Emily Williams struggled to find medication that alleviated chemotherapy side effects like nausea and loss of appetite following her 2010 cancer diagnosis. Eventually, she tried marijuana and it provided relief.
“I was just grateful,” she said. “I just felt grateful.”
The experience prompted the Fayetteville retiree to advocate for a citizen-led constitutional amendment voters approved in 2016 to create Arkansas’ medical marijuana program.
That program has since grown into a billion-dollar industry, with more than 115,000 patients using marijuana to treat conditions from Crohn’s disease to post-traumatic stress disorder. But an obscure legal fight over who can change citizen-led amendments to Arkansas’ Constitution casts uncertainty on the program’s future.
The court ruling is part of a nationwide battle playing out in states like Missouri and Nebraska over citizen-led ballot measures. Arkansas is one of 24 states that allows citizens to propose state laws, according to the National Conference of State Legislatures.
Since the state’s first dispensary opened in 2019, thousands of Arkansans have accessed the program, including Christopher Duffy, a 35-year-old Fayetteville resident who said medical marijuana helped his anxiety and sobriety. Duffy said he’d remain committed to sobriety if marijuana becomes less accessible, but he worries about others.
“I’m lucky to have such a support system where were things to get tough or I started struggling, I could reach out,” he said. “There are those that don’t have that and I fear for them.”
Williams, 69, is afraid of losing access to medical marijuana, which she uses to manage ongoing complications from her illness.
“If I am not able to use this, my life would be completely, negatively impacted,” she said.
These concerns were sparked by the Arkansas Supreme Court upending 74 years of precedent in December with a ruling that declared lawmakers can amend citizen-led constitutional amendments with a two-thirds vote — 67 votes in the House and 24 votes in the Senate.