Florida Amendment 2 (2016)
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The Florida Medical Marijuana Legalization Initiative, also known as Amendment 2, was approved by voters in the Tuesday, November 8, 2016,
general election A general election is an electoral process to choose most or all members of a governing body at the same time. They are distinct from By-election, by-elections, which fill individual seats that have become vacant between general elections. Gener ...
in the
State of Florida Florida ( ; ) is a U.S. state, state in the Southeastern United States, Southeastern region of the United States. It borders the Gulf of Mexico to the west, Alabama to the northwest, Georgia (U.S. state), Georgia to the north, the Atlantic ...
. The bill required a
super-majority A supermajority is a requirement for a proposal to gain a specified level of support which is greater than the threshold of one-half used for a simple majority. Supermajority rules in a democracy can help to prevent a majority from eroding fund ...
vote to pass, with at least 60% of voters voting for support of a state constitutional amendment. Florida already had a
medical marijuana Medical cannabis, medicinal cannabis or medical marijuana (MMJ) refers to Cannabis (drug), cannabis products and cannabinoid, cannabinoid molecules that are prescription drug, prescribed by physicians for their patients. The use of cannabi ...
law in place, but only for those who are terminally ill and with less than a year left to live. The goal of Amendment 2 is to alleviate those suffering from these medical conditions:
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
,
epilepsy Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
,
glaucoma Glaucoma is a group of eye diseases that can lead to damage of the optic nerve. The optic nerve transmits visual information from the eye to the brain. Glaucoma may cause vision loss if left untreated. It has been called the "silent thief of ...
, positive status for human immunodeficiency virus (
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
), acquired immune deficiency syndrome (
AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
), post-traumatic stress disorder (
PTSD Post-traumatic stress disorder (PTSD) is a mental disorder that develops from experiencing a traumatic event, such as sexual assault, domestic violence, child abuse, warfare and its associated traumas, natural disaster, traffic collision, ...
), amyotrophic lateral sclerosis (
ALS Amyotrophic lateral sclerosis (ALS), also known as motor neuron disease (MND) or—in the United States—Lou Gehrig's disease (LGD), is a rare, terminal neurodegenerative disorder that results in the progressive loss of both upper and low ...
),
Crohn's disease Crohn's disease is a type of inflammatory bowel disease (IBD) that may affect any segment of the gastrointestinal tract. Symptoms often include abdominal pain, diarrhea, fever, abdominal distension, and weight loss. Complications outside of the ...
,
Parkinson's disease Parkinson's disease (PD), or simply Parkinson's, is a neurodegenerative disease primarily of the central nervous system, affecting both motor system, motor and non-motor systems. Symptoms typically develop gradually and non-motor issues become ...
,
multiple sclerosis Multiple sclerosis (MS) is an autoimmune disease resulting in damage to myelinthe insulating covers of nerve cellsin the brain and spinal cord. As a demyelinating disease, MS disrupts the nervous system's ability to Action potential, transmit ...
, chronic nonmalignant pain caused by a qualifying medical condition or that originates from a qualified medical condition or other debilitating medical conditions comparable to those listed. Under Amendment 2, the medical marijuana will be given to the patient if the physician believes that the medical use of marijuana would likely outweigh the potential health risks for a patient. Smoking the medication was not allowed under a statute passed by the Florida State Legislature, however this ban was struck down by Leon County Circuit Court Judge Karen Gievers on May 25, 2018. In 2016, measures to legalize
recreational marijuana Cannabis (), commonly known as marijuana (), weed, pot, and ganja, List of slang names for cannabis, among other names, is a non-chemically uniform psychoactive drug from the ''Cannabis'' plant. Native to Central or South Asia, cannabis has ...
appeared on the ballot in five states: California, Nevada, Arizona, Maine, and Massachusetts. Four more states, including Florida, Arkansas, North Dakota and Montana, considered initiatives to legalize medical marijuana, a move that some say is a first-step towards full legalization.


Implementation

The spokeswoman for the
Florida Department of Health The Florida Department of Health is responsible for protecting the public health and safety of the residents and visitors of the state of Florida. It is a cabinet-level agency of the state government, headed by a state surgeon general who report ...
, Mara Gambineri, stated that the agency would follow the will of the voters when the constitutional amendment went into effect January 3, 2017. Before January 3, 2017, the medical marijuana available to patients contained low THC. Cannabis of any THC content was available to newly qualified patients after July 1, 2017. According to a June 15, 2017, article reported by the
National Organization for the Reform of Marijuana Laws The National Organization for the Reform of Marijuana Laws (NORML ) is a social welfare organization based in Washington, D.C., that advocates for the reform of marijuana laws in the United States regarding both Medical cannabis in the United St ...
(NORML), members of the Florida House and Senate have approved legislation to implement Amendment 2 on the final day of a special legislative session and Governor Rick Scott signed the bill into law. The measure prohibits patients from inhaling herbal preparations of
cannabis ''Cannabis'' () is a genus of flowering plants in the family Cannabaceae that is widely accepted as being indigenous to and originating from the continent of Asia. However, the number of species is disputed, with as many as three species be ...
, among other restrictions that proponents say violate the initiative's original intent. Orlando attorney John Morgan, and chairman for United For Care, a non-profit group for the legalization of medical marijuana, has said that he intends to sue the state over the proposed changes. Under the law, patients diagnosed with cancer, epilepsy, glaucoma, HIV/AIDS, PTSD, ALS, Crohn's disease, Parkinson's disease, multiple sclerosis, or who suffer from chronic pain related to any of these diseases are eligible to receive a 70-day supply of cannabis-infused oils or edible products only. On June 24, the law became effective and it includes eliminating the initial 90-day waiting period for the use of medical marijuana and added chronic nonmalignant pain as a qualifying condition. Some Florida cities, including
Boca Raton Boca Raton ( ; ) is a city in Palm Beach County, Florida, United States. The population was 97,422 in the 2020 United States census, 2020 census and it ranked as the 23rd-largest city in Florida in 2022. Many people with a Boca Raton Address, ...
,
Coral Gables Coral Gables is a city in Miami-Dade County, Florida, United States. The city is part of the Miami metropolitan area of South Florida and is located southwest of Downtown Miami. As of the 2020 U.S. census, it had a population of 49,248. Cora ...
,
Delray Beach Delray Beach is a city in Palm Beach County, Florida, United States. The population of Delray Beach as of April 1, 2020, was 66,846 according to the 2020 United States Census. Located in the Miami metropolitan area, Delray Beach is 52 miles (83 ...
, the Village of Golf and
Homestead Homestead may refer to: *Homestead (building), a farmhouse and its adjacent outbuildings; by extension, it can mean any small cluster of houses * Nguni homestead, a cluster of houses inhabited by a single extended family, typically with a kraal ...
, have banned medical marijuana dispensaries since it is illegal under federal law.


Criticisms of implementation

Cannabis activists and critics are concerned that the new law is not being implemented as outlined in Amendment 2, and not following the will of the voters who passed the constitutional amendment. Critics have expressed objections that Florida state regulators in
Tallahassee Tallahassee ( ) is the capital city of the U.S. state of Florida. It is the county seat of and the only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2024, the est ...
, and at the
Florida Department of Health The Florida Department of Health is responsible for protecting the public health and safety of the residents and visitors of the state of Florida. It is a cabinet-level agency of the state government, headed by a state surgeon general who report ...
who oversee the rules-making process for the use, distribution, licensing assignment for dispensaries and cultivators of cannabis, are playing favor to a limited number of
medical marijuana Medical cannabis, medicinal cannabis or medical marijuana (MMJ) refers to Cannabis (drug), cannabis products and cannabinoid, cannabinoid molecules that are prescription drug, prescribed by physicians for their patients. The use of cannabi ...
dispensaries and cultivators who have ties to Florida legislators. The applicants were ranked in a secretive process by a board appointed directly by Governor Rick Scott. Initial analysis of various applications shows a strong bias in some regions towards the winners, despite them not being qualified in cannabis cultivation, science, medicine or growing plants meant for human consumption. Critics assert that barriers to entry into the market would be constructed to keep out
small business Small businesses are types of corporations, partnerships, or sole proprietorships which have a small number of employees and/or less annual revenue than a regular-sized business or corporation. Businesses are defined as "small" in terms of being ...
es, people of color, woman ownership, and only allow wealthy white males that are politically connected to participate. Critics and cannabis activists suggest this would disrupt the medical cannabis program and not allow a free market to thrive where diversity is allowed, advocates can educate the public, small businesses can participate, and winners and losers are decided by the
free market system In economics, a free market is an economic system in which the prices of goods and services are determined by supply and demand expressed by sellers and buyers. Such markets, as modeled, operate without the intervention of government or any ot ...
. Another concern from advocates is a
vertical market A vertical market is a market in which vendors offer goods and services ''specific'' to an industry, trade, profession A profession is a field of Work (human activity), work that has been successfully professionalized. It can be defined a ...
that will be created that limits the numbers of dispensaries and cultivators of cannabis within the state leading to prices being potentially too high for many cannabis patients in Florida. According to Ben Pollara, campaign chairman of the political committee that backed the constitutional amendment stated that "it not only maintains, but strengthens the cartel system of licensed marijuana growers in Florida and that prices will be high, quality will be low, choices will be few, and patients will be driven to the black market". On July 9, 2019, Florida's First District Court of Appeal issued a major ruling declaring the mandatory vertical integration and license caps unconstitutional.


Legal actions

Smoking ban Florida Legislature passed, and Governor Rick Scott signed, a provision that defines "medical use" to exclude "possession, use or administration of marijuana in a form for smoking." Arguing that Florida state legislators violated voters' intent when they prohibited smoking for the medical use of marijuana, John Morgan, the Orlando trial lawyer who spearheaded and financed the successful campaign to make medical access to cannabis a constitutional right, filed a lawsuit in Leon County Circuit Court on July 6, 2017, asking the court to declare the law implementing the 2016 constitutional amendment unenforceable.
"Inhalation is a medically effective and efficient way to deliver Tetrahydrocannabinol HC and other cannabinoids, to the bloodstream. By redefining the constitutionally defined term 'medical use' to exclude smoking, the Legislature substitutes its medical judgment for that of 'a licensed Florida physician' and is in direct conflict with the specifically articulated Constitutional process," the lawsuit states.
Morgan's lawsuit claimed that provision "redefined and narrowed the definition of marijuana in direct conflict" with the Constitution. Deputy Solicitor General Denise Harle argues that "the plain language of the Amendment refutes" Morgan's case. Mills responded to Harle that the amendment itself "places no limitation on the use of marijuana in a form for smoking," calling the ban a "direct irreconcilable conflict." Saying that the amendment doesn't overtly address smoking "misses the point," he added that banning it "takes discretion out of the hands of patients and physicians." Circuit Judge Karen Gievers scheduled a January 25, 2018, hearing on the state's motion to dismiss. On January 26, 2018, the judge refused to grant the state's motion to dismiss the case and will allow the case to proceed.
"The pending complaint contains sufficient allegations to meet the standing and active case or controversy criteria for the court to have jurisdiction over this declaratory judgment action," Gievers wrote in the court order.
The judge set a one-day trial for May 16, 2018, in the legal effort to overturn the state's ban on smoking medical marijuana. On May 25, 2018, Judge Karen Gievers ruled the state law banning patients from smoking medical marijuana unconstitutional. Gievers found that the constitutional amendment approved by voters in 2016 which broadly legalized medical marijuana gives eligible patients the right to smoke the medical marijuana in private. The law banning smoking of medical marijuana "is invalid because it conflicts with the Florida Constitution and prohibits a use of medical marijuana that is permitted by the amendment: smoking in private," Gievers wrote in
22-page order
Gievers also found that the language in the amendment "recognizes there is no right to smoke in public places, thereby implicitly recognizing the appropriateness of using smokable medical marijuana in private places consistent with the amendment." The Florida Department of Health said the state is expected to appeal, which likely would place Gievers' order legalizing the smoking of medical marijuana on temporary hold. On June 5, 2018, the judge lifted the ban on smoking cannabis in Florida, giving the state until June 11, 2018, to put a plan together. Gievers said the state's ban caused irreparable harm to patients who could not get the treatment recommended for them. Florida House ends ban on smoking medical marijuana Without much debate and two days before Florida Governor Ron DeSantis’ deadline on March 15, 2019, the bill to repeal a ban on smoking medical marijuana finally rolled onto the governor’s desk. The Florida House affirmed the right to smoke medical marijuana March 13, 2019, approving the Senate bill to include “smoking” to the language in the medical marijuana constitutional amendment. Instead of submitting House Bill 7015, Rep. Ray Rodrigues substituted it with Senate Bill (SB)182, which the Senate had approved last week in a 34–4 vote. SB 182, sponsored by Sen.
Jeff Brandes Jeffrey P. Brandes (born February 12, 1976) is an American politician who served as the Florida State Senator from the 24th district from 2016 to 2022. A member of the Republican Party, he has been elected from the Pinellas County area to the F ...
of St. Petersburg, allows a 35-day supply of marijuana in “a form for smoking” not to exceed 2.5 ounces or, for a physician recommendation of up to 4 ounces. The primary difference between HB 7015 and SB 182 is the House bill allowed only pre-rolled marijuana cigarettes while the Senate version would require marijuana operators to sell at least one type of pre-rolled marijuana cigarette and other whole-flower products, and allows patients to buy smoking-related equipment at retail outlets, such as smoke shops. Senate Bill 182 bans smoking in public or at private businesses subject to the state's cigarette smoking ban. Medical marijuana flower buds and pre-rolled marijuana cigarettes could be available in licensed dispensaries by mid-summer of 2019 when DeSantis, who has affirmed his position against the smoking ban stating that he will sign the bill. “I am very confident that the governor will sign it,” House Speaker
José R. Oliva José R. Oliva (born January 6, 1973) is an American Republican Party (United States), Republican politician from Florida. He served in the Florida House of Representatives, representing the Hialeah, Florida, Hialeah and Miami Lakes, Florida, Mi ...
stated. Governor Ron DeSantis signed SB-182 into law on March 18, 2019, officially legalizing smokable medical marijuana. SB-182, Medical Use of Marijuana act, redefines the term "medical use" to include the possession, use and administration of marijuana in a form for smoking.


Unconstitutional restrictions on licensing

A separate lawsuit was filed in December 2017 by Florigrown LLC alleging that the mandatory vertical licensing scheme required by the “implementing” statute passed by the legislature is unconstitutional. In late 2018, Leon County Circuit Court Judge Charles Dodson entered a temporary injunction barring the state from continuing to implement the statute based on finding that it unconstitutionally limited the provisions of the Amendment by mandating vertical integration and severely limiting the number of licenses available to participate in the medical marijuana industry. Various commentators labeled the select few businesses that were able to obtain one of the coveted licenses a “cartel.” The successful legal challenge was led by lawyer
Ari H. Gerstin
an

of
Akerman LLP Akerman is a United States–based law firm. It is among the 100 largest firms in the United States, according to rankings by ''The American Lawyer''. The firm has 25 offices across the United States and approximately 750 lawyers, with its large ...
. On July 9, 2019, Florida's First District Court of Appeal affirmed the circuit court's finding of unconstitutionality and barred the state from continuing to implement the unconstitutional statute. In an interview, Florigrown CEO Adam Elend called the ruling a “game-changer.”
“It drops a bomb on the current licensing scheme. It’s just changing the whole regime,” Elend said. “People are not getting medicine. The dispensaries are out of stock all the time. The products are limited, and the prices are high. That’s what happens in an oligopoly and that’s what we have.”


Key differences from 2014 proposal

The initiative improved on four key issues from the 2014 proposal. * Doctors are required to receive parental consent from minors: "In order for a physician certification to be issued to a minor, a parent or legal guardian of the minor must consent in writing." * The chronic illness that allows a patient to receive the medical marijuana is better spelled out, as stating "same kind or class as or comparable to" when defining specific illnesses. * This bill does not repeal any law that defends "negligence or professional malpractice on the part of a qualified patient, caregiver, physician, MMTC (Medical Marijuana Treatment Center), or its agents or employees." * Additional clauses were added to close the "drug-dealer loophole" in that MMTC's may be limited to how many qualified patients they treat a year.


Financial backers

Funding for Amendment 2 came from various
political action committee In the United States, a political action committee (PAC) is a tax-exempt 527 organization that pools campaign contributions from members and donates those funds to campaigns for or against candidates, ballot initiatives, or legislation. The l ...
s, including a $1 million contribution came from Washington, D.C.–based, pro-marijuana legalization New Approach PAC. Additional funds were primarily backed by The People for Medical Marijuana PAC, also known as United for Care, who is the bill's sponsor. As of November 2016, they have provided over $12.5 million towards the amendment. The United for Care committee is chaired by Orlando trial lawyer John Morgan, who has largely bankrolled the Florida medical marijuana effort by contributing at least $6.5 million towards the initiative, and $326,438 in November, 2016.


Opposition

Las Vegas casino magnate
Sheldon Adelson Sheldon Gary Adelson (August 4, 1933 – January 11, 2021) was an American businessman, investor, and political donor. He was the founder, chairman and chief executive officer of Las Vegas Sands Corporation, which founded the Marina Bay Sa ...
donated $500,000 towards the effort to thwart the bill, including a contribution of $1 million to the Drug-Free Florida Committee, who also fought the initiative. Adelson, whose son died of a drug overdose, committed $5.5 million to help defeat the medical marijuana Amendment 2 in 2014.
Carol Jenkins Barnett Carol Jenkins Barnett (September 30, 1956 – December 7, 2021) was an American philanthropist and businesswoman, the daughter of George W. Jenkins, the founder of Publix Super Markets. Jenkins Barnett was president of Publix Super Markets Ch ...
, daughter of George W. Jenkins, founder of
Publix Super Markets Publix Super Markets, Inc., doing business as Publix, is an employee-owned American supermarket chain headquartered in Lakeland, Florida. Founded in 1930 by George W. Jenkins, Publix is a private corporation that is wholly owned by present and ...
, also gave $800,000 to the Drug-Free Florida Committee. Former Florida Supreme Court justices rallied together to produce an Op-Ed for the Tampa Bay Times in opposition to the new initiative, stating, "medical marijuana will be too easy for doctors to prescribe", and, "it'd be a wide open door for marijuana regardless of its need as a compassionate, alternative treatment option." Additionally, their letter contends that marijuana will be sold at "pot shops" and that there would be more pot shops than 7-11's, McDonald's, and Starbucks combined. Lastly, they stated that there's a right to privacy clause in the bill that would enable criminals to discreetly create "a new pipeline for pot
o get O, or o, is the fifteenth letter and the fourth vowel letter of the Latin alphabet, used in the modern English alphabet, the alphabets of other western European languages and others worldwide. Its name in English is ''o'' (pronounced ), p ...
into high schools throughout Florida." Leaders of the City of Apopka voted unanimously to ban medical marijuana until May 31, 2017. Charlotte County has already placed a 9-month prohibition of the amendment taking place, and the commissioners stated that they fear they'll be sued by the federal government as cannabis currently remains on the Schedule 1 list, among the most dangerous drugs. The Charlotte County Sheriff, Bill Prummel, has been vocal in his opposition to medical marijuana because of his fears that "we will trade our pill mills for pot shops," referring to the Florida clinics that loosely issued prescription painkillers throughout the state and causing an addiction epidemic, until Florida attorney general
Pam Bondi Pamela Jo Bondi ( ; born November 17, 1965) is an American attorney, lobbyist, and politician who has served as the 87th United States attorney general since 2025. A member of the Republican Party, she served as the 37th attorney general of Fl ...
issued legislation to shut them down in 2011. Sheriff Prummel is Chair of the Charlotte Drug-Free Florida committee. The State committee, Drug-Free Florida, spent $704,389 in the weeks before the general election by producing television ads declaring, "marijuana has no medicinal purposes."


Endorsements


Path to the ballot

Following the failure of the 2014 initiative by the same name, on December 17, 2015, the Florida Supreme Court concluded that the People for United Medical Marijuana's sponsorship of Amendment 2 satisfied the court's requirements. Sponsored again by United for Care, they received the following petition signatures for the initiative to begin and appear on the primary, per election requirements: In the weeks prior to the general election date,
Broward County Broward County ( ) is a County (United States), county in Florida, United States, located in the Miami metropolitan area. It is Florida's second-most populous county after Miami-Dade County, Florida, Miami-Dade County and the List of the most ...
election officials omitted Amendment 2 from some of the mail in ballots, prompting a lawsuit from
NORML The National Organization for the Reform of Marijuana Laws (NORML ) is a social welfare organization based in Washington, D.C., that advocates for the reform of marijuana laws in the United States regarding both medical and non-medical use. Ac ...
, a pro marijuana legalization firm. Following two emergency hearings, the 17th Judicial Circuit Court judge, Carol-Lisa Phillips, ruled that "there is no evidence of irreparable harm in the case." She continued, "because both of the voters who had confirmed instances of faulty vote-by-mail ballots already received replacement ballots," and no further action has been taken against the election officials. The amendment passed during the general election on November 8, 2016, with a supermajority vote of 71.32%. That percentage equated to 6,518,919 total votes in favor of the amendment.


Economic impact

According to research from the company New Frontier Data, the market growth is expected to be $1.6 billion a year by 2020 due to the state's percentage of the elderly and because it is the third most populous state in America.


See also

*
2024 Florida Amendment 3 Florida Amendment 3 was a proposed constitutional amendment to the Florida Constitution subject to a direct voter referendum on November 5, 2024, that would have legalized cannabis for possession, purchase, and recreational use in Florida for ...
*
Timeline of cannabis laws in the United States A timeline is a list of events displayed in chronological order. It is typically a graphic design showing a long bar labelled with dates paralleling it, and usually contemporaneous events. Timelines can use any suitable scale representing t ...
*
Legal history of cannabis in the United States In the United States, increased restrictions and labeling of cannabis (legal term ''marijuana'' or ''marihuana'') as a poison began in many states from 1906 onward, and outright prohibitions began in the 1920s. By the mid-1930s cannabis was regu ...
*
List of 2016 United States cannabis reform proposals In 2016, nine U.S. states proposed cannabis reform legislation for medical marijuana and non-medical adult use. , the state laws are still at odds with the Federal status of cannabis, which is classified as a Schedule I narcotic. ''The Los Angel ...


References


External links


Amendment text and history
at Florida Department of State
Amendment 2 (2016)
at
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{{Cannabis in the United States 2016 cannabis law reform Cannabis ballot measures in the United States Cannabis law in Florida Amendment 2 Florida Amendment 2 Florida ballot measures