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Bill

HB 984

Health Care - As introduced, extends from March 1 to April 1, the date by which the department of health must submit to the governor, the speaker of the senate, the speaker of the house of representatives, and legislative committees with subject matter jurisdiction over health a report with de-identified aggregate claims data on every inpatient and outpatient discharge that includes coded drug poisonings as reported for the calendar year two years prior to the current year by licensed hospitals to the commissioner of health. - Amends TCA Title 33; Title 37; Title 44; Title 47; Title 49; Title 53; Title 63 and Title 68.

114th Regular Session (2025-2026) Introduced by Todd Warner

Creates a formal framework to conduct and regulate medical cannabis research, with registered institutions, physicians, caregivers, and patient participation protections.

P2C, caption bill, held on desk - pending amdt.
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Bill Summary · HB 984

Summary — HB 984: “Cannabis Treatment Research Act” (Regulate Research of Medical Cannabis)

Status & Procedural Notes
- Title: Regulate Research of Medical Cannabis (referred in text as the North Carolina Cannabis Treatment Research Act).
- Introduced: Filed Nov 12, 2024 (per docket).
- Early action: Read first time and referred to committee (Public Education) — status listed as “Passed 1st Reading.”
- The bill would add a new Article 5I to Chapter 90 of the North Carolina General Statutes (new sections beginning at G.S. 90‑113.160).

Purpose
- To create a statutory framework that permits and regulates clinical/research studies of cannabis as a medical treatment, while establishing registration, oversight, legal protections, and recordkeeping to support such research.

Key Provisions
1. Definitions and scope (G.S. 90‑113.161)
- “Cannabis” is defined consistent with existing marijuana statute (G.S. 90‑87) and, in some provisions, limited to quantities of 1.5 ounces or less.
- Defines “research institution,” “registered research study,” “written certification,” “patient,” “physician,” and “caregiver.”

  1. Expansion/amendment of existing exemption (amend G.S. 90‑94.1)

    • Replaces/revises prior “hemp extract” exemption to allow possession and use of cannabis by individuals who are participants in a registered cannabis research study, subject to limits set by the research institution.
    • Requires participants to carry required documentation (a physician’s written certification) and subjects possession to disposal rules for unused portions.
  2. Cannabis Treatment Research Database and registration (G.S. 90‑113.162)

    • DHHS must establish a secure electronic Cannabis Treatment Research database to register:
      • Research institutions conducting studies
      • Physicians
      • Caregivers (registration of caregivers is mandatory)
      • Patients participating in registered studies
    • Database contains caregiver/patient contact information and institutional details; institutions must update changes.
  3. Caregivers and written certification

    • Caregivers: NC residents age 18+ who are parent/guardian/custodian of patient and who hold a physician’s written certification documenting patient participation in a registered study.
    • Written certification: physician statement in medical record that potential benefits likely outweigh risks.
  4. Protections and confidentiality (G.S. 90‑113.163)

    • Research institutions and their employees are protected from arrest, prosecution, discipline, or denial of rights for conducting authorized cannabis research or providing required certifications.
    • Participant, caregiver, and institution identities submitted to DHHS are confidential and not public record; may be shared with law enforcement as authorized.
  5. Research program objectives and permissible activities (G.S. 90‑113.164)

    • Encourages scientific research on medical uses of cannabis including quality control, purity and labeling standards, best‑practice administration, and strain analysis to match strains to conditions.
  6. Dispensation from other jurisdictions

    • On a case‑by‑case basis, institutions may approve dispensing to registered caregivers cannabis acquired from outside the state — institutions must instruct on required secure disposal procedures.

Who Would Be Affected
- Patients diagnosed with qualifying medical conditions who enroll in registered cannabis research studies.
- Caregivers who are registered and authorized to possess/administer cannabis for enrolled patients.
- Physicians who issue written certifications and may participate in clinical research.
- Research institutions (hospitals, universities, labs, manufacturers, private research entities) registering to conduct studies.
- Department of Health and Human Services (to operate the registry) and law enforcement (authorized to verify registrations).
- Broader health‑regulatory and legal framework (potentially impacts prosecution policies, evidence handling, and public health administration).

Potential Impacts & Considerations
- Legal/administrative: Establishes an official research pathway that provides immunity and confidentiality protections; creates new DHHS registry responsibilities.
- Clinical and scientific: Facilitates controlled research on efficacy, safety, quality control, and strain‑specific effects — could inform future policy or broader medical access.
- Enforcement and oversight: Requires clear procedures for registration validation, safe dispensing, recordkeeping, and secure disposal of unused cannabis.
- No fiscal estimates included in the provided text; implementation would likely require DHHS administrative resources.

Selected statute sections added/affected: G.S. 90‑94.1 (amended) and new Article 5I (G.S. 90‑113.160–90‑113.164).

Primary sponsor listed in provided text: Representative Belk.

Compiled from official sources — confirm details with the bill’s official record.

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