What is the state of medical marijuana legalization in North Carolina?

North Carolina Health News

As Americans across the country observe 4/20, a day that recognizes cannabis, North Carolina remainsĀ one of just 13 statesĀ that have not legalized medical marijuana.

That may not be the case for long.Ā 

A bill in the North Carolina Senate, theĀ NC Compassionate Care Act, would make medical marijuana legal for a narrowly crafted group of people diagnosed with certain medical conditions.

That bill stalled in the Senate in summer 2021, and it has not yet come up for a vote again. It is backed by two powerful state Republicans, Sens. Bill Rabon (R-Southport) and Michael Lee (R-Wilmington), the primary sponsors of the bill.

The Senate is expected to take up the bill in 2022, during a short session set to begin May 18, after the statewide primary on May 17.

One of the billā€™s sponsors, Sen. Wiley Nickel (D-Cary), said not to expect much news until the session starts, but he is optimistic that the bill will be passed, he toldĀ NC Health News.

ā€œThis is a bill that is moving in the right direction, with lots of good, important support in a bipartisan manner,ā€ Nickel said. ā€œAnd Iā€™m very hopeful that we will pass that bill when we return.ā€

Liz Sharpe, a spokesperson for one of the billā€™s primary sponsors, Sen. Paul Lowe (D-Winston Salem), said in an email that no action has been taken on the bill since August due to redistricting and the state budget, but ā€œwe are hoping to get the bill moving!ā€

The bill has support from the majority of North Carolinians, according toĀ one poll by WRAL News.Ā The SurveyUSA pollĀ found that 72 percent of North Carolinians supported medical marijuana legalization.

Support for medical marijuana is high across the political spectrum. The poll found that 64 percent of registered Republicans, 75 percent of registered Democrats and 78 percent of unaffiliated voters supported legalization.

Whatā€™s in the bill?

The Compassionate Care Act would make North Carolina ā€œthe most conservative stateā€ of states with laws legalizing medical marijuanaā€ with ā€œa very, very narrowly tailored focus just on folks with chronic conditions, end of life care,ā€ Nickel said at a judiciary committee hearing on the bill last summer.

Rabon called the bill ā€œthe most tightly regulated and controlled bill of its type,ā€Ā at a committee hearing.Ā 

Only people diagnosed by a doctor with a ā€œdebilitating medical conditionā€ including cancer, epilepsy, positive HIV or AIDS status, or post traumatic stress disorder would qualify for a medical marijuana card, according to the bill.

If passed, the bill would also set up an advisory committee that would report on the effectiveness of the program annually and keep track of medical marijuana cards and physicians who issue the cards.

It would also establish a program in the University of North Carolina system to research cannabis as a medical product.

Marijuana as medicine

There are benefits and risks to medical marijuana as there are for most drugs, saidĀ Keith Humphreys, professor of psychiatry and behavioral sciences at Stanford University, in a MarchĀ webinar hosted by Attorney General Josh Steinā€™s office.

TheĀ U.S. Food and Drug AdministrationĀ (FDA) has not yet approved cannabis for specific medical conditions, as it is still completing medical research studying the impact of cannabis for medical use.

However, one cannabis-derived product, Epidiolex, has been approved by the FDA, for some seizure disorders. Three synthetic cannabis-related products ā€” Marinol, Syndros and Cesamet ā€” have also been approved.

Humphreys predicted more medications made using cannabis will be made.

ā€œThereā€™s no reason to be afraid of cannabis-based medications,ā€ Humphreys said.

Does this mean recreational marijuana is going to be legalized?

Some people may be opposed to medical marijuana legalization because they donā€™t want it to lead to recreational marijuana legalization.

Legalizing recreational use of marijuana received less support than medical marijuana from North Carolinians in theĀ WRAL/Survey USA poll. Nonetheless, over half of North Carolinians surveyed ā€” 57 percent ā€” agreed that recreational marijuana should be made legal.

Key legislators behind the bill have been clear they are not in favor of recreational marijuana legalization.

ā€œRecreational marijuana is not what we want in our state,ā€ Lee said at the judicial committee hearing.

As of November 2021, 18 states have taken measures to legalize recreational marijuana, less than half of the 37 states that have legalized medical marijuana.

Accessing THC in NC

At the same time as state legislators craft a narrowly tailored medical marijuana bill, North Carolinians can go to a store right now and buy products containingĀ THC,Ā the substance mostly responsible for marijuanaā€™s impact on a personā€™s mental state.

Delta-8 THC, a hemp-derived product with a similar chemical structure to Delta-9 THC, the compound found in marijuana, is widely available across North Carolina,Ā NC Health NewsĀ previously reported.

Image of various Prime Sunshine CBD and Delta-8 products on display as well as a picture of the hemp plant to the left. Photo Credit: Mona Dougani

TheĀ 2018 Farm Bill, passed by the U.S. Congress makes this possible by creating a loophole companies use to sell CBD-derived products containing less than 0.3 percent THC.

Delta-8 THC has psychoactive effects similar to Delta-9 THC, and it can have intoxicating effects, or make users ā€œhigh.ā€

TheĀ FDA has not approved or evaluated Delta-8 THC productsĀ and cautions against using those products for medical use, especially because their production is unregulated and they could be manufactured in ā€œuncontrolled or unsanitary settings,ā€ according to the FDA.

Medical marijuana is also already legal on some tribal land in North Carolina.

The Eastern Band of Cherokee Indians, located in the westernmost part of North Carolina,Ā legalized medical marijuanaĀ in August, 2021, as well asĀ possession of up to an ounce of marijuana on tribal lands.

North Carolina Health News is an independent, non-partisan, not-for-profit, statewide news organization dedicated to covering all things health care in North Carolina. Visit NCHN at northcarolinahealthnews.org.

This article first appeared on North Carolina Health News and is republished here under a Creative Commons license.

Be the first to comment

Leave a Reply

Your email address will not be published.


*