Local
D.C. medical marijuana program ‘getting better’
Some say delays in patient approval encouraged street purchases
Although D.C. legalized the production and sale of marijuana for medical purposes just over 20 years ago, activists familiar with the city’s implementation of the program say it has become known for its long delays in approving patients for medical marijuana use.
People following the D.C. Department of Health’s operation of the city’s medical marijuana program say improvements were put in place in the past two months that appear to be streamlining a cumbersome bureaucratic process that they say discouraged many patients in need of medical marijuana.
Patricia Hawkins, a clinical psychologist and former deputy director of D.C.’s Whitman-Walker Health, said city delays in approving a patient’s application for a city approved medical card needed to allow the patient to buy medical marijuana at licensed dispensaries prompted some patients to resort to buying the marijuana from “pop-up” dealers who operate illegally, sometimes selling marijuana on the street.
“That’s the last thing we need them to do,” said Hawkins, who noted that the purity and content of marijuana bought on the black market is unknown and could have harmful additives such as pesticides.
She said street drug dealers also have the reputation for attempting to sell people other harmful drugs such as heroin.
Hawkins noted that LGBT and AIDS activists played an important role in persuading the city to enact the medical marijuana program in the late 1990s just prior to the availability of effective AIDS drugs. She said marijuana treatment was shown to be helpful to AIDS patients suffering from severe weight loss by increasing their appetite.
D.C.’s medical marijuana program is run by the Department of Health’s Division of Medical Marijuana and Integrative Therapy. Under rules established by the DOH, in order to become authorized to buy marijuana for medical purposes a patient must first obtain a written recommendation from his or her primary care physician.
“This recommendation must assert that the use of marijuana is medically necessary for the patient for the treatment of a qualifying medical condition or to mitigate the side effects of a qualifying medical treatment,” a statement on the DOH website says. The statement says the written recommendation must include the physician’s signature and license number.
The physician must then send that to the DOH. The patient is required to submit to the DOH a completed application form that shows proof of residency in D.C. and include a photo copy of a government issued identification document such as a driver’s license. A $100 registration fee is also required, with a $25 fee for a patient that qualifies for low-income status.
One D.C. patient who spoke to the Washington Blade about the process on condition that the patient not be identified said that in the recent past it took between two and four months for the DOH to process the patient’s application and send the needed medical card.
Under the city’s medical marijuana program, the medical card expires after one year and a new application must be submitted to have it renewed along with the $100 fee.
The patient that spoke to the Blade said only a few doctors in the city have the training or the desire to prescribe medical marijuana as a treatment for a medical condition.
“The waiting rooms are overfull and there’s a long time you have to wait to see the doctor,” said the patient.
“And then last year the Department of Health lost my paperwork so I had to go through the whole process again,” said the patient. “It’s just frustrating and annoying. And it’s way more cumbersome and way more bureaucratic than is necessary.”
Under changes made earlier this year, the DOH website now says applications for the medical card are processed within 30 business days.
Linda Green, owner of Anacostia Organics, one of six licensed medical marijuana dispensaries currently operating in the city, said the DOH last month began offering patients the option of submitting their application for the medical card online.
“The processing time has been cut down considerably,” she said. “The DOH says the process now can take just one week. They are saying it takes five to seven days to get your card,” added Green, who said she’s “very hopeful” that the streamlined process will encourage more patients in need of medical marijuana to enter the program.
The National Holistic Healing Center, another D.C. medical marijuana dispensary located near Dupont Circle, told the Blade in a statement there have been “considerable improvements to the process for obtaining a medical card.”
The statement, which doesn’t identify the person who wrote it, says National Holistic has patients who have received their medical card from the DOH in two to three weeks through the online application process.
Green of Anacostia Organics and the National Holistic statement said there are a wide range of different types of cannabis, the preferred name for marijuana by the dispensaries, from which a patient can choose to best meet their medical needs. Experts at the dispensaries will help the patient select the type best for them, some of which are inhaled, ingested, or absorbed through the skin.
DOH spokesperson Alison Reeves told the Blade in a statement the processing time for a medical marijuana card may vary from patient to patient. She said an incomplete patient application form can result in “increased processing time.”
She said the time of year a patient submits their application may also be a factor in the timing. She noted that the largest number of applications are submitted between February and April, with processing time possibly made longer during that peak period.
“It is our policy to process applications and issue cards within 30 business days, however processing time is normally much faster,” Reeves said. “For example, in the first quarter of this year the average processing time for completed applications was 8.5 business days – six days for electronic applications and 11 days for paper applications,” she said.
About nine months ago, according to Reeves, the DOH began accepting credit card payments.
“Originally, many banks would not allow this for any marijuana activities,” she told the Blade. “This change allowed patients to submit and pay online, which greatly decreased processing time.”
Virginia
Gay Va. couple hopeful voters will enshrine marriage equality in state constitution
Early voting has already begun in the state
A referendum on whether to enshrine marriage equality in Virginia’s constitutional amendment is on the ballot this year.
If voters approve Question 2, it will codify the U.S. Supreme Court’s Obergefell ruling in 2015 that extended marriage rights to same-sex couples across the country — gays and lesbians have been able to legally marry in Virginia since Oct. 6, 2014.
Rob Bookbinder and James Fisher are a married couple who live in Arlington.
They have been together for 38 years — Bookbinder and Fisher married in 2014.
“We think this is a critical vote to remove this discriminatory language from the constitution and to ensure that going forward, no matter what happens, the state of Virginia will ensure marriage equality,” Fisher told the Washington Blade. “It is it is really difficult and upsetting to think that our current state constitution would prohibit same-sex marriage, even though the federal government overrides that now. There’s no saying what may happen in the future.”
Bookbinder said it was important for him and Fisher to get married “to gain social equality.”
“I was surprised how good it felt, how important it was to begin to say, ‘my husband rather than my partner,'” Bookbinder said.
Bookbinder then explained why it feels good to be married.
“Is it a legal partner, a business partner, a tennis partner, you know, or a romantic partner? But when you say my husband James, everyone knows exactly what you mean and confers an equal status with everyone else who’s married, and we were both surprised at how good it felt and how equal it felt to suddenly be married and be able to state that you were married and discuss your husband rather than your partner, and I would hate to lose that,” he said.
Bookbinder and Fisher said they are hopeful that voters will approve the amendment, noting Virginia has become more progressive over the years.
“I think people have, with the Supreme Court decision, people have seen that a same-sex marriage is just a marriage,” stated Fisher. “It’s just two people who love each other, and I think more and more people have attended a same-sex marriage, someone in their family or a friend, and the experience of what this is, firsthand experience, is so important in shaping people’s opinions, and I think the period of time that we’ve had since the Obergefell decision has given a lot of voters that experience, which I think is really important and powerful.”
The couple also said the push to enshrine marriage equality in Virginia’s constitution is in response to the Trump-Vance administration.
“And I think due to President Trump doing all the horrible things he’s done to so many groups, including LGBTQ, especially trans people, that Virginians are kind of pushed to be even more progressive to protect those who need protection, which would include the LGBTQ community in terms of marriage equality, so I’m confident it will pass,” said Fisher.
Narissa Rahaman, executive director of Equality Virginia, sent the Blade a statement about early voting on Question 2 that has already begun.
“With early voting now underway, our focus is making sure every Virginian knows Question 2 is on their ballot,” said Rahaman. “The outdated ban on same-sex marriage still in Virginia’s state constitution leaves a gap in protections for the thousands of same-sex couples that call this state home, but after 20 years we have the chance to fix it.”
Log onto www.mobilize.us/vaformarriage to find out more about the campaign in support of Question 2.
By JOHN-JOHN WILLIAMS IV | Those legendary heavy-handed pours, spirited karaoke and trivia nights, and groan-worthy wall-to-wall patrons on packed nights are back!
Leon’s will live to see another day.
Baltimore’s oldest gay bar, which opened in the 1950s, closed in July following the death of its owner, Ron Singer.
The rest of this article can be read on the Baltimore Banner’s website.
The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected].
Congratulations to Leigh Miles Jackson, Ph.D., named executive director of The Institute for Health Research & Policy at Whitman-Walker, and Angel Earle, Ph.D. named as chief operating officer, Whitman-Walker Health System.
Upon her appointment Dr. Jackson said, “Under my leadership, I would love for The Institute for Health Research & Policy at Whitman-Walker to be known as a trusted, forward-looking research organization that shapes policies, strengthens practices and creates measurable change for the community.” Dr. Jackson spent 12 years with the National Academies of Sciences, Engineering and Medicine, leading national initiatives on minority-serving institutions and economic evidence for investments in children, youth and families. Dr. Jackson holds an extensive educational background, including postdoctoral fellowships in developmental Psychology and Neurogenomics from Vanderbilt University, a Ph.D. in molecular and systems pharmacology from Emory University and a bachelor’s degree in chemistry from Wake Forest University.
Upon her appointment Dr. Earle said, “When we talk about parity and inequities and research, it’s never just about the dollars that are out there. It’s about making sure that we’re cultivating a change that embraces equity at the heart of everything that it does. As the COO for Whitman-Walker Health System I will be working closely to support The Institute for Health Research & Policy at Whitman-Walker and the Whitman-Walker Foundation to drive advancement in research and support the strategic goals of all of the Whitman-Walker Heath System entities.”
Dr. Earle is a genetic epidemiologist and senior executive. She brings a background from the London School of Economics and the University of South Carolina, with expertise in global health, corporate strategy and socioeconomic policy. She has co-authored peer-reviewed research on cancer genetics, nephrology biomarkers and reproductive genomes.
Dr. Heather Aaron, CEO of Whitman-Walker Health System said, “both leaders bring research-driven expertise and operational strength to the organization as it continues expanding research, health care access, and health outcomes for residents across the Washington, D.C., region, including the LGBTQ+ community, people living with and at risk for HIV, and communities experiencing persistent health disparities.”
The Institute for Health Research & Policy at Whitman-Walker is also expanding its research agenda beyond HIV to address the complex health conditions affecting people living with and at risk for HIV, as well as the broader communities The Institute for Health Research & Policy at Whitman-Walker serves.
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