Hawaii Governor Signs Bill Expanding Medical Marijuana Caregiver Rights

Hawaii’s governor has signed into law a bill to expand the rights of medical marijuana caregivers, allowing them to grow cannabis on behalf of up to five qualified patients rather than the current one, among other changes.

Gov. Josh Green (D) formally signed SB 1429 into law earlier this month. The purpose of the legislation, according to its introductory section, is to “maintain and clarify the multiple options currently available for qualifying patients to access a safe and legal supply of medical cannabis,” including from primary caregivers.

In addition to increasing the limit on how many patients a caregiver can cultivate cannabis for, the new law also extends a state allowance for caregivers to cultivate marijuana for patients in the first place—a right that technically expired at the beginning of this year after lawmakers failed to amend a sunset date in prior legislation.

The governor signed an executive order in late December that has since protected caregivers from “undue enforcement” as the legislature worked to hammer out the policy fix.

Only 55 percent of patients in a 2022 survey said they exclusively obtained medical marijuana at licensed dispensaries, the newly enacted measure notes. “This means that up to forty-five per cent of patients obtain their cannabis for medical use from other sources, including cultivation.”

Patients, it continues, “should continue to have multiple options for obtaining medical cannabis, including having a primary caregiver grow an adequate supply of cannabis for medical use on their behalf.”

Violations of the new caregiver law would be subject to a fine of “not more than $5,000 for each separate violation,” which would be imposed by the state Department of Health.

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Medical Marijuana Helps Most Patients Effectively Treat Chronic Pain, New Study Shows

A new study on cannabis and chronic pain finds that more than 8 in 10 patients who used medical marijuana reported it to be a useful tool for pain management.

“This points to the possibility that cannabis could serve as a safer alternative or complement to standard pain management approaches, potentially helping to address the ongoing opioid crisis,” the study’s senior author—Ari Greis, an orthopedic surgery professor at Drexel University College of Medicine and a board member of the Rothman Institute Foundation for Opioid Research & Education—said in a statement about the findings.

Published this month in the journal Cureus, the report stems from a survey of 129 people who were medical marijuana patients in Pennsylvania between October 2022 and December 2024. It says it “provides important insights into the real-world patterns, perceived efficacy, and cognitive effects of medical cannabis use among individuals with chronic musculoskeletal pain who employ cannabis regularly over extended periods.”

“Over 80 percent of patients who turned to medical cannabis found it effective for managing their pain,” co-author Mohammad Khak, a researcher at the Rothman Opioid Foundation, said in a press release about the study.

“Many participants also noted improvements in associated symptoms such as sleep disturbances and anxiety,” Khak added, “suggesting that cannabis may offer a broader range of relief than conventional pain medications alone.”

The report says that the “majority of respondents expressed positive views on the effectiveness of cannabis in improving their main symptom, with 66 (51.1%) strongly agreeing and 55 (42.6%) agreeing with the statement.”

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Nebraska Lawmakers Reject Amendment To Protect Doctors Who Recommend Medical Marijuana

A late legislative attempt Wednesday to give additional protections to health care practitioners who recommend medical cannabis to Nebraska patients fell well short of moving forward a day after a broader medical cannabis regulatory bill stalled.

State Sen. John Cavanaugh (D) of Omaha sought to add those physician liability protections Wednesday to a broader Health and Human Services Committee bill: Legislative Bill 376. The measure seeks to slash various reporting requirements and make other changes primarily in the Nebraska Department of Health and Human Services.

Cavanaugh said his effort was a “solution” that would be a “small but meaningful step” for some of the families who showed up Tuesday for LB 677, the medical cannabis regulatory bill from State Sen. Ben Hansen (R) of Blair. LB 677 failed 23–22, falling 10 votes short of overcoming an all-day filibuster.

“Give these families some hope, some opportunity to get access to what the voters approved at over 70 percent,” Cavanaugh told his colleagues. “Vote to give doctors some small protection if they follow their conscience and their training.”

Under the ballot measures approved in November, a patient can possess up to 5 ounces of medical cannabis for any condition with a health care practitioner’s recommendation.

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Texas House Approves Bill To Expand Medical Marijuana Access With New Conditions, Products And Dispensary Locations

The Texas House of Representatives has given initial approval to a bill that would significantly expand the state’s medical marijuana program.

After clearing committee last week, the bipartisan legislation from Reps. Ken King (R) and Penny Morales Shaw (D) passed the full House on second reading in a 118-16 vote on Monday. It will need a final third reading vote before potentially moving to the Senate.

The measure would expand the types of products patients could buy and also add multiple qualifying conditions for people to become registered patients.

“Back in 2015, Texas passed the Compassionate Use Act that allowed patients with epilepsy to access low-THC cannabis. Since then, the program has been expanded to include additional medical conditions, but Texans still struggle to get access to the medicine they’re legally allowed to receive,” King said on the floor. “There are not enough dispensing organizations licensed in the state, and current law limits how and where the products can be stored and distributed.”

Specifically, the measure would allow patients to access cannabis patches, lotions, suppositories, approved inhalers, nebulizers and and vaping devices. The currently limited list of qualifying conditions would be extended to include chronic pain, glaucoma, traumatic brain injury (TBI), spinal neuropathy, Crohn’s disease or other inflammatory bowel disease, degenerative disc disease and any terminal illness for patients receiving hospice or palliative care.

Military veterans would be able to become registered cannabis patients for any medical condition, and the Texas Department of State Health Services (DSHS) would also be authorized for further expand the list.

HB 46 would additionally mandate that the Department of Public Safety (DPS) issue 11 dispensary licenses within the 11 designated public health regions across the state. It would further allow dispensaries to open satellite locations if approved.

An amendment that was adopted on the floor would grandfather existing medical cannabis satellite locations, amend the patient application process, ensure that cannabis potency dosages are determined by their physicians, create a timeline for when new licenses must be issued, remove a 1.2 gram limit for possession by patients and instead allow doctors to prescribe an amount they see fit.

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Florida Lawmakers Kill Medical Marijuana Expansion Bills, Including One To Let Military Veterans Register For Free

Several bills to expand Florida’s medical cannabis program have stalled out for the year, including a measure to exempt military veterans from patient ID card registration fees that was passed unanimously by the House of Representatives.

HB 555, from Rep. Alex Andrade (R), was one of a handful of marijuana-related measures withdrawn in recent days. Unlike the other bills, however, it had passed out of the chamber where it was filed, with House members voting 110–0 in favor. Nonetheless, the Senate indefinitely postponed it and withdrew it from consideration without a vote.

The Senate action occurred on May 3. Florida lawmakers have voted to extend the legislative session into early June, though they’re expected to focus mostly on budgetary matters after returning to Tallahassee.

Other bills that have been set aside without votes include proposals to allow patients to cultivate marijuana at home, expand the list of qualifying conditions for the program and protect employment and parental rights of people who use medical cannabis.

As originally filed, HB 555 would have made significant changes to the state’s existing medical cannabis program, for example allowing home cultivation as well as reciprocity for out-of-state patients. But a House committee amendment replaced its language with a two-page substitute that would make only small adjustments to the medical program.

First, the bill would change how often patients need to renew their medical marijuana cards, from the current annual process to once every two years.

Second, it would waive the $75 registration and renewal fees for veterans, specifying that the state “may not charge a fee for the issuance, replacement, or renewal of an identification card for a qualified patient who is a veteran.”

Sponsor Andrade didn’t respond to multiple requests from Marijuana Moment for comment on the bill’s withdrawal and any possible future action.

Kevin Caldwell, Southeast legislative manager for the advocacy group Marijuana Policy Project (MPP), said that whether or not lawmakers find a way to revive HB 555 during the extended session, “it has been a dismal session for cannabis policy reform in Florida.”

“There were a plethora of good cannabis policies submitted for debate,” he said in an email, “but as has been the case in most legislative sessions in the past few years, the legislature simply doesn’t want to even talk about cannabis policy.”

As for the newly withdrawn measure, Caldwell said lawmakers “whittled HB 555 down from a bill that would have created a much more robust medical cannabis program to a bill that would extend the lifespan of an ID card and waive fees for veterans.”

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Trump Plans To Pull U.S. Attorney Nominee Who Threatened Medical Marijuana Dispensary With Possible Federal Prosecution

President Donald Trump has announced he will be withdrawing his nomination for a U.S. attorney in Washington, D.C. who recently warned a licensed medical marijuana dispensary in the District about violating federal law and suggested the possibility of prosecutorial action despite compliance with local policy.

While the president’s decision doesn’t appear to be connected to Ed Martin’s hostility toward cannabis policy in D.C.—and Trump gave ample praise to the now-rescinded nominee despite the prospective withdrawal—the shift could give advocates and stakeholders in the District a sense of relief about the prospects of further federal intervention in its local marijuana policies.

Trump said during an event in the Oval Office on Thursday that he still hopes to see Martin placed in another position with the Justice Department, “or whatever, in some capacity.”

“He was really outstanding. It was, to me, it was disappointing. I’ll be honest,” the president said. “I have to be straight. I was disappointed. A lot of people were disappointed, but that’s the way it works sometimes.”

Martin was embroiled in controversy for reasons unrelated to his actions against the D.C. cannabis dispensary, including his limited prosecutorial experience and defense of those who participated in the January 6 riots at the Capitol after Trump lost the 2020 election.

“We have somebody else that we’ll be announcing over the next two days [to serve as the U.S. prosecutor in D.C.] who’s going to be great,” Trump said.

Martin, for his part, recently gave mixed signals about his approach to prosecuting alleged violations of federal laws by licensed marijuana businesses—saying on the one hand that prohibition must be “abided by,” but also specifying that cannabis operators who are not in compliance with local laws are most at risk of enforcement action.

“Anybody who is selling marijuana better have a license and everything in order, otherwise we will pursue action against them,” he said at the time.

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Nebraska Attorney General Pressures Lawmakers Not To Pass Medical Marijuana Bill

Nebraska Attorney General Mike Hilgers (R) escalated his opposition to legislative efforts to help implement medical cannabis Wednesday, parading out more than a dozen law enforcement officers who support his stance.

At a news conference, Hilgers blasted Legislative Bill 677, from State Sen. Ben Hansen (R) of Blair, asserting that the effort to build a regulatory framework around voter-approved medical cannabis is nothing more than a path to recreational marijuana that he argued would “supercharge the black market.”

As he has already said this year, he urged lawmakers to wait until at least January, as he continues challenging in court the laws that voters approved last fall.

“This is not about the will of the people,” Hilgers, joined by various sheriffs, said of LB 677. “This is going to make Nebraska less safe, more dangerous. It’s going to handcuff the good men and women here that are in front of you and all their colleagues around the state.”

Hansen, other lawmakers and supporters of the 2024 ballot measures have already indicated that they have no intention to wait. They argue that without LB 677, the voter-approved laws could become the “wild west” or prevent Nebraskans who need cannabis the most from accessing it.

The voter-approved laws allow up to 5 ounces of medical cannabis with a physician’s recommendation. In effect since December, the laws passed in November with 71 percent voter approval.

A new Nebraska Medical Cannabis Commission is set to write new regulations around the laws, part of a companion ballot measure that passed with about 68 percent approval.

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Nebraska Senators Schedule Town Halls To Discuss Medical Marijuana Bills

State lawmakers scheduled three eastern Nebraska public forums this weekend to allow the public to weigh in on medical cannabis and proposed state legislation.

State Sens. John Cavanaugh (D) of Omaha, Rick Holdcroft (R) of Bellevue and Ben Hansen (R) of Blair plan to host the series this Saturday in La Vista, Sunday in Omaha and Monday in Lincoln. Attendants will be able to hear updates on the status of medical cannabis legislation, namely Hansen’s Legislative Bill 677, and “share their thoughts.”

The schedule is as follows:

  • Saturday, May 3, from 1–3 p.m. at the Carpenters Union Hall in La Vista (10761 Virginia Plaza, La Vista).
  • Sunday, May 4, from 1–3 p.m., at the University of Nebraska at Omaha Thompson Alumni Center (8800 Dodge St., Omaha).
  • Monday, May 5, from 5–7 p.m., at Southeast Community College (8800 O St., Lincoln).

The hosts plan to accommodate everyone who wishes to speak during the two-hour events.

In November, about 71 percent of Nebraskans legalized medical cannabis with a physician’s recommendation, and 67 percent of Nebraskans voted for a regulatory scheme.

“Since the legislature has failed to act at this point, I want to give the citizens an opportunity to have their voices heard by their elected representatives,” Cavanaugh told the Nebraska Examiner.

Hansen said the town halls are meant to help inform the public about the legislative process and receive feedback, answering questions and hearing concerns.

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Advocates In Hawaii Pull Support For Medical Marijuana Expansion Bill Due To Changes By Conference Committee

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.

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Trump-Appointed U.S. Attorney Says His ‘Instinct’ Is Medical Marijuana Dispensary Shouldn’t Be ‘In The Community’ As He Warns Of Federal Prosecution

While shutting down licensed marijuana dispensaries doesn’t “rise to the top” of his priorities, a U.S. attorney who recently warned a Washington, D.C. cannabis shop about potential federal law violations says his “instinct is that it shouldn’t be in the community.”

In an interview with NBC4 that was released on Friday, Interim U.S. Attorney for the District of Columbia Ed Martin—who is currently going through a Senate confirmation process for the job—talked about his decision to send a letter to the owners of a dispensary that suggested they could face prosecution by the Trump administration’s Justice Department.

“Your dispensary appears to be operating in violation of federal law, and the Department of Justice has the authority to enforce federal law even when such activities may be permitted under state or local law,” the letter from Martin to Green Theory said.

“Persons and entities owning, operating, or facilitating such dispensaries (as well as premises grow centers),” it added, “may be subject to criminal prosecution and civil enforcement actions under federal law.”

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