Florida Department of Health, Office of Medical Marijuana Use, Courtney Coppola, in her official capacity as Director of the Office of Medical Marijuana Use v. Florigrown, LLC, a Florida limited liability company and Voice of Freedom, Inc., d/b/a Florigrown ( 2019 )


Menu:
  •          FIRST DISTRICT COURT OF APPEAL
    STATE OF FLORIDA
    _____________________________
    No. 1D18-4471
    _____________________________
    FLORIDA DEPARTMENT OF
    HEALTH, OFFICE OF MEDICAL
    MARIJUANA USE, COURTNEY
    COPPOLA, in her official capacity
    as Director of the Office of
    Medical Marijuana Use, SCOTT
    RIVKEES, M.D., in his official
    capacity as State Surgeon
    General and Secretary of the
    Florida Department of Health,
    and THE STATE OF FLORIDA,
    Appellants,
    v.
    FLORIGROWN, LLC, a Florida
    limited liability company and
    VOICE OF FREEDOM, INC., d/b/a
    Florigrown,
    Appellees.
    _____________________________
    On appeal from the Circuit Court for Leon County.
    Charles W. Dodson, Judge.
    August 27, 2019
    ON MOTION FOR CERTIFICATION
    PER CURIAM.
    The panel grants the motion for certified question. We
    determine that the following question proposed by appellant is one
    of great public importance:
    WHETHER THE PLAINTIFFS HAVE DEMONSTRATED A
    SUBSTANTIAL LIKELIHOOD OF SUCCESS ON THE MERITS OF
    THEIR CLAIMS THAT THE STATUTORY REQUIREMENTS OF
    VERTICAL INTEGRATION AND CAPS ON THE NUMBER OF
    MEDICAL MARIJUANA TREATMENT CENTER LICENSES AS SET
    FORTH IN SECTION 381.986(8), FLORIDA STATUTES, ARE IN
    DIRECT CONFLICT WITH ARTICLE X, SECTION 29, OF THE
    FLORIDA CONSTITUTION?
    WOLF, MAKAR, and JAY, JJ., concur.
    ON MOTION FOR REHEARING EN BANC
    On the motion of a party, a judge in regular active service on
    the Court requested that a vote be taken on the motion in
    accordance with Florida Rule of Appellate Procedure 9.331(d)(1).
    All judges in regular active service that have not been recused
    voted on the motion. Less than a majority of those judges voted in
    favor of rehearing en banc. Accordingly, the motion for rehearing
    en banc is denied.
    WOLF, LEWIS, MAKAR, and BILBREY, JJ., concur.
    MAKAR, J, concurs with written opinion.
    B.L. THOMAS, OSTERHAUS, JAY, and M.K. THOMAS, JJ., dissent.
    B.L. THOMAS, J., dissents with written opinion.
    RAY, C.J., and ROBERTS, ROWE, KELSEY, and WINOKUR, JJ.,
    recused.
    _____________________________
    MAKAR, J., concurring in the denial of rehearing en banc.
    2
    Florida’s constitution grants the ultimate power to decide
    state policy to the people, who have chosen by citizens’ initiative 1
    to constitutionalize “Medical marijuana production, possession
    and use.” Art. X, § 29, Fla. Const.; see 
    id. art. XI,
    § 5(e) (providing
    that proposals to change the state constitution must be approved
    by sixty percent vote of the electors). In doing so, the people have
    in large measure elbowed out the legislative branch as the arbiter
    of medical marijuana policy by giving the Department of Health
    the compulsory and detailed authority to “issue reasonable
    regulations necessary for the implementation and enforcement” of
    the medical marijuana amendment to “ensure the availability and
    safe use of medical marijuana by qualifying patients.” 
    Id. art. X,
    § 29(d) (“Duties of the Department”).
    A subset of the Department’s constitutional duties is to
    oversee all entities involved in the production and distribution of
    marijuana for medical use in Florida. Dubbed Medical Marijuana
    Treatment Centers (MMTCs), these include any:
    entity that acquires, cultivates, possesses, processes
    (including development of related products such as food,
    tinctures, aerosols, oils, or ointments), transfers,
    transports, sells, distributes, dispenses, or administers
    marijuana, products containing marijuana, related
    supplies, or educational materials to qualifying patients
    or their caregivers and is registered by the Department.
    
    Id. § 29(b)(5)
    (emphasis added). The constitution requires that the
    Department establish “[p]rocedures for the registration of MMTCs
    that include procedures for the issuance, renewal, suspension and
    revocation of registration, and standards to ensure proper
    1  See P.K. Jameson & Marsha Hosack, Citizen Initiatives in
    Florida: An Analysis of Florida's Constitutional Initiative Process,
    Issues, and Alternatives, 23 FLA. ST. U. L. REV. 417, 418 (1995)
    (“Initiatives generally allow the public to bypass the legislature
    and reserve direct lawmaking power in the voters of the state.
    Citizens propose constitutional amendments by initiative, and the
    general electorate adopts or rejects the proposed amendment at
    the polls.”).
    3
    security, record keeping, testing, labeling, inspection, and safety.”
    
    Id. § 29(d)(1)c.
    (emphasis added).
    As the highlighted language makes obvious, the people have
    lodged wide-ranging power and control in the Department’s hands
    to set substantive standards for regulating MMTCs that protect
    the public by ensuring the security, safety and testing/inspection
    of medical marijuana production, possession and use in Florida.
    This constitutional authority is presumptively self-executing. Fla.
    Hosp. Waterman, Inc. v. Buster, 
    984 So. 2d 478
    , 486 (Fla. 2008)
    (noting that “modern doctrine favors the presumption
    that constitutional provisions are intended to be self-operating.”)
    (citation omitted). 2 It requires no legislative action because it
    effects an immediate change in the law governing access to medical
    marijuana, establishes a detailed regulatory regime with
    definitions of key terms, and sets forth in reasonable detail the
    means for accomplishing its purpose without the need of
    legislation. 
    Id. (“The amendment's
    language makes evident that it
    was intended to effect an immediate change in the law governing
    access to medical records without the need for legislative action.”).
    The Department’s constitutional authority over medical
    marijuana production, possession and use does not entirely
    displace the legislature’s role. That’s because the amendment does
    not “limit the legislature from enacting laws consistent with this
    section.” Art. X, § 29(e) (emphasis added). 3 Our constitution
    envisioned this type of inter-branch power-sharing arrangement
    by saying that the “powers of the state government shall be divided
    into legislative, executive and judicial branches. No person
    2  The reason for the presumption is that in its absence “the
    legislature would have the power to nullify the will of the people
    expressed in their constitution, the most sacrosanct of all
    expressions of the people.” 
    Buster, 984 So. 2d at 486
    (quoting Gray
    v. Bryant, 
    125 So. 2d 846
    , 851 (Fla. 1960)).
    3  Of course, “simply because the right conferred by
    the amendment could be supplemented by legislation does not
    prevent the provision from being self-executing.” Buster, 
    984 So. 2d
    at 486.
    4
    belonging to one branch shall exercise any powers appertaining to
    either of the other branches unless expressly provided herein.” Art.
    II, § 3, Fla. Const. (emphasis added). The people–not our judicial
    panel—expressly granted to the executive branch (i.e., the
    Department of Health) a defined portion of what would otherwise
    have been the Legislature’s plenary power to establish statewide
    medical marijuana policy, leaving room for limited legislation that
    is consistent with the amendment itself. The people, by limiting
    the legislative branch’s policy-making role power over medical
    marijuana, have not done “exceptional violence” to their own right
    to petition the legislature for gap-filling, harmonious legislation;
    instead, the people have bypassed the legislature, directed the
    Department to implement their political will, art. I, § 1, Fla. Const.
    (“All political power is inherent in the people.”), and corralled
    legislative power by limiting it to only “consistent” enactments
    (which is unsurprising given the potential for wayward legislation
    to frustrate the people’s will), 
    Gray, 125 So. 2d at 852
    (“We have
    no reason to believe, and we do not intend to imply, that the
    legislature will not always follow the dictates of [the constitutional
    provision at issue],” but noting the possibility that a legislature
    might “fail to act in accordance with the [provision]” and thereby
    “frustrate the people's will.”).
    In light of the amendment’s language and structure, the
    paramount question in this case—the only one that both parties
    urge that we answer—is whether legislation that limits
    registration to only MMTCs that are fully vertically-integrated is
    inconsistent with the amendment’s language. The original panel
    unanimously agreed that section 381.986(8)(e), Florida Statutes,
    which requires full vertical integration, directly conflicts with the
    language in article X, section 29(b)(5). The former says that an
    MMTC “shall cultivate, process, transport, and dispense
    marijuana for medical use,” while the later contrarily says that an
    MMTC is an entity that “acquires, cultivates, possesses, processes
    . . ., transfers, transports, sells, distributes, dispenses, or
    administers” medical marijuana. The power of the legislature does
    not include rewriting clear language in the constitution,
    transforming a disjunctive “or” into a conjunctive “and.” The
    reason is that the use of “the word ‘or’ is usually, if not always,
    construed judicially as a disjunctive,” the rare exception being
    where it is “necessary” to conform to the “clear intention” of its
    5
    drafters. Pompano Horse Club, Inc. v. State, 
    111 So. 801
    , 805 (Fla.
    1927); see also Telophase Soc’y of Fla., Inc. v. State Bd. of Funeral
    Dirs. & Embalmers, 
    334 So. 2d 563
    , 565, 566–67 (Fla. 1976)
    (upholding disjunctive use of “or” where statute defined “funeral
    directing” as the “profession of directing or supervising funerals for
    profit, or the profession of preparing dead human bodies for burial
    or cremation by means other than embalming, or the disposition
    or shipping of dead human bodies, or the provision or maintenance
    of a place for the preparation of dead human bodies.”); Antonin
    Scalia & Bryan A. Garner, Reading Law: The Interpretation of
    Legal Texts 116 (2012) (“The conjunctions and and or are two of
    the elemental words in the English language. Under the
    conjunctive/disjunctive canon, and combines items while or creates
    alternatives. Competent users of the language rarely hesitate over
    their meaning.”).
    No evidence exists that the people via the elemental language
    of the medical marijuana amendment clearly intended a market
    limited to only a few fully vertically-integrated medical marijuana
    companies. Indeed, one looks in vain for any modern American
    commodities industry in which all sellers are fully-vertically
    integrated; partial vertical integration is common, but not the type
    of seed-to-store structure that section 381.986(8)(e) requires of all
    MMTCs. For this reason, the legislature cannot force every MMTC
    seeking registration to grow marijuana and then cultivate,
    process, package, transport, distribute, sell, and dispense medical
    marijuana. Prior to passage of the medical marijuana amendment
    it could advance such a market policy, but doing so now is
    inconsistent with the amendment’s clear language to the contrary.
    Because section 381.986(8)(e) so clearly conflicts with the
    constitution, en banc review is unwarranted and would serve only
    to further delay the inevitable, which is to allow for our supreme
    court to weigh in and definitively pass upon the matter, which the
    panel has promptly accommodated. The parties have signaled the
    importance of having the merits of the legal issue addressed, the
    6
    state moving for certification of one question on only that point of
    law, 4 which the panel has granted.
    Until supreme court review occurs, the existing legislatively-
    established oligopolistic vertically-integrated market structure
    will remain operative due to all but certain stays of the trial court’s
    and this Court’s decisions. Even if the supreme court denies
    review, and the panel opinion becomes operative, no floodgates will
    open that threaten ruination on society—akin to Reefer Madness—
    as might be feared. 5 Properly regulated, medical marijuana serves
    an important public health goal in accord with the intent of a
    super-majority of Florida’s voters. Remember, the people gave the
    4 The only certified question sought by the Department of
    Health, which was approved by the panel, is:
    Whether the plaintiffs have demonstrated a
    substantial likelihood of success on the merits of their
    claims that the statutory requirements of vertical
    integration and caps on the number of medical marijuana
    treatment center licenses as set forth in section
    381.986(8), Florida Statutes, are in direct conflict with
    Article X, section 29, of the Florida Constitution?
    5  This case is about medical marijuana, not the dangers of
    unrestricted recreational use highlighted in the 1936 film. See
    Reefer                    Madness,                     WIKIPEDIA,
    https://en.wikipedia.org/wiki/Reefer_Madness (last visited August
    22, 2019). That said, marijuana law and policy is a deeply serious
    subject upon which profound questions remain. See generally
    Robert A. Mikos, Marijuana Law, Policy, and Authority 6 (2017)
    (“Given all the reasons to care about marijuana law and policy,
    policymakers face a host of questions about how they should
    regulate the drug: Is marijuana beneficial? What are its harms?
    Which of those benefits and harms should inform policy decisions?
    Should marijuana be allowed or banned, and if allowed, for whom?
    How can jurisdictions prevent diversion of the drug to non-
    approved uses? How do different policies affect the use of
    marijuana and any harms associated with such use? What are the
    costs of competing approaches to regulating marijuana?”).
    7
    Department broad constitutionally-grounded powers to establish
    “standards to ensure proper security, record keeping, testing,
    labeling, inspection, and safety” in this new industry, a provision
    unaffected by the panel opinion and self-operative without any
    legislation. Art. X, § 29(d)(1)c. Had the legislature passed no law,
    the Department’s constitutional mandate to bring about the
    orderly production, possession and use of medical marijuana in
    Florida remained the same. Nothing prevents the Legislature, of
    course, from enacting laws that are consistent with the people’s
    directive.
    Importantly, the panel opinion on the merits did nothing other
    than to say that limiting the medical marijuana marketplace to
    only a few vertically-integrated entities conflicts with the language
    of the constitution; no language in the amendment (or ballot
    summary for that matter) 6 compels MMTCs to be vertically-
    integrated and limited in number. A wide range of regulatory
    approaches remains available, none compelled by the panel’s
    decision, which in no way obliges the Department to register
    street-level drug dealers or dorm-room pot cultivators. Instead, the
    only change will be that a broader and more competitive
    marketplace will develop, one that the Department—as
    supplemented by non-conflicting legislation—will actively
    regulate for the public’s security and safety via its control over
    MMTCs. See Fla. Dep’t of Health v. Florigrown, LLC, 
    44 Fla. L
    .
    Weekly D1744 (Fla. 1st DCA July 9, 2019) (“That the portion of the
    statute establishing a vertically-integrated industry structure is
    impermissible doesn't reduce or interfere with the Department of
    Health's ongoing regulatory authority to protect the public
    generally.”) (Makar, J., concurring).
    B.L. THOMAS, J., dissenting from the denial of hearing en banc.
    6  In its legal filings, the Department made no mention of the
    amendment’s ballot summary, probably because (a) its language
    does not advance the Department’s position and (b) the language
    of the constitution is what matters in assessing whether a conflict
    exists with section 381.986(8)(e).
    8
    The Governor, the Florida Department of Health, and four
    judges of this court think the panel opinion in this case is a matter
    of great public importance meriting en banc consideration. But by
    a 4-4 vote, 1 this court has decided that the monumental issue of
    whether the Florida Legislature and the Governor have the
    authority to regulate Medical Marijuana Treatment Centers
    (“MMTC”) is not a case of great public importance meriting
    rehearing en banc before the entire court. 2 Thus, this court has
    now decided that the rational and careful policies enacted by the
    legislature and approved by the governor to regulate medical
    marijuana are temporarily invalid, despite the specific authority
    under the constitutional provision authorizing the legislative and
    executive branches to regulate medical marijuana under article X,
    section 29 of the Florida Constitution.
    I respectfully but vigorously dissent from this court’s decision
    declining to rehear this case en banc.
    The federal government has categorized marijuana as a
    Schedule I drug, meaning it has a high potential for abuse, there
    is no currently accepted medical use of the drug in treatment in the
    United States, and there is a lack of accepted safety for use of the
    drug under medical supervision. 21 U.S.C. § 812(b)(1)A-C,
    Schedule I(c)(10) (emphasis added). As the panel’s dissenting
    opinion stated:
    The majority states that the injunction “allows the
    Department a reasonable period of time to exercise its
    duties under the constitutional amendment,” [] but that
    is not how I read the injunction. Indeed, because the
    injunction states that the Department is “immediately”
    1 Two judges did not participate in the court’s decision to deny
    rehearing en banc, Judges Winsor and Wetherell, having
    previously been confirmed by the United States Senate as United
    States District Judges for the Northern District of Florida. Judge
    Wetherell served on the original panel decision and dissented from
    the majority’s decision to affirm the preliminary injunction issued
    by the circuit judge below.
    2  Five judges of this court recused themselves from
    consideration of this motion for rehearing en banc.
    9
    enjoined from registering or licensing MMTCs under the
    legislative scheme in section 381.986, Florida Statutes, it
    appears to me that the injunction will create a regulatory
    vacuum that will need to be immediately filled by an
    entirely new regulatory scheme in order to avoid an
    unregulated marketplace for medical marijuana.
    Fla. Dep’t of Health v. Florigrown, LLC, No. 1D18-4471, 
    2019 WL 2943329
    , at *6 n.4 (Wetherell, J., concurring in part and dissenting
    in part) (emphasis added) (citations omitted).
    This is manifestly a case of great public importance as the
    erroneous panel decision will have a profound impact on public
    safety and is in violation of the separation of powers under article
    II, section 3 of the Florida Constitution, because the preliminary
    injunction usurps the constitutional authority of the of the
    legislature, which carefully considered and approved those
    policies, and the governor, who signed this legislation and has
    acted to implement those policies through the Department of
    Health.     The concurring opinion further demonstrates this
    violation of the separation of powers by recommending an
    economic model for regulating medical marijuana, which is
    obviously within the sole policy-making authority of the legislative
    branch. (“As such, the public interest is best served, not by
    allowing an unconstitutional market structure to remain in place,
    but to gravitate carefully and expeditiously away from the unlawful
    vertically-integrated oligopoly model to the non-integrated market
    structure the amendment envisions.” (Fla. Dep’t of Health v.
    Florigrown, LLC, No. 1D18-4471, 
    2019 WL 2943329
    , at *5 (Makar,
    J., concurring)) (emphasis added)).
    As our supreme court has emphatically stated: “In the final
    analysis, ‘[t]he preservation of the inherent powers of the three
    branches of government, free of encroachment or infringement by
    one upon the other, is essential to the effective operation of our
    constitutional system of government.” Fla. Senate v. Fla. Pub.
    Empl. Council 79, AFSCME, 
    784 So. 2d 404
    , 408 (Fla. 2001)
    (quoting In re Advisory Opinion to the Governor, 
    276 So. 2d 25
    , 30
    (Fla. 1973)).
    The amendment at issue requires the Department to adopt
    “[p]rocedures for the issuance, renewal, suspension and revocation
    10
    of registration of Medical Marijuana Treatment Centers and
    standards to ensure proper security, record keeping, testing,
    labeling, inspection, and safety.” Art. X, § 29(d)(1)c., Fla. Const. A
    Medical Marijuana Treatment Center is defined in the
    Amendment as “an entity that acquires, cultivates, possesses,
    processes . . . transfers, sells, distributes, dispenses, or administers
    marijuana . . . and is registered by the Department.” Art. X, §
    29(b)(5), Fla. Const. The Amendment unambiguously states that
    “[n]othing in [the Amendment] shall limit the legislature from
    enacting laws consistent with this section.” Art. X, § 29(e), Fla.
    Const. (emphasis added). The statute at issue is “consistent with
    this section” because it properly implements the constitutional
    amendment by correctly limiting the registration of Medical
    Marijuana Treatment Centers.
    Thus, because there is no conflict between the statute and the
    amendment, the Appellees cannot prevail on the merits, the
    injunction is not in the public interest, and there is no “irreparable
    harm” in reversing the injunction. Quite the contrary, the
    preliminary injunction will impose irreparable harm on the public
    by injecting chaos and creating an unregulated environment for
    the use and abuse of marijuana.
    The majority decision approving this injunction in part is
    contrary to the public interest, as the dissenting panel opinion
    noted:
    However, I respectfully dissent from the remainder
    of the opinion because, in my view, Appellees failed to
    establish that the portion of the injunction affirmed by
    the majority is in the public interest. . . . The portion of
    the injunction affirmed by the majority will effectively
    mandate an immediate change in the entire structure of
    the medical marijuana industry in Florida. Although such
    a change may ultimately be warranted, the trial court did
    not articulate—and Appellees did not show—how the
    public interest would be served by mandating this change
    through a preliminary injunction.
    Florigrown, LLC, 
    2019 WL 2943329
    , at *5-6 (Wetherell, J.,
    concurring in part and dissenting in part) (emphasis added)
    (footnote omitted).
    11
    The preliminary injunction will result in the increased
    potential for the unregulated use of marijuana, a dangerous drug
    which has been shown in numerous studies to present a significant
    harm to both young people and others who may be now permitted
    unfettered access to this drug. See Nora D. Volkow, M.D., Letter
    from the Director, NATIONAL INSTITUTE ON DRUG ABUSE, (July
    2019),            https://www.drugabuse.gov/publications/research
    reports/marijuana/letter-director:
    Because marijuana impairs short-term memory and
    judgment and distorts perception, it can impair
    performance in school or at work and make it dangerous
    to drive. It also affects brain systems that are still
    maturing through young adulthood, so regular use by
    teens may have negative and long-lasting effects on their
    cognitive development, putting them at a competitive
    disadvantage and possibly interfering with their well-
    being in other ways. Also, contrary to popular belief,
    marijuana can be addictive, and its use during
    adolescence may make other forms of problem use or
    addiction more likely. Whether smoking or otherwise
    consuming marijuana has therapeutic benefits that
    outweigh its health risks is still an open question that
    science has not resolved.
    (Emphasis added).
    Without any proper factual findings or any showing of
    irreparable harm, the circuit court’s preliminary injunction
    invalidates the comprehensive regulation of a controlled
    substance, Section 381.986(8)(a)1, Fla. Stat. (2017). The injunction
    endangers public safety and the physical and mental health of
    adults and children who will now likely have greater access to
    unregulated marijuana use and abuse. The preliminary injunction
    also violates settled law governing a trial court’s authority to grant
    preliminary injunctions, which are an “extraordinary remedy
    which should be granted sparingly.” City of Jacksonville v. Naegele
    Outdoor Advertising Co., 
    634 So. 2d 750
    , 752 (Fla. 1st DCA 1994)
    (quoting Thompson v. Planning Comm’n, 
    464 So. 2d 1231
    (Fla. 1st
    DCA 1985) (emphasis added)).
    12
    As argued by Appellants citing black-letter law, a “trial court
    must determine that (i) the movant is substantially likely to
    succeed on the merits, (ii) irreparable harm absent injunction is
    likely, (iii) an adequate remedy at law is unavailable, and (iv) the
    balance of the public interest favors the injunction.” Id.; see also
    St. Johns Inv. Mgmt. Co. v. Albaneze, 
    22 So. 3d 728
    , 731 (Fla. 1st
    DCA 2009) (party seeking a temporary injunction bears the burden
    of providing substantial, competent evidence on each element).
    I agree with Appellants that the trial court’s order is fatally
    flawed “on almost every possible ground.” But the majority opinion
    upholds a significant part of this fatally flawed injunction. This
    Court’s decision denying rehearing en banc compounds that error.
    The trial court’s injunction and this Court’s partial approval
    of the injunction have erroneously decided that any entity that
    engages in any of the defined activities described in the
    amendment may constitute a self-executing Medical Marijuana
    Treatment Center. But a fair reading of the amendment can only
    conclude that a “treatment center” cannot mean that anyone who
    merely “cultivates” marijuana is thereby entitled to demand
    registration under the amendment.
    The contrary holding of the panel opinion approving the
    injunction also conflicts with the rationale of this court’s prior
    decision in Department of Health v. Redner, in which we held that
    a person had no privilege under the amendment to grow his own
    marijuana:
    Mr. Redner argues, and the trial court held, that
    because Mr. Redner was a qualified patient, he had the
    right to possess and use marijuana, which included the
    whole growing plant and seeds. He argues the right to
    possess and use the whole growing plant and seeds
    includes the right to cultivate and process his own
    marijuana. This interpretation of section 29 is not
    supported by the plain language of the constitution and
    renders portions of the constitution meaningless. In
    addition, this interpretation ignores the detailed
    framework set forth by the drafters to establish the role
    that MMTCs play in producing and distributing medical
    13
    marijuana and to provide for the regulation of those
    MMTCs.
    Mr. Redner's argument is not supported by the plain
    language of section 29, which provides qualified users
    (like Mr. Redner) with immunity from criminal or civil
    liability under Florida law for the “medical use of
    marijuana” that is “in compliance” with the amendment
    (emphasis added). Qualified users are permitted to
    acquire, possess, use, deliver, transfer, and administer
    marijuana in amounts that do not conflict with the
    Department's rules. Mr. Redner argues that the term
    “use” contained in the medical use definition permits him
    to cultivate and process marijuana. The term “use” is not
    defined by the amendment. However, it is clear, when one
    examines the entire amendment, that “use” does not
    mean “grow” or “process,” as Mr. Redner argues.
    In examining section 29 as a whole, we must
    recognize the distinctions made by the drafters between
    the activities permitted to be performed by MMTCs and
    the activities permitted to be performed by qualified
    patients. We must also recognize the role the drafters
    gave to MMTCs to play in the production and distribution
    of medical marijuana. The framers explicitly authorized
    MMTCs to cultivate, process, and distribute medical
    marijuana. Art. X, § 29(b)(5), Fla. Const. Unlike the
    express language concerning MMTCs, there is no explicit
    language authorizing qualified patients to grow,
    cultivate, or process marijuana. Had the drafters
    intended for qualified patients to be able to cultivate or
    process medical marijuana, that language would have
    been included in the definition of medical use; it was not.
    When we read the constitutional provisions, as a
    whole, we find that the language of section 29 is clear,
    unambiguous, and addresses the issue on appeal. A
    qualified patient's ability to use and possess marijuana
    does not include authorization to grow, cultivate, and/or
    process marijuana. Article X, section 29 of the Florida
    Constitution only authorizes MMTCs to grow, cultivate,
    and process marijuana for qualified patients.
    14
    
    273 So. 3d 170
    , 172-73 (Fla. 1st DCA 2019) (emphasis added).
    As noted by our Court in Redner, the logic of the panel opinion
    and the preliminary injunction conflict with the ballot summary
    provided to the voters who considered this amendment:
    We also look to the ballot summary to determine the
    purpose of the amendment and the will of the voters
    because a ballot summary provides the purpose of the
    amendment and has to present the scope of an
    amendment in order to be valid. See Advisory Op. to Att'y
    Gen. re Term Limits Pledge, 
    718 So. 2d 798
    , 804 (Fla.
    1998) (if a ballot summary does not accurately describe
    the scope of the amendment, then it fails to accurately
    describe the purpose of the amendment). The Florida
    Supreme Court found the ballot summary for Article X,
    section 29 of the Florida Constitution fairly informed the
    voters of the purpose of the proposed amendment. In re
    Advisory Op. to Att'y Gen. re Use of Marijuana for
    Debilitating Med. Conditions, 
    181 So. 3d 471
    , 478-79 (Fla.
    2015). The ballot summary read as follows:
    Allows medical use of marijuana for
    individuals with debilitating medical conditions
    as determined by a licensed Florida physician.
    Allows caregivers to assist patients' medical use
    of marijuana. The Department of Health shall
    register and regulate centers that produce and
    distribute marijuana for medical purposes and
    shall issue identification cards to patients and
    caregivers. Applies only to Florida law. Does not
    immunize violations of federal law or any non-
    medical use, possession or production of
    marijuana.
    
    Id. at 476.
    There is no language contained in the ballot
    summary that would have allowed the voters to surmise
    that the passing of this amendment would permit
    qualified patients to cultivate and process their own
    medical marijuana. Therefore, Mr. Redner's position is
    not consistent with the purpose of the amendment or the
    will of the voters.
    
    15 273 So. 3d at 174
    (emphasis added).
    Given the logic and rationale of Redner, the preliminary
    injunction here may produce the inevitable conclusion that the
    amendment was approved under a flag of “false colors” when the
    ballot summary informed the voters that the legislature and
    governor could adopt and implement reasonable restrictions on the
    use of marijuana. See Armstrong v. Harris, 
    773 So. 2d 7
    , 16 (Fla.
    2000) (“A ballot title and summary cannot ‘fly under false colors’
    or hide the ball’ as the amendment’s true effect”).
    For all the above reasons, this Court should have agreed to
    rehear this case en banc and reverse the fatally flawed preliminary
    injunction. Thus, I dissent from the denial of rehearing en banc.
    _____________________________
    Jason Gonzalez, Rachel Nordby, and Amber Stoner Nunnally of
    Shutts & Bowen LLP, Tallahassee; Joe Jacquot and John MacIver
    of the Executive Office of Governor Ron DeSantis, Tallahassee; and
    Louise Wilhite-St Laurent, General Counsel, Florida Department
    of Health, Tallahassee, for Appellants.
    Katherine E. Giddings, BCS of Akerman LLP, Tallahassee,
    Jonathan S. Robbins of Akerman LLP, Fort Lauderdale, Ari H.
    Gerstin of Akerman LLP, Miami, and Luke Lirot, Clearwater, for
    Appellees.
    John M. Lockwood, Thomas J. Morton, and Devon Nunneley of The
    Lockwood Law Firm, Tallahassee, for amici curiae DFMMJ
    Investments, LLC d/b/a Liberty Health Sciences, Acreage Florida,
    Inc., 3 Boys Farm, LLC d/b/a 3 Boys Farm, and MME Florida, LLC
    d/b/a MedMen.
    James A. McKee of Foley & Lardner LLP, Tallahassee, for amici
    curiae Perkins Nursery, Inc., Deleon’s Bromeliads, Inc., San
    Felasco Nurseries, Inc. d/b/a Harvest, and Better-Gro Companies,
    LLC d/b/a Columbia Care Florida.
    William D. Hall, III and Daniel R. Russell, of Dean Mead &
    Dunbar, Tallahassee, for amicus curiae Dewar Nurseries, Inc.
    16