Marijuana Moment: Oregon Governor Signs Bill To Allow Medical Marijuana Use In Hospices And Other Health Facilities

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Oregon’s governor has signed a bill to allow patients with debilitating medical conditions to access medical marijuana in certain health facilities such as hospices.

Gov. Tina Kotek (D) approved the legislation from Rep. Farrah Chaichi (D) on Tuesday after it cleared the Senate in a 20-8 vote last month and was passed by the House of Representatives in a 39-3 vote in February.

Chaichi said in testimony to the Senate Health Care Committee that the bill is “an important tool to facilitate cannabis use as an alternative or addition to opioid use in end of life care.”

“While sometimes necessary, opiates are often overly sedative, preventing quality family interaction in someone’s final days,” she said. “As someone who lost my mother while she was intubated, I know how meaningful it is for patients to be present and in the moments of their last days and weeks with their loved ones. This is a quality of life and a quality of care issue. The bill’s goal is to ensure patients who desire this important and valid medical treatment have access across the board.”

As enacted, HB 4142 will require hospice, palliative and home care organizations, as well as residential facilities, to develop rules permitting registered patients with debilitating conditions to use medical cannabis.

The reform is similar to—albeit somewhat more limited than—multiple “Ryan’s law” measures that have advanced in state legislatures across the country. Ryan’s law, which is named after a young cannabis patient in California who passed away, generally refers to a policy broadly permitting medical marijuana use in health facilities such as hospitals.

The Oregon bill doesn’t extend to hospitals, but it builds upon the state’s medical cannabis program in a way that advocates say will meaningfully improve quality of life for seriously ill patients.

Under the proposal, the Oregon State Board of Nursing will further be prohibited “from disciplining a nurse who discusses the medical use of marijuana with a patient,” according to a legislative summary. It will additionally make it so eligible health facilities can act as medical marijuana caregivers if authorized by regulators.

The legislation “exempts residential facilities that provide a patient with medical marijuana from criminal laws related to the possession, delivery, or manufacture of marijuana” and “allows a conditionally designated residential facility to develop a written policy and train staff before the operative date,” the summary says.

Now that the governor has signed the measure, it is set to become operative on January 1, 2027.

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