California officials are accepting public comment through mid-March on a plan that would remove medical marijuana as an accepted treatment for injured employees in workers’ compensation cases. The change would effectively prevent doctors in such cases from recommending marijuana and end any compensation to pay for cannabis medications.
The change being considered by the California Division of Workers’ Compensation (DWC) is based on recently updated guidelines from the American College of Occupational and Environmental Medicine (ACOEM) that say cannabinoids are “not recommended” for treatment of chronic, acute or postoperative pain and separately advising against cannabinoid use by safety-critical workers.
ACOEM in an update earlier this year listed various health risks associated with marijuana use—including cannabis use disorder, motor vehicle crashes, schizophrenia and others—and further said that evidence shows that cannabis is ineffective or only minimally effective at treating various types of pain.
As a result of the ACOEM update, the worker’s compensation division is weighing a change that would remove marijuana and related treatments from California’s medical treatment utilization schedule (MTUS) in workers’ comp cases.
Cannabis reform advocates and workers’ rights groups are pushing back against the proposal, saying it conflicts with numerous other studies indicating that marijuana can be effective for treating pain, and are urging supporters to file written comments with DWC ahead of a planned hearing on March 14.
“The recommendation flies in the face of scores of scientific studies,” Dale Gieringer, director of California NORML, said in an email, “including reports by the National Academy of Sciences and California’s Center for Medicinal Cannabis Research, plus the experience of countless California patients and doctors who have found medical cannabis valuable for treating intractable chronic pain.”
Hellbound and Down 