Medical Marijuana in Hospitals: “Ryan’s Law” Advances in Multiple States

by Dr Natalie Singh - Health Editor
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Medical Marijuana Access Expands in Several States, Including Hawaii

Lawmakers across the United States are increasingly focused on expanding patient access to medical marijuana within healthcare facilities. Recent legislative action in Colorado, Hawaii, Virginia, and Washington State signals a growing shift toward recognizing medical cannabis as a legitimate treatment option, particularly for seriously ill and terminally ill patients. This movement is largely driven by what’s known as “Ryan’s Law,” inspired by a medical cannabis patient in California who passed away.

Colorado Advances Bill for Terminally Ill Patients

The Colorado Senate recently approved SB 26-007, allowing terminally ill patients to use medical marijuana in hospitals and other healthcare facilities. The bill passed with a vote of 25-5. Initially, the legislation would have mandated facilities to allow cannabis use, but it was amended to allow facilities to develop their own guidelines for use, storage, and administration. The Colorado Department of Public Health and Environment (CDPHE) is prohibited from requiring compliance as a condition for licensing or certification. Facilities can suspend the policy if they face potential federal enforcement action.

Hawaii Moves to Allow Immediate Medical Cannabis Access and In-Hospital Use

In Hawaii, the Senate Health and Human Services Committee has passed a bill to allow patients to immediately access medical cannabis upon registration, eliminating the current wait for card delivery. SB 3315, as amended, sets a one-ounce purchase limit for this initial access. Simultaneously, the committee advanced a separate bill, SB 2408, granting seriously ill patients the option to use medical cannabis in hospitals. The bill includes exceptions for substance misuse recovery hospitals, state hospitals, and emergency departments. Smoking and vaping would remain prohibited. Hospitals are not mandated to accommodate medical cannabis use due to potential legal uncertainties regarding federal funding.

Virginia Approves Medical Cannabis Access in Hospitals

Virginia lawmakers have approved a Senate-passed bill, with amendments, to allow medical cannabis access in hospitals for seriously ill patients. SB 332 builds upon existing state law protecting healthcare professionals assisting terminally ill patients with medical cannabis treatment. The legislation also stipulates that hospitals can permit patients to access cannabis oil and establishes a working group to evaluate the potential use of other cannabis products.

Washington State Advances “Ryan’s Law”

The Washington State Senate Health & Long-Term Care Committee approved HB 2152, a “Ryan’s Law” bill, allowing terminally ill patients to use medical cannabis in healthcare facilities like hospitals, nursing homes, and hospices. The bill passed the House with a vote of 89-6. Patients and caregivers are responsible for acquiring and administering the cannabis, which must be securely stored. Smoking and vaping are prohibited, and healthcare facilities must establish a policy allowing medical cannabis use and document its use in patient records. Facilities can suspend permission if federal enforcement action is threatened.

Traveling with Medical Cannabis in Hawaii

Patients traveling to Hawaii with medical cannabis should be aware of federal laws. Possession of cannabis remains illegal under federal law, and travel through federal airspace or jurisdiction could lead to delays or arrest. Out-of-state patients must apply for an OSP (Out-of-State Patient) card and ensure a dispensary on their destination island has adequate product availability. The application fee is $49.50, and approval provides electronic access to a Hawaii 329 Registration card.

These legislative developments reflect a growing acceptance of medical cannabis as a valuable therapeutic option and a commitment to ensuring patients have access to the treatments they need.

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