MO HB490

Establishes the "Compassionate Use of Medical Cannabis Pilot Program Act" in Missouri, creating a legal framework for qualifying patients to obtain and use medical cannabis for debilitating conditions including cancer, HIV/AIDS, ALS, Crohn's disease, multiple sclerosis, Parkinson's, and PTSD

Limits patients to 2.5 ounces of usable cannabis per 14-day period, with waivers available for those needing larger amounts based on physician recommendation

Creates a regulated system with up to 9 cultivation centers (one per State Highway Patrol troop region) and up to 60 dispensing organizations geographically dispersed throughout the state

Imposes a 7% cultivation privilege tax on medical cannabis sales, with proceeds funding program administration through a dedicated "Compassionate Use of Medical Cannabis Fund"

Includes a 6-year automatic sunset provision requiring legislative reauthorization, with protections preventing patients, caregivers, physicians, and licensed facilities from arrest or prosecution when complying with program requirements