States With Legal Medical Marijuana See ‘Significant And Sizable’ Reductions In Health Insurance Premiums, Study Finds

A new study in the International Journal of Drug Policy found that states with legal medical marijuana enjoyed significant reductions in health insurance premiums compared to states where cannabis remained completely illegal.

Analyzing a decade’s worth of private health insurance data from the National Association of Insurance Commissioners, researchers determined that in the years following a state’s implementation of a medical cannabis law, premiums dropped dramatically.

While the reductions were modest immediately following implementation, the study found that by seven years afterward, annual premiums had fallen $1,663 compared to states in the control group. Similar reductions were seen after eight years ($1,542) and nine years ($1,626), indicating that the decline was fairly stable over time.

“Although the effect does not begin until seven years post-medical cannabis law implementation,” the authors conclude, “there is a significant and sizable reduction in health insurance premiums” in states that legalize medical marijuana.

“Due to the nature of insurance pooling and community rating,” they add, “these savings are appreciated by cannabis users and non-users alike.”

As the study’s authors point out, the findings undermine concerns that legalization would risk increasing healthcare costs. “Initial concerns about medical cannabis legalization leading to increases in medical care costs, which would be reflected in higher insurance premiums, appear to be unfounded,” they wrote.

Researchers were specifically looking at individual private health plans rather than employer-sponsored insurance plans or Medicaid. The study notes that health insurance spending in the U.S. accounts for between 16 percent and 34 percent of the average household budget.

In an attempt to control for other variables, authors focused on states where only medical marijuana was legal, excluding from the analysis states where adult-use legalization was already in effect. States in the control group, meanwhile, included those without medical cannabis or those that had passed but not yet implemented a such a policy

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Arkansas Law Protecting Medical Marijuana Patients’ Gun Rights Officially Takes Effect

A new law officially takes effect in Arkansas on Tuesday to clarify that medical marijuana patients can obtain concealed carry licenses for firearms.

The governor signed the bill in April, just days after it sailed through the legislature with strong majority support.

The newly effective law stipulates that a person’s status as a qualified medical cannabis patient in the state cannot be used “in determining whether an applicant is eligible to be issued a license to carry a concealed handgun.”

State statute has also been amended to clarify that participation in the medical marijuana program doesn’t mean that a person is a chronic or habitual user of a controlled substance, which could otherwise disqualify people from obtaining the concealed carry permit.

The state Department of Health (DOH) will be barred from disclosing a person’s patient status to the state police as part of any investigation into concealed carry eligibility.

While some states have moved to more broadly preserve firearm rights for cannabis patients and consumers, the new law signed by Gov. Sarah Huckabee Sanders (R) is more narrowly tailored to the concealed carry issue.

Arkansas does not require people to have a permit for concealed carry, but some Arkansas firearms owners prefer to have one because of the protections it can bestow when traveling in other states and because of the clarity it provides during police encounters.

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VA And Defense Department Oppose Medical Marijuana For PTSD, But Take Neutral Position On Psychedelics As Research Continues

The U.S. Department of Veterans Affairs (VA) and Department of Defense (DOD) are strongly against the use of marijuana for the treatment of post-traumatic stress disorder (PTSD)—but they’re taking a neutral position on psychedelics like psilocybin and LSD, simply saying that more research should be done.

In an update to their joint clinical practice guidelines, the departments provided recommendations on a variety of therapeutics used to treat PTSD and acute stress disorder that commonly afflict military veterans. And while many veterans use marijuana, often to treat symptoms of the conditions, the VA/DOD Management of Posttraumatic Stress Disorder and Acute Stress Disorder Work Group said it is fully against the alternative treatment option.

“The Work Group recommends against the use of cannabis or cannabis derivatives in treating patients with PTSD because of the lack of well-designed [randomized control trials] evaluating the efficacy of cannabis derivatives in large samples of individuals with PTSD and the serious side effects associated with their use,” it says.

“Evidence from the 2017 VA/DoD PTSD [clinical practice guidelines] indicates significant harm associated with cannabis use,” it said, arguing that research suggests that marijuana is linked to issues with attention, memory, IQ and driving.

While medical marijuana came with a “strong against” recommendation from the departments, they said that the work group’s confidence in the existing evidence is “very low” due to a “lack of randomized, controlled, methodologically sound clinical trials; small sample sizes, and selection bias.”

“The benefits of cannabis were outweighed by the potential serious adverse effects,” the document, published last month, says. “Patient values and preferences varied largely because some patients seek new, novel treatments although others might be unwilling to use cannabis or cannabis derivatives. Thus, the Work Group made the following recommendation: We recommend against cannabis or cannabis derivatives for the treatment of PTSD.”

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States With Legal Weed See Drop in Mental Health Treatment

States that have legalized recreational marijuana use for adults have also seen a drop in mental health treatment admissions, according to newly published research.

The findings, which came in a study published last month in the journal Health Economics, were based on data from ten states that have legalized adult-use cannabis. 

“Recreational marijuana laws (RMLs) continue to grow in popularity, but the effects on mental health treatment are unclear,” wrote Alberto Ortega, a professor at O’Neill School of Public Health at Indiana University and the author of the study.

In the abstract, Ortega said that the study “uses an event-study within a difference-in-differences framework to study the short-run impact of state RMLs on admissions into mental health treatment facilities.” 

“The results indicate that shortly after a state adopts an RML, they experience a decrease in the average number of mental health treatment admissions,” Ortega wrote. “The findings are driven by white, Black, and Medicaid-funded admissions and are consistent for both male and female admissions. The results are robust to alternative specifications and sensitivity analysis.”

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Medical Marijuana Improves Military Veterans’ Quality Of Life And Reduces Prescription Drug Use, Study Finds

Over 90 percent of U.S. military veterans who use medical marijuana say that it improves their quality of life, with many using cannabis as an alternative to over-the-counter and prescription medications, according to a new study.

Researchers at the University of Massachusetts, University of Utah and cannabis research institutes looked at self-reported survey data from 510 veterans who said that they consume marijuana, seeking to better understand the purpose and experiences of their usage.

A majority of the respondents (67 percent) said that they use cannabis daily. And about one-third (30 percent) said that they consume marijuana to reduce the use of other medications, including anti-depressants (25 percent) and non-steroidal anti-inflammatories (17 percent). Another 21 percent said that cannabis has allowed them to reduce their use of opioid-based medications.

Overall, 91 percent of the veterans said that cannabis improved their quality of life.

“Veterans who were Black, who were female, who served in active combat, and who were living with chronic pain were more likely to report a desire to reduce the number of prescription medications they were taking,” the study says. “Women and individuals who used cannabis daily were more likely to report active use of cannabis to reduce prescription medication use.”

“Medicinal cannabis use was reported to improve quality of life and reduce unwanted medication use by many of the study participants. The present findings indicate that medicinal cannabis can potentially play a harm-reduction role, helping veterans to use fewer pharmaceutical medications and other substances.”

The observational study, which was published last month in the journal Clinical Therapeutics, has several limitations—including the fact that data was self-reported and several cannabis friendly media outlets and companies promoted recruitment or provided funding for the research initiative. But the findings are generally consistent with other studies that have focused on marijuana as a potential alternative to prescription drugs.

There’s particular interest in studying the possibility of cannabis as a treatment option for veterans, as the population disproportionately suffers from post-traumatic stress disorder (PTSD) and high rates of suicide.

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GOP Congresswoman Pushes For Psychedelics And Marijuana Research For Veterans In Floor Speech

A GOP congresswoman is touting recently released Food and Drug Administration (FDA) guidance on psychedelics research and calling for additional work to study the therapeutic benefits of marijuana for military veterans.

In a speech on the House floor on Wednesday, Rep. Mariannette Miller-Meeks (R-IA) talked about the need to support “novel forms of research” to unlock the potential of psychedelics and cannabis for the treatment of conditions like post-traumatic stress disorder (PTSD) that commonly afflict veterans.

“As a doctor, former director of the Iowa Department of Public Health and 24-year U.S. Army veteran, the mental, emotional and physical health of my constituents and fellow veterans is one of my top priorities in Congress,” she said. “For too long, PTSD and other mental or physical ailments have had devastating effects and far too often go untreated.”

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House And Senate Both Move To Keep Blocking D.C. Marijuana Sales But Protecting State Medical Cannabis Laws

House and Senate appropriators have approved large-scale annual spending bills that once again include language to protect state medical cannabis programs, as well as a controversial rider to block Washington, D.C. from implementing a system of regulated marijuana sales.

The Senate and House Appropriations Committee both held markups of Fiscal Year 2024 spending legislation for Financial Services and General Government (FSGG) on Thursday. And the Senate panel, as well as a House subcommittee, have also advanced their appropriations measures for Commerce, Justice, Science, and Related Agencies (CJS).

Aside from the state medical cannabis and D.C. marijuana sales provisions, House lawmakers rejected a GOP-led amendment to the chamber’s FSGG report that would have called on the federal government to take steps to study other state cannabis regulatory models and develop a national legalization framework.

Lawmakers have consistently attempted to use appropriations measures as vehicles for cannabis reform, with mixed results. Even with Democrats in control of both chambers last session, efforts to expand marijuana protections to all legal states and enact limited cannabis banking reform stalled out following bicameral negotiations.

A rider to protect state medical cannabis programs from federal intervention, meanwhile, has been annually renewed each year since 2014—and appropriators in both chambers agreed again this Congress to keep that language intact in their respective base bills as they advance.

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Florida Bans Medical Marijuana in All State-Licensed Rehabs and Sober Living Houses

Last week, Florida legislators passed a law that will narrow the state’s medical marijuana eligibility. While the change might seem marginal, it’s a step in the wrong direction.

Florida Gov. Ron DeSantis, a leading contender in the 2024 Republican presidential primary, signed S.B. 210 into law. The bill pertains to substance abuse treatment programs licensed by the state, like rehabs or sober living residences. It adds language to Florida law that beginning in 2024, licensed treatment facilities must enforce “a prohibition on the premises against alcohol, marijuana, illegal drugs,” and prescription medications not prescribed to the person taking them. The text further clarifies that it “includes marijuana that has been certified by a qualified physician for medical use.”

Medical marijuana use in an addiction treatment or sober living facility is controversial. Cleveland House, a South Florida sober house, states on its website that if one resident is smoking pot, it could negatively impact another resident’s recovery. But studies increasingly suggest that marijuana can help alleviate symptoms of opioid addiction. Men’s Tribal House, a sober living facility in Utah, actively incorporates medical marijuana use into the recovery plans of half its residents.

In 2016, more than 70 percent of Florida’s voters chose to expand the state’s medical marijuana program. Under previous state law, only patients with “cancer or a physical medical condition that chronically produces seizures or severe and persistent muscle spasms” qualified, and only for doses low in THC, the principal psychoactive component in cannabis. The 2016 ballot measure, later passed into law as S.B. 8, expanded eligibility to include a variety of conditions like Crohn’s disease, post-traumatic stress disorder, and anything that caused “chronic nonmalignant pain.”

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Philadelphia Considers Zoning Restrictions on Still-Illegal Recreational Pot Shops

Recreational marijuana isn’t legal yet in Pennsylvania. That hasn’t stopped Philadelphia politicians from trying to future-proof their zoning ordinances to block recreational sales.

Philadelphia Councilmembers Brian O’Neill and Curtis Jones have proposed amendments to the city’s zoning code that would preemptively prohibit existing medical marijuana businesses in two overlay districts they represent from participating in recreational sales.

The prohibition would affect five existing medical marijuana stores, according to The Philadelphia Inquirer, which reported on the zoning amendments earlier today.

The immediate practical impacts of the amendments are minimal, given that recreational marijuana is still illegal in Pennsylvania. State lawmakers are nevertheless working on various proposals for legalizing recreational sales. Gov. Josh Shapiro, a Democrat, has endorsed legalizing (and heavily taxing) recreational sales.

Industry advocates say this will unfairly penalize existing medical marijuana businesses when recreational sales are eventually legalized, all because they opened up in the wrong part of town.

“If you set up a system where four or five stores can’t sell adult use and then 16 can, people are going to go to the ones” that can sell to recreational customers, says Jamie Ware, president of the Pennsylvania Cannabis Coalition (a trade association).

Ware is also a senior vice president with Holistic Industries which operates one of the Philadelphia dispensaries that would be affected by O’Neill and Jones’ zoning amendment.

Existing businesses, she notes, are locked into longer-term commercial leases, so they can’t easily move to avoid the restrictions. If the current medical system is any guide to how future recreational businesses will be regulated, transferring a license to a new location would require state approval and could take years.

O’Neill did not immediately respond to Reason‘s request for comment. Jones told the Inquirer that while medical sales haven’t created problems, recreational sales will bring a less desirable crowd, necessitating the restrictions.

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Perceived Stigma of Cannabis Patients

A June 2022 study entitled “Perceived Stigma of Patients Undergoing Treatment with Cannabis-Based Medicinal Products” that was published in the International Journal of Environmental Research and Public Health explored the potential impact of stigma on medical cannabis patients.

The study’s authors noted that “it is well documented that stigma can reduce utilization of healthcare services and can negatively impact treatment.” They reported that stigma can also lead to chronic stress and anxiety, “in addition to subsequent mental and physical problems that can cause individuals to feel isolated and withdrawn.”

Perceived Stigma of Cannabis Patients. “While there is a growing body of evidence on the associated effects of cannabis-based medicinal products on health-related quality of life in several health conditions, there is a paucity of knowledge on the prevalence and subsequent effects of stigma on current and prospective patients” in the United Kingdom, reported the study.

The study observed that “evidence from countries which have greater experience with medical cannabis therapies shows stigma to be a factor in both prescribing practice and patient perception.”

The study observed that “evidence from countries which have greater experience with medical cannabis therapies shows stigma to be a factor in both prescribing practice and patient perception.” Interviews of Canadian patients revealed that the most common sources of stigma were “health care providers, law enforcement, and close relatives.”

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