Cannabis advocacy organization Americans for Safe Access (ASA) released a new guide for cannabis patients and caregivers on Tuesday, designed to help individuals understand and exercise their rights under federal reclassification of medical cannabis from Schedule I to Schedule III under the Controlled Substances Act.

The guide, “Medical Cannabis Patients: Claiming Your Federal Protections and Privileges,” seeks to explain what the federal moves mean for patients, caregivers, providers, advocates and institutions.

In a statement, Steph Sherer, ASA founder and executive director, said patients “have waited decades for federal recognition, but recognition alone does not protect someone from losing housing, employment, health care, benefits or custody.”

“Patients now have new federal protections and privileges, but they must be willing to ask for them. The ASA created this guide because rights are not self-enforcing, and stigma will not disappear just because the law has changed.” – Sherer in one press release

The guide describes the rights and protections now available to medical cannabis patients under the Americans with Disabilities Act, the Fair Housing Act, and Section 504 of the Rehabilitation Act; however, he cautions that “agencies, employers, landlords, health care facilities and public programs will not automatically update their policies just because the law has changed.”

“Federal medical cannabis laws have changed. Stigma will delay enforcement,” Sherer said in a statement. “Some systems will move slowly. Some will resist. Some may try to ignore this change altogether. That’s why patients, caregivers, providers, advocates and allies need to act now.”

The guide provides tools that patients and caregivers can use to protect their rights, request written explanations, document discrimination, and request individualized review.

The ASA also launched a campaign to end discrimination against medical cannabis patients and is collection of reports from patients, caregivers, veterans, workers, tenants, parents, service members and others who have experienced discrimination because of their medical use of cannabis.

“Documentation is not just paperwork,” Sherer said in a statement. “This is how individual experiences become evidence for policy change. Every denial letter, drug testing policy, housing notice or denial of care helps show federal agencies and lawmakers where outdated systems are still harming patients.”

The campaign is also calling on the administration of President Donald Trump (R) to immediately issue guidelines for medical cannabis patients under the new rules.

State attorneys general from Nebraska, Indiana and Louisiana last week filed a lawsuit challenging the Justice Department’s recent order to reschedule medical cannabis. Nebraska Examiner reports.

Nebraska AG Mike Hilgers, Louisiana AG Liz Murrill and Indiana AG Todd Rokita, all Republicans, argue in the lawsuit that the rescheduling move will make it easier to push adult legalization policies. The lawsuit also challenges the expanded production of medical cannabis and tax changes under the law the new federal regime.

AG Hilgers opposed Nebraska’s campaign to legalize medical cannabis in 2024, but about 7 in 10 voters approved the reforms. Hilgers is up for re-election this year and will face Democrat Jocelyn Brasher, a former Nebraska assistant attorney general.

“Nebraskans should be outraged that taxpayer resources are being spent to challenge the Trump administration’s medical cannabis reform on an issue overwhelmingly approved by voters at the ballot box. Mike Hilgers is … interfering with decisions that families, patients and doctors have already made clear they support.” – Brasher, in a statement

In Louisiana, lawmakers created a program to make medical cannabis accessible to patients with specific debilitating conditions, while in Indiana, cannabis is not legally available for any purpose.

Meanwhile, last December, President Trump issued an executive order calling for the rescheduling of cannabis from Schedule I to Schedule III under the Controlled Substances Act. The Justice Department issued a follow-up order last month, officially making state-regulated medical cannabis products Schedule III. The latest order, however, does not affect other forms of cannabis, meaning that state-licensed adult-use operators are still violating federal law.

The DEA is planning hearings to consider the full rescheduling of cannabis out of Schedule I, which is supposed to be reserved for drugs with “no currently accepted medical use and a high potential for abuse.”