North Dakota Medical Marijuana Legalization, Initiated Statutory Measure 5 (2016)

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North Dakota Medical Marijuana Legalization, Initiated Statutory Measure 5
Flag of North Dakota.png
Election date
November 8, 2016
Topic
Marijuana
Status
Approveda Approved
Type
State statute
Origin
Citizens

2016 measures
Seal of North Dakota.png
June 14
Referred Measure 1 Defeatedd
November 8
Constitutional Measure 1 Approveda
Constitutional Measure 2 Approveda
Initiated Constitutional Measure 3 Approveda
Initiated Statutory Measure 4 Approveda
Initiated Statutory Measure 5 Approveda
Polls
Voter guides
Campaign finance
Signature costs

The North Dakota Medical Marijuana Legalization Initiative, also known as Initiated Statutory Measure 5, was on the November 8, 2016, ballot in North Dakota as an initiated state statute. It was approved.

A "yes" vote supported legalizing the use of medical marijuana to treat defined debilitating medical conditions, such as cancer, AIDS, hepatitis C, ALS, glaucoma, and epilepsy, and developing certain procedures for regulating medical marijuana growing, dispensing, and usage.
A "no" vote opposed legalizing the use of medical marijuana to treat defined debilitating medical conditions, such as cancer, AIDS, hepatitis C, ALS, glaucoma, and epilepsy, keeping the state's full prohibition of marijuana use.

The North Dakota Constitution states that initiated measures that are approved by voters become law 30 days after the election. As such, Measure 5 went into effect December 8, 2016. The North Dakota Senate unanimously approved legislation that would delay the implementation of the measure on January 18, 2017. Specifically, the bill would keep the North Dakota Department of Health from issuing applications or licenses for medical marijuana dispensaries until July.[1]

Under the specifications of the measure, patients need identification cards listing specific criteria. The act was known as the "North Dakota Compassionate Care Act."[2]

A similar measure failed to reach the North Dakota ballot in 2012 after thousands of signatures were determined to be fraudulent.[3]

This election was one of Ballotpedia's top 10 state-level races in 2016. Click here to read the full list.

Looking for more information about marijuana on the ballot in 2016? Explore other Ballotpedia articles on the subject below.
Presidential candidates on marijuanaMarijuana laws in the U.S.
Drug Policy AllianceMarijuana Policy ProjectNORMLSAM Action
Recreational marijuana on the ballot
Arizona Prop. 205California Prop. 64Maine Question 1Massachusetts Question 4Nevada Question 2
Medical marijuana on the ballot
Arkansas Issue 6Florida Amendment 2Montana I-182North Dakota Measure 5

Election results

Measure 5
ResultVotesPercentage
Approveda Yes 216,042 63.79%
No122,61536.21%
Election results from North Dakota Secretary of State

Initiative design

Qualified patients

Measure 5 was designed to allow medical marijuana treatment for patients with the following debilitating medical conditions:[2]

  • Cancer and its treatments
  • Human immunodeficiency virus (HIV)
  • Acquired immune deficiency syndrome (AIDS)
  • Decompensated cirrhosis (Hepatitis C)
  • Amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease)
  • Post-tramautic stress disorder (PTSD)
  • Agitation of Alzheimer’s disease, dementia, or the treatment of these conditions
  • Crohn’s disease or Fibromyalgia
  • Glaucoma
  • Epilepsy
  • Spinal stenosis or chronic back pain including neuropathy or damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity
  • Any other medical condition or its treatment added by the North Dakota Department of Health
  • A chronic or debilitating disease or medical condition or its treatment that produces one or more of the following: cachexia or wasting syndrome; severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than three months or for which other treatment options produced serious side effects; intractable nausea; seizures; or severe and persistent muscle spasms, including but not limited to those characteristic of multiple sclerosis

Patients may petition the North Dakota Department of Health to add to the list of qualifying medical conditions.

Identification cards

Has public opinion changed on the medical use of marijuana?
March 13, 2017
North Carolina Rep. Rodney Moore (D-District 99) recently claimed, “Medical marijuana is something that the public has changed its mind on, even in North Carolina.”

What do polls say about public opinion on the medical use of marijuana, both within North Carolina and nationally?

Read Ballotpedia's Verbatim fact check »


The measure was designed to require patients and designated caregivers to apply for registry identification cards in order to participate in the medical marijuana compassionate care program. The patient application would have to include certain documentation, a written certification from the applicant's physician, and an application fee.[2]

Designated caregivers would be responsible for treating one to five qualified patients, and can be qualified patients themselves. The designated caregiver application would have to include certain documentation verifying identity, written approval and contact information from qualified patient(s), and a criminal history screening/background check. An individual convicted of a felony offense would not be able to serve as a designated caregiver.[2]

Text of measure

Ballot language

The ballot language was as follows:[4][5]

This initiated measure would add a new chapter to Title 19 of the North Dakota Century Code creating an Act which provides for the medical use of marijuana for defined medical conditions, such as cancer, AIDS, hepatitis C, ALS, glaucoma, and epilepsy. To participate in the program, the Act would provide for identification cards and certificates of registration which would be issued by the Department of Health for patients, caregivers, and qualified facilities, if all requirements are met. The Act would create provisions for monitoring, inventorying, dispensing, cultivating and growing marijuana to be regulated and enforced by the Department of Health. A qualified patient could be dispensed up to three ounces of usable marijuana, and could grow marijuana if his or her home is located more than forty miles from the nearest registered facility. For violations, the Act would authorize the Department of Health to provide for corrective action, suspension, revocation, appeal, hearings, and referral for criminal prosecution. The Act would require the Department of Health to submit an annual report to the legislature regarding program statistics.[6]

Measure analysis

The measure analysis was as follows:[7]

Initiated Statutory Measure No. 5 was placed on the ballot by petitions circulated by a sponsoring committee. If approved, this initiated measure would add a new chapter to Title 19 of the North Dakota Century Code creating an Act which provides for the medical use of marijuana for defined medical conditions, such as cancer, AIDS, hepatitis C, ALS, glaucoma, and epilepsy. To participate in the program, the Act would provide for identification cards and certificates of registration which would be issued by the Department of Health for patients, caregivers, and qualified facilities, if all requirements are met. The Act would create provisions for monitoring, inventorying, dispensing, cultivating and growing marijuana to be regulated and enforced by the Department of Health. A qualified patient could be dispensed up to three ounces of usable marijuana, and could grow marijuana if his or her home is located more than forty miles from the nearest registered facility. For violations, the Act would authorize the Department of Health to provide for corrective action, suspension, revocation, appeal, hearings, and referral for criminal prosecution. The Act would require the Department of Health to submit an annual report to the legislature regarding program statistics. Voting “YES” means you approve the measure as summarized above. Voting “NO” means you reject the measure as summarized above.[6]

Estimated fiscal impact statement

The fiscal impact was as follows:[8]

The fiscal note prepared by the State Department of Health states the fiscal impact of the statutory measure would total $12.6 million in additional expenditures and $6 million in revenue through June 30, 2019. The fiscal impact to the department would be an estimated $7.4 million in expenditures and $4.8 million in revenue for the 2017-19 biennium. The department estimates, if implemented in December 2016, expenditures of up to $2.4 million, including $1.4 million of one-time costs, and revenues of $1.2 million during the 2015-17 biennium for an impact of $9.8 million in expenditures and $6 million in revenue to the department through June 30, 2019. The fiscal note also stated the fiscal impact to the Attorney General would total $2.8 million in additional expenditures during the 2017-19 biennium.[6]

Full text

The full text of the measure can be found here.

Support

NDYesOn5logo.jpg

Initiated Statutory Measure 5 was sponsored by North Dakotans for Compassionate Care. The following is a list of committee members:[9][2]

  • Rilie Ray Morgan, chairperson
  • Patricia J. Wilhelm
  • Bill Wilhelm
  • Martin J. Riske
  • Anita P. Morgan
  • Sandra L. Banish
  • Sandra C. Wallner
  • Tracy Vearrier
  • Gerald A. Novacek
  • Cari Oye
  • John Dean Morgan
  • John Strand
  • Richard A. Gartner
  • Barbara Kay Bue
  • Larry Grinaker
  • Maxine Schmidt
  • Victoria Aasand
  • Ernest Hoffert
  • Scott Anderson
  • Stanley Hoglund
  • Robert L. Labonte
  • Mary L Rennich
  • Kory Bjerke
  • Gary Skeim
  • Richard Stenerson
  • Don Hutson
  • Greg W. Anderson

Arguments in favor

Rilie Ray Morgan, sponsor of the initiative, said:[10]

Even though we are a conservative state, I think most of the voters in this state would view this as an alternative to prescription drugs that we know are harmful.[6]

Opposition

Opponents

  • North Dakota Medical Association[11]

Arguments

The North Dakota Medical Association said the following in opposition to Measure 5:[11]

The North Dakota Medical Association opposed medical marijuana in the 2015 legislative session and our opposition continues today. The proposed petition would be very difficult to implement in a safe and cost-effective manner. Furthermore, medical marijuana has not been tested or vetted through the Federal Drug Administration's protocols; all other pharmaceuticals are required to pass this process before consumption. Therefore, dosage, side effects, and contraindications of medical marijuana are not fully known. As an organization that holds evidence-based medicine in the highest regard, the North Dakota Medical Association cannot endorse medical marijuana.[6]

Campaign finance

See also: Ballot measure campaign finance, 2016 and Campaign finance requirements for North Dakota ballot measures
Total campaign contributions[12]
as of February 6, 2017[13]
Category:Ballot measure endorsements Support: $32,245.98
Circle thumbs down.png Opposition: $0.00

Three campaign committees registered in support of Measure 5, while none registered in opposition. The contribution and expenditure totals below were current as of February 6, 2017.[14][15][16]

Support

PAC Amount raised Amount spent
ND Compassionate Care 2016 $30,434.35 $17,702.12
North Dakota Compassionate Care 2016 $1,811.63 $867.26
North Dakotans for Medical Marijuana $0.00 $0.00
Total $32,245.98 $18,569.38

The following were the top donors in support of Measure 5 as of February 6, 2017:

Donor Amount
Drug Policy Action $15,000.00
Marijuana Policy Project $7,659.84
Anita Morgan/AB Advertizing $6,153.84
Privateer Holdings $970.70
Craig Russell $407.52

Background

Other 2016 measures

Another marijuana-related measure, the Legalization of Marijuana Initiative, was submitted for the 2016 ballot. The measure would have legalized recreational marijuana, and although it was not certified for the 2016 ballot, its circulation status did not expire, so supporters could potentially qualify it for the 2018 ballot.

Marijuana legislation

During the 2015 legislative session, the North Dakota House of Representatives defeated two bills that would have legalized medical marijuana. In February, a measure that would have added the legalization of medical marijuana to state statutes and provided for the regulation of the medical marijuana program and penalties for violations was defeated in a 67-26 house vote. A second bill that would have directed the Legislative Management to study the legalization of medical marijuana for individuals with serious medical conditions was defeated in a house vote of 61-32.[17][18][19]

Medical marijuana

See also: Marijuana laws in the United States

As of April 2017, 29 states and Washington, D.C., had passed laws legalizing or decriminalizing medical marijuana. Additionally, 15 states had legalized the use of cannabis oil, or cannabidiol (CBD), one of the non-psychoactive ingredients found in marijuana, for medical purposes.[20] The states shaded in red permitted the use of medical marijuana, while the states shaded in gray did not. The states in purple allowed for the use of CBD in some circumstances but did not allow medical marijuana.[21][22]

History of marijuana on the ballot

  • The first time a marijuana legalization measure appeared on the ballot was in California in 1972, when voters rejected Proposition 19.
  • Between 1972 and the end of 2016, voters in 16 states voted on 60 marijuana-related ballot measures. Of these 86 measures, not all were marijuana legalization efforts; some were bans, some were related to medical marijuana, and some were related to taxing medical or recreational marijuana.
  • The first state to legalize medical marijuana was California in 1996. As of the beginning of 2016, the most recent defeat of a medical marijuana measure was in Florida in 2014.
  • Voters in Alaska opted to criminalize marijuana through a ballot measure in 1990.
  • As of 2016, 28 states had legalized medical marijuana—14 via statewide ballot measure—while California, Colorado, Washington, Alaska, Oregon, Maine, Massachusetts, and Nevada had legalized recreational marijuana via statewide ballot measures.
  • Nine marijuana-related measures appeared on statewide ballots in 2016. All but one was approved. Four states legalized recreational marijuana in 2016; Arizona was the only state with a recrational marijuana legalization initiative on the ballot that did not pass.
  • Four marijuana-related measures appeared on statewide ballots in November 2014. Two were approved, and two were defeated.

Polls

A poll conducted in 2014 by the University of North Dakota College of Business and Public Administration found that 47 percent of respondents supported the legalization of medical marijuana, while 41 percent were opposed, and 9 percent were neutral to the legalization of medical marijuana. The poll surveyed 505 North Dakotans who indicated they were likely to vote and had a margin of error of 5 percent.[23]

While this poll is related to the general issue of medical marijuana in North Dakota, as of August 2016, Ballotpedia has not found polls specific to this initiative. If you know of a poll that should be posted here, please email editor@ballotpedia.org.

Reports and analyses

Secretary of state analysis

The North Dakota Secretary of State's analysis of Measure 5 was as follows:[24]

Initiated Statutory Measure No. 5 was placed on the ballot by petitions circulated by a sponsoring committee. If approved, this initiated measure would add a new chapter to Title 19 of the North Dakota Century Code creating an Act which provides for the medical use of marijuana for defined medical conditions, such as cancer, AIDS, hepatitis C, ALS, glaucoma, and epilepsy. To participate in the program, the Act would provide for identification cards and certificates of registration which would be issued by the Department of Health for patients, caregivers, and qualified facilities, if all requirements are met. The Act would create provisions for monitoring, inventorying, dispensing, cultivating and growing marijuana to be regulated and enforced by the Department of Health. A qualified patient could be dispensed up to three ounces of usable marijuana, and could grow marijuana if his or her home is located more than forty miles from the nearest registered facility. For violations, the Act would authorize the Department of Health to provide for corrective action, suspension, revocation, appeal, hearings, and referral for criminal prosecution. The Act would require the Department of Health to submit an annual report to the legislature regarding program statistics.[6]

Path to the ballot

See also: Laws governing the initiative process in North Dakota

The petition was submitted on November 2, 2015, and issued a petition title on November 12, 2015. It was approved for circulation on November 30, 2015. To qualify the measure for the 2016 general election, supporters had to collect 13,452 valid signatures by July 11, 2016.[25] Initiated Statutory Measure 5 qualified for the ballot on August 10, 2016.[26]

Cost of signature collection:
Ballotpedia found no petition companies that received payment from the sponsors of this measure, which means signatures were likely gathered largely by volunteers. A total of $0 was spent to collect the 13,452 valid signatures required to put this measure before voters, resulting in a total cost per required signature (CPRS) of $0.[15]

Recent news

The link below is to the most recent stories in a Google news search for the terms North Dakota medical marijuana legalization Initiative. These results are automatically generated from Google. Ballotpedia does not curate or endorse these articles; they are included to provide readers with the most recent news articles on the subject. Click here to learn more about this section.

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State profile

USA North Dakota location map.svg

This excerpt is reprinted here with the permission of the 2016 edition of the Almanac of American Politics and is up to date as of the publication date of that edition. All text is reproduced verbatim, though links have been added by Ballotpedia staff. To read the full chapter on North Dakota, click here.


In late 1804, members of the Lewis and Clark Expedition paddled up the Missouri River and reached what is now North Dakota. The explorers bivouacked for the winter across the river from what is now the state capital of Bismarck and spent 146 nights in North Dakota. On the Lewis and Clark Trail, you can still see traces of the pristine landscape that met the expedition—a vast unfenced land where the Indians built a civilization based on the buffalo and the horse, a Spanish import. Just a hundred years later, railroads were constructed across the prairie, and the Sioux were herded onto reservations; it was from Fort Abraham Lincoln, built on the site of an old Mandan Indian village in central North Dakota, that the post’s commander, George A. Custer, rode out to his routing and death at Little Bighorn. By the time President Theodore Roosevelt visited the state, he needed perseverance to find a buffalo to shoot. North Dakota is relentlessly flat, its lush, green farmland pockmarked in places by placid blue “prairie pothole” lakes carved by glaciers; its flatness encourages flooding, as in the massive Grand Forks flood in April ... (read more)

Demographic data for North Dakota
 North DakotaU.S.
Total population:704,925314,107,084
Land area (sq mi):69,0013,531,905
Gender
Female:49.1%50.8%
Race and ethnicity
White:87.7%62.8%
Black/African American:1.5%12.6%
Asian:1.2%5%
Native American:5.2%0.8%
Pacific Islander:0%0.2%
Two or more:2.1%2.9%
Hispanic/Latino:2.6%16.9%
Education
High school graduation rate:91.3%86.3%
College graduation rate:27.3%29.3%
Income
Median household income:$55,579$53,482
Persons below poverty level:11.9%14.8%
Source: U.S. Census Bureau, "American Community Survey" (5-year estimates 2010-2014)

Presidential voting pattern

See also: Presidential voting trends in North Dakota

North Dakota voted Republican in all five presidential elections between 2000 and 2016.


More North Dakota coverage on Ballotpedia

Related measures

See also: History of marijuana on the ballot and Marijuana on the ballot

The first attempt to legalize marijuana through the initiative process came in 1972, when California activists got an initiative certified for the ballot. The measure was defeated. Marijuana legalization advocates had their breakthrough election in 2012, when both Washington and Colorado legalized recreational marijuana. Oregonians rejected a legalization measure that same year, but approved one two years later in 2014. As of the beginning of 2016, recreational marijuana had been legalized in four states and Washington, D.C. All legalizations came through the initiative process. As of the beginning of 2016, medical marijuana was legal in 25 states.[27]

More than 60 statewide marijuana-related initiatives were submitted for the 2016 ballot. The table below shows the marijuana-related measures that qualified for the 2016 election ballot:

Marijuana measures on the ballot in 2016
StateMeasures
ArizonaArizona Marijuana Legalization, Proposition 205 Defeatedd
ArkansasArkansas Medical Marijuana, Issue 6 Approveda
CaliforniaCalifornia Proposition 64, California Marijuana Legalization Approveda
FloridaFlorida Medical Marijuana Legalization, Amendment 2 Approveda
MaineMaine Marijuana Legalization, Question 1 Approveda
MassachusettsMassachusetts Marijuana Legalization, Question 4 Approveda
MontanaMontana Medical Marijuana Initiative, I-182 Approveda
NevadaNevada Marijuana Legalization, Question 2 Approveda

The following table includes past initiative attempts in the United States to legalize marijuana:

State Year Measure Status
Arizona 2016 Proposition 205 Defeatedd
California 2016 Proposition 64 Approveda
Maine 2016 Question 1 Approveda
Massachusetts 2016 Question 4 Approveda
Nevada 2016 Question 2 Approveda
Ohio 2015 Legalization Initiative Defeatedd
Alaska 2014 Ballot Measure 2 Approveda
Oregon 2014 Measure 91 Approveda
Washington, D.C. 2014 Initiative 71 Approveda
Colorado 2012 Amendment 64 Approveda
Oregon 2012 Measure 80 Defeatedd
Washington 2012 Initiative 502 Approveda
California 2010 Proposition 19 Defeatedd
Nevada 2006 Question 7 Defeatedd
Alaska 2004 Measure 2 Defeatedd
Nevada 2002 Question 9 Defeatedd
California 1972 Proposition 19 Defeatedd


See also

BP-Initials-UPDATED.png
Suggest a link

External links

Support

Footnotes

  1. The Daily Chronic, "North Dakota Senate Unanimously Approves Medical Marijuana Delay," January 18, 2017
  2. 2.0 2.1 2.2 2.3 2.4 North Dakota Secretary of State, "Initiative Petition," accessed December 16, 2015
  3. The Bismarck Tribune, "Medical marijuana petition rejected," October 27, 2015
  4. North Dakota Secretary of State, "Official Ballot Language for Measures Appearing on the Election Ballot," accessed November 4, 2016
  5. North Dakota Secretary of State, "Official Ballot Language for Measures Appearing on the Election Ballot November 8, 2016
  6. 6.0 6.1 6.2 6.3 6.4 6.5 Note: This text is quoted verbatim from the original source. Any inconsistencies are attributed to the original source.
  7. North Dakota Secretary of State, "Analyses of Statewide Measures," accessed November 4, 2016
  8. North Dakota Legislative Council, "Report of the North Dakota Legislative Council," September 29, 2016
  9. Wahpeton Daily News, "Medical marijuana petitioners in Wahpeton," May 5, 2016
  10. Inforum, "North Dakota medical marijuana supporters to submit petition Tuesday for ballot measure," October 26, 2015
  11. 11.0 11.1 North Dakota Medical Association, "2016 Ballot Measures," accessed August 29, 2016
  12. Note: These totals include all contributions and may include in-kind donations as well as cash donations.
  13. Note: This date is the most recent date on which Ballotpedia staff researched campaign finance data. The actual date through which this information is accurate depends on the campaign finance reporting requirements in this state.
  14. North Dakota Secretary of State - Campaign Finance Online, "ND Compassionate Care 2016 finance report," accessed September 14, 2016
  15. 15.0 15.1 North Dakota Secretary of State - Campaign Finance Online, "North Dakota Compassionate Care 2016 finance report," accessed September 14, 2016
  16. North Dakota Secretary of State - Campaign Finance Online, "North Dakotans for Medical Marijuana," accessed October 19, 2016
  17. Bismarck Tribune, "Medical marijuana measure approved for November ballot," August 11, 2016
  18. North Dakota Legislative Branch, "HB 1430," accessed August 29, 2016
  19. North Dakota Legislative Branch, "HCR 3059," accessed August 29, 2016
  20. This count excludes states that permitted both the use of cannabis oil and medical marijuana.
  21. ProCon.org, "16 States with Laws Specifically about Legal Cannabidiol (CBD)," accessed August 16, 2016
  22. National Conference of State Legislatures, State Medical Marijuana Laws," July, 20, 2018
  23. Bismarck Tribune, "Poll: N.D. accepts medical marijuana, not recreational," October 17, 2014
  24. North Dakota Secretary of State, "Analyses of the Statewide Measures Appearing on the Election Ballot November 8, 2016," accessed October 3, 2016
  25. North Dakota Secretary of State, "Timeline," accessed December 22, 2015
  26. Minot Daily News, "Marijuana legalization makes November ballot," August 10, 2016
  27. ProCon.org, "25 Legal Medical Marijuana States and DC," June 28, 2016