Lawmakers in Hawaii have agreed on medical marijuana legislation that would, among other changes, allow healthcare providers to recommend cannabis to treat any condition they believe it would benefit.
But the latest version of the bill, HB 302—approved Friday by a conference committee consisting of members of both legislative chambers—offers a narrower path to medical marijuana for patients with conditions not already listed in the program. For those patients, a recommendation would need to come from their “primary treating medical provider” rather than a provider who specializes in cannabis.
“It is making changes to the medical medical cannabis law by expanding access,” Rep. Gregg Takayama (D) said at the committee hearing, “by allowing treating physicians and nurses to go beyond the specified medical conditions if they feel it’s appropriate.”
After briefly describing the bill, Takayama quipped: “I’ve been waiting all session to say this has been a tremendous joint effort.”
Advocates, however, say the change mandating that only “primary treating medical providers” could recommend marijuana—combined with others made in the conference committee that would establish a new felony charge for unlicensed dispensary operation and give the state Department of Health sweeping authority to review patients’ medical records—has led them to reconsider their stance on the bill.
The group Marijuana Policy Project (MPP), for example, now opposes HB 302 after previously submitting testimony in support of earlier versions. Karen O’Keefe, director of state policies for MPP, noted that data suggest that only a small subset of Hawaii doctors are currently willing to recommend cannabis.