North Carolina Lawmakers File Bill To Legalize Medical Marijuana For Patients With Debilitating Conditions

A new bill in the North Carolina House of Representatives would legalize medical marijuana for patients with a variety of specified conditions, including cancer, epilepsy, HIV/AIDS, Parkinson’s disease, PTSD, end-of-life care and other serious ailments.

The measure, HB 1011, was filed on Tuesday by Rep. Aisha Dew (D) and has been cosponsored by several other Democratic lawmakers.

The 28-page bill, titled the North Carolina Compassionate Care Act, is considerably more detailed than a separate Democrat-led medical marijuana bill introduced this week that would allow access only for patients enrolled in a “registered research study.”

Advocates have been awaiting House introduction of a comprehensive bill, especially since Senate President Phil Berger (R) said his chamber is deferring to the House to move first on medical marijuana reform this session.

“Glad to finally see a real medical cannabis bill get introduced,” Kevin Caldwell, Southeast legislative manager for the advocacy group Marijuana Policy Project, told Marijuana Moment in an email Wednesday.

The new bill, HB 1011, appears to be based largely on an earlier medical marijuana proposal from Sen. Bill Rabon (R), SB 3, filed in the 2023–2024 legislative session. That measure passed the Senate but failed to advance in the House due to an informal rule that requires a majority of the chamber’s GOP caucus to support a bill in order to bring it to the floor.

Caldwell at MPP said he would have liked to see the new House medical marijuana bill be sponsored by a Republican, which he reasoned would increase its chances of being heard in the GOP-controlled body. But he added that “legislators have known a medical bill has been in the works, and I hope they take this opportunity to provide relief to the tens of thousands of North Carolinians who are suffering from debilitating conditions.”

The new measure says in its findings section that “medical research has found that cannabis and cannabinoid compounds are effective at alleviating pain, nausea, and other symptoms associated with several debilitating medical conditions.” A majority of states and four of five U.S. territories have already legalized medical marijuana, it continues, and “North Carolina now takes similar action to preserve and enhance the health and welfare of its citizens.”

Under the proposal, the new medical cannabis program would be overseen by the state Department of Health and Human Services (DHHS).

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Arkansas GOP Governor Vetoes Bill To Allow Drive-Thru Medical Marijuana Sales At Dispensaries And Ease Delivery Rules

The Republican governor of Arkansas has vetoed a bill that would have allowed medical cannabis sales at drive-thru windows at dispensaries, while also easing certain rules around marijuana delivery services for patients and caregivers.

After the legislation from Rep. Aaron Pilkington (R) narrowly advanced through the legislature, Gov. Sarah Huckabee Sanders (R) returned the measure with a veto message on Wednesday.

“This legislation would expand access to usable marijuana, therefore I am vetoing this legislation,” Sanders said.

Under the bill, licensed dispensaries would be have been authorized to “deliver usable marijuana to a qualified patient or designated caregiver via a drive-through window located at the dispensary,” the text says.

People would have needed to place an online order and pick up their products on the same day of the transaction.

The measure also would have revised existing statute to allow visitors to tour dispensaries in additional to cultivation facilities. And it would have made it so conventional medical cannabis deliveries could be handled by one employee, instead of the current minimum of two, if additional security measures were taken.

The governor didn’t address any of the specifics of the bill, instead simply voicing opposition to the idea of expanding access to cannabis.

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Florida House Committee Approves Hemp Regulatory Bill That Would Impose 15% Tax On All THC Products

All hemp-derived THC products would be taxed at 15 percent under a proposal passed in a Florida House committee on Wednesday.

The measure is one of two regarding regulation of hemp-derived THC products sponsored by Panhandle Republican Rep. Michelle Salzman that were approved unanimously in the House Budget Committee.

The main bill (HB 7027) is a companion to a Senate bill (SB 438) that has already passed unanimously in that chamber, although they do contain significant differences. Among them is that Salzman’s bill would not ban delta-8, the hemp-derived THC product that has grown in popularity since hemp was legalized in the United States through the 2018 U.S. Farm Bill.

Like its Senate companion, the House bill limits the amount of delta-9 THC in hemp-derived products such as beverages and gummies. It says edibles must contain no more than 2 milligrams, be individually wrapped and be sold in containers with no more than 20 edibles.

That raised objections from Patrick Shatzer of Sunmed/Your CBD Store, who says his company is the largest CBD brick-and-mortar business in the country, with 260 locations nationwide and 42 in Florida.

“The size of the gummies—limited to 2 grams—that’s just a tiny little pinkie size wide,” he said to the committee. “That’s not the industry standard. The industry standard is anywhere from 5 to 8 grams.”

Shatzer also objected to the provision limiting 20 servings per container, saying the average dietary supplements permit 30 gummies in a container. And he raised objections to a prohibition on selling, delivering, bartering, giving or furnishing hemp consumables that total more than 100 milligrams of THC to a person in a 24-hour period, saying it would be unenforceable.

Rep. Salzman replied that, while she is open to changing some of those limits, she is holding firm on limiting personal consumption of such products to 100 milligrams of THC a day.

“If somebody knows that they can’t buy more than 100 milligrams in that day, it’s going to give them a warning subconsciously, ‘Maybe I shouldn’t have more than 100 milligrams of this stuff in a day,’” she said. “And if you want more than 100 milligrams of this stuff a day, you probably need to get a medical cannabis card.”

Regarding the proposed 15 percent excise tax on hemp products, Jodi James of the Florida Cannabis Action Network said that not all hemp products are intoxicating, and that those that aren’t should not be taxed at all.

“In the state of Florida, we don’t tax vitamins, we don’t tax supplements,” she said.

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Florida Senate Passes Bill To Ban Psychedelic Mushroom Spores, As Companion Measure Also Advances In House

Florida’s Senate on Wednesday passed a wide-ranging agricultural bill that contains provisions to outlaw fungal spores that produce mushrooms containing psilocybin or psilocin. The vote came a day after a House committee advanced a companion bill in that chamber.

Senators voted 27–9 to approve SB 700, from Sen. Keith Truenow (R). HB 651 is moving through the House, meanwhile, having advanced out of the Commerce Committee on Tuesday.

The proposed ban on spores of mushrooms that create psilocybin or psilocin is a small part of the roughly 150-page legislation, which would make a variety of adjustments to Florida’s agricultural laws, including around agricultural lands, utilities and wildlife management.

With respect to psychedelic mushrooms, both measures would outlaw transporting, importing, selling or giving away “spores or mycelium capable of producing mushrooms or other material which will contain a controlled substance, including psilocybin or psilocyn, during its lifecycle.”

Violating the proposed law would be a first-degree misdemeanor, carrying a maximum one year in jail and $1,000 fine.

While lawmakers on the Senate floor and House committee spent considerable time debating various other portions of the bills—especially a proposed ban on fluoride in local water supplies—there was no mention of the provision concerning psychedelic mushroom spores.

“This bill at its core is meant to help farmers and consumers and students who want to become farmers one day,” Truenow said ahead of the floor vote.

Psilocybin and psilocin are the two main psychoactive compounds in psychedelic mushrooms. Although spores themselves typically do not contain psilocybin or psilocin, they eventually produce fruiting bodies—mushrooms—that do contain the psychedelic compounds.

Because the spores don’t contain any controlled substances, the federal government deems them legal.

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CBD Helped Relieve Chronic Pain In More Than 98% Of Patients, Newly Published Study Finds

The marijuana component CBD can help patients manage chronic pain even at low dosages, making it “a promising alternative to conventional pain management strategies,” according to new research.

The peer-reviewed study, published in the journal Cureus, drew from responses to a survey posted on social media and in multiple medical clinics. Key findings, authors wrote, “are that the use of cannabinoids is positively associated with decreased chronic pain, even at low dosages (<100 mg).”

Most patients reported no side effects, while those who did reported only mild effects, the report says. No severe side effects were reported.

“These findings suggest that CBD may serve as a promising alternative to conventional pain management strategies,” the study concludes. “We believe these data point the way for new and continued avenues of research that can better optimize treatment regimens and help patients with chronic pain.”

The survey included 121 adults aged 21 and older who self-reported as having chronic pain, defined as pain lasting six months or longer. Questions involved demographics, patients’ perceptions of CBD’s effectiveness, dosage, frequency of use and side effects.

Authors wrote that they set out “to further explore this topic and add to the literature with the aim of asking chronic pain patients who use CBD for pain relief about their perceived benefits and side effects of CBD.”

Respondents were an average age of 37 years, and 61.2 percent were male. Most—100 people—said their pain had lasted two years or longer, while 21 said their pain had lasted 23 months or less.

As for causes of pain, the most common were arthritis (15.7 percent), disc herniation (14.9 percent), fibromyalgia (7.4 percent), headache or migraine (6.6 percent) and neuropathy (6.6 percent). Participants could select multiple responses.

Subjects were asked to rate their baseline level of chronic pain before CBD use on a scale from 1 to 10, as well as their pain level after beginning treatment.

“The average baseline level of chronic pain across participants before CBD was 5.4 ± 1.8,” the report says, “which decreased to 2.6 ± 1.7 (p < 0.0001, n = 121) after CBD, which is a decrease of 2.8 ± 1.7.”

Improvement was reported by 98.3 percent of subjects, while the remainder (1.7 percent, or two participants) reported no improvement at all. Three subjects “reported complete resolution of their baseline chronic pain after CBD,” according to the research.

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Largest-Ever Analysis Of Medical Marijuana To Treat Cancer Symptoms Shows ‘Overwhelming Scientific Consensus’ On Benefits

Researchers this week published what they described as the “largest meta-analysis ever conducted on medical cannabis and its effects on cancer-related symptoms”, finding “overwhelming scientific consensus” on marijuana’s therapeutic effects.

The study, published in the journal Frontiers in Oncology, analyzed data from 10,641 peer-reviewed studies—what authors say is more than ten times the number in the next-largest review on the topic. Results “indicate a strong and growing consensus within the scientific community regarding the therapeutic benefits of cannabis,” it says, “particularly in the context of cancer.”

Given what the report calls a “scattered and heterogenous” state of research into the therapeutic potential of marijuana, authors aimed to “systematically assess the existing literature on medical cannabis, focusing on its therapeutic potential, safety profiles, and role in cancer treatment.”

“We expected controversy. What we found was overwhelming scientific consensus,” lead author Ryan Castle, head of research at Whole Health Oncology Institute, said in a statement. “This is one of the clearest, most dramatic validations of medical cannabis in cancer care that the scientific community has ever seen.”

The meta-analysis “showed that for every one study that showed cannabis was ineffective, there were three that showed it worked,” the Whole Health Oncology Institute said in press release. “That 3:1 ratio—especially in a field as rigorous as biomedical research—isn’t just unusual, it’s extraordinary.”

The institute added that the “level of consensus found here rivals or exceeds that for many [Food and Drug Administration]-approved medications.”

“The strong consensus supporting the therapeutic use of cannabis, particularly in the context of cancer, suggests that there is a substantial scientific basis for re-evaluating cannabis’ legal status and its classification as a Schedule I substance,” researchers said in the paper.

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Indiana Lawmakers Approve Bill To Regulate Hemp Products

Contentious regulations for marijuana-like products advanced through the Indiana House of Representatives on Tuesday, but will have to survive closed-door negotiations before crossing Gov. Mike Braun’s (R) desk.

“I filed a dissent,” Sen. Travis Holdman, the measure’s author, told the Capital Chronicle.

“We’ve got some clean-up to do,” the Markle Republican said. “We’ll be working on it.”

Products with legally low concentrations of delta-9 tetrahydrocannabinol have proliferated in Indiana, alongside those containing delta-8 THC and other isomers. Attempts to regulate the nascent industry, which is booming on shaky legal footing, have failed repeatedly—but are nearing law, in the form of Senate Bill 478.

“These products, being legal under federal law, but having no regulatory structure here in the state, means that technically, it’s not illegal to sell these products to minors [or] to target youth with advertising or packaging, and that there’s no testing requirements to protect consumers from potentially dangerous adulterants,” said Rep. Jake Teshka, the House sponsor, on the chamber’s floor Tuesday.

The measure sets out advertising, age-limit, licensing, packaging, testing and other requirements over the currently unregulated substances. It authorizes the Indiana Alcohol and Tobacco Commission to oversee the industry, including approving up to 20,000 retail permits.

Lawmakers have put it through a whopping seven rounds of edits. But critics—including Indiana’s attorney general and anti-marijuana groups—still have objected, arguing the language would expand existing loopholes.

“With Senate Bill 478, I think we finally have an opportunity to rein in this market,” Teshka, R-North Liberty, said. “We have the opportunity to provide real clarity to law enforcement, to protect Hoosier youth, to empower our farmers and to protect our consumers.”

Members of Teshka’s own caucus remained skeptical.

“I recognize that…the General Assembly should take action on the current state of this product,” said Rep. Tim Wesco, R-Osceola. “[But] I don’t feel like this is the appropriate action.”

Instead, it’s “moving us further down a path of increasing—dramatically increasing—access to these products that are known to have adverse and negative effects,” Wesco continued. “We’re setting up a framework that we’re likely not going to go back on, that is just going to expand from here.”

Lawmakers from both parties crossed sides in the 60-37 vote.

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Florida Lawmakers Unanimously Approve Bill To Make Medical Marijuana Cards Free For Military Veterans

A Florida House panel on Tuesday unanimously approved a bill that would exempt military veterans from state registration fees for medical marijuana cards, allowing them to obtain the certifications for free.

The House Health and Human Services Committee advanced the legislation, HB 555 from Rep. Alex Andrade (R), on a vote of 21-0.

As originally filed, the measure would have made more 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 earlier this month the House Health Professions and Programs Subcommittee replaced its language with a two-page substitute that instead would make only small changes to the medical program.

First, it 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.”

A handful of supporters testified ahead of the panel’s vote on Tuesday, and no one spoke against the measure.

Melissa Villar of Tallahassee NORML said that when Florida’s medical cannabis program launched, “it was the most expensive in the country for patients and for business entrance.” She asked lawmakers to expand the bill to go beyond helping military veterans and to additionally provide for discounted or cost-free patient cards for people who are disabled or low income.

If HB 555 becomes law, the changes would take effect July 1.

Separately, House and Senate lawmakers are considering legislation that would outlaw fungal spores that produce mushrooms containing psilocybin or psylocin.

The proposed ban on spores of mushrooms that create psilocybin or psilocin is part of the roughly 150-page bills, which would make a variety of adjustments to Florida’s agricultural laws, including around agricultural lands, utilities and wildlife management.

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Indiana GOP Senators Block Another Attempt To Legalize Marijuana Through Budget Bill

Indiana Republican senators have rejected another attempt to legalize marijuana in the state.

On Monday, the Senate considered numerous amendments to a two-year budget, defeating many Democratic-led proposals including one from Sen. Rodney Pol (D) to create a regulated adult-use cannabis market.

Pol stressed that Indiana is “losing out” to neighboring states such as Illinois and Michigan that have already enacted legalization, with tax revenue from marijuana sales being diverted to those states as Indianans patronized their licensed businesses.

He said it’s “frustrating” to watch Indiana “lose on an opportunity to keep our dollars in our state and provide relief to those individuals that are dealing with cancer, PTSD, chronic pain and other ailments that prefer cannabis for needed relief, as opposed to pharmaceuticals.”

“We have hundreds of people in the hallway that are concerned about money that we are spending,” he said. “And this is an easy way to turn what is in an illicit market that is funding more crime right now into a regulated and safe taxed market that we reap the benefits of.”

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New North Carolina Bill Would Legalize Medical Marijuana For Patients Enrolled In A ‘Registered Research Study’

A newly filed bill in North Carolina would narrowly legalize medical marijuana, allowing access for individuals enrolled in a “registered research study.”

Titled the Cannabis Treatment Research Act, HB 984 would allow patients and caregivers to register with the state, which in turn would permit legal possession of up to 1.5 ounces of marijuana. It’s sponsored by Rep. Julia Greenfield (D) and five other Democratic lawmakers.

The three-page bill would create a Cannabis Treatment Research Database under the Department of Health and Human Services (DHHS). To qualify for the program, patients would need to be enrolled in a study conducted by a hospital, university, lab, pharmaceutical manufacturer or private medical research company that is registered with DHHS and has entered a study into the state research database.

The legislation specifies no age limit for patients, but registered caregivers would need to be at least 18. As for qualifying conditions, it lists no specific maladies but mandates that patients obtain a signed statement from “a physician with whom the patient has a bona fide physician-patient relationship indicating that, in the physician’s professional opinion, the patient has a medical condition and the potential health benefits of the medical use of cannabis would likely outweigh the health risks for the patient.”

It’s not immediately clear how accessible the research-focused program would be in practice, though it appears that authors intend the program to be relatively open.

The measure states, for example, that it’s the General Assembly’s intent “that any physician who issues a written certification to a patient be permitted to participate in objective scientific research.” It also defines research broadly to include “the development of quality control, purity, and labeling standards for cannabis; sound advice and recommendations on the best practices for the safe and efficient medical use of cannabis; and analysis of genetic and healing properties of the many varied strains of cannabis to determine which strains may be best suited for a particular medical condition or treatment.”

In addition to legalizing possession among registered patients and caregivers, the bill shields from liability both research institutions and their employees. It also specifies that the identities of patients, caregivers and research institutions be shielded from public record, though in some cases it allows records to be provided to law enforcement.

The Democrat-led measure was introduced on Thursday in the House of Representatives. Lawmakers—including Senate President Phil Berger (R)—have said they’re deferring to the House on medical marijuana reform this session, but it’s not clear whether HB 984 is the only bill that will be introduced in that chamber.

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