Word(s) of the Week – “Bona Fide” (Patient-Physician Relationship)

Bona FideAdjective.  Genuine, real.

Used in a sentence: Dr. Morgan certified 50,000 patients for the Illinois medical cannabis program, but may lose his medical license because he did not have a Bona Fide Patient-Physician Relationship with all of those individuals.

“Bona Fide Patient-Physician Relationship” is a phrase used often in the medical cannabis world.  Generally it refers to a legal requirement that someone must have a true relationship with their physician before they can participate in a medical cannabis program (along with other requirements).  Simply put – lax enforcement leads to a state like California (over 500,000 patients), and strict enforcement looks something like Illinois (4,400 and counting).

If there is true enforcement, how many visits are enough to make it a “bona fide” relationship?  1 visit?  5 visits?  How much time must pass after the first doctor’s visit?

Arguably, it is one of the biggest reasons the number of registered patients in Illinois is so low – but Illinois is not alone and is not the most restrictive.  States like New York require doctors to take special training, Florida requires physicians to specifically register with the state, and even California’s new law requires a prior good faith examination by a physician (that’s right, California).

This issue is complex, and affects the lives of many suffering from serious medical conditions.  How do you prove a bona fide relationship if you are newly diagnosed with cancer?  What if your longstanding physician is not open to certifying you as a patient and you need to find a new specialist?  What if one doctor certifies a large number of patients?  What medical training or specialization must a doctor have to treat a patient’s specific medical conditions?

There is much more to discuss about bona fide relationships – but we’ll revisit this in a future post!