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SB 5700

In Committee

Senate

Medical cannabis database

Concerning the medical cannabis authorization database.

This status may be delayed. See Action History below for the latest updates.

How does a bill become law?
  1. Introduced: The bill is filed and assigned a number.
  2. Committee: A subject-matter committee holds hearings, takes public testimony, and decides whether to advance the bill.
  3. Floor Vote: The full chamber (House or Senate) debates and votes on the bill.
  4. Opposite Chamber: The bill repeats the committee and floor vote process in the other chamber.
  5. Governor: The Governor reviews the bill and decides whether to sign or veto it.
  6. Signed: The bill has been signed into law.
Introduced: February 6, 2025
Last Action: January 12, 2026
Status: S Rules X
Companion Bill:

AI Analysis

This analysis was generated by AI and may contain errors. It is not legal advice. Always refer to the official bill text for authoritative information.
People & CommunitiesBalancedCorporate & Wealthy Interests

This bill establishes a secure medical cannabis authorization database to streamline verification of patient eligibility and recognition cards, improve compliance, and help the Liquor and Cannabis Board and Department of Revenue verify tax exemptions for medical cannabis. It standardizes card issuance, sets expiration timelines, and enforces strict privacy and security standards for patient data.

  • Creates a secure, confidential medical cannabis authorization database managed by the Department of Health and operated by a contracted administrator.
  • Allows cannabis retailers with a medical cannabis endorsement to add qualifying patients and designated providers, record authorized product amounts, and issue recognition cards with unique IDs, photos (for adults), and security features.
  • Permits access to the database by health care professionals (for patient care), law enforcement (for specific investigations), retailers (to verify cards), and state agencies (Liquor and Cannabis Board and Department of Revenue) to verify tax exemptions.
  • Sets card validity: one year for adults, six months for minors, and requires reexamination by a health care professional before renewal; allows compassionate care renewals without patient presence.
  • Requires strict data protections: personally identifiable information must be nonreversible, protected from linkage, use differential privacy, and retained for five years for tax verification; information is confidential and exempt from public records requests.
  • Imposes a $1 fee per recognition card, collected by retailers and deposited into the dedicated cannabis account; allows fines up to $5,000 for database administrator noncompliance.

Who is affected

  • Qualifying medical cannabis patientsMust obtain and renew a recognition card with a unique ID and photo (for adults) or have a designated provider do so; may request their own data or see who has queried their info; must be reexamined by a health care professional to renew.
  • Designated providersCan be added to the database on behalf of a patient; may renew a patient’s card without the patient present if compassionate care applies; must help manage the patient’s authorization and card.
  • Cannabis retailers with a medical cannabis endorsementMust verify patient recognition cards before selling medical cannabis; collect a $1 fee per card; enter patients into the database; issue replacement cards if lost or stolen.
  • Health care professionals who authorize medical cannabisCan access patient health information to provide care; may request removal of patients from the database if they no longer qualify; must ensure authorizations comply with state rules.
  • Liquor and Cannabis Board and Department of RevenueWill use the database to confirm tax-exempt status of medical cannabis sales and ensure proper collection of excise taxes on non-exempt sales.
Fiscal impact: A $1 fee per recognition card (initial or renewal) will be collected by retailers and deposited into the dedicated cannabis account; fines up to $5,000 for database administrator noncompliance will go into the health professions account.
Model: Intel/Qwen3-Coder-Next-int4-AutoRoundGenerated: Mar 20, 2026 at 3:10 AM

Pro/Con Analysis

Stronger case for concerns

Potential Benefits (4)
  • A $1 fee per recognition card (initial or renewal) is collected by retailers and deposited into the dedicated cannabis account, generating modest but predictable revenue to support database administration and related oversight functions—without imposing a significant burden on patients, as the fee is low and standardized.

    FinancialRef: Sec. 1(10); Sec. 1(11); Sec. 1(6)
  • By standardizing recognition card issuance and verification, the bill reduces administrative burden and ambiguity for cannabis retailers with medical endorsements, improving operational efficiency and compliance consistency across the state’s medical cannabis market.

    Business & EmploymentRef: Sec. 1(1)(e); Sec. 1(4)(a); Sec. 1(5)
  • The requirement to consult with cybersecurity experts (including the University of Washington lab or certified firms) and implement NIST-compliant privacy standards ensures the database is built to current best practices, reducing vulnerability to breaches and enhancing long-term system integrity.

    Public SafetyRef: Sec. 1(7); Sec. 1(8)
  • The database allows retailers to record and display the authorized quantity of cannabis products per patient, enabling more precise inventory tracking and reducing the risk of overdispensing—supporting safer, dose-controlled medical use.

    HealthcareRef: Sec. 1(1)(a); Sec. 1(3)(d); Sec. 1(4)(a)
Potential Concerns (5)
  • The bill improves tax compliance verification for medical cannabis by enabling the Liquor and Cannabis Board and Department of Revenue to use the database to confirm tax-exempt status, reducing potential revenue leakage and ensuring proper application of excise taxes on non-exempt sales. This enhances regulatory integrity and reduces opportunities for tax fraud or misclassification of medical vs. recreational sales.

    Public SafetyRef: Sec. 1(1)(f), (g); Sec. 1(6); Sec. 1(9)(a)
  • The bill establishes strong data privacy and security standards—including nonreversible personally identifiable information, differential privacy, linkage resistance, and strict public records exemptions—which significantly reduce the risk of patient data misuse, identity theft, or unauthorized surveillance by third parties, including federal agencies.

    Rights & LibertiesRef: Sec. 1(9)(a), (c); Sec. 1(8)(a)-(d)
  • The compassionate care renewal provision allows designated providers to renew a minor patient’s authorization without the patient present, and permits replacement cards without reexamination in limited cases, improving continuity of care for vulnerable populations (e.g., children, disabled, or hospice patients) who may face barriers to in-person visits.

    HealthcareRef: Sec. 1(4)(b); Sec. 1(5); Sec. 1(9)(a)
  • The bill authorizes access to the database by health care professionals (for care), law enforcement (for specific investigations), and retailers (to verify cards), creating a balanced framework that supports both patient care and targeted enforcement without overbroad surveillance powers.

    Public SafetyRef: Sec. 1(1)(c); Sec. 1(1)(d); Sec. 1(1)(e)
  • Mandating reexamination by a health care professional before renewal (and limiting card validity to 6 months for minors) ensures ongoing clinical oversight, reducing the risk of inappropriate long-term medical cannabis use and promoting safer, evidence-based treatment patterns.

    HealthcareRef: Sec. 1(1)(h); Sec. 1(4); Sec. 1(5)

Who Is Most Affected

Qualifying medical cannabis patientsPositive Impact

Patients—especially those with chronic conditions, disabilities, or minors—benefit from standardized, secure access to medical cannabis; reduced administrative barriers (e.g., compassionate renewals); and strong data privacy protections. However, they must pay a $1 fee and undergo periodic reexaminations, which may impose minor time/cost burdens.

Designated providersMixed Impact

Designated providers (often family members or caregivers) gain the ability to manage renewals and access patient data on their behalf, easing care coordination. However, they assume responsibility for accurate database entry and may face liability if they misrepresent patient status.

Cannabis retailers with a medical cannabis endorsementMixed Impact

Cannabis retailers with medical endorsements benefit from clearer operational protocols and reduced compliance risk, but must collect and remit the $1 fee, enter patients into the database, and issue cards—adding minor administrative tasks. Small retailers (e.g., mom-and-pop shops) bear disproportionate burden relative to large chains due to scale inefficiencies.

Health care professionals who authorize medical cannabisMixed Impact

Health care professionals gain access to patient data for care coordination and can request removal of patients no longer qualifying, improving clinical oversight. However, they may face increased documentation burden and potential liability if authorizations are not properly recorded or updated.

Liquor and Cannabis Board and Department of RevenuePositive Impact

The Liquor and Cannabis Board and Department of Revenue gain a reliable tool to verify tax-exempt status and reduce revenue leakage, improving fiscal integrity. This is a neutral-to-positive outcome for state finances, with no direct cost or benefit to individual citizens beyond more stable public funding.

Sponsors

Senator King(Republican)District 14Primary
Senator Saldaña(Democrat)District 37Secondary
Senator Nobles(Democrat)District 28Secondary