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Hawaii Lawmakers Approve Bill To Let Patients Access Medical Marijuana Immediately Instead Of Having To Wait For Registration Processing

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Hawaii lawmakers have passed a bill that would allow patients to access medical cannabis immediately after filing their registrations, rather than waiting for their cards to be delivered, as required by current law.

In a joint hearing of the Senate Health and Human Services Committee and Trade and Consumer Protection Commission on Wednesday, members approved legislation from Sen. Angus McKelvey (D), with an amendment that would reduce the one-time purchase limit for cannabis to one ounce instead of the two ounces the measure would have covered as introduced.

Sen. Joy San Buenaventura (D), chairwoman of the Health and Human Services Committee, said at the hearing that regulators are equipped to track such one-time sales “using administrative rules as appropriate,” and she said she supports this in part from personal experience.

The President said SB 3315 He could help his family because they were helping a terminally ill relative, “where we tried all the prescription capabilities” and “what we really needed was the one-time use.”

“So for those reasons, I will support (the bill) with amendments” to reduce the purchase limit from two ounces to one ounce.

The approval of the measure also comes as a member of parliament Weigh in on proposals to legalize marijuana in the stateimmediate action is expected.

Historically, the Hawaii Senate has been legislatively more accommodating to cannabis reform, and the 2026 session has been no different so far.

That was proven, in part, after senior House lawmakers announced it earlier this month A couple of legislative bills created in the chamber were dead during the year.

Despite renewed proposals — including one from House Judiciary and Hawaiian Affairs Committee Chairman David Tarnas (D) that would put legalization before voters on the ballot — to move forward this year, sponsor and House Speaker Nadine Nakamura (D) said there was not enough support in the legislature to pass this round.

State officials released a report last month the potential economic impact of recreational marijuana legalization on the stateincluding the revenue effects associated with domestic and international tourism.

All told, the researchers said survey data and comparative analysis indicate Hawaii could see $46-90 million in monthly marijuana sales in the fifth year of implementation, after taking into account the maximum tax rate of 15 percent on cannabis products.

The Hawaii Senate narrowly defeated a proposal last year that would have increased the amount of cannabis a person could possess without risk of criminal charges by five times.

If the measure had become law, the amount of decriminalized cannabis in Hawaii would have increased from the current 3 grams to 15 grams. Possession of any marijuana up to that 15-gram limit would have been classified as a civil infraction, punishable by a $130 fine.

The Senate bill that would legalize marijuana for adults, on the other hand, has finally stalled. That measure, SB 1613, did not make it out of committee during one term of the legislature.

While advocates believed there was sufficient support for the legalization proposal in the Senate, it is widely believed that House lawmakers would ultimately defeat the measure, as they did last February with a companion legislative bill, HB 1246.

In 2024, a The legislation passed by the Senate also failed in the House.

It came just days after last year’s House vote to stop the bill approval of a pair of committees at a joint hearing. Prior to that hearing, jurors received nearly 300 pages of testimony, including from state agencies, advocacy organizations and members of the public.

Gov. Josh Green (D) signed separate legislation last year allow medical marijuana caregivers to grow marijuana on behalf of five patients than the current one.

And in July, the governor signed another bill Establishes new rules for Hawaiian hemp productsincluding the requirement for distributors and retailers to obtain registration from the Department of Health.

Legislators also sent a bill to the governor help speed up the expungement process for people who want to clear their past marijuana-related criminal records– a proposal Green signed the law last April.

This measure, HB 132, of Tarnas, aims to speed up the abolition Green’s pilot program signed into law in 2024. Specifically, it will remove a distinction between marijuana and other Schedule V drugs for the purposes of the decriminalization program.

The bill’s sponsors said the law’s current wording forces state officials to manually comb through thousands of criminal records to identify those eligible for expungement in the pilot program.

Meanwhile, in November, Hawaii officials detailed the rules allow medical marijuana dispensaries to sell a wide range of products for patients— including dry herb vaporizers, rolling papers and grinders — while revising state code to clarify that cannabis oils and concentrates can be marketed for inhalation.

The department as well He confirmed that he is in favor of federal marijuana reorganization– The policy change that President Donald Trump ordered to be carried out quickly, but which has not yet been implemented.

Hawaii lawmakers recently advanced a bill allow eligible patients to access medical marijuana in healthcare facilities.


It’s Marijuana Moment tracking hundreds of cannabis, psychedelic and drug policy bills in state legislatures and Congress this year. Patreon supporters by pledging at least $25 a month, you’ll get access to our interactive maps, charts, and audio calendars so you never miss a development.


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Regulators are also launching a series of courses designed for this purpose educate doctors and other healthcare professionals about medical marijuana as the state’s cannabis program expands.

The under the medical marijuana expansion bill signed by the governor In late June, it not only makes it easier for more patients to access cannabis, but also contains a provision that advocates find problematic.

Before lawmakers sent the legislation to Green, a conference committee revised the plan, including a provision allowing the DOH to access medical marijuana patient records held by doctors for any reason.

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Cannabis operators report mixed results as rescheduling reshapes the financial outlook

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The rescheduling came mid-quarter and rewrote the tax math for each medical sales operator, but the underlying revenue picture remained uneven in early 2026, with acquisitions driven at one end of the scale and continued top-line compression at the other.

Vireo Growth: Back on $106 million deal
Vireo Growth Inc. reported Q1 GAAP revenue of $106.2 million, up 333.5% year-over-year, driven almost entirely by recent acquisitions rather than organic growth. The company completed the Schwazze acquisition in March, adding 45 dispensaries and two manufacturing facilities in Colorado and New Mexico. At the end of the quarter, it closed Eaze and Hawthorne Gardening, FLUENT Corp. announced an acquisition agreement and executed a California dispensary joint venture with Glass House Brands. Treating all acquisitions as closed on January 1, 2025 on a pro forma basis, revenue was $210.2 million and adjusted EBITDA was $42.2 million. The company ended the quarter with $137.8 million in cash.

John Mazarakis, CEO of Vireo, said: “Performance in the first quarter met our expectations and we are excited to welcome Schwazze, Eaze and Hawthorne to Vireo. We are focused on integration and optimization across the platform, while remaining opportunistic regarding growth opportunities associated with further acquisitions.”

Cresco Labs: $151 million, 280E relief and Texas license
Cresco Labs reported Q1 revenue of $151 million, down from $165.8 million in Q1 2025. Adjusted gross margin was 50.7% and adjusted EBITDA margin of $33 million was 21.7%. Cash at the end of the quarter was $67 million against a $310 million secured term loan. The company was conditionally granted a Texas Compassionate Use Program license after the quarter ended and opened two new dispensaries in Ohio.

Management said, “Moving the state’s legal medical cannabis from Schedule I to Schedule III is the most impactful reform this industry has seen, and it validates the work we’ve been executing for years. We’ve built the operational foundation and balance sheet discipline to reap the immediate benefits of rescheduling, and position Cresco to take advantage of the broader path to normalization.”

Jushi Holdings: 4% growth, 460 basis point margin expansion
Jushi Holdings reported first-quarter revenue of $66.4 million, up 4% year-over-year, with gross profit margin up 460 basis points to 45%. Adjusted EBITDA was $11.4 million, up 17.2%. The margin improvement was driven by higher production volumes in Ohio, Massachusetts and Pennsylvania and the performance of grower processors. Jushi brand products accounted for 58% of retail revenue in vertical markets. The company refinanced $132.3 million in debt during the quarter, providing $160 million in new debt through 2029.

Jim Cacioppo, president and CEO, said: “The recent scheduling of state-licensed medical marijuana for Schedule III is an important milestone for the industry, eliminating 280E tax limitations for medical operations and supporting a more favorable long-term operating environment.” Medical sales accounted for about 60% of Jushi’s 2025 revenue, making this material relief.

iAnthus Capital: Revenue falls to $33.5 million
iAnthus Capital reported first-quarter revenue of $33.5 million, down $4.6 million from 2025’s first quarter. Gross margin was 47.5%, up 477 basis points from the 2025 quarter. The company did not provide a management comment in the press release.

Country farms: international export record, fourth consecutive quarter of net income
Village Farms International reported first quarter consolidated net sales of $50.2 million, up 27% year-over-year, with net income of $2.9 million and adjusted EBITDA of $9.9 million, up 118% year-over-year. International export sales increased 171% to a record $14.6 million, driven by demand for EU-GMP compliant products in Germany. Pure Sunfarms had the top Canadian market share in dried flowers for the 15th consecutive month. The company started planting the first half of its Delta 2 greenhouse expansion and expects its Phase II facility in the Netherlands to reach full capacity by the end of 2026, which would quadruple Dutch production.

Michael DeGiglio, President and CEO, said: “Our first quarter results reflect a strong start to the year and continued momentum in our largest markets, with adjusted EBITDA growth of 118% year-over-year, significantly outpacing revenue growth of 27%, driven by our international business and continued leadership in Canada.

Cronos Group: Record revenue, $822 million in cash
Cronos Group reported Q1 net income of $45.2 million, up 40% year-over-year and a record quarter, with net income of $15.7 million and adjusted EBITDA of $5.1 million. Israel led growth PEACE NATURALS grew 53% for ninth consecutive record quarter. In Canada, the Spinach brand took first place in vapes with a 9.8% share of the national market, and maintained its top spot in edibles at 20.8%. The company ended the quarter with $821.9 million in cash and authorized a new $50 million stock repurchase program. The deadline to close the acquisition of CanAdelaar, one of the ten licensed growers in the Dutch Controlled Cannabis Supply Chain Experiment, has been extended to September 9, 2026 to allow time for regulatory approvals.

Mike Gorenstein, chairman, president and CEO, said, “Cronos achieved net earnings and gross profit in the first quarter as we continue to execute against our unlimited product strategy and the additional supply from Cronos GrowCo’s expansion fuels the next phase of our growth.”

Org chart: Revenue down 9%, Sanity Group acquisition closes after quarter
Organigram Global reported fiscal second quarter net income of $59.8 million, down 9% year-over-year, with adjusted EBITDA of $0.9 million, down 82%. Lower vape and pre-infusion sales drove the decline, along with a $5.8 billion dent in the U.S. hemp business. The company achieved a record quarterly harvest of over 32,000kg at its Moncton facility, up 56% year-on-year, and launched 10 SKUs in Australia targeting over 4,000 pharmacies. At the end of the quarter, Organigram acquired Sanity Group, one of Germany’s leading cannabis companies, and updated its 2026 guidance to net revenue of more than $350 million.

James Yamanaka, CEO, said: “Q2 reflected our poor performance in vaporizers and temporary challenges in pre-infusion production, compounded by slower industry growth. We have acted quickly to address these issues, and the operational changes and product improvements we have implemented are already beginning to stabilize performance.”

Greg Guyatt, Chief Financial Officer, said: “The financial impact of the competitive and operational challenges encountered earlier in fiscal 2026 is believed to have materialized in the first half of the year, and we are now beginning to stabilize performance. We expect to resume a trajectory of margin expansion and improved profitability during the second half of the year, supported by positive revenue and international sales growth. The Sanity Group.”

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Medical Marijuana Helps Pain Patients Reduce Use Of Opioids, New Study Shows

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As opioids continue to cause overdose deaths, a new study suggests that making medical cannabis available and affordable could help patients reduce their use of prescription painkillers.

“Although cannabis has historically been characterized as a potential ‘gateway drug,’ it may also serve as a harm reduction tool for some patients seeking to reduce their reliance on higher-risk opioid medications,” researchers at the University of Pennsylvania Perelman School of Medicine found.

The study, a prospective observational trial at the Hospital of the University of Pennsylvania, followed 29 adults over five months. All had been living with chronic pain for years—an average of 11 years—and were already taking opioid medications, but struggled to taper off of them despite other treatments.

The study is unique in its focus on cost as a factor in access to medical marijuana, with the researchers describing their work as “the first prospective observational study evaluating medical cannabis as an alternative to opioids in a setting where cost was removed as a major barrier.”

Participants were recruited from a university outpatient chronic pain clinic and then completed monthly pain assessments using the Numeric Pain Rating Scale (NRS). The researchers measured daily opioid use, measured in milligrams of morphine equivalents (MME).

“Seven patients (24%) were able to completely discontinue opioid therapy at the end of the study, five of whom did so by the second month. Pain levels also decreased over time,” the authors wrote.

Notably, “there was a statistically significant reduction in mean pain scores experienced over the five-month study period,” says the paper published in the Cureus Journal of Medical Science.

“There was also a reduction in average opioid consumption of about 32 MME per day, which remained the same throughout the follow-up. In addition, seven patients were able to completely discontinue opioid therapy during the study.”

“Mean daily opioid consumption decreased from 46.8 MME/day at baseline to 16.2 MME/day at one month and remained low during the five-month follow-up period,” the researchers found.

What set the new study apart was not just the inclusion of medical cannabis, but the deliberate removal of cost as a barrier. Participants “consistently identified cost as a major barrier to initiating medical cannabis” before enrolling in the study, the document says.

Noting the novelty of the study, they added their hypothesis: “Improving access to medical cannabis will allow a subset of patients, especially those with a high cost barrier, to reduce or discontinue opioid use while maintaining adequate pain control.”

“These results suggest that medical cannabis may be a useful adjunctive therapy to reduce opioid use, relieve chronic pain, and improve health-related quality of life,” they concluded.

“The findings of this study add to the body of literature supporting the safety profile and potential therapeutic role of cannabis.”

The studies the authors are cautious in their conclusions, warning of limitations and the need for further research. “The sample size was small and derived from a single clinical site, and there was no control group.” And because “patients self-titrate cannabis products, leading to variability in dosage and frequency of use,” the findings are not standardized.

But the authors concluded that “when used under appropriate medical supervision, medical cannabis may be an effective adjunctive strategy to reduce opioid use among patients receiving long-term opioid therapy.”

This study follows a Recent research shows that using medical marijuana helps people reduce their use of other drugs, including opioids.sleep aids and antidepressants. They also experience fewer negative side effects after switching from prescription drugs to cannabis, according to a study involving more than 3,500 patients.

It also comes from behind President Donald Trump says marijuana ‘can make people feel a lot better’ and serves as a “substitute for addictive and potentially lethal opioids.”

Last month, the Trump administration announced it moving forward with federal reclassification of marijuana medicinal cannabis is classified under Schedule I to III of the Controlled Substances Act.

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Livermore Falls debates cannabis licensing fees

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Existing medical cannabis licensing fees will be temporarily applied to recreational marijuana businesses, the Select Committee decided on May 5. Board members agreed 4-1 to the temporary change, as long as officials say the fees are higher than necessary and accurately reflect the town’s oversight costs.

Bryce Cobb, Livermore Falls’ code enforcement officer, plumbing inspector, health officer and E-911 dispatcher, said voters approved the amended cannabis ordinance on April 28. Cobb said the amended ordinance allows recreational marijuana businesses and the next step was to establish a fee schedule. Recreational cannabis businesses operating in town would require local licensing approval under the ordinance.

Asked if he had fee schedules from other towns to compare, Cobb said he did not. Additionally, the town’s fee schedule specifically mentions medicinal cannabis.

“So it could be medical and adult use,” Cobb said when discussing whether the existing fee structure could apply to recreational businesses.

Read more at Sun Magazine










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