New Hampshire Gov. Chris Sununu (R) has signed into a law a major medical marijuana expansion bill that will allow doctors to recommend cannabis for any debilitating condition they believe it would improve. Previously, patients needed to be diagnosed with certain specific conditions to qualify for legal marijuana access.
“This is BIG,” Rep. Wendy Thomas (D), sponsor of the newly signed HB 1278, said in an email to Marijuana Moment. “It opens up the therapeutic program to ANY person who has a debilitating or terminal illness.”
Thomas, a cancer survivor and medical marijuana patient herself, told colleagues at a committee hearing earlier this year that cannabis has helped her manage chronic pain, insomnia, eating issues, gastrointestinal issues, PTSD and anxiety. “I found relief from all of these symptoms,” she said, “some of which are not covered in the program.”
The new law adds to the state’s qualifying conditions for medical marijuana “any debilitating or terminal medical condition or symptom for which the potential benefits of using therapeutic cannabis would, in the provider’s clinical opinion, likely outweigh the potential health risks for the patient.”
The provision does not replace New Hampshire’s enumerated list of qualifying conditions, which Thomas has previously described as a useful way for clinicians who are less familiar with cannabis to navigate the system. “The point of this is that they would be allowed to…refer a patient to the program for any condition that they think would fit and benefit the patient,” she told Marijuana Moment earlier this year.
“This bill sets up two paths for health providers,” Thomas said at the time. “For those who are not familiar with cannabis, they can use the legislated symptom and conditions list. For those providers who are cannabis literate, they will be able to recommend the program for a health condition that they think cannabis may be able to help, but that might not be on the list.”
Other examples of symptoms that could be effectively managed with marijuana that are not specifically listed as qualifying conditions, Thomas said, include severe menstrual cramps, symptoms of long COVID and pre-dentist anxiety and post-surgical pain control.
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