Medical Marijuana States Principally Rated Common by ASA


People For Secure Entry launched its 2021 State of the State report and the outcomes had been fairly disappointing. Solely two states acquired a ranking within the B class, with no states getting an A. The 2 states scoring B’s had been Illinois and Maine. Early medical marijuana states like California and Colorado solely managed to get C+ grades. The group famous that its grade for every state’s medical hashish program relies on how nicely it meets the wants of sufferers in six classes, plus a seventh class to deduct factors primarily based on points that may hurt sufferers.

The grades descriptions are as follows:

A: The state program is complete and supplies substantial affected person rights and protections. The state could require a couple of changes, however for essentially the most half, sufferers are exceptionally protected, and entry shouldn’t be an issue.

B: The state has a very good medical hashish program however requires a couple of main changes to make sure that sufferers are protected.

C: The state has a good medical hashish program that gives a minimum of some entry and protections for hashish sufferers, however requires substantial enchancment in a number of areas.

D: The state usually has a medical hashish regulation on paper, however there are crucial and substantial deficiencies in entry and/or affected person rights that have to be addressed instantly.

F: The state both has a non-existent or critically flawed medical hashish program. Policymakers in these states ought to prioritize legalizing medical hashish and be sure that no affected person is left behind.

The report mentioned that every state was scored primarily based on how nicely their present regulation and rules accommodate affected person wants, as damaged down into seven normal classes:

1. Affected person Rights and Civil Safety

2. Accessibility

3. Program Performance

4. Affordability

5. Well being and Social Fairness

6. Shopper Safety and Product Security

7. Penalties


Maine scored the very best of the 52 states with a B. The report mentioned, “Because the grownup use market enters its second yr open to the general public, Maine legislators have responded to considerations among the many state’s medical hashish caregivers of being sidelined by the rising retail market: LD 1242 “An Act To Guarantee Applicable Oversight of Maine’s Medical Marijuana Program” was handed as an emergency measure in June 2021. The brand new regulation offers the state’s caregivers a say in regulatory choices made by the Maine Workplace of Marijuana Coverage and requires any future adjustments to the medical hashish program be made by the state legislature. That is essential for the small operators of Maine who had beforehand expressed considerations over getting squeezed out by the bigger retail trade.”

“At the same time as grownup use shops lastly open their doorways to the general public, Maine’s medical hashish affected person registry had a yr of remarkable development. With over 30,000 new sufferers, Maine’s per capita participation charge has elevated to over 7% of the inhabitants. That is possible because of the excessive value of hashish at grownup use shops in comparison with what are a few of the most inexpensive merchandise within the nation at one of many states’ many mom-and-pop run caregiver storefronts. ASA recommends extending the stricter grownup use third-party testing requirements to merchandise

meant for consumption by sufferers. Moreover, the state ought to think about permitting a number of yearlong registrations to keep away from burdening sufferers with pointless paperwork.”

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Illinois got here in second with a B-. The report mentioned, “In June 2021, there was a statewide pc glitch with the state’s monitor and hint software program. The glitch created an error in processing affected person information which meant dispensaries couldn’t serve sufferers with out a breach of compliance. The glitch highlights a central difficulty with the state program in Illinois that forces sufferers to decide on a single dispensary to be their level of entry. When this single level of entry failed, sufferers had been pressured to buy alongside grownup use customers and pay markups on merchandise alongside 30% extra in taxes. Regardless of main entry points stemming from a pc glitch, 2020-2021 was a interval of remarkable development for Illinois’ affected person enrollment. Since our final report, we have now seen over 36,000 new affected person registrations. Illinois didn’t lengthen supply or curbside pickup choices to sufferers as a measure to enhance entry throughout the COVID pandemic. ASA strongly recommends that state legislators take a look at the success with which these insurance policies had been deployed throughout the nation and think about including these choices for sufferers to amass their drugs. We additionally advocate that the state lengthen reciprocity measures in order that visiting sufferers have entry to medical hashish merchandise.”


Regardless of being the unique legalized medical marijuana state, California solely scored a C+. The report acknowledged, “In March 2021, California regulators introduced a $15 million grant program to broaden financial justice alternatives for communities most impacted by a long time of hashish prohibition. In cooperation with the Governor’s Workplace of Financial and Enterprise improvement, the Bureau will difficulty a sequence of low-zero curiosity grants to be awarded by choice from native jurisdictions. This grant is coming in on prime of an present $40 million in hashish fairness funding; the acknowledged aim of those grant campaigns has been to maneuver capital into the palms of people who could not have entry to it because of the intentional destruction of their households and livelihood introduced by the Warfare on Medicine.

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The Metropolis of San Francisco selected to delay the imposition of their native tax ordinance on hashish merchandise set at between 1 and 5%. Metropolis officers had been involved about competitors with the illicit market and felt the transfer might assist them compete. As a result of hashish is so closely taxed in California, the cities’ determination to carry off on the taxes will solely impression a small portion of the full taxes imposed by different guidelines, however it’s a step in the correct path for Californians who need entry to scrub and secure hashish affordably.

In 2022, ASA encourages California lawmakers to handle the gaps in civil protections supplied to sufferers in employment, DUI discrimination, and housing. Sufferers have to be shielded from dealing with discrimination within the office due solely to their standing as a affected person. This extends to barring employers from hiring/firing primarily based on use and stopping employers from unfairly drug screening sufferers. Because it stands, although sufferers can’t be denied a lease primarily based on their standing, particular person leases may be written to maintain sufferers from being allowed to dose at residence. Sufferers should have the ability to take their drugs within the consolation of their very own residence with out having the ability to fear about eviction. Moreover, the state should cease law enforcement officials from unfairly discriminating in opposition to sufferers with roadside sobriety exams. Based mostly on their standing as a affected person, a person needs to be exempt from any roadside take a look at searching for impairment resulting from hashish. Lastly, lawmakers ought to determine methods to beat native resistance to extending authorized medical entry to sufferers as a result of too many localities throughout the state have made entry tough for sufferers. ”


Colorado additionally solely managed to get a C+ grade. The report mentioned, “Colorado’s legislators had a busy yr when it got here to modifying present hashish guidelines. Governor Polis signed 4 separate payments in 2021; the primary invoice, HB 1216 offers licensed operators the flexibility to redesignate merchandise of their stock from medical to grownup use and vice-versa. This might severely impression product availability for sufferers as retailers look to make increased margins on grownup use merchandise. HB 1301 clarifies statutory definitions and guidelines surrounding out of doors cultivation and seeks to maintain the state’s trade aggressive in a hypothetical nationwide market by tasking state regulators to evaluate present guidelines and tax coverage. SB 56 makes efforts to broaden present guidelines concerning entry to hashish at college for minors by permitting college workers like nurses or skilled volunteers to manage doses on college grounds. This is a crucial step ahead in offering a secure and honest public schooling for Colorado’s residents and can take a terrific burden off of the state’s mother and father who’ve been chargeable for dosing up up to now.

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Lastly, HB 1317 is probably the one greatest rollback of affected person rights by inflating their program associated charges and forcing sufferers by means of a number of rounds of doctor certification. In the course of the certification, physicians will now be required to advocate most day by day doses which the affected person might be restricted to on the level of sale. The invoice can even restrict cannabinoid content material by including efficiency restrictions to merchandise and block sufferers beneath 21 from buying concentrates.

ASA is disturbed by the path Colorado policymakers have chosen to soak up amending hashish legal guidelines. ASA recommends an emergency session be referred to as to difficulty a direct repeal of HB 1317 earlier than it devastates the state’s affected person inhabitants and creates a disaster of entry. If legislators and regulators are genuinely confused about what is going to work to enhance the standard of life for sufferers, they need to create an advisory council of physicians and sufferers that may assist them perceive the problems. If state legislators need to proceed bettering circumstances for sufferers in 2022, they need to search to handle the gaps that exist in defending affected person civil rights. Because it stands, primarily based solely on their standing as a affected person, a person in Colorado can nonetheless lose custody of their kids and their job; they will also be discriminated in opposition to within the case of organ transplants and unfair roadside sobriety exams. Moreover, though sufferers can’t be denied housing primarily based on their standing, particular person leases could stop them from dosing within the consolation of their very own residence. Landlords shouldn’t be allowed to maintain a affected person from utilizing their drugs safely in their very own residence.”

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