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Hawaii Senate Passes Bill To Allow Medical Marijuana Use By Seriously Ill Patients In Health Facilities

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The Hawaii Senate has passed a bill to allow qualified patients access to medical marijuana in health care facilities.

After receiving a favorable report in committee last week, Sen. Joy San Buenaventura’s (D) legislation advanced to the full floor on Tuesday as part of the consensus schedule with a 25-0 vote. A The version of the house proposal has also moved in this session.

The bill states, “It is the intent of the Legislature in enacting this chapter to protect the ability of terminally ill patients and chronically ill patients over the age of sixty-five to safely use medical cannabis in specified health care facilities.”

Advocates would like the order to allow health facilities to use medical cannabis, but as written the policy would only allow those, exempting residential treatment centers from the proposed law.

Other exceptions contained in the legislation, SB 2408that medical marijuana may not be used for substance abuse recovery in hospitals, state hospitals or acute general hospital emergency departments “while the patient is receiving emergency services and care.”

Under the proposal, smoking and vaping of cannabis would be prohibited in health care facilities, “provided that the home health agency prohibits smoking or vaping before or during the home health agency staff’s stay at the facility.”

General acute care hospitals could not allow patients with a chronic illness to use medical cannabis unless they were terminally ill.

If a federal regulatory agency, the Department of Justice, or the Centers for Medicare and Medicaid Services (CMS) takes enforcement action against a health care facility related to its medical cannabis policy, or specifically notifies the facility that it is violating federal law, the health care facility may rescind the policy.

Meanwhile, last week, another Hawaii Senate committee passed a bill allow patients immediate access to medical cannabis once records are submittedinstead of waiting for the cards to be delivered, as is the case under current legislation.

Buenaventura, the head of the Health and Human Services Committee, is also a sponsor of his chamber’s version of the proposal. More of his panels has just passed legislation to legalize low-dose, low-potency marijuanaeven as their peers in the House of Representatives have said, the prohibition of cannabis in the state will not end this year.

The legislation would allow adults over the age of 21 to legally possess and use certain amounts of low-dose, low-THC cannabis, with the product limited to no more than 5 milligrams of THC per serving. In liquid form, twelve ounces can contain 5 milligrams of THC.

Senate committee action follows Senior lawmakers in the House indicated that proposals to legalize cannabis would not move forward In the 2026 session, citing the lack of sufficient support in their chamber.

Despite hopes that those bills – including one from House Judiciary and Hawaiian Affairs Committee Chairman David Tarnas (D) that would put legalization before voters on the ballot – would advance 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 in January 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 several 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 eliminate 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.


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


Learn more about our marijuana bill tracking and become a Patreon supporter to gain access

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 cannabis easier for more patients to access, 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.

user photo Brian Shamblen.

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Australian medicinal cannabis sales fall nearly 30% in second half of 2025

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Australian medicinal cannabis sales fell 28.5% in the second half of 2025 compared to the first half of the year, according to new data released by the Penington Institute in April 2026, marking the first significant drop in sales recorded since the country’s medicinal cannabis framework was introduced in 2016.

Data obtained by the Penington Institute from the Australian Department of Health, Disability and Aging through a freedom of information request shows sales peaked at 3.72 million units in the second half of 2024 and remained at 3.70 million units in the first half of 2025, before falling to 2.65 million units in the second half of the year. The decline followed a period of particularly significant growth in late 2023 and 2024, driven by increasing scrutiny from regulators and medical organizations over prescribing practices.

The Penington Institute attributes the reversal largely to a stepped-up enforcement campaign that has unfolded on multiple regulatory fronts since 2023. The Therapeutic Goods Administration banned the importation, advertising and supply of medicinal cannabis in 2023, and then issued millions of dollars in fines to non-compliant companies. The Australian Health Practitioner Regulation Agency published new clinical guidance for prescribers in July 2025 and, by mid-2025, had taken enforcement action against more than 50 doctors, with further investigations underway. Ahpra also issued explicit warnings warning health officials to prioritize patient well-being over profits.

The enforcement push was in response to documented concerns about high-volume, commercially driven prescriptions, some clinics conducting very brief clinical consultations, illegally advertising the drug to the public, failing to check real-time prescription monitoring systems, and using closed-loop business models in which medical cannabis brand companies also ran clinics prescribing their own products.

A wider TGA review of the patient access framework is ongoing. As of early April 2026, no reform recommendations have been announced. The Penington Institute’s report warns against major restrictions on patient access, the therapeutic benefits the drug provides to a large number of Australian patients, the lack of clear evidence linking medicinal cannabis to significant public health harm, and the presence of a robust illicit market that would absorb patients who would not be able to access legal avenues if access were restricted.

The report also points to product compliance testing as an area where existing standards are not applied consistently. Australian quality standards cover all medicinal cannabis products, but the TGA does not check compliance before the products reach patients, only conducting limited post-market risk-based testing, the results of which are not published. The issue is particularly relevant given that almost two-thirds of the flower volume sold in Australia in 2024 was imported, with some countries of origin maintaining lower regulatory standards than Australia. In April 2024, the TGA confirmed that it had not carried out tests on imported products in the previous 12 months.

The full Pennington Institute report, Medicinal Cannabis Sales and Regulatory Enforcement, can be seen here

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Trump Pushes Congress To Keep Full-Spectrum CBD Legal While Restricting Hemp Products That Pose ‘Health Risks’

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President Donald Trump is urging lawmakers in Congress to act in November to change the law that threatens to federally recriminalize hemp-derived CBD products.

“I’m calling on Congress to update the Act so Americans can continue to have access to the full-spectrum CBD products they trust and support, while maintaining Congress’ intent to restrict the sale of products that pose health risks,” the president said in a Truth Social message Thursday, the same day his administration announced it is moving forward to re-regulate marijuana.

“We need to do this RIGHT and FAST, especially for those who have found CBD to help them,” he said. “Also, I’m told it will help our BIG FARMERS that we love and will always be around.”

Hemp derivatives containing less than 0.3 percent delta-9 THC by drug weight were made federally legal under the 2018 Farm Bill signed by Trump during his first term. But late last year, he signed new legislation with provisions that will redefine hemp, so that only products with a total of 0.4 milligrams of THC per container will remain legal starting November 12.

Industry advocates say the existing provisions threaten to ban intoxicating and synthetic cannabinoids, but serve to take popular full-spectrum CBD products that many Americans use therapeutically off the market.

“ONE IN FIVE adults used it in the past year, and many say it dramatically improved their chronic pain,” the president said in the social media post, adding that hemp-derived CBD “has made a HUGE difference for so many people.”

The administration also referred to a new initiative launched this month Cover up to $500 of hemp-derived products annually for eligible Medicare patients. The program being implemented by the Centers for Medicare and Medicaid Services (CMS) focuses largely on CBD, but allows products to contain a total of 3 milligrams of THC per serving.

“In December, I signed a very important Executive Order calling for Research and Innovation into Hemp-derived CBD,” Trump said. “Our wonderful Dr. Mehmet Oz moved quickly to follow the Executive Order directive, and set a model in motion for some Seniors this month. But more needs to be done!”

“Please do it, and SOON,” the president said, referring to the sweeping recriminalization congressional fix that will take effect in November. “Thank you for your attention to this matter!”

It’s unclear how far Trump wants to reduce the scope of planned federal restrictions on hemp products and what kinds of revised THC rules and limits he’d prefer to sign into law.

separately In his remarks in the Oval Office on Thursday, the president highlighted the medical benefits of marijuana A few hours after the DOJ issued the rule to federally reorganize cannabis.

“A lot of people are facing big problems, and that seems like the best answer,” the president said in the Oval Office. “They are very happy about it.”

“So hopefully you won’t have to,” he said. “But if you must, I hear it’s the best of all alternatives.”

Meanwhile, the Republican Lawmakers in Congress introduced amendments this week to delay the ban on hemp products for another year and creating the framework to continue the legal sale, with new restrictions and instructions. The House Rules Committee will decide next week whether the pending Farm Bill amendment proposal can be considered for a floor vote.

Several other bipartisan hemp reform bills are also pending in Congress.

Last week, for example, it was introduced by Senators Rand Paul (R-KY), Amy Klobuchar (D-MN) and Joni Ernst (R-IA). The Hemp Safety Enforcement Act, which would give states the option of federal recriminalization of THC hemp products. it will be established this year. Ernst on Wednesday, however, withdrew his name as a sponsor of the legislation.

Separately, Anti-marijuana organizations filed a lawsuit against the Medicare hemp CBD coverage policyand Health and Human Services attorneys. Robert F. Kennedy Jr. and CMS Director Mehmet Oz recently He submitted a letter requesting the filing of the case.

The White House Management and Budget Office has also held a series of meetings a Food and Drug Administration (FDA) CBD product enforcement policy.

The FDA issued the guidance making it clear that it does not intend to interfere Establish a Medicare coverage plan for hemp-derived products.

CMS finalized a rule that will be adopted separately Coverage of certain hemp products, primarily as specialized health-related benefits, through Medicare Advantage the plans

As hemp products become more popular among consumers, some big brands are trying to get in on the action.

The main retailer Target, for example, is expanding its market share of hemp-derived THC beverages. Last year, the company began a pilot program selling cannabis beverages at 10 stores in Minnesota. That apparently went well, and now the company has secured licenses from Minnesota regulators to sell lower-potency edible hemp products — including THC drinks — in 72 stores in the state.

The US Department of Agriculture published this month shows that US farmers grow $3 billion in hemp crops by 2025— 64% increase compared to the previous year.

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US Representatives introduce the Higher Education Marijuana Research Act

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Cannabis Caucus Co-Chairs Ilhan Omar (D-MN) and Dina Titus (D-NV) yesterday introduced the Higher Education Marijuana Research Act to remove barriers to academic cannabis research, protect universities and researchers, and promote the responsible study of marijuana.
“As Chair of the Congressional Cannabis Caucus, I am proud to support the Higher Education Marijuana Research Act, which removes outdated federal barriers that have long prevented universities from conducting critical cannabis research. This legislation protects universities and researchers while removing barriers so they can make better public health decisions,” said Congressman Ilhan Omar.
“The legal and responsible use of cannabis in Nevada has been an important economic driver across the country and deserves further investigation,” said Congressman Titus. “The Higher Education Marijuana Research Act would eliminate outdated federal restrictions that prevent universities and researchers from studying the full range of cannabis products that Americans actually use.”
Although 40 states have legalized medical marijuana and 24 states have legalized it for recreational use, federal law continues to impose significant barriers that limit meaningful research. Cannabis remains subject to restrictive federal controls that dictate who can conduct research, what products can be studied, and how studies are designed. Researchers are often limited to federally licensed cannabis that does not reflect the potency or variety available in state legal markets. Compounding these challenges, researchers must navigate stringent compliance requirements and uncertainty about legal liability. These obstacles have delayed clinical trials, limited understanding of long-term health effects, and left critical gaps in knowledge.

“It makes no sense for the federal government to interfere with this research when millions of Americans are already using marijuana, whether for medical or recreational purposes,” said Congressman Titus.

The Higher Education Marijuana Research Act is supported by the National Organization for Reform of Marijuana Laws (NORML), the National Cannabis Industry Association, the Drug Policy Alliance, and the UNLV Cannabis Policy Institute.

“This legislation is needed more than ever as states continue to allow cannabis for medical and adult use. Even if cannabis is federally reclassified in the near future, there will be significant hurdles for scientists hoping to add to the existing research pool, especially when conducting clinical trials on health effects and examining state-regulated products. The bill moves forward again and calls on Congress to take immediate action to facilitate research, develop new medical treatments, to inform evidence-based policy and help consumers make informed choices,” said Morgan Fox, Policy Director of the National Organization for Reform of Marijuana Laws (NORML).

“The American public has made it clear that it wants access to safe, regulated, and tested cannabis products, and state legal markets continue to evolve to meet that demand. However, federal barriers have long limited researchers’ ability to study hemp in ways that reflect real-world conditions. The Higher Education Marijuana Research Act is a practical step toward expanding credible, real-world research by providing clarity and protection for NCIA universities. Supporting this legislation will help strengthen the industry’s scientific foundation. and will help better inform policymakers, regulators and consumers,” said Brooke Gilbert, Chief Operating Officer of the National Cannabis Industry Association.

“The Higher Education Marijuana Research Act is common-sense legislation that will help researchers better understand the types of cannabis produced in state-regulated markets. The bill will remove a major barrier that currently prevents scientists from learning more about state-regulated cannabis and its public health implications. Increasing the body of scientific evidence with better-informed research, increasing the body of scientific evidence with more informed research, evidence-based policy anyone who should leave,” he said. Drug Markets and the Legal System.

“Everyone, from members of Congress on both sides of the aisle to the scientific community to the current and previous presidential administrations, has stated that cannabis research is necessary and important. This is the one issue that almost everyone can agree on these days, but not much progress is being made to reduce the current barriers to cannabis research. Congressman Titus’ bill has always been a common sense pro-cannabis research. Cannabis reform, it is only fitting that UNLV Cannabis Policy lead the charge now. The Institute applauds his efforts and hopes others will do the necessary work to reduce current barriers to cannabis research that only serve to maintain outdated prohibition-era policies,” said Riana Durrett, director of the UNLV Cannabis Policy Institute.

Source: Representative Ilhan Omar’s office

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