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MEDICINAL CANNABIS DRIVING REFORMS EXPLAINED

The NSW Labor Government have announced plans to change the way roadside drug testing laws apply to some medicinal cannabis patients. 

This should be welcome news, but, like anything, the devil will be in the detail.

While we’re yet to see the draft legislation, we’re concerned by some key elements of the proposed reform that we’ve managed to glean from public statements and media reports. This page will be updated as more information becomes available.

When we see the legislation, we will seek to gain support for any changes deemed necessary to get the best possible outcome for road safety as well as fairness for medicinal cannabis patients.

Key concerns at a glance

  • Risk of police profiling due to database of medicinal cannabis users

  • 24 hour driving bans

  • Continued punishment despite no-impairment

  • Lack of medical privacy

  • No level of alcohol can be detected along with THC

WHAT HAS THE GOVERNMENT ANNOUNCED?

After a decade of pressure from medicinal cannabis patients, medical experts and supporters, the Government has finally admitted that the roadside drug testing regime needs reform because it hasn’t kept up with the fact that medicinal cannabis is legally prescribed to hundreds of thousands of people in this state.

According to the announcement:

  • Drivers will need to register their status as a medicinal cannabis patient with Transport for NSW, after providing proof of a valid prescription, and complete an online education program about cannabis and driving safely 
  • Drivers will still be roadside drug tested, regardless of whether they have a valid prescription and are registered as a medicinal cannabis patient 
  • Drivers who return a positive roadside drug test will be immediately suspended from driving for 24 hours, regardless of whether they have a valid prescription and are registered as a medicinal cannabis patient 
  • Laboratory testing will then determine whether THC levels are above or below a government-set threshold (reportedly 50 nanograms per millilitre)
  • If the laboratory result shows THC at or above the threshold, the driver will receive a warning letter for a first or second detection within two years. This will give drivers the ‘opportunity to adjust their dose and driving behaviour after medicine use’.  
  • Drivers who exceed the threshold three times within two years face a $704 fine and 3-month licence suspension 
  • The scheme will only apply to drivers holding an unrestricted licence. Learner drivers, provisional licence holders or commercial drivers licence holders will not be allowed to have any THC detected at a roadside drug test, regardless of whether they have a valid prescription and are registered as a medicinal cannabis patient

FREQUENTLY ASKED QUESTIONS

Will medicinal cannabis patients still be roadside drug tested? 

Yes

Under the Government’s proposal, medicinal cannabis patients will continue to be subject to roadside drug testing in exactly the same way as other drivers.

The difference is that a registered patient will be let off entirely if their THC result is below the threshold (reportedly 50ng/ml) set by the Government. If over that limit, they will get two ‘warnings’, and, if caught a third time within two years they will cop a fine.

However, a positive roadside drug test will trigger an immediate 24 hour driving suspension.

 


 Does this mean medicinal cannabis patients can legally drive after using their medication? 

Not necessarily

The Government has made clear that medicinal cannabis patients will still face consequences if THC is detected at a roadside drug test.

Patients will have their ability to drive suspended for 24 hours on the spot if THC is detected regardless of the amount, and will face penalties if a lab test determines it is above the 50 nanograms per millilitre threshold, subject to a three-strike system.

Most medicinal cannabis patients use their medication responsibly and are not impaired while driving. It is unclear what advice the Government is relying on to suggest the 50 nanograms per millilitre threshold indicates impairment.

 


 Why are we concerned about mandatory registration with Transport for NSW? 

We are concerned about the breach of a person’s right to medical privacy and the potential for information recorded on a patient’s drivers licence to be misused.

The Government’s proposal requires medicinal cannabis patients to register their status with Transport for NSW before they are allowed to drive. A person’s status will then also be recorded on their digital licence.

Medical information is highly personal, and, in most circumstances, this information should be between a person and their doctor. People should not have to disclose either their medical condition or medication use when they are required to present identification.

A driver’s licence is commonly used when: 

  • Entering a licensed venue such as a pub 
  • Attending music festivals or other major events 
  • Collecting parcels 
  • Opening bank accounts 
  • Applying for rental properties 

We are concerned that this will create an unnecessary risk of discrimination against a person who is using their legally prescribed medication.

 


Could the registration system lead to police profiling and targeting?

This is one of our most significant concerns.

Police vehicles have technology that is constantly scanning the registration plates of vehicles in their vicinity, and then linking to registered vehicle owners and drivers licences.

If medicinal cannabis status is linked to a driver’s licence record, there is a risk that some drivers could be disproportionately targeted for roadside stops and roadside drug testing, particularly if they have already received one or two warnings from previous roadside drug tests.

It has long been reported that particular communities in NSW are disproportionately targeted by police. Any system that creates a readily accessible marker identifying someone as a medicinal cannabis patient must be treated with the utmost caution.

The government has not explained what safeguards would exist to prevent inappropriate use of this information.

 


What happens if a medicinal cannabis patient tests positive for THC at the roadside? 

Under the Government’s proposal: 

  1. The driver will be suspended from driving, on the spot, for 24 hours 
  2. A sample will be sent to a laboratory for testing 
  3. If THC is below the 50 nanograms per millilitre threshold, no further action will be taken 
  4. If THC is above the 50 nanograms per millilitre threshold, the driver may receive a warning
  5. A third detection above the 50 nanograms per millilitre threshold in a two year period could result in a fine and licence suspension

 


Why are we concerned about the 24 hour driving ban? 

Because it continues to punish people based on the presence of THC rather than impairment - and disproportionately hurts people in regional and remote areas

Under the government’s proposal, somebody who uses their medicine exactly as prescribed and is roadside drug tested will have their ability to drive based on the detection of THC despite no impairment and regardless of being below the government’s 50 nanograms per millilitre threshold. 

The temporary loss of the ability to drive may not be as big an issue in the heart of Sydney where frequent public transport is often an option, but for many people without access to reliable public transport such as Western Sydney, or without any access at all in regional and remote areas, this could have serious consequences.

 


Does this proposal solve the current problem facing medicinal cannabis patients? 

Only partially 

The current system can penalise medicinal cannabis patients for the mere presence of trace amounts of THC, regardless of impairments. The proposed reforms at least acknowledge that this approach is unfair in many circumstances. 

Unfortunately, the Government is still proposing: 

  • Mandatory registration for medicinal cannabis patients 
  • Potential forced disclosure of medical information 
  • Ongoing roadside drug testing for presence instead of impairment
  • Immediate 24 hour driving suspension after positive roadside tests, even if a person has a valid prescription and
  • A three strike penalty system for anyone over the 50 50 nanograms per millilitre threshold in a two year period
  • Treating medicinal cannabis different to all other prescription drugs by making it a crime if you test positive for any amount of alcohol along with THC

As a result, medicinal cannabis users will still face discrimination simply for using their legally prescribed medicine. 

 


What about alcohol and medicinal cannabis?

Under this proposal, medicinal cannabis patients will be treated unfairly when alcohol is involved. 

A driver registered in the scheme who has any THC detected alongside any alcohol in their system will still face the standard drug driving offence, even if the blood alcohol concentration is below the legal limit and there is no impairment. 

This means a medicinal cannabis patient could use their medication exactly as prescribed, and, after any possible impairment has worn off, have a single  beer or wine and be charged if they return a positive test for any trace of THC despite their blood alcohol reading being below .05. 

All other drivers are permitted to consume alcohol up to the legal limit, despite what medications they are on. Of course people are cautioned about driving and/or consuming alcohol by their doctor or pharmacist after taking some medications including benzodiazepines and opioids, including for a particular period of time until the effects have worn off. This is the same with medicinal cannabis. 

 


What changes could be made to improve the proposal? 

 

The Greens have not yet seen a draft bill. However, based on publicly available information and comments made by the Chris Minns and other MPs who have been working on this deal we believe there are several issues that will need to be considered for amendment: 

Better privacy protections 

The Greens do not believe there should be a mandatory Transport for NSW registration and medicinal cannabis status recorded on a person’s licence. 

Any verification system must protect patient confidentiality and avoid unnecessary disclosure of medical information. 

Strong safeguards against profiling / police targeting 

There has to be clear limits about how patient information can be accessed and used by law enforcement, along with strict penalties for any police officer who deliberately targets people because of their status as a medicinal cannabis patient. 

Reconsider the automatic 24 hour driving suspension

Patients who are not impaired should not lose their ability to drive solely because a roadside test has detected THC. Experts agree that saliva THC level does not equate to impairment. 

Californian drug driving laws rely on field sobriety testing, and there’s no reason we can’t do the same here.

Treating medicinal cannabis like any other prescription drug

Medicinal cannabis is a legal medication prescribed to treat a range of health conditions. Like many other medicines, it can affect people differently and may impair some patient’s ability to drive. That’s why patients should always follow medical advice and never drive while impaired. 

But that’s already how the law treats other prescription medications. People who take opioids, sleeping tablets, benzodiazepines, antidepressants and many other prescription drugs are not immediately penalised because those medicines are in their bodies. Instead, the law focuses on whether the person is impaired and driving safely. Medicinal cannabis patients should be treated the same way.

 


What happens next? 

Once draft legislation is available we will upload a copy to this page and carefully examine all of the details to consider what amendments could be made. We will approach MPs from all parties in order to get a system in place that protects road safety and the rights of medicinal cannabis patients. Regardless of what deals individual MPs have made we hope they will come to the table.

We encourage everyone to stay engaged, lobby politicians and share your experience, particularly if the current or proposed laws would affect your ability to work, care for family or participate in everyday life.

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