At least one company operating in Missouri is advertising a “100% online” application process — 420ID, which says it offers an “easy online process” to patients. And the company charges a $175 fee only if the state approves the patients’ application. Its physicians are licensed in Missouri, the company says.

The company won’t approve just anyone.

A patient must meet one of the state’s “qualifying conditions” for a medical marijuana ID card, and must prove it by uploading a Missouri photo ID, medical records or a picture of a prescription bottle “for the condition you are claiming qualifies you for the program.”

One company, Green Health Docs, offers in-person visits as well as a “telemedicine” option.

Merideth said closing off “tele-health” options for patients would drive up the price of consultations. He said it would benefit some doctors, but not others.

“The more you drive down the number of physicians that are doing this, the higher they can charge for appointments,” he said.

Patterson, a general surgeon, said he drafted his legislation in consultation with legislative staff and the Missouri State Medical Association.