<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 14.17.04.07" title_num="14" subtitle_num="17" chapter_num="04" heading="Clinical Directors.">
  <paragraph num="A.">
    <text>A licensed dispensary shall appoint at least one individual to function as clinical director who:</text>
    <paragraph num="(1)">
      <text>Is eligible to serve as a certifying provider, as defined in COMAR 14.17.01;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is a licensed pharmacist in good standing with the State Board of Pharmacy; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has substantial education, training, and experience in the medical use of cannabis, as determined by the Administration and is a:</text>
      <paragraph num="(a)">
        <text>Registered nurse in good standing with the State Board of Nursing; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Licensed naturopathic doctor in good standing with the State Board of Physicians.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>During the hours of operation, a licensed dispensary shall have a clinical director:</text>
    <paragraph num="(1)">
      <text>On-site; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Available via electronic communication.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A clinical director shall:</text>
    <paragraph num="(1)">
      <text>Register as a clinical director with the Administration;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Complete at least one training course each year that is approved by the Administration, which includes:</text>
      <paragraph num="(a)">
        <text>The latest scientific research on medical cannabis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The risks and benefits of medical cannabis; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Other information considered necessary by the Administration;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Educate qualifying patients and caregivers on:</text>
      <paragraph num="(a)">
        <text>Treatment of the qualifying patient’s medical condition with medical cannabis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Potential drug-to-drug interactions, including interactions with alcohol, prescription drugs, non-prescription drugs, and supplements;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Possible side effects or contraindications of medical cannabis use;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The potential for differing strengths and effects of medical cannabis strains; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Different methods, forms, and routes of medical cannabis administration; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide training to dispensary agents on:</text>
      <paragraph num="(a)">
        <text>Guidelines for providing information to qualifying patients related to risks, benefits, and side effects associated with medical cannabis;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Recognizing signs and symptoms of substance abuse; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Guidelines for refusing to provide medical cannabis to an individual who appears to be under the influence of drugs or alcohol.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A clinical director for a licensed dispensary may not provide a written certification for medical cannabis to any qualifying patient.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A standard dispensary is not subject to §§A—C of this regulation until the licensee has been licensed and operational for a period of at least 24 months.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A micro dispensary is not subject to §§A—C of this regulation.</text>
  </paragraph>
  <paragraph num="G.">
    <text>The Administration may request information from licensed dispensaries on clinical director utilization in a manner specified by the Administration.</text>
  </paragraph>
</regulation>