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Cannabis Dispensing Collective (MCDC), often <br />referred to as a "dispensary." Dispensaries are <br />typically storefront facilities that provide med- <br />ical cannabis and other services to patients in <br />need. There are more than 200 dispensaries <br />operating in California as of August 2006. <br />Dispensaries operate with a closed member- <br />shipthat allow only patients and caregivers to <br />obtain cannabis and only after membership is <br />approved (upon verification of patient docu- <br />mentation). Many dispensaries offer on-site <br />consumption, providing a safe and comfort- <br />able place where patients can medicate. An <br />increasing number of dispensaries offer addi- <br />tional services for their patient membership, <br />including such services as: massage, acupunc- <br />ture, legal trainings, free meals, or counseling. <br />Research on the social benefits for patients is <br />discussed in the last section of this report. <br />RATIONALE FOR CANNABIS DISPENSARIES <br />While the Compassionate Use Act does not <br />explicitly discuss medical cannabis dispen- <br />saries, it calls for the federal and state govern- <br />ments to "implement a plan to provide for <br />the safe and affordable distribution of mari- <br />juana to all patients in medical need of mari- <br />juana." (Health & Safety Code ~ 11362.5) This <br />portion of the law has been the basis for the <br />development of compassionate, community- <br />based systems of access for patients in various <br />parts of California. In some cases, that has <br />meant the creation of patient-run growing <br />collectives that allow those with cultivation <br />expertise to help other patients obtain medi- <br />cine. In most cases, particularly in urban set- <br />tings, that has meant the establishment of <br />medical cannabis dispensing collectives, or dis- <br />pensaries. These dispensaries are typically <br />organized and run by groups of patients and <br />their caregivers in a collective model of patient- <br />directed health care that is becoming a model <br />for the delivery of other health services. <br />MEDICAL CANNABIS DISPENSARIES ARE <br />LEGAL UNDER STATE LAW <br />In an effort to clarify the voter initiative of <br />1996 and aid in its implementation across the <br />state, the California legislature enacted <br />Senate Bill 420 in 2004, which expressly states <br />that qualified patients and primary caregivers <br />may collectively or cooperatively cultivate <br />cannabis for medical purposes (Cal. Health & <br />Safety Code section 11362.775). This provision <br />has been interpreted by the courts to mean <br />that dispensing collectives, where patients <br />may buy their medicine, are legal entities <br />under state law. California's Third District <br />Court of Appeal affirmed the legality of col- <br />lectives and cooperatives in 2005 in the case <br />of People v. Urziceanu, which held that SB <br />420, which the court called the Medical <br />Marijuana Program Act (MMPA), provides col- <br />lectives and cooperatives a defense to mari- <br />juana distribution charges. Drawing from the <br />Compassionate Use Act's directive to imple- <br />ment aplan for the safe and affordable distri- <br />bution of medical marijuana, the court found <br />that the MMPA and its legalization of collec- <br />tives and cooperatives represented the state <br />government's initial response to this mandate. <br />By expressly providing for reimbursement for <br />marijuana and services in connection with col- <br />lectivesand cooperatives, the Legislature has <br />abrogated earlier cases, such as Trippett, <br />Peron, and Young, and established a new <br />defense for those who form and operate col- <br />lectivesand cooperatives to dispense marijua- <br />na. (See People v. Urziceanu (2005) 132 <br />Cal.App.4th 747, 33 Cal.Rptr.2d 859, 881.) <br />This new case law parallels the interpretation <br />of SB 420 provided to the League of Cities last <br />year by Berkeley Assistant City Attorney <br />Matthew J. Orebic, in his presentation <br />"Medical Marijuana: The conflict between <br />California and federal law and its effect on <br />local law enforcement and ordinances." As he <br />states in that report: <br />In the 2004 legislation, Section 11362.775 <br />.. expressly allow[s] medical marijuana to <br />be cultivated collectively by qualified <br />patients and primary caregivers, and by <br />necessary implication, distributed among <br />the collective's members... Under the col- <br />lective model, qualified patients who are <br />unwilling or unable to cultivate marijuana <br />For more information, see w~nnneAmencansForSafeACCess-org or contact the ASA office at 1-888-929-4367 or 510.251-1856. <br />5 <br />