What a difference two years makes: the Iowa Senate approved a comprehensive medical cannabis bill today by 45 votes to five. Almost two years ago to the day, a similar bill covering fewer medical conditions barely passed the Senate with just one Republican (Brad Zaun) joining 25 of the 26 Democrats. State Senator Tod Bowman was the lone Democrat not to support the 2015 cannabis legislation, and he was the only Democrat to vote against Senate File 506 today, joined by Republicans Mike Breitbach, Dan Dawson, Julian Garrett, and Mark Costello. (Garrett had voted for the bill in the Senate Appropriations Committee last week.)

Bleeding Heartland covered the important provisions of Senate File 506 here. Whereas the current law allows the use of cannabis oil to treat a few seizure conditions but doesn’t provide for in-state production, the new bill would cover thousands more Iowans, permit licensed users to obtain cannabis in more forms (but not smokeable marijuana), and create conditions for manufacturing and selling medical cannabis in Iowa.

Before final passage, senators adopted two amendments by voice vote. Language introduced by Republican Tom Greene added polyarteritis nodosa to the list of covered conditions and reduced the maximum number of licensed medical cannabis manufacturers in Iowa from twelve to four. Republican Mark Chelgren’s amendment removed a passage that would have allowed patients to register for a nonresident card in Minnesota and obtain medical cannabis from a manufacturer in that state.

Iowa House Republican leaders may not allow a vote on this bill without amendments to limit its scope. However, they will face pressure to do something before adjournment, because the current law expires on July 1. During today’s floor debate, several senators urged colleagues in the lower chamber to send the legislation to Governor Terry Branstad, Steffi Lee reported for CBS-2 in Cedar Rapids.

Advocacy groups representing Iowans affected by various diseases or medical conditions are lobbying in favor of Senate File 506, while some organizations representing law enforcement or medical professionals are registered against it, including the Iowa Pharmacy Association. Ironically, the only two pharmacists serving in the legislature are strong supporters of the bill. Greene floor-managed Senate File 506, and Democratic State Representative John Forbes has been one of the lower chamber’s leading advocates for medical cannabis reform for years.

Top image: Photo by Senator Matt McCoy of the roll call on the comprehensive medical cannabis bill, April 17.