuanaȱ legalization.ȱȱTheȱsectionsȱareȱasȱfollows:ȱ ȱ Sectionȱ1ȱ–ȱImpairedȱDriving:ȱ ȱ x MarijuanaȬrelatedȱtrafficȱdeathsȱincreasedȱ48ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ (2013Ȭ2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ threeȬyearȱaverageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ o Duringȱtheȱsameȱtime,ȱallȱtrafficȱdeathsȱincreasedȱ11ȱpercent.ȱ ȱ x MarijuanaȬrelatedȱtrafficȱdeathsȱincreasedȱ62ȱpercentȱfromȱ71ȱtoȱ115ȱpersonsȱafterȱ recreationalȱmarijuanaȱwasȱlegalizedȱinȱ2013.ȱ Item 11.a. - Page 24 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ2ȱ ȱ x Inȱ2009,ȱColoradoȱmarijuanaȬrelatedȱtrafficȱdeathsȱinvolvingȱoperatorsȱtestingȱ positiveȱforȱmarijuanaȱrepresentedȱ10ȱpercentȱofȱallȱtrafficȱfatalities.ȱȱByȱ2015,ȱthatȱ numberȱdoubledȱtoȱ21ȱpercent.ȱ ȱ Sectionȱ2ȱ–ȱYouthȱMarijuanaȱUse:ȱ ȱ x Youthȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ20ȱpercentȱinȱtheȱtwoȱyearȱaverageȱ (2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ twoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o Nationallyȱyouthȱpastȱmonthȱmarijuanaȱuseȱdeclinedȱ4ȱpercentȱduringȱtheȱ sameȱtime.ȱ ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱyouthȱrankedȱ#1ȱinȱtheȱnationȱforȱpastȱ monthȱmarijuanaȱuse,ȱupȱfromȱ#4ȱinȱ2011/2012ȱandȱ#14ȱinȱ2005/2006.ȱ ȱ x Coloradoȱyouthȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ74ȱpercentȱhigherȱ thanȱtheȱnationalȱaverageȱcomparedȱtoȱ39ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ Sectionȱ3ȱ–ȱAdultȱMarijuanaȱUse:ȱ ȱ x CollegeȬageȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ17ȱpercentȱinȱtheȱtwoȬyearȱ averageȱ(2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱ theȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o NationallyȱcollegeȬageȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ2ȱpercentȱ duringȱtheȱsameȱtime.ȱ ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱcollegeȱageȱadultsȱrankedȱ#1ȱinȱtheȱ nationȱforȱpastȱmonthȱmarijuanaȱuse,ȱupȱfromȱ#3ȱinȱ2011/2012ȱandȱ#8ȱinȱ 2005/2006.ȱ ȱ x Coloradoȱcollegeȱageȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ62ȱpercentȱ higherȱthanȱtheȱnationalȱaverageȱcomparedȱtoȱ42ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ x AdultȱpastȬmonthȱmarijuanaȱuseȱincreasedȱ63ȱpercentȱinȱtheȱtwoȱyearȱaverageȱ (2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ twoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o Nationallyȱadultȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ21ȱpercentȱduringȱ theȱsameȱtime.ȱ ȱ Item 11.a. - Page 25 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ3ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱadultsȱrankedȱ#1ȱinȱtheȱnationȱforȱ pastȱmonthȱmarijuanaȱuse,ȱupȱfromȱ#7ȱinȱ2011/2012ȱandȱ#8ȱinȱ2005/2006.ȱ ȱ x Coloradoȱadultȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ104ȱpercentȱhigherȱ thanȱtheȱnationalȱaverageȱcomparedȱtoȱ51ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ Sectionȱ4ȱ–ȱEmergencyȱDepartmentȱMarijuanaȱandȱHospitalȱMarijuanaȬRelatedȱ Admissions:ȱ ȱ x ColoradoȱEmergencyȱDepartmentȱvisitsȱperȱyearȱrelatedȱtoȱmarijuana:ȱ o 2013ȱ–ȱ14,148ȱ o 2014ȱ–ȱ18,255ȱ ȱ x EmergencyȱDepartmentȱratesȱlikelyȱrelatedȱtoȱmarijuanaȱincreasedȱ49ȱpercentȱinȱ theȱtwoȬyearȱaverageȱ(2013Ȭ2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱ comparedȱtoȱtheȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011Ȭ2012).ȱ ȱ x Numberȱofȱhospitalizationsȱrelatedȱtoȱmarijuana:ȱ o 2011ȱ–ȱȱȱ6,305ȱ o 2012ȱ–ȱȱȱ6,715ȱ o 2013ȱ–ȱȱȱ8,272ȱ o 2014ȱ–ȱ11,439ȱ ȱ x Hospitalȱratesȱlikelyȱrelatedȱtoȱmarijuanaȱincreasedȱ32ȱpercentȱinȱtheȱtwoȬyearȱ averageȱ(2013Ȭ2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱ theȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011Ȭ2012).ȱ ȱ Sectionȱ5ȱ–ȱMarijuanaȬRelatedȱExposure:ȱ ȱ x MarijuanaȬrelatedȱexposuresȱincreasedȱ100ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ (2013Ȭ2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ threeȬyearȱaverageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ ȱ x MarijuanaȬonlyȱexposuresȱincreasedȱ155ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ(2013Ȭ 2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱthreeȬyearȱ averageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ ȱȱ Item 11.a. - Page 26 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ4ȱ Sectionȱ6ȱ–ȱTreatment:ȱ ȱ x MarijuanaȱtreatmentȱdataȱfromȱColoradoȱinȱyearsȱ2005ȱ–ȱ2015ȱdoesȱnotȱappearȱtoȱ demonstrateȱaȱdefinitiveȱtrend.ȱȱColoradoȱaveragesȱapproximatelyȱ6,500ȱ treatmentȱadmissionsȱannuallyȱforȱmarijuanaȱabuse.ȱ ȱ x Overȱtheȱlastȱtenȱyears,ȱtheȱtopȱthreeȱdrugsȱinvolvedȱinȱtreatmentȱadmissions,ȱinȱ descendingȱorder,ȱwereȱalcoholȱ(averageȱ13,382),ȱmarijuanaȱ(averageȱ6,652)ȱandȱ methamphetamineȱ(averageȱ5,298).ȱ ȱ Sectionȱ7ȱ–ȱDiversionȱofȱColoradoȱMarijuana:ȱ ȱ x HighwayȱpatrolȱyearlyȱinterdictionȱseizuresȱofȱColoradoȱmarijuanaȱincreasedȱ37ȱ percentȱfromȱ288ȱtoȱ394ȱ(2013Ȭ2015),ȱsinceȱrecreationalȱmarijuanaȱwasȱlegalized.ȱ ȱ x Ofȱtheȱ394ȱseizuresȱinȱ2015,ȱthereȱwereȱ36ȱdifferentȱstatesȱdestinedȱtoȱreceiveȱ marijuanaȱfromȱColorado.ȱȱTheȱmostȱcommonȱdestinationsȱidentifiedȱwereȱ Missouri,ȱIllinois,ȱTexas,ȱIowa,ȱandȱFlorida.ȱ ȱ Sectionȱ8ȱ–ȱDiversionȱbyȱParcel:ȱ ȱ x SeizuresȱofȱColoradoȱmarijuanaȱinȱtheȱU.S.ȱmailȱhasȱincreasedȱ427ȱpercentȱfromȱ anȱaverageȱofȱ70ȱparcelsȱ(2010Ȭ2012)ȱtoȱ369ȱparcelsȱ(2013Ȭ2015)ȱinȱtheȱthreeȱyearsȱ thatȱrecreationalȱmarijuanaȱhasȱbeenȱlegal.ȱ ȱ x SeizuresȱofȱColoradoȱmarijuanaȱinȱtheȱU.S.ȱmailȱhasȱincreasedȱ471ȱpercentȱfromȱ anȱaverageȱofȱ129ȱpoundsȱ(2010Ȭ2012)ȱtoȱ736ȱpoundsȱ(2013Ȭ2015)ȱinȱtheȱthreeȱ yearsȱthatȱrecreationalȱmarijuanaȱhasȱbeenȱlegal.ȱ ȱ Sectionȱ9ȱ–ȱRelatedȱData:ȱ ȱ x CrimeȱinȱDenverȱandȱColoradoȱhasȱincreasedȱfromȱ2013ȱtoȱ2015.ȱ ȱ x Coloradoȱannualȱtaxȱrevenueȱfromȱtheȱsaleȱofȱrecreationalȱandȱmedicalȱmarijuanaȱ wasȱ$115,579,432ȱ(CY2015)ȱorȱaboutȱ0.5ȱpercentȱofȱColorado’sȱtotalȱstatewideȱ budgetȱ(FY2016).ȱ ȱ x “Denverȱisȱlosingȱvisitorsȱandȱvaluableȱconventionȱbusinessȱasȱaȱresultȱofȱtheseȱ overallȱsafetyȱ(orȱperceptionȱofȱsafety)ȱissues...”ȱ–ȱVISITȱDENVERȱReportȱ ȱ Item 11.a. - Page 27 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ5ȱ x AsȱofȱJanuaryȱ2016,ȱthereȱwereȱ424ȱretailȱmarijuanaȱstoresȱinȱtheȱstateȱofȱ Coloradoȱcomparedȱtoȱ322ȱStarbucksȱandȱ202ȱMcDonald’s.ȱ ȱ x 68ȱpercentȱofȱlocalȱjurisdictionsȱhaveȱbannedȱmedicalȱandȱrecreationalȱmarijuanaȱ businesses.ȱ ȱ Sectionȱ10ȱ–ȱRelatedȱMaterial:ȱ ȱ x Thisȱsectionȱlistsȱvariousȱstudiesȱandȱreportsȱregardingȱmarijuana.ȱ ȱ THEREȱISȱMUCHȱMOREȱDATAȱINȱEACHȱOFȱTHEȱTENȱSECTIONS.ȱȱTHISȱPUBLICATIONȱMAYȱBEȱ FOUNDȱONȱTHEȱROCKYȱMOUNTAINȱHIDTAȱWEBSITE;ȱGOȱTOȱWWW.RMHIDTA.ORGȱANDȱCLICKȱONȱ REPORTS.ȱ State of Washington Data: ȱ WashingtonȱlegalizedȱrecreationalȱmarijuanaȱatȱtheȱsameȱtimeȱasȱColorado.ȱȱTheȱ readerȱisȱencouragedȱtoȱreviewȱdataȱfromȱWashingtonȱonȱtheȱimpactȱofȱlegalizationȱinȱ thatȱstate.ȱȱManyȱofȱtheȱsameȱtrendsȱinȱColoradoȱrelatedȱtoȱlegalȱmarijuanaȱalsoȱareȱ occurringȱinȱWashington.ȱȱTheseȱtrendsȱinclude:ȱȱimpairedȱdriving,ȱtrafficȱfatalities,ȱuseȱ amongȱteensȱandȱexposureȱ(seeȱSectionsȱ1ȱandȱ10).ȱ ȱȱ Item 11.a. - Page 28 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ ExecutiveȱSummaryȱ Pageȱ|ȱ6ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 29 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ7ȱ Introduction ȱ Purpose ȱ Theȱpurposeȱofȱthisȱreportȱandȱfutureȱreportsȱisȱtoȱdocumentȱtheȱimpactȱofȱtheȱ legalizationȱofȱmarijuanaȱforȱmedicalȱandȱrecreationalȱuseȱinȱColorado.ȱȱColoradoȱandȱ Washingtonȱserveȱasȱexperimentalȱlabsȱforȱtheȱnationȱtoȱdetermineȱtheȱimpactȱofȱ legalizingȱmarijuana.ȱȱThisȱisȱanȱimportantȱopportunityȱtoȱgatherȱandȱexamineȱ meaningfulȱdataȱandȱfacts.ȱȱCitizensȱandȱpolicymakersȱmayȱwantȱtoȱdelayȱanyȱdecisionsȱ onȱthisȱimportantȱissueȱuntilȱthereȱisȱsufficientȱandȱaccurateȱdataȱtoȱmakeȱanȱinformedȱ decision.ȱ The Debate ȱ Thereȱisȱanȱongoingȱdebateȱinȱthisȱcountryȱconcerningȱtheȱimpactȱofȱlegalizingȱ marijuana.ȱȱThoseȱinȱfavorȱargueȱthatȱtheȱbenefitsȱofȱremovingȱprohibitionȱfarȱoutweighȱ theȱpotentialȱnegativeȱconsequences.ȱȱSomeȱofȱtheȱbenefitsȱtheyȱciteȱinclude:ȱ ȱ x Eliminateȱarrestsȱforȱpossessionȱandȱsale,ȱresultingȱinȱfewerȱpeopleȱwithȱcriminalȱ recordsȱandȱaȱreductionȱinȱtheȱprisonȱpopulationȱ x Freeȱupȱlawȱenforcementȱresourcesȱtoȱtargetȱmoreȱseriousȱandȱviolentȱcriminalsȱ x Reduceȱtrafficȱfatalitiesȱsinceȱusersȱwillȱswitchȱfromȱalcoholȱtoȱmarijuana,ȱwhichȱ doesȱnotȱimpairȱdrivingȱtoȱtheȱsameȱdegreeȱ x Noȱincreaseȱinȱuse,ȱevenȱamongȱyouth,ȱbecauseȱofȱtightȱregulationsȱ x Addedȱrevenueȱgeneratedȱthroughȱtaxationȱ x Eliminateȱtheȱblackȱmarketȱ ȱ Thoseȱopposedȱtoȱlegalizingȱmarijuanaȱargueȱthatȱtheȱpotentialȱbenefitsȱofȱliftingȱ prohibitionȱpaleȱinȱcomparisonȱtoȱtheȱadverseȱconsequences.ȱȱSomeȱofȱtheȱconsequencesȱ theyȱciteȱinclude:ȱ ȱ x Increaseȱinȱmarijuanaȱuseȱamongȱyouthȱandȱyoungȱadultsȱ x IncreaseȱinȱmarijuanaȬimpairedȱdrivingȱfatalitiesȱ x RiseȱinȱnumberȱofȱmarijuanaȬaddictedȱusersȱinȱtreatmentȱ Item 11.a. - Page 30 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ8ȱ x Diversionȱofȱmarijuanaȱ x Adverseȱimpactȱandȱcostȱofȱtheȱphysicalȱandȱmentalȱhealthȱdamageȱcausedȱbyȱ marijuanaȱuseȱ x Theȱeconomicȱcostȱtoȱsocietyȱwillȱfarȱoutweighȱanyȱpotentialȱrevenueȱgeneratedȱ Background ȱ Thisȱdocumentȱshouldȱhelpȱyouȱdetermineȱwhichȱsideȱisȱmoreȱcorrect.ȱȱAȱnumberȱofȱ statesȱhaveȱenactedȱvaryingȱdegreesȱofȱlegalizedȱmarijuanaȱbyȱpermittingȱmedicalȱ marijuanaȱandȱfourȱpermittingȱrecreationalȱmarijuana.ȱȱInȱ2010,ȱColorado’sȱlegislatureȱ passedȱlegislationȱthatȱincludedȱtheȱlicensingȱofȱmedicalȱmarijuanaȱcentersȱ (“dispensaries”),ȱcultivationȱoperationsȱandȱmanufacturingȱofȱmarijuanaȱediblesȱforȱ medicalȱpurposes.ȱȱInȱNovemberȱ2012,ȱColoradoȱvotersȱlegalizedȱrecreationalȱmarijuanaȱ allowingȱindividualsȱtoȱuseȱandȱpossessȱanȱounceȱofȱmarijuanaȱandȱgrowȱupȱtoȱsixȱ plants.ȱȱTheȱamendmentȱalsoȱpermitsȱlicensingȱmarijuanaȱretailȱstores,ȱcultivationȱ operations,ȱmarijuanaȱedibleȱfactoriesȱandȱtestingȱfacilities.ȱȱWashingtonȱvotersȱpassedȱaȱ similarȱmeasureȱinȱ2012.ȱ Preface ȱ Volumeȱ4ȱwillȱbeȱformattedȱsimilarȱtoȱVolumeȱ3.ȱȱItȱisȱimportantȱtoȱnoteȱthat,ȱforȱ purposesȱofȱtheȱdebateȱonȱlegalizingȱmarijuanaȱinȱColorado,ȱthereȱareȱthreeȱdistinctȱ timeframesȱtoȱconsider.ȱȱThoseȱare:ȱȱtheȱearlyȱmedicalȱmarijuanaȱeraȱ(2000ȱ–ȱ2008),ȱtheȱ medicalȱmarijuanaȱcommercializationȱeraȱ(2009ȱ–ȱcurrent)ȱandȱtheȱrecreationalȱ marijuanaȱeraȱ(2013ȱ–ȱcurrent).ȱ ȱ x 2000ȱ–ȱ2008:ȱȱInȱNovemberȱ2000,ȱColoradoȱvotersȱpassedȱAmendmentȱ20ȱwhichȱ permittedȱaȱqualifyingȱpatient,ȱand/orȱcaregiverȱofȱaȱpatient,ȱtoȱpossessȱupȱtoȱ2ȱ ouncesȱofȱmarijuanaȱandȱgrowȱ6ȱmarijuanaȱplantsȱforȱmedicalȱpurposes.ȱȱDuringȱ thatȱtimeȱthereȱwereȱbetweenȱ1,000ȱandȱ4,800ȱmedicalȱmarijuanaȱcardholdersȱandȱ noȱknownȱdispensariesȱoperatingȱinȱtheȱstate.ȱ ȱ x 2009ȱ–ȱCurrent:ȱȱBeginningȱinȱ2009ȱdueȱtoȱaȱnumberȱofȱevents,ȱmarijuanaȱbecameȱ deȱfactoȱlegalizedȱthroughȱtheȱcommercializationȱofȱtheȱmedicalȱmarijuanaȱ industry.ȱȱByȱtheȱendȱofȱ2012,ȱthereȱwereȱoverȱ100,000ȱmedicalȱmarijuanaȱ cardholdersȱandȱ500ȱlicensedȱdispensariesȱoperatingȱinȱColorado.ȱȱThereȱwereȱ alsoȱlicensedȱcultivationȱoperationsȱandȱedibleȱmanufacturers.ȱȱ Item 11.a. - Page 31 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ9ȱ x 2013ȱ–ȱCurrent:ȱȱInȱNovemberȱ2012,ȱColoradoȱvotersȱpassedȱConstitutionalȱ Amendmentȱ64ȱwhichȱlegalizedȱmarijuanaȱforȱrecreationalȱpurposesȱforȱanyoneȱ overȱtheȱageȱofȱ21.ȱȱTheȱamendmentȱalsoȱallowedȱforȱlicensedȱmarijuanaȱretailȱ stores,ȱcultivationȱoperationsȱandȱedibleȱmanufacturers.ȱȱRetailȱmarijuanaȱ businessesȱbecameȱoperationalȱJanuaryȱ1,ȱ2014.ȱ Colorado’s History with Marijuana Legalization Medical Marijuana 2000 – 2008 ȱ InȱNovemberȱ2000,ȱColoradoȱvotersȱpassedȱAmendmentȱ20ȱwhichȱpermittedȱaȱ qualifyingȱpatientȱand/orȱcaregiverȱofȱaȱpatientȱtoȱpossessȱupȱtoȱ2ȱouncesȱofȱmarijuanaȱ andȱgrowȱ6ȱmarijuanaȱplantsȱforȱmedicalȱpurposes.ȱȱAmendmentȱ20ȱprovidedȱ identificationȱcardsȱforȱindividualsȱwithȱaȱdoctor’sȱrecommendationȱtoȱuseȱmarijuanaȱ forȱaȱdebilitatingȱmedicalȱcondition.ȱȱTheȱsystemȱwasȱmanagedȱbyȱtheȱColoradoȱ DepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱ(CDPHE),ȱwhichȱissuedȱidentificationȱ cardsȱtoȱpatientsȱbasedȱonȱaȱdoctor’sȱrecommendation.ȱȱTheȱdepartmentȱbeganȱ acceptingȱapplicationsȱfromȱpatientsȱinȱJuneȱ2001.ȱ ȱ Fromȱ2001ȱ–ȱ2008,ȱthereȱwereȱonlyȱ5,993ȱpatientȱapplicationsȱreceivedȱandȱonlyȱ55ȱ percentȱofȱthoseȱdesignatedȱaȱprimaryȱcaregiver.ȱȱDuringȱthatȱtime,ȱtheȱaverageȱwasȱ threeȱpatientsȱperȱcaregiverȱandȱthereȱwereȱnoȱknownȱretailȱstoresȱsellingȱmedicalȱ marijuanaȱ(“dispensaries”).ȱȱDispensariesȱwereȱnotȱanȱissueȱbecauseȱCDPHEȱ regulationsȱlimitedȱaȱcaregiverȱtoȱnoȱmoreȱthanȱfiveȱpatients.ȱ Medical Marijuana Commercialization and Expansion 2009 – Present ȱ Inȱ2009,ȱtheȱdynamicsȱsurroundingȱmedicalȱmarijuanaȱinȱColoradoȱchangedȱ substantially.ȱȱThereȱwereȱaȱnumberȱofȱfactorsȱthatȱplayedȱaȱroleȱinȱtheȱexplosionȱofȱtheȱ medicalȱmarijuanaȱindustryȱandȱnumberȱofȱpatients:ȱ ȱ TheȱfirstȱwasȱaȱDenverȱDistrictȱJudgeȱwho,ȱinȱlateȱ2007,ȱruledȱthatȱCDPHEȱviolatedȱ theȱstate’sȱopenȱmeetingȱrequirementȱwhenȱsettingȱaȱfiveȬpatientȬtoȬoneȬcaregiverȱratioȱ andȱoverturnedȱtheȱrule.ȱȱThatȱopenedȱtheȱdoorȱforȱcaregiversȱtoȱclaimȱanȱunlimitedȱ numberȱofȱpatientsȱforȱwhomȱtheyȱwereȱprovidingȱandȱgrowingȱmarijuana.ȱȱAlthoughȱ thisȱdecisionȱexpandedȱtheȱparameters,ȱveryȱfewȱinitiallyȱbeganȱoperatingȱmedicalȱ marijuanaȱcommercialȱoperationsȱ(dispensaries)ȱinȱfearȱofȱprosecution,ȱparticularlyȱ fromȱtheȱfederalȱgovernment.ȱȱ Item 11.a. - Page 32 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ10ȱ Theȱjudge’sȱruling,ȱandȱcaregiversȱexpandingȱtheirȱpatientȱbase,ȱcreatedȱsignificantȱ problemsȱforȱlocalȱprosecutorsȱseekingȱaȱconvictionȱforȱmarijuanaȱdistributionȱbyȱ caregivers.ȱȱManyȱjurisdictionsȱceasedȱorȱlimitedȱfilingȱthoseȱtypesȱofȱcases.ȱ ȱ AtȱaȱpressȱconferenceȱinȱSantaȱAna,ȱCaliforniaȱonȱFebruaryȱ25,ȱ2009,ȱtheȱU.S.ȱ AttorneyȱGeneralȱwasȱaskedȱwhetherȱraidsȱinȱCaliforniaȱonȱmedicalȱmarijuanaȱ dispensariesȱwouldȱcontinue.ȱȱHeȱrespondedȱ“No”ȱandȱreferencedȱtheȱPresident’sȱ campaignȱpromiseȱrelatedȱtoȱmedicalȱmarijuana.ȱȱInȱmidȬMarchȱ2009,ȱtheȱU.S.ȱAttorneyȱ GeneralȱclarifiedȱtheȱpositionȱsayingȱthatȱtheȱDepartmentȱofȱJusticeȱenforcementȱpolicyȱ wouldȱbeȱrestrictedȱtoȱtraffickersȱwhoȱfalselyȱmasqueradedȱasȱmedicalȱdispensariesȱandȱ usedȱmedicalȱmarijuanaȱlawsȱasȱaȱshield.ȱ ȱ Beginningȱinȱtheȱspringȱofȱ2009,ȱColoradoȱexperiencedȱanȱexplosionȱtoȱoverȱ20,000ȱ newȱmedicalȱmarijuanaȱpatientȱapplicationsȱandȱtheȱemergenceȱofȱoverȱ250ȱmedicalȱ marijuanaȱdispensariesȱ(allowedȱtoȱoperateȱasȱ“caregivers”).ȱȱOneȱdispensaryȱownerȱ claimedȱtoȱbeȱaȱprimaryȱcaregiverȱtoȱ1,200ȱpatients.ȱȱGovernmentȱtookȱlittleȱorȱnoȱactionȱ againstȱtheseȱcommercialȱoperations.ȱ ȱ InȱJulyȱ2009,ȱtheȱColoradoȱBoardȱofȱHealth,ȱafterȱhearings,ȱfailedȱtoȱreinstateȱtheȱfiveȬ patientsȬtoȬoneȬcaregiverȱrule.ȱ ȱ OnȱOctoberȱ19,ȱ2009,ȱU.S.ȱDeputyȱAttorneyȱGeneralȱDavidȱOgdenȱprovidedȱ guidelinesȱforȱU.S.ȱAttorneysȱinȱstatesȱthatȱenactedȱmedicalȱmarijuanaȱlaws.ȱȱTheȱmemoȱ advisedȱ“Notȱfocusȱfederalȱresourcesȱinȱyourȱstateȱonȱindividualsȱwhoseȱactionsȱareȱinȱ clearȱandȱunambiguousȱcomplianceȱwithȱexistingȱstateȱlawȱprovidingȱforȱtheȱmedicalȱ useȱofȱmarijuana.”ȱ ȱ Byȱtheȱendȱofȱ2009,ȱnewȱpatientȱapplicationsȱjumpedȱfromȱaroundȱ6,000ȱforȱtheȱfirstȱ sevenȱyearsȱtoȱanȱadditionalȱ38,000ȱinȱjustȱoneȱyear.ȱȱActualȱcardholdersȱwentȱfromȱ4,800ȱ inȱ2008ȱtoȱ41,000ȱinȱ2009.ȱȱByȱmidȬ2010,ȱthereȱwereȱoverȱ900ȱunlicensedȱmarijuanaȱ dispensariesȱidentifiedȱbyȱlawȱenforcement.ȱ ȱ Inȱ2010,ȱlawȱenforcementȱsoughtȱlegislationȱtoȱbanȱdispensariesȱandȱreinstateȱtheȱ oneȬtoȬfiveȱratioȱofȱcaregiverȱtoȱpatientȱasȱtheȱmodel.ȱȱHowever,ȱinȱ2010ȱtheȱColoradoȱ LegislatureȱpassedȱHBȬ1284ȱwhichȱlegalizedȱmedicalȱmarijuanaȱcentersȱ(dispensaries),ȱ marijuanaȱcultivationȱoperations,ȱandȱmanufacturersȱforȱmarijuanaȱedibleȱproducts.ȱȱByȱ 2012,ȱthereȱwereȱ532ȱlicensedȱdispensariesȱinȱColoradoȱandȱoverȱ108,000ȱregisteredȱ patients,ȱ94ȱpercentȱofȱwhoȱqualifiedȱforȱaȱcardȱbecauseȱofȱsevereȱpain.ȱ ȱ Item 11.a. - Page 33 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ11ȱ Recreational Marijuana 2013 – Present ȱ InȱNovemberȱofȱ2012,ȱColoradoȱvotersȱpassedȱAmendmentȱ64,ȱwhichȱlegalizedȱ marijuanaȱforȱrecreationalȱuse.ȱȱAmendmentȱ64ȱallowsȱindividualsȱ21ȱyearsȱorȱolderȱtoȱ growȱupȱtoȱsixȱplants,ȱpossess/useȱ1ȱounceȱorȱlessȱandȱfurnishȱanȱounceȱorȱlessȱofȱ marijuanaȱifȱnotȱforȱremuneration.ȱȱAmendmentȱ64ȱpermitsȱmarijuanaȱretailȱstores,ȱ marijuanaȱcultivationȱsites,ȱmarijuanaȱedibleȱfactoriesȱandȱmarijuanaȱtestingȱsites.ȱȱTheȱ firstȱretailȱmarijuanaȱbusinessesȱwereȱlicensedȱandȱoperationalȱinȱJanuaryȱofȱ2014.ȱȱSomeȱ individualsȱhaveȱestablishedȱprivateȱcannabisȱclubs,ȱformedȱcoȬopsȱforȱlargeȱmarijuanaȱ growȱoperations,ȱand/orȱsuppliedȱmarijuanaȱforȱnoȱfeeȱotherȱthanȱdonations.ȱ ȱ Whatȱhasȱbeenȱtheȱimpactȱofȱcommercializedȱmedicalȱmarijuanaȱandȱlegalizedȱ recreationalȱmarijuanaȱonȱColorado?ȱȱReviewȱtheȱreportȱandȱyouȱdecide.ȱ ȱ NOTE:ȱ ȱ yȱ DATA,ȱIFȱAVAILABLE,ȱWILLȱCOMPAREȱPREȬȱANDȱPOSTȬ2009ȱWHENȱMEDICALȱMARIJUANAȱ BECAMEȱCOMMERCIALIZEDȱANDȱAFTERȱ2013ȱWHENȱRECREATIONALȱMARIJUANAȱBECAMEȱ LEGALIZED.ȱ yȱ MULTIȬYEARȱCOMPARISONSȱAREȱGENERALLYȱBETTERȱINDICATORSȱOFȱTRENDS.ȱȱONEȬYEARȱ FLUCTUATIONSȱDOȱNOTȱNECESSARILYȱREFLECTȱAȱNEWȱTREND.ȱ yȱ PERCENTAGEȱCOMPARISONSȱMAYȱBEȱROUNDEDȱTOȱTHEȱNEARESTȱWHOLEȱNUMBER.ȱ x PERCENTȱCHANGESȱADDEDȱTOȱGRAPHSȱWEREȱCALCULATEDȱANDȱADDEDȱBYȱROCKYȱ MOUNTAINȱHIDTA.ȱ yȱ THISȱREPORTȱWILLȱCITEȱDATASETSȱWITHȱTERMSȱSUCHȱASȱ“MARIJUANAȬRELATED”ȱORȱ“TESTEDȱ POSITIVEȱFORȱMARIJUANA.”ȱȱTHATȱDOESȱNOTȱNECESSARILYȱPROVEȱTHATȱMARIJUANAȱWASȱ THEȱCAUSEȱOFȱTHEȱINCIDENT.ȱ ȱȱ Item 11.a. - Page 34 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ IntroductionȱȱPageȱ|ȱ12ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 35 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ13ȱ SECTION 1: Impaired Driving and Fatalities ȱ Definitions by Rocky Mountain HIDTA ȱ DrivingȱUnderȱtheȱInfluenceȱofȱDrugsȱ(DUID):ȱȱDUIDȱcouldȱincludeȱalcoholȱinȱ combinationȱwithȱdrugs.ȱȱThisȱisȱanȱimportantȱmeasurementȱsinceȱtheȱdriver’sȱabilityȱtoȱ operateȱaȱvehicleȱwasȱsufficientlyȱimpairedȱthatȱitȱbroughtȱhisȱorȱherȱdrivingȱtoȱtheȱ attentionȱofȱlawȱenforcement.ȱȱNotȱonlyȱtheȱerraticȱdrivingȱbutȱtheȱsubsequentȱevidenceȱ thatȱtheȱsubjectȱwasȱunderȱtheȱinfluenceȱofȱmarijuanaȱhelpsȱconfirmȱtheȱcausationȱfactor.ȱ ȱ MarijuanaȬRelated:ȱȱAlsoȱcalledȱ“marijuanaȱmentions,”ȱisȱanyȱtimeȱmarijuanaȱshowsȱ upȱinȱtheȱtoxicologyȱreport.ȱȱItȱcouldȱbeȱmarijuanaȱonlyȱorȱmarijuanaȱwithȱotherȱdrugsȱ and/orȱalcohol.ȱ ȱ MarijuanaȱOnly:ȱȱWhenȱtoxicologyȱresultsȱshowȱmarijuanaȱandȱnoȱotherȱdrugsȱorȱ alcohol.ȱ ȱ Fatalities:ȱȱAnyȱdeathȱresultingȱfromȱaȱtrafficȱcrashȱinvolvingȱaȱmotorȱvehicle.ȱ ȱ Operators:ȱȱAnyoneȱinȱcontrolȱofȱtheirȱownȱmovementsȱsuchȱasȱaȱdriver,ȱpedestrianȱ orȱbicyclist.ȱ Some Findings ȱ x MarijuanaȬrelatedȱtrafficȱdeathsȱincreasedȱ48ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ (2013Ȭ2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ threeȬyearȱaverageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ o Duringȱtheȱsameȱtimeȱperiod,ȱallȱtrafficȱdeathsȱincreasedȱ11ȱpercent.ȱ ȱ x MarijuanaȬrelatedȱtrafficȱdeathsȱincreasedȱ62ȱpercentȱfromȱ71ȱtoȱ115ȱpersonsȱ whenȱrecreationalȱmarijuanaȱwasȱlegalizedȱinȱ2013.ȱȱ Item 11.a. - Page 36 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ14ȱ x Inȱ2009,ȱColoradoȱmarijuanaȬrelatedȱtrafficȱdeathsȱinvolvingȱoperatorsȱtestingȱ positiveȱforȱmarijuanaȱrepresentedȱ10ȱpercentȱofȱallȱtrafficȱfatalities.ȱȱByȱ2015,ȱthatȱ numberȱdoubledȱtoȱ21ȱpercent.ȱ ȱ x Thereȱhasȱbeenȱaȱ67ȱpercentȱincreaseȱofȱoperatorsȱtestingȱpositiveȱforȱmarijuanaȱ involvedȱinȱaȱfatalȱtrafficȱaccidentȱsinceȱrecreationalȱmarijuanaȱlegalizationȱinȱ 2013.ȱ ȱ x Consistentȱwithȱtheȱpast,ȱinȱ2015ȱstillȱonlyȱ49ȱpercentȱofȱoperatorsȱinvolvedȱinȱ trafficȱdeathsȱwereȱtestedȱforȱdrugȱimpairment.ȱȱOutȱofȱthoseȱwhoȱwereȱtested,ȱ aboutȱ1ȱinȱ4ȱtestedȱpositiveȱforȱmarijuana.ȱ ȱ x Theȱnumberȱofȱtoxicologyȱscreensȱpositiveȱforȱmarijuanaȱ(primarilyȱDUID)ȱ increasedȱ29ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ(2013Ȭ2015)ȱsinceȱColoradoȱ legalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱthreeȬyearȱaverageȱ(2010Ȭ2012)ȱ priorȱtoȱlegalization.ȱ ȱ x TheȱColoradoȱStateȱPatrolȱDUIDȱProgramȱ2015ȱdataȱincludes:ȱ o 77ȱpercentȱ(665)ȱofȱtheȱ862ȱDUIDsȱinvolvedȱmarijuanaȱ o 40ȱpercentȱ(347)ȱofȱtheȱ862ȱDUIDsȱinvolvedȱmarijuanaȱonlyȱ Data for Traffic Deaths ȱ NOTE:ȱ x THEȱDATAȱFORȱ2012ȱTHROUGHȱ2015ȱWASȱOBTAINEDȱFROMȱTHEȱCOLORADOȱDEPARTMENTȱOFȱ TRANSPORTATIONȱ(CDOT).ȱȱCDOTȱANDȱRMHIDTAȱCONTACTEDȱCORONERȱOFFICESȱANDȱ LAWȱENFORCEMENTȱAGENCIESȱINVOLVEDȱWITHȱFATALITIESȱTOȱOBTAINȱTOXICOLOGYȱ REPORTS.ȱȱTHISȱREPRESENTSȱ100ȱPERCENTȱREPORTING.ȱȱPRIORȱYEAR(S)ȱMAYȱHAVEȱHADȱLESSȱ THANȱ100ȱPERCENTȱREPORTINGȱTOȱTHEȱCOLORADOȱDEPARTMENTȱOFȱTRANSPORTATION,ȱ ANDȱSUBSEQUENTLYȱTHEȱFATALITYȱANALYSISȱREPORTINGȱSYSTEMȱ(FARS).ȱȱANALYSISȱOFȱ DATAȱWASȱCONDUCTEDȱBYȱROCKYȱMOUNTAINȱHIDTA.ȱ x 2015ȱFARSȱDATAȱWILLȱNOTȱBEȱOFFICIALȱUNTILȱJANUARYȱ2017.ȱ ȱȱ Item 11.a. - Page 37 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ15ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS)ȱ andȱColoradoȱDepartmentȱofȱTransportationȱ ȱ ȱ ™Inȱ2015ȱthereȱwereȱaȱtotalȱofȱ547ȱtrafficȱdeathsȱofȱwhich:ȱ o 359ȱwereȱdriversȱ o 111ȱwereȱpassengersȱ o ȱ59ȱwereȱpedestriansȱ o ȱ13ȱwereȱbicyclistsȱ o ȱȱ4ȱwereȱinȱwheelchairsȱ o ȱȱ1ȱwasȱinȱaȱstrollerȱ ȱȱ Item 11.a. - Page 38 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ16ȱ TrafficȱDeathsȱRelatedȱtoȱMarijuana*ȱ Crash Year Total Statewide Fatalities Fatalities with Operators Testing Positive for Marijuana Percentage Total Fatalities (Marijuana) 2006ȱ 535ȱ 37ȱ 6.92%ȱ 2007ȱ 554ȱ 39ȱ 7.04%ȱ 2008ȱ 548ȱ 43ȱ 7.85%ȱ 2009ȱ 465ȱ 47ȱ 10.10%ȱ 2010ȱ 450ȱ 49ȱ 10.89%ȱ 2011ȱ 447ȱ 63ȱ 14.09%ȱ 2012ȱ 472ȱ 78ȱ 16.53%ȱ 2013ȱ 481ȱ 71ȱ 14.76%ȱ 2014ȱ 488ȱ 94ȱ 19.26%ȱ 2015ȱ 547ȱ 115ȱ 21.02%ȱ ȱ *FatalitiesȱInvolvingȱOperatorsȱTestingȱPositiveȱforȱMarijuanaȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS)ȱȱ ȱ ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱȱ Item 11.a. - Page 39 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ17ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱ ™Inȱ2015ȱthereȱwereȱaȱtotalȱofȱ115ȱmarijuanaȬrelatedȱtrafficȱdeathsȱofȱwhich:ȱ o 75ȱwereȱdriversȱ o 20ȱwereȱpassengersȱ o 17ȱwereȱpedestriansȱ o ȱȱ3ȱwereȱbicyclistsȱ ȱȱ Item 11.a. - Page 40 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ18ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱ OperatorsȱTestingȱPositiveȱforȱMarijuanaȱInvolvedȱinȱFatalȱCrashes*ȱ ȱ Crash Year Total Operators Involved in Fatal Crashes Operators in Fatal Crashes Testing Positive for Marijuana Percentage of Total Operators Who Tested Positive for Marijuana 2006ȱ 795ȱ 32ȱ 4.03%ȱ 2007ȱ 866ȱ 34ȱ 3.93%ȱ 2008ȱ 782ȱ 39ȱ 4.99%ȱ 2009ȱ 718ȱ 46ȱ 6.41%ȱ 2010ȱ 652ȱ 45ȱ 6.90%ȱ 2011ȱ 648ȱ 57ȱ 8.80%ȱ 2012ȱ 732ȱ 70ȱ 9.56%ȱ 2013ȱ 702ȱ 63ȱ 8.97%ȱ 2014ȱ 765ȱ 87ȱ 11.37%ȱ 2015ȱ 871ȱ 105ȱ 12.06%ȱ ȱ *OperatorsȱInvolvedȱinȱFatalitiesȱTestingȱPositiveȱforȱMarijuanaȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱȱ Item 11.a. - Page 41 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ19ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱ ™Consistentȱwithȱtheȱpast,ȱinȱ2015ȱonlyȱ49ȱpercentȱofȱoperatorsȱinvolvedȱinȱ trafficȱdeathsȱwereȱtestedȱforȱdrugȱimpairment.ȱ ȱ ™Inȱ2015,ȱthereȱwereȱaȱtotalȱofȱ105ȱoperatorsȱtestingȱpositiveȱforȱmarijuanaȱofȱ which:ȱ o 88ȱwereȱdriversȱ o 15ȱwereȱpedestriansȱ o ȱȱ2ȱwereȱbicyclistsȱ ȱȱ Item 11.a. - Page 42 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ20ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱȱ Item 11.a. - Page 43 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ21ȱ ȱ ȱ SOURCE:ȱ NationalȱHighwayȱTrafficȱSafetyȱAdministration,ȱFatalityȱAnalysisȱReportingȱSystemȱ(FARS),ȱ 2006Ȭ2011ȱandȱColoradoȱDepartmentȱofȱTransportationȱ2012Ȭ2015ȱ ȱ ™Inȱ2015,ȱofȱtheȱoperatorsȱwhoȱtestedȱpositiveȱforȱmarijuana,ȱoneȱoutȱofȱthreeȱ hadȱonlyȱmarijuanaȱpresentȱinȱtheirȱsystem.ȱ ȱȱ Item 11.a. - Page 44 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ22ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱSafety,ȱDivisionȱofȱCriminalȱJustice,ȱOfficeȱofȱResearchȱandȱ Statistics,ȱ“MarijuanaȱLegalizationȱinȱColorado:ȱEarlyȱFindings/AȱReportȱPursuantȱtoȱSenateȱBillȱ 13Ȭ283,”ȱMarchȱ2016ȱ ȱ ™Thereȱwasȱanȱ87ȱpercentȱincreaseȱinȱdriversȱtestingȱpositiveȱforȱmarijuanaȱwhoȱ wereȱinvolvedȱinȱfatalȱcrashesȱfromȱ2013ȱtoȱ2015.ȱ Data for Impaired Driving ȱ NOTE:ȱ THEȱNUMBERȱOFȱDUIDȱARRESTSȱISȱNOTȱREFLECTIVEȱOFȱTHEȱTOTALȱNUMBERȱOFȱ PEOPLEȱARRESTEDȱFORȱDRIVINGȱUNDERȱTHEȱINFLUENCEȱWHOȱAREȱINTOXICATEDȱONȱ NONȬALCOHOLȱSUBSTANCES.ȱIFȱSOMEONEȱISȱDRIVINGȱBOTHȱINTOXICATEDȱONȱ ALCOHOLȱANDȱINTOXICATEDȱONȱANYȱOTHERȱDRUGȱ(INCLUDINGȱMARIJUANA),ȱ ALCOHOLȱISȱALMOSTȱALWAYSȱTHEȱONLYȱINTOXICANTȱTESTEDȱFOR.ȱAȱDRIVERȱWHOȱ TESTSȱOVERȱTHEȱLEGALȱLIMITȱFORȱALCOHOLȱWILLȱBEȱCHARGEDȱWITHȱDUI,ȱEVENȱIFȱHEȱ ORȱSHEȱISȱPOSITIVEȱFORȱOTHERȱDRUGS.ȱHOWEVER,ȱWHETHERȱORȱNOTȱHEȱORȱSHEȱISȱ POSITIVEȱFORȱOTHERȱDRUGSȱWILLȱREMAINȱUNKNOWNȱBECAUSEȱOTHERȱDRUGSȱAREȱ NOTȱOFTENȱTESTEDȱFOR.ȱ ȱȱ Item 11.a. - Page 45 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ23ȱ ȱ ȱ SOURCE:ȱ ColoradoȱBureauȱofȱInvestigationȱandȱRockyȱMountainȱHIDTAȱ ȱ ™TheȱaboveȱgraphȱisȱRockyȱMountainȱHIDTA’sȱconversionȱofȱtheȱfollowingȱ ChemaToxȱdataȱasȱwellȱasȱdataȱfromȱtheȱColoradoȱBureauȱofȱInvestigation’sȱ stateȱlaboratory.ȱ ȱ NOTE:ȱ THEȱABOVEȱGRAPHSȱINCLUDEȱDATAȱFROMȱCHEMATOXȱLABORATORYȱWHICHȱWASȱ MERGEDȱWITHȱDATAȱSUPPLIEDȱBYȱCOLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱANDȱ ENVIRONMENTȱȬȱTOXICOLOGYȱLABORATORY.ȱȱTHEȱVASTȱMAJORITYȱOFȱTHEȱSCREENSȱ AREȱDUIDȱSUBMISSIONSȱFROMȱCOLORADOȱLAWȱENFORCEMENT.ȱ ȱ NOTE:ȱ COLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱANDȱENVIRONMENTȱDISCONTINUEDȱ TESTINGȱINȱJULYȱ2013.ȱȱTHEȱCOLORADOȱBUREAUȱOFȱINVESTIGATIONȱBEGANȱTESTINGȱ ONȱJULYȱ1,ȱ2015.ȱ ȱ Item 11.a. - Page 46 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ24ȱ ChemaToxȱandȱColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱ (DataȱCombinedȱ2009Ȭ2013)ȱ ȱ SOURCE:ȱ SarahȱUrfer,ȱM.S.,ȱDȬABFTȬFT;ȱChemaToxȱLaboratoryȱ ȱ ChemaToxȱDataȱOnlyȱ(2013ȬMayȱ2016)ȱ ȱȱ SOURCE:ȱ SarahȱUrfer,ȱM.D.,ȱDȬABFTȬFT,ȱChemaToxȱLaboratoryȱ Item 11.a. - Page 47 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ25ȱ ȱ SOURCE:ȱ ColoradoȱStateȱPatrol,ȱCSPȱCitationsȱforȱDrugȱImpairmentȱbyȱDrugȱTypeȱ ȱ ™Inȱ2015,ȱ77ȱpercentȱofȱtotalȱDUIDsȱinvolvedȱmarijuanaȱandȱ40ȱpercentȱofȱtotalȱ DUIDsȱinvolvedȱmarijuanaȱonlyȱ ȱ ™Inȱ2015,ȱColoradoȱStateȱPatrolȱmadeȱ1,000ȱlessȱDUIȱandȱDUIDȱcasesȱthanȱinȱ 2014.ȱȱHowever,ȱmarijuanaȱmadeȱupȱ15ȱpercentȱofȱtheȱtotalȱinȱ2015ȱandȱ12ȱ percentȱofȱtheȱtotalȱinȱ2014.ȱ ȱ NOTE:ȱ “MARIJUANAȱCITATIONSȱDEFINEDȱASȱANYȱCITATIONȱWHEREȱCONTACTȱWASȱCITEDȱFORȱ DRIVINGȱUNDERȱTHEȱINFLUENCEȱ(DUI)ȱORȱDRIVINGȱWHILEȱABILITYȱIMPAIREDȱ (DWAI)ȱANDȱMARIJUANAȱINFORMATIONȱWASȱFILLEDȱOUTȱONȱTRAFFICȱSTOPȱFORMȱ INDICATINGȱMARIJUANAȱ&ȱALCOHOL,ȱMARIJUANAȱ&ȱOTHERȱCONTROLLEDȱ SUBSTANCES,ȱORȱMARIJUANAȱONLYȱPRESENTȱBASEDȱONȱOFFICERȱOPINIONȱONLYȱ(NOȱ TOXICOLOGICALȱCONFIRMATION).”ȱȬȱCOLORADOȱSTATEȱPATROLȱ ȱȱ Item 11.a. - Page 48 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ26ȱ ȱ SOURCE:ȱ DenverȱPoliceȱDepartment,ȱTrafficȱOperationsȱBureauȱviaȱDataȱAnalysisȱUnitȱ ȱ ȱ ȱ ȱ SOURCE:ȱ LarimerȱCountyȱSheriff’sȱOffice,ȱRecordsȱSectionȱ Item 11.a. - Page 49 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ27ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱTransportationȱ(CDOT)ȱ ȱ NOTE:ȱ ROCKYȱMOUNTAINȱHIDTAȱHASȱBEENȱASKEDȱABOUTȱTHEȱTOTALȱNUMBERȱOFȱ TRAFFICȱACCIDENTSȱSEENȱINȱCOLORADOȱSINCEȱLEGALIZATIONȱANDȱIS,ȱ THEREFORE,ȱPROVIDINGȱTHEȱDATA.ȱȱROCKYȱMOUNTAINȱHIDTAȱISȱNOTȱ EQUATINGȱALLȱTRAFFICȱACCIDENTSȱWITHȱMARIJUANAȱLEGALIZATION.ȱ Related Costs ȱ EconomicȱCostȱofȱVehicleȱAccidentsȱResultingȱinȱFatalities:ȱȱAccordingȱtoȱtheȱ NationalȱHighwayȱTrafficȱSafetyȱAdministrationȱreport,ȱTheȱEconomicȱandȱSocietalȱImpactȱ OfȱMotorȱVehiclesȱCrashes,ȱ2010,ȱtheȱtotalȱeconomicȱcostsȱforȱaȱvehicleȱfatalityȱisȱ $1,398,916.ȱȱThatȱincludesȱpropertyȱdamage,ȱmedical,ȱinsurance,ȱproductivity,ȱamongȱ otherȱconsiderations.1ȱ ȱ CostȱofȱDrivingȱUnderȱtheȱInfluence:ȱȱTheȱcostȱassociatedȱwithȱtheȱfirstȱdrivingȬ underȬtheȬinfluenceȱ(DUI)ȱoffenseȱisȱestimatedȱatȱ$10,270.ȱȱCostsȱassociatedȱwithȱaȱ DUIDȱ(drivingȬunderȬtheȬinfluenceȬofȬdrugs)ȱareȱveryȱsimilarȱtoȱthoseȱofȱaȱ DUI/alcohol.2ȱ ȱ Item 11.a. - Page 50 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ28ȱ Some Information from Washington State ȱ MarijuanaȬRelatedȱFatalȱCarȱAccidentsȱSurgeȱinȱWashingtonȱStateȱAfterȱ Legalization:3ȱ x TenȱpercentȱofȱWashingtonȱstateȱdriversȱinvolvedȱinȱfatalȱcarȱcrashesȱbetweenȱ 2010ȱandȱ2014ȱtestedȱpositiveȱforȱrecentȱmarijuanaȱuse,ȱwithȱtheȱpercentageȱofȱ driversȱwhoȱhadȱusedȱpotȱwithinȱhoursȱofȱaȱcrashȱdoublingȱbetweenȱ2013ȱandȱ 2014ȱ(AAAȱFoundationȱforȱTrafficȱSafety).ȱ x Forȱ2013,ȱthereȱwereȱ436ȱfatalȱcrashesȱinȱWashington.ȱȱAmongȱthoseȱcrashes,ȱ thereȱwereȱ40ȱinȱwhichȱtheȱdriversȱinvolvedȱtestedȱpositiveȱforȱTHCȱ(9ȱpercent).ȱȱ Forȱ2014,ȱthereȱwereȱ462ȱfatalȱcrashes,ȱ85ȱdriversȱtestedȱpositiveȱforȱTHCȱ(18ȱ percent).ȱ ȱ MoreȱPotȱUseȱFoundȱinȱFatalȱCrashes,ȱDataȱSays:ȱȱ“Weȱhaveȱseenȱmarijuanaȱ involvementȱinȱfatalȱcrashesȱremainȱsteadyȱoverȱtheȱyearsȱandȱthenȱitȱjustȱspikedȱinȱ 2014,”ȱsaidȱDr.ȱStaciȱHoff,ȱWashingtonȱTrafficȱSafetyȱCommissionȱresearchȱdirector.4ȱ ȱ MoreȱDeathsȱonȱWashington’sȱRoads:5ȱ x DriversȱwithȱactiveȱTHCȱinȱtheirȱbloodȱinvolvedȱinȱaȱfatalȱdrivingȱaccidentȱhaveȱ increasedȱ122.2ȱpercentȱfromȱ2010ȱtoȱ2014.ȱ x Thereȱwasȱaȱ400ȱpercentȱincreaseȱofȱmarijuanaȬrelatedȱDUIsȱbetweenȱ2012ȱandȱ 2014.ȱ x “MarijuanaȬonlyȱDUIsȱhaveȱalsoȱbeenȱonȱtheȱriseȱsinceȱ2012.ȱȱTheseȱareȱDUIsȱforȱ whichȱmarijuanaȱwasȱconfirmedȱtoȱbeȱtheȱonlyȱactiveȱdrugȱinȱtheȱdriver’sȱsystem.ȱȱ Fromȱ2012ȱtoȱ2014ȱtheȱdepartmentȱ[WashingtonȱStateȱTrafficȱSafetyȱCommission]ȱ notedȱaȱ460ȱpercentȱincrease.”ȱ Case Examples and Related Material ȱ 20ȬYearȬOldȱColoradoȱManȱKillsȱ8ȬYearȬOldȱGirlȱWhileȱDrivingȱHighȱȱAȱformerȱ starȱathleteȱatȱMeadȱHighȱSchoolȱaccusedȱofȱfatallyȱrunningȱoverȱanȱ8ȬyearȬoldȱ Longmontȱgirlȱonȱherȱbikeȱtoldȱpoliceȱheȱthoughtȱheȇdȱhitȱtheȱcurbȱ—ȱuntilȱheȱsawȱtheȱ girlȇsȱstepfatherȱwavingȱatȱhim,ȱaccordingȱtoȱanȱarrestȱaffidavitȱreleasedȱJulyȱ29,ȱ2016.ȱ KyleȱKennethȱCouch,ȱ20,ȱturnedȱrightȱonȱaȱredȱlightȱatȱtheȱsameȱtimeȱPeytonȱ KnowltonȱrolledȱintoȱtheȱcrosswalkȱonȱMayȱ20,ȱ2016.ȱȱTheȱgirlȱwasȱcrushedȱbyȱtheȱrearȱ rightȱtireȱofȱtheȱFordȱFȬ250ȱpickup,ȱandȱdiedȱfromȱherȱinjuries.ȱȱCouch,ȱofȱLongmont,ȱ surrenderedȱtoȱpoliceȱFridayȱonȱanȱarrestȱwarrantȱthatȱincludedȱchargesȱofȱvehicularȱ homicideȱandȱdrivingȱunderȱtheȱinfluenceȱofȱdrugs.ȱȱOneȱbloodȱsampleȱcollectedȱmoreȱ Item 11.a. - Page 51 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ29ȱ thanȱtwoȱhoursȱafterȱtheȱcollisionȱtestedȱpositiveȱforȱcannabinoids,ȱfindingȱ1.5ȱ nanogramsȱofȱTHCȱperȱmilliliterȱofȱblood.ȱȱThatȇsȱbelowȱColoradoȇsȱlegalȱlimitȱofȱ5ȱ nanogramsȱperȱmilliliter.ȱȱButȱDeputyȱPoliceȱChiefȱJeffȱSaturȱsaidȱtheȱlawȱallowsȱtheȱ DUIȱchargeȱwhenȱthoseȱtestȱresultsȱareȱcombinedȱwithȱofficerȱobservationsȱofȱimpairedȱ behaviorȱandȱmarijuanaȱevidenceȱfoundȱinsideȱCouchȇsȱȱpickup.ȱ Theȱpresumptiveȱsentencingȱrangeȱforȱvehicularȱhomicide,ȱaȱClassȱ3ȱfelony,ȱisȱfourȱtoȱ 12ȱyearsȱinȱprison.ȱ CouchȱattendsȱColoradoȱMesaȱUniversityȱwhere,ȱinȱ2015,ȱheȱappearedȱinȱsixȱgamesȱ asȱaȱlinebackerȱasȱaȱredȱshirtȱfreshmanȱforȱtheȱfootballȱteam.ȱȱInȱ2013,ȱCouchȱbecameȱtheȱ firstȱathleteȱfromȱMeadȱHighȱSchoolȱtoȱwinȱaȱstateȱtitleȱwhenȱheȱcapturedȱtheȱClassȱ4Aȱ wrestlingȱchampionshipȱatȱ182ȱpounds.ȱȱHeȱwasȱnamedȱtheȱLongmontȱTimesȬCallȇsȱ WrestlerȱofȱtheȱYearȱthatȱseasonȱandȱwasȱableȱtoȱdefendȱhisȱcrownȱaȱyearȱlater,ȱwinningȱ theȱ4Aȱtitleȱatȱ195ȱpoundsȱtoȱcapȱhisȱseniorȱseasonȱwithȱaȱ49Ȭ1ȱrecord.ȱ Couch,ȱnowȱ20,ȱhasȱbeenȱarrestedȱonȱsuspicionȱofȱvehicularȱhomicideȱandȱdrivingȱ underȱtheȱinfluenceȱofȱmarijuanaȱinȱconnectionȱwithȱtheȱdeathȱofȱ8ȬyearȬoldȱPeytonȱ Knowlton.6ȱ ȱ FatherȱBlamesȱTeenageȱ“Son’sȱDeathȱinȱPartȱonȱLegalizedȱPot”:ȱȱAȱ17ȬyearȬold,ȱ drivingȱwhileȱhighȱonȱmarijuanaȱwhenȱhisȱcarȱstruckȱandȱkilledȱanotherȱteenageȱboy,ȱ wasȱsentencedȱtoȱtwoȱyearsȱinȱyouthȱcorrections.ȱȱTheȱincidentȱoccurredȱinȱNovemberȱofȱ 2014,ȱtheȱteenagerȱwasȱsentencedȱinȱAprilȱofȱ2016.ȱ Bothȱtheȱfatherȱofȱtheȱvictimȱandȱtheȱ17thȱJudicialȱDistrictȱAttorneyȱblamedȱ marijuanaȱforȱwhatȱhappened.ȱȱ TheȱBroomfieldȱcourtroomȱwasȱcrowdedȱwithȱfamilyȱandȱfriendsȱofȱtheȱvictim.ȱȱ Theyȱworeȱbuttonsȱreadingȱ“JusticeȱforȱChad”ȱinȱmemoryȱofȱChadȱBrittonȱwhoȱwasȱ onlyȱ16.ȱȱTheȱteenȱwasȱhisȱfather’sȱbestȱfriendȱbeforeȱheȱwasȱkilled.ȱȱWithȱtearsȱrollingȱ downȱhisȱcheekȱLonnieȱBrittonȱspokeȱofȱhisȱboy,ȱ“Heȱwasȱaȱbeautifulȱsoul.ȱHe’dȱdoȱ anythingȱforȱanyone.”ȱ ItȱwasȱnormalȱdayȱatȱBroomfieldȱHighȱSchoolȱwhenȱChadȱwentȱtoȱhisȱcarȱduringȱ lunch.ȱȱAnotherȱteenȱwasȱdrivingȱaȱseparateȱcar,ȱsoȱhighȱonȱmarijuanaȱhisȱfriendsȱ warnedȱhimȱnotȱtoȱdrive.ȱȱTragically,ȱChadȱwasȱstruckȱandȱkilled.ȱȱAȱwitnessȱatȱtheȱtimeȱ toldȱreporters,ȱ“Heȱwasȱputtingȱstuffȱinȱtheȱbackȱofȱhisȱcarȱandȱtheȱotherȱkidȱwasn’tȱ payingȱattentionȱandȱjustȱhitȱhim.”ȱ Inȱjuvenileȱcourt,ȱfamilyȱandȱfriendsȱtriedȱtoȱholdȱbackȱtheȱtearsȱbutȱfailed.ȱȱItȱwasȱanȱ emotionalȱsentencingȱasȱtheȱdriverȱofȱtheȱcar,ȱBrandonȱCullip,ȱwasȱsentencedȱtoȱtwoȱ yearsȱinȱyouthȱcorrections.ȱȱCullipȱpleadedȱguiltyȱtoȱvehicularȱhomicideȱinȱFebruaryȱofȱ 2016.ȱȱCullipȱhadȱobtainedȱhisȱdriver’sȱlicenseȱjustȱsixȱdaysȱbeforeȱtheȱaccidentȱoccurred.ȱ Britton’sȱfatherȱtoldȱtheȱjudgeȱheȱhad,ȱ“aȱholeȱinȱhisȱheartȱthatȱwillȱneverȱbeȱ mended”ȱandȱheȱblamedȱhisȱson’sȱdeathȱinȱpartȱonȱlegalizedȱpot.ȱȱ“Iȱthinkȱthisȱwasȱ Item 11.a. - Page 52 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ30ȱ probablyȱtheȱworstȱthingȱthatȱcouldȱhappenȱtoȱtheȱstateȱofȱColorado,ȱpassingȱtheȱ marijuanaȱlaw,”ȱLonnieȱBrittonȱsaid.ȱ WhenȱrecreationalȱpotȱwasȱlegalizedȱinȱColoradoȱthereȱwasȱfearȱaboutȱthisȱveryȱsortȱ ofȱthingȱhappening.ȱȱDaveȱYoung,ȱtheȱdistrictȱattorneyȱforȱtheȱ17thȱJudicialȱDistrictȱ coveringȱAdamsȱandȱBroomfieldȱcounties,ȱtoldȱCBS4’sȱRickȱSallinger,ȱ“Theȱlegalizationȱ ofȱmarijuanaȱhasȱsuppliedȱmarijuanaȱtoȱkidsȱandȱourȱyouthȱandȱIȱdon’tȱthinkȱit’sȱgoingȱ toȱbeȱtheȱlastȱtimeȱweȱhaveȱaȱtragedyȱlikeȱthisȱbecauseȱofȱmarijuana.”7ȱ ȱ MiddleȱSchoolȱCounselorȱKilledȱbyȱHighȱDriverȱasȱSheȱHelpedȱFellowȱMotorist:ȱȱȱ AȱcounselorȱatȱWolfȱPointȱMiddleȱSchool,ȱMontana,ȱwasȱhitȱbyȱaȱcarȱandȱkilledȱbyȱanȱ impairedȱdriverȱinȱColoradoȱasȱsheȱstoppedȱtoȱhelpȱanotherȱdriver.ȱȱTheȱJeffersonȱ CountyȱcoronerȱinȱColoradoȱidentifiedȱtheȱwomanȱasȱJanaȱElliott,ȱ56.ȱȱSheȱdiedȱofȱ multipleȱbluntȱforceȱtraumaȱinjuries.ȱElliottȱisȱidentifiedȱasȱaȱcounselorȱforȱtheȱsixthȱ gradeȱinȱMontana.ȱ TheȱdriverȱwhoȱhitȱElliott,ȱidentifiedȱasȱCurtisȱBlodgett,ȱ24,ȱisȱbeingȱchargedȱwithȱ vehicularȱhomicideȱforȱallegedlyȱsmokingȱmarijuanaȱpriorȱtoȱtheȱcrash,ȱaccordingȱtoȱTheȱ DenverȱPost.ȱȱBlodgettȱallegedlyȱadmittedȱheȱhadȱsmokedȱmarijuanaȱthatȱday.ȱȱ DetectivesȱareȱworkingȱtoȱdetermineȱwhetherȱBlodgettȱwasȱlegallyȱimpairedȱatȱtheȱtimeȱ ofȱtheȱcrash.ȱȱ“Howȱmuchȱheȱhadȱinȱhisȱsystemȱandȱwhatȱheȱhadȱinȱhisȱsystemȱwillȱ determineȱwhetherȱadditionalȱchargesȱcouldȱbeȱfiled,”ȱLakewoodȱPoliceȱSpokesmanȱ SteveȱDavisȱtoldȱTheȱPost.ȱ AccordingȱtoȱtheȱLakewoodȱPoliceȱDepartmentȱTrafficȱUnit,ȱElliottȱwasȱdrivingȱonȱ USȱHighwayȱ6ȱwhenȱaȱvehicleȱtravelingȱinȱtheȱleftȱlaneȱlostȱtheȱbicycleȱitȱwasȱcarryingȱ onȱitsȱtop.ȱȱTheȱdriverȱofȱtheȱvehicleȱstoppedȱtoȱretrieveȱtheȱbikeȱandȱElliottȱstoppedȱ alongȱtheȱshoulderȱasȱwellȱtoȱhelp.ȱȱAfterȱtheyȱretrievedȱtheȱbicycleȱandȱwereȱpreparingȱ toȱdriveȱaway,ȱanotherȱvehicleȱrearȱendedȱElliott’sȱvehicleȱatȱaȱspeedȱofȱ65ȱmph.ȱȱElliottȱ wasȱkilledȱinȱtheȱcrash.8ȱ ȱ TeenȱDriverȱChargedȱWithȱVehicularȱHomicideȱandȱDUIȱinȱBoulder,ȱColoradoȱ Crash:ȱ Aȱ17ȬyearȬoldȱaccusedȱofȱdrivingȱintoȱaȱstoppedȱcarȱandȱkillingȱtwoȱpeopleȱinȱMayȱofȱ 2016ȱwasȱchargedȱwithȱfourȱcountsȱofȱvehicularȱhomicide,ȱasȱBoulderȱprosecutorsȱ allegedȱforȱtheȱfirstȱtimeȱthatȱtheȱteenȱwasȱunderȱtheȱinfluenceȱofȱmarijuanaȱatȱtheȱtimeȱ ofȱtheȱcrash.ȱ JoeȱRamas,ȱ39,ȱandȱStaceyȱReynolds,ȱ30,ȱbothȱofȱBoulder,ȱdiedȱasȱaȱresultȱofȱtheȱ injuriesȱtheyȱsustainedȱinȱtheȱMayȱ7ȱcrash.ȱȱTheȱteenȱdriver,ȱQuinnȱHefferan,ȱisȱbeingȱ prosecutedȱasȱaȱjuvenileȱinȱthisȱcase.ȱȱHefferanȱjustȱrecentlyȱgraduatedȱfromȱBoulderȱ HighȱSchoolȱinȱtheȱspringȱofȱ2016.ȱȱ HefferanȱturnedȱhimselfȱinȱtoȱpoliceȱandȱappearedȱinȱcourtȱWednesdayȱmorning.ȱȱ HeȱwasȱchargedȱwithȱtwoȱcountsȱofȱvehicularȱhomicideȱunderȱaȱrecklessȬdrivingȱtheoryȱ Item 11.a. - Page 53 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ31ȱ andȱtwoȱcountsȱofȱvehicularȱhomicideȱunderȱaȱdrivingȬunderȬtheȬinfluenceȬofȬdrugsȱ theory.ȱȱHeȱalsoȱwillȱbeȱchargedȱinȱBoulderȱCountyȱCourtȱwithȱDUIȱ(drugs),ȱrecklessȱ driving,ȱimproperȱlaneȱchangeȱandȱrunningȱaȱredȱlight.ȱȱ DistrictȱAttorneyȱStanȱGarnettȱsaidȱtheȱDUIȬrelatedȱchargesȱagainstȱHefferanȱstemȱ fromȱtheȱteenȇsȱsuspectedȱuseȱofȱmarijuana.ȱȱTheȱmaximumȱpenaltyȱforȱvehicularȱ homicideȱagainstȱaȱjuvenileȱisȱtwoȱyearsȱinȱtheȱdepartmentȱofȱyouthȱcorrections,ȱGarnettȱ said.ȱ JustȱbeforeȱmidnightȱonȱMayȱ7,ȱpoliceȱsayȱHefferanȱwasȱdrivingȱaȱ2002ȱVolkswagenȱ JettaȱwhenȱheȱrearȬendedȱaȱ2010ȱHondaȱFitȱstoppedȱatȱaȱredȱlight.ȱȱTheȱJettaȱalsoȱstruckȱaȱ 2008ȱDodgeȱRamȱthatȱwasȱstoppedȱatȱtheȱlightȱasȱwell.ȱȱTheȱtwoȱoccupantsȱofȱtheȱFitȱ—ȱ RamasȱandȱReynoldsȱ—ȱwereȱtakenȱtoȱBoulderȱCommunityȱHealthȱinȱcriticalȱcondition,ȱ butȱeachȱwasȱtakenȱoffȱlifeȱsupportȱandȱdiedȱwithinȱdaysȱofȱtheȱcrash.ȱ Hefferanȱwasȱtreatedȱforȱminorȱinjuriesȱandȱreleased,ȱwhileȱtheȱoccupantsȱofȱtheȱ Ramȱwereȱnotȱinjured.ȱȱPoliceȱsaidȱHefferanȱwasȱdrivingȱȈatȱleastȈȱ45ȱmphȱandȱthatȱthereȱ wasȱ‘minimalȱbraking’ȱbeforeȱtheȱcrash.9ȱ ȱ TeensȱinȱFatalȱCrashȱhadȱMarijuanaȱandȱTracesȱofȱXanaxȱinȱTheirȱSystems:ȱȱTheȱ 18ȬyearȬoldȱdriverȱandȱtwoȱotherȱteensȱthatȱdiedȱinȱaȱcarȱcrashȱinȱMayȱnearȱConiferȱ testedȱpositiveȱforȱtracesȱofȱprescriptionȱdrugsȱandȱmarijuana.ȱ Theȱcrashȱhappenedȱatȱ4:35ȱp.m.ȱonȱMayȱ10,ȱ2016ȱwhenȱtheȱdriverȱofȱaȱDodgeȱ DakotaȱpickupȱtruckȱtravelingȱnearȱConifer,ȱColoradoȱlostȱcontrolȱandȱranȱoffȱtheȱroad,ȱ rollingȱdownȱanȱembankmentȱandȱintoȱaȱcreek.ȱȱThreeȱteenageȱboys,ȱincludingȱtheȱ driver,ȱdied.ȱȱOneȱotherȱpassengerȱwasȱtransportedȱtoȱaȱhospitalȱandȱwasȱexpectedȱtoȱ survive.ȱȱAllȱofȱthemȱwereȱstudentsȱfromȱSt.ȱJohn’sȱMilitaryȱSchoolȱinȱSalina,ȱKansas,ȱanȱ EpiscopalianȱallȬboysȱboardingȱschool,ȱandȱwereȱonȱaȱtripȱafterȱtheȱendȱofȱtheȱschoolȱ year.ȱ Theȱtoxicologyȱreports,ȱreleasedȱbyȱtheȱJeffersonȱCountyȱcoroner’sȱofficeȱThursday,ȱ showedȱallȱthreeȱteensȱ—ȱJacobȱWhitting,ȱJohnȱYoder,ȱ19,ȱandȱAkinwumiȱRicketts,ȱ16ȱ—ȱ hadȱtakenȱXanax,ȱanȱantiȬanxietyȱdrug,ȱandȱmarijuana.ȱȱTheȱtoxicologyȱscreenȱofȱtheȱ driver,ȱWhitting,ȱrecordedȱTHCȱlevelsȱatȱhigherȱthanȱ5ȱnanogramsȱorȱmoreȱofȱactiveȱ THCȱ(deltaȬ9ȱtetrahydrocannabinol)ȱperȱmilliliterȱofȱbloodȱwhich,ȱunderȱColoradoȱlaw,ȱ isȱconsideredȱimpairedȱwhileȱdriving.ȱȱNoneȱofȱtheȱboysȱtestedȱpositiveȱforȱalcohol.ȱ Whittingȱhadȱjustȱgraduatedȱasȱvaledictorian.ȱȱHeȱhadȱreceivedȱaȱvarsityȱletterȱforȱ academics,ȱamongȱotherȱawards.10ȱ ȱ Impaired,ȱEvenȱifȱBloodȱLevelsȱareȱBelowȱ5ng/ml:ȱȱ“Theȱpercentageȱofȱdriversȱ involvedȱinȱfatalȱcrashesȱwhoȱhadȱtracesȱofȱmarijuanaȱinȱtheirȱbloodȱhasȱdoubledȱsinceȱ marijuanaȱwasȱlegalizedȱinȱWashingtonȱstate,ȱaȱnewȱstudyȱsuggests.ȱ ‘Marijuanaȱuseȱinȱdrivingȱisȱaȱgrowing,ȱcontributingȱfactorȱtoȱfatalȱcrashes,’ȱsaidȱJakeȱ Nelson,ȱtheȱdirectorȱofȱtrafficȱsafetyȱadvocacyȱandȱresearchȱatȱtheȱAmericanȱAutomobileȱ Item 11.a. - Page 54 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ32ȱ Associationȱ(AAA)ȱsaid.ȱȱ‘Itȇsȱaȱhighwayȱsafetyȱproblemȱthatȱweȱshouldȱallȱbeȱconcernedȱ about.’ȱ Theȱteamȱfoundȱthatȱpriorȱtoȱlegalization,ȱaboutȱ8.3ȱpercentȱofȱdriversȱinvolvedȱinȱ fatalȱcrashesȱhadȱTHCȱinȱtheirȱblood,ȱbutȱafterȱlegalization,ȱ17ȱpercentȱofȱdriversȱhadȱ THCȱinȱtheirȱblood.ȱȱOfȱthatȱ17ȱpercent,ȱaboutȱtwoȬthirdsȱalsoȱhadȱsomeȱotherȱdrugsȱorȱ alcoholȱinȱtheirȱsystem.ȱȱTheȱtotalȱnumberȱofȱfatalȱcrashesȱalsoȱwentȱupȱslightly,ȱtheȱ studyȱfound.ȱ Whileȱtheȱstudyȱcanȇtȱproveȱthatȱmarijuanaȱwasȱaȱkeyȱcauseȱofȱthoseȱcrashes,ȱitȱisȱ likelyȱthatȱmarijuanaȱisȱatȱleastȱoneȱcontributorȱtoȱthoseȱfatalȱcrashes,ȱNelsonȱsaid.ȱ Theȱresearchersȱfoundȱthatȱ70ȱpercentȱofȱdriversȱwhoȱfailedȱtheseȱsobrietyȱtests,ȱandȱ whoseȱimpairmentȱwasȱattributedȱtoȱmarijuanaȱbyȱdrugȬrecognitionȱexperts,ȱstillȱhadȱ bloodȱlevelsȱofȱTHCȱlowerȱthanȱ5ȱnanogramsȱperȱmilliliter.ȱ ‘Forȱinstance,ȱitȇsȱpossibleȱthatȱpoliceȱareȱsimplyȱtestingȱforȱTHCȱmoreȱoftenȱnowȱthatȱ theȱdrugȱhasȱbeenȱlegalized,ȱandȱareȱthereforeȱcatchingȱpeopleȱwhoȱmightȱhaveȱbeenȱ missedȱinȱpreviousȱyears,’ȱ[Benjamin]ȱHansenȱ[anȱeconomistȱatȱtheȱUniversityȱofȱ OregonȱinȱEugeneȱandȱatȱtheȱNationalȱBureauȱofȱEconomicȱResearch]ȱsaid.ȱȱ‘Itȇsȱalsoȱ possibleȱthatȱpeopleȱwhoȱareȱfoundȱtoȱhaveȱdetectableȱlevelsȱofȱTHCȱinȱtheirȱbloodȱwereȱ notȱimpairedȱatȱtheȱtimeȱofȱtheȱcrash,’ȱheȱadded.”11ȱ ȱ DelaysȱinȱDUIȱBloodȱTestingȱ–ȱImpactȱonȱCannabisȱDUIȱAssessments:ȱȱAȱstudyȱ publishedȱinȱtheȱTrafficȱInjuryȱPreventionȱjournalȱ(Juneȱ11,ȱ2015)ȱsetȱoutȱtoȱexamineȱtimeȱ fromȱlawȱenforcementȱdispatchȱtoȱtheȱfirstȱbloodȱdrawȱinȱcasesȱofȱdrivingȱunderȱtheȱ influenceȱ(DUI)ȱinȱColoradoȱforȱ2012.ȱȱLaboratoryȱtoxicologyȱresultsȱwereȱalsoȱlookedȱatȱ inȱorderȱtoȱunderstandȱtheȱimplicationsȱofȱdelaysȱinȱbloodȱdrawsȱinȱcasesȱofȱDUIȱofȱ marijuana’sȱTHC.ȱȱTheȱresultsȱofȱthisȱstudyȱrevealedȱthatȱtheȱaverageȱtimeȱfromȱlawȱ enforcementȱdispatchȱtoȱbloodȱdrawȱinȱcasesȱofȱvehicularȱhomicideȱandȱvehicularȱ assaultȱwasȱ2.32ȱhours,ȱwithȱaȱrangeȱofȱ.83ȱtoȱ8.0ȱhours.ȱȱDataȱfromȱDUIȱtrafficȱarrestsȱ foundȱthatȱbetweenȱ42ȱandȱ70ȱpercentȱofȱallȱcannabinoidȬpositiveȱtrafficȱarrestsȱtestedȱ belowȱ5ȱng/mlȱTHCȱinȱblood,ȱwhichȱisȱtheȱlegalȱlimitȱinȱColoradoȱandȱWashington.ȱȱ Researchersȱdiscussȱtheȱfactȱthatȱalcoholȱisȱmetabolizedȱatȱaȱlinearȱrate,ȱwhichȱallowsȱ forensicȱtoxicologistsȱtoȱdetermineȱbloodȱalcoholȱcontentȱatȱtheȱtimeȱofȱarrestȱwhenȱ multipleȱbloodȱdeterminationsȱareȱavailable.ȱȱInȱcontrast,ȱTHCȱisȱmoreȱproblematicȱasȱitȱ isȱnotȱmetabolizedȱinȱaȱlinearȱfashion.ȱȱTHCȱisȱnotȱaȱreliableȱmarkerȱforȱimpairmentȱ becauseȱitȱcanȱbeȱdetectedȱinȱbloodȱforȱhoursȱorȱevenȱdaysȱafterȱsignsȱofȱimpairmentȱ disappear.ȱȱInȱfact,ȱthereȱisȱnoȱacceptedȱmethodȱtoȱextrapolateȱbackwardȱfromȱtheȱtimeȱ ofȱarrestȱorȱaȱcrash,ȱasȱcanȱbeȱdoneȱwithȱalcohol.ȱȱTheȱdifficultyȱinȱidentifyingȱaȱsuitableȱ testȱforȱdeterminingȱaȱdriver’sȱimpairmentȱfromȱTHCȱfurtherȱaddsȱtoȱtheȱcontroversyȱ surroundingȱtheȱlegalizationȱofȱmarijuanaȱinȱtheȱstate.12ȱ ȱ Item 11.a. - Page 55 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ33ȱ ScientificȱBasisȱforȱLawsȱonȱMarijuana,ȱDrivingȱQuestioned:ȱȱThereȱisȱnoȱscienceȱ thatȱshowsȱdriversȱbecomeȱimpairedȱatȱaȱspecificȱlevelȱofȱTHCȱinȱtheȱblood.ȱȱAȱlotȱ dependsȱonȱtheȱindividual.ȱȱDriversȱwithȱrelativelyȱhighȱlevelsȱofȱTHCȱinȱtheirȱsystemsȱ mightȱnotȱbeȱimpaired,ȱespeciallyȱifȱtheyȱareȱregularȱusers,ȱwhileȱothersȱwithȱrelativelyȱ lowȱlevelsȱmayȱbeȱunsafeȱbehindȱtheȱwheel.ȱ Someȱdriversȱmayȱbeȱimpairedȱwhenȱtheyȱareȱstoppedȱbyȱpolice,ȱbutȱbyȱtheȱtimeȱ theirȱbloodȱisȱtestedȱtheyȱhaveȱfallenȱbelowȱtheȱlegalȱthresholdȱbecauseȱactiveȱTHCȱ dissipatesȱrapidly.ȱȱTheȱaverageȱtimeȱtoȱcollectȱbloodȱfromȱaȱsuspectedȱdriverȱisȱoftenȱ moreȱthanȱtwoȱhours,ȱbecauseȱtakingȱaȱbloodȱsampleȱtypicallyȱrequiresȱaȱwarrantȱandȱ transportȱtoȱaȱpoliceȱstationȱorȱhospital.13ȱ ȱ OverviewȱofȱMajorȱIssuesȱRegardingȱtheȱImpactsȱofȱAlcoholȱandȱMarijuanaȱonȱ Driving:ȱ x THCȱconcentratesȱinȱfattyȱtissue,ȱincludingȱtheȱbrain,ȱandȱisȱlessȱevenlyȬ distributedȱthroughoutȱtheȱbodyȱthanȱisȱalcohol.ȱȱBloodȱlevels,ȱtherefore,ȱmayȱnotȱ beȱreflectiveȱofȱcentralȱnervousȱsystemȱeffects,ȱincludingȱtheȱabilityȱtoȱsafelyȱ operateȱaȱmotorȱvehicle.ȱ x Impairmentȱremainsȱforȱ2ȱtoȱ4ȱhoursȱafterȱintakeȱ(atȱleastȱinȱsmokingȱresearch)ȱ despiteȱbloodȱlevelsȱdroppingȱrapidlyȱtoȱlowȱlevels.ȱȱFollowingȱoralȱingestion,ȱ absorptionȱisȱslowerȱwithȱmuchȱlater,ȱandȱlower,ȱpeakȱbloodȱconcentrationsȱbutȱ stillȱsubstantialȱimpairment.ȱ x Acuteȱmarijuanaȱuseȱhasȱbeenȱshownȱtoȱmoderatelyȱdiminishȱvirtuallyȱeveryȱ drivingȬrelatedȱcapacity.ȱȱEffectsȱdependȱonȱdose,ȱabsorption,ȱtimeȱsinceȱpeakȱ bloodȱlevel,ȱhistoryȱofȱuseȱandȱskill/taskȱinvolved.14ȱ ȱ DrugȱUseȱNowȱRivalsȱDrunkȱDrivingȱasȱCauseȱofȱFatalȱCarȱCrashes,ȱStudyȱSays:ȱȱ AccordingȱtoȱtheȱGovernorsȱHighwayȱSafetyȱAssociation,ȱaȱnationalȱorganizationȱofȱ stateȱhighwayȱsafetyȱofficers,ȱdrugsȱwereȱfoundȱinȱtheȱsystemsȱofȱalmostȱ40ȱpercentȱofȱ fatallyȬinjuredȱdriversȱwhoȱwereȱtestedȱforȱthem.ȱȱThisȱnumberȱrivalsȱthatȱofȱtheȱnumberȱ ofȱdriversȱwhoȱdiedȱwithȱalcoholȱinȱtheirȱsystem.ȱ Theȱnumberȱofȱdeadȱdriversȱwhoȱtestedȱpositiveȱforȱdrugsȱhasȱincreasedȱfromȱ29ȱ percentȱinȱ2005ȱtoȱ39.9ȱpercentȱinȱ2013,ȱaccordingȱtoȱfederalȱcrashȱdata.ȱ “EveryȱstateȱmustȱtakeȱstepsȱtoȱreduceȱdrugȬimpairedȱdriving,ȱregardlessȱofȱtheȱlegalȱ statusȱofȱmarijuana,”ȱstatedȱJonathanȱAdkins,ȱexecutiveȱdirectorȱofȱtheȱGovernorsȱ HighwayȱSafetyȱAssociation.ȱ Marijuanaȱisȱbyȱfarȱtheȱmostȱcommonȱdrugȱthatȱisȱused,ȱfoundȱinȱroadsideȱsurveys,ȱ andȱfoundȱinȱfatallyȬinjuredȱdrivers.ȱȱMarijuanaȱuseȱbyȱdriversȱlikelyȱincreasesȱafterȱaȱ stateȱpermitsȱrecreationalȱmarijuanaȱuse.15ȱ ȱȱ Item 11.a. - Page 56 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ34ȱ DriveȱHighȱorȱDriveȱDrunk,ȱWhichȱisȱSafer?:ȱȱ“Ourȱdataȱfurtherȱsuggestȱthatȱmanyȱ marijuanaȱusersȱinȱColoradoȱandȱWashingtonȱbelieveȱthatȱdrivingȱwhileȱunderȱtheȱ influenceȱofȱmarijuanaȱorȱhashishȱisȱsafeȱinȱgeneralȱandȱsaferȱthanȱdrivingȱunderȱtheȱ influenceȱofȱalcohol.ȱȱHowever,ȱitȱisȱclearȱthatȱmarijuanaȱuseȱimpairsȱtheȱabilityȱtoȱdrive,ȱ particularlyȱamongȱoccasionalȱmarijuanaȱusersȱwhoȱmayȱbeȱlessȱtolerantȱtoȱTHC.”16ȱ ȱ StonedȱDriversȱDidn’tȱThinkȱThey’dȱGetȱCaught:ȈOurȱresearchȱindicatesȱthatȱ unfortunatelyȱaȱlotȱofȱmarijuanaȱusersȱareȱdrivingȱhighȱandȱmanyȱbelieveȱtheyȱwillȱnotȱ getȱaȱDUIȱforȱdoingȱso,ȈȱCDOTȱspokeswomanȱAmyȱFordȱsaidȱinȱaȱstatement.ȱ “Aboutȱ55ȱpercentȱofȱthemȱdroveȱaȱvehicleȱwithinȱ2ȱhoursȱofȱconsumingȱmarijuana,ȱaȱ CDOTȱsurveyȱfound.”ȱ “Throughȱitsȱ‘DriveȱHigh,ȱGetȱaȱDUI’ȱcampaign,ȱtheȱColoradoȱDepartmentȱofȱ Transportationȱreportedȱthatȱ51ȱpercentȱofȱmarijuanaȱusersȱdidȱnotȱthinkȱtheyȇdȱbeȱcitedȱ forȱdrivingȱwhileȱunderȱtheȱinfluenceȱofȱtheȱdrug.”17ȱ Sources ȱ 1ȱȱU.S.ȱDepartmentȱofȱTransportationȱNationalȱHighwayȱTrafficȱSafetyȱ Administration,ȱ“TheȱEconomicȱandȱSocietalȱImpactȱOfȱMotorȱVehicleȱCrashes,ȱ2010,”ȱ Mayȱ2014,ȱ<http://www.nrd.nhtsa.dot.gov/pubs/812013.pdf>,ȱaccessedȱFebruaryȱ19,ȱ 2015ȱ ȱ 2ȱȱCostȱofȱaȱDUIȱbrochure,ȱ <https://www.codot.gov/library/brochures/COSTDUI09.pdf/view>,ȱaccessedȱFebruaryȱ 19,ȱ2015ȱ ȱ 3ȱȱAndreaȱNoble,ȱTheȱWashingtonȱTimes,ȱMayȱ10,ȱ2016,ȱ“MarijuanaȬrelatedȱfatalȱcarȱ accidentsȱsurgeȱinȱWashingtonȱstateȱafterȱlegalization,”ȱ <http://www.washingtontimes.com/news/2016/may/10/marijuanaȬrelatedȬfatalȬcarȬ accidentsȬsurgeȬwashin/>,ȱaccessedȱMayȱ10,ȱ2016ȱ ȱ 4ȱȱBobȱYoung,ȱSeattleȱTimes,ȱ“Augustȱ19,ȱ2015ȱ(updatedȱAprilȱ25,ȱ2016),ȱ“Moreȱpotȱuseȱ foundȱinȱfatalȱcrashes,ȱdataȱsays,”ȱ<http://www.seattletimes.com/seattleȬ news/marijuana/moreȬpotȬuseȬfoundȬinȬfatalȬcrashesȬdataȬsays/>,ȱaccessedȱJuneȱ2,ȱ2016ȱ ȱ 5ȱȱWashingtonȱStateȱMarijuanaȱImpactȱReport,ȱMarchȱ2016,ȱNorthwestȱHighȱIntensityȱ DrugȱTraffickingȱArea,ȱDirectorȱDaveȱRodriguez,ȱDirectorȱ ȱ Item 11.a. - Page 57 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ35ȱ 6ȱȱAmeliaȱArvesen,ȱTimesȬCall,ȱȱJulyȱ29,ȱ2016,ȱ“DriverȱaccusedȱofȱkillingȱLongmontȱ girlȱridingȱbikeȱthoughtȱhe’dȱhitȱcurb,”ȱ <http://www.timescall.com/news/crime/ci_30185142/driverȬaccusedȬkillingȬlongmontȬ girlȬbikeȬthoughtȬhed”.ȱaccessedȱJulyȱ29,ȱ2016ȱ ȱ 7ȱȱRickȱSallinger,ȱCBSȱ4/Denver,ȱAprilȱ8,ȱ2016,ȱ“TeenȱSentencedȱforȱDeadlyȱCrashȱ DrivingȱWhileȱHigh,”ȱhttp://denver.cbslocal.com/2016/04/08/teenȬsentencedȬforȬdeadlyȬ crashȬdrivingȬwhileȬhigh/,ȱaccessedȱAprilȱ8,ȱ2016ȱ ȱ 8ȱȱAjaȱGoare,ȱKTVS.com,ȱJulyȱ13,ȱ2016,ȱ“WolfȱPointȱschoolȱcounselorȱkilledȱbyȱcarȱ whileȱhelpingȱotherȱdriverȱinȱColorado,”ȱ<http://www.ktvq.com/story/32440083/wolfȬ pointȬschoolȬcounselorȬkilledȬbyȬcarȬwhileȬhelpingȬotherȬdriverȬinȬcolorado>,ȱaccessedȱ Julyȱ13,ȱ2016ȱ ȱ 9ȱȱMitchellȱByars,ȱDailyCamera,ȱMayȱ25,ȱ2016,ȱ“Teenȱdriverȱchargedȱwithȱvehicularȱ homicide,ȱDUIȱinȱfatalȱBoulderȱcrash,”ȱ <http://www.dailycamera.com/news/boulder/ci_29937461/teenȬdriverȬbeȬchargedȬ vehicularȬhomicideȬduiȬfatal>,ȱaccessedȱMayȱ25,ȱ2016ȱ ȱ 10ȱȱYeseniaȱRobles,ȱTheȱDenverȱPost,ȱJulyȱ7,ȱ2016,ȱ“Autopsyȱshowsȱteensȱinȱfatalȱ ConiferȱcrashȱhadȱtracesȱofȱXanaxȱandȱmarijuanaȱinȱtheirȱsystem”,ȱ <http://www.denverpost.com/2016/07/07/teensȬconiferȬcrashȬtracesȬdrugsȬthc/>,ȱ accessedȱJulyȱ7,ȱ2016ȱ ȱ 11ȱȱTiaȱGhose,ȱLiveȱScience,ȱMayȱ10,ȱ2016,ȱ“DoesȱDrivingȱHighȱonȱMarijuanaȱIncreaseȱ FatalȱCrashes?,”ȱ<http://www.livescience.com/54693ȬhighȬdriversȬdoubleȬafterȬ marijuanaȬlegalization.html>,ȱaccessedȱMayȱ10,ȱ2016ȱ ȱ 12ȱȱEdȱWood,ȱAshleyȱBrooksȬRussellȱandȱPhillipȱDrum,ȱTaylorȱ&ȱFrancisȱOnline,ȱJuneȱ 11,ȱ2015,ȱ“DelaysȱinȱDUIȱbloodȱtesting:ȱImpactȱonȱcannabisȱDUIȱassessments,”ȱ <http://www.tandfonline.com/doi/full/10.1080/15389588.2015.1052421>,ȱaccessedȱ Februaryȱ25,ȱ2016ȱ ȱ 13ȱȱJoanȱLowy,ȱAssociatedȱPress,ȱMayȱ10,ȱ2016,ȱ“Scientificȱbasisȱforȱlawsȱonȱmarijuana,ȱ drivingȱquestioned,”ȱ <http://bigstory.ap.org/article/ab89342fa73d434880e4f7c8137f0221/scientificȬbasisȬlawsȬ marijuanaȬdrivingȬquestioned>,ȱaccessedȱMayȱ11,ȱ2016ȱ ȱ ȱȱ Item 11.a. - Page 58 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ1:ȱȱImpairedȱDrivingȱȱ Pageȱ|ȱ36ȱ 14ȱȱCalebȱBantaȬGreen,ȱPhD,ȱMPH,ȱMSWȱandȱJasonȱWilliams,ȱPhD,ȱUniversityȱofȱ Washington,ȱsponsoredȱbyȱtheȱAAAȱFoundationȱforȱTrafficȱSafety,ȱ“OverviewȱofȱMajorȱ IssuesȱRegardingȱtheȱImpactsȱofȱAlcoholȱandȱMarijuanaȱonȱDrivingȱ(Marchȱ2016),”ȱ <https://www.aaafoundation.org/overviewȬmajorȬissuesȬregardingȬimpactsȬalcoholȬ andȬmarijuanaȬdrivingȬ0>,ȱaccessedȱMarchȱ2016ȱ ȱ 15ȱȱAshleyȱHalseyȱIII,ȱTheȱWashingtonȱPost,ȱSeptemberȱ30,ȱ2015,ȱ“Drugȱuseȱnowȱrivalsȱ drunkȱdrivingȱasȱcauseȱofȱfatalȱcarȱcrashes,ȱstudyȱsays,ȱ “<https://www.washingtonpost.com/local/trafficandcommuting/drugȬuseȬnowȬrivalsȬ drunkenȬdrivingȬasȬcauseȬofȬfatalȬcarȬcrashesȬstudyȬsays/2015/09/29/fc139d6aȬ66a9Ȭ 11e5Ȭ9223Ȭ70cb36460919_story.html>,ȱOctoberȱ1,ȱ2015ȱ ȱ 16ȱȱDavis,ȱKC,ȱAllenȱJ,ȱDukeȱJ,ȱNonnemakerȱJ,ȱBradfieldȱB,ȱFarrellyȱMC,ȱetȱal.ȱ(2016)ȱ CorrelatesȱofȱMarijuanaȱDruggedȱDrivingȱandȱOpennessȱtoȱDrivingȱWhileȱHigh:ȱ EvidenceȱfromȱColoradoȱandȱWashington.ȱȱPloSȱONEȱ11(1):ȱe0146853.ȱDoi:ȱ 10.1371/journal.pone.0146853,ȱ <http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0146853>,ȱaccessedȱ Augustȱ1,ȱ2016ȱ ȱ 17ȱȱChhunȱSun,ȱTheȱGazette,ȱFebruaryȱ11,ȱ2016,ȱ“Report:ȱMarijuanaȬrelatedȱDUIȱ citationsȱinȱColoradoȱdroppedȱslightlyȱinȱ2015,”ȱ<http://gazette.com/reportȬmarijuanaȬ relatedȬduiȬcitationsȬinȬcoloradoȬdroppedȬslightlyȬinȬ2015/article/1569870>,ȱaccessedȱ Februaryȱ11,ȱ2016ȱ ȱ Item 11.a. - Page 59 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ37ȱ SECTION 2: Youth Marijuana Use ȱ Some Findings ȱ x Youthȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ20ȱpercentȱinȱtheȱtwoȬyearȱaverageȱ (2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ twoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o Nationallyȱyouthȱpastȱmonthȱmarijuanaȱuseȱdeclinedȱ4ȱpercentȱduringȱtheȱ sameȱtimeframe.ȱ ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱyouthȱrankedȱ#1ȱinȱtheȱnationȱforȱpastȱ monthȱmarijuanaȱuse,ȱupȱfromȱ#4ȱinȱ2011/2012ȱandȱ#14ȱinȱ2005/2006.ȱ ȱ x Coloradoȱyouthȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ74ȱpercentȱhigherȱ thanȱtheȱnationalȱaverageȱcomparedȱtoȱ39ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ x Theȱtopȱtenȱstatesȱforȱtheȱhighestȱrateȱofȱcurrentȱmarijuanaȱuseȱwereȱallȱmedicalȱ marijuanaȱstatesȱwhereasȱtheȱbottomȱtenȱwereȱallȱnonȬmedicalȬmarijuanaȱstates.ȱ ȱ x Inȱschoolȱyearȱ2015/2016,ȱ62ȱpercentȱofȱallȱdrugȱexpulsionsȱandȱsuspensionsȱwereȱ forȱmarijuanaȱviolations.ȱ Item 11.a. - Page 60 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ38ȱ Data Youth Ages 12 to 17 Years Old ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱȱ Item 11.a. - Page 61 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ39ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealth,ȱSubstateȱRegionȱEstimatesȱ2006Ȭ2014ȱ ȱ NOTE:ȱ SUBSTATEȱDATAȱISȱONLYȱAVAILABLEȱFROMȱTHEȱNATIONALȱSURVEYȱONȱDRUGȱUSEȱ ANDȱHEALTHȱINȱTHEȱABOVEȱTIMEFRAMES.ȱ ȱȱ Item 11.a. - Page 62 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ40ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ NOTE:ȱȱ*OregonȱandȱAlaskaȱvotedȱtoȱlegalizeȱrecreationalȱmarijuanaȱinȱNovemberȱ2014ȱ **Statesȱthatȱhadȱlegislationȱforȱmedicalȱmarijuanaȱsignedȱintoȱeffectȱduringȱ2014ȱ Item 11.a. - Page 63 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ41ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱ YouthȱAgesȱ12ȱtoȱ17ȱYearsȱOld,ȱ2013/2014ȱ Topȱ10ȱ (Medical/RecreationalȱStates)ȱ Bottomȱ10ȱ (NonȬMedicalȱorȱRecreationalȱStates)ȱ NationalȱAverage =ȱ7.22% 1. Coloradoȱ–ȱ12.56%ȱ 41.ȱȱMississippiȱ–ȱ5.60%ȱ 2. Vermontȱ–ȱ11.40%ȱ 42.ȱȱWestȱVirginiaȱ–ȱ5.60%ȱ 3. RhodeȱIslandȱ–ȱ10.69%ȱ 43.ȱȱNorthȱDakotaȱ–ȱ5.60%ȱ 4. Oregonȱ–ȱ10.19%ȱ 44.ȱȱLouisianaȱ–ȱ5.55%ȱ 5. Washingtonȱ–ȱ10.06%ȱ 45.ȱȱNebraskaȱ–ȱ5.54%ȱ 6. Maineȱ–ȱ9.90%ȱ 46.ȱȱOklahomaȱ–ȱ5.52%ȱ 7. NewȱHampshireȱ–ȱ9.83%ȱ 47.ȱȱUtahȱ–ȱ5.42%ȱ 8. Alaskaȱ–ȱ9.19%ȱ 48.ȱȱSouthȱDakotaȱ–ȱ5.32%ȱ 9. Massachusettsȱ–ȱ8.88%ȱ 49.ȱȱIowaȱ–ȱ5.17%ȱ 10. Californiaȱ–ȱ8.74%ȱ 50.ȱȱAlabamaȱ–ȱ4.98%ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱȱ Item 11.a. - Page 64 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ42ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducation,ȱ10ȬYearȱTrendȱDataȱ:ȱStateȱSuspensionȱandȱExpulsionȱ IncidentȱRatesȱandȱReasonsȱȱ ȱ NOTE:ȱ THEȱCOLORADOȱDEPARTMENTȱOFȱEDUCATIONȱBEGANȱCOLLECTINGȱMARIJUANAȱ VIOLATIONSȱSEPARATELYȱFROMȱALLȱDRUGȱVIOLATIONSȱDURINGȱTHEȱ2015Ȭ2016ȱ SCHOOLȱYEAR.ȱ Impact on School Violation Numbers ȱ ™ȱ “NoteȱthatȱSenateȱBillȱ12Ȭ046ȱandȱHouseȱBillȱ12Ȭ1345ȱtargetedȱreformȱofȱ‘zeroȱ tolerance’ȱpoliciesȱinȱschools,ȱandȱappearȱtoȱhaveȱdecreasedȱexpulsions,ȱ suspensionsȱandȱreferralsȱtoȱlawȱenforcement.”ȱ–ȱColoradoȱDepartmentȱofȱ PublicȱSafety,ȱMarijuanaȱLegalizationȱinȱColorado:ȱȱEarlyȱFindings,ȱAȱReportȱ PursuantȱtoȱSenateȱBillȱ13Ȭ283,ȱMarchȱ2016ȱȱ Item 11.a. - Page 65 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ43ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducation,ȱ10ȬYearȱTrendȱDataȱ:ȱStateȱSuspensionȱandȱExpulsionȱ IncidentȱRatesȱandȱReasonsȱȱ ȱ ™Inȱschoolȱyearȱ2015/2016,ȱ62ȱpercentȱofȱallȱdrugȱexpulsionsȱandȱsuspensionsȱ wereȱforȱmarijuanaȱviolations.ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducation,ȱ10ȬYearȱTrendȱDataȱ:ȱStateȱSuspensionȱandȱExpulsionȱ IncidentȱRatesȱandȱReasonsȱȱ ȱ ™Inȱschoolȱyearȱ2015/2016,ȱ63ȱpercentȱofȱallȱdrugȱrelatedȱsuspensionsȱwereȱforȱ marijuanaȱviolations.ȱȱ Item 11.a. - Page 66 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ44ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducation,ȱ10ȬYearȱTrendȱDataȱ:ȱStateȱSuspensionȱandȱExpulsionȱ IncidentȱRatesȱandȱReasonsȱȱ ȱ ™Inȱschoolȱyearȱ2015/2016,ȱ58ȱpercentȱofȱallȱdrugȱrelatedȱexpulsionsȱwereȱforȱ marijuanaȱviolations.ȱ ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducation,ȱ10ȬYearȱTrendȱDataȱ:ȱStateȱSuspensionȱandȱExpulsionȱ IncidentȱRatesȱandȱReasonsȱ ȱ ™Inȱschoolȱyearȱ2015/2016,ȱ73ȱpercentȱofȱallȱdrugȱrelatedȱreferralsȱtoȱlawȱ enforcementȱwereȱforȱmarijuanaȱviolations.ȱȱ Item 11.a. - Page 67 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ45ȱ ȱ SOURCE:ȱ DivisionȱofȱProbationȱServices/StateȱCourtȱAdministrator’sȱOfficeȱ ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱEducationȱ ȱ NOTE:ȱ ROCKYȱMOUNTAINȱHIDTAȱHASȱBEENȱASKEDȱABOUTȱTHEȱNUMBERȱOFȱSCHOOLȱ DROPOUTSȱINȱCOLORADOȱNUMEROUSȱTIMESȱANDȱIS,ȱTHEREFORE,ȱPROVIDINGȱTHEȱ DATA.ȱȱROCKYȱMOUNTAINȱHIDTAȱISȱNOTȱEQUATINGȱTHEȱNUMBERȱOFȱDROPOUTSȱ WITHȱMARIJUANAȱLEGALIZATION.ȱ Item 11.a. - Page 68 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ46ȱ Colorado School Resource Officer Survey ȱ InȱJuneȱ2016,ȱ103ȱschoolȱresourceȱofficersȱ(SRO)ȱparticipatedȱinȱaȱsurveyȱconcerningȱ marijuanaȱinȱschools.ȱȱTheȱmajorityȱwereȱassignedȱtoȱhighȱschoolsȱwithȱanȱaverageȱ tenureȱofȱsixȱyearsȱasȱanȱSRO.ȱȱTheyȱwereȱaskedȱforȱtheirȱprofessionalȱopinionȱonȱaȱ numberȱofȱquestions,ȱincluding:ȱ ȱ x Sinceȱtheȱlegalizationȱofȱrecreationalȱmarijuana,ȱwhatȱimpactȱhasȱthereȱbeenȱonȱ marijuanaȬrelatedȱincidentsȱatȱyourȱschool?ȱ o 82ȱpercentȱreportedȱanȱincreaseȱinȱincidentsȱ o 12ȱpercentȱreportedȱnoȱchangeȱinȱincidentsȱ o ȱ6ȱpercentȱreportedȱaȱdecreaseȱinȱincidentsȱ ȱ x Whatȱwereȱtheȱmostȱpredominantȱmarijuanaȱviolationsȱbyȱstudentsȱonȱcampus?ȱ o 45ȱpercentȱreportedȱbeingȱunderȱtheȱinfluenceȱduringȱschoolȱhoursȱ o 43ȱpercentȱreportedȱpossessionȱofȱmarijuanaȱ o ȱȱ7ȱpercentȱreportedȱpossessionȱofȱmarijuanaȬinfusedȱediblesȱ o ȱȱ2ȱpercentȱreportedȱsellingȱmarijuanaȱtoȱotherȱstudentsȱ o ȱȱ2ȱpercentȱreportedȱsharingȱmarijuanaȱwithȱotherȱstudentsȱ ȱ ȱ SOURCE:ȱ ColoradoȱAssociationȱofȱSchoolȱResourceȱOfficersȱ(CASRO)ȱandȱRockyȱMountainȱHIDTAȱ 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Student sharing marijuana withȱother students Studentȱselling marijuanaȱto otherȱstudents Studentȱin possessionȱof marijuana infused edibles Studentȱin possessionȱof marijuana Studentȱunder theȱinfluence duringȱschool hours 2%2% 7% 43%45%PercentȱofȱResponsesPredominantȱMarijuanaȱViolations,ȱ2016 Item 11.a. - Page 69 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ47ȱ x Whereȱdoȱtheȱstudentsȱgetȱtheirȱmarijuana?ȱ o 45ȱpercentȱreportedȱfriendsȱwhoȱobtainȱitȱlegallyȱ o 24ȱpercentȱreportedȱfromȱtheȱblackȱmarketȱ o 22ȱpercentȱreportedȱfromȱtheirȱparentsȱ o ȱȱ6ȱpercentȱreportedȱfromȱmedicalȱmarijuanaȱdispensariesȱ o ȱȱ2ȱpercentȱreportedȱfromȱretailȱmarijuanaȱstoresȱ o ȱȱ1ȱpercentȱreportedȱfromȱmedicalȱmarijuanaȱcardholdersȱ ȱ ȱ SOURCE:ȱ ColoradoȱAssociationȱofȱSchoolȱResourceȱOfficersȱ(CASRO)ȱandȱRockyȱMountainȱHIDTAȱ Some Comments from School Resource Officers ȱ HighȱatȱSchool:ȱȱ“Multipleȱincidentsȱofȱstudentsȱleavingȱcampusȱduringȱlunch,ȱ smokingȱmarijuanaȱandȱreturningȱtoȱcampusȱunderȱtheȱinfluence.”ȱ ȱ HomeȱGrows:ȱ x “Childrenȱcomingȱinȱclothesȱsmellingȱlikeȱmarijuana.”ȱ x “IncidentsȱareȱslightlyȱupȱfromȱlastȱyearȱbutȱseeingȱanȱincreaseȱinȱBHOȱ[butaneȱ hashȱoil]ȱ(homemade).ȱȱHadȱanȱincidentȱinȱwhichȱ2ȱelementaryȱstudentsȱcameȱtoȱ schoolȱsmellingȱofȱproduct.ȱȱFatherȱhadȱaȱlicensedȱcareȱgiverȱoperationȱandȱwasȱ growingȱ160ȱplantsȱinȱhouse.ȱȱDHHSȱtookȱnoȱactionȱbecauseȱofȱtheȱgrowȱbeingȱ legal.”ȱȱ Item 11.a. - Page 70 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ48ȱ MiddleȱSchoolȱUsers:ȱȱ“Onȱseveralȱoccasionsȱstudentsȱhaveȱshownȱupȱtoȱschoolȱ obviouslyȱhighȱonȱmarijuana.ȱȱWhenȱaskedȱwhereȱtheyȱobtainedȱtheȱdrugȱitȇsȱ50Ȭ50ȱ parentsȱorȱfriends.ȱȱIȱhaveȱseenȱthisȱatȱtheȱ6thȱgradeȱlevel,ȱbutȱmostlyȱ8thȱgradeȱlevel.ȱȱ Hardestȱpartȱtellingȱkidsȱthatȱmarijuanaȱusageȱatȱanȱearlyȱageȱisȱdetrimentalȱtoȱbrainȱ growth,ȱbutȱsomeȱtellȱmeȱthatȱmyȱmomȱandȱdadȱsayȱitȇsȱok.”ȱ ȱ GettingȱHighȱandȱSkippingȱClass:ȱȱ“Theȱamountȱofȱmarijuanaȱuse/salesȱhasȱ climbedȱsinceȱitȱbecameȱlegalȱforȱlegalȱusers.ȱȱOneȱofȱtheȱprimaryȱproblemsȱIȱseeȱisȱtheȱ strengthȱ(potency)ȱofȱtheȱmarijuana.ȱȱStudentsȱuseȱonȱaȱbreak/lunchȱandȱcannotȱreturnȱ toȱclass,ȱthereforeȱtheȱtruancyȱratesȱareȱhigh.”ȱȱ ȱ SchoolȱMarijuanaȱUseȱonȱtheȱRise:ȱȱ“Studentsȱatȱtheȱmiddleȱandȱhighȱschoolȱlevelsȱ haveȱbroughtȱleafȱmarijuana,ȱedibles,ȱandȱparaphernaliaȱtoȱschoolȱeitherȱforȱpersonalȱ useȱorȱtoȱshareȱwithȱothers.ȱȱTheyȱtendȱtoȱstoreȱsaidȱitemsȱinȱtheirȱcars,ȱbackpacks,ȱandȱ otherȱpersonalȱbelongings.ȱȱHavingȱworkedȱinȱtheȱschoolsȱbeforeȱMarijuanaȱwasȱlegalȱ andȱthenȱreturningȱafterȱlegalizationȱtheȱnumberȱofȱmiddleȱschoolȱstudentsȱwhoȱareȱ usingȱandȱexposedȱtoȱmarijuanaȱseemsȱtoȱbeȱonȱtheȱriseȱinȱmyȱopinion.”ȱȱ ȱ “Legal”ȱUsersȱSellingȱtoȱKids:ȱȱ“Formerȱstudentsȱgatherȱacrossȱtheȱstreetȱfromȱ schoolȱandȱsellȱtoȱcurrentȱstudents.ȱȱSellersȱareȱeitherȱ21+ȱyearsȱoldȱorȱ18ȱ&ȱhaveȱmedicalȱ marijuanaȱcards.”ȱȱ ȱ HomeȱEnvironmentȱEncouragesȱUse:ȱȱ“8thȱgradeȱkidȱhighȱatȱschoolȱheȱandȱ6thȱ gradeȱsisterȱbothȱsmokeȱmarijuanaȱatȱhomeȱwithȱparentsȱwhileȱwatchingȱTVȱatȱnight.ȱȱ Parentsȱalsoȱletȱbothȱeatȱmarijuanaȱediblesȱthatȱparentsȱmake.ȱȱSearchȱwarrantȱinȱhomeȱ hasȱillegalȱgrow,ȱbutȱmuchȱfinishedȱproductsȱ(marijuana)ȱandȱotherȱdrugsȱandȱstolenȱ gun.”ȱȱ ȱ EdiblesȱResultingȱinȱParamedics:ȱȱ“InȱFeb.ȱ2016ȱaȱjuvenileȱmaleȱbroughtȱediblesȱintoȱ theȱschool.ȱȱTheȱmaleȱgaveȱitȱoutȱtoȱseveralȱstudentsȱandȱconsumedȱhimself.ȱȱParamedicsȱ wereȱcalledȱandȱtheȱmaleȱwasȱtransportedȱtoȱtheȱER.ȱȱTheȱjuvenile’sȱparentȱwasȱaȱuserȱ andȱtheȱsourceȱofȱtheȱedibles.”ȱ ȱ ElementaryȱStudentsȱDefendingȱPotȱUse:ȱȱ“IȱhaveȱtaughtȱD.A.R.Eȱoverȱ20ȱyears.ȱȱ Theȱattitudeȱtowardsȱmarijuanaȱhasȱdrasticallyȱchangedȱamongȱgradeȱschoolȱkids.ȱȱTheyȱ areȱmoreȱvocalȱinȱdefendingȱtheȱusefulȱpurposeȱandȱbenefitsȱofȱmarijuana.ȱȱKidsȱdefendȱ parentȱandȱsiblingȱuse.ȱȱIȱaskedȱaȱ5thȱgradeȱboyȱwhatȱheȱthoughtȱheȱwouldȱbeȱdoingȱ whenȱheȱwasȱ25ȱyearsȱold.ȱȱHeȱrepliedȱ‘workȱinȱaȱweedȱshop.’ȱȱIȱaskedȱwhyȱheȱchoseȱ thatȱforȱaȱjob,ȱheȱsaidȱ‘becauseȱthatȇsȱwhatȱmyȱdadȱwantsȱmeȱtoȱdo.’ȱȱCommonȱparentingȱ inȱmyȱcommunity.ȱȱIȱhaveȱseenȱaȱlargeȱincreaseȱinȱproȬmarijuanaȱclothingȱinȱstudentsȱ4Ȭ Item 11.a. - Page 71 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ49ȱ 12ȱgrades.ȱȱIȱhaveȱaȱlargeȱNativeȱAmericanȱpopulationȱofȱstudentsȱinȱmyȱclasses.ȱȱManyȱ willȱdefendȱtheȱuseȱofȱmarijuanaȱasȱtheyȱareȱtaughtȱitȱisȱmedicineȱandȱhasȱalwaysȱbeenȱ soȱinȱtheirȱculture,ȱnoȱmatterȱifȱlegalȱorȱnotȱbyȱ‘theȱwhiteȱmanȱlaws.’ȱȱManyȱNativeȱ Americanȱstudentsȱhaveȱexplainedȱtoȱmeȱtheȱuseȱofȱmarijuanaȱisȱaȱ‘rightȱofȱpassage.’”ȱ ȱ BuyingȱMarijuanaȱonȱFacebook:ȱȱ“Thereȱhasȱbeenȱaȱdefiniteȱincreaseȱinȱ hash/marijuanaȱconcentrateȱatȱtheȱschool.ȱȱThereȱhasȱalsoȱbeenȱaȱsignificantȱincreaseȱinȱ deliveryȱmethodsȱshowingȱupȱatȱschoolȱ(pipe/vapeȱpens/etc.).ȱȱIȱhaveȱalsoȱseenȱtheȱ increaseȱinȱtheȱuseȱofȱsocialȱmediaȱtoȱbuyȱtheirȱproduct.ȱȱJustȱgoȱtoȱaȱcertainȱFacebookȱ page,ȱorderȱyourȱhash/marijuanaȱandȱtheȱsellersȱwillȱdeliverȱtheȱproductȱtoȱtheȱlocalȱ parkȱbyȱyourȱhome.ȱȱIȱhadȱaȱcaseȱthisȱyearȱ(2016)ȱwhereȱIȱnowȱhaveȱaȱwarrantȱoutȱforȱanȱ adultȱforȱsellingȱmarijuanaȱtoȱaȱchildȱandȱcontributingȱtoȱtheȱdelinquencyȱofȱaȱchildȱandȱ theȱdealȱwasȱmadeȱonȱFacebookȱandȱwasȱsoldȱatȱaȱbusinessȱnearȱtheȱschool.ȱȱInternetȱ salesȱareȱaȱboomingȱbusinessȱinȱtheȱmarijuanaȱworld.”ȱ ȱ RegularȱMarijuanaȱUse:ȱ x “Studentsȱatȱalternativeȱhighȱschoolȱcomeȱtoȱschoolȱhighȱorȱleaveȱcampusȱandȱgetȱ highȱandȱdonȇtȱreturnȱtoȱschool.ȱȱStudentsȱadmittingȱgettingȱhighȱonȱregularȱbasisȱ 3Ȭ4ȱtimesȱaȱweekȱandȱusuallyȱhighȱmostȱofȱtheȱweekend.ȱȱAlcoholȱalsoȱinvolved.ȱȱ Middleȱschoolȱstudentsȱreportȱexperimentingȱwithȱmarijuana.ȱȱFewȱ(3Ȭ4)ȱreportȱ smokingȱonceȱaȱmonth.”ȱ x “Manyȱstudentsȱskipȱtheirȱstudyȱperiodȱjustȱpriorȱtoȱlunchȱandȱreturnȱfromȱlunchȱ highȱonȱmarijuana.ȱȱThisȱisȱprettyȱmuchȱaȱdailyȱoccurrence.”ȱ ȱ MedicalȱMarijuanaȱDiversion:ȱȱ“InȱAprilȱ2016ȱthreeȱstudentsȱwereȱinȱparkingȱlotȱofȱ schoolȱsmokingȱmarijuana.ȱȱOneȱstudentȱrecentlyȱturnedȱ18ȱandȱshortlyȱafter,ȱobtainedȱ medicalȱMJȱcard.ȱȱThatȱstudentȱwasȱsharingȱwithȱtheȱotherȱtwo.ȱȱStudentȱcontactedȱwithȱ MJȱatȱProm.ȱȱHadȱrecentlyȱturnedȱ18ȱandȱthenȱgotȱmedicalȱMJȱcard.ȱȱThatȱledȱtoȱ discoveryȱofȱpossessionȱofȱalcohol.ȱȱJanuaryȱ2016ȱsophomoreȱstudentȱfoundȱnearȱ campusȱsellingȱmarijuanaȱtoȱotherȱstudents.ȱȱSuspendedȱbyȱschool,ȱcourtȱgaveȱ diversion.”ȱ Item 11.a. - Page 72 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ50ȱ School Counselor Survey ȱ ™ȱ TheȱColoradoȱSchoolȱCounselorȱAssociationȱelectedȱnotȱtoȱparticipateȱinȱaȱ2016ȱ survey.ȱ ȱ InȱAugustȱ2015,ȱ188ȱschoolȱcounselorsȱparticipatedȱinȱaȱsurveyȱconcerningȱtheȱ legalizationȱofȱmarijuanaȱinȱschools.ȱȱTheȱmajorityȱwereȱassignedȱtoȱhighȱschoolsȱwithȱ anȱaverageȱtenureȱofȱtenȱyears.ȱȱTheyȱwereȱaskedȱforȱtheirȱprofessionalȱopinionȱonȱaȱ numberȱofȱquestionsȱincluding:ȱ ȱ x Sinceȱtheȱlegalizationȱofȱrecreationalȱmarijuana,ȱwhatȱimpactȱhasȱthereȱbeenȱonȱ marijuanaȬrelatedȱincidentsȱatȱyourȱschool?ȱ o 69ȱpercentȱreportedȱanȱincreaseȱinȱincidentsȱ o 30ȱpercentȱreportedȱnoȱchangeȱinȱincidentsȱ o ȱȱ2ȱpercentȱreportedȱaȱslightȱdecreaseȱinȱincidentsȱ ȱ x Whatȱwereȱtheȱmostȱpredominantȱmarijuanaȱviolationsȱbyȱstudentsȱonȱcampus?ȱ o 51ȱpercentȱreportedȱbeingȱunderȱtheȱinfluenceȱduringȱschoolȱhoursȱ o 30ȱpercentȱreportedȱpossessionȱofȱmarijuanaȱ o ȱȱ9ȱpercentȱreportedȱpossessionȱofȱmarijuanaȬinfusedȱediblesȱ o ȱȱ6ȱpercentȱreportedȱsharingȱmarijuanaȱwithȱotherȱstudentsȱ o ȱȱ5ȱpercentȱreportedȱsellingȱmarijuanaȱtoȱotherȱstudentsȱ ȱ ȱ ȱ SOURCEȱ ColoradoȱSchoolȱCounselorȱAssociationȱ(CSCA)ȱandȱRockyȱMountainȱHIDTAȱ Item 11.a. - Page 73 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ51ȱ x Whereȱdoȱtheȱstudentsȱgetȱtheirȱmarijuana?ȱ o 29ȱpercentȱreportedȱfriendsȱwhoȱobtainȱitȱlegallyȱ o 25ȱpercentȱreportedȱfromȱtheirȱsiblingsȱorȱotherȱfamilyȱmembersȱ o 21ȱpercentȱreportedȱfromȱtheirȱparentsȱ o 18ȱpercentȱreportedȱfromȱtheȱblackȱmarketȱ o ȱȱ3ȱpercentȱreportedȱfromȱretailȱmarijuanaȱstoresȱ o ȱȱ2ȱpercentȱreportedȱfromȱmedicalȱmarijuanaȱdispensariesȱ o ȱȱ1ȱpercentȱreportedȱfromȱmedicalȱmarijuanaȱcardholdersȱ o ȱȱ1ȱpercentȱreportedȱfromȱmedicalȱmarijuanaȱcaregiversȱ ȱ ȱ ȱ SOURCEȱ ColoradoȱSchoolȱCounselorȱAssociationȱ(CSCA)ȱandȱRockyȱMountainȱHIDTAȱ Some Comments from School Counselors ȱ HallsȱReekȱofȱPotȱAfterȱLunch:ȱ x “Manyȱkidsȱcomeȱbackȱfromȱlunchȱhighlyȱintoxicatedȱfromȱmarijuanaȱuse.ȱȱHallsȱ reekȱofȱpot,ȱsoȱmanyȱkidsȱareȱhighȱthatȱitȱisȱimpossibleȱtoȱapprehendȱallȱbutȱtheȱ mostȱimpaired.”ȱ x “Theyȱgoȱoffȱcampusȱandȱsmokeȱduringȱlunchȱwithȱfriends.ȱȱTheyȱwillȱrunȱhomeȱ withȱfriendsȱduringȱlunchȱandȱsmokeȱthen.”ȱ Item 11.a. - Page 74 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ52ȱ x “Thereȱhaveȱbeenȱseveralȱinstancesȱofȱstudentsȱinȱtheirȱcarsȱonȱlunchȱorȱduringȱ theirȱoffȱhoursȱ‘hotboxing’ȱorȱsmokingȱmarijuana.ȱȱMostȱstudentsȱareȱseniorsȱbutȱ onȱoccasion,ȱseniorsȱwillȱprovideȱmarijuanaȱtoȱ9thȱorȱ10thȱgradeȱstudents.”ȱ x “2014/2015ȱschoolȱyear,ȱseveralȱstudentsȱcaughtȱcomingȱbackȱfromȱoffȬcampusȱ lunchȱunderȱtheȱinfluenceȱofȱmarijuana.”ȱ x “Hadȱaȱstudentȱcomeȱbackȱfromȱlunch,ȱteacherȱbelievedȱthatȱtheyȱwereȱhigh.ȱȱ Studentȱwasȱescortedȱtoȱtheȱoffice,ȱstudentȱadmittedȱtheyȱwereȱindeedȱhighȱtoȱtheȱ administrator.”ȱ x “Studentsȱareȱoftenȱreferredȱafterȱlunchȱ(openȱcampus)ȱafterȱtheyȱhaveȱbeenȱ ridingȱaroundȱsmokingȱmarijuanaȱwithȱtheirȱfriends.”ȱ x “Moreȱandȱmoreȱstudentsȱareȱcomingȱbackȱtoȱschoolȱhighȱafterȱlunch.”ȱ x “InȱAprilȱ2015,ȱstudentsȱwereȱgoingȱoutȱforȱaȱbreak.ȱȱ2Ȭ3ȱstudentsȱsmokedȱ marijuanaȱaboutȱaȱblockȱawayȱfromȱschool.ȱȱTheyȱsmelledȱlikeȱpotȱwhenȱtheyȱgotȱ back.”ȱ ȱ JustȱaȱPlant:ȱȱ“InȱMarchȱofȱ2015ȱaȱfifthȱgradeȱboyȱofferedȱmarijuanaȱtoȱanotherȱfifthȱ graderȱonȱtheȱplayground.ȱȱInȱOctoberȱofȱ2014ȱaȱkindergartenȱgirlȱdescribedȱtheȱpipeȱinȱ herȱgrandmother’sȱcarȱandȱtheȱstoreȱwhereȱyouȱgoȱtoȱbuyȱpipes.ȱȱInȱMayȱofȱ2015ȱaȱfirstȱ gradeȱgirlȱreportedȱthatȱherȱmomȱsmokesȱweedȱinȱtheȱgarage.ȱȱ‘It’sȱnotȱaȱdrug,ȱit’sȱjustȱaȱ plant.’”ȱ ȱ ArrivesȱatȱSchoolȱStoned:ȱ x “Atȱtheȱbeginningȱofȱtheȱsecondȱsemester,ȱthreeȱmiddleȱschoolȱboysȱwereȱ routinelyȱarrivingȱlateȱatȱschool,ȱandȱnoticeableȱintoxicated.”ȱ x “Weȱhaveȱmiddleȱschoolȱstudentsȱwhoȱeitherȱcomeȱtoȱschoolȱhigh,ȱorȱhaveȱitȱonȱ themȱinȱaȱbag.ȱȱOrȱtheyȱhaveȱpipesȱonȱthem.”ȱ x “InȱMayȱ2015,ȱaȱteacherȱwitnessedȱ2ȱseniorsȱsmokingȱmarijuanaȱwhileȱdrivingȱtoȱ school.ȱȱOneȱstudentȱadmittedȱtoȱhavingȱdoneȱso;ȱtheȱotherȱdeniedȱit.”ȱ x “Teachingȱaȱlessonȱinȱclassȱduringȱfirstȱperiodȱthatȱstartedȱ7:30ȱAMȱandȱ2ȱ studentsȱwereȱalreadyȱhighȱinȱclass.”ȱ x “Aȱmaleȱ13ȱy/oȱstudentȱfellȱasleepȱinȱseveralȱclasses.ȱȱHeȱwasȱinterviewedȱbyȱtheȱ schoolȱcounselorȱandȱtheȱRSOȱ(sic).ȱȱHeȱwasȱassessedȱasȱbeingȱhighȱandȱadmittedȱ thatȱheȱusesȱmarijuanaȱoftenȱbeforeȱschool.ȱȱHeȱstealsȱitȱfromȱhisȱolderȱbrother.”ȱ x “12ȱyr.ȱold,ȱsixthȱgrader,ȱwasȱsuspectedȱofȱcomingȱtoȱsummerȱschoolȱhigh.ȱȱWhenȱ confrontedȱheȱtoldȱtheȱteacherȱthatȱheȱsmokedȱitȱatȱhomeȱtheȱnightȱbeforeȱbutȱ deniedȱbeingȱhighȱatȱtheȱtime.ȱȱLater,ȱheȱconfirmedȱthatȱheȱhadȱsmokedȱearlyȱthatȱ morning.ȱȱTheȱmarijuanaȱcameȱfromȱhisȱmother’sȱstash.”ȱ ȱ ȱȱ Item 11.a. - Page 75 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ53ȱ NewȱUseȱofȱBathrooms:ȱ x ȱ“2ȱstudentsȱwereȱsmokingȱmarijuanaȱinȱtheȱrestroomȱlastȱyear.”ȱ x “8thȱgradeȱmaleȱstudentȱhadȱmarijuanaȱinȱhisȱlocker,ȱclassmatesȱreportedȱit.ȱȱ8thȱ gradeȱfemaleȱstudentȱsmokedȱaȱjointȱinȱaȱschoolȱbathroomȱduringȱschoolȱhours.ȱȱ Sharedȱitȱwithȱaȱfriend.”ȱ x “7thȱgradeȱgirlȱlastȱyearȱhadȱhiddenȱmarijuanaȱandȱaȱpipeȱinȱtheȱgirl’sȱrestroomȱ andȱtoldȱseveralȱfriendsȱwhoȱbeganȱgettingȱbathroomȱbreakȱpassesȱfromȱvariousȱ classrooms.ȱȱSecurityȱnotedȱanȱincreasedȱtrafficȱflowȱtoȱandȱfromȱthatȱrestroomȱ andȱfoundȱtheȱweedȱandȱsoonȱafterȱtheȱviolators.”ȱ ȱ It’sȱLegal:ȱ x “3ȱorȱ4ȱtimesȱinȱtheȱlastȱschoolȱyear,ȱstudentsȱhaveȱcomeȱtoȱschoolȱunderȱtheȱ influenceȱafterȱmeetingȱatȱhomesȱwhereȱparentsȱwereȱabsent,ȱsharingȱmarijuanaȱ offȱcampusȱandȱthenȱbringingȱitȱonȱcampus.ȱȱ7thȱandȱ8thȱgradeȱstudentsȱhaveȱbeenȱ involved,ȱandȱmostȱoftenȱtheirȱreactionȱwhenȱcaughtȱisȱ‘it’sȱlegal’.”ȱ x “Iȱmetȱwithȱatȱleastȱ5ȱstudentsȱlastȱyearȱaloneȱthatȱhaveȱbeenȱshowingȱsignificantȱ signsȱofȱdrugȱuseȱorȱwereȱcaughtȱandȱtheyȱallȱsaidȱtheyȱwillȱnotȱstopȱusingȱweedȱ onȱaȱdailyȱbasis.ȱȱTheirȱjustificationȱwasȱit’sȱfineȱbecauseȱit’sȱlegal.ȱȱIfȱit’sȱlegalȱit’sȱ notȱasȱbadȱasȱwhatȱadultsȱsayȱaboutȱtheȱrisks.”ȱ ȱ GradesȱDecline:ȱȱ“IȱwouldȱlikeȱtoȱsayȱthatȱinȱgeneralȱourȱMarijuanaȱincidentsȱhaveȱ notȱgoneȱup.ȱȱWeȱhaveȱaȱsavvyȱpopulationȱthatȱknowsȱtoȱkeepȱitȱawayȱfromȱschool.ȱȱ However,ȱIȱhaveȱseenȱaȱhugeȱspikeȱinȱtalkingȱwithȱkidsȱaboutȱitȱinȱmyȱsessions.ȱȱLastȱ yearȱIȱhadȱtwoȱveryȱintelligentȱstudentsȱ(aboveȱ4.0)ȱthatȱusedȱmarijuanaȱ2Ȭ6ȱtimesȱaȱ week.ȱȱBothȱofȱthemȱhadȱgradesȱdeclineȱandȱsignificantȱsocialȱemotionalȱissuesȱspikeȱinȱ theȱSpringȱofȱtheirȱSeniorȱYear.ȱȱTheyȱalsoȱbothȱhadȱviolationsȱatȱschool.”ȱ ȱ DadȱAllowsȱPotȱSmoking:ȱȱ“Weȱhadȱreportsȱofȱtwoȱstudentsȱ(brothers)ȱappearȱtoȱbeȱ highȱatȱschool.ȱȱOurȱofficerȱassessedȱbothȱofȱthemȱandȱdiscoveredȱthatȱtheirȱfather,ȱwhoȱ hadȱaȱmedicalȱmarijuanaȱcard,ȱwasȱhavingȱthemȱbothȱ“smokeȱaȱbowl”ȱbeforeȱschool.ȱȱ Heȱthoughtȱitȱwouldȱmakeȱtheirȱschoolȱdayȱeasier.”ȱ ȱ ParentsȱHigh:ȱȱ“Atȱourȱelementaryȱschool,ȱweȱhaveȱnoticedȱanȱincreasedȱnumberȱofȱ parentsȱshowingȱupȱtoȱschoolȱhigh.ȱȱKidsȱhaveȱalsoȱbroughtȱ[marijuana]ȱtoȱschoolȱtoȱ showȱtheirȱfriends.”ȱ ȱ DifficultyȱinȱAssessment:ȱȱ“Forȱschoolȱpersonnel,ȱitȱisȱmoreȱdifficultȱtoȱevaluateȱ whatȱsubstanceȱaȱstudentȱisȱunderȱtheȱinfluenceȱof.ȱȱWeȱcanȱsmellȱalcoholȱandȱsmokedȱ marijuanaȱbutȱtheȱediblesȱandȱvapesȱareȱhardȱtoȱdetect.”ȱ ȱ Item 11.a. - Page 76 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ54ȱ Warning:ȱȱDrugȱCanines:ȱȱ“Iȱwouldȱlikeȱtoȱjustȱofferȱthatȱweȱneedȱpolicyȱthatȱallowsȱ forȱmoreȱuseȱofȱdrugȱdogsȱandȱnotȱhavingȱtoȱforewarnȱstudentsȱorȱparentsȱwhenȱtheseȱ dogsȱwillȱbeȱpresent.ȱȱStudentsȱandȱespeciallyȱdealers,ȱtheȱonesȱweȱneedȱtoȱcatch,ȱareȱ veryȱvigilantȱinȱmakingȱadjustmentsȱwhenȱtheseȱresourcesȱareȱused.”ȱ Youth Use Surveys Not Utilized and Why ȱ ™Afterȱcarefulȱanalysisȱandȱconsideration,ȱRockyȱMountainȱHIDTAȱdidȱnotȱuseȱ theȱfollowingȱdatasetsȱinȱthisȱreportȱbecauseȱofȱtheȱfollowingȱreasons:ȱ Healthy Kids Colorado Survey (HKCS) ȱ TheȱHKCSȱshowsȱaȱ7.6ȱpercentȱincreaseȱinȱstudentȱmarijuanaȱuseȱfromȱ2013ȱ(19.7ȱ percent)ȱtoȱ2015ȱ(21.2ȱpercent).ȱȱAccordingȱtoȱaȱfrontȱpageȱarticleȱinȱTheȱDenverȱPostȱ (Juneȱ21,ȱ2016),ȱtheȱincreaseȱwasȱnotȱstatisticallyȱsignificantȱandȱthusȱ“Potȱuseȱamongȱ Coloradoȱteensȱflat.”ȱȱInȱfact,ȱTheȱDenverȱPostȱeditorialȱboardȱreleasedȱanȱeditorialȱonȱ Juneȱ22,ȱ2016ȱtitledȱ“Colorado’sȱgoodȱnewsȱonȱteenȱpotȱuse.”ȱȱAnȱanalysisȱofȱtheȱdataȱ paintsȱaȱdifferentȱpictureȱofȱstudentȱmarijuanaȱuseȱinȱColorado.ȱȱForȱaȱdetailedȱanalysisȱ andȱactualȱdata,ȱgoȱtoȱwww.rmhidta.orgȱandȱclickȱonȱtheȱReportsȱtabȱtoȱreadȱ“Coloradoȱ YouthȱMarijuanaȱUse:ȱȱUpȱ–ȱDownȱ–ȱFlat?ȱȱExamineȱtheȱDataȱandȱYouȱDecide!”ȱȱSomeȱofȱ theȱdataȱinȱthisȱsurveyȱincludeȱtheȱfollowing:ȱ ȱ BadȱNewsȱ x MarijuanaȱuseȱamongȱColoradoȱhighȱschoolȱjuniorȱandȱseniorȱstudentsȱincreasedȱ 19ȱpercentȱandȱ14ȱpercentȱrespectively.ȱ x Oneȱoutȱofȱ3ȱDenverȱhighȱschoolȱjuniorsȱandȱseniorsȱsurveyedȱareȱmarijuanaȱ users,ȱaȱ20ȱpercentȱincrease.ȱ x Thereȱwasȱnearlyȱaȱ50ȱpercentȱincreaseȱinȱtheȱBoulder/Broomfieldȱregionȱhighȱ schoolȱjuniorȱandȱseniorȱmarijuanaȱusers.ȱ x Coloradoȱmountainȱresortȱcommunitiesȱ(Regionȱ12)ȱsawȱaȱ90ȱpercentȱincreaseȱinȱ marijuanaȱusersȱamongȱtheirȱhighȱschoolȱseniorsȱandȱaȱ54.7ȱpercentȱincreaseȱ amongȱsophomores.ȱ x Otherȱruralȱmountainȱcommunitiesȱ(Regionȱ11)ȱsawȱincreasesȱofȱ22.2ȱpercentȱforȱ freshmen,ȱ72.0ȱpercentȱforȱsophomores,ȱ18.8ȱpercentȱforȱjuniorsȱandȱ57.3ȱpercentȱ forȱseniors.ȱ x Tenȱoutȱofȱtheȱ17ȱregions,ȱwithȱsufficientȱparticipationȱtoȱbeȱcounted,ȱsawȱanȱ overallȱincreaseȱinȱmarijuanaȱuse.ȱ Item 11.a. - Page 77 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ55ȱ x Onlyȱ48ȱpercentȱofȱhighȱschoolȱstudentsȱsurveyedȱseeȱmarijuanaȱasȱriskyȱ comparedȱtoȱ54ȱpercentȱofȱthoseȱsurveyedȱtwoȱyearsȱearlier.ȱ ȱ Yes,ȱThereȱisȱGoodȱNewsȱ x Theȱruralȱwesternȱareaȱ(Regionȱ10)ȱhadȱaȱmajorȱdecreaseȱinȱmarijuanaȱusersȱinȱallȱ fourȱhighȱschoolȱgrades.ȱȱThisȱdecreaseȱwasȱ51.8ȱpercentȱamongȱfreshmenȱtoȱ24.7ȱ percentȱamongȱseniors.ȱ x Ruralȱmountainȱcommunitiesȱ(Regionȱ17)ȱsawȱanȱoverallȱ17.1ȱpercentȱdecreaseȱ includingȱaȱ53.7ȱpercentȱdropȱinȱfreshmenȱmarijuanaȱusersȱandȱaȱ34.3ȱpercentȱ dropȱinȱseniorȱusers.ȱȱHowever,ȱtheȱsurveyȱdoesȱshowȱanȱincreaseȱinȱsophomoreȱ usersȱ(12.7ȱpercent)ȱandȱjuniorȱusersȱ(7.6ȱpercent).ȱ x Sevenȱoutȱofȱ17ȱregions,ȱwithȱsufficientȱparticipationȱtoȱbeȱcounted,ȱsawȱanȱ overallȱdecreaseȱinȱmarijuanaȱusers.ȱ x Theȱquestionȱshouldȱbeȱraisedȱasȱtoȱwhatȱmessageȱisȱgettingȱthroughȱtoȱstudentsȱ inȱtheȱregionsȱexperiencingȱoverallȱdecreasesȱinȱmarijuanaȱuseȱbutȱmissingȱinȱ thoseȱregionsȱexperiencingȱincreasesȱinȱuse.ȱ ȱ OtherȱPotentiallyȱPertinentȱInformationȱ x TheȱarticleȱcitesȱtheȱCentersȱforȱDiseaseȱControl’sȱYouthȱRiskȱBehaviorȱSurveyȱ (YRBS)ȱtoȱindicateȱthatȱ“marijuanaȱuseȱamongȱteensȱnationwideȱalsoȱremainsȱ flat…”ȱȱTheyȱfailedȱtoȱmentionȱthatȱOregonȱandȱWashington,ȱstatesȱwithȱ legalizedȱmarijuana,ȱandȱMinnesotaȱdidȱnotȱparticipateȱinȱtheȱ2015ȱYRBS.ȱȱThereȱ wereȱalsoȱtenȱstates,ȱincludingȱColorado,ȱwithȱunweightedȱresultsȱbecauseȱtheirȱ stateȱsurveyȱparticipationȱrateȱdidȱnotȱmeetȱtheȱ60ȱpercentȱparticipationȱstandardȱ setȱbyȱYRBS.ȱ x Inȱ2015ȱtheȱHKCSȱsurveyȱhadȱaȱresponseȱrateȱofȱ46ȱpercent.ȱȱEvenȱthoughȱHKCSȱ samplesȱaȱlargeȱnumberȱofȱstudents,ȱtheirȱparticipationȱrateȱisȱbelowȱtheȱindustryȱ standardȱforȱweightedȱdata.ȱ x JeffersonȱCountyȱ(theȱ2ndȱlargestȱschoolȱdistrict),ȱDouglasȱCountyȱ(theȱ3rdȱlargestȱ schoolȱdistrict),ȱElȱPasoȱCountyȱ(whichȱincludesȱColoradoȱSprings,ȱ2ndȱlargestȱ metroȱarea),ȱandȱWeldȱCountyȱresultsȱwereȱlistedȱasȱN/Aȱwhichȱmeansȱdataȱnotȱ availableȱdueȱtoȱlowȱparticipationȱinȱtheȱregion.ȱȱNOTE:ȱȱThisȱisȱaȱsimilarȱreasonȱ whyȱColoradoȱresultsȱwereȱconsideredȱunweightedȱbyȱtheȱnationalȱYRBSȱsurvey.ȱ ȱ Item 11.a. - Page 78 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ56ȱ Centers for Disease Control Youth Risk Behavior Survey (YRBS) ȱ Inȱ2015,ȱColoradoȱfellȱshortȱofȱtheȱrequiredȱ60ȱpercentȱparticipationȱrateȱandȱwas,ȱ therefore,ȱnotȱincludedȱwithȱweightedȱdataȱinȱthisȱsurvey.ȱȱAdditionally,ȱuponȱfurtherȱ review,ȱitȱwasȱdiscoveredȱthatȱsinceȱ1991ȱtheȱstateȱofȱColoradoȱhasȱonlyȱbeenȱ representedȱinȱtheȱHighȱSchoolȱYRBSȱsurveyȱwithȱweightedȱdataȱfourȱtimes.ȱȱSinceȱ1995,ȱ ColoradoȱhasȱonlyȱbeenȱrepresentedȱinȱtheȱMiddleȱSchoolȱYRBSȱsurveyȱbyȱweightedȱ dataȱtwice.ȱȱStatesȱthatȱparticipatedȱinȱtheȱ2015ȱMiddleȱSchoolȱandȱHighȱSchoolȱYRBSȱ surveysȱareȱrepresentedȱinȱdarkȱpurpleȱinȱtheȱbelowȱmaps.ȱȱItȱshouldȱbeȱnoted,ȱinȱ2015,ȱ highȱschoolsȱinȱtheȱfollowingȱtenȱstatesȱwereȱnotȱincludedȱwithȱweightedȱhighȱschoolȱ data:ȱȱUtah,ȱColorado,ȱKansas,ȱTexas,ȱLouisiana,ȱGeorgia,ȱIowa,ȱWisconsin,ȱOhio,ȱandȱ NewȱJersey.ȱȱWashington,ȱOregon,ȱandȱMinnesotaȱdidȱnotȱparticipateȱinȱtheȱsurvey.ȱ ȱ CentersȱforȱDiseaseȱControlȱYouthȱRiskȱBehaviorȱSurveyȱ 2015ȱYRBSȱParticipationȱMapȱ MiddleȱSchoolsȱ HighȱSchoolsȱ ȱ SOURCE:ȱ CentersȱforȱDiseaseȱControlȱandȱPrevention,ȱAdolescentȱandȱSchoolȱHealth,ȱYRBSȱParticipationȱ MapsȱandȱHistoryȱ<http://www.cdc.gov/healthyyouth/data/yrbs/participation.htm>ȱ Monitoring the Future (MTF) Study: ȱ MonitoringȱTheȱFutureȱisȱdesignedȱtoȱbeȱnationallyȬrepresentedȱandȱnotȱstateȬ represented.ȱȱMTFȱdoesȱnotȱprovideȱusableȱestimatesȱforȱtheȱspecificȱstateȱofȱColoradoȱ becauseȱofȱtheȱstate’sȱrelativelyȱsmallȱsize.ȱȱColoradoȱisȱonlyȱ1.6ȱpercentȱofȱtheȱtotalȱU.S.ȱ population;ȱthus,ȱtheȱsamplingȱwouldȱonlyȱbeȱ1.6ȱpercentȱofȱColoradoȱschoolsȱ(400)ȱorȱ aboutȱ6ȱschoolsȱperȱyear.ȱȱSinceȱ2010,ȱtheȱsurveyȱsampledȱanȱaverageȱofȱ4.6ȱColoradoȱ schools.ȱȱInȱ2014ȱandȱ2015,ȱthereȱwereȱfourȱschoolsȱsurveyedȱeachȱyearȱofȱwhichȱthreeȱ Item 11.a. - Page 79 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ57ȱ wereȱeighthȱgrade.ȱȱTherefore,ȱtheȱMTFȱstudyȱisȱnotȱusefulȱforȱstateȱdataȱpertainingȱtoȱ ColoradoȱforȱschoolȬageȱdrugȱuseȱdataȱandȱtrends.ȱ Related Material ȱ AmericanȱAcademyȱofȱPediatricsȱ(AAP)ȱ–ȱOpposeȱLegalization:ȱȱInȱaȱpolicyȱ statementȱissuedȱbyȱtheȱAmericanȱAcademyȱofȱPediatrics,ȱtheȱorganizationȱdeclaresȱ theirȱrecommendationsȱregardingȱlegalizationȱofȱmarijuanaȱinȱregardȱtoȱtheȱeffectsȱonȱ ourȱyouth:ȱ “Givenȱtheȱdataȱsupportingȱtheȱnegativeȱhealthȱandȱbrainȱdevelopmentȱeffectsȱofȱ marijuanaȱinȱchildrenȱandȱadolescents,ȱagesȱ0ȱthroughȱ21ȱyears,ȱtheȱAAPȱisȱopposedȱtoȱ marijuanaȱuseȱinȱthisȱpopulation.”ȱȱAdditionally,ȱtheȱAAPȱdeclaresȱthatȱthey,ȱ“Opposeȱ legalizationȱofȱmarijuanaȱbecauseȱofȱtheȱpotentialȱharmsȱtoȱchildrenȱandȱadolescents.ȱȱ TheȱAAPȱsupportsȱstudyingȱtheȱeffectsȱofȱrecentȱlawsȱlegalizingȱtheȱuseȱofȱmarijuanaȱtoȱ betterȱunderstandȱtheȱimpactȱandȱdefineȱbestȱpoliciesȱtoȱreduceȱadolescentȱmarijuanaȱ use.”ȱȱFurthermore,ȱtheȱAAP,ȱ“Opposesȱtheȱuseȱofȱsmokedȱmarijuanaȱbecauseȱsmokingȱ isȱknownȱtoȱcauseȱlungȱdamage,ȱandȱtheȱeffectsȱofȱsecondhandȱmarijuanaȱsmokeȱareȱ unknown.”ȱȱLastly,ȱtheȱAAPȱdiscouragesȱtheȱuseȱofȱmarijuanaȱbyȱadultsȱdueȱtoȱtheȱ influenceȱonȱchildrenȱandȱadolescentȱbehavior.1ȱ ȱ AmericanȱCollegeȱofȱPediatriciansȱ(ACP):ȱȱMarijuanaȱHarmfulȱtoȱYouth,ȱOpposeȱ Legalization:ȱȱAnȱarticleȱpublishedȱandȱreviewedȱbyȱtheȱACPȱstates,ȱ“Althoughȱ increasingȱlegalizationȱofȱmarijuanaȱhasȱcontributedȱtoȱtheȱgrowingȱbeliefȱthatȱ marijuanaȱisȱharmless,ȱresearchȱdocumentsȱtheȱrisksȱofȱitsȱuseȱbyȱyouthȱareȱgrave.ȱȱ Evidenceȱindicatesȱlimitedȱlegalizationȱofȱmarijuanaȱhasȱalreadyȱraisedȱratesȱofȱ unintendedȱmarijuanaȱexposureȱamongȱyoungȱchildren,ȱandȱmayȱincreaseȱadolescentȱ use.ȱȱTherefore,ȱtheȱAmericanȱCollegeȱofȱPediatriciansȱsupportsȱlegislationȱthatȱ continuesȱtoȱrestrictȱtheȱavailabilityȱofȱmarijuana…”ȱ SupportingȱevidenceȱthatȱtheȱACPȱcitesȱregardingȱyouthȱmarijuanaȱabuseȱincludes:ȱ x AccordingȱtoȱCDCȱdata,ȱmoreȱteensȱareȱnowȱsmokingȱmarijuanaȱthanȱcigarettes.ȱ x ResearchersȱinȱColoradoȱfoundȱthatȱapproximatelyȱ74ȱpercentȱofȱadolescentsȱinȱ substanceȱabuseȱtreatmentȱhadȱusedȱsomeoneȱelse’sȱmedicalȱmarijuana,ȱaȱ potentialȱbyproductȱofȱlegalization.ȱ x TheȱNationalȱInstituteȱofȱDrugȱAbuseȬȱ(NIDA)ȱfundedȱMonitoringȱtheȱFutureȱ studyȱofȱtheȱyearȱ2012ȱshowedȱthatȱ12.7ȱpercentȱofȱ8thȱgraders,ȱ29.8ȱpercentȱofȱ 10thȱgraders,ȱandȱ36.4ȱpercentȱofȱ12thȱgradersȱhadȱusedȱmarijuanaȱatȱleastȱonceȱinȱ theȱyearȱpriorȱtoȱbeingȱsurveyed.ȱȱTheyȱalsoȱfoundȱthatȱ7,ȱ18ȱandȱ22.7ȱpercentȱ respectivelyȱforȱtheseȱgroupsȱusedȱmarijuanaȱinȱtheȱpastȱmonth.ȱ Item 11.a. - Page 80 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ58ȱ x Theȱnumberȱofȱcurrentȱ(pastȱmonth)ȱusersȱagedȱ12ȱandȱupȱincreasedȱfromȱ14.5ȱtoȱ 18.9ȱmillionȱsinceȱ2007.ȱ x Marijuanaȱisȱtheȱleadingȱillicitȱsubstanceȱmentionedȱinȱadolescentȱemergencyȱ departmentȱadmissionsȱandȱautopsyȱreports,ȱandȱisȱconsideredȱoneȱofȱtheȱmajorȱ contributingȱfactorsȱleadingȱtoȱviolentȱdeathsȱandȱaccidentsȱamongȱadolescents.ȱȱ x Approximatelyȱ9ȱpercentȱofȱusersȱoverallȱbecomeȱaddictedȱtoȱmarijuana,ȱaboutȱ17ȱ percentȱofȱthoseȱwhoȱstartȱduringȱadolescenceȱbecomeȱaddicted.ȱȱ Inȱsummary,ȱmarijuanaȱuseȱisȱharmfulȱtoȱchildrenȱandȱadolescents.ȱȱForȱthisȱreason,ȱ theȱAmericanȱCollegeȱofȱPediatriciansȱopposesȱitsȱlegalizationȱforȱrecreationalȱuseȱandȱ urgesȱextremeȱcautionȱinȱlegalizingȱitȱforȱmedicinalȱuse.ȱȱLikewise,ȱtheȱAmericanȱ AcademyȱofȱChildȱandȱAdolescentȱPsychiatryȱ(AACAP)ȱrecentlyȱofferedȱtheirȱownȱ policyȱstatementȱopposingȱeffortsȱtoȱlegalizeȱmarijuana.2ȱ ȱ PotȱScienceȱ–ȱTopȱMarijuanaȱFindingsȱofȱ2015:3ȱ x AȱstudyȱpublishedȱinȱtheȱjournalȱJAMAȱPsychiatryȱexaminedȱbrainȱscansȱinȱpairsȱ ofȱsameȬsexȱsiblings,ȱincludingȱsomeȱsetsȱofȱtwins.ȱȱTheȱresearchersȱfoundȱthatȱ teensȱwhoȱhadȱsmokedȱmarijuanaȱ–ȱevenȱonceȱ–ȱhadȱsmallerȱbrainȱvolumeȱinȱtheȱ amygdalaȱcomparedȱwithȱteensȱwhoȱneverȱtriedȱpot.ȱȱTheȱamygdalaȱisȱinvolvedȱ inȱprocessingȱemotionsȱandȱseekingȱrewards.ȱ x Researchersȱhaveȱfoundȱthatȱmarijuanaȱcouldȱplayȱaȱroleȱinȱcorticalȱthinningȱ(theȱ cortexȱisȱtheȱouterȱlayerȱofȱtheȱbrain),ȱwhichȱmayȱalterȱbrainȱdevelopmentȱinȱ teens.ȱ x OneȱinȱfiveȱhighȱschoolȱstudentsȱwhoȱuseȱeȬcigarettesȱhasȱalsoȱtriedȱusingȱtheseȱ devicesȱtoȱvapeȱpot,ȱreportedȱaȱConnecticutȱstudyȱofȱnearlyȱ4,000ȱteensȱ(releasedȱ Septemberȱ2015).ȱ ȱ DemocratȱGovernorȱ–ȱLegalizingȱPotȱWasȱ‘Reckless’:ȱȱInȱaȱgubernatorialȱdebateȱ ColoradoȱGovernorȱJohnȱHickenlooperȱstated,ȱ“Iȱthinkȱforȱusȱtoȱdoȱthatȱ[legalizeȱ recreationalȱuse]ȱwithoutȱhavingȱallȱtheȱdata,ȱthereȱisȱnotȱenoughȱdata,ȱandȱtoȱaȱcertainȱ extentȱyouȱcouldȱsayȱitȱwasȱreckless.”ȱȱAȱstudyȱthatȱspeaksȱtoȱthisȱsentimentȱwasȱ publishedȱinȱtheȱJournalȱofȱAddictionȱbyȱprofessorȱWayneȱHallȱofȱKingsȱCollege,ȱLondonȱ showsȱthatȱmarijuanaȱisȱhighlyȱaddictive,ȱcausesȱmentalȱhealthȱproblemsȱandȱisȱaȱ gatewayȱdrugȱtoȱotherȱillegalȱdangerousȱdrugs.ȱȱTheȱstudyȱconfirmsȱthatȱregularȱ adolescentȱmarijuanaȱusersȱhaveȱlowerȱeducationalȱattainmentȱthanȱnonȬusingȱpeers,ȱ usersȱareȱmoreȱlikelyȱtoȱuseȱotherȱillegalȱdrugs,ȱadolescentȱuseȱproducesȱ‘intellectualȱ impairment,’ȱmarijuanaȱuseȱdoublesȱtheȱriskȱofȱbeingȱdiagnosedȱwithȱschizophrenia,ȱ andȱmarijuanaȱuseȱincreasesȱtheȱriskȱofȱheartȱattacksȱinȱmiddleȬagedȱadults.4ȱ ȱ ȱȱ Item 11.a. - Page 81 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ59ȱ ColoradoȱEducatorsȱConcernedȱAboutȱPotȱinȱPublicȱSchools:5ȱ x AuthoritiesȱareȱreferringȱtoȱmarijuanaȱasȱtheȱNo.ȱ1ȱissueȱColoradoȱschoolsȱface.ȱȱ AccordingȱtoȱChristineȱHarms,ȱdirectorȱofȱtheȱColoradoȱSchoolȱSafetyȱResourceȱ Center,ȱ“Ourȱstudentsȱareȱpayingȱtheȱprice.”ȱ x “Atȱfirst,ȱIȱthoughtȱitȱwasȱsimilarȱtoȱalcoholȱandȱthatȱtheȱkidsȱwouldȱdoȱitȱanywayȱ andȱallȱthat,ȱbutȱit’sȱlikeȱthey’reȱdisguisingȱalcoholȱasȱKoolȬAidȱandȱmarketingȱitȱ toȱkids.ȱȱTheseȱediblesȱareȱcookiesȱandȱgummyȱbears,ȱandȱthey’reȱfilledȱwithȱhighȱ amountsȱofȱTHC.ȱȱThere’sȱaȱshiftȱinȱculture,ȱkidsȱseeȱtheirȱparentsȱsmokingȱitȱandȱ seeȱitȱmarketedȱeverywhere,ȱandȱtheyȱthinkȱit’sȱnormalȱandȱOKȱforȱthemȱtoȱdo.”ȱ o JeffȱWhitmore,ȱdirectorȱofȱtransportationȱforȱBayfieldȱSchoolȱDistrictȱinȱ SouthwesternȱColoradoȱ ȱ TeensȱWhoȱUseȱCannabisȱatȱRiskȱofȱSchizophrenia:6ȱ x InȱaȱstudyȱperformedȱbyȱresearchersȱfromȱWesternȱUniversityȱinȱOntario,ȱ Canada,ȱlongȬtermȱexposureȱtoȱTHCȱinȱmiceȱwasȱlinkedȱtoȱseveralȱcharacteristicsȱ presentȱinȱschizophrenics.ȱȱAdolescentȱrodentsȱwithȱTHCȱexposureȱwereȱsociallyȱ withdrawnȱandȱdemonstratedȱincreasedȱanxiety,ȱcognitiveȱdisorganizationȱandȱ abnormalȱlevelsȱofȱdopamine,ȱallȱofȱwhichȱareȱfeaturesȱofȱschizophrenia.ȱȱTheseȱ changesȱcontinuedȱintoȱearlyȱadulthood,ȱwellȱpastȱtheȱinitialȱexposure.ȱ x “Adolescenceȱisȱaȱcriticalȱperiodȱofȱbrainȱdevelopment,ȱandȱtheȱadolescentȱbrainȱ isȱparticularlyȱvulnerable.ȱȱHealthȱpolicyȱmakersȱneedȱtoȱensureȱthatȱmarijuana,ȱ especiallyȱmarijuanaȱstrainsȱwithȱhighȱTHCȱlevels,ȱstaysȱoutȱofȱtheȱhandsȱofȱ teenagers.”ȱ o StevenȱLaviolette,ȱPhDȱ–ȱledȱtheȱresearchȱatȱWesternȱUniversity,ȱOntario,ȱ Canadaȱ ȱ SomethingȱInterestingȱHappensȱtoȱWeedȱAfterȱIt’sȱLegal:ȱȱResearchersȱfromȱtheȱ PardeeȱRANDȱGraduateȱSchoolȱandȱCarnegieȱMellonȱUniversityȱexaminedȱpricesȱofȱ marijuanaȱinȱWashingtonȱoverȱtheȱcourseȱofȱtheȱfirstȱtwoȱyearsȱofȱrecreationalȱ legalization.ȱȱAsȱoneȱmightȱsuspect,ȱpricesȱofȱbothȱretailȱandȱwholesaleȱmarijuanaȱhaveȱ plummeted.ȱȱCurrently,ȱpricesȱareȱfallingȱatȱaboutȱ2ȱpercentȱperȱmonth,ȱwhichȱequatesȱ toȱanȱapproximateȱ25ȱpercentȱdropȱeveryȱyearȱgoingȱforward.ȱȱForȱconsumersȱofȱpot,ȱtheȱ decreaseȱinȱpriceȱwillȱaffectȱdifferentȱpopulationsȱinȱdifferentȱways.ȱȱForȱexample:ȱ youngȱusersȱareȱtypicallyȱmoreȱ“priceȱsensitive”ȱconsumers;ȱtherefore,ȱtheirȱuseȱofȱ inexpensiveȱpotȱmayȱriseȱoverȱtime,ȱasȱmightȱthatȱofȱproblematicȱmarijuanaȱusers.7ȱ ȱȱ Item 11.a. - Page 82 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ60ȱ America’sȱYouthȱ–ȱTheȱMarijuanaȱMartyrs:8ȱ x ColoradoȱandȱWashington,ȱtheȱfirstȱtwoȱstatesȱtoȱlegalize,ȱwereȱamongȱtheȱtopȱ threeȱstatesȱwithȱtheȱlargestȱincreasesȱinȱyouthȱhomelessnessȱfromȱ2013ȱtoȱ2014.ȱȱ Inȱeachȱstate,ȱtheȱyouthȱhomelessnessȱrateȱgrewȱbyȱ27ȱandȱ13.3ȱpercentȱ respectivelyȱinȱjustȱoneȱyear.ȱ x Coloradoȱnowȱranksȱnumberȱoneȱforȱregularȱmarijuanaȱuseȱamongȱyouthȱ(U.S.ȱ DepartmentȱofȱHealthȱandȱHumanȱServices).ȱThisȱproudȱachievementȱonlyȱcameȱ incrementally,ȱthough;ȱColoradoȱonceȱrankedȱaȱdistantȱ14thȱinȱtheȱcountryȱforȱ youthȱusage.ȱȱOnceȱagain,ȱthisȱjumpȱinȱtheȱrankingsȱcoincidedȱwithȱColorado’sȱ 2012ȱpassageȱofȱAmendmentȱ64,ȱwhichȱlegalizedȱmarijuanaȱforȱrecreationalȱuse.ȱȱ x Averageȱuseȱamongȱteensȱinȱrecreational/medicalȱmarijuanaȱstatesȱrestsȱatȱ10.5ȱ percentȱcomparedȱtoȱ8.9ȱpercentȱinȱstatesȱwhereȱitȱisȱonlyȱlegalȱforȱmedicinalȱ purposesȱandȱ6.1ȱpercentȱinȱstatesȱwhereȱtheȱdrugȱisȱbannedȱaltogether.ȱȱInȱotherȱ words,ȱthereȱisȱaȱdirectȱcorrelationȱbetweenȱavailabilityȱofȱmarijuanaȱandȱteenȱ usage.ȱ x AccordingȱtoȱArapahoeȱHouseȱTreatmentȱnetworkȱinȱColorado,ȱteenageȱ admissionsȱforȱmarijuanaȱaddictionȱinȱColoradoȱincreasedȱbyȱ66ȱpercentȱbetweenȱ 2011ȱandȱ2014,ȱagainȱcorrelatingȱwithȱtheȱ2012ȱpassageȱofȱAmendmentȱ64.ȱ o NinetyȬfiveȱpercentȱofȱtheȱteenagersȱtreatedȱforȱsubstanceȱabuseȱandȱ addictionȱinȱmyȱadolescentȱsubstanceȬabuseȱtreatmentȱclinicȱatȱDenverȱ Healthȱareȱthereȱbecauseȱofȱtheirȱmarijuanaȱuse,ȱandȱbecauseȱnationwide,ȱ 67ȱpercentȱofȱteensȱareȱreferredȱtoȱsubstanceȱtreatmentȱbecauseȱofȱtheirȱ marijuanaȱuse.ȱȱMarijuanaȱisȱtheȱNo.ȱ1ȱreasonȱwhyȱadolescentsȱseekȱ substanceȬabuseȱtreatmentȱinȱtheȱUnitedȱStates.ȱȱ(Dr.ȱChristianȱThurstone,ȱ UniversityȱofȱColorado)ȱ x AȱcomprehensiveȱNewȱZealandȱstudyȱofȱ1,000ȱindividualsȱoverȱmanyȱyearsȱ foundȱthatȱparticipantsȱwhoȱusedȱcannabisȱheavilyȱinȱtheirȱteensȱhadȱanȱ astonishingȱaverageȱlossȱofȱ8ȱIQȱpoints.ȱȱ ȱ ImpactȱofȱLegalizationȱonȱYouth:ȱȱInȱaȱreportȱwrittenȱbyȱDr.ȱKennethȱFinn,ȱMDȱandȱ RochelleȱSalmore,ȱMSN,ȱRN,ȱsomeȱeffectsȱofȱmarijuanaȱlegalizationȱonȱourȱyouthȱinȱCOȱ areȱdescribedȱfromȱtheȱeyesȱofȱmedicalȱprofessionals:ȱ “Theȱeffectsȱonȱlearningȱandȱeducationȱrelatedȱtoȱcannabisȱuseȱhaveȱbeenȱ documentedȱextensively,ȱandȱColoradoȱschoolȱexpulsionsȱforȱdrugȱrelatedȱreasonsȱ increasedȱ40%ȱbetweenȱ2008ȱandȱ2014,ȱcitingȱmarijuanaȱasȱtheȱmostȱcommonlyȱabusedȱ substance.ȱȱInȱaddition,ȱtheȱAmericanȱAcademyȱofȱNeurologyȱrecentlyȱrecommendedȱ noȱcannabisȱuseȱforȱchildren,ȱadolescents,ȱorȱadultsȱuntilȱfurtherȱstudyȱisȱdone.ȱȱ Cannabisȱhasȱaȱknownȱaddictiveȱpotential,ȱparticularlyȱinȱtheȱdevelopingȱbrain,ȱandȱhasȱ aȱwellȬdescribedȱwithdrawalȱsyndrome.ȱȱNationallyȱthereȱareȱ7.15%ȱadolescentsȱusingȱ Item 11.a. - Page 83 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ61ȱ cannabis,ȱbutȱinȱColoradoȱthisȱfigureȱisȱ11.16%.ȱȱFurthermore,ȱtheȱaddictionȱrateȱisȱ higherȱforȱadolescentsȱ(approximatelyȱ18%)ȱthanȱforȱadultsȱ(approximatelyȱ9%).”9ȱ ȱ LegalizingȱMarijuanaȱandȱtheȱOpiateȱEpidemic:ȱȱNewȱscienceȱsuggestsȱthatȱ teenagersȱwhoȱuseȱmarijuanaȱincreaseȱtheirȱriskȱofȱopiateȱaddictionȱlaterȱinȱlife.ȱȱForȱ example,ȱaȱ20ȬyearȬoldȱwhoȱtakesȱanȱopiateȱpainkillerȱforȱaȱskiingȱinjuryȱorȱwisdomȱ toothȱremovalȱmayȱbeȱmuchȱmoreȱatȱriskȱofȱbecomingȱaddictedȱtoȱthatȱpainkillerȱasȱaȱ resultȱofȱhisȱorȱherȱearlierȱmarijuanaȱuseȱ–ȱnoȱmatterȱhowȱinsignificantȱthatȱearlierȱuseȱ mayȱseem.ȱȱThisȱscienceȱputsȱsomeȱteethȱbehindȱtheȱoldȬschoolȱtermȱ“gatewayȱdrug.”ȱ Aȱstudyȱofȱrodents,ȱconductedȱatȱtheȱHurdȱLaboratoryȱatȱtheȱMountȱSinaiȱSchoolȱofȱ Medicine,ȱshowedȱthatȱrodentsȱexposedȱtoȱTHCȱinȱtheȱadolescentȱyearsȱhadȱoffspringȱ thatȱwereȱprimedȱforȱaddiction.ȱȱTheȱresearchȱhasȱyetȱtoȱbeȱreproducedȱinȱhumans,ȱbutȱ otherȱstudiesȱonȱtransȬgenerationalȱeffectsȱofȱotherȱdrugsȱinȱhumansȱappearȱconsistentȱ withȱtheȱdiscoveriesȱinȱrodents.10ȱ Sources ȱ 1ȱȱCommitteeȱonȱSubstanceȱAbuse,ȱCommitteeȱonȱAdolescence,ȱPediatricsȱ 2015;135;584;ȱoriginallyȱpublishedȱonlineȱJanuaryȱ26,ȱ2015;ȱDOL:ȱ10.1542/pedsȱ2014Ȭ 4146,ȱ“TheȱImpactȱofȱMarijuanaȱPoliciesȱonȱYouth:ȱClinical,ȱResearch,ȱandȱLegalȱ Update,”ȱ<http://pediatrics.aappublications.org/content/pediatrics/135/3/584.full.pdf>,ȱ accessedȱJuneȱ10,ȱ2016ȱ ȱ 2ȱȱAmericanȱCollegeȱofȱPediatricians,ȱAprilȱ2016,ȱ“MarijuanaȱUse:ȱDetrimentalȱtoȱ Youth,”ȱ<http://www.acpeds.org/marijuanaȬuseȬdetrimentalȬtoȬyouth>,ȱaccessedȱJuneȱ 20,ȱ2016,ȱaccessedȱJuneȱ10,ȱ2016ȱ ȱ 3ȱȱCari Nierenberg,ȱLiveȱScience,ȱDecemberȱ29,ȱ2015,ȱ“PotȱScience:ȱȱTopȱMarijuanaȱ Findingsȱofȱ2015,”ȱ<http://www.livescience.com/53218ȬtopȬmarijuanaȬscientificȬ findingsȬ2015.html>,ȱaccessedȱDecemberȱ29,ȱ2015ȱ ȱ 4ȱȱCharlesȱ“Cully”ȱStimson,ȱTheȱDailyȱSignal,ȱOctoberȱ8,ȱ2014,ȱ“DemocratȱGovernor:ȱ LegalizingȱPotȱWasȱ‘Reckless.’ȱAȱNewȱStudyȱProvesȱHimȱRight,”ȱ <http://dailysignal.com/2014/10/08/demȬgovȬlegalizingȬpotȬcoloȬrecklessȬnewȬstudyȬ provesȬright/>,ȱaccessedȱJuneȱ9,ȱ2016ȱ ȱ ȱȱ Item 11.a. - Page 84 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ2:ȱȱYouthȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ62ȱ 5ȱȱElizabethȱHernandez,ȱOctoberȱ14,ȱ2015,ȱTheȱDenverȱPost,ȱ“Coloradoȱeducatorsȱ concernedȱaboutȱpotȱinȱpublicȱschools,”ȱ <http://www.denverpost.com/2015/10/14/coloradoȬeducatorsȬconcernedȬaboutȬpotȬinȬ publicȬschools/>,ȱaccessedȱOctoberȱ15,ȱ2015ȱ ȱ 6ȱȱYvetteȱBrazier,ȱMedicalȱNewsȱTodayȱ(MNT),ȱJanuaryȱ17,ȱ2016,ȱ“Teensȱwhoȱuseȱ cannabisȱatȱriskȱofȱschizophrenia,”ȱ <http://www.medicalnewstoday.com/articles/305151.php>,ȱaccessedȱJuneȱ9,ȱ2016ȱ ȱ 7ȱȱKeithȱHumphreys,ȱTheȱWashingtonȱPost,ȱMayȱ4,ȱ2016,ȱ“So,ȱsomethingȱinterestingȱ happensȱtoȱweedȱafterȱit’sȱlegal,”ȱ <https://www.washingtonpost.com/news/wonk/wp/2016/05/04/theȬpriceȬofȬlegalȬpotȬisȬ collapsing/>,ȱaccessedȱMayȱ4,ȱ2016ȱ ȱ 8ȱȱKayleighȱMcEnanny,ȱAboveȱtheȱLaw,ȱDecemberȱ31,ȱ2015,ȱ“America’sȱYouth:ȱȱTheȱ MarijuanaȱMartyrs,”ȱ<http://abovethelaw.com/2015/12/americasȬyouthȬtheȬmarijuanaȬ martyrs/>,ȱaccessedȱJanuaryȱ25,ȱ2016ȱ ȱ 9ȱȱKennethȱFinn,ȱM.D.,ȱ“TheȱHiddenȱCostsȱofȱMarijuanaȱUseȱinȱColorado:ȱOneȱ EmergencyȱDepartment’sȱExperience,”ȱTheȱJournalȱofȱGlobalȱDrugȱPolicyȱandȱPractice,ȱ <http://www.globaldrugpolicy.org/Issues/Vol%2010%20Issue%202/Articles/The%20Hid den%20Costs%20of%20Marijuana%20Use%20in%20Colorado_Final.pdf>,ȱaccessedȱMayȱ 17,ȱ2016ȱ ȱ 10ȱȱHeidiȱHeilman,ȱNewȱBostonȱPost,ȱMarchȱ4,ȱ2016,ȱ“Legalizingȱmarijuanaȱwillȱ increaseȱourȱopiateȱepidemic,”ȱ<http://newbostonpost.com/2016/03/03/legalizingȬ marijuanaȬwillȬincreaseȬourȬopiateȬepidemic/>,ȱaccessedȱMarchȱ4,ȱ2016ȱ ȱ Item 11.a. - Page 85 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ63ȱ SECTION 3: Adult Marijuana Use ȱ Some Findings ȱ x Collegeȱageȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ17ȱpercentȱinȱtheȱtwoȬyearȱ averageȱ(2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱ theȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o Nationallyȱcollegeȱageȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ2ȱpercentȱ duringȱtheȱsameȱtimeframe.ȱ ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱcollegeȱageȱadultsȱrankedȱ#1ȱinȱtheȱ nationȱforȱpastȱmonthȱmarijuanaȱuse,ȱupȱfromȱ#3ȱinȱ2011/2012ȱandȱ#8ȱinȱ 2005/2006.ȱ ȱ x Coloradoȱcollegeȱageȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ62ȱpercentȱ higherȱthanȱtheȱnationalȱaverageȱcomparedȱtoȱ42ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ x AdultȱpastȬmonthȱmarijuanaȱuseȱincreasedȱ63ȱpercentȱinȱtheȱtwoȬyearȱaverageȱ (2013/2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ twoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011/2012).ȱ o Nationallyȱadultȱpastȱmonthȱmarijuanaȱuseȱincreasedȱ21ȱpercentȱduringȱ theȱsameȱtimeframe.ȱ ȱ x Theȱlatestȱ2013/2014ȱresultsȱshowȱColoradoȱadultsȱrankedȱ#1ȱinȱtheȱnationȱforȱ pastȱmonthȱmarijuanaȱuse,ȱupȱfromȱ#7ȱinȱ2011/2012ȱandȱ#8ȱinȱ2005/2006.ȱ ȱ x Coloradoȱadultȱpastȱmonthȱmarijuanaȱuseȱforȱ2013/2014ȱwasȱ104ȱpercentȱhigherȱ thanȱtheȱnationalȱaverageȱcomparedȱtoȱ51ȱpercentȱhigherȱinȱ2011/2012.ȱ ȱ x Theȱtopȱtenȱstatesȱforȱtheȱhighestȱrateȱofȱcurrentȱmarijuanaȱuseȱforȱ2013Ȭ2014ȱ wereȱallȱmedicalȬmarijuanaȱstates.ȱ Item 11.a. - Page 86 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ64ȱ Data College Age 18 to 25 Years Old ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ Item 11.a. - Page 87 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ65ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealth,ȱSubstateȱRegionȱEstimatesȱ2006Ȭ2014ȱ ȱ NOTE:ȱ SUBSTATEȱDATAȱISȱONLYȱAVAILABLEȱFROMȱTHEȱNATIONALȱSURVEYȱONȱDRUGȱUSEȱ ANDȱHEALTHȱINȱTHEȱABOVEȱTIMEFRAMES.ȱ Item 11.a. - Page 88 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ66ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ NOTE:ȱȱ*OregonȱandȱAlaskaȱvotedȱtoȱlegalizeȱrecreationalȱmarijuanaȱinȱNovemberȱ2014ȱ **Statesȱthatȱhadȱlegislationȱforȱmedicalȱmarijuanaȱsignedȱintoȱeffectȱduringȱ2014ȱ Item 11.a. - Page 89 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ67ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱ CollegeȱAgeȱ18ȱtoȱ25ȱYearsȱOld,ȱ2013/2014ȱ ȱ Topȱ10ȱ (Medical/RecreationalȱStates)ȱ Bottomȱ10ȱ (NonȬMedicalȱorȱRecreationalȱStates)ȱ NationalȱAverage =ȱ19.32% 1. Coloradoȱ–ȱ31.24%ȱ 41.ȱȱOklahomaȱ–ȱ15.76%ȱ 2. Vermontȱ–ȱ30.60%ȱ 42.ȱȱKansasȱ–ȱ15.11%ȱ 3. NewȱHampshireȱ–ȱ30.09%ȱ 43.ȱȱTexasȱ–ȱ15.06%ȱ 4. RhodeȱIslandȱ–ȱ28.90%ȱ 44.ȱȱAlabamaȱ–ȱ15.04%ȱ 5. Massachusettsȱ–ȱ28.74%ȱ 45.ȱȱTennesseeȱ–ȱ14.72%ȱ 6. Maineȱ–ȱ28.38%ȱ 46.ȱȱIdahoȱ–ȱ14.28%ȱ 7. Oregonȱ–ȱ24.85%ȱ 47.ȱȱNorthȱDakotaȱ–ȱ14.05%ȱ 8. Washingtonȱ–ȱ24.47%ȱ 48.ȱȱIowaȱ–ȱ14.01%ȱ 9. Marylandȱ–ȱ23.42%ȱ 49.ȱȱSouthȱDakotaȱ–ȱ13.02%ȱ 10. Michiganȱ–ȱ23.17%ȱ 50.ȱȱUtahȱ–ȱ11.55%ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ Item 11.a. - Page 90 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ68ȱ Adults Age 26+ Years Old ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014.ȱ ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014.ȱ Item 11.a. - Page 91 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ69ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealth,ȱSubstateȱRegionȱEstimatesȱ2006Ȭ2014ȱ ȱ NOTE:ȱ SUBSTATEȱDATAȱISȱONLYȱAVAILABLEȱFROMȱTHEȱNATIONALȱSURVEYȱONȱDRUGȱUSEȱ ANDȱHEALTHȱINȱTHEȱABOVEȱTIMEFRAMES.ȱ Item 11.a. - Page 92 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ70ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ NOTE:ȱȱ*OregonȱandȱAlaskaȱvotedȱtoȱlegalizeȱrecreationalȱmarijuanaȱinȱNovemberȱ2014ȱ **Statesȱthatȱhadȱlegislationȱforȱmedicalȱmarijuanaȱsignedȱintoȱeffectȱduringȱ2014ȱ Item 11.a. - Page 93 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ71ȱ ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ ȱ StatesȱforȱPastȱMonthȱMarijuanaȱUseȱ AdultsȱAgesȱ26+ȱYearsȱOld,ȱ2013/2014ȱ ȱ Topȱ10ȱ (Medical/RecreationalȱStates)ȱ Bottomȱ10ȱ (NonȬMedicalȱorȱRecreationalȱStates)ȱ NationalȱAverage =ȱ6.11% 1. Coloradoȱ–ȱ12.45%ȱ 41.ȱȱLouisianaȱ–ȱ4.42%ȱ 2. Washingtonȱ–ȱ11.21%ȱ 42.ȱȱUtahȱ–ȱ4.25%ȱ 3. Maineȱ–ȱ10.77%ȱ 43.ȱȱTexasȱ–ȱ4.21%ȱ 4. Oregonȱ–ȱ10.68%ȱ 44.ȱȱAlabamaȱ–ȱ4.03%ȱ 5. Alaskaȱ–ȱ10.42%ȱ 45.ȱȱTennesseeȱ–ȱ4.01%ȱ 6. Vermontȱ–ȱ10.42%ȱ 46.ȱȱNebraskaȱ–ȱ3.97%ȱ 7. RhodeȱIslandȱ–ȱ9.92%ȱ 47.ȱȱNorthȱDakotaȱ–ȱ3.95%ȱ 8. Massachusettsȱ–ȱ9.08%ȱ 48.ȱȱMississippiȱ–ȱ3.95%ȱ 9. NewȱHampshireȱ–ȱ8.78%ȱ 49.ȱȱIowaȱ–ȱ3.40%ȱ 10. Montanaȱ–ȱ8.49%ȱ 50.ȱȱSouthȱDakotaȱ–ȱ3.30%ȱ ȱ SOURCE:ȱ SAMHSA.gov,ȱNationalȱSurveyȱonȱDrugȱUseȱandȱHealthȱ2013ȱandȱ2014ȱ ȱ Item 11.a. - Page 94 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ72ȱ Colorado Adult Marijuana Use Demographics1 ȱ AccordingȱtoȱtheȱColoradoȱBehaviorȱRiskȱFactorȱSurveillanceȱSystem,ȱ2014:ȱ ȱ x 13.6ȱpercentȱofȱadultsȱ(18+ȱyearsȱold)ȱareȱcurrentȱusersȱofȱmarijuanaȱ x Approximatelyȱ1ȱoutȱofȱ3ȱcurrentȱusersȱreportȱusingȱmarijuanaȱdailyȱ x Aȱlittleȱlessȱthanȱ1ȱinȱ5ȱ(18.8ȱpercent)ȱreportȱdrivingȱafterȱusingȱmarijuanaȱ x Highestȱcurrentȱuseȱdemographics:ȱ o Youngerȱadultsȱ(18ȱtoȱ24ȱyearsȱold)ȱ o Lessȱthanȱhighȱschoolȱeducationȱ o Lowerȱhouseholdȱincomeȱ o Blackȱ o Gay/Lesbian/Bisexualȱadultsȱ o Menȱ x ThreeȱhighestȱcurrentȱuseȱareasȱinȱColorado:ȱ o Boulderȱ18.9ȱpercentȱ o Denverȱ18.5ȱpercentȱ o MountainȱAreaȱWestȱofȱDenverȱ15.6ȱpercentȱ Related Material ȱ PotȱScience:ȱTopȱMarijuanaȱFindingsȱofȱ2015:2ȱ x AȱstudyȱthisȱyearȱpublishedȱinȱtheȱjournalȱofȱJAMAȱPsychiatryȱfoundȱaȱdoublingȱ ofȱmarijuanaȱuseȱamongȱAmericanȱadultsȱandȱalmostȱaȱdoublingȱofȱproblematicȱ useȱbetweenȱ2002ȱandȱ2013.ȱȱEarlierȱstudiesȱofȱadultȱmarijuanaȱuseȱshowedȱaȱ muchȱsmallerȱincrease.ȱȱ o AlanȱBudney,ȱprofessorȱofȱpsychiatryȱatȱtheȱGeiselȱSchoolȱofȱMedicineȱ x AnotherȱbigȱconcernȱonȱtheȱtopicȱofȱmarijuanaȱisȱtheȱincreaseȱinȱsalesȱofȱhighȬ potencyȱproducts,ȱarrivingȱwithȱtheȱadventȱofȱmarijuanaȱdispensariesȱinȱsomeȱ states.ȱȱ“LittleȱisȱknownȱaboutȱtheȱimpactȱofȱtheseȱhighȬpotencyȱproductsȱ comparedȱwithȱtheȱlowerȬpotencyȱmarijuanaȱthatȱpeopleȱmayȱhaveȱbeenȱusingȱinȱ theȱpastȱ30ȱyears.ȱȱIt’sȱtooȱearly,ȱusingȱtheȱdataȱthat’sȱcurrentlyȱavailable,ȱtoȱknowȱ theȱeffects.”ȱ o AlanȱBudney,ȱprofessorȱofȱpsychiatryȱatȱtheȱGeiselȱSchoolȱofȱMedicineȱ x Aȱ2014ȱsurveyȱofȱmoreȱthanȱ1,000ȱU.S.ȱcollegeȱstudentsȱfoundȱthatȱtheȱpercentageȱ ofȱstudentsȱwhoȱsmokedȱmarijuanaȱeveryȱdayȱorȱnearlyȱeveryȱdayȱreachedȱitsȱ highestȱlevelȱinȱmoreȱthanȱ30ȱyears.ȱȱ Item 11.a. - Page 95 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ73ȱ x Youngȱmenȱwhoȱsmokedȱpotȱmoreȱthanȱonceȱaȱweekȱhadȱspermȱcountsȱwhichȱ wereȱaboutȱ30ȱpercentȱlower,ȱonȱaverage,ȱthanȱmalesȱwhoȱusedȱtheȱdrugȱlessȱ frequentlyȱorȱnotȱatȱall.ȱȱOneȱpossibleȱreasonȱforȱthisȱhasȱtoȱdoȱwithȱtheȱwayȱTHCȱ mayȱinteractȱwithȱcertainȱreceptorsȱfoundȱinȱtheȱtestes.ȱ x AȱstudyȱpublishedȱinȱSeptemberȱofȱ2015ȱinȱtheȱjournalȱDiabetologia,ȱfoundȱthatȱ peopleȱwhoȱusedȱmarijuanaȱ100ȱtimesȱorȱmoreȱasȱyoungȱadultsȱwereȱ40ȱpercentȱ moreȱlikelyȱtoȱdevelopȱprediabetesȱinȱmiddleȱageȱcomparedȱwithȱindividualsȱ whoȱneverȱusedȱtheȱdrug.ȱ ȱ NumberȱofȱU.S.ȱPotȱUsersȱDoublesȱOverȱThreeȱYears:ȱȱAccordingȱtoȱaȱrecentȱ Gallupȱpoll,ȱ“…theȱpercentageȱofȱAmericanȱadultsȱwhoȱsayȱtheyȱcurrentlyȱsmokeȱ marijuanaȱhasȱnearlyȱdoubledȱoverȱtheȱpastȱthreeȱyears.”ȱȱTheȱfirstȱtimeȱtheȱpollȱwasȱ conductedȱinȱ2013,ȱonlyȱ7ȱpercentȱofȱadultsȱsaidȱtheyȱwereȱmarijuanaȱsmokers.ȱȱ However,ȱwhenȱtheȱpollȱwasȱtakenȱagainȱinȱ2016,ȱ13ȱpercentȱofȱadultsȱadmittedȱtoȱbeingȱ currentȱusers,ȱwhichȱaccordingȱtoȱtheȱarticle,ȱworksȱoutȱtoȱbeȱaboutȱ33ȱmillionȱadultȱ marijuanaȱusersȱinȱtheȱUnitedȱStates.ȱȱ“Thereȱareȱcurrentlyȱaboutȱ40ȱmillionȱcigaretteȱ smokersȱinȱtheȱU.S.,ȱaccordingȱtoȱtheȱCentersȱforȱDiseaseȱControlȱandȱPrevention.ȱȱ Givenȱthatȱcigaretteȱuseȱisȱinȱdecline,ȱmarijuanaȱuseȱcouldȱbecomeȱmoreȱprevalentȱthanȱ cigaretteȱuseȱinȱjustȱaȱfewȱyears’ȱtime.”3ȱ ȱ MarijuanaȱDoesȱNotȱHelpȱYouȱGetȱGoodȱGrades:ȱȱAȱstudyȱfollowingȱcollegeȱ studentsȱoverȱyearsȱtoȱmeasureȱtheȱimpactȱofȱmarijuanaȱuseȱfoundȱthoseȱwhoȱsmokedȱitȱ oftenȱwereȱmoreȱlikelyȱtoȱskipȱclass,ȱgetȱworseȱgrades,ȱandȱtakeȱlongerȱtoȱgraduate.ȱȱAsȱ useȱbecameȱmoreȱfrequent,ȱgradesȱtendedȱtoȱdropȱ–ȱasȱuseȱdeclined,ȱgradesȱtendedȱtoȱ bounceȱback.4ȱ ȱ HarvardȱScientistsȱStudiedȱtheȱBrainsȱofȱPotȱSmokers,ȱandȱtheȱResultsȱDon’tȱLookȱ Good:ȱȱAccordingȱtoȱaȱstudyȱperformedȱbyȱresearchersȱatȱHarvardȱandȱNorthwesternȱ (publishedȱ4/15/2014),ȱ18Ȭ25ȱyearȱoldsȱwhoȱsmokedȱmarijuanaȱonlyȱaȱfewȱtimesȱaȱweekȱ hadȱsignificantȱbrainȱabnormalitiesȱinȱtheȱareasȱthatȱcontrolȱemotionȱandȱmotivation.ȱȱ Noticeableȱabnormalitiesȱwereȱevenȱobservedȱforȱthoseȱstudyȱparticipantsȱwhoȱsmokedȱ marijuanaȱonlyȱoneȱtimeȱperȱweek.ȱȱThoseȱwhoȱsmokedȱmoreȱhadȱmoreȱsignificantȱ variations.5ȱ ȱ MarijuanaȱUseȱAmongȱU.S.ȱCollegeȱStudentsȱatȱ35ȱYearȱHigh:ȱȱAȱstudyȱfromȱtheȱ UniversityȱofȱMichiganȱreportsȱthatȱdailyȱmarijuanaȱuseȱhasȱsurpassedȱdailyȱcigaretteȱ useȱamongȱstudentsȱatȱAmericanȱuniversities.ȱȱDaily,ȱorȱnearȱdaily,ȱpotȱsmokingȱisȱatȱaȱ recordȱhigh:ȱȱnearlyȱ6ȱpercentȱofȱallȱcollegeȱstudentsȱpolledȱreportedȱthatȱtheyȱhadȱusedȱ marijuanaȱ20ȱorȱmoreȱtimesȱinȱtheȱpastȱ30ȱdays.ȱȱThat’sȱcloseȱtoȱdoubleȱtheȱnumberȱ(3.5ȱ percent)ȱofȱstudentsȱinȱ2007ȱwhoȱsaidȱtheyȱsmokeȱpotȱdaily.ȱȱResearchersȱbehindȱtheȱ Item 11.a. - Page 96 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ74ȱ Michiganȱstudyȱsuggestȱthatȱtheȱincreaseȱinȱmarijuanaȱuseȱisȱdueȱtoȱdecreasingȱfearsȱofȱ theȱdrugsȱillȱeffects.ȱȱThereȱwasȱaȱmarkedȱdecreaseȱinȱtheȱnumberȱofȱhighȱschoolȱ graduatesȱwhoȱviewedȱpotȱasȱdangerousȱoverȱtheȱpastȱeightȱyearsȱ–ȱfromȱaȱmajorityȱofȱ allȱstudentsȱ(55ȱpercent)ȱinȱ2006,ȱtoȱjustȱoverȱaȱthirdȱinȱ2014.6ȱ ȱ LongȬtermȱMarijuanaȱUseȱAssociatedȱwithȱWorseȱVerbalȱMemoryȱinȱMiddleȱAge:ȱȱ AȱrecentȱstudyȱpublishedȱinȱtheȱJAMAȱInternationalȱMedicineȱjournalȱexaminedȱcognitiveȱ performanceȱofȱsubjectsȱwhoȱhadȱusedȱmarijuanaȱtoȱvaryingȱdegreesȱbeginningȱinȱearlyȱ adulthoodȱusingȱstandardizedȱtestsȱofȱverbalȱmemory,ȱprocessingȱspeedȱandȱexecutiveȱ function.ȱȱOfȱtheȱsubjects,ȱ86.3ȱpercentȱreportedȱpastȱmarijuanaȱuseȱbutȱonlyȱ11.6ȱpercentȱ reportedȱusingȱmarijuanaȱintoȱmiddleȬage.ȱȱAccordingȱtoȱRetoȱAuer,ȱM.D.,ȱandȱcoȬ authors,ȱpastȱexposureȱtoȱmarijuanaȱwasȱassociatedȱwithȱdiminishedȱverbalȱmemory.ȱ “Theȱpublicȱhealthȱchallengeȱisȱtoȱfindȱeffectiveȱwaysȱtoȱinformȱyoungȱpeopleȱwhoȱ use,ȱorȱareȱconsideringȱusing,ȱmarijuanaȱaboutȱtheȱcognitiveȱandȱotherȱrisksȱofȱlongȬ termȱdailyȱuse,”ȱsaidȱWayneȱHall,ȱPh.D.,ȱofȱtheȱUniversityȱofȱQueensland,ȱAustralia,ȱ andȱMichaelȱLynskey,ȱPh.D.,ȱofȱKingsȱCollegeȱLondon,ȱinȱaȱrelatedȱcommentary.7ȱ ȱ SmokingȱMostȱPrevalentȱModeȱofȱLifetimeȱMarijuanaȱUseȱAmongȱAdults:ȱȱ SlightlyȱmoreȱthanȱoneȬthirdȱ(35ȱpercent)ȱofȱadultsȱreportedȱeverȱusingȱmarijuanaȱinȱ 2014.ȱȱAmongȱtheseȱadults,ȱsmokingȱwasȱreportedȱasȱtheȱmostȱprevalentȱmodeȱofȱ marijuanaȱuse.ȱȱAȱmajorityȱofȱusersȱreportedȱsmokingȱjointsȱ(89ȱpercent),ȱaroundȱoneȬ halfȱreportedȱusingȱbongs,ȱwaterȱpipes,ȱorȱhookahsȱ(49ȱpercent)ȱorȱbowlsȱorȱpipesȱ(48ȱ percent),ȱandȱoneȬfourthȱ(25ȱpercent)ȱsmokedȱmarijuanaȱinȱblunts.ȱȱOtherȱmodesȱofȱ marijuanaȱuseȱincludedȱingestingȱmarijuanaȱinȱediblesȱorȱdrinksȱ(30ȱpercent)ȱandȱ vaporizingȱmarijuanaȱ(10ȱpercent).8ȱ ȱ 2015ȱNationalȱPollȱFindsȱMoreȱThanȱFourȱinȱTenȱU.S.ȱAdultsȱReportȱEverȱTryingȱ Marijuana:ȱȱFortyȬfourȱpercentȱofȱU.S.ȱadultsȱhaveȱeverȱtriedȱmarijuana,ȱaccordingȱtoȱaȱ nationwideȱJulyȱ2015ȱtelephoneȱpoll.ȱȱWhenȱtheȱquestionȱwasȱfirstȱaskedȱinȱ1969,ȱonlyȱ4ȱ percentȱadmittedȱtoȱtryingȱmarijuana.ȱȱTheȱpercentageȱincreasedȱsharplyȱfromȱ1973ȱ(12ȱ percent)ȱtoȱ1985ȱ(33ȱpercent),ȱandȱthenȱremainedȱrelativelyȱstableȱuntilȱreachingȱaȱhighȱ ofȱ44ȱpercentȱinȱ2015.9ȱ ȱ MarijuanaȱUseȱMoreȱthanȱDoublesȱfromȱ2001ȱtoȱ2013:ȱȱTheȱestimatedȱprevalenceȱofȱ adultsȱwhoȱusedȱmarijuanaȱinȱtheȱpastȱyearȱmoreȱthanȱdoubledȱinȱtheȱUnitedȱStatesȱ betweenȱ2001ȱandȱ2013,ȱaccordingȱtoȱanȱarticleȱpublishedȱonlineȱbyȱJAMAȱPsychiatry.ȱȱ Increasesȱwereȱparticularlyȱnotableȱamongȱwomenȱandȱindividualsȱwhoȱwereȱblack,ȱ Hispanic,ȱlivingȱinȱtheȱSouth,ȱmiddleȬagedȱorȱolder,ȱaccordingȱtoȱtheȱauthors.ȱȱ Additionally,ȱnearlyȱ3ȱofȱeveryȱ10ȱAmericansȱwhoȱusedȱmarijuanaȱinȱtheȱpastȱyearȱhadȱaȱ diagnosisȱofȱaȱmarijuanaȱuseȱdisorder,ȱwhichȱequatesȱtoȱaboutȱ6.8ȱmillionȱAmericans.ȱ Item 11.a. - Page 97 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ75ȱ “Inȱsummary,ȱwhileȱmanyȱinȱtheȱUnitedȱStatesȱthinkȱprohibitionȱofȱrecreationalȱ marijuanaȱshouldȱbeȱended,ȱthisȱstudyȱandȱothersȱsuggestȱcautionȱandȱtheȱneedȱforȱ publicȱeducationȱaboutȱtheȱpotentialȱharmsȱinȱmarijuanaȱuse,ȱincludingȱtheȱriskȱforȱ addiction.ȱȱAsȱisȱtheȱcaseȱwithȱalcohol,ȱmanyȱindividualsȱcanȱuseȱmarijuanaȱwithoutȱ becomingȱaddicted.ȱȱHowever,ȱtheȱclearȱriskȱforȱmarijuanaȱuseȱdisordersȱamongȱusersȱ (approximatelyȱ30ȱpercent)ȱsuggestsȱthatȱasȱtheȱnumberȱofȱU.S.ȱusersȱgrows,ȱsoȱwillȱtheȱ numbersȱofȱthoseȱexperiencingȱproblemsȱrelatedȱtoȱsuchȱuse.”10ȱ ȱ PoorerȱUsersȱSmokingȱtheȱMost:ȱAȱstudyȱpublishedȱ“…inȱtheȱJournalȱofȱDrugȱIssuesȱ foundȱthatȱtheȱproportionȱofȱmarijuanaȱusersȱwhoȱsmokeȱdailyȱhasȱrapidlyȱgrown,ȱandȱ thatȱmanyȱofȱthoseȱfrequentȱusersȱareȱpoorȱandȱlackȱaȱhighȱschoolȱdiploma.”ȱȱAccordingȱ toȱtheȱstudyȱtheȱprofileȱofȱmarijuanaȱusersȱisȱmuchȱcloserȱassociatedȱtoȱthatȱofȱcigaretteȱ smokersȱthanȱalcoholȱdrinkers,ȱ“…andȱthatȱaȱhandfulȱofȱusersȱconsumeȱmuchȱofȱtheȱ marijuanaȱusedȱinȱtheȱU.S.”ȱȱAlso,ȱ29ȱpercentȱofȱallȱmarijuanaȱuseȱacrossȱtheȱcountyȱisȱ fromȱhouseholdsȱwithȱanȱannualȱincomeȱofȱlessȱthanȱ$20,000.ȱȱ“Theȱconcentrationȱofȱuseȱ amongȱpoorerȱhouseholdsȱmeansȱthatȱmanyȱmarijuanaȱusersȱareȱspendingȱaȱhighȱ proportionȱofȱtheirȱincomeȱonȱtheirȱmarijuanaȱhabit.ȱȱUsersȱwhoȱspendȱfullyȱoneȱquarterȱ ofȱtheirȱincomeȱonȱweedȱaccountȱforȱ15ȱpercentȱofȱallȱmarijuanaȱuse.”11ȱ Sources ȱ 1ȱȱColoradoȱBehavioralȱRiskȱFactorȱSurveillanceȱSystemȱ2014,ȱ“MarijuanaȱUseȱinȱ Colorado,”ȱColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱ ȱ 2ȱȱCari Nierenberg,ȱLiveȱScience,ȱDecemberȱ29,ȱ2015,ȱ“PotȱScience:ȱȱTopȱMarijuanaȱ Findingsȱofȱ2015,”ȱ<http://www.livescience.com/53218ȬtopȬmarijuanaȬscientificȬ findingsȬ2015.html>,ȱaccessedȱDecemberȱ29,ȱ2015ȱ ȱ 3ȱȱTheȱWashingtonȱPostȱasȱpublishedȱinȱTheȱDenverȱPost,ȱAugustȱ9,ȱ2016,ȱ“Poll:ȱȱ Numberȱofȱputȱusersȱnearlyȱdoublesȱoverȱthreeȱyears,”ȱ http://www.denverpost.com/2016/08/09/pollȬnumberȬofȬpotȬusersȬnearlyȬdoublesȬoverȬ threeȬyears/,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱ 4ȱȱSylviaȱSvriuga,ȱTheȱWashingtonȱPost,ȱDecemberȱ28,ȱ2015,ȱ“Canȱanyoneȱanswerȱthis:ȱȱ Doesȱmarijuanaȱhelpȱyouȱgetȱgoodȱgradesȱandȱgraduateȱfromȱcollegeȱonȱtime?,ȱ <https://www.washingtonpost.com/news/gradeȬpoint/wp/2015/12/18/canȬanyoneȬ answerȬthisȬdoesȬmarijuanaȬhelpȬyouȬgetȬgoodȬgradesȬandȬgraduateȬfromȬcollegeȬonȬ time/>,ȱaccessedȱJanuaryȱ18,ȱ2016ȱ Item 11.a. - Page 98 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ3:ȱȱAdultȱMarijuanaȱUseȱ ȱ Pageȱ|ȱ76ȱ ȱ 5ȱȱEileenȱShim,ȱNews.Mic,ȱAprilȱ16,ȱ2014,ȱ“HarvardȱScientistȱStudiesȱtheȱBrainsȱofȱPotȱ Smokers,ȱandȱtheȱResultsȱDon’tȱLookȱGood,”ȱ<https://mic.com/articles/87743/harvardȬ scientistsȬstudiedȬtheȬbrainsȬofȬpotȬsmokersȬandȬtheȬresultsȬdonȬtȬlookȬ good#.EBTsOB51M>,ȱaccessedȱJanuaryȱ19,ȱ2016ȱ ȱ 6ȱȱAirelȱKey,ȱIndependent,ȱSeptemberȱ4,ȱ2015,ȱ“MarijuanaȱuseȱamongȱUSȱcollegeȱ studentsȱatȱ35ȱyearȱhigh,ȱsaysȱstudy,”ȱ <http://www.independent.co.uk/news/world/americas/marijuanaȬuseȬamongȬusȬ collegeȬstudentsȬatȬ35ȬyearȬhighȬsaysȬstudyȬ10487217.html>,ȱaccessedȱJuneȱ10,ȱ2016ȱ ȱ 7ȱȱStudyȱauthorȱRetoȱAuer,ȱM.D.,ȱM.A.S.,ȱTheȱJAMAȱNetworkȱNewsȱRelease/Forȱtheȱ Media,ȱFebruaryȱ1,ȱ2016,ȱ“LongȬTermȱMarijuanaȱUseȱwithȱWorseȱVerbalȱMemoryȱinȱ MiddleȱAge,”ȱ<http://media.jamanetwork.com/newsȬitem/longȬtermȬmarijuanaȬuseȬ associatedȬwithȬworseȬverbalȬmemoryȬinȬmiddleȬage/#>,ȱaccessedȱJuneȱ15,ȱ2016ȱ ȱ 8ȱȱCESAR,ȱNovemberȱ30,ȱ2015,ȱVol.ȱ24,ȱIssueȱ15,ȱ“SmokingȱMostȱPrevalentȱModeȱofȱ LifetimeȱMarijuanaȱUseȱAmongȱAdults;ȱ30%ȱReportȱConsumingȱinȱEdiblesȱandȱ10%ȱ ReportȱVaporizing”,ȱ<http://www.cesar.umd.edu/cesar/cesarfax/vol24/24Ȭ15.pdf>,ȱ accessedȱJuneȱ7,ȱ2016ȱ ȱ 9ȱȱJustinȱMcCarthy,ȱGallupȱPoll,ȱJulyȱ22,ȱ2015,ȱ“MoreȱThanȱFourȱinȱ10ȱAmericansȱSayȱ TheyȱHaveȱTriedȱMarijuana,”ȱ<http://www.gallup.com/poll/184298/fourȬamericansȬsayȬ triedȬmarijuana.aspx>,ȱaccessedȱJuneȱ7,ȱ2016ȱ ȱ 10ȱȱCorrespondingȱauthorȱBridgetȱG.ȱGrant,ȱPh.D.,ȱTheȱJAMAȱNetwork/Forȱtheȱ Media,ȱ“MarijuanaȱUseȱMoreȱthanȱDoublesȱfromȱ2001ȱtoȱ2013;ȱIncreaseȱinȱUseȱDisordersȱ Too,”ȱ<http://media.jamanetwork.com/newsȬitem/marijuanaȬuseȬmoreȬthanȬdoublesȬ fromȬ2001ȬtoȬ2013ȬincreaseȬinȬuseȬdisordersȬtoo/>,ȱaccessedȱJuneȱ15,ȱ2016ȱ ȱ 11ȱȱTheȱWashingtonȱPostȱasȱpublishedȱinȱTheȱDenverȱPost,ȱAugustȱ14,ȱ2016,ȱ“Study:ȱȱ Poorerȱmarijuanaȱusersȱsmokingȱtheȱmost,”ȱ <http://www.denverpost.com/2016/08/14/studyȬpoorerȬmarijuanaȬusersȬsmokingȬtheȬ most/>,ȱaccessedȱAugustȱ15,ȱ2016ȱ ȱ Item 11.a. - Page 99 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ77ȱ SECTION 4: Emergency Department and Hospital Marijuana- Related Admissions ȱ ȱ ™2015ȱmarijuanaȬrelatedȱemergencyȱdepartmentȱandȱhospitalizationȱdataȱforȱtheȱ stateȱofȱColoradoȱwasȱnotȱavailableȱatȱtheȱtimeȱthisȱpublicationȱwasȱreleased.ȱ Some Findings ȱ x ColoradoȱEmergencyȱDepartmentȱvisitsȱperȱyearȱrelatedȱtoȱmarijuana:ȱ o 2013ȱ–ȱ14,148ȱ o 2014ȱ–ȱ18,255ȱ ȱ x EmergencyȱDepartmentȱratesȱlikelyȱrelatedȱtoȱmarijuanaȱincreasedȱ49ȱpercentȱinȱ theȱtwoȬyearȱaverageȱ(2013Ȭ2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱ comparedȱtoȱtheȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011Ȭ2012).ȱ ȱ x Inȱ2014,ȱwhenȱretailȱmarijuanaȱbusinessesȱbeganȱoperating,ȱtheȱrateȱofȱemergencyȱ departmentȱvisitsȱlikelyȱrelatedȱtoȱmarijuanaȱincreasedȱ25ȱpercentȱinȱoneȱyear.ȱ ȱ x EmergencyȱDepartmentȱvisitsȱrelatedȱtoȱmarijuanaȱperȱ100,000ȱinȱ2013:ȱ o Denverȱrateȱ–ȱ415.46ȱ o Coloradoȱrateȱ–ȱ248.32ȱ ƒDenver’sȱrateȱwasȱ67ȱpercentȱhigherȱthanȱColorado’sȱrateȱandȱ increasedȱ25ȱpercentȱwhenȱrecreationalȱmarijuanaȱwasȱlegalizedȱinȱ 2013.ȱ ȱȱ Item 11.a. - Page 100 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ78ȱ x Numberȱofȱhospitalizationsȱrelatedȱtoȱmarijuana:ȱ o 2011ȱ–ȱ6,305ȱ o 2012ȱ–ȱ6,715ȱ o 2013ȱ–ȱȱȱ8,272ȱ o 2014ȱ–ȱ11,439ȱ ȱ x Hospitalȱratesȱlikelyȱrelatedȱtoȱmarijuanaȱincreasedȱ32ȱpercentȱinȱtheȱtwoȬyearȱ averageȱ(2013Ȭ2014)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱ theȱtwoȬyearȱaverageȱpriorȱtoȱlegalizationȱ(2011Ȭ2012).ȱ ȱ x Inȱ2014,ȱwhenȱretailȱmarijuanaȱstoresȱbeganȱoperating,ȱtheȱrateȱofȱhospitalizationsȱ likelyȱrelatedȱtoȱmarijuanaȱincreasedȱ20ȱpercentȱinȱonlyȱoneȱyear.ȱ ȱ x Hospitalȱdischargesȱrelatedȱtoȱmarijuanaȱperȱ100,000ȱinȱ2013:ȱ o Denverȱrateȱ–ȱ245.94ȱ o Coloradoȱrateȱ–ȱ148.80ȱ ƒDenver’sȱrateȱwasȱoverȱ65ȱpercentȱhigherȱthanȱColorado’sȱrateȱandȱ increasedȱ29ȱpercentȱwhenȱrecreationalȱmarijuanaȱwasȱlegalizedȱinȱ 2013.ȱ ȱ x Children’sȱHospitalȱColoradoȱreportedȱ1ȱmarijuanaȱingestionȱamongȱchildrenȱ underȱ9ȱyearsȱoldȱinȱ2009ȱcomparedȱtoȱ16ȱinȱ2015.ȱ Definitions ȱ MarijuanaȬRelated:ȱȱAlsoȱreferredȱtoȱasȱ“marijuanaȱmentions.”ȱȱThisȱmeansȱtheȱdataȱ couldȱbeȱobtainedȱfromȱlabȱtests,ȱselfȬadmittedȱorȱsomeȱotherȱformȱofȱvalidationȱbyȱtheȱ physician.ȱȱThatȱdoesȱnotȱnecessarilyȱproveȱmarijuanaȱwasȱtheȱcauseȱofȱtheȱemergencyȱ admissionȱorȱhospitalization.ȱ ȱ Item 11.a. - Page 101 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ79ȱ Emergency Department Data ȱ ȱ SOURCE:ȱ Colorado Hospital Association, Emergency Department Visit Dataset. Statistics prepared by the Health Statistics and Evaluation Branch, Colorado Department of Public Health and Environmentȱ ȱ ȱ NOTE:ȱ 2011ȱANDȱ2012ȱEMERGENCYȱDEPARTMENTȱDATAȱREFLECTSȱINCOMPLETEȱREPORTINGȱ STATEWIDE.ȱȱINFERENCESȱCONCERNINGȱTRENDS,ȱINCLUDINGȱ2011ȱANDȱ2012,ȱSHOULDȱ NOTȱBEȱMADE.ȱ Item 11.a. - Page 102 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ80ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱMonitoringȱHealthȱConcernsȱRelatedȱ toȱMarijuanaȱinȱColorado:ȱ2014ȱ ȱ ȱ NOTE:ȱȈPOSSIBLEȱMARIJUANAȱEXPOSURES,ȱDIAGNOSES,ȱORȱBILLINGȱCODESȱINȱTHEȱFIRSTȱ THREEȱDIAGNOSISȱCODES:ȱTHESEȱDATAȱWEREȱCHOSENȱTOȱREPRESENTȱTHEȱHDȱANDȱ EDȱVISITSȱWHEREȱMARIJUANAȱUSEȱWASȱLIKELYȱAȱCAUSALȱORȱSTRONGȱCONTRIBUTINGȱ FACTORȱTOȱTHEȱUNDERLYINGȱREASONȱFORȱTHEȱHDȱANDȱEDȱVISIT.ȱȱTHESEȱDATAȱ CONSISTEDȱOFȱHDȱANDȱEDȱVISITSȱCODEDȱWITHȱDISCHARGEȱCODESȱRELATEDȱTOȱ POISONINGȱBYȱPSYCHODYSLEPTICSȱORȱSEPARATEȱCODESȱRELATEDȱTOȱCANNABISȱ ABUSEȱINȱTHEȱFIRSTȱTHREEȱDIAGNOSISȱCODESȱWHICHȱAREȱMOREȱLIKELYȱTOȱBEȱ CLINICALLYȱSIGNIFICANTȱCODES.ȈȱȱȬȱCOLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱANDȱ ENVIRONMENT,ȱMONITORINGȱHEALTHȱCONCERNSȱRELATEDȱTOȱMARIJUANAȱINȱ COLORADO:ȱ2014ȱ ȱ NOTE:ȱ DATAȱNOTȱAVAILABLEȱPREȬ2011.ȱ ȱȱ Item 11.a. - Page 103 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ81ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱMonitoringȱHealthȱConcernsȱRelatedȱ toȱMarijuanaȱinȱColorado:ȱ2014ȱ ȱ ȱ NOTE:ȱ “POSSIBLEȱMARIJUANAȱEXPOSURES,ȱDIAGNOSES,ȱORȱBILLINGȱCODESȱINȱANYȱOFȱ LISTEDȱDIAGNOSISȱCODES:ȱTHESEȱDATAȱWEREȱCHOSENȱTOȱREPRESENTȱTHEȱHDȱANDȱ EDȱVISITSȱWHEREȱMARIJUANAȱCOULDȱBEȱAȱCAUSAL,ȱCONTRIBUTING,ȱORȱCOEXISTINGȱ FACTORȱNOTEDȱBYȱTHEȱPHYSICIANȱDURINGȱTHEȱHDȱORȱEDȱVISIT.ȱȱFORȱTHESEȱDATA,ȱ MARIJUANAȱUSEȱISȱNOTȱNECESSARILYȱRELATEDȱTOȱTHEȱUNDERLYINGȱREASONȱFORȱTHEȱ HDȱORȱEDȱVISIT.ȱȱSOMETIMESȱTHESEȱDATAȱAREȱREFERREDȱTOȱASȱHDȱORȱEDȱVISITSȱ WITHȱANYȱMENTIONȱOFȱMARIJUANA.ȈȱȬȱCOLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱ ANDȱENVIRONMENT,ȱMONITORINGȱHEALTHȱCONCERNSȱRELATEDȱTOȱMARIJUANAȱINȱ COLORADO:ȱ2014ȱ ȱ NOTE:ȱ DATAȱNOTȱAVAILABLEȱPREȬ2011.ȱ ȱȱ Item 11.a. - Page 104 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ82ȱ ȱ SOURCE:ȱ DenverȱOfficeȱofȱDrugȱStrategy,ȱTheȱDenverȱDrugȱStrategyȱCommission,ȱProceedingsȱofȱtheȱ DenverȱEpidemiologyȱWorkȱGroupȱ(DEWG),ȱOctoberȱ29,ȱ2014ȱ ȱ ™Theȱhighestȱratesȱfromȱ2011ȱtoȱ2013ȱwereȱamongȱyoungȱadultsȱ(18ȱtoȱ25ȱyears).ȱ ȱ NOTE:ȱ 2011ȱANDȱ2012ȱEMERGENCYȱROOMȱDATAȱDOESȱNOTȱREPRESENTȱCOMPLETE,ȱ STATEWIDEȱPARTICIPATION.ȱȱINCREASESȱOBSERVEDȱOVERȱTHESEȱTHREEȱYEARSȱMAYȱBEȱ DUEȱPARTLY,ȱORȱCOMPLETELY,ȱTOȱINCREASESȱINȱREPORTINGȱBYȱEMERGENCYȱROOMS.ȱ ȱ Item 11.a. - Page 105 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ83ȱ Hospitalization Data ȱ ȱ SOURCE:ȱ Colorado Hospital Association, Hospital Discharge Dataset. Statistics prepared by the Health Statistics and Evaluation Branch, Colorado Department of Public Health and Environmentȱ ȱ ȱ ȱ SOURCE:ȱ Colorado Hospital Association, Hospital Discharge Dataset. Statistics prepared by the Health Statistics and Evaluation Branch, Colorado Department of Public Health and Environment Item 11.a. - Page 106 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ84ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱMonitoringȱHealthȱConcernsȱRelatedȱ toȱMarijuanaȱinȱColorado:ȱ2014ȱ ȱ ȱ NOTE:ȱȈPOSSIBLEȱMARIJUANAȱEXPOSURES,ȱDIAGNOSES,ȱORȱBILLINGȱCODESȱINȱTHEȱFIRSTȱ THREEȱDIAGNOSISȱCODES:ȱTHESEȱDATAȱWEREȱCHOSENȱTOȱREPRESENTȱTHEȱHDȱANDȱ EDȱVISITSȱWHEREȱMARIJUANAȱUSEȱWASȱLIKELYȱAȱCAUSALȱORȱSTRONGȱCONTRIBUTINGȱ FACTORȱTOȱTHEȱUNDERLYINGȱREASONȱFORȱTHEȱHDȱANDȱEDȱVISIT.ȱȱTHESEȱDATAȱ CONSISTEDȱOFȱHDȱANDȱEDȱVISITSȱCODEDȱWITHȱDISCHARGEȱCODESȱRELATEDȱTOȱ POISONINGȱBYȱPSYCHODYSLEPTICSȱORȱSEPARATEȱCODESȱRELATEDȱTOȱCANNABISȱ ABUSEȱINȱTHEȱFIRSTȱTHREEȱDIAGNOSISȱCODESȱWHICHȱAREȱMOREȱLIKELYȱTOȱBEȱ CLINICALLYȱSIGNIFICANTȱCODES.ȈȱȬȱCOLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱANDȱ ENVIRONMENT,ȱMONITORINGȱHEALTHȱCONCERNSȱRELATEDȱTOȱMARIJUANAȱINȱ COLORADO:ȱ2014ȱ ȱȱ Item 11.a. - Page 107 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ85ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱMonitoringȱHealthȱConcernsȱRelatedȱ toȱMarijuanaȱinȱColorado:ȱ2014ȱ ȱ ȱ NOTE:ȱȈPOSSIBLEȱMARIJUANAȱEXPOSURES,ȱDIAGNOSES,ȱORȱBILLINGȱCODESȱINȱANYȱOFȱ LISTEDȱDIAGNOSISȱCODES:ȱȱTHESEȱDATAȱWEREȱCHOSENȱTOȱREPRESENTȱTHEȱHDȱANDȱ EDȱVISITSȱWHEREȱMARIJUANAȱCOULDȱBEȱAȱCAUSAL,ȱCONTRIBUTING,ȱORȱCOEXISTINGȱ FACTORȱNOTEDȱBYȱTHEȱPHYSICIANȱDURINGȱTHEȱHDȱORȱEDȱVISIT.ȱȱFORȱTHESEȱDATA,ȱ MARIJUANAȱUSEȱISȱNOTȱNECESSARILYȱRELATEDȱTOȱTHEȱUNDERLYINGȱREASONȱFORȱTHEȱ HDȱORȱEDȱVISIT.ȱȱSOMETIMESȱTHESEȱDATAȱAREȱREFERREDȱTOȱASȱHDȱORȱEDȱVISITSȱ ‘WITHȱANYȱMENTIONȱOFȱMARIJUANA.’”ȱȬȱCOLORADOȱDEPARTMENTȱOFȱPUBLICȱHEALTHȱ ANDȱENVIRONMENT,ȱMONITORINGȱHEALTHȱCONCERNSȱRELATEDȱTOȱMARIJUANAȱINȱ COLORADO:ȱ2014ȱ ȱȱ Item 11.a. - Page 108 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ86ȱ ȱ SOURCE:ȱ DenverȱOfficeȱofȱDrugȱStrategy,ȱTheȱDenverȱDrugȱStrategyȱCommission,ȱProceedingsȱofȱtheȱ DenverȱEpidemiologyȱWorkȱGroupȱ(DEWG),ȱOctoberȱ29,ȱ2014ȱ ȱ ™Theȱhighestȱratesȱfromȱ2011ȱtoȱ2013ȱwereȱamongȱyoungȱadultsȱ(18ȱtoȱ25ȱyears).ȱ ȱ NOTE:ȱ HOSPITALȱDISCHARGEȱDATAȱREPRESENTSȱANȱINDIVIDUAL’SȱINPATIENTȱSTAYȱATȱAȱ HOSPITALȱREQUIRING,ȱATȱMINIMUM,ȱANȱOVERNIGHTȱSTAYȱANDȱISȱINȱREFERENCEȱTOȱ WHENȱTHEȱPATIENTȱLEAVESȱTHEȱHOSPITAL.ȱȱAȱCODEȱISȱASSIGNEDȱASȱTOȱWHYȱTHEȱ PATIENTȱWASȱINȱTHEȱHOSPITAL,ȱCALLEDȱTHEȱICDȬ9ȱCODE,ȱWHICHȱISȱUSEDȱFORȱBOTHȱ THEȱPATIENT’SȱMEDICALȱRECORDȱANDȱFORȱBILLINGȱPURPOSES.ȱ ȱȱ Item 11.a. - Page 109 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ87ȱ ȱ SOURCE:ȱ GeorgeȱSamȱWang,ȱMD,ȱMarieȬClaireȱLeȱLait,ȱMS,ȱSaraȱJ.ȱDeakyne,ȱMPH,ȱAlvinȱC.ȱBronstein,ȱ MD,ȱLalitȱBajaj,ȱMD,ȱMPH,ȱGenieȱRoosevelt,ȱMD,ȱMPH,ȱJulyȱ25,ȱ2016ȱ ȱ ȱ ȱ SOURCE:ȱ KennethȱFinn,ȱM.D.,ȱpresident,ȱSpringsȱRehabilitation,ȱPCȱ ȱ Item 11.a. - Page 110 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ88ȱ Cost ȱ CostȱofȱEmergencyȱRoom:ȱȱAȱstudyȱwasȱconductedȱofȱaȱcrossȱsectionȱofȱERȱ encountersȱfromȱ2006ȱtoȱ2008.ȱȱTheȱstudyȱfoundȱthat,ȱ“Duringȱourȱstudyȱperiod,ȱtheȱ medianȱchargeȱforȱoutpatientȱconditionsȱinȱtheȱemergencyȱroomȱwasȱ$1,233.”1ȱ Related Material ȱ PuebloȱHospitalsȱAgainstȱMarijuanaȱCommercialization:ȱȱParkviewȱMedicalȱ Center,ȱSt.ȱMaryȬCorwinȱMedicalȱCenterȱandȱPuebloȱCommunityȱHealthȱCenter,ȱthreeȱ localȱPueblo,ȱColoradoȱhospitals,ȱannouncedȱtheirȱsupportȱforȱaȱballotȱmeasureȱaimedȱatȱ endingȱcommercializationȱandȱtheȱpromotionȱofȱrecreationalȱmarijuanaȱinȱtheȱcityȱandȱ countyȱofȱPueblo.ȱȱ“Allȱthreeȱorganizationsȱspokeȱonȱbehalfȱofȱtheirȱcommunityȱboardsȱ andȱstronglyȱbelieveȱtheȱimpactȱofȱretailȱmarijuanaȱisȱendangeringȱtheȱhealthȱofȱtheȱ Puebloȱcommunityȱandȱdrainingȱpreciousȱhealthȱresources.”ȱȱDataȱinȱsupportȱofȱtheirȱ positionȱincludesȱaȱ51ȱpercentȱincreaseȱinȱtheȱnumberȱofȱchildrenȱ18ȱandȱyoungerȱthatȱ haveȱbeenȱtreatedȱatȱParkview’sȱemergencyȱroomȱasȱwellȱasȱtheȱfactȱthatȱnearlyȱhalfȱofȱ theȱnewbornsȱwhoȱwereȱtestedȱforȱprenatalȱdrugȱexposureȱinȱMarchȱ2016ȱatȱSt.ȱMaryȬ Corwinȱtestedȱpositiveȱforȱmarijuana.ȱȱPuebloȱCommunityȱHealthȱCenterȱalsoȱ experiencedȱconcerningȱhealthȱtrendsȱsuchȱasȱfrequentȱuseȱofȱmarijuanaȱinȱtheȱprenatalȱ populationȱasȱwellȱasȱincreasedȱincidenceȱofȱmentalȱhealthȱdisordersȱrelatedȱtoȱ marijuana.ȱȱAccordingȱtoȱlocalȱdoctorsȱinȱtheȱcommunity:ȱ “Weȱareȱexperiencingȱaȱdramaticȱincreaseȱinȱnewbornsȱwhoȱtestȱpositiveȱforȱ marijuanaȱalongȱwithȱanȱincreaseȱinȱteenageȱsuicideȱattempts,”ȱsaidȱSteveȱSimerville,ȱ MD,ȱmedicalȱdirectorȱofȱSt.ȱMaryȬCorwin’sȱneonatalȱintensiveȱcareȱunitȱandȱpediatricȱ serviceȱline.ȱȱ“Whileȱitȱisȱnotȱclearȱthatȱmarijuanaȱisȱdirectlyȱtheȱcauseȱofȱallȱtheseȱ problems,ȱoneȱmightȱconcludeȱthatȱthisȱsurgeȱisȱtheȱresultȱofȱtheȱhighȬriskȱcultureȱthatȱ commercializationȱofȱmarijuanaȱhelpsȱtoȱpromoteȱandȱisȱnotȱinȱtheȱbestȱinterestȱofȱtheȱ Puebloȱcommunity.”ȱ “Theȱemergencyȱdepartmentȱhasȱseenȱincreasedȱvisitsȱforȱprimaryȱcareȱneeds,ȱ breathingȱproblemsȱrelatedȱtoȱinhalationȱofȱmarijuana,ȱincludingȱasthma,ȱbronchitis,ȱ upperȱrespiratoryȱtractȱinfections,ȱasȱwellȱasȱpsychiatricȱneeds,ȱaccidentalȱorȱintentionalȱ overdosesȱand,ȱunfortunately,ȱincreasedȱpediatricȱpatientsȱwithȱissuesȱrelatedȱtoȱ marijuana,”ȱsaidȱKarenȱRandall,ȱMD,ȱaȱphysicianȱwithȱSouthernȱColoradoȱEmergencyȱ MedicalȱAssociates,ȱwhoȱtreatsȱpatientsȱatȱParkviewȱMedicalȱCenter’sȱEmergencyȱ Department.2ȱ ȱ Item 11.a. - Page 111 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ89ȱ MoreȱKidsȱinȱtheȱEmergencyȱRoomȱDueȱtoȱMarijuana:ȱȱAȱstudyȱconductedȱbyȱaȱ groupȱofȱColoradoȱdoctorsȱfoundȱthatȱtheȱnumberȱofȱchildren’sȱhospitalȱvisitsȱincreasedȱ betweenȱtheȱtwoȱyearsȱpriorȱtoȱlegalizationȱandȱtheȱtwoȱyearsȱafterȱlegalization.ȱȱ Further,ȱ“fifteenȱofȱtheȱ32ȱexposuresȱseenȱinȱtheȱchildren’sȱhospitalȱinȱ2014ȱandȱ2015ȱ wereȱfromȱrecreationalȱmarijuana,ȱsuggestingȱthatȱlegalizationȱofȱrecreationalȱmarijuanaȱ didȱaffectȱtheȱincidenceȱofȱpediatricȱexposures.”ȱȱTheȱstudyȱalsoȱfoundȱthatȱcomparedȱ withȱotherȱunintentionalȱpediatricȱexposures,ȱsymptomsȱafterȱmarijuanaȱexposureȱcanȱ beȱsevereȱforȱtheseȱyoungȱpatients.ȱȱ“…35%ȱofȱpatientsȱpresentingȱtoȱtheȱhospitalȱ requiredȱadmission,ȱincreasingȱtheȱhospitalȱburdenȱandȱusingȱmoreȱhealthȱfinancialȱ resources.”ȱȱAdditionallyȱtheȱstudyȱpointsȱoutȱthatȱ“ingestionȱofȱedibleȱproductsȱ continuesȱtoȱbeȱaȱmajorȱsourceȱofȱmarijuanaȱexposuresȱinȱchildrenȱandȱposesȱaȱuniqueȱ problemȱbecauseȱnoȱotherȱdrugȱisȱinfusedȱintoȱaȱpalatableȱandȱappetizingȱform.”ȱȱAsȱ wellȱas,ȱ“dosingȱaȱdrugȱinȱaȱ‘servingȱsize’ȱlessȱthanȱtypicallyȱrecommendedȱforȱanȱ equivalentȱfoodȱproductȱalsoȱcanȱbeȱaȱsourceȱofȱconfusion.”3ȱ ȱ MoreȱColoradoȱKidsȱinȱHospitalȱforȱMarijuanaȱSinceȱLegalization,ȱStudyȱSays:ȱȱAȱ studyȱconductedȱbyȱaȱgroupȱofȱColoradoȱdoctorsȱfoundȱthatȱ“theȱnumberȱofȱColoradoȱ childrenȱwho’veȱbeenȱreportedȱtoȱaȱpoisonȱcontrolȱcenterȱorȱexaminedȱatȱaȱhospitalȱforȱ unintentionalȱmarijuanaȱexposureȱannuallyȱhasȱspikedȱsinceȱtheȱstateȱlegalizedȱ recreationalȱcannabis…”ȱȱTheȱstudyȱfoundȱthat,ȱ“eightyȬsevenȱcasesȱofȱchildrenȱagesȱ9ȱ andȱyoungerȱingesting,ȱinhalingȱorȱotherwiseȱexposedȱtoȱcannabisȱwereȱcalledȱinȱtoȱtheȱ state’sȱregionalȱpoisonȱcontrolȱcenterȱfromȱ2014ȱthroughȱ2015ȱ–ȱmoreȱthanȱtheȱ76ȱtotalȱ casesȱinȱtheȱfourȱyearsȱprecedingȱlegalization,ȱtheȱstudyȱsays.ȱȱExposureȬrelatedȱvisitsȱ forȱtheȱsameȱageȱrangeȱalsoȱroseȱatȱChildren’sȱHospitalȱColoradoȱinȱAurora:ȱȱ32ȱvisitsȱforȱ theȱfirstȱtwoȱyearsȱafterȱlegalization,ȱagainstȱ30ȱvisitsȱforȱtheȱfourȱyearsȱprior.ȱȱNearlyȱ halfȱofȱtheȱhospitalȱvisitsȱsinceȱ2009ȱinvolvedȱediblesȱsuchȱasȱbrowniesȱandȱcandies.ȱȱ Andȱalmostȱhalfȱofȱtheȱhospitalȱcasesȱinȱ2014ȱandȱ2015ȱinvolvedȱrecreational,ȱasȱopposedȱ toȱmedicalȱmarijuana…”4ȱ ȱ PublicȱHealthȱResearchersȱLookȱatȱRiseȱinȱMarijuanaȬRelatedȱHospitalizations:ȱȱ “TheȱprevalenceȱofȱmarijuanaȱuseȱinȱtheȱU.S.ȱmoreȱthanȱdoubledȱbetweenȱ2001ȱandȱ 2013,ȱaccordingȱtoȱaȱstudyȱpublishedȱinȱOctoberȱ2015ȱbyȱJAMAȱPsychiatry.ȱȱHospitalȱ utilizationȱrelatedȱtoȱtheȱdrugȱappearsȱtoȱhaveȱincreasedȱinȱtandem,ȱaccordingȱtoȱaȱnewȱ analysis,ȱpresentedȱatȱtheȱAmericanȱPublicȱHealthȱAssociation’sȱannualȱmeeting,ȱheldȱinȱ ChicagoȱinȱNovember.”ȱȱDr.ȱHeȱZhu,ȱaȱpostdoctoralȱassociateȱatȱDukeȱUniversityȱ MedicalȱCenterȱinȱDurham,ȱNC,ȱwasȱresponsibleȱforȱtheȱnewȱanalysis.ȱȱAccordingȱtoȱDr.ȱ Zhu,ȱ“Theȱuseȱofȱcannabisȱhasȱbeenȱfoundȱtoȱbeȱassociatedȱwithȱadverseȱphysicalȱandȱ mentalȱhealthȱoutcomesȱinȱbothȱtheȱshortȱtermȱandȱtheȱlongȱterm.”ȱȱSheȱalsoȱnotedȱthatȱ “…itȱcanȱbeȱlinkedȱtoȱdrugȱuseȱdisorder,ȱanxiety,ȱpsychoticȱsymptoms,ȱbreathingȱ problems,ȱincreasedȱheartȱrate,ȱimpairedȱdriving,ȱandȱanȱincreasedȱriskȱofȱotherȱ Item 11.a. - Page 112 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ90ȱ substanceȱabuse.ȱȱThus,ȱtheȱincreaseȱofȱcannabisȱuseȱandȱitsȱadverseȱhealthȱeffectsȱwillȱ potentiallyȱplaceȱmoreȱburdenȱonȱhealthȱcareȱsystems.”5ȱ ȱ EmergencyȱRoomȱVisitsȱDoubleȱforȱColoradoȱTourists:ȱȱ“Emergencyȱdepartmentȱ visitsȱinvolvingȱmarijuanaȬusingȱvisitorsȱdoubledȱfromȱ2013ȱtoȱ2014,ȱtheȱfirstȱyearȱ cannabisȱuseȱwasȱlegalizedȱinȱColorado,ȱaȱteamȱofȱDenverȬareaȱdoctorsȱsaid.”ȱȱ AccordingȱtoȱDr.ȱAndrewȱMonte,ȱanȱemergencyȱroomȱtoxicologistȱatȱtheȱUniversityȱofȱ Denver,ȱ“Atȱourȱinstitution,ȱtheȱrateȱofȱEDȱvisitsȱpossiblyȱrelatedȱtoȱcannabisȱuseȱamongȱ outȬofȬstateȱresidentsȱdoubledȱfromȱ85ȱperȱ10,000ȱvisitsȱinȱ2013ȱtoȱ168ȱperȱ10,000ȱvisitsȱinȱ 2014,ȱwhichȱwasȱtheȱfirstȱyearȱofȱretailȱmarijuanaȱsales.”ȱȱSpecificȱreasonsȱforȱtheȱEDȱ visitȱgenerallyȱrangeȱfromȱtheȱmarijuanaȱuseȱcausingȱanȱexacerbationȱofȱanȱexistingȱ medicalȱcondition,ȱintoxicationȱandȱfearȱassociatedȱwithȱuse,ȱorȱinjuriesȱdirectlyȱrelatedȱ toȱusingȱtheȱdrug.ȱȱ“‘Theseȱwouldȱbeȱthingsȱlikeȱmotorȱvehicleȱcollisionsȱwhenȱtheyȱareȱ highȱorȱsmoking,’ȱMonteȱsaid.ȱ‘Cyclicȱvomiting,ȱwhichȱcanȱcomeȱwithȱheavyȱdailyȱuse,ȱ isȱanotherȱissue,’ȱMonteȱsaid.”6ȱ ȱ TheȱHiddenȱCostsȱofȱMarijuanaȱUseȱinȱColorado:ȱȱOneȱEmergencyȱDepartment’sȱ Experience:ȱȱAccordingȱtoȱaȱrecentȱstudyȱonȱtheȱeconomicȱimpactȱofȱmarijuanaȱuseȱ withinȱColorado,ȱfromȱ2009ȱtoȱ2014ȱPenroseȬSt.ȱFrancisȱHospitalȱ(ColoradoȱSprings,ȱ Colorado)ȱreportedȱaȱtrueȱlossȱofȱ$20ȱmillionȱinȱuncollectedȱcharges.ȱȱAdditionally,ȱtheȱ studyȱdemonstratedȱanȱincreasingȱnumberȱofȱpatientsȱwhoȱareȱseenȱinȱtheȱemergencyȱ roomȱalsoȱhaveȱusedȱcannabis.ȱȱTheseȱpatientsȱareȱnotȱalwaysȱableȱtoȱpayȱtheirȱbills,ȱ resultingȱinȱaȱfinancialȱlossȱtoȱtheȱhospital.ȱ Visitsȱwhereȱaȱdiagnosisȱrelatedȱtoȱcannabisȱwasȱidentifiedȱatȱtheȱstudyȱhospitalȱ increasedȱfromȱ545ȱtoȱ2,042,ȱaȱ275ȱpercentȱincreaseȱbetweenȱ2009ȱandȱ2014.ȱȱTheȱpercentȱ ofȱcannabisȱsubjectsȱadmittedȱasȱinpatientsȱfromȱtheȱEmergencyȱDepartmentȱincreasedȱ fromȱ9ȱpercentȱtoȱ15.3ȱpercentȱduringȱtheȱstudyȱperiod.ȱȱEmergencyȱDepartmentȱchargesȱ unableȱtoȱbeȱcollectedȱincreasedȱ192ȱpercent.ȱ Furthermore,ȱthereȱisȱdataȱtoȱsupportȱtransmissionȱofȱTHCȱtoȱtheȱfetusȱinȱpregnantȱ mothersȱusingȱcannabis.ȱȱTheȱAmericanȱCongressȱofȱObstetriciansȱandȱGynecologistsȱ (ACOG)ȱpublishedȱaȱCommitteeȱOpinionȱcitingȱnumerousȱstudiesȱtoȱsupportȱtheirȱ recommendationsȱtoȱdiscourageȱuseȱofȱcannabisȱduringȱpregnancyȱandȱlactation,ȱ includingȱuseȱofȱmedicalȱcannabis.ȱȱȱ Fetalȱcorticalȱgrowthȱmayȱbeȱaffected;ȱlongȬtermȱeffectsȱofȱtheseȱchildrenȱareȱnotȱ fullyȱknownȱorȱunderstood,ȱbutȱpreviousȱstudiesȱreportȱfindingsȱthatȱsuggestȱbehavioralȱ abnormalitiesȱincludingȱhyperactivity,ȱdifficultyȱwithȱexecutiveȱfunctionsȱintoȱ adolescence,ȱdepressionȱevenȱifȱtheyȱareȱnotȱusing,ȱandȱearlyȱadolescentȱaddiction.7ȱ ȱ Item 11.a. - Page 113 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ91ȱ Sources ȱ 1ȱȱCaldwellȱN,ȱSrebotnjakȱT,ȱWangȱT,ȱHsiaȱRȱ(2013ȱ“HowȱMuchȱWillȱIȱgetȱChargedȱforȱ This?”ȱPatientȱChargesȱforȱTopȱTenȱDiagnosesȱinȱtheȱEmergencyȱDepartment,ȱPlopsȱ ONEȱ8(2):ȱe55491.ȱDoi:10.1371/journal.pone.0055491,ȱaccessedȱJanuaryȱ2015ȱ ȱ 2ȱȱSAMVermont,ȱAprilȱ27,ȱ2016,ȱ“HealthȱCareȱLeadersȱAnnounceȱSupportȱofȱBallotȱ MeasureȱToȱOptȱOutȱOfȱMarijuanaȱCommercialization,”ȱ<ȱhttp://samȬ vt.org/2016/04/28/healthȬcareȬleadersȬannounceȬsupportȬofȬballotȬmeasureȬtoȬoptȬoutȬ ofȬmarijuanaȬcommercialization/>,ȱaccessedȱAprilȱ27,ȱ2016ȱ ȱ 3ȱȱGeorgeȱSamȱWang,ȱMD,ȱMarieȬClaireȱLeȱLait,ȱMS,ȱSaraȱJ.ȱDeakyne,ȱMPH,ȱAlvinȱC.ȱ Bronstein,ȱMD,ȱLalitȱBajaj,ȱMD,ȱMPH,ȱGenieȱRoosevelt,ȱMD,ȱMPH,ȱJulyȱ25,ȱ2016,ȱJAMAȱ Pediatricsȱdoi:ȱ10.1001/jamapediatrics.2016.0971,ȱ“UnintentionalȱPediatricȱExposuresȱtoȱ MarijuanaȱinȱColorado,ȱ2009Ȭ2015”,ȱ <http://archpedi.jamanetwork.com/article.aspx?articleid=2534480>,ȱaccessedȱJulyȱ25,ȱ 2016ȱ ȱ 4ȱȱJasonȱHanna,ȱCNN,ȱJulyȱ27,ȱ2016,ȱ“MoreȱColoradoȱkidsȱinȱhospitalȱforȱmarijuanaȱ sinceȱlegalization,ȱstudyȱsays”,ȱhttp://www.cnn.com/2016/07/27/health/coloradoȬ marijuanaȬchildren/,ȱaccessedȱJulyȱ28,ȱ2016ȱ ȱ 5ȱȱMollieȱDurkin,ȱJanuaryȱACPȱHospitalistȱbyȱtheȱAmericanȱCollegeȱofȱPhysicians,ȱ “PublicȱhealthȱresearchersȱlookȱatȱriseȱinȱmarijuanaȬrelatedȱhospitalizations”,ȱ <http://www.acphospitalist.org/archives/2016/01/conferenceȬcoverageȬpublicȬhealthȬ marijuana.htm>,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱ 6ȱȱMaggieȱFox,ȱNBCȱNews,ȱFebruaryȱ25,ȱ2016,ȱ“EmergencyȱRoomȱVisitsȱDoubleȱforȱ MarijuanaȬUsingȱColoradoȱVisitors”,ȱ<http://www.nbcnews.com/storyline/legalȬ pot/emergencyȬroomȬvisitsȬdoubleȬmarijuanaȬusingȬcoloradoȬvisitorsȬn525081>,ȱ accessedȱFebruaryȱ26,ȱ2016ȱ ȱ 7ȱȱKennethȱFinn,ȱM.D.,ȱJanuaryȱ26,ȱ2015,ȱ“TheȱHiddenȱCostsȱofȱMarijuanaȱUseȱinȱ Colorado:ȱOneȱEmergencyȱDepartment’sȱExperience,”ȱTheȱJournalȱofȱGlobalȱDrugȱPolicyȱ andȱPractice,ȱ <http://www.globaldrugpolicy.org/Issues/Vol%2010%20Issue%202/Articles/The%20Hid den%20Costs%20of%20Marijuana%20Use%20in%20Colorado_Final.pdf>,ȱaccessedȱMayȱ 17,ȱ2016ȱ ȱ Item 11.a. - Page 114 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ4:ȱȱEmergencyȱDepartmentȱandȱHospitalȱMarijuanaȬRelatedȱAdmissionsȱȱ Pageȱ|ȱ92ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 115 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ93ȱ SECTION 5: Marijuana-Related Exposure ȱ Some Findings ȱ x MarijuanaȬrelatedȱexposuresȱincreasedȱ100ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ (2013Ȭ2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱ threeȬyearȱaverageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ ȱ x Marijuanaȱonlyȱexposuresȱincreasedȱ155ȱpercentȱinȱtheȱthreeȬyearȱaverageȱ(2013Ȭ 2015)ȱsinceȱColoradoȱlegalizedȱrecreationalȱmarijuanaȱcomparedȱtoȱtheȱthreeȬyearȱ averageȱ(2010Ȭ2012)ȱpriorȱtoȱlegalization.ȱ ȱ x Childrenȱagesȱ0ȱtoȱ5ȱyearsȱoldȱmarijuanaȬrelatedȱexposuresȱincreasedȱ169ȱpercentȱ afterȱlegalizationȱofȱrecreationalȱmarijuanaȱinȱColorado.ȱ ȱ x Inȱtheȱyearsȱmedicalȱmarijuanaȱwasȱcommercializedȱ(2009–2012),ȱmarijuanaȬ relatedȱexposuresȱaveragedȱaȱ42ȱpercentȱincreaseȱfromȱpriorȱyearsȱ(2006–2008)ȱ average.ȱ ȱ Item 11.a. - Page 116 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ94ȱ Data ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱReport,ȱColoradoȱMarijuanaȱStatisticsȱforȱ2015ȱ ȱ ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱ ȱȱ Item 11.a. - Page 117 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ95ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱ ȱ ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱ Item 11.a. - Page 118 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ96ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱ ȱ ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱȱ Item 11.a. - Page 119 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ97ȱ ȱ SOURCE:ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱ Related Material ȱ PotȱScienceȱ–ȱTopȱMarijuanaȱFindingsȱofȱ2015:1ȱ x Betweenȱ2003ȱandȱ2013,ȱaccidentalȱmarijuanaȱexposureȱtoȱyouthȱunderȱageȱsixȱ increasedȱbyȱaboutȱ150ȱpercent.ȱȱMoreȱthanȱ75ȱpercentȱofȱtheseȱexposuresȱ involvedȱchildrenȱyoungerȱthanȱthree,ȱwhoȱaccidentallyȱswallowedȱpotȱlikelyȱ foundȱinȱmarijuanaȱbrownies,ȱcookedȱandȱotherȱfoodȱproducts.ȱ x Exposureȱratesȱinȱchildrenȱclimbedȱanȱaverageȱofȱ16ȱpercentȱaȱyearȱfromȱ2003ȱtoȱ 2013ȱinȱstatesȱthatȱlegalizedȱmarijuana,ȱcomparedȱwithȱaȱriseȱofȱaboutȱ5ȱpercentȱinȱ statesȱwhereȱpotȱremainedȱillegal.ȱ ȱ StudyȱFindsȱSharpȱIncreasedȱinȱMarijuanaȱExposureȱAmongȱColoradoȱChildren:ȱȱ AȱstudyȱpublishedȱinȱtheȱJAMAȱPediatricsȱjournalȱfoundȱthat,ȱ“…inȱColoradoȱtheȱratesȱofȱ marijuanaȱexposureȱinȱyoungȱchildren,ȱmanyȱofȱthemȱtoddlers,ȱhaveȱincreasedȱ150ȱ percentȱsinceȱ2014,ȱwhenȱrecreationalȱmarijuanaȱproducts,ȱlikeȱsweets,ȱwentȱonȱtheȱ marketȱlegally.”ȱȱSymptomsȱfromȱtheseȱunintentionalȱexposuresȱcanȱbeȱanythingȱfromȱ lethargyȱorȱagitationȱtoȱvomitingȱandȱlossȱofȱbalance.ȱȱ“Aȱhandfulȱofȱpatientsȱwereȱ admittedȱtoȱintensiveȱcareȱunitsȱandȱintubated.”ȱȱWhileȱdoctorsȱandȱresearchersȱwereȱ Item 11.a. - Page 120 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ98ȱ anticipatingȱaȱriseȱinȱtheȱnumberȱofȱtheseȱcasesȱafterȱColoradoȱvotedȱtoȱlegalizeȱ recreationalȱmarijuana,“‘…weȱwereȱnotȱpreparedȱforȱtheȱdramaticȱincrease,’ȱsaidȱtheȱ seniorȱauthorȱofȱtheȱstudy,ȱDr.ȱGenieȱE.ȱRoosevelt,ȱanȱassociateȱprofessorȱofȱemergencyȱ medicineȱatȱtheȱUniversityȱofȱColoradoȱSchoolȱofȱMedicineȱandȱDenverȱHealthȱMedicalȱ Center.”2ȱ ȱ RockyȱMountainȱPoisonȱandȱDrugȱCenterȱReport:3ȱȱ“Inȱ2015,ȱthereȱwereȱ231ȱhumanȱ exposuresȱinvolvingȱmarijuana,ȱ12ȱexposuresȱinvolvingȱdogsȱandȱ1ȱexposureȱtoȱaȱcat.ȱ x 91ȱofȱtheseȱcasesȱinvolvedȱanȱ‘edible’ȱmarijuanaȱproductȱsuchȱasȱmarijuanaȬ infusedȱbrownies,ȱcookies,ȱcandies,ȱbeverages,ȱetc.ȱ x Ofȱtheȱ231ȱexposures,ȱ117ȱ(51%)ȱinvolvedȱchildrenȱ0ȱtoȱ18ȱyearsȱofȱage.ȱ o Theȱageȱgroupȱwithȱtheȱmostȱmarijuanaȱcasesȱ(26%)ȱwasȱforȱindividualsȱ 13ȱtoȱ19ȱyearsȱofȱage.”ȱ ȱ PotȬRelatedȱCallsȱtoȱColoradoȱandȱWashingtonȱPoisonȱCentersȱUp:ȱȱInȱaȱDenverȱ PostȱarticleȱdatedȱJanuaryȱ25,ȱ2015ȱbyȱGeneȱJohnsonȱofȱtheȱAssociatedȱPress,ȱitȱcitesȱtheȱ substantialȱincreaseȱinȱcallsȱtoȱpoisonȱcontrolȱcentersȱrelatedȱtoȱmarijuana.ȱȱ“Theȱspikeȱinȱ numbersȱsinceȱmarijuanaȱwasȱlegalizedȱincludesȱaȱtroublingȱjumpȱinȱcasesȱinvolvingȱ youngȱkids.”ȱȱCallsȱtoȱtheȱColoradoȱpoisonȱcenterȱinȱ2014ȱalmostȱdoubledȱtheȱnumberȱofȱ callsȱinȱ2013ȱandȱtripledȱtheȱcallsȱinȱ2012.ȱȱCallsȱtoȱtheȱWashingtonȱpoisonȱcenterȱjumpedȱ aboutȱ50ȱpercentȱfromȱ2013ȱtoȱ2014.ȱȱCallsȱinvolvingȱchildrenȱnearlyȱdoubledȱinȱbothȱ states.4ȱ ȱ ChildȱMarijuanaȱPoisoningȱIncidentsȱIncreaseȱAfterȱStatesȱLegalizeȱPot:ȱȱAȱstudyȱ byȱresearchersȱatȱtheȱNationwideȱChildren’sȱHospitalȱreport,ȱ“Moreȱyoungȱchildrenȱareȱ exposedȱtoȱmarijuanaȱinȱstatesȱafterȱtheȱdrugȱhadȱbecomeȱlegalȱforȱmedicalȱorȱ recreationalȱuse…”ȱȱThisȱstudy,ȱinȱtheȱjournalȱClinicalȱPediatricsȱfound:ȱȱ“theȱrateȱofȱ marijuanaȱexposuresȱamongȱchildrenȱ5ȱyearsȱoldȱandȱunderȱincreasedȱ16ȱpercentȱeachȱ yearȱafterȱlegalizationȱinȱthoseȱstates.”ȱȱAccordingȱtoȱtheȱNationalȱPoisonȱDatabaseȱ System,ȱchildȱexposuresȱincreasedȱ147ȱpercentȱfromȱ2006Ȭȱ2013.5ȱ ȱ ChildrenȱandȱTHCȬInfusedȱEdibles:ȱȱAccordingȱtoȱaȱColoradoȱSpringsȱGazetteȱ Op/EdȱdatedȱJuneȱ21,ȱ2015,ȱtitledȱ‘THCȱextractsȱconcentrateȱproblems’:ȱȱ“InȱColorado,ȱ theȱnumberȱofȱexposuresȱtoȱTHCȬinfusedȱediblesȱinȱyourȱchildrenȱincreasedȱfourfoldȱinȱ oneȱyear,ȱfromȱ19ȱcasesȱinȱ2013ȱtoȱ95ȱinȱ2014,ȱaccordingȱtoȱtheȱRockyȱMountainȱPoisonȱ andȱDrugȱCenter.”6ȱ ȱ Item 11.a. - Page 121 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ99ȱ Sources ȱ 1ȱȱCari Nierenberg,ȱLiveȱScience,ȱDecemberȱ29,ȱ2015,ȱ“PotȱScience:ȱȱTopȱMarijuanaȱ Findingsȱofȱ2015,”ȱ<http://www.livescience.com/53218ȬtopȬmarijuanaȬscientificȬ findingsȬ2015.html>,ȱaccessedȱDecemberȱ29,ȱ2015ȱ ȱ 2ȱȱJanȱHoffman,ȱTheȱNewȱYorkȱTimes,ȱJulyȱ25,ȱ2016,ȱ“StudyȱFindsȱSharpȱIncreaseȱinȱ MarijuanaȱExposureȱAmongȱColoradoȱChildren,”ȱ http://www.nytimes.com/2016/07/26/health/marijuanaȬediblesȬareȬgettingȬintoȬ coloradoȬchildrensȬhandsȬstudyȬsays.html?_r=0,ȱaccessedȱJulyȱ25,ȱ2016ȱ ȱ 3ȱȱRockyȱMountainȱPoisonȱandȱDrugȱCenter,ȱ“ColoradoȱMarijuanaȱStatisticsȱforȱ2015”ȱ ȱ 4ȱȱGeneȱJohnson,ȱTheȱCannabist,ȱJanuaryȱ23,ȱ2015,ȱ“PotȬrelatedȱpoisonȱcontrolȱcallsȱupȱ inȱWashington,ȱColorado,”ȱ<www.thecannabist.co/2015/01/23/potȬrelatedȬpoisonȬ controlȬcallsȬwashingtonȬcolorado/28495/>,ȱaccessedȱJanuaryȱ26,ȱ2015ȱ ȱ 5ȱȱJackieȱBorchardt,ȱNortheastȱOhioȱMediaȱGroup,ȱJuneȱ16,ȱ2015,ȱ“Childȱmarijuanaȱ poisoningȱincidentsȱincreaseȱafterȱstatesȱlegalizeȱpot,”ȱ <http://www.cleveland.com/open/index.ssf/2015/06/child_poisoning_cases_increase.ht ml%23incart_river>,ȱaccessedȱJuneȱ17,ȱ2015ȱ ȱ 6ȱȱEditorialȱBoardȱmembersȱWayneȱLaugesenȱandȱPulaȱDavisȱinȱcollaborationȱwithȱ journalistȱChristineȱTatum,ȱTheȱGazette,ȱJuneȱ21,ȱ2015,ȱ“THCȱextractsȱconcentrateȱ problems,”ȱ<http://gazette.com/thcȬextractsȬconcentrateȬproblems/article/1554097>,ȱ accessedȱJuneȱ2,ȱ2015ȱ ȱ ȱȱ Item 11.a. - Page 122 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ5:ȱȱMarijuana–RelatedȱExposureȱȱ Pageȱ|ȱ100ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 123 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ101ȱ SECTION 6: Treatment ȱ Some Findings ȱ x MarijuanaȱtreatmentȱdataȱfromȱColoradoȱinȱyearsȱ2005–2015ȱdoesȱnotȱappearȱtoȱ demonstrateȱaȱdefinitiveȱtrend.ȱȱColoradoȱaveragesȱapproximatelyȱ6,500ȱ treatmentȱadmissionsȱannuallyȱforȱmarijuanaȱabuse.ȱ ȱ x Overȱtheȱlastȱtenȱyears,ȱtheȱtopȱthreeȱdrugsȱinvolvedȱinȱtreatmentȱadmissions,ȱinȱ descendingȱorder,ȱwereȱalcoholȱ(averageȱ13,382),ȱmarijuanaȱ(averageȱ6,652)ȱandȱ methamphetamineȱ(averageȱ5,298).ȱ Data ȱ ȱ ȱ SOURCE:ȱ CenterȱforȱBehavioralȱHealthȱStatisticsȱandȱQuality,ȱSubstanceȱAbuseȱandȱMentalȱHealthȱ ServicesȱAdministration,ȱTreatmentȱEpisodeȱDataȱSetȱ(TEDS)ȱBasedȱonȱadministrativeȱdataȱ reportedȱbyȱStatesȱtoȱTEDSȱthroughȱMayȱ13,ȱ2016ȱ ȱȱ Item 11.a. - Page 124 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ102ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱHealthȱServices,ȱOfficeȱofȱBehavioralȱHealth,ȱ2005Ȭ2015ȱ ȱȱ Item 11.a. - Page 125 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ103ȱ ȱ ȱ ȱ SOURCE:ȱ CenterȱforȱBehavioralȱHealthȱStatisticsȱandȱQuality,ȱSubstanceȱAbuseȱandȱMentalȱHealthȱ ServicesȱAdministration,ȱTreatmentȱEpisodeȱDataȱSetȱ(TEDS)ȱBasedȱonȱadministrativeȱdataȱ reportedȱbyȱStatesȱtoȱTEDSȱthroughȱMayȱ13,ȱ2016 ȱȱ 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 12Ȭ17 31.2 28.2 28.3 28.7 29 27.7 24.1 22.4 19.8 18.8 18Ȭ20 13 13.3 13 14 12.9 11.9 12.1 11.2 9.4 9.4 21Ȭ25 20 20.2 19.6 20.2 20.5 19.9 20.5 20.9 22.4 21.3 26+35.8 38.3 39.1 37.1 37.6 40.5 43.3 45.5 48.7 50.5 0 10 20 30 40 50 60 PercentȱofȱAdmissionsPercentȱofȱMarijuanaȱTreatmentȱ AdmissionsȱbyȱAgeȱGroup Item 11.a. - Page 126 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ104ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱHealthȱServices,ȱOfficeȱofȱBehavioralȱHealth,ȱ2005Ȭ2015ȱ Comments from Colorado Treatment Providers ȱ “…SymptomsȱAreȱSoȱDebilitating…”:ȱȱ“Manyȱpatientsȱminimizeȱtheȱconsequencesȱ ofȱcannabisȱuse,ȱyetȱtheyȱconsistentlyȱreportȱthatȱtheyȱhaveȱbecomeȱisolated,ȱparanoidȱ andȱunableȱtoȱeffectivelyȱinteractȱwithȱtheȱoutsideȱworld.ȱInȱtreatment,ȱthereȱhasȱbeenȱaȱ consistentȱincreaseȱinȱpsychosisȱassociatedȱwithȱpatientsȱwhoȱuseȱcannabis.ȱȱThoughtȱ broadcasting,ȱthoughtȱinsertion,ȱideasȱofȱreferenceȱandȱcommandȱhallucinationsȱareȱnotȱ uncommon.ȱȱTheseȱsymptomsȱoftenȱoccurȱinȱtheȱabsenceȱofȱanyȱotherȱpsychiatricȱ disorder.ȱȱTheȱsymptomsȱappearȱtoȱdecreaseȱoverȱtime,ȱwithȱmoreȱtimeȱinȱrecovery,ȱbutȱ itȱisȱunclearȱwhetherȱtheȱsymptomsȱareȱlongȱlasting.ȱȱSinceȱtheseȱsymptomsȱareȱsoȱ debilitating,ȱitȱisȱcrucialȱtoȱlearnȱmoreȱaboutȱtheȱlongȱtermȱeffectsȱofȱcannabisȱuse.”1ȱ ȱ “…LivesȱHaveȱBeenȱCompletelyȱDisrupted…”:ȱȱ“Inȱmyȱprofessionalȱexperience,ȱ haveȱdefinitelyȱseenȱmoreȱcannabisȱuseȱinȱtheȱindividualsȱIȱamȱtreating.ȱȱIȇveȱalsoȱseenȱ anȱincreasingȱnumberȱofȱyoungȱmenȱcomingȱintoȱtreatmentȱwithȱsymptomsȱofȱmania,ȱ psychosisȱandȱdangerousȱbehaviorsȱassociatedȱwithȱcannabisȱuse.ȱȱTheirȱlivesȱhaveȱbeenȱ completelyȱdisruptedȱdueȱtoȱtheȱcannabisȱuse.ȱȱUnfortunately,ȱabstinenceȱfromȱtheȱ cannabisȱuseȱaloneȱisȱnotȱenoughȱtoȱmakeȱtheȱsymptomsȱgoȱaway.ȱȱTheyȱrequireȱmoodȱ Item 11.a. - Page 127 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ105ȱ stabilizingȱandȱantiȬpsychoticȱmedicationsȱtoȱgetȱtoȱaȱpointȱthatȱtheyȱcanȱcommunicateȱ coherentlyȱenoughȱandȱtrustȱothersȱenoughȱtoȱparticipateȱinȱtherapy.ȱȱIȱdoȱthinkȱthisȱisȱ relatedȱtoȱtheȱincreasedȱavailabilityȱandȱpotency,ȱandȱthisȱisȱconsistentȱwithȱtheȱ scientificȱliterature.ȱ Onȱaȱpersonalȱnote,ȱmyȱ10ȱandȱ11ȱyearȱoldȱchildrenȱknowȱwhatȱcannabisȱsmokeȱ smellsȱlike,ȱidentifyingȱcannabisȱinȱtheȱareaȱratherȱthanȱwonderingȱifȱitȱisȱaȱskunk.ȱȱ Publicȱuseȱoccursȱeverywhere.ȱȱChildrenȱcallȱeachȱother,ȱ‘vapers,’ȱinȱtheirȱlessȱkindȱ moments,ȱandȱchildrenȱwithȱanythingȱgreenȱareȱmadeȱfunȱof.ȱȱOneȱofȱmyȱ11ȱyearȱoldȇsȱ friendsȱsinceȱpreschoolȱwasȱallegedlyȱexpelledȱforȱsellingȱcannabisȱonȱtheȱ5thȱgradeȱ campus.ȱȱAsȱaȱparent,ȱIȇmȱterrifiedȱforȱtheȱfutureȱofȱourȱchildren.”2ȱ ȱ “…PsychosisȱandȱCannabisȱisȱWellȱDocumented…”:ȱȱ“Weȱrecentlyȱreviewedȱdataȱ forȱpatientsȱreceivingȱtreatmentȱinȱtheȱresidentialȱportionȱofȱourȱsubstanceȱabuseȱ treatmentȱcenter,ȱCeDAR.ȱȱWhatȱweȱfoundȱwasȱthatȱpatientsȱwhoȱmetȱcriteriaȱforȱaȱ cannabisȱuseȱdisorderȱwereȱmarkedlyȱyoungerȱthanȱthoseȱthatȱdidȱnot,ȱwereȱmuchȱmoreȱ likelyȱtoȱhaveȱotherȱsubstanceȱuseȱdisordersȱ(anȱaverageȱofȱ2.8ȱsubstanceȱuseȱdisorderȱ diagnosesȱvsȱ1.9ȱsubstanceȱuseȱdisorderȱdiagnosesȱwhenȱcannabisȱuseȱdisorderȱwasȱ excluded)ȱandȱthereȱwasȱaȱtrendȱtowardsȱmoreȱmentalȱhealthȱpathologyȱinȱthisȱdataȱsetȱ asȱwell.ȱ Anecdotally,ȱIȱandȱmyȱcolleaguesȱhaveȱseenȱtheȱnumberȱofȱpatientsȱwithȱcannabisȱ useȱdisorderȱadmittedȱtoȱourȱfacilityȱincreaseȱoverȱtime.ȱȱTheȱamountȱofȱcannabisȱthatȱ patientsȱdescribeȱconsumingȱisȱalsoȱincreasing,ȱwhileȱtheȱageȱtheyȱreportȱfirstȱstartingȱtoȱ useȱisȱdecreasing.ȱȱOverallȱtheȱseverityȱofȱcannabisȱuseȱdisorderȱweȱseeȱappearsȱmoreȱ severeȱasȱdoȱtheȱpsychosocialȱsequelaeȱofȱthisȱaddiction.ȱȱTheȱlinkȱbetweenȱpsychosisȱ andȱcannabisȱisȱwellȱdocumentedȱandȱitȱisȱbecomingȱroutineȱtoȱadmitȱyoungȱmenȱwhoȱ haveȱusedȱcannabisȱsinceȱearlyȱadolescenceȱandȱwhoȱpresentȱwithȱpsychosis.ȱȱManyȱofȱ theseȱpatientsȱmayȱsufferȱlongȱstandingȱneuropsychiatricȱsymptomsȱasȱtheȱresultȱofȱ cannabisȱuse.ȱȱTheȱburdenȱofȱthisȱillnessȱisȱdisproportionatelyȱfallingȱonȱourȱyoungerȱ population.”3ȱ Related Material ȱ Studentsȱ“GettingȱBored”ȱwithȱMarijuanaȱandȱ“GraduatingȱonȱtoȱSomethingȱ Stronger”:ȱȱWhenȱColoradoȱMattersȱhostȱRyanȱWarnerȱaskedȱAmandaȱIngram,ȱaȱ DenverȱHealthȱtherapistȱstaffedȱatȱtheȱsubstanceȱabuseȱclinicȱatȱBruceȱRandolphȱSchool,ȱ inȱaȱradioȱinterviewȱaboutȱtheȱroleȱofȱlegalȱmarijuanaȱinȱaddiction,ȱsheȱstated:ȱ “WhatȱI’mȱhearingȱfromȱtheȱchildrenȱisȱthatȱit’sȱlegal,ȱit’sȱOKȱtoȱuseȱnow,ȱit’sȱalsoȱ natural.ȱȱAndȱbecauseȱit’sȱlegalȱandȱtheirȱfamiliesȱandȱadultȱfriendsȱareȱusingȱit,ȱtheyȱfeelȱ likeȱit’sȱjustified.ȱȱAndȱwhatȱthey’reȱdoingȱisȱthey’reȱusingȱsoȱmuchȱofȱitȱnowȱthatȱthey’reȱ Item 11.a. - Page 128 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ106ȱ kindȱofȱgettingȱboredȱwithȱitȱandȱgraduatingȱonȱtoȱsomethingȱstronger.ȱȱThisȱisȱjustȱwhatȱ I’mȱseeingȱinȱBruceȱRandolphȱalone.ȱȱIȱcan’tȱspeakȱforȱtheȱstateȱofȱColorado.”4ȱ ȱ America’sȱYouth:ȱTheȱMarijuanaȱMartyrs:ȱȱAccordingȱtoȱdataȱfromȱArapahoeȱ House,ȱaȱtreatmentȱnetworkȱinȱColorado,ȱ“…teenageȱadmissionsȱforȱmarijuanaȱ addictionȱinȱColoradoȱincreasedȱbyȱ66ȱpercentȱbetweenȱ2011ȱandȱ2014,ȱcorrelatingȱwithȱ theȱ2012ȱpassageȱofȱAmendmentȱ64.”ȱȱDr.ȱChristianȱThurstoneȱofȱtheȱUniversityȱofȱ Coloradoȱstatedȱthat,ȱ“…95ȱpercentȱofȱtheȱteenagersȱtreatedȱforȱsubstanceȱabuseȱandȱ addictionȱinȱmyȱadolescentȱsubstanceȬabuseȱtreatmentȱclinicȱatȱDenverȱHealthȱareȱthereȱ becauseȱofȱtheirȱmarijuanaȱuse,ȱandȱbecauseȱnationwide,ȱ67ȱpercentȱofȱteensȱareȱreferredȱ toȱsubstanceȱtreatmentȱbecauseȱofȱtheirȱmarijuanaȱuse.ȱȱMarijuanaȱisȱtheȱNo.ȱ1ȱreasonȱ whyȱadolescentsȱseekȱsubstanceȬabuseȱtreatmentȱinȱtheȱUnitedȱStates.”5ȱ ȱ FormerȱNationalȱInstituteȱonȱDrugȱAbuseȱ(NIDA)ȱDirector’sȱTakeȱonȱLegalizedȱ Marijuana:ȱȱTheȱlackȱofȱpublicȱawarenessȱandȱlackȱofȱmediaȱattentionȱregardingȱ“…theȱ nearȬdoublingȱofȱpastȱyearȱmarijuanaȱuseȱnationallyȱamongȱadultsȱageȱ18ȱandȱolderȱandȱ theȱcorrespondingȱincreaseȱinȱproblemsȱrelatedȱtoȱitsȱuse,”ȱhasȱallowedȱforȱaȱshiftȱinȱ publicȱperceptionȱaboutȱmarijuanaȱaccordingȱtoȱRobertȱL.ȱDuPont,ȱM.Dȱ(member,ȱ RiverMendȱHealthȱScientificȱAdvisoryȱBoard;ȱPresident,ȱInstituteȱforȱBehaviorȱandȱ HealthȱInc.;ȱFirstȱDirector,ȱNationalȱInstituteȱonȱDrugȱAbuse).ȱȱ“Becauseȱtheȱaddictionȱ rateȱforȱmarijuanaȱremainsȱstable—withȱaboutȱoneȱinȱthreeȱpastȱyearȱmarijuanaȱusersȱ experiencingȱaȱmarijuanaȱuseȱdisorderȱ–ȱtheȱtotalȱnumberȱofȱAmericansȱwithȱmarijuanaȱ useȱdisordersȱalsoȱhasȱsignificantlyȱincreased.ȱȱItȱisȱparticularlyȱdisturbingȱthatȱtheȱ publicȱisȱunawareȱofȱtheȱfactȱthat,ȱofȱallȱAmericansȱwithȱsubstanceȱuseȱdisordersȱdueȱtoȱ drugsȱotherȱthanȱalcohol,ȱnearlyȱ60ȱpercentȱareȱdueȱtoȱmarijuana.ȱȱThatȱmeansȱthatȱmoreȱ Americansȱareȱaddictedȱtoȱmarijuanaȱthanȱanyȱotherȱdrug,ȱincludingȱheroin,ȱcocaine,ȱ methamphetamine,ȱandȱtheȱnonmedicalȱuseȱofȱprescriptionȱdrugs.”6ȱ ȱ LegalȱandȱAddictive:ȱȱ“WeȱhaveȱnoticedȱthatȱthoseȱpresentingȱwithȱCannabisȱUseȱ Disorderȱareȱmoreȱcommittedȱtoȱtheirȱuseȱandȱharderȱtoȱgetȱthroughȱtoȱthanȱinȱyearsȱ past.ȱȱPatientsȱtellȱusȱregularlyȱthatȱtheyȱwillȱgiveȱupȱotherȱdrugs/alcoholȱbutȱnotȱ marijuanaȱandȱremindȱusȱofȱitsȱlegalȱstatus.ȱȱThisȱlogicȱwouldȱobviouslyȱholdȱnoȱwaterȱ withȱalcoholȱandȱisȱaȱdisturbingȱtrendȱgivenȱthatȱpatientsȱtellingȱusȱthisȱȱareȱoftenȱinȱdireȱ straits.ȱȱTheirȱuse/addictionȱhasȱhadȱandȱisȱhavingȱextremelyȱdetrimentalȱeffectsȱonȱtheirȱ livesȱyetȱtheyȱtellȱusȱitȱcan’tȱbeȱanȱissueȱbecauseȱmarijuanaȱisȱ‘legalȱandȱnonȬaddictive.’”7ȱ ȱ YouthȱinȱTreatment:ȱȱDenverȱHealthȱClinicȱyouthȱareȱmaleȱ(73.6ȱpercent),ȱmeanȱageȱ (15.8ȱyears)ȱandȱthereȱprimarilyȱforȱcannabisȱuseȱdisorderȱ(98.1ȱpercent).ȱȱOtherȱ psychiatricȱdiagnosesȱinclude:ȱȱattentionȬdeficit/hyperactivityȱdisorder,ȱanxietyȱ disorder,ȱmajorȱdepressiveȱdisorderȱandȱpostȬtraumaticȱstressȱdisorder.8ȱ Item 11.a. - Page 129 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ107ȱ Sources ȱ 1ȱȱBariȱKȱPlatter,ȱMS,ȱRN,ȱPMHCNSȬBC,ȱClinicalȱNurseȱSpecialist,ȱCenterȱforȱ Dependency,ȱAddictionȱandȱRehabilitationȱ(CeDAR),ȱUniversityȱofȱColoradoȱHealth,ȱ Aurora,ȱColorado,ȱAugustȱ2016ȱ ȱ 2ȱȱLauraȱF.ȱMartin,ȱM.D.ȱDistinguishedȱFellowȱofȱtheȱAmericanȱPsychiatricȱ Association,ȱAmericanȱBoardȱofȱAddictionȱMedicineȱDiplomateȱMedicalȱDirector,ȱ CenterȱforȱDependency,ȱAddictionȱandȱRehabilitationȱ(CeDAR),ȱAssociateȱProfessor,ȱ DepartmentȱofȱPsychiatry,ȱUniversityȱofȱColoradoȱSchoolȱofȱMedicine,ȱAugustȱ2016ȱ ȱ 3ȱȱRuthȱMarieȱHuhn,ȱM.D.,ȱBoardȱCertifiedȱAttendingȱPsychiatristȱatȱtheȱCenter for Dependency, Addiction and Rehabilitation (CeDAR),ȱInstructor,ȱDepartmentȱofȱPsychiatry,ȱ UniversityȱofȱColoradoȱSchoolȱofȱMedicine,ȱAugustȱ2016ȱ ȱ 4ȱȱAndreaȱDukakis,ȱColoradoȱPublicȱRadio,ȱFebruaryȱ18,ȱ2016,ȱ“SchoolsȱBecomeȱ GroundȱZeroȱForȱSubstanceȱAbuseȱTreatment”,ȱhttp://www.cpr.org/news/story/schoolsȬ becomeȬgroundȬzeroȬsubstanceȬabuseȬtreatment,ȱaccessedȱFebruaryȱ18,ȱ2016ȱ ȱ 5ȱȱKayleighȱMcEnany,ȱAbovethelaw.com,ȱDecemberȱ31,ȱ2015,ȱ“America’sȱYouth:ȱȱTheȱ MarijuanaȱMartyrs,”ȱhttp://abovethelaw.com/2015/12/americasȬyouthȬtheȬmarijuanaȬ martyrs/,ȱaccessedȱJanuaryȱ4,ȱ2016ȱ ȱ 6ȱȱRobertȱL.ȱDuPont,ȱM.D.,ȱRiverMendȱHealth,ȱ“MarijuanaȱLegalizationȱHasȱLedȱToȱ MoreȱUseȱAndȱAdditionȱWhileȱIllegalȱMarketȱContinuesȱToȱThrive”,ȱ <http://www.rivermendhealth.com/resources/marijuanaȬlegalizationȬledȬuseȬaddictionȬ illegalȬmarketȬcontinuesȬthrive/>,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱ 7ȱȱClinicalȱDirectorȱMichaelȱBarnes,ȱPhD,ȱLMFT,ȱBusinessȱDevelopment/Communityȱ Liaison,ȱCeDAR/UniversityȱofȱColoradoȱHospital,ȱSeptemberȱ2015ȱ ȱ 8ȱȱThurstoneȱC,ȱHullȱM,ȱLeNoueȱS,ȱBrandȱN,ȱRiggsȱPDȱ(acceptedȱforȱpublication),ȱ“Aȱ Completer’sȱAnalysisȱofȱanȱIntegratedȱPsychiatric/SubstanceȱTreatmentȱforȱAdolescentsȱ andȱYoungȱAdults,”ȱUniversityȱofȱColoradoȱJournalȱofȱPsychiatryȱandȱPsychologyȱ Item 11.a. - Page 130 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ6:ȱȱTreatmentȱȱ Pageȱ|ȱ108ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 131 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ109ȱ SECTION 7: Diversion of Colorado Marijuana ȱ Definitions ȱ ColoradoȱMarijuanaȱInterdictionȱSeizures:ȱȱIncidentsȱwhereȱstateȱhighwayȱpatrolsȱ stoppedȱaȱdriverȱforȱaȱtrafficȱviolationȱandȱsubsequentlyȱfoundȱColoradoȱmarijuanaȱ destinedȱforȱotherȱpartsȱofȱtheȱcountry.ȱȱTheseȱinterdictionȱseizuresȱareȱreportedȱonȱaȱ voluntaryȱbasisȱtoȱtheȱNationalȱSeizureȱSystemȱ(NSS)ȱmanagedȱbyȱtheȱElȱPasoȱ IntelligenceȱCenterȱ(EPIC).ȱȱTheseȱareȱrandomȱtrafficȱstops,ȱnotȱinvestigations,ȱandȱdoȱ notȱincludeȱlocalȱlawȱenforcementȱdata.ȱ Some Findings ȱ x Duringȱ2009–2012,ȱwhenȱmedicalȱmarijuanaȱwasȱcommercialized,ȱtheȱyearlyȱ averageȱnumberȱinterdictionȱseizuresȱofȱColoradoȱmarijuanaȱincreasedȱ357ȱ percentȱfromȱ53ȱtoȱ242ȱperȱyear.ȱ ȱ x HighwayȱpatrolȱinterdictionȱseizuresȱofȱColoradoȱmarijuanaȱincreasedȱ37ȱpercentȱ fromȱ288ȱtoȱ394ȱduringȱ2013–2015,ȱwhenȱrecreationalȱmarijuanaȱwasȱlegalized.ȱ ȱ x TheȱtotalȱaverageȱnumberȱofȱpoundsȱofȱColoradoȱmarijuanaȱseizedȱfromȱ2005– 2008ȱcomparedȱtoȱ2009–2015ȱincreasedȱ30ȱpercentȱfromȱ2,763ȱpoundsȱtoȱ3,586ȱ pounds.ȱ ȱ x Ofȱtheȱ394ȱseizuresȱinȱ2015,ȱthereȱwereȱ36ȱdifferentȱstatesȱdestinedȱtoȱreceiveȱ marijuanaȱfromȱColorado.ȱȱTheȱmostȱcommonȱdestinationsȱidentifiedȱwereȱ Missouri,ȱIllinois,ȱTexas,ȱIowaȱandȱFlorida.ȱ ȱ x MoreȱthanȱhalfȱofȱallȱseizuresȱcontainingȱColoradoȱmarijuanaȱoriginatedȱfromȱ Denver.ȱ Item 11.a. - Page 132 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ110ȱ Data ȱ ȱ SOURCE:ȱ ElȱPasoȱIntelligenceȱCenter,ȱNationalȱSeizureȱSystem,ȱasȱofȱAugustȱ15,ȱ2016ȱ ȱ ȱ ™Aȱ2014ȱsurveyȱofȱapproximatelyȱ100ȱinterdictionȱexpertsȱestimatesȱtheyȱseizeȱ10ȱ percentȱorȱless.ȱ ȱ ȱ NOTE:ȱ THEȱCHARTSȱONLYȱINCLUDEȱCASESȱWHEREȱCOLORADOȱMARIJUANAȱWASȱACTUALLYȱ SEIZEDȱANDȱREPORTED.ȱȱITȱISȱUNKNOWNȱHOWȱMANYȱCOLORADOȱMARIJUANAȱLOADSȱ WEREȱNOTȱDETECTEDȱOR,ȱIFȱSEIZED,ȱWEREȱNOTȱREPORTED.ȱ ȱȱ Item 11.a. - Page 133 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ111ȱ ȱ SOURCE:ȱ ElȱPasoȱIntelligenceȱCenter,ȱNationalȱSeizureȱSystem,ȱasȱofȱAugustȱ15,ȱ2016ȱ ȱ ™Inȱtheȱthreeȱyearsȱ(2013Ȭ2015)ȱofȱlegalizedȱrecreationalȱmarijuanaȱinȱColorado,ȱ highwayȱpatrolȱseizuresȱhaveȱresultedȱinȱapproximatelyȱ4.5ȱtonsȱofȱColoradoȱ marijuanaȱbeingȱseized.ȱ ȱ Item 11.a. - Page 134 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ112ȱ ȱ SOURCE:ȱ ElȱPasoȱIntelligenceȱCenter,ȱNationalȱSeizureȱSystem,ȱasȱofȱAugustȱ15,ȱ2016ȱ ȱ ™Thereȱwereȱ38ȱseizuresȱforȱwhichȱtheȱdestinationȱwasȱunknown.ȱ Top Three Cities for Marijuana Origin ȱ OriginatingȱCityȱRankingȱ NumberȱofȱSeizuresȱfrom OriginatingȱCityȱ Percentageȱ 1.ȱ Denverȱ 178ȱ 65%ȱ 2.ȱ ColoradoȱSpringsȱ 22ȱ 8%ȱ 3.ȱ Auroraȱ 10ȱ 4%ȱ ȱ *ȱOfȱtheȱ394ȱseizures,ȱonlyȱ272ȱseizuresȱhadȱanȱoriginȱcityȱassociatedȱtoȱthem.ȱȱTheȱ numbersȱaboveȱrepresentȱtheȱtopȱthreeȱcitiesȱwhereȱmarijuanaȱseizuresȱoriginatingȱfromȱ withinȱColorado.ȱ Item 11.a. - Page 135 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ113ȱ A Few Examples of Interdictions ȱ 150ȱPoundsȱofȱColoradoȱMarijuanaȱDestinedȱforȱMissouri:ȱȱInȱDecemberȱofȱ2015,ȱaȱ KansasȱHighwayȱPatrolȱtrooperȱstoppedȱaȱtractorȱtrailerȱtravelingȱeastboundȱonȱIȬ70ȱ throughȱKansas.ȱȱUponȱfurtherȱinvestigation,ȱ150ȱpoundsȱofȱhydroponicȬgradeȱ marijuanaȱwasȱdiscoveredȱinȱtheȱload.ȱȱTheȱmarijuanaȱwasȱfromȱDenver,ȱColoradoȱandȱ wasȱheadedȱtoȱMissouri.ȱ ȱ 100ȱPoundsȱofȱColoradoȱMarijuana:ȱInȱDecemberȱ2015,ȱWichitaȱdrugȱtaskȱforceȱ seizedȱ100ȱpoundsȱofȱColoradoȱmarijuanaȱbeingȱtransportedȱinȱaȱCadillacȱEscaladeȱ boundȱforȱTampa,ȱFlorida.ȱȱTheȱthreeȱCubanȱmalesȱfromȱFloridaȱclaimedȱtheyȱdidȱnotȱ knowȱwhoȱtheȱdrugsȱbelongedȱtoȱbutȱfoundȱitȱinȱaȱdumpster.ȱ ȱ MarijuanaȱasȱaȱChristmasȱPresent:ȱȱOnȱDecemberȱ22,ȱ2015,ȱanȱOklahomaȱHighwayȱ PatrolȱtrooperȱstoppedȱaȱvehicleȱtravelingȱeastboundȱalongȱIȬ40.ȱȱWhenȱquestionedȱ aboutȱaȱChristmasȱpresentȱinȱtheȱvehicle,ȱtheȱdriverȱbecameȱnervousȱandȱprovidedȱanȱ improbableȱreasonȱforȱtheȱpackage.ȱȱAȱserviceȱdogȱperformedȱanȱ“airȱsniff”ȱonȱtheȱ vehicleȱandȱitsȱcontents,ȱindicatingȱonȱtheȱChristmasȱpresentȱonly.ȱȱInsideȱtheȱpackageȱ wasȱapproximatelyȱ3ȱpoundsȱofȱhydroponicȱmarijuanaȱandȱ40ȱsmallȱcontainersȱofȱTHCȱ wax.ȱȱTheȱmaleȱdriverȱwasȱtravelingȱfromȱColoradoȱSprings,ȱColoradoȱtoȱSeale,ȱ Alabama.ȱ ȱ FelonȱwithȱaȱGun:ȱȱOnȱDecemberȱ22,ȱ2015,ȱaȱNebraskaȱStateȱPatrolȱtrooperȱstoppedȱ aȱvehicleȱwithȱtwoȱadultȱmalesȱandȱoneȱwomanȱtravelingȱfromȱArvada,ȱColoradoȱtoȱ SiouxȱFalls,ȱSouthȱDakota.ȱȱUponȱfurtherȱinvestigation,ȱtheȱoccupantsȱwereȱfoundȱtoȱbeȱ inȱpossessionȱofȱ4ȱpoundsȱofȱhashish,ȱ4ȱpoundsȱofȱmarijuanaȱandȱaȱ.40ȱcaliberȱGlockȱ firearm.ȱȱBothȱmalesȱwereȱarrestedȱforȱpossessionȱwithȱintentȱtoȱdeliverȱandȱpossessionȱ ofȱaȱfirearmȱwhileȱcommittingȱaȱfelony.ȱȱTheȱwomanȱwasȱreleased.ȱȱOneȱofȱtheȱmalesȱ wasȱfromȱColoradoȱandȱoneȱfromȱSouthȱDakota.ȱȱ ȱ EdiblesȱandȱWaxȱtoȱOklahoma:ȱȱInȱJulyȱofȱ2016,ȱaȱKansasȱHighwayȱPatrolȱtrooperȱ stoppedȱaȱvehicleȱforȱtrafficȱviolations.ȱȱSubsequentȱtoȱtheȱstop,ȱtheȱtrooperȱdiscoveredȱ5ȱ poundsȱofȱmarijuana,ȱ5ȱpoundsȱofȱmarijuanaȬinfusedȱediblesȱandȱ69ȱgramsȱofȱTHCȱwaxȱ insideȱtheȱvehicle.ȱȱThisȱvehicle,ȱregisteredȱinȱOklahoma,ȱwasȱcomingȱfromȱDenver,ȱ ColoradoȱenȱrouteȱtoȱOklahoma.ȱ ȱ 11ȱPoundsȱtoȱKentucky:ȱȱOnȱJanuaryȱ8,ȱ2015,ȱaȱColoradoȱStateȱPatrolȱofficerȱ conductedȱaȱtrafficȱstopȱofȱaȱvehicleȱtravelingȱfromȱColoradoȱSprings,ȱColoradoȱtoȱ Kentuckyȱresultingȱinȱtheȱarrestȱofȱtheȱdriverȱandȱtheȱseizureȱofȱ11ȱpoundsȱmarijuana.ȱȱ Item 11.a. - Page 136 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ114ȱ Theȱmarijuanaȱwasȱvacuumȱsealedȱandȱconcealedȱinȱaȱduffelȱbag.ȱȱItȱisȱsuspectedȱthatȱ theȱmarijaunaȱcameȱfromȱaȱgrowȱoperationȱaȱresidenceȱinȱColoradoȱSprings.ȱ ȱ TwoȱIowaȱDealersȱPurchaseȱ33ȱPoundsȱofȱMarijuanaȱinȱColoradoȱforȱ$50,000:ȱȱInȱ lateȱOctoberȱofȱ2015,ȱtwoȱIowaȱmenȱwereȱpulledȱoverȱbyȱlocalȱlawȱenforcementȱinȱ DouglasȱCounty,ȱNebraska.ȱȱTheȱtwoȱwereȱheadingȱeastboundȱalongȱIȬ80ȱafterȱ departingȱColoradoȱandȱheadingȱforȱFortȱDodge,ȱIowa.ȱȱAfterȱtheȱDouglasȱCountyȱ deputyȱsheriffȱsmelledȱmarijuanaȱcomingȱfromȱinsideȱtheȱvehicle,ȱaȱsearchȱrevealedȱ moreȱthanȱ33ȱpoundsȱofȱmarijuana.ȱȱTheȱtwoȱmenȱadmittedȱtoȱbringingȱ$50,000ȱwithȱ themȱtoȱpurchaseȱmarijuanaȱfromȱaȱColoradoȱsourceȱforȱtheȱpurposeȱofȱreȬsellingȱitȱinȱ theȱFortȱDodgeȱarea.1ȱ ȱ 123ȱPoundsȱofȱMarijuanaȱFoundȱinȱCarȱwithȱColoradoȱPlatesȱDuringȱOhioȱTrafficȱ Stop:ȱȱOnȱJanuaryȱ13,ȱ2016,ȱaȱSubaruȱstationȱwagonȱwithȱColoradoȱlicenseȱplatesȱwasȱ pulledȱoverȱonȱIȬ70ȱbetweenȱDaytonȱandȱColumbus,ȱOhioȱforȱfollowingȱtooȱclosely.ȱȱAȱ searchȱwarrantȱwasȱobtainedȱafterȱaȱdrugȬsniffingȱdogȱalertedȱtoȱtheȱvehicle.ȱȱAȱtotalȱofȱ 123ȱpoundsȱofȱmarijuanaȱ(aȱ$615,000ȱvalue)ȱwasȱdiscoveredȱinsideȱtheȱvehicle.ȱȱTheȱtwoȱ men,ȱbothȱColoradoȱresidents,ȱfaceȱchargesȱforȱpossessionȱandȱtraffickingȱmarijuana.2ȱ ȱ FloridaȱtoȱReceiveȱ75ȱPoundsȱofȱMarijuana:ȱȱOnȱJanuaryȱ22,ȱ2016,ȱaȱMissouriȱStateȱ PatrolȱtrooperȱstoppedȱaȱrentalȱvehicleȱregisteredȱinȱColoradoȱforȱaȱtrafficȱviolation.ȱȱAȱ subsequentȱsearchȱrevealedȱ75ȱpoundsȱofȱmarijuanaȱdispursedȱbetweenȱthreeȱduffleȱ bagsȱlocatedȱinȱtheȱrearȱcargoȱareaȱofȱtheȱvehicle.ȱȱTheȱvehicleȱwasȱcomingȱfromȱDenver,ȱ ColoradoȱenȱrouteȱtoȱMiami,ȱFlorida.ȱ ȱ 37ȱPoundsȱofȱMarijuanaȱatȱaȱBusȱDepot:ȱȱOnȱNovemberȱ20,ȱ2015,ȱaȱKansasȱCity,ȱ MissouriȱPoliceȱDepartmentȱInterdictionȱSquadȱofficerȱlocatedȱaȱsuspiciousȱbagȱatȱaȱ commercialȱbusȱdepot.ȱȱAȱsubsequentȱsearchȱrevealedȱ37.4ȱpoundsȱofȱmarijuanaȱinsideȱ theȱbag.ȱȱTheȱbaggageȱwasȱcomingȱfromȱDenver,ȱColoradoȱenȱrouteȱtoȱKnoxville,ȱ Tennessee.ȱ ȱ SpeedingȱtoȱTexas:ȱȱInȱAugustȱofȱ2015,ȱTexasȱHighwayȱPatrolȱpulledȱoverȱaȱdriverȱ forȱspeedingȱwhileȱtheȱsubjectȱwasȱtravelingȱsouthboundȱalongȱUSȱRouteȱ81ȱnearȱ Rhome,ȱTexas.ȱȱUponȱfurtherȱinvestigation,ȱ25.5ȱpoundsȱofȱmarijuanaȱwasȱbeingȱ transportedȱinȱtheȱvehicle.ȱȱTheȱvehicleȱwasȱfromȱTexas,ȱandȱtheȱdriverȱwasȱtravelingȱ fromȱDenver,ȱColoradoȱtoȱDallas,ȱTexas.ȱ ȱ MarijuanaȱSeedsȱDestinedȱforȱtheȱEastȱCoast:ȱȱOnȱMarchȱ14,ȱ2016,ȱaȱMissouriȱStateȱ HighwayȱPatrolȱtrooperȱstoppedȱaȱvehicleȱregisteredȱinȱColoradoȱforȱaȱtrafficȱviolation.ȱȱ Aȱsubsequentȱsearchȱrevealedȱ70ȱmarijuanaȱseeds,ȱ2ȱouncesȱofȱmarijuana,ȱ3ȱvialsȱofȱTHCȱ Item 11.a. - Page 137 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ115ȱ oilȱandȱ40ȱmlȱofȱpsilocybinȱmushroomsȱsporesȱhiddenȱinsideȱaȱlockedȱsafeȱinȱtheȱtrunkȱ ofȱtheȱvehicle.ȱȱTheȱvehicleȱwasȱcomingȱfromȱBoulder,ȱColoradoȱenȱrouteȱtoȱSterling,ȱ Virginia.ȱ ȱ NewȱYorkȱJetȬSetters:ȱȱInȱAugustȱofȱ2015,ȱanȱIowaȱStateȱPatrolȱtrooperȱpulledȬoverȱaȱ vehicleȱtravelingȱeastboundȱonȱIȬ80ȱwhileȱfollowingȱanotherȱvehicleȱtooȬclosely.ȱȱDuringȱ theȱinvestigation,ȱitȱwasȱdiscoveredȱthatȱtheȱsubjectsȱinȱtheȱvehicleȱhadȱflownȱfromȱNewȱ YorkȱtoȱDenverȱandȱwereȱnowȱdrivingȱbackȱtoȱNewȱYorkȱinȱaȱrentalȱcar.ȱȱTheȱsubjectsȱ providedȱconsentȱtoȱsearchȱtheȱvehicle.ȱȱWhenȱtheȱsearchȱwasȱperformed,ȱofficersȱfoundȱ 55ȱsyringesȱcontainingȱcannabisȱoil,ȱ10ȱcontainersȱofȱTHCȱcontainingȱgummies,ȱandȱ approximatelyȱ6ȱpoundsȱofȱTHCȱinfusedȱedibles.ȱ ȱ MarijuanaȱandȱTHCȱWaxȱFoundȱinȱAutotransport:ȱȱInȱFebruaryȱofȱ2016,ȱaȱKansasȱ HighwayȱPatrolȱtrooperȱstoppedȱaȱvehicleȱregisteredȱinȱMassachusettsȱforȱaȱtrafficȱ violation.ȱȱAȱsubsequentȱsearchȱrevealedȱ41ȱpoundsȱofȱmarijuanaȱandȱ2.5ȱpoundsȱofȱ THCȱwaxȱwasȱconcealedȱinȱduffleȱbagsȱlocatedȱinȱtheȱtrunkȱofȱtheȱvehicleȱbeingȱhauledȱ byȱtheȱtractorȱtrailer.ȱȱTheȱvehicleȱwasȱcomingȱfromȱDenver,ȱColoradoȱenȱrouteȱtoȱ Massachusetts.ȱ ȱ 15ȱPoundsȱofȱColoradoȱMarijuanaȱtoȱFlorida:ȱȱInȱAugustȱofȱ2016,ȱaȱ27ȬyearȬoldȱmanȱ wasȱarrestedȱinȱColoradoȱSprings,ȱColoradoȱonȱsuspicionȱofȱattemptingȱtoȱtransportȱ15ȱ poundsȱofȱmarijuanaȱtoȱFlorida.ȱȱWhenȱpoliceȱcontactedȱtheȱsuspect,ȱheȱwasȱdrunk,ȱhadȱ $28,000ȱU.S.ȱcurrency,ȱ3ȱgramsȱofȱcocaineȱandȱaȱpistol.3ȱ ȱ MarijuanaȱbyȱTrain:ȱȱInȱNovemberȱ2015,ȱKansasȱCityȱPoliceȱInterdictionȱSquadȱ arrestedȱaȱ62ȬyearȬoldȱColoradoȱwomanȱtravelingȱonȱanȱAmtrakȱtrainȱfromȱBoncarbo,ȱ ColoradoȱtoȱSt.ȱLouis,ȱMissouri.ȱȱInȱherȱsuitcasesȱwereȱseveralȱvacuumȬsealedȱpackagesȱ containingȱ5ȱpoundsȱofȱhighȬgradeȱmarijuanaȱandȱ50ȱgramsȱofȱTHCȱwax.ȱ A Few Examples of Investigations ȱ NOTE:ȱ THEȱEXAMPLESȱBELOWȱAREȱONLYȱAȱSMALLȱSAMPLEȱOFȱTHEȱMANYȱINVESTIGATIONSȱ INVOLVINGȱCOLORADOȱMARIJUANAȱCITEDȱBYȱVARIOUSȱDRUGȱUNITS.ȱ ȱ IncreaseȱinȱOrganizedȱCrime:ȱȱ“Sinceȱ2014,ȱthereȱhasȱbeenȱaȱnotableȱincreaseȱinȱ organizedȱnetworksȱofȱsophisticatedȱresidentialȱgrowsȱinȱColoradoȱthatȱareȱorchestratedȱ andȱoperatedȱbyȱdrugȱtraffickingȱorganizations.ȱȱTheseȱorganizationsȱcurrentlyȱoperateȱ hundredsȱofȱlargeȬscaleȱhomeȱgrowsȱthroughoutȱColorado.ȱȱHarvestedȱmarijuanaȱisȱ Item 11.a. - Page 138 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ116ȱ shippedȱorȱtransportedȱoutȱofȱColoradoȱtoȱmarketsȱinȱtheȱMidwestȱandȱEastȱCoast.ȱȱ HomeȱgrowsȱhaveȱsignificantlyȱincreasedȱillicitȱproductionȱofȱmarijuanaȱinȱColorado.”4ȱ ȱ OrganizedȱCrimeȱComesȱtoȱColoradoȱtoȱCashȱinȱonȱIllegalȱMarijuanaȱHomeȱ Grows:ȱȱ“OnȱMarchȱ31,ȱ[2016]ȱsheriff’sȱdeputiesȱfromȱtheȱSpecialȱInvestigationsȱ NarcoticsȱSectionȱraidedȱaȱsingleȬfamilyȱhomeȱthatȱwasȱinȱtheȱprocessȱofȱbeingȱ convertedȱintoȱaȱ‘growȱhouse’.ȱAuthoritiesȱdiscoveredȱ127ȱmarijuanaȱplants,ȱoverȱ $100,000ȱinȱgrowingȱequipment,ȱandȱtwoȱCubanȱnationals.”ȱInȱtheȱfollowingȱweeksȱfourȱ moreȱindividualsȱwereȱarrestedȱinȱregardsȱtoȱsimilarȱcases.ȱȱLikeȱtheȱfirstȱtwo,ȱallȱofȱtheȱ individualsȱhadȱsimilarȱbackgrounds,ȱwereȱCubanȱnationals,ȱwereȱtransformingȱ residentialȱhomesȱintoȱelaborateȱmarijuanaȱgrowȱoperations,ȱandȱallȱwereȱrecentȱ transplantsȱtoȱColorado.ȱȱAccordingȱtoȱDEAȱAssistantȱSpecialȱAgentȱinȱChargeȱKevinȱ Merrill,ȱ“It’sȱnotȱjustȱCubans.ȱWeȱhaveȱVietnameseȬbasedȱorganizations,ȱRussianȱ organizedȱpeople.ȱȱButȱweȱhaveȱseenȱaȱlargeȱinfluxȱofȱCubansȱcomingȱhere.ȱȱAndȱweȱ believeȱthatȱallȱtheȱorganizationsȱareȱhereȱbecauseȱweȱhaveȱaȱperceivedȱlackȱofȱ enforcement.”ȱȱȱ ColoradoȱSpringsȱMayorȱJohnȱSuthers,ȱwhoȱpreviouslyȱservedȱ10ȱyearsȱasȱattorneyȱ generalȱofȱColorado,ȱ“…callsȱ‘theȱtotalȱnightmare’ȱscenarioȱaȱbyproductȱofȱtheȱstate’sȱ recentȱlegalizationȱofȱfirstȱmedicinal,ȱandȱlaterȱrecreational,ȱmarijuana.ȱPeopleȱfromȱoutȱ ofȱtownȱorȱevenȱforeignȱcountriesȱmoveȱtoȱColoradoȱandȱ‘buyȱorȱleaseȱhousesȱbyȱtheȱ hundredsȱifȱnotȱthousands’,”ȱexplainsȱSuthers.ȱȱThisȱtypeȱofȱcriminalȱactivityȱisȱ underminingȱaȱkeyȱargumentȱusedȱforȱlegalizingȱmarijuanaȱinȱtheȱfirstȱplace,ȱwhichȱisȱtoȱ eliminateȱtheȱblackȱmarket.ȱȱTheseȱnewȱColoradoȱresidentsȱareȱconvertingȱresidentialȱ homesȱtoȱindustrialȱgrowȱoperationsȱandȱthenȱ“…transportingȱitȱoutȱofȱstateȱtoȱ marijuanaȱmarketsȱnationallyȱandȱinternationally.”5ȱ ȱ DiversionȱofȱColoradoȱMarijuanaȱViolatesȱBothȱStateȱandȱFederalȱLaws:ȱȱ OrganizedȱcrimeȱelementsȱwithȱoutȬofȬstateȱtiesȱincreasinglyȱareȱusingȱColoradoȱhomesȱ toȱgrowȱlargeȱamountsȱofȱmarijuanaȱillegallyȱforȱtransportȱandȱsaleȱacrossȱtheȱnation.ȱȱ “Anytimeȱthere’sȱmoneyȱtoȱbeȱmade,ȱcrimeȱcomesȱwithȱit,”ȱsaidȱHuerfanoȱCountyȱ (Colorado)ȱSheriffȱBruceȱNewman.ȱȱ“There’sȱaȱlotȱofȱlawȱenforcementȱactivityȱfocusedȱ onȱthis,”ȱsaidȱJohnȱWalsh,ȱColorado’sȱU.S.ȱattorney.ȱȱ“Theseȱoperationsȱviolateȱfederalȱ lawȱbutȱalsoȱstateȱlaw.”ȱ Inȱtheȱpast,ȱmanyȱofȱtheseȱillicitȱoperationsȱgravitatedȱtoȱruralȱareasȱofȱColorado;ȱ howeverȱthisȱtrendȱhasȱshiftedȱtoȱcriminalsȱrentingȱorȱbuyingȱhomesȱandȱquicklyȱ convertingȱtheȱhomesȱtoȱbeginȱcultivatingȱhundreds,ȱorȱevenȱthousands,ȱofȱplants.ȱ “LawȱenforcementȱflexedȱitsȱmuscleȱThursdayȱ[Aprilȱ14,ȱ2016]ȱmorningȱbyȱraidingȱ aboutȱ30ȱlocationsȱ—ȱmanyȱofȱthemȱhomesȱ—ȱbetweenȱElȱPasoȱCountyȱandȱtheȱnorthȱ Denverȱareaȱasȱpartȱofȱanȱoperationȱtargetingȱaȱpotȱtraffickingȱorganization.”ȱȱInȱeachȱofȱ theȱeightȱcasesȱtheȱcountyȱsheriff’sȱofficeȱdiscoveredȱthatȱtheȱresidentsȱwereȱnotȱonlyȱ Item 11.a. - Page 139 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ117ȱ fromȱoutȱofȱstate,ȱbutȱmanyȱhadȱinternationalȱties.ȱȱ“Theirȱplanȱisȱtoȱsendȱitȱoutȱofȱstate,”ȱ saidȱPuebloȱCountyȱSheriffȱKirkȱTaylor.ȱ“That’sȱwellȬdocumented.”ȱ “Theyȱcanȱkindȱofȱhideȱinȱplainȱsight,”ȱsaidȱBarbraȱRoach,ȱspecialȱagentȱinȱchargeȱofȱ theȱDrugȱEnforcementȱAdministration’sȱ(DEA)ȱDenverȱdivision.ȱȱ“Theyȱdon’tȱtryȱtoȱ abideȱbyȱtheȱlawȱinȱanyȱway.ȱȱForȱaȱwhile,ȱtheyȱwereȱgoingȱintoȱwarehouses.ȱȱNowȱtheyȱ areȱjustȱgoingȱintoȱhomes.”ȱȱ“Roachȱsaidȱtheȱunintendedȱconsequencesȱofȱtheȱillicitȱ growsȱcanȱbeȱvast,ȱfromȱfiresȱtoȱwaterȱpollutionȱtoȱdevaluingȱrentalȱproperty.”ȱ Walshȱsaidȱ“TheȱDEAȱhasȱbeenȱworkingȱwithȱlocalȱpoliceȱdepartmentsȱandȱsheriff’sȱ officesȱtoȱaddressȱtheȱproblem.ȱȱHeȱpointedȱtoȱanȱoperationȱlastȱyearȱthatȱtargetedȱ20ȱ peopleȱinȱsouthernȱColorado’sȱFremontȱandȱCusterȱcountiesȱaccusedȱofȱharvestingȱ marijuanaȱatȱeightȱpropertiesȱandȱshippingȱitȱtoȱFloridaȱviaȱUPS.ȱȱFederalȱagentsȱandȱ localȱpoliceȱconfiscatedȱ28ȱguns,ȱmoreȱthanȱ$25,000ȱandȱ50ȱpoundsȱofȱprocessedȱ marijuanaȱasȱpartȱofȱthatȱcase.”6ȱ ȱ DrugȱTraffickersȱHidingȱinȱPlainȱSight:ȱȱInȱAprilȱ2016,ȱaȱmultiȬstateȱinvestigationȱ intoȱtheȱillegalȱdistributionȱofȱmarijuanaȱoutsideȱColoradoȱresultedȱinȱpoliceȱandȱfederalȱ agentsȱarrestingȱmoreȱthanȱ40ȱpeopleȱandȱseizedȱpilesȱofȱpotȱplants.ȱȱ“Officersȱsearchedȱ aboutȱ30ȱpropertiesȱduringȱtheȱraids,ȱwhichȱspannedȱfromȱtheȱDenverȱareaȱsouthȱtoȱ ColoradoȱSprings.”ȱ “TheȱcaseȱinvolvedȱpeopleȱwhoȱmovedȱtoȱColoradoȱfromȱTexasȱspecificallyȱtoȱgrowȱ marijuanaȱthatȱwouldȱbeȱillegallyȱexported.”ȱ “Authoritiesȱdescribedȱtheȱcaseȱasȱtheȱlatestȱexampleȱofȱdrugȱtraffickersȱseekingȱsafeȱ havenȱinȱtheȱstate’sȱflourishingȱmarijuanaȱindustryȱinȱorderȱtoȱshipȱtheȱdrugȱoutȱofȱstate,ȱ whereȱitȱcanȱsellȱforȱmoreȱthanȱdoubleȱwhatȱitȱwouldȱinȱColorado.”ȱ “Traffickersȱhideȱamongȱtheȱstate’sȱsanctionedȱwarehousesȱandȱfarms,ȱbutȱalsoȱinȱ neighborhoodsȱwhereȱconcernedȱneighborsȱsometimesȱtipȱpolice,ȱauthoritiesȱsay.”7ȱ ȱ CriminalȱOrganizationȱCoordinatedȱMarijuanaȱtoȱNorthȱCarolina:ȱȱInȱJanuaryȱ 2016,ȱaȱmemberȱofȱaȱcriminalȱorganizationȱcoordinatedȱaȱdeliveryȱofȱmarijuanaȱwithȱtheȱ driverȱofȱaȱtractorȱtrailerȱatȱaȱtruckȱstopȱinȱDenver.ȱȱTheȱdriverȱofȱtheȱtractorȱtrailerȱwasȱ stoppedȱinȱKansasȱinȱrouteȱtoȱNorthȱCarolinaȱwithȱ27ȱpoundsȱofȱmarijuanaȱhiddenȱinȱ theȱtractor’sȱcab.8ȱ ȱ InterstateȱDrugȱTraffickingȱOrganization:ȱȱInȱAprilȱ2015,ȱanȱinterstateȱmarijuanaȱ traffickingȱorganizationȱheadedȱbyȱaȱDenverȬbasedȱtraffickerȱidentifiedȱtenȱtoȱfifteenȱ marijuanaȱgrowȱhousesȱinȱtheȱDenverȱandȱColoradoȱSpringsȱmetroȱareas.ȱȱThisȱdrugȱ traffickingȱorganizationȱutilizedȱseveralȱrentalȱpropertiesȱforȱtheirȱmarijuanaȬgrowȱ operations.ȱȱTheȱorganizationȱgrewȱmarijuanaȱinȱColoradoȱandȱthenȱdistributedȱtheirȱ finishedȱproductȱtoȱcustomersȱinȱotherȱstatesȱthatȱincludedȱNorthȱCarolina,ȱGeorgiaȱandȱ Item 11.a. - Page 140 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ118ȱ Texas.ȱȱTheȱmarijuanaȱwasȱtransportedȱtoȱtheȱotherȱstatesȱbyȱtractorȱtrailer,ȱpersonalȱ vehiclesȱandȱotherȱmailȱservice.8ȱ ȱ CityȱofȱPuebloȱCrackingȱDown:ȱȱPuebloȱauthoritiesȱwereȱnotifiedȱbyȱconcernedȱ citizensȱregardingȱillegalȱmarijuanaȱhomeȱgrows.ȱȱBetweenȱMarchȱandȱAugustȱ2016,ȱ authoritiesȱtargetedȱvariousȱillegalȱhomeȱgrows.ȱȱSearchȱwarrantsȱforȱoverȱ30ȱresidentialȱ homesȱwereȱexecuted.ȱȱFirstȱrespondersȱenteredȱhomesȱthatȱwereȱoverrunȱwithȱ marijuanaȱplantsȱandȱvariousȱgrowȱequipment,ȱworthȱwellȱoverȱ$450,000ȱinȱvalue,ȱ throughoutȱtheȱhouse.ȱȱTheȱhomesȱwereȱprimarilyȱoccupiedȱbyȱgrowersȱforȱtheȱsoleȱ purposeȱofȱcultivatingȱmarijuanaȱandȱexportingȱtheȱfinishedȱproductsȱforȱprofit.ȱȱ Approximatelyȱ82ȱpoundsȱofȱprepackagedȱmarijuanaȱreadyȱforȱdistributionȱwasȱseizedȱ duringȱthisȱtimeframe.ȱȱInȱsomeȱcases,ȱthereȱwereȱchildrenȱlivingȱinȱtheseȱtoxicȱ environments.ȱȱSeveralȱofȱtheseȱhomesȱwereȱdeclaredȱcondemnedȱbyȱtheȱhealthȱ departmentȱforȱexcessiveȱmoldȱandȱunsafeȱelectricalȱwork.ȱȱInȱsomeȱcases,ȱhighȬvolumeȱ THCȱextractionȱlabsȱwereȱlocated.ȱȱToȱdate,ȱ41ȱarrestsȱhaveȱbeenȱmade.ȱȱPartiesȱarrestedȱ wereȱprimarilyȱfromȱFlorida,ȱCuba,ȱRussiaȱandȱVietnam.ȱȱOverȱ7,250ȱplantsȱwereȱseizedȱ fromȱvariousȱPuebloȱneighborhoods.9ȱ ȱ $620,000ȱandȱOverȱ2,000ȱMarijuanaȱPlants:ȱȱInȱJuneȱ2015,ȱnumerousȱagenciesȱ investigatedȱaȱmultiȬfacetedȱmarijuanaȱcultivationȱandȱdrugȱtraffickingȱorganization.ȱȱ Thisȱenterpriseȱgrewȱmarijuanaȱinȱnumerousȱwarehousesȱandȱresidencesȱinȱtheȱgreaterȱ Denverȱmetroȱarea,ȱthenȱshippedȱtheȱmarijuanaȱtoȱTexas,ȱKansas,ȱOhio,ȱNewȱYorkȱandȱ Nebraskaȱforȱretailȱdistribution.ȱȱMoneyȱlaunderingȱwasȱidentifiedȱwhenȱmembersȱofȱ theȱdrugȱtraffickingȱorganizationȱusedȱbusinessesȱandȱfinancialȱinstitutionsȱtoȱlaunderȱ theȱillegalȱdrugȱproceeds.ȱȱAȱcoordinatedȱtakeȱdownȱofȱtheȱorganizationȱoccurredȱatȱ11ȱ marijuanaȱgrowȱwarehouses,ȱ21ȱresidences,ȱ15ȱbankȱaccountsȱandȱ4ȱsafeȱdepositȱboxes.ȱȱ “Asȱaȱresultȱagentsȱandȱdetectivesȱseizedȱ$620,000ȱcash;ȱ2,139ȱmarijuanaȱplants;ȱ438ȱ poundsȱofȱfinishedȱmarijuana;ȱ20ȱvehicles;ȱoneȱboat;ȱtwoȱjetȱskis;ȱoneȱsnowmobile;ȱ approximatelyȱ600ȱgrowȱlightsȱandȱ600ȱballasts;ȱjewelryȱwithȱanȱestimatedȱvalueȱofȱoverȱ $100,000;ȱsilverȱcoinsȱandȱsilverȱbullion.ȱȱArrestsȱwereȱnotȱmadeȱatȱthisȱtimeȱasȱtheȱ investigationȱisȱongoing.ȱȱItȱisȱanticipatedȱthatȱindictmentsȱanȱarrestsȱwillȱoccurȱinȱtheȱ comingȱmonths.”10ȱ ȱ 5ȱTonsȱofȱIllegalȱMarijuana:ȱȱAsȱofȱMarchȱ2016,ȱPuebloȱCountyȱauthoritiesȱhaveȱ conductedȱ17ȱillegalȱmarijuanaȱhomeȱgrowȱeradicationȱoperationsȱresultingȱinȱ25ȱarrestsȱ andȱoverȱ5,100ȱillegalȱmarijuanaȱplantȱseizuresȱfromȱtheȱhomeȱgrows.11ȱ ȱ ItȱWasn’tȱSupportedȱtoȱWorkȱThisȱWay:ȱȱAuthoritiesȱwereȱnotifiedȱofȱaȱpossibleȱ illegalȱgrowȱoperationȱbyȱaȱlocalȱvigilantȱinȱPueblo,ȱCOȱjustȱdaysȱbeforeȱ127ȱmarijuanaȱ plants,ȱoverȱ$100,000ȱinȱgrowingȱequipment,ȱandȱtwoȱCubanȱnationalsȱwereȱdiscoveredȱ Item 11.a. - Page 141 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ119ȱ byȱsheriff’sȱdeputies.ȱȱTheȱsingleȱfamilyȱhomeȱthatȱwasȱoccupiedȱbyȱ28ȬyearȬoldȱAdrielȱ TrujilloȱDanielȱandȱ41ȬyearȬoldȱLeosbelȱLedesmaȱQuintanaȱwasȱinȱtheȱprocessȱofȱbeingȱ convertedȱintoȱaȱ“grow”ȱhouse.ȱȱOverȱtheȱcourseȱofȱtheȱnextȱfewȱweeks,ȱauthoritiesȱ discoveredȱseveralȱotherȱinstancesȱofȱCubanȱtransplantsȱmovingȱtoȱColoradoȱinȱorderȱtoȱ setȱupȱillegalȱmarijuanaȱgrowȱhouses.ȱ “Weȱhaveȱquiteȱaȱbitȱofȱevidence”ȱtoȱbelieveȱtheyȱareȱmemberȱofȱ“Cubanȱcartels,”ȱ PuebloȱSheriffȱKirkȱTaylorȱstatedȱinȱanȱinterview.ȱȱ Local,ȱstate,ȱandȱfederalȱofficialsȱbelieveȱitȇsȱnotȱjustȱisolatedȱtoȱPueblo.ȱȱȈItȇsȱacrossȱ theȱentireȱstateȱofȱColorado,ȈȱDEAȱassistantȱspecialȱagentȱinȱchargeȱKevinȱMerrillȱsays.ȱ ȈItȇsȱjustȱbasicallyȱtakenȱoverȱtheȱstate,ȱtheseȱresidentialȱgrows.Ȉȱ ItȱisȱwhatȱColoradoȱSpringsȱMayorȱJohnȱSuthersȱcallsȱȈtheȱtotalȱnightmareȈȱscenario,ȱ aȱbyproductȱofȱtheȱstateȇsȱrecentȱlegalizationȱofȱfirstȱmedicinal,ȱandȱlaterȱrecreational,ȱ marijuana.ȱ PeopleȱfromȱoutȱofȱtownȱorȱevenȱforeignȱcountriesȱmoveȱtoȱColoradoȱandȱȈbuyȱorȱ leaseȱhousesȱbyȱtheȱhundredsȱifȱnotȱthousands,ȈȱexplainsȱSuthers,ȱwhoȱpreviouslyȱ servedȱ10ȱyearsȱasȱattorneyȱgeneralȱofȱtheȱstate.12ȱ ȱ SevenȱMenȱIndictedȱforȱIllegalȱMarijuanaȱHomeȱGrows:ȱȱInȱMarchȱ2016,ȱSouthernȱ ColoradoȱDEAȱDrugȱTaskȱForcesȱsecuredȱsearchȱwarrantsȱandȱraidedȱfiveȱhomesȱinȱ PuebloȱWest.ȱȱSomeȱofȱtheseȱillegalȱhomeȱgrowȱoperationsȱareȱlocatedȱdirectlyȱacrossȱtheȱ streetȱfromȱeachȱother.ȱȱAuthoritiesȱseizedȱ1,879ȱmarijuanaȱplants,ȱbutaneȱhashȱoilȱlabȱ equipment,ȱ16ȱpoundsȱofȱprocessedȱmarijuanaȱandȱnineȱhandȱgunsȱandȱshotguns.ȱȱ SevenȱmenȱhaveȱbeenȱindictedȱinȱDenverȱU.S.ȱDistrictȱCourtȱonȱ13ȱcountsȱofȱillegalȱ marijuanaȱproductionȱandȱdistributionȱtoȱFlorida.13ȱ ȱ AnticipateȱHundredsȱofȱMarijuanaȱBusts:ȱȱInȱMarchȱ2016,ȱColoradoȱSpringsȱMayorȱ JohnȱSuthersȱwillȱbeȱtargetingȱunregistered,ȱcommercialȬsizedȱoperationsȱrunȱbyȱoutȬofȬ stateȱresidents,ȱmainlyȱfromȱFloridaȱandȱwithȱtiesȱtoȱcartels.ȱȱ“Florida’sȱproximityȱtoȱ Cubaȱhasȱincreasinglyȱmadeȱitȱanȱentryȱpointȱforȱdrugȱcartelsȱlookingȱtoȱpenetrateȱ marketsȱinȱtheȱU.S.,ȱofficialsȱsay.ȱȱ‘IfȱyouȱlookȱatȱwhoȱisȱbeingȱbustedȱinȱPuebloȱandȱwhoȱ willȱbeȱbustedȱinȱColoradoȱSpringsȱoverȱtheȱsummer,ȱyouȱcanȱtell:ȱȱTheseȱareȱorganizedȱ crime,’ȱSuthersȱsaid.”ȱ TheȱDenverȱDrugȱEnforcementȱAgencyȱagentsȱsaidȱtheyȱhaveȱidentifiedȱatȱleastȱ186ȱ largeȬscaleȱmarijuanaȱgrowsȱoperatingȱinȱColoradoȱSpringsȱandȱtraffickingȱproductsȱtoȱ theȱMidwestȱandȱEastȱCoast.ȱ “SinceȱMarchȱ31,ȱtheȱPuebloȱCountyȱSheriff’sȱOfficeȱandȱDEAȱagentsȱhaveȱraidedȱ23ȱ illegalȱgrowsȱandȱarrestedȱ35ȱpeople.ȱȱOfȱthoseȱarrests,ȱ26ȱpeopleȱhaveȱbeenȱfromȱoutȱofȱ state,ȱallȱbutȱoneȱwithȱtiesȱtoȱFlorida.ȱȱAtȱleastȱsixȱresidentsȱwereȱCubanȱnationals,ȱtheȱ sheriff’sȱofficeȱsaid.”ȱ Item 11.a. - Page 142 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ120ȱ TimȱScott,ȱresidentȱagentȱinȱchargeȱforȱDEA’sȱColoradoȱSpringsȱBureauȱtoldȱtheȱCityȱ CouncilȱinȱApril,ȱ“YouȱhaveȱtoȱunderstandȱwhatȱColoradoȱis.ȱȱAfghanistanȱisȱtheȱsourceȱ countryȱforȱheroin.ȱȱVenezuelaȱandȱColumbiaȱareȱsourceȱcountriesȱforȱcocaine.ȱȱMexicoȱ isȱtheȱsourceȱcountryȱforȱmethamphetamines.ȱȱYouȱ[Colorado]ȱareȱtheȱsourceȱstateȱforȱ marijuana.”14ȱ ȱ GeorgiaȱCoupleȱTravelingȱwithȱInfantȱTraffickingȱColoradoȱMarijuana:ȱȱInȱ Februaryȱ2016,ȱaȱcoupleȱandȱtheirȱinfantȱtraveledȱinȱaȱvehicleȱfromȱGeorgiaȱtoȱColoradoȱ Springsȱtoȱpurchaseȱmarijuana.ȱȱDuringȱtheirȱtimeȱinȱColoradoȱSprings,ȱtheȱcoupleȱmadeȱ multipleȱcashȱdepositsȱatȱseveralȱbanksȱtotalingȱaboutȱ$20,000,ȱwhichȱwasȱpaymentȱforȱ marijuana.ȱȱTheȱcoupleȱlaterȱmetȱinȱColoradoȱSpringsȱwithȱaȱcourierȱwhoȱdeliveredȱtoȱ themȱthreeȱsuitcasesȱfilledȱwithȱmarijuana.ȱȱTheȱcoupleȱwasȱlaterȱstoppedȱinȱKansasȱenȱ routeȱtoȱGeorgiaȱwithȱ32ȱpoundsȱofȱmarijuanaȱcontainedȱinȱtheȱsuitcases.15ȱ ȱ FloridiansȱMovingȱtoȱColoradoȱforȱDrugȱTrafficking:ȱȱInȱJuneȱ2016,ȱDEA’sȱGrandȱ Junction,ȱColoradoȱOfficeȱseizedȱ675ȱillegalȱmarijuanaȱplants,ȱ3ȱgunsȱandȱ3ȱouncesȱofȱ cocaineȱfromȱ5ȱdifferentȱresidentialȱrentalȱpropertiesȱinȱMesaȱandȱDeltaȱcountiesȱ Colorado.ȱȱTurnsȱoutȱtheȱgroupȱofȱCubanȱnationalsȱrentedȱtheȱhomesȱforȱtheȱsoleȱ purposeȱofȱsettingȱupȱillegalȱmarijuanaȱhomeȱgrows.ȱȱTheseȱindividualsȱobtainedȱdoctorȱ recommendationsȱtoȱgrowȱorȱtoȱpossessȱupȱtoȱ99ȱplantsȱforȱpersonalȱuseȱwhenȱinȱrealityȱ thisȱmarijuanaȱwasȱbeingȱshippedȱtoȱFloridaȱandȱNewȱJersey.ȱȱ“…despiteȱhavingȱdoctorȱ recommendationsȱtoȱuseȱmarijuanaȱforȱchronicȱpain,ȱthereȱwasȱnoȱitemsȱlocatedȱduringȱ theȱsearchȱwarrantsȱthatȱindicatedȱanyȱofȱtheȱdefendantsȱwereȱusingȱanyȱmarijuanaȱatȱ all.”16ȱ ȱ 2,700ȱPotȱPlantsȱSeized:ȱȱInȱJulyȱ2015,ȱDeltaȱCountyȱ(Colorado)ȱSheriff’sȱOfficeȱ servedȱaȱsearchȱwarrantȱonȱanȱillegalȱmarijuanaȱhomeȱgrow.ȱȱAuthoritiesȱseizedȱ2,700ȱ potȱplants.ȱȱSheriffȱMckeeȱsaidȱtheȱagenciesȱwereȱworriedȱthatȱtheȱmarijuanaȱwasȱbeingȱ processedȱwithȱtheȱintentȱtoȱdistribute,ȱwhichȱisȱbannedȱinȱDeltaȱCounty.ȱȱ“Twoȱpeopleȱ wereȱinvestigated,ȱbutȱchargesȱorȱcitationsȱhaveȱyetȱtoȱbeȱissued.”17ȱ ȱ Drugs,ȱGunsȱandȱMoney:ȱȱ“Throughoutȱ2015,ȱDEAȱDenverȱandȱcounterpartsȱinȱ LarimerȱandȱDouglasȱcountiesȱinvestigatedȱaȱnetworkȱofȱmarijuanaȱgrowsȱoperatedȱbyȱ anȱoutȬofȬstateȱdrugȱtraffickingȱorganization.ȱȱTheȱmarijuanaȱwasȱgoingȱtoȱChicagoȱandȱ toȱFlorida.ȱȱInȱAugust,ȱSeptember,ȱandȱDecember,ȱstateȱsearchȱwarrantsȱresultedȱinȱtheȱ seizuresȱofȱoverȱ1,800ȱplants,ȱoverȱ100ȱpoundsȱofȱprocessedȱmarijuana,ȱalmostȱ$1ȱmillionȱ inȱassets,ȱandȱ45ȱfirearms,ȱmanyȱofȱwhichȱwereȱmilitaryȬstyleȱautomaticȱrifles.”18ȱ ȱ HomeȱGrowȱOwnerȱKillsȱtoȱProtectȱHisȱIllegalȱMarijuana:ȱȱInȱMarchȱ2016,ȱthreeȱ individualsȱattemptedȱtoȱburglarizeȱanȱillegalȱhomeȱgrowȱcontainingȱ400ȱmarijuanaȱ Item 11.a. - Page 143 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ121ȱ plants.ȱȱTheȱFloridaȱresidentsȱoccupyingȱtheȱhomeȱshotȱandȱkilledȱoneȱofȱtheȱthree.ȱȱTheȱ residentsȱhaveȱbeenȱarrestedȱonȱchargesȱlinkedȱtoȱtheȱmarijuanaȱoperation.ȱȱHuerfanoȱ CountyȱSheriffȱNewmanȱattributesȱthisȱincidentȱtoȱtheȱinfluxȱofȱFloridaȱresidentsȱ movingȱtoȱColoradoȱtoȱillegallyȱgrowȱmarijuanaȱandȱtakingȱitȱbackȱtoȱtheirȱstates.19ȱ ȱ LicensedȱMarijuanaȱStoreȱSourceȱforȱDiversion?:ȱȱInȱJulyȱ2016,ȱanȱeyeȱwitnessȱ reportsȱaȱyoungȱmanȱenterȱaȱmedicalȱmarijuanaȱdispensaryȱandȱorderȱoneȱpoundȱofȱ marijuana.ȱȱThisȱwasȱwellȱbeyondȱtheȱlegalȱlimitȱforȱpossessionȱandȱforȱdistributionȱatȱ anyȱsingleȱtransaction.ȱȱTheȱcustomerȱarguedȱwithȱtheȱclerkȱaboutȱpriceȱandȱtheyȱagreedȱ onȱaȱpriceȱofȱ$2,500.ȱȱTheȱyoungȱmanȱwalkedȱhappilyȱoutȱtheȱfrontȱdoorȱofȱtheȱmedicalȱ marijuanaȱdispensaryȱwithȱoneȱentireȱpoundȱofȱmarijuanaȱinȱhisȱhand.20ȱ ȱ ResidentsȱHarassedȱbyȱMarijuanaȱGrowers:ȱȱ“InȱSeptemberȱ2015,ȱtheȱDEAȱ ColoradoȱSpringsȱResidentȱOfficeȱinvestigatedȱaȱnetworkȱofȱmarijuanaȱgrowȱhousesȱinȱ southernȱColorado.ȱȱAtȱleastȱnineȱmarijuanaȱgrowsȱhousesȱwereȱoperatedȱbyȱmembersȱ ofȱaȱFloridaȬbasedȱdrugȱtraffickingȱorganizationȱwhoȱhadȱrecentlyȱrelocatedȱtoȱColoradoȱ toȱproduceȱlargeȱamountsȱofȱmarijuanaȱforȱtheirȱcustomersȱalongȱtheȱEastȱCoast.ȱȱ Duringȱtheȱinvestigation,ȱoneȱofȱtheȱgrowȱhousesȱwasȱdestroyedȱbyȱfire,ȱandȱneighborsȱ wereȱrepeatedlyȱintimidatedȱandȱharassedȱbyȱtheȱgrowers.ȱȱInȱSeptemberȱ2015,ȱtheȱ executionȱofȱsearchȱwarrantsȱatȱtheȱgrowȱsitesȱresultedȱinȱtheȱseizureȱofȱoverȱ1,000ȱ marijuanaȱplants,ȱ50ȱpoundsȱofȱharvestedȱmarijuana,ȱandȱ28ȱfirearms”.21 ȱ MoneyȱLaunderingȱSchemes:ȱȱ“Theȱfinancialȱsystemȱisȱoftenȱexploitedȱbyȱmarijuanaȱ traffickersȱbasedȱinȱColoradoȱandȱtheirȱcustomersȱinȱotherȱstates.ȱȱAȱmyriadȱofȱmoneyȱ launderingȱschemesȱareȱusedȱtoȱintegrateȱmarijuanaȱcashȱintoȱtheȱfinancialȱsystem.ȱȱ Mostȱrecently,ȱthereȱisȱwidespreadȱuseȱofȱfunnelȱaccounts.ȱȱCashȱfromȱmarijuanaȱ purchasesȱisȱdepositedȱintoȱtheȱsources’ȱbankȱaccountsȱatȱbranchesȱthroughoutȱtheȱ MidwesternȱandȱeasternȱU.S.ȱȱWithinȱaȱdayȱorȱtwo,ȱtheȱmoneyȱisȱwithdrawnȱatȱATMsȱinȱ Coloradoȱorȱtransferredȱtoȱadditionalȱaccounts.ȱȱReportingȱbyȱbanksȱdocumentsȱmillionsȱ ofȱdollarsȱinȱcashȱdepositsȱrelatedȱtoȱoutȬofȬstateȱmarijuanaȱsalesȱonȱaȱmonthlyȱbasis.”21ȱ ȱ 12ȬPoundȱSeizureȱLeadsȱtoȱaȱLargeȬScaleȱDrugȱTraffickingȱOperation:ȱȱInȱFebruaryȱ 2016,ȱTexasȱStateȱPatrolȱconductedȱaȱtrafficȱstopȱresultingȱinȱ12ȱpoundsȱofȱhighȱgradeȱ marijuanaȱbeingȱseizedȱinȱrouteȱfromȱColoradoȱdestinedȱforȱFlorida.ȱȱThisȱledȱtoȱtheȱ identificationȱofȱ5ȱhomesȱinȱPueblo,ȱColoradoȱthatȱwereȱactivelyȱcultivatingȱmarijuanaȱ withȱtheȱintentȱtoȱtransportȱtoȱFlorida.ȱȱInȱMarchȱ2016,ȱsearchȱwarrantsȱwereȱexecutedȱatȱ theȱfiveȱpropertiesȱresultingȱinȱtheȱseizureȱofȱ2ȱactiveȱBHOȱextractionȱlabs,ȱ1,895ȱ marijuanaȱplants,ȱapproximatelyȱ17ȱpoundsȱofȱprocessedȱmarijuanaȱandȱaȱsmallȱamountȱ ofȱmarijuanaȱ“shatter.”ȱȱInȱaddition,ȱapproximatelyȱ$75,000ȱworthȱofȱmarijuanaȱgrowȱ equipment,ȱapproximatelyȱ$2,000.00ȱUSCȱandȱ9ȱfirearmsȱwereȱseizedȱfromȱtheȱ Item 11.a. - Page 144 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ122ȱ properties.ȱȱSevenȱdefendantsȱwereȱarrestedȱonȱvariousȱchargesȱtoȱincludeȱpossessionȱ withȱintentȱtoȱmanufactureȱorȱdistributeȱmarijuana.22 Comments ȱ KansasȱAttemptingȱtoȱProveȱColoradoȱMarijuanaȱisȱWreakingȱHavocȱonȱtheȱState:ȱȱ AsȱofȱJanuaryȱofȱ2016,ȱDerekȱSchmidt,ȱKansasȱAttorneyȱGeneral,ȱisȱinȱtheȱprocessȱofȱ gatheringȱevidenceȱrelatedȱtoȱtheȱillegalȱexportȱofȱmarijuanaȱfromȱtheȱneighboringȱstateȱ ofȱColorado.ȱȱTheȱKansasȱOfficeȱofȱtheȱAttorneyȱGeneralȱhasȱrecentlyȱannouncedȱthatȱitȱ isȱsendingȱsurveysȱtoȱprosecutorsȱandȱlawȱenforcementȱofficialsȱwithinȱtheȱstate.ȱȱTheȱ underlyingȱpurposeȱofȱtheȱeffortsȱtoȱcollectȱinformationȱonȱtheȱnegativeȱeffectȱofȱ ColoradoȱmarijuanaȱisȱgearedȱtowardsȱsupportingȱaȱlawsuitȱfiledȱwithȱtheȱU.S.ȱSupremeȱ CourtȱbyȱOklahomaȱandȱNebraska.ȱȱCurrently,ȱcriminalȱjusticeȱinformationȱsystemsȱareȱ notȱtrackingȱtheȱoriginȱofȱmarijuanaȱencounteredȱbyȱKansasȱlawȱenforcement.ȱȱ “Thereȱareȱnumerousȱandȱpersistentȱanecdotalȱaccountsȱofȱmarijuanaȱacquiredȱinȱ ColoradoȱandȱillegallyȱtransportedȱintoȱKansasȱcausingȱharmȱhere,”ȱSchmidtȱisȱquotedȱ asȱsaying.ȱȱ“Butȱbecauseȱofȱtechnologyȱlimits,ȱtheȱconfirmingȱdataȱisȱelusive.ȱȱSinceȱ Colorado’sȱexperimentȱwithȱlegalizationȱisȱaffectingȱKansas,ȱweȱneedȱtoȱknowȱmoreȱ aboutȱwhatȱisȱactuallyȱhappeningȱhereȱsoȱpolicymakersȱcanȱmakeȱinformedȱdecisions.”23ȱ ȱ NebraskaȱResourcesȱInundatedȱbyȱColoradoȱMarijuana:ȱȱ“NebraskaȱSheriffȱAdamȱ Haywardȱsaysȱhisȱresourcesȱhaveȱbeenȱstretchedȱthinȱasȱmoreȱmarijuanaȱlegallyȱ purchasedȱinȱColoradoȱcrossesȱintoȱNebraska.”ȱ Potentialȱpotȱcustomersȱwillȱseeȱaȱhandmadeȱsignȱinȱretailȱdispensaries:ȱȱ“Itȱisȱillegalȱ toȱtakeȱmarijuanaȱoutȱofȱtheȱstate.”ȱȱButȱthisȱdoesȱnotȱstopȱindividualsȱfromȱbreakingȱtheȱ law.ȱȱSinceȱlegalization,ȱNebraskaȱlawȱenforcementȱacrossȱtheȱborderȱisȱbusierȱthanȱever,ȱ asȱeastwardȱdriversȱattemptȱtoȱleaveȱColoradoȱwithȱtheirȱpotȱproducts.ȱInȱJanuaryȱofȱ thisȱyear,ȱNebraskaȱauthoritiesȱbookedȱ23ȱpossessionȱofȱmarijuanaȱcasesȱcomingȱfromȱ Colorado.ȱȱLicensedȱdispensaryȱproductsȱsuchȱasȱjointsȱtoȱpsychedelicȱglassȱpipesȱtoȱ edibles,ȱsuchȱasȱcannabisȬinfusedȱgummyȱbears,ȱchipsȱandȱcookiesȱareȱtheȱitemsȱbeingȱ purchasedȱinȱColoradoȱandȱimmediatelyȱbecomeȱillegalȱcontrabandȱonceȱitȱcrossesȱoverȱ toȱNebraska.ȱ “SheriffȱHaywardȱsaysȱmostȱdriversȱwhoȱareȱcaughtȱwithȱweedȱareȱpulledȱoverȱforȱ basicȱtrafficȱviolationsȱlikeȱspeedingȱorȱfailingȱtoȱsignalȱaȱlaneȱchange.”ȱ “Duringȱaȱrecentȱtrafficȱstop,ȱSheriffȱHaywardȱconfiscatedȱfourȱlargeȱplasticȱbagsȱ withȱsixȱpoundsȱofȱmarijuana.ȱȱTheȱdriver,ȱwhoȱHaywardȱsaidȱpurchasedȱtheȱcannabisȱ fromȱaȱColoradoȱdispensaryȱandȱplannedȱtoȱsellȱitȱinȱNebraska,ȱwasȱconvictedȱonȱfelonyȱ charges.”24ȱ Item 11.a. - Page 145 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ123ȱ Sources ȱ 1ȱȱKETVȱABCȱ7/ȱOmaha,ȱNebraska,ȱOctoberȱ26,ȱ2015,ȱ“2ȱmenȱpulledȱoverȱwithȱmoreȱ thanȱ33ȱlbs.ȱofȱmarijuanaȱinȱcar,”ȱ<http://www.ketv.com/news/2ȬmenȬpulledȬoverȬwithȬ moreȬthanȬ33ȬlbsȬofȬmarijuanaȬinȬcar/36056424>,ȱaccessedȱJuneȱ16,ȱ2016ȱ ȱ 2ȱȱChrisȱLoveless,ȱKRDO.com,ȱJanuaryȱ21,ȱ2016,ȱ“123ȱpoundsȱofȱmarijuanaȱfoundȱinȱ carȱwithȱColoradoȱplatesȱduringȱOhioȱtrafficȱstop,”ȱ<http://www.krdo.com/news/123Ȭ poundsȬofȬmarijuanaȬfoundȬinȬcarȬwithȬcoloradoȬplatesȬduringȬohioȬtrafficȬ stop/37557470>,ȱaccessedȱJuneȱ9,ȱ2016ȱ ȱ 3ȱȱChhunȱSun,ȱTheȱGazette,ȱAugustȱ1,ȱ2016,ȱ“Police:ȱȱManȱwantedȱtoȱtakeȱ15ȱpoundsȱofȱ marijuanaȱfromȱColoradoȱSpringsȱtoȱFlorida”,ȱ<http://gazette.com/policeȬmanȬwantedȬ toȬtakeȬ15ȬpoundsȬofȬmarijuanaȬfromȬcoloradoȬspringsȬtoȬflorida/article/1581726>,ȱ accessedȱAugustȱ2,ȱ2016ȱ ȱ 4ȱȱDrugȱEnforcementȱAdministrationȱIntelligenceȱReport,ȱJuneȱ2016,ȱ“Residentialȱ MarijuanaȱGrowsȱinȱColorado:ȱTheȱNewȱMethȱHouses?”ȱ ȱ 5ȱȱDanielȱHalper,ȱTheȱWeeklyȱStandard,ȱMayȱ23,ȱ2016,ȱ“ItȱWasn’tȱSupposedȱtoȱWorkȱ ThisȱWay”,ȱ<http://www.weeklystandard.com/itȬwasntȬsupposedȬtoȬworkȬthisȬ way/article/2002373>,ȱaccessedȱMayȱ23,ȱ2016Aȱ ȱ 6ȱȱJesseȱPaul,ȱTheȱDenverȱPost,ȱAprilȱ15,ȱ2016,ȱ“Moreȱillicitȱpotȱbeingȱgrownȱinȱ Coloradoȱhomes,ȱshippedȱoutȱofȱstate”,ȱ<ȱhttp://www.denverpost.com/2016/04/15/moreȬ illicitȬpotȬbeingȬgrownȬinȬcoloradoȬhomesȬshippedȬoutȬofȬstate/>,ȱaccessedȱJuneȱ8,ȱ2016ȱ ȱ 7ȱȱSadieȱGurman,ȱAssociatedȱPress,ȱAprilȱ14,ȱ2016,ȱ“DozensȱarrestedȱinȱDenverȬareaȱ potȱraidsȱtargetingȱexporters”,ȱ <http://bigstory.ap.org/article/807b6023984b40d793324a1b0187e1cd/dozensȬarrestedȬ denverȬareaȬpotȬraidsȬtargetingȬexporters>,ȱaccessedȱAprilȱ14,ȱ2016ȱ ȱ 8ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱJulyȱ2016ȱ ȱ 9ȱȱPuebloȱSheriff’sȱOffice,ȱMediaȱCenter/PressȱReleasesȱsinceȱMarchȱ2016–Augustȱ 2016,ȱ<http:www.sheriff.co.pueblo.co.us/pio/?m=201608>,ȱaccessedȱ08/12/16ȱ ȱ 10ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱMarchȱ2016ȱ ȱ Item 11.a. - Page 146 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ124ȱ 11ȱȱTheȱDenverȱPost,ȱMayȱ7,ȱ2016,ȱ“LatestȱPuebloȱBustȱNetsȱ200ȱMoreȱPlants,”ȱ <http://www.pressreader.com>,ȱaccessedȱMayȱ7,ȱ2016ȱ ȱ 12ȱȱDanielȱHalper,ȱTheȱWeeklyȱStandard,ȱMayȱ29,ȱ2016,ȱ“ItȱWasn’tȱSupportedȱtoȱWorkȱ ThisȱWay,”ȱ<http://www.msn.com/enȬus/news/crime/itȬwasntȬsupposedȬtoȬworkȬthisȬ way/arȬBBtpIoY?ocid=se>,ȱaccessedȱJuneȱ10,ȱ2016ȱ ȱ 13ȱȱKirkȱMitchell,ȱTheȱDenverȱPost,ȱJulyȱ12,ȱ2016,ȱ“7ȱindictedȱinȱwideȬscaleȱillegalȱpotȱ operationȱinȱPuebloȱWest;ȱTiesȱtoȱFlorida,”ȱ <http://www.denverpost.com/2016/07/12/wideȬscaleȬillegalȬpotȬoperationȬpuebloȬwestȬ florida/>,ȱaccessedȱJulyȱ13,ȱ2016ȱ ȱ 14ȱȱTheȱGazetteȱasȱpublishedȱinȱTheȱDenverȱPostȱMayȱ30,ȱ2016,ȱ“ColoradoȱSpringsȱ Mayor:ȱDayȱofȱreckoningȱcomingȱforȱcity’sȱillegalȱmarijuanaȱgrowers,”ȱ <http://www.denverpost.com/2016/05/30/coloradoȬspringsȬmayorȬdayȬofȬreckoningȬ comingȬforȬcitysȬillegalȬmarijuanaȬgrowers/>,ȱaccessedȱJuneȱ2,ȱ2016ȱ ȱ 15ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱJulyȱ2016ȱ ȱ 16ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱJuneȱ2016ȱ ȱ 17ȱȱAssociatedȱPress,ȱTheȱDailyȱSentinel,ȱJulyȱ10,ȱ2015,ȱ“Authoritiesȱseizeȱ2,700ȱpotȱ plantsȱinȱDeltaȱCounty”,ȱ<http://www.gjsentinel.com/breaking/articles/authoritiesȬ seizeȬ2700ȬpotȬplantsȬinȬdeltaȬcounty>,ȱaccessedȱJulyȱ10,ȱ2015ȱ ȱ 18ȱȱDrugȱEnforcementȱAdministrationȱȬȱDenverȱFieldȱDivisionȱandȱLarimerȱCountyȱ (Colorado)ȱSheriff’sȱOffice,ȱMayȱ2016ȱ ȱ 19ȱȱJesseȱPaul,ȱTheȱDenverȱPost,ȱMarchȱ30,ȱ2016,ȱ“Feds,ȱsheriffȱprobeȱintruder’sȱkillingȱ atȱHuerfanoȱhomeȱfilledȱwithȱillegalȱpot,”ȱ <http://www.denverpost.com/2016/03/30/fedsȬsheriffȬprobeȬintrudersȬkillingȬatȬ huerfanoȬhomeȬfilledȬwithȬillegalȬpotȬ2/>,ȱaccessedȱJuneȱ8,ȱ2016ȱ ȱ 20ȱȱMonteȱStiles,ȱ“Theȱmellowȱworldȱofȱpot,ȱShangriȬLaȱinȱDenver,”ȱeȬmailȱmessage,ȱ Julyȱ1,ȱ2016ȱ ȱ 21ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱMayȱ2016ȱ ȱ 22ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱAprilȱ2016ȱ ȱ Item 11.a. - Page 147 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ125ȱ 23ȱȱMichaelȱRoberts,ȱWestword,ȱJanuaryȱ5,ȱ2016,ȱ“KansasȱAttemptingȱtoȱProveȱ ColoradoȱMarijuanaȱisȱWreakingȱHavocȱonȱState,”ȱ <http://www.westword.com/news/kansasȬattemptingȬtoȬproveȬcoloradoȬmarijuanaȬisȬ wreakingȬhavocȬonȬstateȬ7484055>,ȱaccessedȱJuneȱ16,ȱ2016ȱ ȱ 24ȱȱHannahȱYi,ȱRockyȱMountainȱPBS,ȱFebruaryȱ14,ȱ2015,ȱ“Illegalȱcrossing:ȱȱSeeȱtheȱ confiscatedȱweedȱatȱtheȱColoradoȬNebraskaȱborder,”ȱ <http://www.pbs.org/newshour/updates/illegalȬcrossingȬheresȬweedȬauthoritiesȬ confiscatedȬnebraskaȬcoloradoȬborder/>,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱȱ Item 11.a. - Page 148 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ7:ȱȱDiversionȱofȱColoradoȱMarijuanaȱȱPageȱ|ȱ126ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ THISȱPAGEȱINTENTIONALLYȱLEFTȱBLANKȱ ȱ ȱ Item 11.a. - Page 149 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ127ȱ SECTION 8: Diversion by Parcel ȱ Some Findings ȱ x SeizuresȱofȱColoradoȱmarijuanaȱinȱtheȱU.S.ȱmailȱhasȱincreasedȱ427ȱpercentȱfromȱ anȱaverageȱofȱ70ȱparcelsȱ(2010Ȭ2012)ȱtoȱ369ȱparcelsȱ(2013Ȭ2015)ȱinȱtheȱthreeȬyearȱ averageȱthatȱrecreationalȱmarijuanaȱhasȱbeenȱlegal.ȱ ȱ x SeizuresȱofȱColoradoȱmarijuanaȱinȱtheȱU.S.ȱmailȱhasȱincreasedȱ471ȱpercentȱfromȱ anȱaverageȱofȱ129ȱpoundsȱ(2010Ȭ2012)ȱtoȱ736ȱpoundsȱ(2013Ȭ2015)ȱinȱtheȱthreeȬyearȱ averageȱthatȱrecreationalȱmarijuanaȱhasȱbeenȱlegal.ȱ Data ȱ NOTE:ȱ THESEȱFIGURESȱONLYȱREFLECTȱPACKAGESȱSEIZED;ȱTHEYȱDOȱNOTȱINCLUDEȱPACKAGESȱ OFȱCOLORADOȱMARIJUANAȱTHATȱWEREȱMAILEDȱANDȱREACHEDȱTHEȱINTENDEDȱ DESTINATION.ȱȱINTERDICTIONȱEXPERTSȱBELIEVEȱTHEȱPACKAGESȱSEIZEDȱWEREȱJUSTȱTHEȱ “TIPȱOFȱTHEȱICEBERG.”ȱ ȱ ȱ ȱ ȱ SOURCE:ȱ UnitedȱStatesȱPostalȱInspectionȱService,ȱProhibitedȱMailingȱofȱNarcoticsȱ Item 11.a. - Page 150 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ128ȱ ȱ SOURCE:ȱ UnitedȱStatesȱPostalȱInspectionȱService,ȱProhibitedȱMailingȱofȱNarcoticsȱ ȱ ȱ ȱ SOURCE:ȱ UnitedȱStatesȱPostalȱInspectionȱServiceȱ–ȱProhibitedȱMailingȱofȱNarcoticsȱ Item 11.a. - Page 151 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ129ȱ Private Parcel Companies ȱ ™Thereȱareȱcourierȱdeliveryȱserviceȱcompanies,ȱwithȱlocationsȱthroughoutȱtheȱ country,ȱfromȱwhichȱColoradoȱmarijuanaȱdestinedȱforȱotherȱstatesȱhaveȱbeenȱ seized.ȱȱUnlikeȱtheȱU.S.ȱPostalȱService,ȱaȱcentralȱdataȱsystemȱdoesȱnotȱexistȱforȱ theseȱvariousȱprivateȱcouriers.ȱ ȱ AnȱinquiryȱofȱsomeȱHIDTAsȱrelatedȱtoȱtheȱrandomȱseizureȱofȱColoradoȱmarijuanaȱinȱ theirȱregionȱthroughȱparcelȱservicesȱotherȱthanȱtheȱU.S.ȱPostalȱService:ȱ ȱ Appalachia:ȱȱ14ȱpackagesȱofȱmarijuanaȱweighingȱaȱtotalȱofȱ80ȱpoundsȱwithȱaȱthirdȱofȱ theȱpackagesȱdestinedȱforȱFlorida.ȱ ȱ Chicago:ȱȱ24ȱpackagesȱofȱbulkȱmarijuana,ȱconcentrate,ȱandȱediblesȱweighingȱaȱtotalȱ ofȱ10.5ȱpounds.ȱ ȱ GulfȱCoast:ȱȱ85ȱpackagesȱofȱbulkȱmarijuana,ȱconcentrates,ȱandȱediblesȱweighingȱaȱ totalȱofȱ97ȱpoundsȱwithȱ31ȱdifferentȱstatesȱidentifiedȱasȱtheȱdestinations.ȱ ȱ Houston:ȱȱ7ȱpackagesȱofȱbulkȱmarijuanaȱandȱconcentratesȱweighingȱaȱtotalȱofȱ8ȱ pounds.ȱ ȱ Midwest:ȱȱ8ȱpackagesȱwithȱvariousȱformsȱofȱmarijuanaȱheadedȱtoȱMissouriȱweighingȱ aȱtotalȱofȱ8ȱpounds.ȱ ȱ Ohio:ȱȱ18ȱpackagesȱofȱbulkȱmarijuanaȱandȱediblesȱweighingȱaȱtotalȱofȱ21ȱpounds.ȱ ȱ Washington/Baltimore:ȱȱ12ȱpackagesȱwithȱmarijuanaȱweighingȱaȱtotalȱofȱ4ȱpounds.ȱ Some Examples ȱ NorthȱMetroȱTaskȱForceȱParcelȱSeizures:ȱȱDuringȱcalendarȱyearȱ2015,ȱNorthȱMetroȱ DrugȱTaskȱForceȱworkedȱcloselyȱwithȱFedEx,ȱUPSȱandȱUSPIS.ȱȱNorthȱMetroȱinterceptedȱ 32ȱseparateȱpackagesȱcontainingȱmarijuanaȱfromȱColoradoȱthatȱwereȱdestinedȱtoȱ17ȱ differentȱstates.ȱȱTheȱcombinedȱweightȱofȱtheseȱpackagesȱexceededȱ84ȱpounds.1ȱ ȱȱ Item 11.a. - Page 152 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ130ȱ BadȱLuckȱinȱMarijuanaȱIndustryȱLeadsȱtoȱArrest:ȱȱInȱAprilȱ2015,ȱaȱmajorȱparcelȱ companyȱalertedȱChicagoȱPoliceȱtoȱaȱpackageȱcomingȱfromȱColoradoȱthatȱhadȱaȱstrongȱ odorȱofȱmarijuana.ȱȱPoliceȱobtainedȱaȱsearchȱwarrantȱandȱseizedȱnearlyȱ7ȱpoundsȱofȱ marijuana.ȱȱTheȱindividualȱtoȱwhomȱtheȱpackageȱwasȱdeliveredȱwasȱarrested.ȱȱThisȱ individualȱwasȱidentifiedȱasȱpartȱofȱtheȱyoungȱentrepreneursȱwhoȱwentȱtoȱColoradoȱ aboutȱfiveȱyearsȱpriorȱtoȱmakeȱmoneyȱinȱtheȱmedicalȱmarijuanaȱindustry.ȱȱApparentlyȱ heȱmovedȱtoȱColoradoȱandȱgrewȱmarijuanaȱplantsȱinȱaȱwarehouseȱoutsideȱofȱDenver.ȱȱ Atȱtheȱsameȱtime,ȱhisȱwifeȱoperatedȱaȱsmallȱmedicalȱmarijuanaȱdispensaryȱinȱDenver.ȱȱ Priorȱtoȱthisȱarrestȱinȱ2015,ȱheȱwasȱarrestedȱinȱ2010ȱbyȱChicagoȱPoliceȱforȱaȱparcelȱpostȱ packageȱcontainingȱ40ȱpoundsȱofȱmarijuana.ȱȱTheȱindividualȱreflectedȱonȱhisȱhardȱluckȱ inȱtheȱmedicalȱmarijuanaȱbusinessȱandȱstated,ȱ“Someȱpeopleȱinȱtheȱindustryȱhaveȱgottenȱ lucky.ȱȱOtherȱguysȱlikeȱmeȱhaveȱgottenȱcaughtȱinȱtheȱsystem.”2ȱ ȱ MedicalȱMarijuanaȱStoreȱOwnerȱtoȱReceiveȱ$16,000:ȱȱInȱFebruaryȱ2015,ȱthreeȱ suspiciousȱparcelsȱwereȱidentified.ȱȱAȱsearchȱwarrantȱwasȱobtainedȱandȱrevealedȱtheȱ packagesȱcontainedȱoverȱ$16,000ȱinȱcash.ȱȱTheseȱthreeȱparcels,ȱallȱcomingȱfromȱdifferentȱ locationsȱincludingȱIdaho,ȱPennsylvaniaȱandȱIllinois,ȱwereȱdestinedȱforȱaȱColoradoȱ Springsȱmetroȱareaȱmedicalȱmarijuanaȱstoreȱowner.1ȱ ȱ 22ȱPoundsȱofȱBoulderȱ(Colorado)ȱMarijuanaȱSentȱtoȱNewȱJersey:ȱȱ“Policeȱarrestedȱaȱ 26ȬyearȬoldȱmanȱtheyȱsayȱwasȱrunningȱaȱpotȬdistributionȱoperationȱoutȱofȱaȱLawrenceȱ [NewȱJersey]ȱhomeȱafterȱheȱclaimedȱaȱ22Ȭpoundȱpackageȱofȱmarijuanaȱthatȱcameȱ throughȱtheȱmailȱWednesday.ȱȱMichaelȱLester,ȱwhoȱfacesȱsevenȱdrugȱcharges,ȱwasȱ releasedȱonȱ$75,000ȱbail.ȱȱHisȱarrestȱfollowedȱaȱsixȬmonthȱinvestigationȱbyȱLawrenceȱ policeȱandȱtheȱMercerȱCountyȱNarcoticsȱTaskȱForce.ȱȱPoliceȱsayȱtheȱpackageȱhadȱmoreȱ thanȱ300ȱedibleȱmarijuanaȱproductsȱwithȱaȱstreetȱvalueȱofȱ$9,000.ȱȱDuringȱaȱsearchȱofȱtheȱ GreenfieldȱAvenueȱhome,ȱpoliceȱalsoȱuncoveredȱadditionalȱedibleȱmarijuanaȱproducts,ȱ marijuanaȱextracts,ȱhashishȱandȱoils,ȱpackagingȱmaterials,ȱscales,ȱpackingȱmachines,ȱaȱ moneyȱcounterȱandȱmoreȱthanȱ$50,000ȱinȱcash.ȱȱTwoȱvehiclesȱwereȱalsoȱseizedȱasȱ suspectedȱnarcoticsȱproceeds,ȱpoliceȱsaid.”ȱȱItȱwasȱlaterȱdeterminedȱthroughȱ investigationȱthatȱtheȱmarijuanaȱcameȱfromȱBoulder,ȱColorado.4ȱ ȱ ColoradoȱMarijuanaȱtoȱTexas:ȱȱInȱFebruaryȱ2015,ȱaȱTexasȱmanȱwasȱarrestedȱforȱ tryingȱtoȱsendȱhimselfȱmarijuanaȱandȱmarijuanaȱproductsȱheȱpurchasedȱinȱPueblo,ȱ Colorado.ȱȱApparentlyȱtheȱsubjectȱpurchasedȱtheȱmarijuanaȱinȱPuebloȱandȱthenȱmailedȱitȱ toȱhimselfȱinȱSanȱAngelo,ȱTexasȱwhereȱheȱresides.ȱȱTheȱpackage,ȱwhenȱseized,ȱcontainedȱ 9ȱpoundsȱofȱ“highȬgradeȱmarijuana”ȱandȱmarijuanaȱediblesȱasȱwellȱasȱcoughȱsyrups,ȱ skinȱpatchesȱandȱ“wax”ȱthatȱhadȱbeenȱ“legallyȱpurchased”ȱfromȱtwoȱseparateȱ dispensariesȱinȱPueblo.ȱȱThisȱindividualȱwasȱarrestedȱinȱTexas.5ȱ ȱ Item 11.a. - Page 153 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ131ȱ TrafficȱStopȱLeadsȱtoȱParcelȱInterception:ȱInȱSeptemberȱ2015,ȱ“Federalȱ prosecutorsȱchargedȱ20ȱpeopleȱinȱColoradoȱsuspectedȱofȱtraffickingȱmarijuanaȱ outȱofȱstate.”ȱȱAȱtrafficȱstopȱinȱPennsylvaniaȱrevealedȱ34ȱpoundsȱofȱmarijuana.ȱȱ “AuthoritiesȱsayȱtheyȱalsoȱfollowedȱaȱvehicleȱtoȱaȱColoradoȱSpringsȱUPSȱstoreȱ andȱfoundȱtheȱsuspectsȱintendedȱtoȱshipȱmarijuanaȱtoȱFlorida.ȱȱAuthoritiesȱsayȱ warrantsȱconductedȱinȱtheȱsouthernȱColoradoȱtownsȱofȱCotopaxiȱandȱWestcliffeȱ ledȱtoȱtheȱseizureȱofȱ1,000ȱmarijuanaȱplants,ȱ50ȱpoundsȱofȱdriedȱmarijuana,ȱandȱ28ȱ firearms.”6ȱ ȱ BrowniesȱtoȱFlorida:ȱȱInȱMarchȱ2015,ȱtheȱWestȱMetroȱTaskȱForceȱrespondedȱtoȱaȱ parcelȱcompanyȱthatȱopenedȱaȱsuspiciousȱpackageȱandȱfoundȱtwoȱbaggiesȱwithȱ marijuanaȱbrownies,ȱalongȱwithȱaȱbusinessȱcard.ȱȱTheȱcardȱreadȱ“SweetȱMaryȱJaneȱ–ȱ MercifulȱChocolate.”ȱȱTheȱpackageȱwasȱdestinedȱforȱSulphurȱSprings,ȱFlorida.1ȱ ȱ StuffedȱAnimalsȱwithȱMarijuana:ȱȱInȱJuneȱ2015,ȱLovelandȱPoliceȱDepartmentȱwasȱ calledȱoutȱonȱaȱsuspiciousȱpackageȱfromȱaȱparcelȱcompany.ȱȱTheyȱdiscoveredȱthatȱtheȱ packageȱcontainedȱstuffedȱanimalsȱfullȱofȱmarijuanaȱandȱweighingȱoverȱ2ȱounces.ȱȱTheȱ packageȱwasȱcomingȱfromȱColoradoȱenȱrouteȱtoȱNavarre,ȱFlorida.1ȱ ȱ HelpingȱaȱFriend:ȱȱInȱSeptemberȱ2014,ȱWestȱMetroȱTaskȱForceȱinvestigatorsȱ respondedȱwhenȱaȱ29ȬyearȬoldȱmaleȱattemptedȱtoȱsendȱanȱovernightȱpackageȱcontainingȱ miscellaneousȱfoodȱitemsȱandȱmarijuanaȱconcentrate.ȱȱWhenȱarrested,ȱtheȱindividualȱ toldȱtheȱinvestigatorsȱheȱwasȱattemptingȱtoȱ“help”ȱaȱfriendȱwhoȱlivedȱinȱHawaii.1ȱ ȱ SuspiciousȱPackageȱContainedȱColoradoȱMarijuana:ȱInȱJanuaryȱ2016,ȱKansasȱCityȱ MissouriȱPoliceȱDepartmentȱInterdictionȱSquadȱlocatedȱaȱsuspiciousȱparcelȱatȱtheȱ commercialȱsortingȱhub.ȱȱTheȱpackageȱwasȱseizedȱandȱcontainedȱ10.4ȱpoundsȱofȱ Coloradoȱmarijuana.ȱȱTheȱpackageȱoriginatedȱoutȱofȱLakewood,ȱColoradoȱandȱdestinedȱ forȱKansasȱCity,ȱMissouri.6ȱ ȱ KȬ9ȱAlertsȱonȱHighȱGradeȱMarijuana:ȱȱInȱNovemberȱ2015ȱaȱWashington/Baltimoreȱ HIDTAȱinterdictionȱteamȱinterceptedȱaȱpackageȱfromȱAurora,ȱColoradoȱdestinedȱforȱ Blacksburg,ȱVirginia.ȱȱAȱcanineȱalertedȱtoȱtheȱpackage,ȱwhichȱwasȱsubsequentlyȱfoundȱ toȱcontainȱapproximatelyȱ½ȱpoundȱofȱhighȬgradeȱmarijuanaȱandȱaboutȱ1ȱpoundȱofȱ marijuanaȱedibles.7ȱ ȱ Aspen,ȱColoradoȱtoȱNeptuneȱBeach,ȱFlorida:ȱȱInȱMarchȱ2016,ȱaȱNorthȱFloridaȱ HIDTAȱinterdictionȱteamȱseizedȱaȱlittleȱoverȱ11ȱpoundsȱofȱhighȬgradeȱmarijuanaȱsentȱ fromȱAspen,ȱColoradoȱtoȱanȱaddressȱinȱNeptuneȱBeach,ȱFlorida.8ȱ Item 11.a. - Page 154 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ8:ȱȱDiversionȱbyȱParcelȱȱPageȱ|ȱ132ȱ ȱ Overȱ30ȱPoundsȱofȱMarijuanaȱtoȱtheȱEastȱCoast:ȱȱInȱMayȱ2015,ȱanȱAppalachiaȱ HIDTAȱinterdictionȱunitȱseizedȱoverȱ33ȱpoundsȱofȱmarijuanaȱcomingȱfromȱDenver,ȱ ColoradoȱenȱrouteȱtoȱNewȱYork.9ȱ ȱ K9ȱAlertȱinȱKansasȱCity,ȱMissouri:ȱȱInȱDecemberȱ2015,ȱaȱcanineȱalertedȱtoȱaȱparcelȱ withȱ24ȱpoundsȱofȱmarijuanaȱthatȱwasȱdestinedȱtoȱGeorgiaȱfromȱDenver,ȱColorado.6ȱ Sources ȱ 1ȱȱRockyȱMountainȱHighȱIntensityȱDrugȱTraffickingȱarea,ȱ2015ȱ ȱ 2ȱȱCBS2ȱLocal/Chicago,ȱAprilȱ6,ȱ2015,ȱ“ManȱBustedȱAgainȱForȱColoradoȬToȬChicagoȱ UPSȱMarijuanaȱShipment,”ȱ<http://chicago.cbslocal.com/2015/04/06/manȬbustedȬagainȬ forȬcoloradoȬtoȬchicagoȬupsȬmarijuanaȬshipment/>,ȱaccessedȱAprilȱ6,ȱ2015ȱ ȱ 3ȱȱCristinaȱRojas,ȱNJ.com,ȱJulyȱ28,ȱ2016,ȱ“Lawrenceȱmanȱbustedȱwithȱ22Ȭpoundȱ marijuanaȱpackage,”ȱ <http://www.nj.com/mercer/index.ssf/2016/07/lawrence_man_busted_with_22Ȭ pound_marijuana_packag.html>,ȱaccessedȱAugustȱ11,ȱ2016ȱ ȱ 4ȱȱJesseȱPaul,ȱTheȱDenverȱPost,ȱFebruaryȱ5,ȱ2015,ȱ“Puebloȱpolice:ȱȱTexasȱmanȱarrestedȱ afterȱtryingȱtoȱsendȱ$63,000ȱofȱmarijuana,”ȱ <http://www.denverpost.com/news/ci_27465615/puebloȬpoliceȬtexasȬmanȬarrestedȬ afterȬtryingȬsend?source=infinite>,ȱaccessedȱFebruaryȱ5,ȱ2015ȱ ȱ 5ȱȱCBSȱDenver/Channelȱ4,ȱSeptemberȱ3,ȱ2015,ȱ“20ȱPeopleȱInȱColoradoȱFaceȱFederalȱ PotȱTraffickingȱCharges”,ȱ<http://denver.cbslocal.com/2015/09/03/20ȬpeopleȬinȬ coloradoȬfaceȬfederalȬpotȬtraffickingȬcharges/>,ȱaccessedȱSeptemberȱ3,ȱ2015ȱ ȱ 6ȱȱMidwestȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ ȱ 7ȱȱWashington/BaltimoreȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ ȱ 8ȱȱNorthȱFloridaȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ ȱ 9ȱȱAppalachiaȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ ȱȱ Item 11.a. - Page 155 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ133ȱ ȱ SECTION 9: Related Data ȱ Topics ȱ x Crimeȱ x Revenueȱ x EventȱPlanners’ȱViewsȱofȱDenverȱ x Homelessȱ x Suicidesȱ x EnvironmentalȱImpactȱ x THCȱPotencyȱ x MarijuanaȱUseȱandȱAlcoholȱConsumptionȱ x MedicalȱMarijuanaȱRegistryȱ x LicensedȱMarijuanaȱBusinessesȱasȱofȱJanuaryȱ2015ȱ x BusinessȱComparisonsȱasȱofȱJanuaryȱ2015ȱ x DemandȱandȱMarketȱSizeȱ x 2014ȱReportedȱSalesȱofȱMarijuanaȱinȱColoradoȱ x 2014ȱPriceȱofȱMarijuanaȱ x LocalȱResponseȱtoȱtheȱMedicalȱandȱRecreationalȱMarijuanaȱIndustryȱinȱColoradoȱ ȱ NOTE:ȱ SOMEȱOFȱTHEȱDATAȱREPORTEDȱINȱTHISȱSECTIONȱISȱBECAUSEȱTHEREȱHAVEȱBEENȱSOȱ MANYȱINQUIRIESȱONȱTHEȱPARTICULARȱSUBJECT,ȱSUCHȱASȱCRIMEȱANDȱSUICIDES.ȱȱTHISȱ ISȱNOTȱTOȱINFERȱTHATȱTHEȱDATAȱISȱDUEȱTOȱTHEȱLEGALIZATIONȱOFȱMARIJUANA.ȱ Some Findings ȱ x CrimeȱinȱDenverȱandȱColoradoȱhasȱincreasedȱfromȱ2013ȱtoȱ2015.ȱ ȱ x Coloradoȱannualȱtaxȱrevenueȱfromȱtheȱsaleȱofȱrecreationalȱandȱmedicalȱmarijuanaȱ wasȱ$115,579,432ȱ(CY2015)ȱorȱaboutȱ0.5ȱpercentȱofȱColorado’sȱtotalȱstatewideȱ budgetȱ(FY2016).ȱ ȱ x “Denverȱisȱlosingȱvisitorsȱandȱvaluableȱconventionȱbusinessȱasȱaȱresultȱofȱtheseȱ overallȱsafetyȱ(orȱperceptionȱofȱsafety)ȱissues...”ȱ–ȱVISITȱDENVERȱreportȱ Item 11.a. - Page 156 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ134ȱ x AsȱofȱJanuaryȱ2016,ȱthereȱwereȱ424ȱretailȱmarijuanaȱstoresȱinȱtheȱstateȱofȱ Coloradoȱcomparedȱtoȱ322ȱStarbucksȱandȱ202ȱMcDonald’s.ȱ ȱ x 68ȱpercentȱofȱlocalȱjurisdictionsȱhaveȱbannedȱmedicalȱandȱrecreationalȱmarijuanaȱ businesses.ȱ Crime ȱ ȱ ȱ SOURCE:ȱ ColoradoȱBureauȱofȱInvestigation,ȱhttp://crimenco.cbi.state.co.us/ȱ ȱ ™Fromȱ2014ȱtoȱ2015:ȱ o Propertyȱcrimeȱincreasedȱ6.2ȱpercentȱ o Violentȱcrimeȱincreasedȱ6.7ȱpercentȱ o Allȱcrimeȱincreasedȱ6.2ȱpercentȱ ȱȱ Item 11.a. - Page 157 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ135ȱ ȱ SOURCE:ȱ CityȱandȱCountyȱofȱDenver,ȱDenverȱPoliceȱDepartment,ȱCrimeȱStatisticsȱandȱMaps,ȱAprilȱ2016ȱ ȱȱ Item 11.a. - Page 158 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ136ȱ *AllȱReportedȱCrimeȱinȱDenverȱ 2013ȱ 2014ȱ 2015ȱ ȱ 55,115ȱreportedȱ crimesȱ 61,276ȱreportedȱ crimesȱ 63,816ȱreportedȱ crimesȱ 8,701ȱreportedȱ crimesȱincreaseȱ fromȱ2013ȱtoȱ2015 (16ȱpercentȱ increase)ȱ *ȱActualȱnumberȱofȱcrimesȱinȱDenverȱ(newȱprocessȱbeganȱinȱMayȱ2013)ȱ ȱ ™Fromȱ2014ȱtoȱ2015:ȱ o Crimesȱagainstȱpersonsȱincreasedȱ7.5ȱpercentȱ o Crimesȱagainstȱpropertyȱincreasedȱ6ȱpercentȱ o Crimesȱagainstȱsocietyȱincreasedȱ15.6ȱpercentȱ o Allȱotherȱoffensesȱdecreasedȱ5.7ȱpercentȱ o AllȱDenverȱcrimesȱincreasedȱ4.1ȱpercentȱ ȱ SOURCE:ȱ NationalȱIncidentȱBasedȱReportingȱSystemȱdefinitionsȱinȱtheȱCityȱandȱCountyȱofȱDenver,ȱ Aprilȱ2016ȱ ȱ ȱ ȱ SOURCE:ȱ DenverȱPoliceȱDepartment,ȱTrafficȱOperationsȱBureau/Vice/DrugȱBureauȱviaȱDataȱAnalysisȱUnitȱ ȱȱ Item 11.a. - Page 159 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ137ȱ ȱ SOURCE:ȱ BoulderȱPoliceȱDepartment,ȱRecordsȱandȱInformationȱServicesȱ ȱ ȱ NOTE:ȱ THEȱCITYȱOFȱBOULDERȱDIDȱNOTȱHAVEȱAȱMUNICIPALȱSTATUTEȱSPECIFICȱTOȱPUBLICȱ CONSUMPTIONȱOFȱMARIJUANAȱUNTILȱMIDȬ2013.ȱ ȱ Related Material ȱ LegalizedȱMarijuanaȱBringsȱViolenceȱtoȱDowntownȱDenver’sȱ16thȱStreetȱMall:ȱȱȱ VideoȱwasȱpostedȱtoȱFacebookȱofȱaȱmanȱwieldingȱPVCȱpipesȱandȱviolentlyȱswingingȱ themȱatȱanyoneȱwithinȱreach.ȱȱAccordingȱtoȱpolice,ȱtheȱmanȱfromȱIndianaȱhadȱonlyȱbeenȱ inȱDenverȱforȱaȱweekȱbeforeȱtheȱincidentȱoccurred.ȱȱInȱresponseȱtoȱtheȱattack,ȱDenverȱ MayorȱMichaelȱHancockȱstated,ȱ“Let’sȱbeȱclear.ȱMarijuanaȱisȱdrawingȱpeopleȱtoȱtheȱ mall.ȱȱTheȱtravelersȱareȱveryȱclear.ȱȱIȱcanȱtellȱyouȱthisȱbecauseȱI’veȱtalkedȱtoȱtheȱ travelers,”ȱsaidȱHancock.ȱ“Thisȱisȱoneȱofȱtheȱresultsȱofȱtheȱlegalȱmarijuanaȱindustryȱinȱ Denverȱandȱwe’reȱgoingȱtoȱhaveȱtoȱdealȱwithȱit.”ȱDueȱtoȱseveralȱsuchȱincidentsȱ occurringȱinȱtheȱareaȱtheȱMayorȱandȱDenverȱPoliceȱDepartmentȱannouncedȱtheyȱwouldȱ beȱincreasingȱpatrolsȱonȱtheȱ16thȱStreetȱMall.ȱȱ“Theȱstrategyȱforȱimprovedȱsafetyȱinvolvesȱ spendingȱoverȱhalfȱaȱmillionȱdollarsȱtoȱincreaseȱpoliceȱpatrolsȱandȱaddȱresources.”1ȱ ȱ ViolentȱCrimesȱareȱUpȱinȱColorado:ȱȱAccordingȱtoȱtheȱColoradoȱBureauȱofȱ Investigation’sȱannualȱcrimeȱreport,ȱ“officialsȱsayȱhomicidesȱincreasedȱbyȱnearlyȱ15ȱ Item 11.a. - Page 160 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ138ȱ percentȱstatewideȱlastȱyearȱwhileȱrapesȱincreasedȱbyȱalmostȱ11ȱpercent.”ȱȱAdditionally,ȱ “Robberiesȱroseȱnearlyȱ10ȱpercentȱandȱmotorȱvehicleȱtheftsȱroseȱaboutȱ28ȱpercent.ȱ Burglariesȱwereȱupȱaboutȱ1ȱpercent.”ȱComparedȱwithȱ2014ȱnumbers,ȱoverallȱcrimesȱinȱ Coloradoȱroseȱmoreȱthanȱ6ȱpercentȱinȱ2015.ȱȱ“Theȱreportȱisȱbasedȱonȱstatisticsȱfromȱ245ȱ lawȬenforcementȱagenciesȱstatewide,”ȱandȱ“Itȱdidn’tȱspeculateȱonȱtheȱreasonsȱbehindȱ anyȱofȱtheȱtrends.”2ȱ ȱ HalloweenȱMassȱShooter:ȱȱOnȱOctoberȱ31,ȱ2015,ȱaȱColoradoȱSpringsȱmanȱshotȱandȱ killedȱthreeȱpeopleȱinȱaȱrampageȱthatȱendedȱinȱaȱshootoutȱwithȱpolice.ȱȱNoahȱHarphamȱ wasȱseenȱpacingȱoutsideȱofȱhisȱhomeȱwithȱanȱARȬ15ȱinȱhand.ȱȱConcernedȱbystandersȱ reportedȱtheȱsituationȱtoȱpoliceȱbutȱwereȱinitiallyȱturnedȱawayȱbecauseȱHarphamȱdidȱ notȱappearȱthreateningȱtoȱanyoneȱatȱtheȱtime.ȱȱMinutesȱlater,ȱtheȱshooterȱgotȱintoȱaȱ confrontationȱwithȱaȱpassingȱbicyclist.ȱȱWithȱlittleȱwarning,ȱtheȱshooterȱfiredȱfiveȱ rounds,ȱstrikingȱandȱkillingȱtheȱthreeȬtourȱIraqȱWarȱveteran.ȱȱTheȱgunmanȱthenȱwalkedȱ downȱtheȱstreetȱandȱopenedȱfireȱonȱtwoȱinnocentȱwomenȱsittingȱoutȱinȱfrontȱofȱtheirȱ residence.ȱȱBothȱwomenȱdiedȱshortlyȱafterȱdueȱtoȱtheirȱinjuries.ȱȱPoliceȱofficersȱ respondingȱtoȱtheȱcallȱconfrontedȱtheȱgunman,ȱkillingȱhimȱafterȱbeingȱshotȱatȱseveralȱ times.ȱ Anȱinvestigativeȱreportȱreleasedȱbyȱauthoritiesȱincludedȱaȱtoxicologyȱreportȱonȱtheȱ shooter.ȱȱTheȱshooterȱtestedȱpositiveȱforȱmarijuanaȱonly,ȱwhichȱmayȱhaveȱbeenȱaȱ contributingȱfactorȱtoȱtheȱrampageȱwhichȱclaimedȱtheȱlivesȱofȱfour.3ȱ ȱ MarijuanaȬMotivatedȱArmedȱRobbery:ȱȱInȱAugustȱ2016,ȱfiveȱmalesȱarmedȱwithȱ firearmsȱassaulted,ȱrobbedȱandȱburglarizedȱanȱexȬCripȱgangȱmemberȱforȱmarijuanaȱinȱ AdamsȱCounty,ȱColorado.ȱȱTheȱvictimȱwasȱshotȱthreeȱtimesȱandȱseverelyȱbeatenȱonȱhisȱ porchȱbyȱtheȱfiveȱassailants.ȱȱTheȱvictimȱwasȱtargetedȱbecauseȱhisȱresidenceȱisȱknownȱforȱ dealingȱdrugs,ȱespeciallyȱmarijuana.ȱȱSuspectsȱadmittedȱthatȱthisȱwasȱpremeditatedȱasȱ theyȱsatȱandȱwatchedȱsixȱcarsȱdriveȱupȱtoȱtheȱresidenceȱwithȱseveralȱindividualsȱwalkingȱ awayȱwithȱ“baggies”ȱinȱtheirȱhands.ȱȱTheȱsuspectsȱwereȱprimarilyȱafterȱmarijuana,ȱ moneyȱandȱanyȱvaluables.ȱȱOneȱindividualȱhadȱtheȱassignmentȱofȱductȬtapingȱtheȱ victim’sȱwifeȱandȱchildrenȱifȱtheyȱwereȱpresentȱatȱtheȱtimeȱofȱtheȱattack.4ȱ ȱ Item 11.a. - Page 161 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ139ȱ Revenue ȱ ȱ SOURCE:ȱ DepartmentȱofȱRevenue,ȱMonthlyȱMarijuanaȱTaxes,ȱLicensesȱandȱFeesȱTransfersȱandȱ Distributionȱ ȱ NOTE:ȱ FIGURESȱDOȱNOTȱINCLUDEȱANYȱCITYȱTAXES:ȱȱTHEȱSTATEȱDOESȱNOTȱASSESSȱORȱ COLLECTȱTHOSEȱTAXES.ȱ Item 11.a. - Page 162 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ140ȱ ȱ SOURCE:ȱ Governor’sȱOfficeȱofȱStateȱPlanningȱandȱBudgetingȱ Related Material ȱ ColoradoȱStateȱRevenueȱGainsȱAreȱAȱMyth:ȱȱ“Youȱdoȱnotȱlegalizeȱforȱtaxation.ȱȱItȱisȱ aȱmyth.ȱȱYouȱareȱnotȱgoingȱtoȱpaveȱstreets.ȱȱYouȱareȱnotȱgoingȱtoȱbeȱableȱtoȱpayȱ teachers,”ȱAndrewȱFreedman,ȱdirectorȱofȱMarijuanaȱCoordinationȱforȱColorado,ȱsaidȱonȱ BostonȱHeraldȱRadio.ȱȱ“Theȱbigȱredȱherringȱisȱtheȱwholeȱthingȱthatȱtheȱtaxȱrevenueȱwillȱ solveȱaȱbunchȱofȱcrises.ȱȱButȱitȱwon’t.”5ȱ ȱ IsȱTheȱTaxȱRevenueȱWorthȱIt?:ȱȱTheȱRoaringȱForkȱSchoolȱDistrict’sȱRobȱSteinȱstated,ȱȱ “Itȱwasȱaȱprettyȱsmartȱmoveȱofȱthoseȱpeopleȱwhoȱareȱtryingȱtoȱgetȱtheȱmarijuanaȱ legislationȱpassedȱtoȱtryȱtoȱtieȱitȱtoȱschoolsȱbecauseȱit’sȱcertainlyȱwhereȱpeopleȱhaveȱthatȱ impression.ȱȱIt’sȱjustȱnotȱaccurateȱthatȱmarijuanaȱexciseȱtaxesȱareȱtheȱdifferenceȱmakersȱ forȱschoolsȱorȱschoolȱfacilities.”ȱȱWhileȱStein’sȱschoolȱdistrictȱwasȱawardedȱsomeȱgrantȱ moneyȱfromȱtheȱmarijuanaȱtaxȱrevenueȱtoȱcontributeȱtowardsȱbuildingȱaȱnewȱaddition,ȱ andȱheȱisȱ“notȱungratefulȱforȱtheȱmarijuanaȱtaxȱmoney”ȱheȱisȱstillȱleftȱwonderingȱifȱitȱisȱ trulyȱworthȱit.ȱȱ“Whatȱweȱdon’tȱknowȱyetȱisȱtheȱtotalȱsocietalȱcostsȱofȱmarijuanaȱ legalization,”ȱSteinȱsaid.6ȱ ȱ ColoradoȇsȱStatewideȱBudget,ȱ FYȱ2016 MarijuanaȱTaxȱRevenue* (MedicalȱandȱRecreational)ȱ=ȱ0.5% *Revenueȱfromȱmarijuanaȱtaxes asȱaȱportionȱofȱColoradoȇsȱtotalȱstatewideȱbudget Item 11.a. - Page 163 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ141ȱ Event Planners’ Views of Denver ȱ ȱ ȱ SOURCE:ȱ VISITȱDENVER,ȱImpactsȱofȱtheȱDowntownȱEnvironmentȱonȱtheȱTourismȱIndustryȱandȱVisitorȱ Perceptionsȱreportȱ ȱ VISITȱDENVERȱisȱtheȱmarketingȱorganizationȱforȱtheȱcityȱandȱitȱmeasures,ȱrecordsȱ andȱreportsȱhundredsȱofȱdataȱpoints,ȱtoȱincludeȱsafetyȱtrendsȱandȱfeedbackȱreceivedȱ fromȱconventionȱandȱleisureȱvisitors.ȱȱBasedȱonȱdataȱcollectedȱtheyȱcameȱawayȱwithȱ threeȱkeyȱtakeaways:ȱ x “Theȱdowntownȱenvironmentȱisȱtheȱ#1ȱcomplaintȱfromȱmeetingȱplanners,ȱfarȱ surpassingȱanyȱotherȱcategories.ȱȱTheȱseverityȱofȱthisȱissueȱhasȱincreasedȱandȱasȱ ofȱ2014ȱnearlyȱ50%ȱofȱmeetingȱplannersȱnegativelyȱcommentedȱonȱhomeless,ȱ youth,ȱpanhandling,ȱsafety,ȱcleanliness,ȱandȱdrugsȱincludingȱpublicȱmarijuanaȱ consumption.”ȱ x “Denverȱranksȱveryȱhighȱonȱwalkability,ȱaffordability,ȱfacilities,ȱandȱotherȱ factors.ȱȱHowever,ȱDenverȱasȱaȱ‘safeȱcity’ȱranksȱsignificantlyȱlowerȱaccordingȱtoȱ interviewsȱwithȱkeyȱconventionȱplannersȱconductedȱbyȱanȱindependentȱthirdȬ party.”ȱ x “Denverȱisȱlosingȱvisitorsȱandȱvaluableȱconventionȱbusinessȱasȱaȱresultȱofȱtheseȱ overallȱsafetyȱ(orȱperceptionȱofȱsafety)ȱissues.ȱȱUnfortunately,ȱwordȱisȱbeginningȱ toȱspreadȱamongȱmeetingȱplannersȱaboutȱtheȱsafetyȱchallengesȱDenverȱisȱfacing.ȱȱ Item 11.a. - Page 164 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ142ȱ Asȱtheȱmarketȱorganizationȱforȱtheȱcity,ȱweȱfearȱnotȱbeingȱableȱtoȱbrandȱDenverȱ awayȱfromȱthisȱgrowingȱreputation.”ȱ CommentsȱmadeȱbyȱtheȱColoradoȱConventionȱCenterȱclientsȱandȱvisitorsȱtoȱDenver:ȱ ™“I’mȱsorryȱbutȱIȱwouldȱneverȱconsiderȱputtingȱattendeesȱinȱdangerȱbyȱholdingȱaȱ conventionȱinȱyourȱcity.ȱȱWeȱareȱstayingȱatȱEmbassyȱSuitesȱdowntownȱonȱ16th,ȱ andȱlastȱnightȱwitnessedȱaȱgroupȱofȱaboutȱ30ȱteenagersȱattackȱaȱmanȱwalkingȱ alongȱ16thȱstreet.ȱȱIȱamȱtoldȱthisȱisȱnotȱanȱunusualȱoccurrence.ȱȱTheȱhomelessȱ situationȱisȱveryȱsad,ȱandȱpublicȱstreetsȱreekȱofȱweed.ȱȱTheȱDenverȱpoliceȱshouldȱ beȱmoreȱalertȱtoȱlargeȱgroupsȱofȱminorsȱcongregatingȱonȱcityȱstreetsȱattackingȱ tourists.ȱȱMyȱfeedbackȱfromȱthisȱmeetingȱwillȱbeȱtoȱneverȱlocateȱhereȱagain;ȱIȱhaveȱ feltȱmuchȱsaferȱinȱdowntownȱNYC,ȱPhilly,ȱSeattle,ȱandȱChicago.”ȱ ™“Iȱamȱaȱ5thȱgenerationȱColoradoȱnative.ȱȱIȱamȱdowntownȱforȱaȱnationalȱ conventionȱandȱwithinȱ10ȱminutesȱofȱwalkingȱtoȱtheȱConventionȱCenterȱIȱwasȱsoȱ disheartened:ȱȱIȱdidn’tȱfeelȱsafeȱandȱitȱwasȱ2:00ȱinȱtheȱafternoon.ȱȱIȱpassedȱdrunks,ȱ disheveledȱpeople,ȱsmelledȱweedȱbeingȱsmokedȱinȱtheȱopen.ȱȱItȱwasȱdisgustingȱ andȱIȱthoughtȱsoȱthisȱisȱwhereȱtheȱcurrentȱgovernmentȱisȱtakingȱus.ȱȱIȱuseȱ[sic]ȱtoȱ beȱsoȱproudȱofȱDenverȱandȱColorado;ȱtodayȱIȱwasȱheartȱsickȱandȱembarrassed,ȱ knowingȱI’dȱbeȱapologizingȱtoȱcolleaguesȱcomingȱfromȱotherȱstatesȱthatȱdidn’tȱ haveȱsanctuaryȱcities,ȱlegalizedȱpotȱetc.ȱȱMayorȱHancock,ȱyouȱneedȱtoȱrethinkȱ whatȱyou’reȱdoingȱbeforeȱtheȱDenverȱthatȱwasȱbeautifulȱandȱsafeȱisȱgone.”ȱ ™“ThisȱclientȱchoseȱtoȱcontractȱwithȱtheȱHyattȱRegencyȱSanȱAntonio.ȱȱIȱwouldȱlikeȱ toȱshareȱwithȱyouȱwhyȱDenverȱdroppedȱoffȱhisȱlist.ȱȱThisȱclientȱdoesȱaȱlotȱofȱ businessȱinȱDenverȱandȱwasȱdisappointedȱtoȱsee,ȱinȱhisȱopinion,ȱhowȱthingsȱhaveȱ changedȱinȱtheȱcityȱsinceȱmarijuanaȱwasȱlegalized.ȱȱHeȱsaysȱheȱseesȱlotsȱofȱpeopleȱ walkingȱaroundȱlookingȱ‘outȱofȱit’ȱandȱdoesȱnotȱwantȱtoȱexposeȱhisȱattendeesȱtoȱ this.ȱȱIȱhopeȱyouȱdon’tȱmindȱtheȱhonestlyȱ[sic]ȱbutȱIȱwantedȱyouȱtoȱknowȱexactlyȱ ‘why’.”ȱ ™“Greetings,ȱweȱwantedȱtoȱpassȱalongȱsomeȱcommentsȱbasedȱonȱaȱnationalȱ meetingȱweȱhostedȱforȱourȱindustryȱinȱDenverȱinȱJulyȱ[2015].ȱȱItȱwasȱheldȱwithȱ delegatesȱarrivingȱasȱearlyȱasȱJulyȱ11ȱandȱcontinuedȱthroughȱJulyȱ15.ȱȱThisȱisȱaȱ meetingȱofȱindustryȱexecutivesȱandȱbusinessȱownersȱfromȱaroundȱtheȱentireȱ country.ȱȱTheȱmeetingȱwasȱheadquarteredȱatȱtheȱSheratonȱdowntown.ȱȱTheȱ chairmanȱcommented,ȱ‘WeȱwillȱmostȱlikelyȱnotȱreturnȱtoȱDenverȱbasedȱonȱtheȱ currentȱsituationȱwithȱallȱtheȱstreetȱpeople.’ȱȱThisȱwasȱfollowedȱupȱbyȱcommentsȱ fromȱtheȱPresidentȱwhoȱechoedȱtheseȱcommentsȱaboutȱaȱreluctanceȱtoȱreturnȱtoȱ DenverȱbasedȱonȱtheȱconditionȱofȱtheȱCityȱandȱtheȱabundanceȱofȱhomelessȱpeopleȱ walkingȱtheȱmallȱandȱinȱandȱaboutȱtheȱdowntownȱarea.ȱȱTheȱattendeesȱwereȱalsoȱ lessȱthanȱcomplementaryȱwithȱDenverȱandȱinȱparticularȱtheȱdowntownȱarea.ȱȱ Item 11.a. - Page 165 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ143ȱ Someȱofȱtheȱcommentsȱreceivedȱfromȱattendeeȱinȱsurveyȱafterȱtheȱconferenceȱ were:ȱ o ‘Denverȱseemsȱlessȱsafeȱnowȱthatȱpotȱisȱlegalized.’ȱ o ‘Don’tȱhaveȱaȱmeetingȱinȱdowntownȱDenver…whatȱaȱdepressingȱ downtownȱarea.’ȱ o ‘Theȱneighborhoodȱhadȱwayȱtooȱmanyȱvagrants.ȱȱIȱdon’tȱrememberȱ Denverȱbeingȱthatȱbad.’ȱ o ‘Poorȱarea,ȱlotsȱofȱcrimeȱasȱweȱsatȱoutsideȱonȱaȱpatioȱonȱtheȱ16thȱStreetȱ mallȱonȱSundayȱeveningȱhavingȱaȱbeer,ȱIȱturnedȱmyȱheadȱtoȱlookȱatȱaȱ television,ȱwhenȱIȱturnedȱbackȱaȱstreetȱpersonȱwasȱdrinkingȱmyȱbeer.ȱȱIȱ amȱsureȱthisȱisȱnotȱanȱimageȱDenverȱwantsȱportrayedȱaroundȱtheȱ country.’”ȱ Homeless ȱ MarijuanaȱLegalizationȱinȱColorado:ȱHowȱRecreationalȱWeedȱisȱAttractingȱPeople,ȱ butȱSpikingȱtheȱState’sȱHomelessȱRate:7ȱȱInȱthisȱtwoȬpartȱreportingȱpiece,ȱaȱ25ȱyearȱoldȱ manȱnamedȱDevinȱButtsȱisȱfollowedȱaroundȱbyȱaȱreporterȱduringȱhisȱfirstȱtwoȱdaysȱinȱ Pueblo,ȱColorado.ȱȱDevinȱselfȬadmittedȱheȱmovedȱtoȱColoradoȱdueȱtoȱtheȱlegalȱ marijuanaȱindustryȱwhereȱheȱcanȱfreelyȱuseȱwithoutȱharassment.ȱȱAfterȱbeginningȱtoȱuseȱ marijuanaȱasȱaȱyouth,ȱDevinȱgraduatedȱtoȱhydrocodoneȱpills,ȱmethamphetamineȱandȱ crackȱandȱdidȱstintsȱinȱandȱoutȱofȱjailȱrelatedȱtoȱtheȱdrugȱuse.ȱȱAsȱaȱfinalȱdeterminingȱ factor,ȱDevinȱdecidedȱtoȱmoveȱtoȱColoradoȱfromȱTexasȱwhenȱ“…hisȱlawyerȱhadȱtoldȱ himȱtheȱnewȱmarijuanaȱchargeȱwasȱfinallyȱmovingȱforwardȱinȱtheȱcourts.ȱȱHeȱwasȱ lookingȱatȱanotherȱ120ȱdaysȱbehindȱbars.”ȱȱAsȱtheȱreporterȱfollowsȱDevinȱaround,ȱheȱ appliesȱforȱjobsȱatȱtheȱlocalȱmallȱandȱtakesȱseveralȱhitsȱofȱmarijuanaȱthroughoutȱtheȱday.ȱȱ WhileȱheȱisȱdeterminedȱtoȱbecomeȱaȱsuccessȱstoryȱinȱColorado,ȱheȱalsoȱisȱinȱlineȱwithȱtheȱ beliefȱthatȱtaxȱrevenueȱfromȱmarijuanaȱ“…shouldȱgoȱtoȱhelpȱthoseȱlikeȱhimselfȱthatȱhaveȱ beenȱluredȱtoȱtheȱregionȱbecauseȱofȱcannabis.”ȱȱLikewise,ȱvariousȱotherȱindividualsȱ involvedȱwithȱtheȱmarijuanaȱindustryȱasȱwellȱasȱhomelessȱservicesȱbelieveȱthatȱmoreȱ moneyȱ“…shouldȱgoȱtoȱunderstandingȱandȱaddressingȱtheȱneedsȱofȱtheȱpeopleȱwho’veȱ arrivedȱinȱtheȱstateȱwithȱanȱinterestȱinȱmarijuanaȱandȱnotȱmuchȱelse.”ȱ Furtherȱinformationȱfromȱtheȱseries:ȱȱAccordingȱtoȱtheȱreport,ȱ“Interviewsȱwithȱ peopleȱatȱhomelessȱsheltersȱinȱDenverȱandȱotherȱColoradoȱcitiesȱlikeȱPuebloȱsuggestȱthatȱ sinceȱColoradoȱlaunchedȱitsȱlegalizedȱcannabisȱsystemȱinȱ2014,ȱtheȱpercentageȱofȱ newcomersȱtoȱtheȱfacilitiesȱwhoȱareȱthereȱinȱpartȱbecauseȱofȱtheȱlureȱofȱmarijuanaȱhasȱ swollenȱtoȱ20ȱtoȱ30ȱpercent.”ȱȱ“Allȱtold,ȱseveralȱhundredȱmarijuanaȱmigrantsȱstrugglingȱ withȱpovertyȱappearȱtoȱbeȱarrivingȱinȱColoradoȱeachȱmonth.”ȱ Item 11.a. - Page 166 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ144ȱ Posada,ȱaȱhomelessȱservicesȱcenterȱinȱPueblo,ȱColorado:ȱ x AccordingȱtoȱAnneȱStattelman,ȱPosada’sȱdirector:ȱ o “Sheltersȱcurrentlyȱhaveȱenoughȱbedsȱforȱjustȱ1ȱpercentȱofȱtheȱarea’sȱtotalȱ homelessȱpopulation.”ȱ Denver’sȱSt.ȱFrancisȱCenterȱdayȱshelterȱinȱDenver,ȱColorado:ȱ x AccordingȱtoȱTomȱLuehrs,ȱexecutiveȱdirector:ȱ o “Aȱsurveyȱconductedȱbyȱaȱgradȱstudentȱlastȱyearȱfoundȱthatȱbetweenȱ17ȱ andȱ20ȱpercentȱofȱtheȱ350ȱorȱsoȱnewȱpeopleȱtheȱcenterȱwasȱseeingȱeachȱ monthȱsaidȱthey’dȱcomeȱtoȱtheȱareaȱinȱpartȱbecauseȱofȱmedicalȱmarijuana.”ȱ SalvationȱArmyȱCrossroadsȱShelterȱinȱDenver,ȱColorado:ȱ x AccordingȱtoȱLt.ȱCol.ȱDanielȱL.ȱStarrett,ȱIntermountainȱdivisionalȱcommanderȱforȱ theȱSalvationȱArmy:ȱ o “Anȱinformalȱsurveyȱofȱ500ȱnewcomersȱinȱtheȱsummerȱofȱ2014ȱdeterminedȱ thatȱnearlyȱ30ȱpercentȱwereȱthereȱbecauseȱofȱcannabis.”ȱ o “Notȱonlyȱhasȱthatȱnumberȱbeenȱsustained,ȱbutȱitȱhasȱcontinuedȱtoȱgrow.”ȱ UrbanȱPeak,ȱaȱshelterȱforȱpeopleȱagesȱ15ȱtoȱ24ȱinȱDenver,ȱColorado:ȱ x AccordingȱtoȱKimȱEaston,ȱCEO:ȱ o “Forȱaȱwhile,ȱweȱinformallyȱcollectedȱinformation,ȱandȱatȱleastȱoneȱinȱthreeȱ ofȱtheȱyouthȱwereȱsayingȱsaidȱ[sic]ȱtheyȱwereȱhereȱinȱDenverȱbecauseȱofȱ theȱlegalizationȱofȱmarijuana.”ȱ o “Inȱtheȱspringȱfollowingȱlegalization,ȱweȱhadȱaȱdramaticȱincreaseȱinȱtheȱ numberȱofȱyouthȱseekingȱservices,ȱaȱ150ȱpercentȱincreaseȱjustȱcomingȱinȱ theȱdoor.ȱȱThatȱhasȱbecomeȱourȱnewȱnormal.”ȱ ȱ Posada+,ȱPuebloȱCountyȱ(Colorado):ȱȱPosadaȱhasȱseenȱaȱ102ȱpercentȱincreaseȱinȱtheȱ numberȱofȱhomelessȱservedȱsinceȱ2013ȱwhenȱrecreationalȱmarijuanaȱwasȱlegalized.ȱȱ DirectorȱAnneȱStattelmanȱcitesȱthreeȱmajorȱreasonsȱpoorȱpeopleȱareȱcomingȱtoȱPueblo;ȱ includingȱlegalizedȱmarijuana,ȱexpandedȱMedicaid,ȱandȱtheȱreputationȱasȱaȱcheapȱplaceȱ toȱlive.8ȱ ȱ “UrbanȱTravelers”:ȱȱDenverȱMayorȱMichaelȱHancockȱhasȱblamedȱrecentȱtroubleȱonȱ downtownȱDenver’sȱ16thȱStreetȱMallȱonȱ“urbanȱtravelers”ȱandȱmarijuana.ȱȱMayorȱ Hancockȱsaid,ȱ“…heȱpersonallyȱtalkedȱtoȱsomeȱandȱtheyȱwereȱcandidȱaboutȱtheȱ attractionȱofȱmarijuana.”ȱȱDuringȱaȱnewsȱconferenceȱwhereȱMayorȱHancockȱdescribedȱ newȱsecurityȱmeasuresȱtoȱcounteractȱtheȱongoingȱtroubleȱonȱtheȱpopularȱdowntownȱ mall,ȱHancockȱreferredȱtoȱtheseȱindividualsȱasȱaȱ“scourgeȱofȱhoodlums”ȱandȱwentȱonȱtoȱ sayȱthatȱ“They’reȱtakingȱbedsȱfromȱourȱchronicallyȱhomelessȱpeople.”9ȱ Item 11.a. - Page 167 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ145ȱ Suicide Data ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱ(CDPHE),ȱColoradoȱViolentȱDeathȱ ReportingȱSystemȱ ȱȱ Item 11.a. - Page 168 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ146ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironmentȱ(CDPHE),ȱColoradoȱViolentȱDeathȱ ReportingȱSystemȱ Environmental Impact ȱ GrowingȱMarijuanaȱisȱDoingȱMoreȱDamageȱthanȱYouȱThink:ȱȱEnvironmentalȱ pollutionȱisȱespeciallyȱtroublesomeȱamongȱillegalȱmarijuanaȱgrowȱoperations.ȱȱManyȱ illegalȱgrowersȱpreferȱindoorȱlocationsȱdueȱtoȱbeingȱrelativelyȱdiscreet,ȱtheȱincreasedȱ control,ȱandȱtheȱyearȬlongȱproductionȱcapability.ȱȱRoughlyȱoneȬthirdȱofȱAmerica’sȱ marijuanaȱsupplyȱisȱcultivatedȱindoorsȱandȱtheȱenergyȱneededȱtoȱpowerȱtheseȱindoorȱ growȱopsȱisȱenoughȱtoȱpowerȱaroundȱ1.7ȱmillionȱhomes.ȱȱAsȱenergyȱisȱused,ȱgreenhouseȱ gasesȱsuchȱasȱcarbonȱdioxideȱandȱmethaneȱareȱproducedȱatȱaȱrateȱofȱ2ȱpoundsȱofȱCO2ȱ perȱjoint.ȱ Additionally,ȱoutdoorȱcultivationȱoperationsȱposeȱtheirȱownȱenvironmentalȱthreatsȱ including:ȱ x Waterȱresourceȱabuseȱ x Trespassȱgrowsȱonȱfederalȱlandȱorȱaȱstranger’sȱprivateȱpropertyȱ x Unauthorizedȱlandȱconversionȱ x Toxicȱratȱpoisonsȱ x Excessiveȱenergyȱuseȱ Theseȱillegalȱgrowȱoperationsȱdon’tȱnecessarilyȱaccountȱforȱtheȱdamageȱtheyȱcauseȱ and,ȱtherefore,ȱoftenȱleaveȱaȱnegativeȱimpactȱonȱtheȱenvironment.10ȱ ȱ Item 11.a. - Page 169 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ147ȱ MindȬBlowingȱFactsȱAboutȱMarijuanaȱProductionȱinȱAmerica:11ȱ x Trespassȱgrowsȱaccountedȱforȱ72ȱpercentȱofȱoutdoorȱplantsȱseizedȱinȱCaliforniaȱinȱ 2013.ȱȱNearlyȱhalfȱofȱtheȱcannabisȱeradicatedȱbyȱlawȱenforcementȱnationwideȱwasȱ onȱpublicȱorȱtribalȱland.ȱȱ x DuringȱCalifornia’sȱgrowingȱseason,ȱoutdoorȱgrowsȱconsumeȱroughlyȱ60ȱmillionȱ gallonsȱofȱwaterȱaȱdayȱ–ȱ50ȱpercentȱmoreȱthanȱisȱusedȱbyȱallȱtheȱresidentsȱofȱSanȱ Francisco.ȱ x Anȱindoorȱgrowȱmoduleȱaccommodatingȱ4ȱplantsȱsucksȱasȱmuchȱelectricityȱasȱ29ȱ refrigerators.ȱ x InȱCalifornia,ȱindoorȱmarijuanaȱgrowsȱaccountȱforȱaboutȱ9ȱpercentȱofȱhouseholdȱ electricityȱuse.ȱ x Forȱeveryȱpoundȱofȱpotȱgrownȱindoors,ȱ4,600ȱpoundsȱofȱCO2ȱgoesȱintoȱtheȱ atmosphere.ȱ x TheȱproductionȱandȱdistributionȱofȱpotȱinȱAmericaȱemitsȱasȱmuchȱcarbonȱasȱ3ȱ millionȱcars.ȱ ȱ WaterȱConsumptionȱMoreȱthanȱDoublesȱwithȱIllegalȱMarijuanaȱHomeȱGrowsȱinȱ Colorado:ȱȱPublicȱutilityȱrecordsȱrevealedȱthatȱwaterȱusageȱinȱoneȱillegalȱmarijuanaȱ homeȱgrowȱrangedȱfromȱ13,200ȱtoȱ18,000ȱgallonsȱperȱmonth.ȱȱWaterȱconsumptionȱbyȱ previousȱtenantsȱwithinȱtheȱsameȱexactȱresidenceȱaveragedȱ6,000ȱtoȱ7,000ȱgallonsȱperȱ month.12ȱ ȱ IllegalȱMarijuanaȱHomeȱGrowsȱareȱtheȱNewȱMethȱHouses:ȱȱIllegalȱhomeȱgrowsȱ presentȱsignificantȱpotentialȱrisksȱtoȱpublicȱhealthȱandȱpublicȱsafety.ȱȱColoradoȱhomesȱ usedȱforȱcultivatingȱmarijuanaȱoftenȱsustainȱextensiveȱdamage.ȱȱInȱmanyȱcasesȱtheseȱ operationsȱhaveȱcausedȱhouseȱfires,ȱblownȱelectricalȱtransformers,ȱmoldȱthroughoutȱtheȱ residences,ȱandȱenvironmentalȱdamages.ȱȱGrowingȱconditionsȱconsumeȱhighȱlevelsȱofȱ powerȱandȱwaterȱandȱresultsȱinȱtheȱdrainageȱofȱchemicalȬladenȱwasteȱwaterȱoftenȱ disposedȱofȱimproperly.ȱ Growersȱoftenȱalterȱtheȱinteriorȱstructureȱofȱtheseȱhomesȱtoȱenhanceȱtheirȱabilityȱtoȱ growȱyearȱround.ȱȱMostȱofȱtheseȱalterationsȱareȱnotȱtoȱcodeȱwhichȱpresentsȱseriousȱrisksȱ toȱfirstȱresponders.ȱȱHolesȱareȱcutȱintoȱtheȱfloors,ȱtamperingȱwithȱhighȱvoltageȱelectricalȱ systems,ȱlooseȱandȱextensionȱcordsȱpresentȱentrapmentȱhazards,ȱexplosiveȱchemicalsȱ suchȱasȱpropaneȱandȱbutaneȱallȱpresentȱclearȱhazardsȱforȱfireȱfightersȱandȱpoliceȱofficersȱ respondingȱtoȱtheȱresidenceȱinȱanȱemergencyȱsituation.ȱ “Muchȱlikeȱtheȱ‘methȱhouses’ȱofȱtheȱ1990’s,ȱmanyȱofȱtheseȱhomesȱmayȱultimatelyȱbeȱ renderedȱuninhabitable.”13ȱ ȱ StealingȱElectricityȱforȱHomeȱGrows:ȱȱ“Inȱsomeȱcases,ȱgrowersȱtapȱdirectlyȱintoȱ utilityȱlinesȱoutsideȱtheȱresidenceȱinȱorderȱtoȱ‘steal’ȱelectricityȱbeforeȱitsȱconsumptionȱisȱ Item 11.a. - Page 170 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ148ȱ registeredȱonȱtheȱproperty’sȱmeter.ȱȱThisȱpracticeȱisȱencounteredȱincreasinglyȱinȱ Coloradoȱresidentialȱgrows.ȱȱAsideȱfromȱtheȱpowerȱtheftȱinvolved,ȱhotȱtappingȱalsoȱ posesȱanȱincreasedȱfireȱandȱsafetyȱriskȱtoȱoccupants,ȱlandlords,ȱneighborsȱandȱfirstȱ responders.”14ȱ THC Potency ȱ ȱ SOURCE:ȱ PotencyȱMonitoringȱProgram,ȱQuarterlyȱReportȱNumberȱ132,ȱNationalȱCenterȱforȱNaturalȱ ProductsȱResearchȱ(NCNPR)ȱatȱtheȱUniversityȱofȱMississippi,ȱunderȱcontractȱwithȱtheȱNationalȱ InstituteȱonȱDrugȱAbuse.ȱ ȱȱ Item 11.a. - Page 171 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ149ȱ ȱ SOURCE:ȱ PotencyȱMonitoringȱProgram,ȱQuarterlyȱReportȱNumberȱ132,ȱNationalȱCenterȱforȱNaturalȱ ProductsȱResearchȱ(NCNPR)ȱatȱtheȱUniversityȱofȱMississippi,ȱunderȱcontractȱwithȱtheȱNationalȱ InstituteȱonȱDrugȱAbuse.ȱ Marijuana Use and Alcohol Consumption ȱ ™Thereȱareȱsomeȱwhoȱhaveȱtheorizedȱthatȱlegalizingȱmarijuanaȱwouldȱreduceȱ alcoholȱconsumption.ȱȱThusȱfarȱthatȱtheoryȱisȱnotȱsupportedȱbyȱtheȱdata.ȱ ȱȱ Item 11.a. - Page 172 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ150ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱRevenue,ȱColoradoȱLiquorȱExciseȱTaxȱ ȱ ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱRevenue,ȱColoradoȱLiquorȱExciseȱTaxȱ ȱ Item 11.a. - Page 173 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ151ȱ Related Material ȱ ColoradoȱStandsȱoutȱforȱConsumingȱDrugsȱandȱAlcohol:ȱȱ“TheȱSubstanceȱAbuseȱ andȱMentalȱHealthȱServicesȱAdministrationȱannuallyȱsurveysȱAmericansȱageȱ12ȱandȱ olderȱaboutȱwhetherȱtheyȱuseȱopioidȱpainkillersȱforȱnonȬmedicalȱreasonsȱorȱconsumeȱ anyȱmarijuana,ȱalcoholȱorȱcocaine.ȱȱStatesȱareȱrankedȱintoȱquintilesȱbasedȱonȱwhatȱ proportionȱofȱtheirȱpopulationȱusesȱeachȱsubstance,ȱtherebyȱcreatingȱaȱ‘topȱ10ȱlist’ȱforȱallȱ four.ȱȱColoradoȱstandsȱoutȱasȱtheȱonlyȱstateȱwhichȱisȱaȱtopȱconsumerȱofȱallȱfourȱ substances.”15ȱ Medical Marijuana Registry ȱ MedicalȱMarijuanaȱRegistryȱIdentificationȱCards16ȱ x Decemberȱ31,ȱ2009ȱ–ȱȱȱ41,039ȱ x Decemberȱ31,ȱ2010ȱ–ȱ116,198ȱ x Decemberȱ31,ȱ2011ȱ–ȱȱȱ82,089ȱ x Decemberȱ31,ȱ2012ȱ–ȱ108,526ȱ x Decemberȱ31,ȱ2013ȱ–ȱ110,979ȱ x Decemberȱ31,ȱ2014ȱ–ȱ115,467ȱ x Decemberȱ31,ȱ2015ȱ–ȱ107,534ȱ ȱ ProfileȱofȱColoradoȱMedicalȱMarijuanaȱCardholders:17ȱ x Ageȱofȱcardholderȱ o 65ȱpercentȱmale,ȱwithȱanȱaverageȱageȱofȱ42ȱyearsȱ o 0.3ȱpercentȱbetweenȱtheȱagesȱofȱ0ȱandȱ17ȱ o ȱ49ȱpercentȱbetweenȱtheȱagesȱofȱ18ȱandȱ40ȱ ƒ23ȱpercentȱbetweenȱtheȱagesȱofȱ21ȱandȱ30ȱ x Reportingȱmedicalȱconditionȱofȱcardholderȱ o 93ȱpercentȱreportȱsevereȱpainȱasȱtheȱmedicalȱconditionȱ o ȱȱ6ȱpercentȱcollectivelyȱreportȱcancer,ȱglaucomaȱandȱHIV/AIDSȱ o ȱȱ2ȱpercentȱreportȱseizuresȱ ȱȱ Item 11.a. - Page 174 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ152ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱMedicalȱMarijuanaȱStatisticsȱ ȱ NOTE:ȱ TOTALȱDOESȱNOTȱEQUALȱ100ȱPERCENTȱASȱSOMEȱPATIENTSȱREPORTȱUSINGȱMEDICALȱ MARIJUANAȱFORȱMOREȱTHANȱONEȱDEBILITATINGȱMEDICALȱCONDITION.ȱ Related Material ȱ DocsȱGoneȱWildȱonȱPotȱReferrals:ȱȱForȱtheȱfirstȱtimeȱtheȱmedicalȱboardȱhasȱtakenȱ actionȱagainstȱsomeȱdoctorsȱforȱoverȬrecommendingȱplantȱcountȱgrowsȱforȱmedicalȱ marijuanaȱcardholders.ȱȱ“StateȱrecordsȱcurrentȱthroughȱtheȱendȱofȱMayȱshowȱthatȱ478ȱ patientsȱhaveȱrecommendationsȱforȱmoreȱthanȱ75ȱplants.ȱȱAnotherȱ1,324ȱpatientsȱhaveȱ permissionȱtoȱgrowȱbetweenȱ50ȱtoȱ75ȱplants.ȱȱMoreȱthanȱ2,200ȱhaveȱbeenȱrecommendedȱ toȱgrowȱbetweenȱ26ȱandȱ50ȱplants.”ȱWithȱthatȱmuchȱproductȱavailable,ȱevenȱconsideringȱ aȱpatient’sȱtoleranceȱlevelȱorȱcomplicatedȱcookingȱprocessesȱtoȱcreateȱedibleȱproducts,ȱitȱ isȱfoolishȱtoȱassumeȱ“…noȱoneȱwithȱthatȱamountȱofȱmarijuanaȱwouldȱeverȱbeȱtemptedȱtoȱ engageȱinȱblackȬmarketȱorȱundergroundȱsales.”18ȱ ȱ Item 11.a. - Page 175 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ153ȱ Colorado Licensed Marijuana Businesses as of January 2016 ȱ MedicalȱMarijuana:19ȱ x 516ȱmedicalȱmarijuanaȱcentersȱ(dispensaries)ȱ x 751ȱmarijuanaȱcultivationȱfacilitiesȱ x 202ȱinfusedȱproductsȱ(edibles)ȱbusinessesȱ ȱ RecreationalȱMarijuana:20ȱ x 424ȱmarijuanaȱretailȱstoresȱ x 514ȱmarijuanaȱcultivationȱfacilitiesȱ x 168ȱinfusedȱproductȱ(edibles)ȱbusinessesȱ x ȱȱ17ȱtestingȱfacilitiesȱ Business Comparisons, January 2016 ȱ ȱ SOURCE:ȱ ColoradoȱDepartmentȱofȱRevenue;ȱStarbucksȱCoffeeȱCompany,ȱCorporateȱOfficeȱHeadquarters;ȱ McDonaldsȱCorporation,ȱCorporateȱOfficeȱHeadquartersȱ ȱ Item 11.a. - Page 176 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ154ȱ Demand and Market Size ȱ TheȱColoradoȱDepartmentȱofȱRevenueȱpublishedȱaȱreportȱinȱJulyȱ2014ȱcalled,ȱ “MarketȱSizeȱandȱDemandȱforȱMarijuanaȱinȱColorado.”ȱȱSomeȱofȱtheȱinformationȱ included:21ȱ Demand ȱ x Inȱ2014,ȱtheȱestablishedȱdemandȱforȱmarijuanaȱbyȱColoradoȱresidentsȱ21ȱyearsȱ andȱolderȱisȱ121.4ȱmetricȱtonsȱ(267,638.44ȱpounds)ȱofȱmarijuana.ȱ ȱ x Inȱ2014,ȱtheȱestimatedȱdemandȱforȱmarijuanaȱbyȱoutȬofȬstateȱvisitorsȱ21ȱyearsȱandȱ olderȱisȱ8.9ȱmetricȱtonsȱ(19,620.94ȱpounds).ȱ ȱ x Theȱpotentialȱrangeȱofȱdemandȱforȱtheȱaboveȱtwoȱgroupsȱisȱbetweenȱ104.2–157.9ȱ metricȱtonsȱ(betweenȱ229,719.32ȱandȱ348,106.34ȱpounds).ȱ Market Size ȱ x Thereȱareȱanȱestimatedȱ485,000ȱColoradoȱadultȱregularȱmarijuanaȱusersȱ(atȱleastȱ onceȱperȱmonth),ȱwhichȱisȱ9ȱpercentȱofȱtheȱtotalȱColoradoȱpopulationȱofȱallȱagesȱ (5.363ȱmillion).ȱ ȱ x Heavyȱusersȱwhoȱconsumeȱmarijuanaȱnearlyȱdailyȱmakeȱupȱtheȱtopȱ21.8ȱpercentȱ ofȱtheȱuserȱpopulationȱbutȱaccountȱforȱ66.9ȱpercentȱofȱtheȱdemandȱforȱmarijuana.ȱ ȱ x OutȬofȬstateȱvisitorsȱrepresentȱaboutȱ44ȱpercentȱofȱtheȱmetroȱareaȱmarijuanaȱretailȱ saleȱofȱmarijuanaȱandȱapproximatelyȱ90ȱpercentȱofȱsalesȱinȱheavilyȬvisitedȱ mountainȱcommunities.ȱ ȱ x Coloradoȱhasȱ23ȱpercentȱofȱitsȱusersȱconsumeȱnearlyȱdailyȱcomparedȱtoȱ17ȱ percentȱnationally;ȱthatȱisȱ35.29ȱpercentȱhigher.ȱ Third Quarter 2015 Reported Sales of Marijuana in Colorado (January – September)22 ȱ x ȱȱȱ111,046ȱpoundsȱofȱmedicalȱmarijuanaȱflowerȱ x ȱȱȱȱȱ77,964ȱpoundsȱofȱrecreationalȱmarijuanaȱflowerȱ Item 11.a. - Page 177 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ155ȱ x 1,719,551ȱunitsȱofȱmedicalȱedibleȱproductsȱ x 3,932,215ȱunitsȱofȱrecreationalȱedibleȱproducts ȱ ™Aȱsingleȱounceȱofȱmarijuana,ȱdependingȱonȱtheȱsolventȱtypeȱandȱproductionȱ method,ȱcanȱproduceȱbetweenȱ347ȱandȱ413ȱediblesȱofȱ10ȱmgȱTHCȱstrength.ȱ 2014 Price of Marijuana23 ȱ ȱ 1ȱGram Ounceȱ Buds/Flowersȱ $14.03ȱ $264.14ȱ Ediblesȱ $24.99ȱ(100ȱmg)ȱ N/Aȱ Concentratesȱ $55.00ȱ N/Aȱ Local Response to the Medical and Recreational Marijuana Industry in Colorado24 ȱ RecreationalȱMarijuanaȱBusinessȱandȱLocalȱJurisdictionȱResponse:ȱ ȱ x 272ȱmunicipalities*ȱ x 234ȱmunicipalitiesȱhaveȱtakenȱactionȱonȱtheȱissueȱ o 75ȱpercentȱhaveȱprohibitedȱ(168)ȱorȱhaveȱaȱmoratoriumȱ(8)ȱ o 25ȱpercentȱhaveȱallowedȱ(58)ȱ ȱ x 62ȱcounties*ȱ(unincorporatedȱareas)ȱ o 63ȱpercentȱhaveȱprohibitedȱorȱhaveȱaȱmoratoriumȱ(39)ȱ o 37ȱpercentȱhaveȱallowedȱ(23)ȱ ȱ x 296ȱlocalȱjurisdictionsȱhaveȱaddressedȱtheȱissueȱ o 73ȱpercentȱhaveȱprohibitedȱorȱhaveȱaȱmoratoriumȱ(215)ȱ o 27ȱpercentȱhaveȱallowedȱ(81)ȱ ȱ x 334ȱtotalȱofȱallȱlocalȱjurisdictionsȱ o 64ȱpercentȱhaveȱprohibitedȱorȱhaveȱaȱmoratoriumȱ(215)ȱ o 24ȱpercentȱhaveȱallowedȱ(81)ȱ o 11ȱpercentȱhaveȱnotȱaddressedȱtheȱissueȱ(38)ȱ ȱ *ȱBroomfieldȱandȱDenverȱareȱbothȱaȱcityȱandȱcountyȱbutȱincludedȱonlyȱonceȱinȱmunicipalitiesȱdata.ȱ Item 11.a. - Page 178 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ156ȱ MedicalȱandȱRecreationalȱBusinessȱandȱLocalȱJurisdictionȱResponse:25ȱ ȱ x 68ȱpercentȱhaveȱbannedȱ(218)ȱ x 32ȱpercentȱhaveȱallowedȱ(104)ȱ Sources: ȱ 1ȱȱCBSȱDenver/Channelȱ4,ȱJuneȱ30,ȱ2016,ȱ“ManȱWithȱPVCȱPipeȱGoesȱAfterȱPeopleȱOnȱ 16thȱStreetȱMall,”ȱ<http://denver.cbslocal.com/2016/06/30/manȬwieldingȬpvcȬpipeȬgoesȬ afterȬpeopleȬonȬ16thȬstreetȬmall/>,ȱaccessedȱJuneȱ30,ȱ2016ȱ ȱ 2ȱȱAssociatedȱPress,ȱTheȱWashingtonȱTimes,ȱJulyȱ5,ȱ2016,ȱ“Coloradoȱhomicidesȱupȱ15ȱ percent;ȱrapesȱupȱbyȱ11ȱpercent”,ȱ <http://www.washingtontimes.com/news/2016/jul/5/coloradoȬhomicidesȬupȬ15ȬpercentȬ rapesȬupȬbyȬ11Ȭpe/>,ȱaccessedȱJulyȱ5,ȱ2016ȱ ȱ 3ȱȱAndyȱKoen,ȱKOAAȱTVȱChannelȱ5,ȱJuneȱ28,ȱ2016,ȱ“FamilyȱtriedȱtoȱgetȱHalloweenȱ massȱshooterȱcommitted,”ȱ<http://www.koaa.com/story/32330489/familyȬtriedȬtoȬgetȬ halloweenȬmassȬshooterȬcommitted>,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱ 4ȱȱAdamsȱCountyȱ(Colorado)ȱSheriff’sȱOfficeȱ ȱ 5ȱȱMeganȱArellano,ȱColoradoȱPublicȱRadio,ȱJuneȱ12,ȱ2015,ȱ“Colo.ȱPotȱDirectorȱTellsȱ Mass.ȱThatȱStateȱRevenueȱGainsȱAreȱaȱMyth’”,ȱ <https://www.cpr.org/news/newsbeat/coloȬpotȬdirectorȬtellsȬmassȬstateȬrevenueȬgainsȬ areȬmyth>,ȱaccessedȱAugustȱ9,ȱ2016ȱ ȱ 6ȱȱNelsonȱGarcia,ȱKUSA/9News.com,ȱAugustȱ16,ȱ2016,ȱ“MarijuanaȱTaxȱRevenueȱ ImpactsȱSmallȱDistricts,”ȱ<ȱhttp://www.9news.com/news/marijuanaȬtaxȬmoneyȬimpactsȬ smallȬschoolȬdistricts/299656466>,ȱaccessedȱAugustȱ16,ȱ2016ȱ ȱ 7ȱȱJoelȱWarner,ȱInternationalȱBusinessȱTimes,ȱJuneȱ20,ȱ2016,ȱ“MarijuanaȱLegalizationȱInȱ Colorado:ȱHowȱRecreationalȱWeedȱIsȱAttractingȱPeople,ȱButȱSpikingȱTheȱState’sȱ HomelessȱRateȱ[PARTȱONE]”,ȱ<http://www.ibtimes.com/>,ȱaccessedȱJuneȱ20,ȱ2016ȱ ȱ 8ȱȱAnneȱStattelman,ȱ“LinksȱandȱPowerPoint”,ȱeȬmailȱmessage,ȱAugustȱ19,ȱ2016ȱ ȱ Item 11.a. - Page 179 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ157ȱ 9ȱȱNoelleȱPhillips,ȱTheȱDenverȱPost,ȱJuneȱ30,ȱ2016,ȱ“Denverȱmayorȱsaysȱviolenceȱwon’tȱ beȱtoleratedȱonȱ16thȱStreetȱMall,”ȱ<http://www.denverpost.com/2016/06/30/16thȬstreetȬ mallȬvideoȬattack/>,ȱaccessedȱJuneȱ30,ȱ2016ȱ ȱ 10ȱȱAbbyȱHutmacher,ȱPotGuide.comȱColorado,ȱFebruaryȱ1,ȱ2016,ȱ“GrowingȱMarijuanaȱ isȱDoingȱMoreȱDamageȱThanȱYouȱThink,”ȱ <https://www.coloradopotguide.com/coloradoȬmarijuanaȬ blog/2016/february/01/growingȬmarijuanaȬisȬdoingȬmoreȬdamageȬthanȬyouȬthink/>,ȱ accessedȱJuneȱ17,ȱ2016ȱ ȱ 11ȱȱJoshȱHarkinson,ȱBrettȱBrownellȱandȱJuliaȱLurie,ȱMotherȱJones,ȱ“24ȱMindȬBlowingȱ FactsȱAboutȱMarijuanaȱProductionȱinȱAmerica,”ȱMarch/Aprilȱ2014ȱIssue,ȱ <http://www.motherjones.com/print/244516>,ȱaccessedȱJuneȱ17,ȱ2016ȱ ȱ 12ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱJulyȱ2016ȱ ȱ 13ȱȱȱ“ResidentialȱMarijuanaȱGrowsȱinȱColorado:ȱTheȱNewȱMethȱHouses?”ȱDEAȱ IntelligenceȱReport:ȱUNCLASSIFIED,ȱDEAȬDENȬDIRȬ041Ȭ16,ȱJuneȱ2016ȱȱ ȱ 14ȱȱDrugȱEnforcementȱAdministration,ȱDenverȱFieldȱDivision,ȱMayȱ2016ȱ ȱ 15ȱȱTheȱWashingtonȱPostȱasȱpublishedȱinȱTheȱDenverȱPost,ȱMayȱ23,ȱ2016,ȱ“Survey:ȱ Coloradoȱstandsȱoutȱforȱconsumingȱdrugs,ȱalcohol,”ȱ <http://www.denverpost.com/2016/05/23/coloradoȬfirstȬinȬdrugsȬsurvey/>,ȱaccessedȱ Juneȱ9,ȱ2016ȱ ȱ 16ȱȱColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱ“MedicalȱMarijuanaȱ RegistryȱProgramȱUpdateȱ(asȱofȱMarchȱ31,ȱ2015)”,ȱ <https://www.colorado.gov/pacific/sites/default/files/03_2015_%20MMR_report_draft.p df>,ȱaccessedȱMayȱ15,ȱ2015ȱ ȱ 17ȱȱColoradoȱDepartmentȱofȱPublicȱHealthȱandȱEnvironment,ȱ“MedicalȱMarijuanaȱ RegistryȱProgramȱUpdateȱ(asȱofȱMarchȱ31,ȱ2015)”,ȱ <https://www.colorado.gov/pacific/sites/default/files/03_2015_%20MMR_report_draft.p df>,ȱaccessedȱMayȱ15,ȱ2015ȱ ȱ 18ȱȱ“TheȱPostȱEditorials:ȱȱDocsȱgoneȱwildȱonȱpotȱreferrals,ȱ“TheȱDenverȱPost,ȱ Wednesday,ȱJulyȱ27,ȱ2016,ȱOpinionȱSection,ȱp.ȱ17A,ȱcol.ȱ1ȱ ȱ 19ȱȱColoradoȱDepartmentȱofȱRevenue,ȱMarijuanaȱEnforcementȱDivisionȱ Item 11.a. - Page 180 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ9:ȱȱRelatedȱDataȱȱ Pageȱ|ȱ158ȱ ȱ 20ȱȱJohnȱIngold,ȱTheȱDenverȱPost,ȱFebruaryȱ20,ȱ2014,ȱ“Lotȱofȱgreenȱwillȱrollȱin”ȱ ȱ 21ȱȱMarijuanaȱPolicyȱGroupȱforȱtheȱColoradoȱDepartmentȱofȱRevenue,ȱExecutiveȱ Summary,ȱ“MarketȱSizeȱandȱDemandȱforȱMarijuanaȱinȱColorado,”ȱJulyȱ2014ȱ ȱ 22ȱȱColoradoȱDepartmentȱofȱRevenueȱEnforcementȱDivisionȱ–ȱMarijuana,ȱJanuaryȱ28,ȱ 2015,ȱ“MEDȱ2015ȱThirdȱQuarterȱUpdate”ȱ ȱ 23ȱȱColoradoȱDepartmentȱofȱRevenue,ȱ“MarijuanaȱEquivalencyȱinȱPortionsȱandȱ Dosage”,ȱAugustȱ10,ȱ2015ȱ ȱ 24ȱȱColoradoȱMunicipalȱLeagueȱandȱColoradoȱCounties,ȱInc.ȱ ȱ 25ȱȱColoradoȱDepartmentȱofȱRevenueȱMarijuanaȱEnforcementȱDivision,ȱ2015ȱThirdȱ QuarterȱUpdateȱ ȱ Item 11.a. - Page 181 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ159ȱ SECTION 10: Reference Materials ȱ Reports and Articles Government ȱ ˆWashingtonȱStateȱMarijuanaȱImpactȱReportȱbyȱNorthwestȱHighȱIntensityȱDrugȱ TraffickingȱAreaȱ(NWHIDTA),ȱMarchȱ2016ȱ TheȱNorthwestȱHIDTAȱwroteȱthisȱinȬdepthȱreportȱinȱorderȱtoȱdiscussȱtheȱ regulatoryȱfunctionsȱsetȱbyȱmarijuanaȱpolicy,ȱpresentȱdataȱonȱtheȱimpactsȱofȱtheȱ industry,ȱandȱtoȱdepictȱwhereȱWashingtonȱStateȱstandsȱafterȱoneȱyearȱofȱ commercialization.ȱȱTopicsȱaddressedȱincludeȱaȱregulatoryȱoverview,ȱimpactȱonȱ youth,ȱimpactȱonȱadults,ȱimpairedȱdriving,ȱdiversionȱofȱmarijuana,ȱTHCȱextraction,ȱ marijuanaȬrelatedȱcrime,ȱcurrentȱmarketsȱandȱtheȱupcomingȱmarket.1ȱ ȱ ˆReviewȱofȱLiteratureȱandȱSubcommitteeȱReportsȱbyȱtheȱWyomingȱGovernor’sȱ MarijuanaȱImpactȱAssessmentȱCouncil,ȱFebruaryȱ2016ȱ TheȱrecentȱlegalizationȱofȱmarijuanaȱinȱColoradoȱandȱotherȱstatesȱcreatesȱanȱ environmentȱwhereȱitȱisȱimportantȱtoȱhaveȱaccessȱtoȱunbiasedȱscientificȱinformationȱ andȱreportsȱfromȱreliableȱsourcesȱonȱtheȱsubject.ȱȱWithȱthatȱinȱmind,ȱtheȱWyomingȱ GovernorsȱMarijuanaȱImpactȱAssessmentȱCouncilȱ(GMIAC)ȱwasȱcreatedȱinȱJulyȱofȱ 2015.ȱȱThisȱgroupȱconsistsȱofȱlegislators,ȱdivisionȱdirectors,ȱphysicians,ȱlawȱ enforcementȱpersonnel,ȱexecutiveȱdirectors,ȱstatisticians,ȱprofessors,ȱresearchȱ scientistsȱandȱothersȱwhoȱallȱcomeȱtogetherȱforȱtheȱpurposeȱofȱassistingȱlegislatorsȱ andȱtheȱpublicȱinȱmakingȱinformedȱdecisionsȱconcerningȱvaryingȱlevelsȱofȱmarijuanaȱ legalization.ȱȱWithinȱthisȱreport,ȱareasȱofȱpossibleȱimpactȱthatȱareȱaddressedȱincludeȱ education,ȱhealth,ȱagriculture,ȱrevenue,ȱcriminalȱjusticeȱandȱmore.2ȱ ȱ ˆReportȱofȱtheȱSpecialȱSenateȱCommitteeȱonȱMarijuanaȱbyȱtheȱSpecialȱSenateȱ CommitteeȱonȱMarijuana,ȱMarchȱ8th,ȱ2016ȱ TheȱMassachusettsȱSenateȱcreatedȱtheȱSpecialȱSenateȱCommitteeȱonȱMarijuanaȱinȱ February,ȱ2015.ȱȱTheȱpurposeȱofȱtheȱcommitteeȱwasȱtoȱresearchȱandȱanalyzeȱtheȱ policyȱramificationsȱifȱMassachusettsȱwereȱtoȱlegalizeȱtheȱadultȱrecreationalȱuseȱandȱ Item 11.a. - Page 182 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ160ȱ saleȱofȱmarijuana.ȱȱTheȱcommitteeȱwasȱgivenȱtheȱresponsibilityȱofȱconductingȱanȱ objectiveȱreviewȱofȱmarijuanaȱpolicyȱinȱMassachusettsȱasȱwellȱasȱlessonsȱtoȱbeȱ learnedȱfromȱotherȱstates,ȱparticularlyȱColoradoȱandȱWashington.ȱȱInȱthisȱreport,ȱtheȱ committeeȱrecommendsȱactionsȱforȱtheȱstateȱtoȱaddressȱnumerousȱpolicyȱissuesȱifȱ marijuanaȱwereȱtoȱbeȱlegalizedȱinȱMassachusetts.3ȱ ȱ ˆMarijuanaȱLegalizationȱinȱColorado:ȱEarlyȱFindingsȱbyȱtheȱColoradoȱDepartmentȱ ofȱPublicȱSafety,ȱMarchȱ2016ȱ SinceȱtheȱpassageȱofȱAmendmentȱ64,ȱwhichȱallowsȱforȱtheȱretailȱsaleȱandȱ possessionȱofȱmarijuanaȱinȱColorado,ȱtheȱDivisionȱofȱCriminalȱJusticeȱwithinȱtheȱ DepartmentȱofȱPublicȱSafetyȱhasȱstudiedȱtheȱimpactsȱofȱAmendmentȱ64ȱ(particularlyȱ asȱtheseȱrelateȱtoȱlawȱenforcementȱactivities).ȱȱThisȱreportȱdescribesȱearlyȱfindingsȱofȱ marijuanaȱlegalizationȱwithinȱtheȱstate.ȱȱMoreȱspecifically,ȱtheȱimpactȱonȱpublicȱ safety,ȱpublicȱhealth,ȱandȱyouthȱareȱstudiedȱandȱdiscussed.ȱ4ȱ ȱ ˆImpactsȱofȱtheȱDowntownȱEnvironmentȱonȱtheȱTourismȱIndustryȱandȱVisitorȱ PerceptionsȱbyȱVISITȱDENVER,ȱNovemberȱ12th,ȱ2015ȱ VISITȱDENVERȱisȱtheȱmarketingȱorganizationȱforȱtheȱCityȱofȱDenver.ȱȱThisȱ presentationȱhighlightsȱtheȱsafetyȱtrendsȱandȱfeedbackȱthatȱVISITȱDENVERȱhasȱ receivedȱfromȱconventionȱandȱleisureȱvisitorsȱoverȱtheȱspanȱofȱseveralȱyears.ȱȱSomeȱ issuesȱdiscussedȱincludeȱtheȱhomeless,ȱyouth,ȱpanhandling,ȱsafety,ȱcleanliness,ȱandȱ drugsȱincludingȱpublicȱmarijuanaȱconsumptionȱonȱtheȱstreetsȱofȱDenver.5ȱ ȱ ˆReportȱtoȱtheȱJointȱBudgetȱCommitteeȱbyȱtheȱColoradoȱDepartmentȱofȱRevenue,ȱ EnforcementȱDivisionȱ–ȱMarijuana,ȱAprilȱ1st,ȱ2016ȱ ThisȱreportȱdetailsȱtheȱprogressȱbeingȱmadeȱbyȱtheȱStateȱLicensingȱAuthorityȱinȱ processingȱlicenses,ȱinȱadditionȱtoȱprovidingȱanȱoverviewȱofȱtheȱretailȱmarijuanaȱ markets,ȱrevenueȱgeneratedȱbyȱmedicalȱandȱrecreationalȱmarijuanaȱbusinesses,ȱ expensesȱincurredȱbyȱtheȱStateȱLicensingȱAuthority,ȱtheȱnumberȱofȱmedicalȱ establishmentsȱapplyingȱtoȱconvertȱtoȱretailȱestablishments,ȱandȱenforcementȱ measuresȱtakenȱagainstȱlicensedȱpersons.6ȱ ȱ ˆThirdȱQuarterȱUpdateȱbyȱtheȱColoradoȱDepartmentȱofȱRevenue,ȱEnforcementȱ Divisionȱ–ȱMarijuana,ȱJanuaryȱ28th,ȱ2016ȱ Thisȱreportȱincludesȱinformationȱonȱmarijuanaȱbusinessȱlicensingȱstatus,ȱnumberȱ ofȱplantsȱcultivatedȱforȱmedicalȱandȱrecreationalȱpurposes,ȱvolumeȱofȱmarijuanaȱsoldȱ withinȱbothȱrecreationalȱandȱmedicalȱmarkets,ȱunitsȱofȱinfusedȱediblesȱandȱnonȬ ediblesȱsold,ȱmandatoryȱretailȱtestingȱforȱedibles,ȱenforcementȱactivityȱandȱ administrativeȱactionsȱtakenȱbyȱtheȱStateȱLicensingȱAuthorityȱfromȱJanuaryȱthroughȱ Septemberȱ2015.7ȱ Item 11.a. - Page 183 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ161ȱ ȱ ˆMarijuanaȱEquivalencyȱinȱPortionȱandȱDosageȱbyȱtheȱColoradoȱDepartmentȱofȱ Revenue,ȱAugustȱ10th,ȱ2015ȱ Thisȱstudyȱprovidesȱunbiased,ȱscientificȱinformationȱthatȱcanȱbeȱusedȱtoȱsuggestȱ appropriateȱequivalenciesȱbetweenȱflowerȱandȱalternativeȱmarijuanaȱproducts.ȱȱItȱisȱ aȱsummaryȱofȱhowȱdifferentȱmarijuanaȱproductsȱareȱproducedȱandȱconsumed.ȱȱTheȱ informationȱinȱthisȱstudyȱcanȱbeȱusedȱtoȱconvertȱconcentrateȱandȱinfusedȱproductsȱ intoȱtheirȱflowerȱweightȱequivalentsȱfromȱbothȱaȱproductionȱandȱconsumptionȱ viewpoint.8ȱ ȱ ˆResidentialȱMarijuanaȱGrowsȱinȱColorado:ȱTheȱNewȱMethȱHousesȱbyȱtheȱDrugȱ EnforcementȱAdministrationȱ(DEA)ȱDenverȱDivision,ȱJuneȱ2016ȱ Inȱthisȱreport,ȱtheȱproliferationȱofȱlargeȬscaleȱmarijuanaȱgrowȱoperationsȱisȱ examined.ȱȱTheȱeffectsȱofȱtheseȱlargeȬscaleȱmarijuanaȱgrowȱoperationsȱareȱdiscussed,ȱ alongȱwithȱanȱoutlookȱfromȱtheȱperspectiveȱofȱtheȱDEA.9ȱ ȱ ˆMarijuanaȱEnforcementȱinȱNebraskaȱbyȱtheȱNebraskaȱCenterȱforȱJusticeȱResearch,ȱ 2016ȱ Thisȱreportȱdetailsȱtrendsȱinȱlawȱenforcementȱandȱcorrectionsȱrelatedȱtoȱtheȱ possessionȱandȱsaleȱofȱmarijuanaȱinȱNebraskaȱinȱtheȱfirstȱfullȱyearȱofȱrecreationalȱ legalizationȱinȱColorado.10ȱ Youth ȱ ˆTheȱImpactȱofȱMarijuanaȱPoliciesȱonȱYouthȱ–ȱTechnicalȱReport,ȱbyȱtheȱAmericanȱ AcademyȱofȱPediatrics,ȱMarchȱ2015ȱ Thisȱtechnicalȱreportȱupdatesȱtheȱ2004ȱAmericanȱAcademyȱofȱPediatricsȱ(AAP)ȱ reportȱonȱtheȱlegalizationȱofȱmarijuana.ȱȱEpidemiologyȱofȱmarijuanaȱuseȱisȱ presented,ȱasȱareȱdefinitionsȱandȱbiologyȱofȱmarijuanaȱcompounds,ȱsideȱeffectsȱofȱ marijuanaȱuse,ȱandȱeffectsȱofȱuseȱonȱadolescentȱbrainȱdevelopment.ȱȱInȱaddition,ȱfourȱ differentȱapproachesȱtoȱtheȱlegalizationȱofȱmarijuanaȱinȱtheȱUnitedȱStatesȱareȱ discussedȱandȱcompared.ȱȱLastly,ȱthreeȱseparateȱpolicyȱapproachesȱonȱadolescentȱ marijuanaȱuseȱareȱdiscussed.11ȱ ȱ ˆTheȱImpactȱofȱMarijuanaȱPoliciesȱonȱYouthȱ–ȱPolicyȱStatement,ȱbyȱtheȱAmericanȱ AcademyȱofȱPediatricsȱ(AAP),ȱMarchȱ2015ȱ ThisȱpolicyȱstatementȱisȱanȱupdateȱofȱtheȱAmericanȱAcademyȱofȱPediatricsȱ(AAP)ȱ policyȱstatementȱ“LegalizationȱofȱMarijuana:ȱPotentialȱImpactȱonȱYouth,”ȱ2004.ȱȱInȱ thisȱpositionȱstatement,ȱtheȱAAPȱexaminesȱtheȱissueȱofȱmarijuanaȱlegalization;ȱmoreȱ Item 11.a. - Page 184 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ162ȱ specifically,ȱtheȱeffectsȱofȱmarijuana,ȱdecriminalizationȱeffortsȱandȱeffects,ȱ conclusions.ȱȱRecommendationsȱinȱregardȱtoȱtheȱlegalizationȱofȱmarijuanaȱareȱ providedȱbyȱtheȱAAP.12ȱ ȱ ˆMarijuanaȱUse:ȱȱDetrimentalȱtoȱYouthȱbyȱtheȱAmericanȱCollegeȱofȱPediatricians,ȱ Aprilȱ2016ȱ AccordingȱtoȱtheȱAmericanȱCollegeȱofȱPediatriciansȱ(ACP),ȱmarijuanaȱisȱ addicting,ȱhasȱadverseȱeffectsȱuponȱtheȱadolescentȱbrain,ȱisȱaȱriskȱforȱbothȱcardioȬ respiratoryȱdiseaseȱandȱtesticularȱcancer,ȱandȱisȱassociatedȱwithȱbothȱpsychiatricȱ illnessȱandȱnegativeȱsocialȱoutcomes.ȱȱEvidenceȱindicatesȱlimitedȱlegalizationȱofȱ marijuanaȱhasȱalreadyȱraisedȱratesȱofȱunintendedȱmarijuanaȱexposureȱamongȱyoungȱ children,ȱandȱmayȱincreaseȱadolescentȱuse.ȱȱTherefore,ȱtheȱAmericanȱCollegeȱofȱ Pediatriciansȱopposesȱtheȱlegalizationȱofȱmarijuanaȱforȱrecreationalȱuseȱandȱurgesȱ extremeȱcautionȱinȱlegalizingȱmarijuanaȱforȱmedicinalȱuse.ȱ3ȱ ȱ ˆCannabisȱDoesȱAlterȱYourȱBrainȱbyȱLisaȱRyan,ȱFebruaryȱ11th,ȱ2016ȱ ThisȱarticleȱdescribesȱresearchȱbyȱleadȱstudyȱauthorȱDr.ȱFrancescaȱFilbey,ȱofȱtheȱ UniversityȱofȱTexasȱatȱDallas.ȱȱTheȱresearchȱdescribedȱwasȱfocusedȱonȱlookingȱ deeperȱintoȱtheȱeffectsȱofȱusingȱmarijuanaȱearlyȱinȱlife.ȱȱSpecifically,ȱtheȱstudyȱfoundȱ thatȱsubjectsȱwhoȱbeganȱuseȱofȱmarijuanaȱpriorȱtoȱageȱ16ȱhadȱunderdevelopedȱ prefrontalȱcortexes.ȱȱFurthermore,ȱsubjectsȱwhoȱbeganȱtheirȱuseȱafterȱtheȱageȱofȱ16ȱ experiencedȱacceleratedȱbrainȱagingȱ14ȱ ȱ ˆCannabisȱUseȱisȱQuantitativelyȱAssociatedȱwithȱNucleusȱAccumbensȱandȱ AmygdalaȱAbnormalitiesȱinȱYoungȱAdultȱRecreationalȱUsersȱbyȱJodiȱM.ȱGilmanȱetȱ al.,ȱ16ȱAprilȱ2014ȱ ThisȱarticleȱdescribesȱaȱstudyȱperformedȱbyȱHarvardȱandȱNorthwesternȱ Universityȱresearchersȱwhichȱaimsȱtoȱlookȱcloselyȱatȱtheȱeffectsȱofȱ tetrahydrocannabinolȱ(THC)ȱonȱbrainȱdevelopment.ȱȱMoreȱspecifically,ȱresearchersȱ examinedȱtheȱbrainȱmorphometryȱonȱyoungȱadultȱrecreationalȱmarijuanaȱusers.15ȱ Driving Under the Influence of Drugs (DUID) ȱ ˆPrevalenceȱofȱMarijuanaȱInvolvementȱinȱFatalȱCrashes:ȱWashington,ȱ2010Ȭ2014ȱbyȱ theȱAAAȱFoundationȱforȱTrafficȱSafety,ȱMayȱ2016ȱ Thisȱreportȱquantifiesȱtheȱprevalenceȱofȱmarijuanaȱinvolvementȱinȱfatalȱcrashesȱinȱ theȱstateȱofȱWashingtonȱfromȱ2010Ȭ2014.ȱȱTheȱstudyȱinvestigatedȱwhetherȱtheȱ prevalenceȱchangedȱafterȱWashingtonȱlegalizedȱrecreationalȱuseȱofȱmarijuana,ȱinȱ Item 11.a. - Page 185 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ163ȱ additionȱtoȱcreatingȱaȱnewȱperȱseȱlimitȱforȱdrivingȱunderȱtheȱinfluenceȱofȱmarijuanaȱ whichȱtookȱeffectȱonȱDecemberȱ6th,ȱ2012.16ȱ ȱ ˆAnȱEvaluationȱofȱDataȱfromȱDriversȱArrestedȱforȱDrivingȱUnderȱtheȱInfluenceȱinȱ RelationȱtoȱPerȱseȱLimitsȱforȱCannabisȱbyȱtheȱAAAȱFoundationȱforȱTrafficȱSafety,ȱ Mayȱ2016ȱ Oneȱofȱtheȱmajorȱconcernsȱsharedȱbyȱbothȱopponentsȱandȱproponentsȱofȱgreaterȱ accessȱtoȱcannabisȱisȱitsȱimpactȱonȱdriverȱperformanceȱandȱrelationshipȱtoȱadverseȱ effectsȱonȱtrafficȱsafety.ȱȱSeveralȱstatesȱhaveȱimplementedȱperȱseȱdeltaȬ9Ȭ tetrahydrocannabinolȱTHCȱbloodȱlimitsȱthatȱdefineȱtheȱoffenseȱofȱdrivingȱwhileȱ impairedȱbyȱcannabis,ȱandȱothersȱareȱactivelyȱconsideringȱsuchȱlimits.ȱȱThisȱreportȱ describesȱtheȱfindingsȱofȱaȱstudyȱthatȱwasȱundertakenȱtoȱdetermineȱwhetherȱdataȱ fromȱtheȱDrugȱRecognitionȱExpertȱ(DRE)ȱprogramȱconsistingȱofȱphysiologicalȱ indicatorsȱofȱdrugȱuse,ȱandȱperformanceȱinȱroadsideȱcognitiveȱandȱpsychomotorȱ tests,ȱsupportedȱanyȱparticularȱquantitativeȱthresholdȱforȱaȱperȱseȱlawȱforȱTHCȱwithinȱ theȱblood.17ȱ ȱ ˆAdvancingȱDruggedȱDrivingȱDataȱatȱtheȱStateȱLevelȱbyȱtheȱAAAȱFoundationȱForȱ TrafficȱSafety,ȱMarchȱ2016ȱ Theȱobjectiveȱofȱthisȱprojectȱisȱtoȱidentifyȱandȱrecommendȱstrategiesȱforȱ improvingȱstateȬlevelȱdataȱonȱtheȱnatureȱandȱextentȱofȱdruggedȱdrivingȱinȱtheȱUnitedȱ Statesȱbyȱaddressingȱtheȱmostȱsignificantȱbarriersȱthatȱimpedeȱstateȱeffortsȱtoȱcollectȱ andȱcompileȱsuchȱdata.ȱȱThisȱreportȱdiscussesȱbarriersȱtoȱeffectiveȱdataȱandȱdescribesȱ expertȱpanelȱrecommendationsȱforȱaddressingȱthoseȱbarriers.18ȱ ȱ ˆDrugȬImpairedȱDrivingȱbyȱTheȱGovernorsȱHighwayȱSafetyȱAssociationȱ(GHSA),ȱ Septemberȱ30th,ȱ2015ȱ ThisȱreportȱsummarizesȱtheȱcurrentȱstateȱofȱknowledgeȱonȱdrugȬimpairedȱ driving,ȱincludingȱwhatȱlittleȱisȱknownȱaboutȱtheȱcostsȱandȱeffectivenessȱofȱtheseȱ actions,ȱandȱidentifiesȱactionsȱstatesȱcanȱtakeȱtoȱreduceȱdrugȬimpairedȱdriving.ȱȱ Specifically,ȱthisȱreportȱhighlightsȱtheȱincreaseȱofȱmarijuanaȱuseȱandȱitsȱroleȱinȱ impairedȱdriving.19ȱ ȱ ˆOverviewȱofȱMajorȱIssuesȱRegardingȱtheȱImpactsȱofȱAlcoholȱandȱMarijuanaȱonȱ DrivingȱbyȱtheȱAAAȱFoundationȱforȱTrafficȱSafety,ȱMarchȱ2016ȱ Thisȱreportȱprovidesȱanȱoverviewȱofȱissuesȱrelatedȱtoȱmarijuanaȱconsumption,ȱ drivingȱimpairmentȱandȱbloodȱtestingȱasȱwellȱasȱtheȱpotentialȱimpactsȱofȱsocialȱandȱ legalȱfactors.ȱȱComparisonsȱtoȱalcoholȱareȱprovidedȱtoȱserveȱasȱaȱsingleȱpointȱofȱ reference.20ȱ ȱ Item 11.a. - Page 186 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ164ȱ ˆDrugȱRecognitionȱExpertȱ(DRE)ȱExaminationȱCharacteristicsȱofȱCannabisȱ ImpairmentȱbyȱHartmanȱetȱal.,ȱAprilȱ22nd,ȱ2016ȱ TheȱDrugȱEvaluationȱandȱClassificationȱProgramȱ(DECP)ȱisȱcommonlyȱutilizedȱinȱ drivingȱunderȱtheȱinfluenceȱ(DUI)ȱcasesȱtoȱhelpȱdetermineȱcategoriesȱofȱimpairingȱ drugsȱpresentȱinȱdrivers.ȱȱCannabis,ȱoneȱofȱtheȱcategories,ȱisȱassociatedȱwithȱ approximatelyȱdoubledȱcrashȱrisk.ȱȱThisȱarticleȱdescribesȱaȱstudyȱwhichȱsetȬoutȱtoȱ determineȱtheȱmostȱreliableȱDECPȱmetricsȱforȱidentifyingȱcannabisȬdrivingȱ impairment.21ȱ ȱ ˆDelaysȱinȱDUIȱBloodȱTesting:ȱImpactȱOnȱCannabisȱDUIȱAssessmentsȱbyȱEdȱWood,ȱ AshleyȱBrooksȬRussellȱandȱPhillipȱDrum,ȱJuneȱ11thȱ2015ȱ Thisȱstudyȱexaminedȱtheȱtimeȱfromȱlawȱenforcementȱdispatchȱtoȱtheȱfirstȱbloodȱ drawȱinȱcasesȱofȱdrivingȱunderȱtheȱinfluenceȱ(DUI)ȱvehicularȱhomicideȱandȱaȱsubsetȱ ofȱDUIȱvehicularȱassaultȱcasesȱinȱColoradoȱinȱ2012.ȱȱLaboratoryȱtoxicologyȱresultsȱ wereȱalsoȱexaminedȱtoȱunderstandȱtheȱimplicationsȱofȱdelaysȱinȱbloodȱdrawsȱinȱcasesȱ ofȱdrivingȱwhileȱunderȱtheȱinfluenceȱofȱmarijuanaȇsȱdeltaȬ9Ȭtetrahydrocannabinolȱ (THC).22ȱ ȱ ˆCannabisȱEffectsȱonȱDrivingȱLateralȱControlȱWithȱandȱWithoutȱAlcoholȱbyȱ Hartmanȱetȱal.,ȱJuneȱ23rd,ȱ2015ȱ Effectsȱofȱcannabis,ȱtheȱmostȱcommonlyȱencounteredȱnonȬalcoholȱdrugȱinȱdrivingȱ underȱtheȱinfluenceȱcases,ȱareȱheavilyȱdebated.ȱȱThisȱarticleȱdescribesȱaȱstudyȱ performedȱbyȱresearchersȱaimedȱatȱdeterminingȱhowȱbloodȱTHCȱconcentrationsȱ relateȱtoȱdrivingȱimpairment,ȱbothȱwithȱandȱwithoutȱalcohol.23ȱ ȱ ˆMedicalȱMarijuanaȱInvolvedȱinȱCAȱFatalȱCrashesȱbyȱAlȱCrancer,ȱM.A.ȱandȱPhillipȱ Drum,ȱPharm.D.ȱ Theȱrelationshipȱbetweenȱdriverȱfatalities,ȱmarijuanaȱuseȱandȱalcoholȱuseȱareȱ examinedȱinȱthisȱreport.ȱȱTheȱcontributingȱdataȱforȱthisȱreportȱwasȱobtainedȱfromȱtheȱ NationalȱHighwayȱTrafficȱSafetyȱAdministrationȱ(NHTSA)ȱFatalityȱAnalysisȱ ReportingȱSystemȱ(FARS),ȱ2010Ȭ2014.24ȱ Health ȱ ˆTheȱHealthȱandȱSocialȱEffectsȱofȱNonmedicalȱCannabisȱUseȱbyȱtheȱManagementȱofȱ SubstanceȱAbuseȱ(MSB)ȱUnitȱinȱtheȱDepartmentȱofȱMentalȱandȱSubstanceȱAbuseȱ (MSD)ȱofȱtheȱWorldȱHealthȱOrganization,ȱ2016ȱ ThisȱreportȱisȱanȱupdateȱonȱtheȱhealthȱandȱsocialȱconsequencesȱofȱnonȬmedicalȱ cannabisȱuse,ȱwithȱaȱspecialȱfocusȱonȱtheȱeffectsȱonȱyoungȱpeopleȱandȱonȱlongȬtermȱ Item 11.a. - Page 187 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ165ȱ frequentȱuse.ȱȱFurthermore,ȱthisȱreportȱbuildsȱonȱcontributionsȱfromȱaȱbroadȱrangeȱofȱ expertsȱandȱresearchersȱfromȱaroundȱtheȱworld.ȱȱItȱaimsȱtoȱpresentȱcurrentȱ knowledgeȱonȱtheȱimpactȱofȱnonȬmedicalȱcannabisȱuseȱonȱhealth,ȱfromȱitsȱimpactȱonȱ brainȱdevelopmentȱtoȱitsȱroleȱinȱrespiratoryȱdiseases.25ȱ ȱ ˆUpdateȱofȱCannabisȱandȱit’sȱMedicalȱUseȱbyȱBerthaȱK.ȱMadras,ȱ2015ȱ ThisȱreportȱwasȱcommissionedȱbyȱtheȱSecretariatȱofȱtheȱExpertȱCommitteeȱonȱ DrugȱDependence,ȱDepartmentȱofȱEssentialȱMedicinesȱandȱHealthȱProducts,ȱWorldȱ HealthȱOrganizationȱ(WHO).ȱȱThisȱdocumentȱservesȱasȱaȱsummaryȱofȱtheȱcurrentȱ statusȱofȱtheȱmedicalȱmarijuanaȱfieldȱandȱaȱframeworkȱtoȱincorporateȱnewȱ informationȱasȱitȱarises.26ȱ ȱ ˆAssociationȱBetweenȱLifetimeȱMarijuanaȱUseȱandȱCognitiveȱFunctionȱinȱMiddleȱAgeȱ byȱRetoȱAuer,ȱM.D.,ȱetȱal.,ȱMarchȱ2016ȱ Thisȱarticleȱdescribesȱtheȱfindingsȱofȱaȱstudyȱaimedȱatȱunderstandingȱtheȱ associationȱbetweenȱcumulativeȱlifetimeȱexposureȱtoȱmarijuanaȱuseȱandȱcognitiveȱ performanceȱinȱmiddleȱage.27ȱ ȱ ˆNAMIȱMassȱComesȱOutȱAgainstȱLegalizingȱRecreationalȱMarijuanaȱbyȱtheȱ NationalȱAllianceȱonȱMentalȱIllnessȱofȱMassachusettsȱ(NAMIȱMass),ȱMayȱ23rd,ȱ 2016ȱ TheȱNationalȱAllianceȱonȱMentalȱIllnessȱMassachusettsȱseeksȱtoȱimproveȱtheȱ qualityȱofȱlifeȱbothȱforȱpeopleȱwithȱmentalȱillnessȱandȱforȱtheirȱfamilies.ȱȱThisȱarticleȱ describesȱtheȱorganization’sȱstrongȱoppositionȱtoȱtheȱlegalizationȱofȱmarijuana,ȱ citing,ȱ“detrimentalȱeffectsȱforȱthoseȱwithȱmentalȱillnessȱandȱforȱpeopleȱpredisposedȱ toȱmentalȱillness.”28ȱ ȱ ˆPrevalenceȱofȱMarijuanaȱUseȱDisordersȱinȱtheȱUnitedȱStatesȱBetweenȱ2001Ȭ2002ȱandȱ 2012Ȭ2013,ȱbyȱDeborahȱS.ȱHasin,ȱPhD,ȱetȱal.,ȱDecemberȱ2015ȱ LawsȱandȱattitudesȱtowardȱmarijuanaȱinȱtheȱUnitedȱStatesȱareȱbecomingȱmoreȱ permissive,ȱbutȱlittleȱisȱknownȱaboutȱwhetherȱtheȱprevalenceȱratesȱofȱmarijuanaȱuseȱ andȱmarijuanaȱuseȱdisordersȱhaveȱchangedȱinȱtheȱ21stȱcentury.ȱȱThisȱstudyȱsetȱoutȱtoȱ presentȱnationallyȬrepresentativeȱinformationȱonȱtheȱpastȱyearȱprevalenceȱratesȱofȱ marijuanaȱuseȱandȱmarijuanaȱuseȱdisorderȱamongȱmarijuanaȱusersȱinȱtheȱUSȱadultȱ generalȱpopulation,ȱandȱwhetherȱthisȱhasȱchangedȱbetweenȱ2001Ȭ2002ȱandȱ2012Ȭ 2013.29ȱ ȱ ˆPublicȱHealthȱResearchersȱLookȱAtȱRiseȱInȱMarijuana–RelatedȱHospitalizationsȱbyȱ MollieȱDurkin,ȱJanuaryȱ2016ȱ Item 11.a. - Page 188 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ166ȱ Dr.ȱZhu,ȱaȱpostdoctoralȱassociateȱatȱDukeȱUniversityȱMedicalȱCenterȱinȱDurham,ȱ N.C.,ȱdescribesȱtheȱissuesȱsurroundingȱanȱincreasingȱprevalenceȱofȱmarijuanaȱuseȱinȱ theȱU.S.,ȱandȱaȱseeminglyȱrelatedȱincreaseȱinȱhospitalȱutilizationȱrelatedȱtoȱtheȱdrug.30ȱ ȱ ˆColoradoȱVisitorsȱUsingȱMarijuanaȱMoreȱLikelyȱtoȱEndȱUpȱInȱEmergencyȱRoomȱbyȱ MarlaȱPaulȱ(NorthwesternȱUniversityȱJournalist),ȱFebruaryȱ25th,ȱ2016ȱ ThisȱarticleȱsummarizesȱtheȱfindingsȱofȱaȱjointȱstudyȱoutȱofȱNorthwesternȱ UniversityȱFeinbergȱSchoolȱofȱMedicineȱandȱtheȱUniversityȱofȱColoradoȱSchoolȱofȱ Medicine,ȱbyȱleadȱinvestigatorȱDr.ȱHowardȱKim.ȱȱTheȱstudy,ȱpublishedȱinȱtheȱNewȱ EnglandȱJournalȱofȱMedicine,ȱsetȱoutȱtoȱinvestigateȱandȱcompareȱtheȱnumberȱofȱ Coloradoȱresidents,ȱandȱoutȱofȱstateȱvisitors,ȱwhoȱendedȱupȱinȱtheȱemergencyȱroomȱ withȱmarijuanaȬrelatedȱsymptoms.31ȱ ȱ ˆLegalizingȱMarijuanaȱWillȱIncreaseȱOurȱOpiateȱEpidemicȱbyȱHeidiȱHeilmanȱofȱtheȱ NewȱBostonȱPost,ȱMarchȱ201632ȱ x Aȱstudyȱofȱrodents,ȱconductedȱatȱtheȱHurdȱLaboratoryȱatȱtheȱMountȱSinaiȱSchoolȱ ofȱMedicine,ȱshowedȱthatȱrodentsȱexposedȱtoȱTHCȱinȱtheȱadolescentȱyearsȱhadȱ offspringȱthatȱwereȱprimedȱforȱaddiction.ȱȱTheȱresearchȱhasȱyetȱtoȱbeȱreproducedȱ inȱhumans,ȱbutȱotherȱstudiesȱonȱtransȬgenerationalȱeffectsȱofȱotherȱdrugsȱinȱ humansȱappearȱconsistentȱwithȱtheȱdiscoveriesȱinȱrodents.ȱ x Scienceȱsuggestsȱthatȱlegalizingȱmarijuanaȱwillȱnotȱonlyȱexposeȱmoreȱpeopleȱtoȱaȱ seriousȱdeclineȱinȱcognitiveȱandȱmentalȱhealthȱfunctioning,ȱbutȱpossiblyȱalsoȱ primeȱcertainȱsegmentsȱofȱtheȱpopulationȱ–ȱincludingȱunbornȱchildrenȱ–ȱforȱmoreȱ opiateȱaddictionȱandȱbrainȱchanges.ȱ Use Surveys ȱ ˆBehavioralȱHealthȱTrendsȱinȱtheȱUnitedȱStates:ȱȱResultsȱfromȱtheȱ2014ȱNationalȱ SurveyȱonȱDrugȱUseȱandȱHealthȱ(NSDUH)ȱbyȱtheȱSubstanceȱAbuseȱandȱMentalȱ HealthȱServicesȱAdministrationȱ(SAMHSA),ȱSeptemberȱ2015ȱ Thisȱnationalȱreportȱsummarizesȱfindingsȱfromȱtheȱ2014ȱNationalȱSurveyȱonȱ DrugȱUseȱandȱHealthȱ(NSDUH)ȱonȱtrendsȱinȱtheȱbehavioralȱhealthȱofȱpeopleȱagedȱ12ȱ yearsȱoldȱorȱolderȱinȱtheȱcivilian,ȱnonȬinstitutionalizedȱpopulationȱofȱtheȱUnitedȱ States.ȱȱTopicsȱaddressedȱincludeȱillicitȱdrug,ȱtobaccoȱandȱalcoholȱuse,ȱsubstanceȱuseȱ disorders,ȱandȱmentalȱhealthȱissues.33ȱ ȱ ˆHealthyȱKidsȱColoradoȱSurveyȱ2015ȱbyȱtheȱUniversityȱofȱColoradoȱAnschutzȱ CommunityȱEpidemiologyȱ&ȱProgramȱEvaluationȱGroup,ȱ2016ȱ Item 11.a. - Page 189 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ167ȱ Thisȱreportȱexaminesȱtheȱresultsȱofȱaȱbiennialȱsurveyȱwhichȱcollectsȱanonymous,ȱ selfȬreportedȱhealthȬrelatedȱinformationȱfromȱColoradoȱmiddleȱandȱhighȱschoolȱ studentsȱeveryȱotherȱyear.ȱȱInȱ2015,ȱapproximatelyȱ17,000ȱrandomlyȬselectedȱ studentsȱfromȱmoreȱthanȱ157ȱmiddleȱschoolsȱandȱhighȱschoolsȱparticipated.ȱȱTheȱ dataȱincludesȱsurveyȱresultsȱinȱmanyȱtopicȱareasȱtoȱincludeȱtobacco,ȱalcoholȱandȱ marijuanaȱuse.ȱȱInȱaddition,ȱtheȱdataȱalsoȱreflectȱstudentȱattitudesȱandȱperceptionsȱ thatȱaddressȱhealthȱbehaviorsȱandȱtheȱinfluencesȱthatȱcanȱsupportȱaȱstudent’sȱhealthyȱ choices.34ȱ ȱ ˆYouthȱRiskȱBehaviorȱSurveillanceȱbyȱtheȱU.S.ȱDepartmentȱofȱHealthȱandȱHumanȱ ServicesȱCentersȱforȱDiseaseȱControlȱandȱPrevention,ȱJuneȱ10th,ȱ2016ȱ TheȱnationalȱYouthȱRiskȱBehaviorȱSurveyȱ(YRBS)ȱmonitorsȱpriorityȱhealthȱriskȱ behaviorsȱthatȱcontributeȱtoȱtheȱleadingȱcausesȱofȱdeath,ȱdisability,ȱandȱsocialȱ problemsȱamongȱyouthȱandȱadultsȱinȱtheȱUnitedȱStates.ȱȱTheȱnationalȱYRBSȱisȱ conductedȱeveryȱtwoȱyearsȱduringȱtheȱspringȱsemesterȱandȱprovidesȱdataȱ representativeȱofȱ9thȱthroughȱ12thȱgradeȱstudentsȱinȱpublicȱandȱprivateȱschoolsȱ throughoutȱtheȱUnitedȱStates.35ȱ Miscellaneous ȱ ˆWhatȱWillȱLegalȱMarijuanaȱCostȱEmployersȱbyȱNationalȱFamiliesȱinȱAction,ȱ2015ȱ Thisȱreportȱeducatesȱemployersȱaboutȱhowȱmarijuanaȱlawsȱareȱchanging,ȱhowȱ thoseȱlawsȱwillȱaffectȱemployers’ȱabilityȱtoȱconductȱbusiness,ȱandȱwhatȱemployersȱ canȱdoȱtoȱprotectȱthatȱability.36ȱ ȱ ˆWorkplaceȱDrugȱTestingȱinȱtheȱEraȱofȱLegalȱMarijuana,ȱbyȱtheȱInstituteȱforȱ BehaviorȱandȱHealth,ȱInc.,ȱMarchȱ2015ȱ Theȱshiftȱinȱdrugȱpolicyȱhasȱcreatedȱsignificantȱconcernȱandȱconfusionȱforȱmanyȱ employers,ȱemployees,ȱandȱjobȱapplicantsȱaboutȱdrugȱtestingȱinȱgeneralȱandȱtestingȱ forȱmarijuanaȱspecifically.ȱȱThisȱreportȱprovidesȱguidanceȱforȱemployersȱaboutȱdrugȱ testingȱemployeesȱandȱjobȱapplicantsȱforȱmarijuanaȱuseȱinȱtheȱworkplace.37ȱ ȱ ˆTheȱHiddenȱCostsȱofȱMarijuanaȱUseȱinȱColorado:ȱOneȱEmergencyȱDepartment’sȱ ExperienceȱbyȱKennethȱFinn,ȱM.D.ȱandȱRochelleȱSalmore,ȱM.S.N.,ȱR.N.,ȱ2016ȱ Toȱdate,ȱthereȱareȱfewȱstudiesȱonȱtheȱfinancialȱimpactȱofȱmarijuanaȱuseȱonȱtheȱ healthȱcareȱsystem.ȱȱThisȱstudyȱaimsȱtoȱassessȱpotentialȱhealthȱcareȱcostsȱandȱadverseȱ healthȱeffectsȱrelatedȱtoȱcannabisȱuseȱinȱanȱacuteȱcareȱcommunityȱhospitalȱinȱ Colorado.ȱȱDuringȱtheȱstudyȱperiod,ȱtheȱstudyȱhospitalȱincurredȱaȱtrueȱlossȱofȱtwentyȱ millionȱdollarsȱinȱuncollectedȱcharges.38ȱ Item 11.a. - Page 190 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ168ȱ ȱ ˆIssuesȱinȱtheȱImplementationȱandȱEvolutionȱofȱtheȱCommercialȱRecreationalȱ MarijuanaȱMarketȱinȱColoradoȱbyȱSubritzkyȱetȱal.,ȱDecemberȱ15th,ȱ2015ȱ Thisȱreportȱbringsȱtogetherȱmaterialȱsourcedȱfromȱpeerȱreviewedȱacademicȱ papers,ȱgreyȱliteratureȱpublications,ȱreportsȱinȱmassȱmediaȱandȱnicheȱmediaȱoutlets,ȱ andȱgovernmentȱpublicationsȱtoȱoutlineȱtheȱregulatoryȱmodelȱandȱprocessȱinȱ Colorado.ȱȱAdditionally,ȱthisȱreportȱincludesȱdescriptionsȱofȱsomeȱofȱtheȱissuesȱthatȱ haveȱemergedȱinȱtheȱearlyȱstagesȱofȱmarijuanaȱlegalizationȱwithinȱColorado.39ȱ ȱ ˆTheȱImpactsȱofȱMarijuanaȱDispensaryȱDensityȱandȱNeighborhoodȱEcologyȱonȱ MarijuanaȱAbuseȱandȱDependenceȱbyȱChristinaȱMairȱetȱal.,ȱJuneȱ23rdȱ2015ȱ Thisȱarticleȱdescribesȱtheȱfindingsȱofȱresearchersȱwhoȱinvestigatedȱassociationsȱ betweenȱmarijuanaȱabuseȱandȱdependenceȱhospitalizations,ȱasȱwellȱasȱcommunityȱ demographicȱandȱenvironmentalȱconditionsȱfromȱ2001ȱtoȱ2012ȱinȱCalifornia.40ȱ ȱ ˆMarijuanaȱSurveyȱFindsȱMedicalȱUsersȱMoreȱLikelyȱtoȱConsumeȱEdiblesȱandȱ VaporizeȱbyȱtheȱRANDȱCorporation,ȱJanuaryȱ28th,ȱ2016ȱ Thisȱarticleȱdescribesȱtheȱfindingsȱofȱaȱstudyȱwhichȱprovidesȱsomeȱofȱtheȱfirstȱ evidenceȱaboutȱpatternsȱofȱmarijuanaȱuseȱinȱstatesȱthatȱhaveȱlegalizedȱmedicalȱ marijuana.41ȱ Sources ȱ 1http://www.riag.ri.gov/documents/NWHIDTAMarijuanaImpactReportVolume1.pdfȱ ȱ 2https://9e3d2efeȬaȬ84cef9ffȬsȬ sites.googlegroups.com/a/wyo.gov/gmiac/home/finalgmiacreportnowavailable/GMIAC %20Review%20of%20Literature%20Report%20FINAL.pdf?attachauth=ANoY7cos7GcR hjFOOMUuaiMf9bR_HVPQr_5FTg5fNrUȬLRbhOj6P8ztlu2H3NjPZȬEZgFSLiiJg6G0vȬ iFVWhALrG7x51_iCRFwNYZTlVgcjhgZXRtmxpingSqEG8ZwvcFbEKXc30CpQfH_zt4X 87tjjSoTzml9D8kco2UzdihMygxT8a4mQnT9iqGyJhC0iFXott5jLumHANTxGmZIdȬ y7eTCynlg7CqSWxKaF6FiqvFVjo91WMwYHRtjNLNnGzQYgpdKMM9kSyvZ2rKlFN M0_uE27jfsBCuw%3D%3D&attredirects=0ȱ ȱ 3https://malegislature.gov/Reportsȱ ȱ 4http://cdpsdocs.state.co.us/ors/docs/reports/2016ȬSB13Ȭ283ȬRpt.pdfȱ ȱ Item 11.a. - Page 191 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ169ȱ 5http://namimass.org/namiȬmassȬcomesȬoutȬagainstȬlegalizingȬrecreationalȬmarijuanaȱ ȱ 6https://www.colorado.gov/pacific/sites/default/files/DOR%20MED%20April%201%202 016%20Report%20to%20the%20JBC.pdfȱ ȱ 7https://www.colorado.gov/pacific/sites/default/files/FINAL%20Third%20Quarter%2020 15%20Update.pdfȱ ȱ 8https://www.colorado.gov/pacific/sites/default/files/MED%20Equivalency_Final%2008 102015.pdfȱ ȱ 9https://www.dea.gov/divisions/den/2016/den062216.pdfȱ ȱ 10http://www.unomaha.edu/collegeȬofȬpublicȬaffairsȬandȬcommunityȬservice/nebraskaȬ centerȬforȬjusticeȬresearch/documents/marijuanaȬenforcementȬinȬnebraska.pdfȱ ȱ 11http://pediatrics.aappublications.org/content/pediatrics/135/3/e769.full.pdfȱ ȱ 12http://pediatrics.aappublications.org/content/pediatrics/135/3/584.full.pdfȱ ȱ 13https://www.acpeds.org/marijuanaȬuseȬdetrimentalȬtoȬyouthȱ ȱ 14http://www.dailymail.co.uk/health/articleȬ3443120/CannabisȬDOESȬalterȬbrainȬ youngerȬstartȬgreaterȬriskȬdamage.html#ixzz3zzlEtnOgȱ ȱ 15http://www.jneurosci.org/content/34/16/5529.full.pdf+htmlȱ ȱ 16https://www.aaafoundation.org/prevalenceȬmarijuanaȬuseȬamongȬdriversȬfatalȬ crashesȬwashingtonȬ2010Ȭ2014ȱ ȱ 17https://www.aaafoundation.org/sites/default/files/EvaluationOfDriversInRelationToPe rSeReport.pdfȱ ȱ 18https://www.aaafoundation.org/sites/default/files/AdvancingDruggedDrivingData.pd fȱ ȱ 19http://www.ghsa.org/html/files/pubs/GHSA_DruggedDriving2015_R7_LoResInteracti ve.pdfȱ ȱ Item 11.a. - Page 192 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ170ȱ 20https://www.aaafoundation.org/sites/default/files/OverviewOfMajorIssuesRegarding AlcoholCannabisImpacts.pdfȱ ȱ 21http://www.ncbi.nlm.nih.gov/pubmed/27107471ȱ ȱ 22http://www.tandfonline.com/doi/full/10.1080/15389588.2015.1052421ȱ ȱ 23http://www.ncbi.nlm.nih.gov/pubmed/26144593ȱ ȱ 24https://michiganprosecutor.org/index.php?option=com_content&view=article&id=155ȱ –andȬȱhttps://michiganprosecutor.org/files/TSTP/External/MedicalȬMarihuanaȬ InvolvedȬinȬCAȬFatalȬCrashes.pdfȱ ȱ 25http://who.int/substance_abuse/publications/msb_cannabis_report.pdfȱ ȱ 26http://www.who.int/medicines/access/controlledȬsubstances/6_2_cannabis_update.pdfȱ ȱ 27http://archinte.jamanetwork.com/article.aspx?articleid=2484906#ArticleInformationȱ ȱ 28http://namimass.org/namiȬmassȬcomesȬoutȬagainstȬlegalizingȬrecreationalȬmarijuanaȱ ȱ 29http://archpsyc.jamanetwork.com/article.aspx?articleid=2464591ȱ ȱ 30http://www.acphospitalist.org/archives/2016/01/conferenceȬcoverageȬpublicȬhealthȬ marijuana.htmȱ ȱ 31http://www.northwestern.edu/newscenter/stories/2016/02/coloradoȬvisitorsȬusingȬ marijuanaȬmoreȬlikelyȬtoȬendȬupȬinȬemergencyȬroomȬ.htmlȱ ȱ 32HeidiȱHeilman,ȱNewȱBostonȱPost,ȱ“Legalizingȱmarijuanaȱwillȱincreaseȱourȱopiateȱ epidemic,”ȱMarchȱ4,ȱ2016,ȱ<http://newbostonpost.com/2016/03/03/legalizingȬmarijuanaȬ willȬincreaseȬourȬopiateȬepidemic/>,ȱaccessedȱMarchȱ4,ȱ2016ȱ ȱ 33http://www.samhsa.gov/data/sites/default/files/NSDUHȬFRR1Ȭ2014/NSDUHȬFRR1Ȭ 2014.pdfȱ ȱ 34https://www.colorado.gov/pacific/sites/default/files/PF_Youth_HKCSȬExecȬSummaryȬ 2015.pdfȱ ȱ 35http://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/ss6506_updated.pdfȱ Item 11.a. - Page 193 TheȱLegalizationȱofȱMarijuanaȱinȱColorado:ȱȱTheȱImpactȱ Vol.ȱ4/Septemberȱ2016ȱ SECTIONȱ10:ȱȱReferenceȱMaterialsȱȱ Pageȱ|ȱ171ȱ ȱ 36http://www.nationalfamilies.org/reports/What_Will_Legal_Marijuana_Cost_Employer sȬȬComplete.pdfȱ ȱ 37http://www.drugfreebusiness.org/Media/documents/IBH_workplacetesting.pdfȱ ȱ 38http://www.globaldrugpolicy.org/Issues/Vol%2010%20Issue%202/Articles/The%20Hid den%20Costs%20of%20Marijuana%20Use%20in%20Colorado_Final.pdf ȱ 39http://www.sciencedirect.com/science/article/pii/S0955395915003540ȱ ȱ 40http://www.drugandalcoholdependence.com/article/S0376Ȭ8716(15)00318ȬX/abstractȱ ȱ 41https://www.sciencedaily.com/releases/2016/01/160128133040.htm?utm_source=feedbu rner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fmind_brain%2F marijuana+%28Marijuana+News+ȬȬ+ScienceDaily%29ȱ ȱ Item 11.a. - Page 194 ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ ȱ RockyȱMountainȱHighȱIntensityȱDrugȱTraffickingȱAreaȱ InvestigativeȱSupportȱCenterȱ Denver,ȱColoradoȱ www.rmhidta.orgȱ clickȱonȱ“Reports”ȱ Item 11.a. - Page 195 MAC TAYLOR • LEGISLATIVE ANALYST • FEBRUARY 2017 The 2017-18 Budget:The Governor’s Cannabis Proposals ATTACHMENT 3 Item 11.a. - Page 196 2017-18 BUDGET 2 Legislative Analyst’s Office www.lao.ca.gov Item 11.a. - Page 197 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 3 EXECUTIVE SUMMARY Regulation of Cannabis Has Been Evolving Proposition 215 Legalized Medical Cannabis. In 1996, voters approved Proposition 215, which legalized the use of medical cannabis in California. However, the measure did not create a statutory framework for regulating or taxing it at the state or local level. In 2015, the Legislature passed the Medical Cannabis Regulation and Safety Act (MCRSA) to provide a statutory framework for the state to regulate medical cannabis. MCRSA (as amended by the 2016-17 budget package) requires specified state agencies—including the Department of Consumer Affairs (DCA), Department of Public Health (DPH), and California Department of Food and Agriculture (CDFA)—to regulate and license the medical cannabis industry. Proposition 64 Legalized Nonmedical Cannabis 20 Years Later. In November 2016, voters approved Proposition 64, which legalizes the nonmedical use of cannabis. Proposition 64 also creates a statutory framework for the state to regulate nonmedical cannabis. Specifically, the measure requires state agencies to regulate and license the nonmedical cannabis industry and gives the agencies responsibilities similar to those established under MCRSA for medical cannabis. Proposition 64 also includes taxation provisions for both medical and nonmedical cannabis to be administered by the Board of Equalization (BOE). Governor’s Budget Proposal Budget Includes $51 Million for Implementation Activities in 2017-18. The Governor’s budget proposes a total augmentation of $51.4 million in 2017-18 across four departments (DCA, DPH, CDFA, and BOE) and about 190 positions across these departments to implement MCRSA and Proposition 64. The budget-year funding would mainly support (1) licensing and enforcement programs in DCA and CDFA, (2) development and implementation of licensing and “track and trace” information technology (IT) systems, and (3) tax administration activities in BOE. The budget also proposes a General Fund loan of up to $62.7 million in 2017-18 to help fund these activities. Furthermore, the administration’s budget proposal includes funding and positions in future years, with funding decreasing to $32.1 million and staffing increasing to 219 positions in 2020-21 and ongoing. Governor Will Propose Bill to Align MCRSA and Proposition 64. While there are many similarities between the statutory frameworks of MCRSA and Proposition 64, there are also some key differences between the laws. The administration indicates it plans to propose budget trailer legislation that will align MCRSA and Proposition 64. At the time this analysis was prepared, the administration had not provided the Legislature with a draft of its proposed statutory changes. LAO Assessment The Legislature will face an important policy choice regarding the degree to which it wants to align the statutory frameworks of MCRSA and Proposition 64. We believe that it makes sense to Item 11.a. - Page 198 2017-18 BUDGET 4 Legislative Analyst’s Office www.lao.ca.gov align the state’s regulations. The Legislature’s authority to amend regulatory structures depends on the nature of the changes the Legislature proposes to make. While the Legislature has significant authority to amend the regulatory structures for medical and nonmedical cannabis, its authority to modify MCRSA is broader than for Proposition 64. We note that decisions about this statutory alignment will be important in determining the level of staffing and other resources needed to implement the two measures. We find that there is significant uncertainty regarding the resource needs for departments to regulate and tax medical and nonmedical cannabis. This lack of clarity stems from various factors including uncertainty regarding (1) the specific details of future regulations, (2) the number of applicants that will seek licenses from the state and the associated workload, (3) the ongoing costs for new IT systems, (4) when departments will be able to fully implement licensing programs, and (5) the future federal stance towards states legalizing cannabis use. We also find that the General Fund loan is larger than necessary to cover proposed expenditures and maintain a reasonable fund balance. LAO Recommendations We recommend the Legislature work with the administration to enact legislation to align the regulation of medial and nonmedical cannabis to the maximum extent possible. We further recommend that the Legislature make its decisions on the extent to which it wants to align the regulatory structures for medical and nonmedical cannabis before making its decisions on the Governor’s requested funding and related positions. Doing so could better enable the Legislature to provide funding and staffing levels consistent with the ultimate regulatory structure. In addition, given the high level of uncertainty regarding the resource needs that will be required in the future to regulate cannabis, we recommend taking a more incremental approach to budgeting for departments that are requesting resources in 2017-18. Under our proposed approach, the Legislature would fully fund departments’ budget requests in 2017-18, but in some cases less funding would be provided in subsequent years. This incremental approach would allow the Legislature to re-evaluate resources as part of the 2018-19 budget process when additional information is available on actual workload. (To the extent that the Legislature enacts legislation to align MCRSA and Proposition 64, our recommended funding levels may need to be revised.) Once the Legislature determines its preferred level of funding for 2017-18, we recommend it tailor the size of the General Fund loan to meet those needs, without providing a bigger than necessary loan. We also recommend the Legislature require an annual report on implementation and outcomes. This type of report would both facilitate legislative oversight and help inform subsequent decisions for how best to implement future stages of the cannabis regulatory system. Item 11.a. - Page 199 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 5 INTRODUCTION various agencies charged with regulating and taxing the cannabis industry. This report is intended to help guide the Legislature through these important decisions. We begin by providing background information on MCRSA, Proposition 64, and the funding that the Legislature provided in 2016-17 to begin implementation of MCRSA. Next, we summarize the Governor’s 2017-18 budget proposals for four regulatory agencies with responsibility over cannabis. Finally, we assess the Governor’s proposals and provide recommendations to the Legislature as it faces these key decisions about implementing a regulatory structure for medical and nonmedical cannabis. While voters legalized the use of medical cannabis in California in 1996, the state did not create a regulatory framework for medical cannabis until the Legislature approved the Medical Cannabis Regulation and Safety Act (MCRSA) in 2015. Prior to the act, most regulation of medical cannabis was left to local governments. In November of 2016, voters approved Proposition 64, which legalized and created a regulatory framework for the nonmedical use of cannabis. In the coming year, the Legislature will face key choices about whether it wants to make statutory changes to bring the regulatory frameworks of MCRSA and Proposition 64 into greater alignment. Additionally, the Legislature will need to determine the staff and other resources to provide to the BACKGROUND Regulation of Medical Cannabis Proposition 215 Legalized Medical Cannabis. In 1996, voters approved Proposition 215, which legalized the use of medical cannabis in California. However, the measure did not create a statutory framework for regulating or taxing it at the state or local level. For most of the past two decades, medical cannabis has mainly been regulated and taxed by local governments through ordinances and permit requirements. While the state largely did not regulate medical cannabis, it did collect sales tax on these products. Local jurisdictions throughout the state have imposed restrictions on the cultivation and sale of medical cannabis or in some cases banned it entirely. MCRSA Created the Regulatory Framework for Medical Cannabis. In 2015, the Legislature passed three state laws (Chapter 688 [AB 243, Wood], Chapter 689 [AB 266, Bonta], and Chapter 719 [SB 643, McGuire])—known collectively as MCRSA—to provide a statutory framework for the state to regulate medical cannabis. As shown in Figure 1 (see next page), MCRSA (as amended by the 2016-17 budget package) requires specified state agencies to regulate the medical cannabis industry. For example, it gives the (1) Department of Consumer Affairs (DCA) the authority to license distributors, transporters, dispensaries, and testing laboratories; (2) California Department of Food and Agriculture (CDFA) the authority to license cultivators; and (3) Department of Public Health (DPH) the authority to license manufacturers of cannabis-related products (such as baked goods). (As we discuss later, the 2016-17 budget package transferred oversight over medical cannabis testing laboratories from DPH to DCA.) MCRSA established a target date of January 1, 2018 for accepting license applications. Item 11.a. - Page 200 2017-18 BUDGET 6 Legislative Analyst’s Office www.lao.ca.gov Regulatory agencies are also required to set standards for the labelling, quality testing, and packaging of medical cannabis products. MCRSA further requires the establishment of an information technology (IT) system that uniquely identifies cannabis plants and enables licensing authorities to track cannabis through the distribution chain (commonly referred to as “track and trace”). Additionally, MCRSA authorizes state departments to establish licensing fees to cover regulatory costs. These fees are to be deposited into a new state fund, the Marijuana Control Fund (MCF). MCRSA authorizes a $10 million loan from the General Fund to the MCF to pay for initial activities associated with implementing the legislation. 2016-17 Budget Provided Resources to Implement MCRSA. The 2016-17 budget provided a total of $33.1 million and 134 positions to six state departments in 2016-17 to implement MCRSA. Figure 2 summarizes the various proposals approved and their out-year effects. First, the budget included funding—primarily for DCA and DPH—to develop and implement regulations for different parts of the medical cannabis industry. Second, the budget included a total of $8 million for DCA ($6 million) and CDFA ($2 million) to begin development of licensing IT projects and for CDFA’s track and trace project. Third, the budget included resources for the Department of Fish and Wildlife and State Water Resources Control Board to reduce the environmental impacts of cannabis cultivation— such as on water quality and instream flows needed for fish spawning and migration. Fourth, the budget included an additional loan of $19 million (in addition to the $10 million authorized in MCRSA) from the General Fund to the MCF to cover costs associated with implementing MCRSA. (The Governor’s 2017-18 budget assumes an additional $11.5 million loan in the current year to implement CDFA’s IT projects.) The 2016-17 budget package also included legislation—Chapter 32 of 2016 (SB 837, Committee on Budget and Fiscal Review)—that made various statutory changes, including shifting authority to license medical cannabis laboratories from DPH to DCA. Legalization and Regulation of Nonmedical Cannabis Proposition 64 Legalized and Created a Regulatory Framework for Nonmedical Cannabis. In November of 2016, voters approved Proposition 64, Figure 1 Medical Cannabis Industry to Be Regulated by Multiple State Agencies Under MCRSA Regulatory Agency Primary Responsibilities Department of Consumer Affairs (DCA) • License distributors, transporters, dispensaries, and testing laboratories.a Department of Food and Agriculture • License cultivators. • Implement track and trace information technology system. Department of Public Health (DPH) • License manufacturers. Department of Fish and Wildlife • Monitor and reduce environmental impacts of cultivation. State Water Resources Control Board • Regulate water-related impacts of cultivation. Department of Pesticide Regulation • Develop pesticide use guidelines for cultivation. a Responsibility for medical cannabis testing laboratories was transferred from DPH to DCA pursuant to Chapter 32 of 2016 (SB 837, Committee on Budget and Fiscal Review). MCRSA = Medical Cannabis Regulation and Safety Act. Item 11.a. - Page 201 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 7 which legalizes the nonmedical use of cannabis. Under Proposition 64, adults 21 years of age or older can legally grow, possess, and use cannabis for nonmedical purposes, with certain restrictions. Proposition 64 also creates a statutory framework for the state to regulate nonmedical cannabis. Specifically, the measure requires state agencies to regulate and license the nonmedical cannabis industry and gives them responsibilities similar to those established under MCRSA for medical cannabis. For example, for nonmedical cannabis, the measure: • Authorizes CDFA to license cultivators. • Charges DPH with licensing testing laboratories and manufacturers, consistent with MCRSA as originally adopted. • Authorizes DCA to license distributors, retailers (similar to medical cannabis dispensaries), and a new license category called microbusinesses. (Microbusinesses can engage in cultivation of less than 10,000 square feet, distribution, manufacturing, and retailing.) • Expands CDFA’s track and trace IT system developed under MCRSA to include cannabis for nonmedical use. • Requires each licensing agency to charge fees to cover its regulatory costs for nonmedical cannabis. • Requires licensing agencies to begin issuing licenses by January 1, 2018. Local Jurisdictions May Pass Ordinances to Regulate Nonmedical Cannabis. Proposition 64 states that the measure is not intended to limit the authority of local jurisdictions to adopt and enforce Figure 2 Summary of Previously Authorized Funding and Positions for MCRSA Implementation (Dollars in Millions) Department Funding Authorized 2015-16 2016-17 2017-18 2018-19 and ongoing Consumer Affairs $1.6 $9.7 $4.0 $0.5 Food and Agriculture 3.3 5.4 3.4 3.4 Public Health 0.5 3.9 2.5 5.7 Fish and Wildlife —7.7 5.8 5.8 State Water Resources Control Board —5.7 6.7 5.7 Pesticide Regulation —0.7 0.7 0.7 Totals $5.3 $33.1 $23.1 $21.7 Positions Authorized Consumer Affairs 9.7 33.0 33.0 33.0 Food and Agriculture 5.5 18.0 18.0 18.0 Public Health 6.0 14.0 16.0 37.0 Fish and Wildlife —31.0 31.0 31.0 State Water Resources Control Board —35.0 35.0 35.0 Pesticide Regulation —3.0 3.0 3.0 Totals 21.2 134.0 136.0 157.0 MCRSA = Medical Cannabis Regulation and Safety Act. Item 11.a. - Page 202 2017-18 BUDGET 8 Legislative Analyst’s Office www.lao.ca.gov their own local ordinances to regulate nonmedical cannabis businesses. This could include through local zoning and land use requirements, business license requirements, and other requirements. Proposition 64 Sets Up Framework for Taxation. Proposition 64 includes taxation provisions for both medical and nonmedical cannabis to be administered by the Board of Equalization (BOE). Specifically, Proposition 64 imposes new excise taxes on (1) each ounce of cannabis grown and (2) the retail price of cannabis products sold. Additionally, the sale of medical cannabis, which had been subject to sales tax, is specifically exempted from part of that tax under Proposition 64. (Based on an alternative interpretation of this provision, BOE has implemented a full sales tax exemption.) The measure does not change local governments’ existing ability to place other taxes on medical cannabis. Nor does it restrict their ability to tax nonmedical cannabis. Revenues collected from the new state excise taxes will be deposited in a new state fund, the California Marijuana Tax Fund. Certain fines on businesses or individuals who violate regulations created under the measure will also be deposited into this fund. Monies in the fund will first be used to pay back certain state agencies for any cannabis regulatory costs not covered by license fees. A portion of the monies will then be allocated for specified purposes, such as for substance use disorder treatment and education. Proposition 64 Authorizes Additional General Fund Loans. The measure authorizes General Fund loans of (1) up to $30 million to the MCF for initial regulatory costs and (2) $5 million in 2016-17 for the Department of Health Care Services to provide a public information campaign about the dangers of driving under the influence of cannabis and the repercussions of cannabis use by minors and pregnant women. MCRSA and Proposition 64 Contain Some Differing Regulatory Requirements Proposition 64 Statutory Framework Mirrors MCRSA in Many Areas. In many areas, the statutory framework established by Proposition 64 mirrors the one established by MCRSA to regulate medical cannabis. For example, as mentioned above, the measure gives state agencies similar roles to those assigned by MCRSA. Additionally, some of the licenses established under Proposition 64— such as those for small- and medium-size cultivators—are identical to the licenses established under MCRSA in terms of size limitations. Some Key Differences Between MCRSA and Proposition 64. While there are many similarities between the statutory frameworks of MCRSA and Proposition 64, there are also some key differences between the laws. For example, there are some differences between the types of licenses they establish. Notably, Proposition 64 allows cultivation license types that permit cannabis grows (beginning January 1, 2023) larger than is allowable under MCRSA. As previously mentioned, Proposition 64 also creates the microbusiness license type. Another key difference is in the degree to which entities can control multiple steps in the cultivation, distribution, and retail chain. For example, MCRSA generally limits a medical cannabis licensee to holding state licenses in no more than two categories. In contrast, Proposition 64 generally allows a licensee to hold licenses in more categories. Additionally, while both MCRSA and Proposition 64 have distributor license categories, distributor licensees under MCRSA generally are required to be independent entities that do not hold licenses in other license categories. In contrast, under Proposition 64, distributors generally can hold licenses in other license categories. Item 11.a. - Page 203 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 9 Some Changes to Proposition 64 Could Require Voter Approval. Proposition 64 allows for modifications to the framework of nonmedical cannabis regulation by a majority vote of the Legislature. (Modifications to Proposition 64’s framework for nonregulatory issues, such as taxation and criminal offenses, require a two-thirds vote of the Legislature.) Under the measure, any legislative changes must be consistent with the proposition’s stated intent and further its purposes. In some cases, it may be unclear whether a future change to Proposition 64 would meet this criterion and, therefore, could be enacted by the Legislature or would require voter approval. Cannabis Continues to Be Illegal Under Federal Law Under federal law, it is illegal to possess or use cannabis, including for medical use. In recent years, the U.S. Department of Justice has chosen not to prosecute most cannabis users and businesses that follow state and local cannabis laws if those laws are consistent with federal priorities, such as preventing cannabis from being taken to other states. However, this federal policy could change in the future, which might affect the state’s ability to effectively implement regulations on cannabis. Additionally, because possession or use of cannabis is illegal under federal law, cannabis cultivators, manufacturers, and retailers and dispensaries typically do not have the same access to federally regulated financial services, such as banking, that other businesses have. Accordingly, cannabis businesses often rely heavily on cash transactions for their operations. GOVERNOR’S PROPOSALS Proposes $51 Million in 2017-18 for Four Departments As shown in Figure 3, the Governor’s budget proposes a total of $51.4 million from MCF in 2017-18 across four departments: DCA, DPH, CDFA, and BOE. The budget also requests about 190 positions in 2017-18 across these departments. Figure 3 also shows how these funding and position levels are proposed to change over the next couple of years. We discuss Figure 3 Summary of Governor’s 2017-18 Budget Proposals for Cannabis Implementation (Dollars in Millions) Department 2017-18 2018-19 2019-20 2020-21 and After Consumer Affairs $22.5 $30.9 $30.4 $30.2 Food and Agriculture 22.4 16.1 16.1 0.0 Board of Equalizationa 5.4 2.7 2.1 2.0 Public Health 1.0 0.1 -0.2 -0.2 Totals $51.4 $49.8 $48.4 $32.1 Department Positions 2017-18 2018-19 2019-20 2020-21 and After Consumer Affairs 120.0 188.0 205.0 205.0 Food and Agriculture 50.8 60.0 60.0 0.0 Board of Equalizationa 22.0 21.3 17.4 16.9 Public Health -3.0 -3.0 -3.0 -3.0 Totals 189.8 266.3 279.4 218.9 a Budget proposal also identified $1.1 million and 1.9 positions for the Board of Equalization in 2016-17. Item 11.a. - Page 204 2017-18 BUDGET 10 Legislative Analyst’s Office www.lao.ca.gov the proposals for each of these four departments in more detail below. DCA’s Proposal Funds Licensing, Enforcement, and IT ($22.5 Million). As shown in Figure 3, the Governor’s budget proposes a total of $22.5 million for DCA in 2017-18, an amount that would grow to roughly $30 million in out years. The budget year funding would support the following: • Licensing and Enforcement ($17.4  Million). DCA requests additional resources for licensing and enforcement of medical and nonmedical cannabis businesses, including dispensaries/ retailers, microbusinesses, distributors, transporters, and testing laboratories. Specifically, the request would support 120 staff, relocation to a new headquarters office for DCA’s Bureau of Marijuana Control (BMC), laboratory testing, and vehicles and equipment. Of these proposed positions, 50 are for enforcement, 35 are for licensing, and 35 are for various support functions. Out-year funding includes the establishment of a total of five field offices by 2019-20. • IT Implementation and Ongoing Maintenance ($5.1 Million). DCA also requests funding to continue to implement a licensing and enforcement IT project for medical cannabis that was initially approved in 2016-17, as well as expand the project to cover its nonmedical cannabis licensees. Funding is proposed to decrease to $3.6 million beginning in 2018-19 to cover the ongoing operations and maintenance costs of the project. CDFA’s Proposal Funds Licensing and Track and Trace ($22.4 Million). The Governor’s budget proposes $22.4 million for CDFA in 2017-18 to continue to implement statutory requirements for cannabis cultivation licensing. This amount would decrease to $16.1 million in 2018-19 and expire after 2019-20. The funding would support the following: • IT Implementation and Ongoing Maintenance ($16.9 Million). The budget requests $16.9 million and 13 positions in 2017-18, decreasing to $10.5 million in 2018-19 (expiring after 2019-20) to develop and support the cultivator licensing and track and trace IT projects. (Funding includes $15.1 million in 2017-18 and $8.7 million in 2018-19 and 2019-20 for contracted services for the cultivator licensing and track and trace systems.) • Licensing and Enforcement ($5.5 Million). The budget requests three-year limited-term funding of $5.5 million and 34.3 permanent positions (growing to 40 positions in 2018-19) for license and enforcement activities related to cultivators, as well as one human resources support position. • Measurement Standards. The budget requests 3.5 permanent positions in 2017-18, growing to 7 permanent positions in 2018-19, to enforce standards established by CDFA to ensure the accuracy of all weighing and measuring devices (such as scales) used in connection with the sale or distribution of cannabis. No funding is requested because revenues received from weighmaster license and registration fees are deposited into a continuously appropriated account within the Agriculture Fund to support these activities. BOE’s Proposal Funds Tax Administration Activities ($5.4 Million). The Governor’s budget Item 11.a. - Page 205 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 11 proposes $5.4 million for BOE in 2017-18, decreasing to $2 million annually beginning in 2020-21, to administer the new excise taxes required under Proposition 64. (The budget also assumes BOE spends $1.1 million in the current year.) The funding would support drafting regulations; conducting outreach and education; registering taxpayers; and processing payments, returns, collections, and appeals. This proposal does not include funding for audits or enforcement, so it does not reflect the full ongoing cost of administering the new tax program. DPH’s Proposal Funds IT and Redirects Positions to BMC for Licensing of Testing Labs ($1  Million). The Governor’s budget proposes a net increase of $1 million for DPH in 2017-18, an amount that would decrease in future years and be a net reduction to its budget of $172,000 beginning in 2019-20. This includes the following changes: • IT Implementation and Ongoing Maintenance ($1.4 Million). The Governor’s budget requests funding to design, configure, and maintain an IT application to process medical cannabis manufacturers’ licenses. Although DPH will also be responsible for licensing nonmedical manufacturers, it has not requested funding to incorporate this responsibility into its IT application at this time. • Transfer of Testing Laboratories (-$0.4  Million). DPH also proposes to redirect three positions (and $410,000) from DPH to DCA for licensing medical cannabis testing laboratories, consistent with the transfer of authority over these laboratories made in the 2016-17 budget package. Other Provisions of the Administration’s Cannabis Proposal Anticipate Trailer Bill Language Will Be Forthcoming. The administration indicates it plans to propose 2017-18 budget trailer legislation that will align MCRSA and Proposition 64. However, at the time this analysis was prepared, the administration had not provided the Legislature with a draft of its proposed statutory changes. Nor has the administration indicated what specific changes it proposes to make to bring the two pieces of law into greater conformity. One exception to this is that the administration has indicated that it expects to propose moving the oversight of nonmedical testing laboratories from DPH to DCA, so that DCA has exclusive authority over testing laboratories. (This is consistent with the budget proposals discussed above.) Budget Assumes Licensing Revenue but Not Excise Tax Revenue in 2017-18. The Governor projects a total of $11.5 million in revenues to the MCF from various license fees in 2017-18. In contrast, the Governor’s budget does not project that the state will receive any excise tax revenue in 2017-18. (The administration projects excise tax revenues to be over $550 million in 2018-19, growing to over $950 million in 2021-22.) Governor Proposes General Fund Loan in 2017-18. The Governor’s budget includes a General Fund loan to the MCF of up to $62.7 million in 2017-18. (The administration’s fund condition statement for MCF actually shows a higher budget-year loan amount of $78.3 million.) This amount would be in addition to a total of $45.5 million projected to be loaned from the General Fund in 2015-16 and 2016-17, including the loans authorized under MCRSA ($10 million), the 2016-17 Budget Act ($30.5 million), and Proposition 64 ($5 million). Item 11.a. - Page 206 2017-18 BUDGET 12 Legislative Analyst’s Office www.lao.ca.gov LAO ASSESSMENT result in state agencies providing more efficient services to licensees by reducing complexity. Even with a unified regulatory structure, the Legislature could still maintain some differences between the regulation of medical and nonmedical cannabis where doing so makes sense. For example, the Legislature could consider whether it wants to allow higher potency limits for medical cannabis. Legislature’s Authority to Amend Regulatory Structures Depends on Nature of Changes. As described above, the Governor indicates that he will propose changes to the regulatory structures for MCRSA and Proposition 64 to better align the two systems. Under the California Constitution, the Legislature is prohibited from making changes to statutes added by a voter-approved initiative (such as Propositions 215 and 64) unless the initiative includes provisions specifically allowing legislative changes. Otherwise, those changes would need to be submitted to voters. While both measures provide the Legislature with significant authority to amend the regulatory structures for medical and nonmedical cannabis, its authority to modify MCRSA is broader than for Proposition 64. Because Proposition 215 did not establish a regulatory structure for medical cannabis, the Legislature has broad latitude to decide all aspects of how medical cannabis will be regulated without having to submit those changes to voters. Thus, the Legislature is not limited by Proposition 215 in enacting changes to MCRSA’s regulatory structure to align it with the provisions of Proposition 64. In contrast to Proposition 215, Proposition 64 establishes a regulatory structure for nonmedical cannabis. However, Proposition 64 also explicitly allows the Legislature to amend the measure. Under the measure’s provisions, changes would The Legislature will face an important policy choice regarding the degree to which it wants to align the statutory frameworks of MCRSA and Proposition 64. Decisions about this statutory alignment will further be important in determining the level of staffing and other resources needed to implement the two measures. However, determining the level of resources needed in 2017-18 and beyond is complicated by the significant uncertainty caused by other issues, such as the future size of the cannabis industry and potential federal actions. In addition, we find that the proposed General Fund loan that would be used to fund the initial implementation costs is oversized based on the current cost estimates proposed by the administration. Aligning MCRSA and Proposition 64 Makes Sense In the 2017-18 budget summary, the Governor indicated that as the state moves forward with the regulation of both medical and nonmedical cannabis, one regulatory structure of cannabis activities across California is needed. Therefore, the administration will provide trailer bill language to align the state’s cannabis regulations. The concept of aligning the state’s regulations where feasible makes sense. The extent to which the regulatory structures for medical and nonmedical cannabis are aligned would affect the resources necessary for state departments to regulate the cannabis industry. Alignment would likely eliminate some duplicative regulatory functions, thereby reducing government costs to implement and operate the program. Alignment would also affect the regulated community. For example, a single regulatory system could reduce confusion amongst licensees regarding regulatory requirements, and it could Item 11.a. - Page 207 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 13 require a majority vote, a two-thirds vote, or voter approval depending on the nature of the changes. For example, legislative changes to the regulatory structure for nonmedical cannabis are permitted with a majority vote as long as they conform with the stated intent of the measure. Changes to the regulatory structure not deemed to be in conformance with the measure’s intent would have to be approved by voters. Legislature’s Decisions About Aligning Proposition 64 and MCRSA Will Affect Resource Needs. The Legislature’s ultimate decisions about aligning the regulatory structures for medical and nonmedical cannabis will affect the level of resources state agencies need to implement their programs. For example, DCA indicates that its IT proposal cost estimates are based on current law with two regulatory systems. It further indicates that IT costs could decline if changes in the law resulted in a consolidated regulatory framework. Additionally, we expect that the number of entities that seek licenses and therefore licensing workload could be affected by the specifics of the regulatory structure that is ultimately selected. For instance, the number of entities seeking distributor licenses would likely be affected by whether the regulatory structure generally allows these licenses to be held along with other license types or not. The resulting number of licensees would, in turn, have effects on the level of resources required to regulate those licensees. Once the Legislature makes key decisions about which requirements of MCRSA and Proposition 64 to align, it will be in a better position to assess the resource needs of the state agencies that will be implementing the regulatory scheme. Significant Uncertainty Regarding Resource Needs and Timing We find that there is significant uncertainty regarding the resources that will be needed to regulate and tax medical and nonmedical cannabis. This lack of clarity stems from various factors, including uncertainty in the (1) regulatory decisions regarding medical and nonmedical cannabis, (2) number of licensees and associated workload related to this market that has not been previously regulated by the state, (3) ongoing needs for funding new IT systems, (4) timing of implementation, and (5) federal stance on cannabis. Regulatory Decisions Likely to Affect Resource Needs. Various departments—including DCA, DPH, and CDFA—are in the process of drafting regulations to implement MCRSA and Proposition 64. These three departments have indicated that they anticipate that they will complete their medical cannabis regulations in the spring and their nonmedical cannabis regulations later in the year. Some of the decisions that are made in the regulations could have implications on the level of funding and positions needed to implement the regulations in the future. This is because the regulations will specify what types of information—such as information related to criminal history, ownership, or residency—have to be provided, reviewed, and verified by the regulating agencies. The more information that is required will probably result in a greater level of licensing staff needed for these reviews. Licensing Workload Uncertain Given New Regulatory Program. The state has not regulated the medical cannabis industry in the past, and nonmedical cannabis has operated on the black market. Therefore, there is a lack of reliable information on the current size of the cannabis industry in California, and tremendous uncertainty about the number of licensees that will seek to be regulated by state agencies in the future. Given this uncertainty, implementing agencies have taken different approaches to estimating the size of the cannabis industry, resulting in workload Item 11.a. - Page 208 2017-18 BUDGET 14 Legislative Analyst’s Office www.lao.ca.gov projections based on notably different estimates of the licensee population. For example, BOE’s budget request assumes that there will be 1,700 dispensaries/retailers remitting taxes (based on a study performed in 2014), while DCA’s request assumes there will be 6,000 dispensaries/ retailers (based on extrapolations from Colorado’s experience with cannabis legalization). While there could be different reasonable approaches to estimating the licensee population given the lack of reliable information, ideally all implementing departments should be operating under similar assumptions for the purposes of crafting the budget. Furthermore, the assumptions about licensee populations used by departments has a large effect on the licensing, enforcement, and tax administration resources requested. Thus, if departments’ estimates of future licensee populations turn out to be incorrect, there could be a significant impact on their resource needs. There is also uncertainty about other aspects of the workload costs associated with each licensee. For example, DCA estimates it will conduct enforcement-related investigations on 10 percent of its licensees that require testing of cannabis products. The request assumes that it will cost $1,000 to test each cannabis sample. This cost estimate for testing is based on information from the University of California, Davis. However, private testing labs reportedly charge much less than this—often less than a couple hundred dollars—so it is unclear what the costs will be for this testing. The uncertainties about the number of licensees and associated workload become even greater in out years as the share of new versus renewal applications would likely change compared to the initial years of regulation. We would expect renewal workload to be lower than for new applications. However, DCA’s budget request does not account for this likely change. Accordingly, we find that there is even greater uncertainty regarding the DCA’s anticipated resource needs in future years. Amount of Resources Necessary for IT Systems Uncertain Given Early Project Stage. There are also uncertainties regarding the costs associated with creating the IT systems to regulate this new industry. Implementing departments are still in the relatively early stages of IT project development and implementation. For example, DCA has not yet provided the California Department of Technology or the Legislature with the alternatives analysis—including cost-benefit analyses—of their project, information that is critical in informing the Legislature on the merits of the proposed approach. Additionally, DCA and CDFA have not yet completed the selection of vendors to customize their software solutions (known as a “Systems Integrators”). We expect that future-year funding needs for the projects will become more certain as they proceed. We further note that the specific ongoing resources requested by DCA for its IT system appear inflated. For example, the department has identified $1.8 million in ongoing costs for system integration. However, we would expect that these expenses should decline after the initial development is complete. Timing of Expenditures Uncertain Given Ambitious Timeline. January 1, 2018 is an ambitious timeline to begin accepting and issuing licenses because departments must conduct environmental reviews, finalize regulations and guidelines, have staff in place, and set up IT systems in a shorter period of time than is normal for such a large and complex new regulatory program. If there are delays, for example, with environmental reviews, it could make it very difficult to meet the January 1, 2018 implementation date. Moreover, if the Legislature chooses to modify the regulatory Item 11.a. - Page 209 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 15 requirements under MCRSA or Proposition 64, this could require departments to restart some regulatory development activities, thereby affecting their timelines for finalizing regulations. Thus, there is some uncertainty as to the extent to which departments will be able to begin issuing all new licenses by January 1, 2018. (This uncertainty is reflected in the administration’s estimate that there will be no excise tax revenue from cannabis in 2017-18.) The timing of issuing new licenses will, in turn, affect the amount of resources needed in the budget year. For example, if licensing entities are significantly delayed in issuing new licenses, there may be limited tax collections and reduced need for BOE tax administration staff in the budget year. Federal Enforcement of Cannabis Laws Uncertain. Existing federal policy could change in the future. If the federal government decides to begin enforcing federal law more stringently, this could affect the state’s ability to effectively implement regulations on cannabis. If operation of medical and/or nonmedical cannabis businesses were no longer allowed by the federal government, this would decrease the level of resources needed by all of the state licensing agencies involved. The coming months may bring some additional clarity regarding whether recent leadership changes at the federal level will bring any modifications to federal policies regarding cannabis enforcement. Departments Have Taken Various Approaches to Requests Given Uncertainty. Notably, departments have taken different approaches to crafting their budget proposals in light of uncertainty about future workloads. Some departments used more conservative estimates of licensee populations and the resulting workload, and in some cases, departments took an incremental approach of phasing in funding over a couple of years. For example, DCA phased in its funding request over a three-year period. DCA further requests the majority of its resources on an ongoing basis. In contrast, CDFA and BOE have generally taken more modest approaches to requesting resources. Specifically, CDFA does not propose significant additional resources in 2018-19 beyond what it requests for 2017-18, and it requests that all of its funding be approved on a three-year limited-term basis. Additionally, BOE’s request (1) assumes relatively modest workload (assuming a retailer population of only 1,700, as discussed above), (2) seeks less funding than its workload justifications would support in many cases, and (3) proposes limited-term funding for over 20 percent of its positions and almost two-thirds of its overall request. In our view, the more conservative and incremental approaches taken by CDFA and BOE are reasonable given the significant uncertainty surrounding future resource needs. General Fund Loan Amount Needed Will Depend on Amount of Funding Approved The administration proposes a General Fund loan to the MCF of up to $62.7 million in 2017-18. As shown in Figure 4, once the starting fund balance and anticipated expenditures and licensing revenues are taken into account, this General Fund loan would result in an estimated fund balance at the end of the fiscal year of $29 million, which is likely to be higher than necessary. Even if the state did not generate any license revenues in 2017-18, Figure 4 Marijuana Control Fund (MCF) Fund Condition (In Millions) 2016-17 2017-18 Resources Beginning balance $6.9 $17.5 License revenues — 11.5 General Fund loans 35.5 62.7 a Expenditures -24.8 -62.7 Fund Balance $17.5 $29.0 a Based on budget bill. Administration’s fund condition statement for MCF shows a higher loan amount of $78.3 million. Item 11.a. - Page 210 2017-18 BUDGET 16 Legislative Analyst’s Office www.lao.ca.gov the MCF would have a projected balance in the fund of $17.5 million, almost 30 percent higher than total estimated expenditures in 2017-18. The administration indicates that the high loan amount was to provide financial flexibility in the event that it decided to propose additional expenditures in the future (such as for increased IT costs). In our view, it is reasonable for the General Fund loan to be of an amount that provides sufficient funding for proposals in the event that revenues are lower than anticipated. Beyond that, a large fund balance is not likely to be needed. LAO RECOMMENDATIONS Create One Regulatory Structure of Cannabis Activities We recommend the Legislature work with the administration to enact legislation to align the regulation of medical and nonmedical cannabis to the maximum extent possible. The administration’s approach of creating one regulatory structure of cannabis activities makes sense because it would likely eliminate some duplicative regulatory functions and reduce confusion among licensees. For example, there are currently two departments (DCA and DPH) charged with regulating testing laboratories. In our view, it makes more sense for a single department to perform this licensing function. In addition, licensees that want to participate in both medical and nonmedical activities could face confusion in an unaligned system because they would face different rules under the two sets of regulations. Make These Policy Choices Before Making Budget Decisions. To the extent possible, before making its decisions on the Governor’s requested funding and related positions, we recommend that the Legislature make its decisions on the extent to which it wants to modify the provisions of MCRSA and Proposition 64 to better align the regulatory structures for medical and nonmedical cannabis. Doing so could better enable the Legislature to provide the funding and staffing levels consistent with the ultimate regulatory structure. In addition, over the next few months, the Legislature could get more information that will assist it in making its budgeting decisions, such as progress in implementing regulations and IT systems, as well as potentially some additional clarity on the federal government’s approach to cannabis. Limit Funding Provided for Out-Years Given the high level of uncertainty regarding the resource needs that will be required in the future to regulate cannabis, we recommend taking a more incremental approach to budgeting for these departments by authorizing certain budget requests on a limited-term basis. This approach is reflected in Figure 5, which compares the Governor’s proposed funding amounts to our recommended funding amounts. (In some cases, our recommended funding amounts reflect our estimates based on available information.) Under our proposed approach, departments would be budgeted as proposed in 2017-18, but in some cases receive less funding than requested in subsequent years. This incremental approach would allow the Legislature to re-evaluate resources as part of the 2018-19 budget process when additional information is available on actual workload. In a few cases—such as for BOE and CDFA’s non-IT- related request—we recommend providing the multiyear funding requested because we either find it to be critical or the department’s estimates are Item 11.a. - Page 211 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 17 clearly based on conservative assumptions. (We note that these recommendations assume that the current statutory framework remains in place and might need to be revised if the Legislature enacts legislation to align MCRSA and Proposition 64.) The specific proposals that we recommend modifying to be limited term are described below. • All IT-Related Funding. We recommend approving all of the IT funding requests for 2017-18, but reject proposed funding in the out years. Next year, we anticipate that better information will be available to assess future IT costs because departments will have selected systems integrators, and the new IT systems should be largely complete. At that point, departments will have a better sense of additional work needed to ensure the IT systems have the desired functionality, as well as the necessary costs to operate and maintain their IT systems. This approach would provide the additional benefit of giving the Legislature an opportunity to use future budget hearings to oversee the projects and ensure that they remain on-track. We note that this oversight is particularly important for DCA given its recent challenges with successfully managing the BreEZe IT project. • Share of DCA’s 2017-18 Licensing and Testing Costs. We recommend approving a portion of the funding requested by DCA in 2017-18 on a two-year limited-term basis. Given DCA’s relatively high assumption about the number of licensees in 2017-18, we recommend making a share—20 percent—of its licensing and support staff funding limited term. This would be consistent with the share of its enforcement staff that DCA proposes to fund on a limited-term basis. Furthermore, while DCA will very likely have ongoing enforcement-related testing costs, we recommend funding these costs on a two-year limited-term basis rather than an ongoing basis at this time given the level of uncertainty regarding future-year costs. • None of DCA’s Licensing and Enforcement Out-Year Requests. We also recommend denying requests for future increases in DCA’s licensing and enforcement request at this time. While the department might need to increase its licensing and enforcement activities over time (for example, to staff the new proposed field offices), it is too early to tell what DCA’s ongoing level of resource needs will be. Figure 5 Summary of Governor’s and LAO’s Recommendations for Funding Cannabis Implementation (In Millions) Department 2017-18 2018-19 2019-20 2020-21 and After Governor LAO Governor LAO Governor LAO Governor LAO Consumer Affairs $22.5 $22.5 $30.9 $18.6 $30.4 $13.3 $30.2 $13.3 Food and Agriculture 22.4 22.4 16.1 5.5 16.1 5.5 — — Board of Equalization 5.4 5.4 2.7 2.7 2.1 2.1 2.0 2.0 Public Health 1.0 1.0 0.1 -0.4 -0.2 -0.4 -0.2 -0.4 Totals $51.4 $51.4 $49.8 $26.4 $48.4 $20.5 $32.1 $14.9 Item 11.a. - Page 212 2017-18 BUDGET 18 Legislative Analyst’s Office www.lao.ca.gov Reduce General Fund Loan to Reflect Actual Budget Actions Once the Legislature determines its preferred level of funding for 2017-18, we recommend it tailor the size of the General Fund loan provided to the MCF to meet those needs, without providing a bigger than necessary loan. For example, if the Legislature were to approve the Governor’s current requests for 2017-18, we would recommend that the Legislature reduce the Governor’s proposed General Fund loan by $17.5 million—from $62.7 million to $45.2 million. This would leave an estimated reserve in the MCF of $11.5 million, which would provide sufficient funds to cover all projected costs even if the state collected lower license revenues than projected in 2017-18. Require Additional Reporting on Implementation of Cannabis Regulatory Programs Annual Report on Implementation and Outcomes. We recommend the Legislature enact legislation to require the administration to submit a report by April 1 of each year on the implementation of MCRSA and Proposition 64. This report should summarize department activities and program outcomes. Specifically, we recommend that this report include data on (1) the activities each regulatory department expects to complete in the coming year, such as the number of licenses that will be issued and the number of inspections that will be performed; (2) the actual number of these activities completed in the past year; and (3) program outcomes. Outcomes reporting should include measurable performance data to indicate how well programs are functioning. This might include, for example, the average amount of time to process licenses and to complete formal discipline actions against licensees. In our view, this requirement would not constitute much of an administrative burden for administering departments because the information contained in the report would be data that departments should be collecting anyway. We recommend that this report be required for each of the next five years, at which time we would expect that the programs would be fully implemented. Until that time, however, such a report would provide the Legislature and stakeholders with a consolidated, single source of information on the implementation of MCRSA and Proposition 64. This type of report would both facilitate legislative oversight and help inform subsequent decisions for how best to implement future stages of the cannabis regulatory system. Moreover, such information could help shape future cannabis policy by providing information that would illuminate how well different aspects of the programs are working. Quarterly Briefings on IT Projects. We recommend the Legislature adopt budget bill language to require the departments implementing new cannabis-related IT projects—DCA, CDFA, and DPH—to provide legislative staff with quarterly briefings on the status of these projects. It is important for the Legislature to have the information necessary to monitor the projects given the implementation challenges inherent in developing and implementing large new IT projects in an expedited time frame. Item 11.a. - Page 213 2017-18 BUDGET www.lao.ca.gov Legislative Analyst’s Office 19Item 11.a. - Page 214 2017-18 BUDGET 20 Legislative Analyst’s Office www.lao.ca.gov LAO Publications This report was prepared by Helen Kerstein and Shawn Martin—with assistance from Seth Kerstein and Sonja Petek— and reviewed by Brian Brown. The Legislative Analyst’s Office (LAO) is a nonpartisan office that provides fiscal and policy information and advice to the Legislature. To request publications call (916) 445-4656. This report and others, as well as an e-mail subscription service, are available on the LAO’s website at www.lao.ca.gov. The LAO is located at 925 L Street, Suite 1000, Sacramento, CA 95814. Item 11.a. - Page 215 ATTACHMENT 4 TABLE 1 AUMA RELATED MARIJAUNA REGULATION STATUS IN OTHER SLO COUNTY JURISDICTIONS1 JURISDICTION GENERAL APPROACH TO DATE STATUS Grover Beach Pro Ordinances 17-04 adopted in February, 2017 and 17-003 in June, 2017 approved to allow regulated medical commercial marijuana. San Luis Obispo Con No determination Council direction to date indicated prohibition. Pismo Beach Very Limited Prohibition adopted Nov. 2017. Morro Bay Very Limited Staff currently researching and getting Council direction. Paso Robles Con Task Force to review regulations Atascadero Limited Allows commercial testing and manufacturing and recreational deliveries. Limits indoor personal cultivation to 6 plants with a permit. Possible future amendments may include allowing indoor commercial cultivation and/or recreational dispensary. San Luis Obispo County Pro Allows regulated cultivation and recreational and medical deliveries and medical dispensaries with prescription through pharmacies. Prohibits recreational dispensaries. Board of Supervisors considering; hearing on June 20, 1018 indicates that they may expand regulations for medical purposes. 1 Approximated status and subject to change. Item 11.a. - Page 216 ORDINANCE NO. 678 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF ARROYO GRANDE AMENDING SECTIONS 16.62.010 AND 16.62.050 OF THE ARROYO GRANDE MUNICIPAL CODE RELATING TO MEDICAL MARIJUANA CULTIVATION AND AMENDING SECTION 16.62.070 AND ADDING CHAPTER 5.95 TO TITLE 5 OF THE ARROYO GRANDE MUNICIPAL CODE RELATING TO MEDICAL MARIJUANA DELIVERY SERVICES WHEREAS, three bills were enacted by the State of California Legislature in 2015 and signed by the Governor on October 9, 2015, that comprise the Medical Marijuana Regulation and Safety Act (MMRSA): AB 243 (Chapter 688, Statutes of 2015); AB 266 Chapter 689, Statutes of 2015); and SB 643 (Chapter 719, Statutes of 2015); and WHEREAS, the MMRSA expressly preserves the authority of cities with regard to their zoning powers and local actions taken in accordance with the police power under the State Constitution; and WHEREAS, the MMRSA also contains language that provides that if delivery services are to be prohibited, it must be expressly prohibited by local ordinance, if a City wishes to do so; and WHEREAS, on January 26, 2016 the City Council of the City of Arroyo Grande adopted Ordinance No. 675 which added Chapter 16.62 to Title 16 of the Arroyo Grande Municipal , Code prohibiting medical marijuana dispensaries, cooperatives and collectives, and deliveries of medical marijuana, and the cultivation of marijuana within the City; and WHEREAS, the prohibition on deliveries was based upon the City's prior prohibition of mobile marijuana dispensaries and the MMRSA's provision that any prohibition of delivery services must be expressly provided by local ordinance; and WHEREAS, the City Council has subsequently determined that it is appropriate and desirable to allow limited and strictly regulated deliveries of medical marijuana and provide that such deliveries are only permitted by licensed services; WHEREAS, the MMSRA otherwise contains provisions providing for local regulations relating to delivery of medical marijuana; and WHEREAS, this Ordinance will add provisions to the Arroyo Grande Municipal Code that will provide procedures to select up to three delivery services that will be permitted to make deliveries of medical marijuana in the City, provided that they meet standards set forth in the Ordinance to protect the health and safety of the community and ATTACHMENT 5 Item 11.a. - Page 217 ORDINANCE NO. 678 PAGE 2 provided that drivers who deliver medical marijuana receive permits after appropriate background checks conducted by the Arroyo Grande Police Department; and WHEREAS, the City Council also desires to amend Chapter 16.62.050 of the Arroyo Grande Municipal Code to permit limited cultivation of medical marijuana as further set forth in this ordinance; and WHEREAS, the City Council of the City of Arroyo Grande hereby makes the following findings regarding the unregulated cultivation of medical marijuana within the boundaries of the City: A. The unregulated cultivation of medical marijuana can adversely affect the health, safety and well-being of the City and its residents. Unregulated medical marijuana cultivation increases the risk of criminal activity, degradation of the natural environment, excessive use of electricity which may overload standard electrical systems, and damage to buildings in which cultivation occurs, including improper and dangerous electrical alterations and use, increased risk of fire and fire-related hazards, inadequate ventilation, increased occurrences of home- invasion robberies and similar crimes. Medical marijuana cultivation also creates increased nuisance impacts to neighboring properties because of the strong, malodorous, and potentially noxious odors which come from the plants. Further, the indoor and outdoor cultivation of medical marijuana in or near residential zones increases the risk of such activity and intrudes upon residential uses. Accordingly, except for limited indoor cultivation as provided in this Ordinance, it is the intent of the City to prohibit the cultivation of medical marijuana in the City of Arroyo Grande. B. Marijuana plants grown outdoors, as they begin to flower and for a period of two (2) months or more during the growing season, produce an extremely strong odor that is offensive to many people and detectable far beyond property boundaries. This strong smell may create an attractive nuisance, alerting persons to the location of the marijuana plants, thereby creating a risk of burglary, robbery, armed robbery, assault, attempted murder, and murder. C. Fertilizers and pesticides, both legal and illegal, used when marijuana is grown outdoors may unreasonably increase the concentration of such chemicals in storm water runoff thereby impacting local creeks, streams and rivers. Such pollution may negatively affect water quality for downstream users, harm ecosystems, and impact threatened or endangered species. D. Water for marijuana grown outdoors may be illegally diverted from local creeks, streams, and rivers, thereby unreasonably depriving downstream users Item 11.a. - Page 218 ORDINANCE NO. 678 PAGE 3 of beneficial water sources. Such diversions may also impact water supply, harm ecosystems, and negatively affect threatened or endangered species. NOW THEREFORE, THE CITY COUNCIL OF THE CITY OF ARROYO GRANDE DOES ORDAIN AS FOLLOWS: SECTION 1. The above recitals and findings are true and correct and are incorporated herein by this reference. SECTION 2. This Ordinance is adopted pursuant to the authority granted by the California Constitution and State law, including but not limited to Article XI, Section 7 of the State Constitution, Proposition 215, codified as Health and Safety Code Section 11362.5 et seq., the Medical Marijuana Program Act, codified as Health and Safety Code Section 11362.7 et seq. and the MMRSA. SECTION 3. Section 16.62.010 of the Arroyo Grande Municipal Code is hereby amended in its entirety to read as follows: 16.62.010 - Purpose and findings A. It is the purpose and intent of this chapter to prohibit medical marijuana dispensaries, cooperatives and collectives, and limit cultivation of medical marijuana pursuant to the City of Arroyo Grande's authority under Section 7 of Article XI of the California Constitution, in order to promote the health, safety, and general welfare of the residents and businesses within the City of Arroyo Grande and prevent adverse impacts which such activities may have on nearby properties and residents, as recognized by the Courts (reference City of Riverside v. Inland Empire Patients Health & Wellness Center., Inc., 56 Cal.4th 729 (2013) and Maral v. City of Live Oak, 221 Cal.App.4th 975 2013)) and as provided in the Medical Marijuana Regulation and Safety Act (AB 243 Chapter 688, Statutes of 2015); AB 266 (Chapter 689, Statutes of 2015); and SB 643 Chapter 719, Statutes of 2015)). B. Pursuant to the City of Arroyo Grande's police powers authorized in Article XI, Section 7 of the California Constitution, the City has the power to regulate permissible land uses within its boundaries and to enact regulations for the preservation of public health, safety and welfare of its residents and community. Further, pursuant to Government Code Sections 38771 through 38775, municipalities also have the power through the City Council to declare actions and activities that constitute a public nuisance. C. The City Council finds that Proposition 215, "The Compassionate Use Act of 1996", Senate Bill 420 enacted in 2003, also known as the Medical Marijuana Program and the Medical Marijuana Regulation and Safety Act (AB 243 (Chapter 688, Statutes of 2015); AB 266 (Chapter 689, Statutes of 2015); and SB 643 (Chapter 719, Statutes of Item 11.a. - Page 219 ORDINANCE NO. 678 PAGE 4 2015) do not preempt the City's exercise of its traditional police powers in enacting land use regulations, such as this chapter, for preservation of public health, safety and welfare, by prohibiting medical marijuana dispensaries, cooperatives and collectives, and regulating and limiting the cultivation of marijuana within the City." SECTION 4. Section 16.62.050 of the Arroyo Grande Municipal Code is hereby amended to read as follows: 16.62.050 - Cultivation A. Except for limited indoor cultivation as provided in subsection C herein, no person or persons owning, leasing, occupying, or having charge or possession of any parcel in the City of Arroyo Grande, including primary caregivers and qualified patients, collectives, cooperatives or dispensaries, shall allow such parcel to be used for the cultivation of marijuana. Cultivation of marijuana in violation of this chapter within the City of Arroyo Grande for any purpose is prohibited, and is expressly declared to be a public nuisance. B. The prohibition contained in this section is intended to constitute an express prohibition on cultivation as it relates to the provisions of Health and Safety Code Section 11362.777(b)(3), which provides that a person or entity shall not submit an application for a state license to cultivate marijuana under the Department of Food and Agriculture's Medical Cannabis Cultivation Program if the proposed cultivation of marijuana will violate the provisions of a local ordinance or regulation, or if medical marijuana is prohibited by the City. C. The limited indoor cultivation of marijuana in the City of Arroyo Grande is permitted subject to the following restrictions and standards: 1. The marijuana is cultivated by a qualified patient for his or her personal use. 2. The marijuana is cultivated inside a detached single family dwelling on property where the qualified patient resides on a full-time basis. 3. No more than fifty (50) contiguous square feet of the interior of the dwelling, shall be devoted to the cultivation of medical marijuana. The medical marijuana cultivation area shall not exceed 10 feet in height. These restrictions apply regardless of how many qualified patients are residing on the property. 4. The area used for cultivation complies with California Building, Electrical and Fire Codes as adopted by City of Arroyo Grande. 5. The marijuana cultivation is concealed so that it is not visible from the exterior of the property, the public right-of-way, and/or neighboring properties. 6. All medical marijuana cultivated pursuant to this section shall be for the personal use only of a qualified patient residing on the property and may not be distributed to any other person, collective or cooperative. The qualified patient Item 11.a. - Page 220 ORDINANCE NO. 678 PAGE 5 shall not participate in medical marijuana cultivation in any other residential location within the City of Arroyo Grande. 7. The lighting for the cultivation shall not exceed 1200 watts. The use of flammable or combustible products, including but not limited to, propane and butane for cultivation and processing is prohibited. 8. The cultivation of marijuana shall not take-place in a garage, kitchen, bathroom or occupied bedroom of the dwelling. 9. The marijuana cultivation shall not adversely affect the health or safety of the occupants of other property in the vicinity by creating dust, glare, heat, noise, noxious gasses, odor, smoke, traffic, vibration or other impacts and shall not be maintained in a manner so as to constitute a hazard due to use or storage of materials, processes, products or wastes. 10. Nothing in this subsection is intended, nor shall it be construed, to preclude any landlord from limiting or prohibiting medical marijuana cultivation by tenants." SECTION 5. Section 16.62.070 of the Arroyo Grande Municipal Code is hereby amended to read as follows: 16.62.070 - Deliveries It shall be unlawful for any person to deliver medical marijuana or medical cannabis products or engage in activities that constitute delivery of medical marijuana or medical cannabis products anywhere within the boundaries of in the City of Arroyo Grande unless the medical marijuana delivery service and each delivery driver is licensed in accordance with the provisions of Chapter 5.95 of this Code. SECTION 6. Chapter 5.95 is hereby added to Title 5 of the Arroyo Grande Municipal Code to read as follows: Chapter 5.95 - MEDICAL MARIJUANA DELIVERY SERVICES 5.95.010 - Definitions For the purposes of this chapter the following words and phrases shall have the meanings respectively ascribed to them by this section: City" shall mean the City of Arroyo Grande. Chief of Police" shall mean the Chief of Police of the City of Arroyo Grande or his or her designee. Item 11.a. - Page 221 ORDINANCE NO. 678 PAGE 6 City Manager" shall mean the City Manager of the City of Arroyo Grande or his or her designee. Marijuana" means all parts of the plant genus Cannabis, whether growing or not; the seeds thereof; the resin extracted from any part of the plant; and every compound, manufacture,, salt, derivative, mixture or preparation of the plant, its seeds or resin, and includes "cannabis", "medical cannabis", "cannabis product" and "medical cannabis product" as defined in Business and Professions Code Sections 19300.5(f) and (ag). Marijuana Delivery" or "Delivery" means the commercial transfer of marijuana from one location to another. "Delivery" shall also have the meaning set forth in Business and Professions Code Section 19300.5 (m). Marijuana Delivery Driver' shall mean any individual who drives or operates a marijuana delivery vehicle in which marijuana is delivered. Marijuana Delivery Service" means a person or persons engaged in the business of owning, controlling or operating one or more marijuana delivery vehicles which transport, carry, or deliver marijuana in such marijuana delivery vehicle, or marijuana delivery vehicles, anywhere within the City of Arroyo Grande. Marijuana Delivery Vehicle" means a motor vehicle, as that term is defined in the Vehicle Code of the State of California, used for the transportation of marijuana. Person" includes any person, firm, association, organization, partnership, joint venture, business trust, corporation or company. Primary Caregiver". This,shall have the meaning set forth in Health and Safety Code Section 11362.7(d). Qualified Patient". This shall have the meaning set forth in Health and Safety Code Section 11362.7(f). 5.95.020 - Marijuana Delivery Service License Required; Limitation on Number of Licenses, Criteria and Granting of Licenses Every marijuana delivery service shall obtain a marijuana delivery service license from the City prior to any operation within the City. The Chief of Police may grant or cause to be granted up to three marijuana delivery service licenses to operate in the City of Arroyo Grande. Item 11.a. - Page 222 ORDINANCE NO. 678 PAGE 7 ' Marijuana delivery service licenses shall be issued based upon an open application process. The Chief of Police shall give public notice of the opening of a 30 day period during which applications for marijuana delivery services will be accepted by having such notice published in a newspaper of general circulation pursuant to Government Code Section 6061 and posting the notice on the City's website. Applications shall be signed under penalty of perjury- that the applicant has personal knowledge of the information being submitted and that it is true. Granting of marijuana delivery service licenses shall be made at the sole discretion of the Chief of Police. The Chief of Police shall rank the applications received using the criteria contained in this section, based upon those that best meet the needs of the community and will deliver services and operate in a manner-that will protect the public health and safety. The highest ranked qualified applicants equal to the number of available medical marijuana delivery service licenses shall be granted licenses pursuant to this chapter. The decision of the Chief of Police shall be final. When the Chief of Police has reviewed qualified applications within two years of any open application process under the provisions of this section and less than three licenses are active, at the discretion of the Chief of Police, review may be limited to applications previously submitted through the prior open application process. In addition to the information required in section 5.95.050, applicants shall address the following criteria, which shall be used by the Chief of Police as a basis for granting marijuana delivery service licenses: The applicant shall describe their experience in the marijuana delivery service business, including their knowledge of applicable medical marijuana laws and regulations. The applicant shall describe its plan and procedures for safely and securely delivering medical marijuana to qualified patients. This shall address procedures for preventing theft or diversion of medical marijuana. The applicant shall demonstrate knowledge relating to where and how the marijuana they deliver is cultivated, various strains of marijuana, and its experience, if applicable, growing those strains or comparable agricultural products. The applicant shall describe its plan for keeping records required by this chapter. Item 11.a. - Page 223 ORDINANCE NO. 678 PAGE 8 The applicant shall describe steps taken to ensure quality, including the purity and consistency of the medical marijuana it delivers to qualified patients. This shall include labeling, packaging and how it ensures consumer safety by testing for biological and chemical contaminants, pursuant to state or federal,standards, for food, drugs or tobacco. It shall also include details regarding procedures used to prepare any medical marijuana edibles to comply with State food safety requirements, as well as the source of marijuana used in edible products. The applicant shall describe their personnel procedures and hiring practices, including the manner in which they ensure that employees are familiar with their procedures for safely and securely delivering medical marijuana, procedures to prevent theft or diversion, as well as the employee's knowledge of applicable medical marijuana laws and regulations. If the applicant maintains an employee handbook, copies shall be provided with the application. Marijuana delivery service licenses are not transferable. They shall be deemed terminated if the owner or operator who was granted a license discontinues or suspends delivery operations for a period of more than thirty days without permission obtained from the Chief of Police. When the State Bureau of Medical Marijuana has commenced issuing licenses pursuant to the Medical Marijuana Regulation and Safety Act (Chapter 3.5 (beginning with Section 19300) of Division 8 of the Business and Professions Code, all medical marijuana delivery services operating in the City shall also present proof to the Chief of Police that it has been issued required state license(s). Receipt of a marijuana delivery service license pursuant to this chapter shall constitute express authorization for delivery in the City of Arroyo Grande, as provided in Business and Professions Code Section 19300.5(n). 5.95.030 - Marijuana Delivery Service License Exemptions A. A primary caregiver engaged in the delivery of marijuana to a qualified patient for which they are the primary caregiver is exempt from a requirement for a marijuana delivery service license. B. A qualified patient engaged in the transportation of marijuana solely for his or her own personal use is exempt from a requirement for a marijuana delivery service license. Item 11.a. - Page 224 ORDINANCE NO. 678 PAGE 9 5.95.040 — Fees, Business Licenses, and Term A.Every marijuana delivery service licensed by the City shall pay application and license fees as stated in the City's Master Fee Schedule. Upon approval of the marijuana delivery service license application, the marijuana delivery service shall pay the fee as stated in the City's Master Fee Schedule per marijuana delivery vehicle, and the City shall issue a marijuana delivery vehicle license sticker for each properly insured marijuana delivery vehicle. The annual marijuana delivery service license renewal fee shall be as stated in the City's Master Fee Schedule per year, and the annual fee per marijuana delivery vehicle for the license sticker as stated in the City's Master Fee Schedule. Each applicant shall also present to the City the prescribed amount set by the Department of Justice of the State of California for the processing of the applicant's fingerprints. B.Each applicant for a marijuana delivery driver's permit shall pay to the City, application fees and annual permit fees as stated in the City's Master Fee Schedule. The annual renewal permit fee shall also be as stated in the Master City's Fee Schedule. Each applicant shall present to the City the prescribed amount set by the Department of Justice of the State of California for the processing of the applicant's fingerprints. C.Each marijuana delivery service shall pay all applicable business license fees as required by Chapter 5.02 of this code, and pay any other applicable taxes pursuant to Federal, State and local law. D. Term. All licenses and stickers issued to marijuana delivery services and marijuana delivery drivers shall be for the period of no more than one calendar year, and shall expire at midnight on the 31st day of December, subject to annual renewal by the Chief of Police. Initial annual fees shall be prorated based upon when in the year it is issued, however, application fees and annual fees shall not otherwise be subject to reductions or refunds. E.Prior to any renewal the Chief of Police shall review the licensee or permitee for satisfactory performance and compliance with the provisions of this Code during the preceding year, and also confirm the continuing validity of all information that was submitted by the licensee or permittee during the initial application process. Item 11.a. - Page 225 ORDINANCE NO. 678 PAGE 10 5.95.050 — Marijuana Delivery Service License Application A. In addition to submitting information relating to the selection criteria in section 5.95.020, every application for a marijuana delivery service license submitted in response to an open application process shall contain: 1. • Name and address of the applicant. 2. If the applicant is a corporation, the names and addresses of its directors. Copies of any relevant Articles of Incorporation, and any medical marijuana collective/cooperative agreement and membership forms shall be submitted with the application. 3. Area within which the delivery service proposes to operate. 4. Kind and amount of public liability and property damage insurance covering each vehicle to be used for marijuana delivered within the City. 5. Owner's trade name and business address. 6. Listing of all vehicles to be used for marijuana delivery within the City, their make, model (year), license plate number and Vehicle Identification Number. B. Whenever an employee of a marijuana delivery service files an application for a marijuana delivery driver's permit, or renewal hereof, with the City, the employer marijuana delivery service shall within 10 days after the filing of the application by the employee with the City, submit to the City by first class U.S. mail copies of the results and other records pertaining to the testing of the employee for the use of alcohol and controlled substances conducted pursuant to mandatory controlled substance and alcohol testing certification program required by Section 5.95.200. 5.95.060 - Investigation of Marijuana Delivery Service Application A. All applications submitted as part of a marijuana delivery service open application process shall be referred to the Chief of Police for investigation in order to determine if the applicant is qualified. The Chief of Police shall obtain a copy of the applicant's criminal record in the United States, if any, and may obtain the criminal record, if any, in any other country, if obtaining such foreign criminal record is feasible. B. The Chief of Police in making determinations relating to granting medical marijuana delivery licenses may also demand personal references from applicants and may make such further investigation of applicants as deemed appropriate. Item 11.a. - Page 226 ORDINANCE NO. 678 PAGE 11 5.95.070 - Insurance Requirements The insurance required before a marijuana delivery service license can be issued shall insure the public against any loss or damage that may result to any person or property from the operation of any marijuana delivery vehicle used by the marijuana delivery service in its business as such. The amount of insurance shall not be less than 1,000,000.00 per occurrence combined single limit for bodily injury and property damage. The City, its officers, agents and employees shall be named as additional insureds on any policy. Insurance shall include contractual liability to cover liability assumed in contract, shall include a severability of interest or equivalent wording, and shall specify that insurance coverage afforded to the City shall be primary. 5.95.080 - Insurance Certificate Prerequisite to Issuance No marijuana delivery service license shall be issued until the applicant first files with the City a certificate of insurance, on a form acceptable by the City. Said certificate shall provide evidence of insurance in amounts and with conditions acceptable to the City and shall be approved by the City Manager. The marijuana delivery service insurance shall remain in force during the entire term of the license, and if such insurance is canceled or terminated, it shall be grounds for revocation or suspension of the license until a valid certificate is furnished to the City. 5.95.090 - Hold Harmless Agreement As a condition of the license, each marijuana delivery service shall execute an agreement indemnifying and holding harmless the City, its officers, agents and employees from any and all damages, claims, liabilities, costs including attorney's fees, suits or other expenses resulting from and arising out of said marijuana delivery service operations. The agreement shall provide that the marijuana delivery service agrees to defend, at it sole expense, any action against the City, its officers, agents and employees and reimburse the City of any court costs and attorney fees that the City may be required to pay as a result of any such action or issuance of the license. The City, may, at its sole discretion, participate at its own expense in the defense of any action, but such participation shall not relieve the licensee of its obligations hereunder. 5.95.100 - Revocation or Suspension of Marijuana Delivery Service License A marijuana delivery service license or a renewal thereof may be revoked or suspended if the license holder: Item 11.a. - Page 227 ORDINANCE NO. 678 PAGE 12 A. Has knowingly made a false statement in a material matter either in his or her application or in any reports or other documents furnished by him or her to the City. B. Does not maintain and operate his or her marijuana delivery vehicle and other equipment in the manner and in the condition required by law and applicable regulations. C. Is required to register as a sex offender under the provisions of Section 290 of the California Penal Code. D. Has been convicted of any offense relating to the use, sale, possession or transportation of narcotics or habit-forming drugs. E. Has utilized drivers who are under suspension, revocation or probation by the Department of Motor Vehicles for a cause involving the safe operation of a motor vehicle, or have been convicted of any of the following offenses: driving while intoxicated; or reckless driving involving bodily injury. F. Has been convicted of any offense punishable as a felony, or has been convicted within a 10-year period immediately preceding the crime of theft in either degree. G. Has been convicted of any offense involving moral turpitude. H. Utilizes drivers who have been involved in any motor vehicle accident causing death or personal injury. I.Utilizes drivers who have been involved in three or more motor vehicle accidents. J.Failed to pay required license fees. K. Has violated any provision of this chapter or engaged in any conduct that adversely affects the health, welfare or safety of the community. 5.95.110 - Revocation Procedures A. The City may give notice to a marijuana delivery service of its intention to revoke a marijuana delivery service license. If deemed it will be a hazard to the health, safety or welfare, for the marijuana delivery service to continue operations pending a revocation hearing, the City may suspend the license and all rights and privileges thereunder until the hearing on revocation. The notice shall specify a time and place at Item 11.a. - Page 228 ORDINANCE NO. 678 PAGE 13 which a hearing will be held before a hearing officer designated by the City Manager. The hearing officer may be a department head, or his or her designee, or other disinterested person. The employment, performance evaluation, compensation and benefits of the hearing officer, if any, shall not be directly or indirectly conditioned upon the determinations made by the hearing officer. The hearing shall be conducted not less than seven days after the date of the notice, unless the operator agrees to a shorter period of time. Unless the marijuana delivery service consents, a hearing must be held within 14 days of a suspension. The notice shall specify the reasons for the proposed revocation in sufficient detail so as to fully inform the marijuana delivery service of the reasons which have caused the notice to be given, and if the marijuana delivery service license has been suspended the reasons for such suspension. A copy of the notice shall be sent to the Chief of Police. B. The marijuana delivery service and Chief of Police shall each have the right to be represented by counsel, to call and examine witnesses, cross-examine witnesses, and argue their respective positions. The proceedings shall be informal, and strict rules of evidence shall not apply. All evidence shall be admissible which is of the kind that reasonably prudent persons rely on in making decisions. C. The hearing officer shall render a recommended decision in writing to the City Manager, and include the reasons therefor. The City Manager may accept, or modify the hearing officer's recommendation.and the decision of the City Manager shall be final. 5.95.120 - Marijuana Delivery Service Operating Requirements A. Deliveries shall be directly to the residence or business address of the qualified patient who possesses an identification card issued pursuant to Health and Safety Code Section 11362.71 et seq. or to that person's primary caregiver. Any other delivery or transaction is prohibited. The qualified patient or primary caregiver shall maintain a copy of the delivery request and make it available to law enforcement officers upon request as required by Business and Professions Code Section 19340(e). B. No marijuana delivery service shall permit any person other than a marijuana delivery vehicle driver, licensed in accordance with this chapter, to operate any of its marijuana delivery vehicles in which marijuana is delivered within the City. C. In accordance with the requirements of Business and Professions Code section 19340, during delivery, licensees shall maintain a physical copy of the delivery request and shall make it available to law enforcement officers upon request. Each Item 11.a. - Page 229 ORDINANCE NO. 678 PAGE 14 marijuana delivery service shall maintain a written record of every request for delivery, - including the name of the requestor, the address for the delivery, the quantity and type of marijuana requested, the date and time the delivery request is received, the marijuana delivery vehicle that is assigned to make the delivery, and the marijuana delivery driver that is assigned to make the delivery. D. Each marijuana delivery service shall assure that every marijuana delivery driver shall have a copy of the record of the delivery request during the delivery of any marijuana in the City. Employees delivering medical marijuana shall carry a copy of the delivery services license and present it and the employee's identification to law enforcement officers upon request. Deliveries shall only occur between the hours of 10:00 a.m. and 7:00 p.m. E. Other than displaying required marijuana delivery vehicle license stickers, delivery vehicles shall not contain advertisements for commercial cannabis activities nor shall it advertise the name of the dispensary. F. Delivery drivers shall not transport medical marijuana in excess of any applicable limits established by the Bureau of Medical Marijuana. G. Each marijuana delivery service shall maintain, for a minimum of three years, a written accounting or ledger of all cash, receipts, credit card transactions, and reimbursements, (including any in-kind contributions) as well, as records of all operational expenditures and costs incurred by the marijuana delivery service in accordance with generally accepted accounting practices and standards typically applicable to business records, which records shall be subject to audit or inspection by the City upon request. H. Each marijuana delivery service shall keep current the information furnished under Section 5.95.050. The information shall be furnished to the City. I.All products delivered shall have been tested in a manner consistent with the procedures described in the marijuana delivery service application, as required by Section 5.95.020. 5.95.130 - Marijuana Delivery Driver's Permit - Required Every marijuana delivery driver who drives a marijuana delivery vehicle for which a marijuana delivery service license is required or has been issued shall obtain a marijuana delivery driver's permit from the City prior to driving a marijuana delivery vehicle within the City. Item 11.a. - Page 230 ORDINANCE NO. 678 PAGE 15 5.95.140 - Application A. Every applicant for a marijuana delivery driver's permit must be employed or have an offer of employment by a licensed marijuana delivery service. Every marijuana delivery driver shall file an application for a marijuana delivery driver's permit on a form supplied by the City. B. For marijuana delivery drivers employed by a marijuana delivery service, employer marijuana delivery service shall comply with subsection B of Section 5.95.050 of this chapter. An applicant for a marijuana delivery driver's permit shall immediately upon the filing of an application inform the employer of the requirements of this section and of subsection B of Section 5.09.050. 5.95.150 - Referral of Application to Chief of Police The application for a marijuana delivery driver's permit shall be referred to the Chief of Police, who shall make the same type of investigation as set forth in Section 5.95.060 and approve or disapprove the application. 5.95.160 - Procedure on Disapproval A. Within 15 days after notification of disapproval, an applicant may appeal to the City Manager, in writing, from the disapproval of the Chief of Police, giving the reasons in full as to why the permit should be issued in spite of the disapproval. A copy of the appeal shall be sent by applicant to the Chief of Police and City Manager at the same time. B. The City Clerk shall set a hearing,on the appeal of the applicant, and shall fix a time and a date certain, within 30 days after the receipt of applicant's appeal by the City (or such longer time as applicant shall agree to) to hear and consider the appeal of applicant. The City Clerk shall notify the applicant, Chief of Police and City Manager of the time and place of hearing at least seven days prior to the date of the hearing. C. A hearing officer designated by the City Manager shall hear the appeal. The hearing officer may be a department head, or his or her designee, or other disinterested person. The employment, performance evaluation, compensation and benefits of the hearing officer, if any, shall not be directly or indirectly conditioned upon the determinations made by the hearing officer. Item 11.a. - Page 231 ORDINANCE NO. 678 PAGE 16 D. All testimony at the hearing shall be given under oath or affirmation. The applicant and Chief of Police shall have the right to be represented by counsel. Applicant and Chief shall each have the right to call and examine witnesses, cross-examine witnesses and argue their respective positions. The proceeding shall be informal, and the strict rules of evidence shall not apply, and all evidence shall be admissible which is of the kind that reasonably prudent persons rely on in making decisions. The hearing officer shall determine the order of procedure and shall rule on all objections to admissibility of evidence. Applicant and Chief of Police shall each be given a full and fair hearing. The hearing officer shall render a recommended decision in writing to the City Manager, and include the reasons therefore within 10 days after the close of the hearing. The City Manager may accept, or modify the hearing officer's recommendation and the decision of the City Manager shall be final. 5.95.170 - Issuance Upon receipt of the approval of the City, it shall issue to the applicant a marijuana delivery driver's permit, which shall be in the form of a card containing the permitee's name, photograph and right index fingerprint. 5.95.180 - Notice of Revocation — Suspension - Procedures The City may give a notice of intention to revoke a marijuana delivery driver's permit, and may suspend such permit pending a hearing, as in the case of a marijuana delivery service license, and the procedures for revocation, and the rights of the parties shall be the same, insofar as applicable as in the case of revocation of a marijuana delivery service license. 5.95.190 -Automatic Suspension of Marijuana Delivery Driver's Permit Any marijuana delivery driver's permit issued hereunder shall be automatically suspended and be null and void during any period of time that the marijuana delivery driver's State motor vehicle operator's license is suspended, revoked, or for any other reason is invalid or inoperative. 5.95.200 - Mandatory Controlled Substance and Alcohol Testing Program A. Every marijuana delivery service shall develop and adopt a mandatory controlled substance and alcohol testing certification program in compliance with Government Code Section 53075.5 and in accord with the procedures set forth in Part Item 11.a. - Page 232 ORDINANCE NO. 678 PAGE 17 40 (commencing with Section 40.1) of Title 49 of the Code of Federal Regulations. A copy of the mandatory controlled substance and alcohol testing certification program adopted pursuant to this section shall be delivered to the Chief of Police and City Manager. B. The employer marijuana delivery service's mandatory controlled substance and alcohol testing certification program shall contain a provision that, while the employer marijuana delivery service license is in effect, the employer marijuana delivery service shall, upon request of the City, make available for inspection copies of all results and other records pertaining to the testing for the use of alcohol and controlled substances conducted pursuant to the mandatory controlled substance and alcohol testing certification program required by this section. C. The employer marijuana delivery service's mandatory controlled substance and alcohol testing certification program shall, at a minimum, require every marijuana delivery driver to submit to testing at least once every year and submit to mandatory testing following citation for a moving violation or being involved in a vehicle accident. D. Failure to comply with the requirements of this section constitutes grounds for denial, revocation or suspension of a marijuana delivery service license pursuant to this chapter. The procedures for denial, suspension or revocation shall be the same as those prescribed for suspension or revocation of a marijuana delivery service license elsewhere in this chapter. 5.95.210 - Grounds for Denial, Revocation or Suspension of Marijuana Delivery Driver's Permit The granting of a marijuana delivery driver's permit or a renewal thereof may be denied and an existing permit may be revoked or suspended if the permit holder or applicant: A. Has knowingly made a false statement in a material matter either in his or her application or in any reports or other documents furnished by him or her to the City. B. Does not maintain and operate his or her marijuana delivery vehicle and other equipment in the manner and in the condition required by law and applicable regulations. C. Is required to register as a sex offender under the provisions of Section 290 of the California Penal Code. Item 11.a. - Page 233 ORDINANCE NO. 678 PAGE 18 D. Has been convicted of any offense relating to the use, sale, possession or transportation of narcotics or habit-forming drugs. E. Within the three-year period immediately preceding the application has been under suspension, revocation or probation by the Department of Motor Vehicles for a cause involving the safe operation of a motor vehicle, or has been convicted of any of the following offenses: driving while intoxicated; or reckless driving involving bodily injury. F. Has been convicted of any offense punishable as a felony, or has been convicted within a 10-year period immediately preceding the crime of theft in either degree. G. Has been convicted of any offense involving moral turpitude. H. Has been involved within the two years immediately preceding the application in any motor vehicle accident causing death or personal injury. I.Has been involved in three or more motor vehicle accidents within the year immediately preceding the application. J.Failed to pay required permit fees. K. Has violated any provision of this chapter. 5.95.220 - Additional Marijuana Delivery Driver Conditions In addition to the conditions and grounds for the issuance and retention of a marijuana delivery driver's permit issued pursuant to this chapter, a marijuana delivery driver's permit shall be issued and retained subject to the following conditions: A. The marijuana delivery driver shall be at least 21 years old prior to issuance of a marijuana delivery driver's permit. B. Employment, or an offer of employment, as a marijuana delivery driver has been made by a licensed marijuana delivery service. C. The marijuana delivery driver's permit shall become void upon termination of employment of the marijuana delivery driver. D. The marijuana delivery service employer shall notify the City upon termination of employment of a marijuana delivery driver. Item 11.a. - Page 234 ORDINANCE NO. 678 PAGE 19 E. The marijuana delivery driver's permit shall state the name of the marijuana delivery service employer. F. The marijuana delivery driver shall return the marijuana delivery driver's permit to the City upon termination of employment. G. The marijuana delivery driver shall not test positive pursuant to the employer marijuana delivery service's mandatory controlled substance and alcohol testing certification program. 5.95.230 - Marijuana Delivery Driver Duties A. No marijuana delivery driver shall permit any person other than another marijuana delivery vehicle driver, who has been issued a permit in accordance with this chapter, to operate the marijuana delivery vehicle in which marijuana is delivered within the City. B. Each marijuana delivery driver shall have a copy of the record of the delivery request during the delivery of any marijuana in the City. SECTION 7. This ordinance is exempt from CEQA pursuant to CEQA Guidelines Section15061(b)( 3) which is the general rule that CEQA applies only to projects which have the potential for causing a significant effect on the environment and CEQA does not apply where it can be seen with certainty that there is no possibility that the activity may have a significant effect on the environment. SECTION 8. A summary of this Ordinance shall be published in a newspaper published and circulated in the City of Arroyo Grande at least five (5) days prior to the City Council meeting at which the proposed Ordinance is to be adopted. A certified copy of the full text of the proposed Ordinance shall be posted in the office of the City Clerk. Within fifteen (15) days after adoption of the Ordinance, the summary with the names of those City Council members voting for and against the Ordinance shall be published again, and the City Clerk shall post a certified copy of the full text of such adopted Ordinance. This Ordinance shall take effect and be in full force and effect thirty (30) days after its passage. SECTION 9. This Ordinance shall take effect and be in full force and effect thirty (30) days after its passage. SECTION 10. If any section, subsection, sentence, clause, or phrase of this Ordinance is for any reason held to be invalid or unconstitutional by a decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions of this Ordinance. The City Council hereby declares that it would have passed this Ordinance and each and every section, subsection, sentence, clause, or phrase not Item 11.a. - Page 235 ORDINANCE NO. 678 PAGE 20 declared invalid or unconstitutional without regard to whether any portion of the ordinance would be subsequently declared invalid or unconstitutional. On motion by Council Member Barneich, seconded by Council Member Guthrie, and by the following roll call vote to wit: AYES: Council Members Barneich, Guthrie, Brown, Harmon, and Mayor Hill NOES: None ABSENT: None the foregoing Ordinance was adopted this 28th day of June, 2016. Item 11.a. - Page 236 ORDINANCE NO. (Q7' PAGE 21 4 JI HILL, MAYOR TTEST: 0441.01,t__ KELLY ETM RE, CITY CLERK APPROVED AS TO CONTENT: r GEOF z ' `H, ACTIN TY MANAGER APPROVED AS TO FORM: EATHER K. WHITHAM, CITY ATTORNEY Item 11.a. - Page 237 OFFICIAL CERTIFICATION I, KELLY WETMORE, City Clerk of the City of Arroyo Grande, County of San Luis Obispo, State of California, do hereby certify under penalty of perjury, that the attached Ordinance No. 678 which was introduced at a regular meeting of the City Council on June 14, 2016; was passed and adopted at a regular meeting of the City Council on the 28th day of June 2016; and was duly published in accordance with State law (G.C. 40806). WITNESS my hand and the Seal of the City of Arroyo Grande affixed this 29th day of June 2016. KELLY TMO , CITY CLERK Item 11.a. - Page 238