The bill cleared the Senate Ethics and Elections Committee with a 5-0 vote and now moves on the Senate Judiciary Committee.
"I think we've done it in a very careful and cautious manner", Shott said after the vote.
The bill remains in second reading with amendments pending.
At press time, other amendments were pending in the House.
The WV Medical Cannabis Act (SB 386) was up for passage Monday in the House.
A bill that would allow patients with certain debilitating conditions to access medical marijuana if their doctors recommend it was approved by the West Virginia House of Delegates on Tuesday.
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It would establish a Bureau of Public Health program with identification cards for patients and authorize the drug's use for patients who are terminally ill or have severe or chronic intractable pain, cancer, seizures, post-traumatic stress disorder, AIDS and some other diseases.
The number of growers and permits for dispensaries are limited in the bill. Growers have to pay a $100,000 initial fee that could be renewed after a year for $10,000.
The governors of the first four states to legalize marijuana have written to Washington asking to be left alone, decrim advances in Texas, asset forfeiture reform advances in Arizona, and more.
Instead of a strict fee structure, Pushkin's amendment also would have allowed the commission to set prices for applications, licenses and permits based on demand and research into medical usefulness.
The committee spent most of last week going over the 82-page bill on how medical marijuana would be overseen in the state.