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The feds have embraced medical marijuana. Now what?

29 May 2026 at 16:00
A licensed dispensary in Maryland sells cannabis-infused edible chews and dried marijuana flower. Many states with cannabis industries say they’re waiting for more detail before taking action in response to the Department of Justice’s rescheduling of medical marijuana. (Photo by Amanda Watford/Stateline)

A licensed dispensary in Maryland sells cannabis-infused edible chews and dried marijuana flower. Many states with cannabis industries say they’re waiting for more detail before taking action in response to the Department of Justice’s rescheduling of medical marijuana. (Photo by Amanda Watford/Stateline)

The U.S. Department of Justice’s recent decision to downgrade the drug classification for medical cannabis will help medical marijuana businesses. Companies will be able to claim some federal tax benefits. New research can start up at state universities.

But the broader divide between federal and state marijuana policy remains largely intact, leaving states to navigate a fragmented and still-evolving cannabis landscape with few clear answers about what comes next.

The unprecedented change in April reclassifying medical marijuana from Schedule I to Schedule III means the federal government is acknowledging an accepted healthcare use for cannabis. Recreational marijuana, however, remains a Schedule I drug under federal policy, even though 24 states and the District of Columbia allow recreational cannabis in various forms, from dried flower to vaping oils to processed gummy candies.

The U.S. Drug Enforcement Administration is set to hold its first hearing at the end of June on the possible de-scheduling of marijuana broadly, which would include recreational or adult-use cannabis.

Until then, some experts say little is expected to change for the more than half of states with medical or recreational marijuana programs.

“This change is sort of catching up to what states are already doing,” said Katharine Neill Harris, a drug policy fellow at Rice University’s Baker Institute for Public Policy. “In some ways the federal government is following the states on this issue.”

States have spent years building regulatory frameworks for medical and recreational marijuana programs — including licensing systems, tax structures, testing requirements and retail oversight.

Following the DEA’s announcement in April that it would reschedule medical cannabis, some state commissions acknowledged the decision but stressed that their laws have not changed and that they are awaiting further federal guidance.

In Nevada, for example, state cannabis officials released a statement noting that the rescheduling change allows medical cannabis licensees to register with the DEA, while also emphasizing that Nevada law still classifies non-medical marijuana as a Schedule I substance.

In mid-May, the California Department of Cannabis Control proposed emergency regulations that would allow businesses holding licenses for both medical and recreational marijuana to obtain separate licenses. The change could position cannabis businesses to take advantage of potential benefits tied to the rescheduling of medical marijuana.

Many of the day-to-day functions of state cannabis programs are expected to remain intact, according to experts.

“Right now, nothing would have to change for states because we don’t know what the federal regulations are going to look like for managing medical cannabis,” said Heather Trela, the director of operations and a fellow at the Rockefeller Institute of Government, a nonpartisan public policy think tank.

“Everyone’s kind of figuring it out right now, and we don’t have all the details, so it’s hard for states,” she said.

State cannabis regulators and officials in several states, including Oklahoma, Vermont and Washington, told Stateline they are waiting for guidance from the DEA and other federal agencies before determining whether businesses will be required to register with the DEA, qualify for federal tax relief or face new compliance requirements, and whether states may need to revise their own cannabis laws.

“None of us really can effectively advise our licensees, which is just incredibly frustrating, especially with a ticking clock,” said James Pepper, the chair of the Vermont Cannabis Control Board, which regulates the state’s medical and adult-use market.

In the coming months, other federal agencies may issue guidance on how rescheduling will affect existing rules, according to policy experts. The U.S. Department of Transportation said in December that drug testing and licensing standards will not change, and TSA rules still prohibit carrying marijuana on flights. Financial guidance from the IRS and the Treasury Department also are still pending.

‘Taxed like a normal business’

But some marijuana policy experts and industry leaders say the federal shift could bring major changes to cannabis business operations and scientific research.

Cannabis businesses have long been blocked from taking certain federal tax deductions because marijuana was classified as a Schedule I substance. Some industry leaders say moving medical cannabis to Schedule III could ease some of those constraints.

“Going forward, we can be treated and taxed like a normal business, which ultimately helps the bottom line and allows us to reinvest more meaningfully in the states where we operate,” said Lauren Niehaus, the executive director of government relations at Trulieve Cannabis Corp., one of the largest cannabis companies in the country. Trulieve, based in Florida, operates dispensaries in eight states.

Quotation

There are a lot of positive gains here, but really more than anything, a lot more confusion.

– Ryan Hunter, chief revenue officer of Spherex Labs, Colorado

The tax policy change is a central issue for cannabis operators across the board, from small businesses to large multistate companies, Niehaus said.

Ryan Hunter, the chief revenue officer of Spherex Labs, said rescheduling changes could shift investor and lender attitudes toward the cannabis industry, with some capital partners becoming more willing to invest.

But Hunter said the latest federal change also creates new uncertainty for companies operating in both medical and recreational markets, including Spherex Labs, which operates in Colorado.

“Our business is still very much in wait-and-see mode,” Hunter said. “There are a lot of positive gains here, but really more than anything, a lot more confusion.”

The federal government has effectively created different legal frameworks for the same substance, he added. Medical cannabis is now federally recognized, while recreational marijuana and its consumers remain in conflict with federal law.

The rescheduling change also carries federal registration requirements under the Controlled Substances Act, a law that would require medical cannabis businesses to register with the DEA, pay annual fees, and comply with detailed reporting, inventory and security rules that may overlap or conflict with existing state systems.

Spherex Labs has chosen not to register at this time, Hunter said, opting to wait for further federal guidance.

Earlier this month, the Oklahoma Bureau of Narcotics and Dangerous Drugs Control sent a letter to licensed medical cannabis businesses encouraging them to register with the DEA and warning of possible sanctions, including revocation of their state licenses, for failing to comply with federal requirements.

But the Oklahoma Medical Marijuana Authority, which oversees cannabis licensing and regulation in the state, told Stateline the letter came as a surprise and that it remains unclear whether federal officials actually intend to require DEA registration for medical operators.

Other states could adopt similar federal registration requirements, according to Trela, of the Rockefeller Institute of Government.

Cannabis research

Some researchers and experts say rescheduling marijuana could reduce longstanding barriers to studying its medical use, safety and long-term health effects.

Current research on marijuana’s effects falls short of what is needed to fully understand cannabis as a medical treatment, according to Chad Johnson, an assistant professor of pharmaceutical sciences at the University of Maryland School of Pharmacy. Johnson also is the director of the university’s medical cannabis graduate studies program.

“We really do need those randomized trials to really say that cannabis is effective for treating a particular condition,” Johnson said.

There are still major gaps in cannabis research, he said, including how it is formulated and delivered, such as whether methods beyond smoking, vaping or edibles may be more effective, and how to determine appropriate dosing for specific medical conditions.

Johnson added that rescheduling could allow academic institutions to study products already being sold in their respective states, making research more closely aligned with what consumers are actually using, rather than relying on cannabis sourced through federally authorized suppliers.

Some public health and addiction experts say the federal shift should not be interpreted as a signal that cannabis is risk-free, pointing to ongoing concerns about cannabis use disorders, dependency and effects on mental health.

“It’s going to reduce the public’s perception of risk of cannabis, and right now, I don’t think the public is aware of the high potency that cannabis has,” said Dr. Alta DeRoo, the chief medical officer of the Hazelden Betty Ford Foundation, one of the largest nonprofit treatment providers for addiction and mental health. DeRoo also is a board-certified addiction medicine physician and OB-GYN.

Some opponents of the change also argue it is driven as much by political and economic pressure from the cannabis industry as by evolving science.

“The issue is not research. The issue is money, tax breaks for an industry, and that’s really what the whole effort to relax marijuana laws is about,” said Kevin Sabet, a former drug policy adviser to three presidential administrations and the president and CEO of Smart Approaches to Marijuana, a nonprofit that opposes legalizing marijuana.

What’s next

New federal changes also could face court challenges or be reversed by a future administration, according to some cannabis policy experts.

Last week, the attorneys general of Indiana, Louisiana and Nebraska filed a petition for review in the U.S. Court of Appeals for the District of Columbia Circuit, arguing that the Justice Department’s rescheduling order violates federal administrative law. Louisiana and Nebraska have medical-only cannabis programs, while Indiana does not have a cannabis program at all.

Smart Approaches to Marijuana and the National Drug and Alcohol Screening Association filed a similar lawsuit earlier this month, arguing that the administration exceeded its authority under the Controlled Substances Act.

At the same time, the White House’s latest National Drug Control Strategy document also raised concerns about high-potency marijuana and warned that international cartels and organized crime groups continue to exploit state cannabis legalization laws.

Aside from criminal justice implications, federal restrictions have limited cannabis businesses’ access to banking, investment and long-term planning, even as state markets have expanded into a multibillion-dollar industry.

Banks have largely avoided working with cannabis businesses because marijuana remains broadly illegal under federal law, which exposes financial institutions to potential regulatory penalties and compliance risks even in states where cannabis is legal.

Several bills have been introduced in Congress that would provide protections for banks offering services to cannabis businesses, but no legislation has been adopted.

Stateline reporter Amanda Watford can be reached at awatford@stateline.org.

This story was originally produced by Stateline, which is part of States Newsroom, a nonprofit news network which includes Wisconsin Examiner, and is supported by grants and a coalition of donors as a 501c(3) public charity.

US Justice Department downgrades risk of state-licensed medicinal marijuana

23 April 2026 at 21:04
Buds of marijuana on display inside Mother Earth Wellness in Pawtucket, Rhode Island. (Photo by Christopher Shea/Rhode Island Current)

Buds of marijuana on display inside Mother Earth Wellness in Pawtucket, Rhode Island. (Photo by Christopher Shea/Rhode Island Current)

Medicinal marijuana products that are legal at the state level will see looser federal regulation under an order the U.S. Department of Justice published Thursday, while a process that could remove the drug in all forms from the federal list of the most dangerous drugs is set to begin in late June.

The order, signed by acting Attorney General Todd Blanche, shifts many marijuana products from Schedule I — the Drug Enforcement Administration’s list of drugs with the greatest potential for abuse and least legitimate use — to Schedule III. 

That will open the door to greater research and provide an effective tax break for businesses that sell medicinal marijuana that is legal under state law.

The move follows President Donald Trump’s executive order last year directing the DOJ to move toward rescheduling.

“The Department of Justice is delivering on President Trump’s promise to expand Americans’ access to medical treatment options,” Blanche said in a statement. “This rescheduling action allows for research on the safety and efficacy of this substance, ultimately providing patients with better care and doctors with more reliable information.”

The order applies to state-licensed medical marijuana products in the states that allow medicinal use of the drug.

The move means those businesses can deduct business expenses from their federal taxes and researchers have access to state-legal products. As a Schedule I drug, only cannabis grown in a federal facility could be studied, severely limiting the supply available to researchers.

The DEA also scheduled a hearing on broader reclassification to begin June 29 and end no later than July 15. That hearing will explore the possibility of rescheduling marijuana products that could include recreational use.

The order likely has no immediate impact on the difficulty marijuana businesses have had accessing the banking system. Institutions that lend to even state-legal businesses could be prosecuted on federal money laundering charges for offering banking services to businesses that violate federal drug laws.

‘Historic’ shift

Moving a limited number of products from Schedule I, which includes drugs such as heroin and cocaine, to Schedule III, which includes highly regulated prescription drugs such as acetaminophen with codeine, does not satisfy advocates who have called for complete legalization. 

But it does represent a major shift in the federal government’s official position on cannabis, several pro-legalization groups said.

“It’s historic because the federal government, historically, has denied the existence of medical cannabis, even as a concept,” Paul Armentano, the deputy director of the advocacy group the National Organization for the Reform of Marijuana Laws, said in an interview. 

The federal government was in recent memory “outright hostile” to medicinal marijuana, Armentano added. The order “finally acknowledges and recognizes not only the legitimacy of marijuana as a medicine, but also the legitimacy of these state programs, and it is trying now to integrate these state programs into our own existing federal regulatory schemes.”

Forty states and the District of Columbia allow medicinal marijuana.

Jasmine Johnson, CEO of Florida-based cannabis company GŪD Essence, wrote in an email that the federal government’s acknowledgement of cannabis’ legitimate medical value was the most important part of the order. 

“That shift alone helps move the industry out of decades of stigma and opens the door for expanded research, more institutional participation, and a more rational regulatory framework,” she wrote.

Medicinal vs. recreational

Recreational use will see no immediate changes from the order. In the 24 states in which recreational use, also called adult use, is legal, businesses that sell both medicinal and recreational products may experience confusion.

Chuck Smith, the CEO of Colorado Leads, an industry group, said in a statement that for Colorado cannabis businesses, “the immediate effects of this order are significant but relatively narrow.”

“Hybrid businesses should expect a transitional period in which federally covered medical activity and federally non-covered adult-use activity may be treated differently for registration, tax, and compliance purposes,” Smith said.

Such businesses would likely not see a tax benefit “when it comes to producing and selling, arguably, the products that consist of the majority of their business,” Armentano said.

Ryan Hunter, the chief revenue officer for Colorado-based marijuana company Spherex, called the DOJ order “a very silly announcement,” noting that it created a third regulatory category of a single plant species.

“Though this is all the same plant,” hemp and medical marijuana “are now considered Schedule III substances under the Controlled Substances Act (similar to Tylenol + Codeine),” while non-medical use is still considered Schedule I, he wrote in a statement. “My mind boggles at these arbitrary and artificial distinctions, but here we are.”

Eventual changes

Johnson, the Florida CEO, said she expected regulators to eventually merge how they treat different uses of the drug.

“The distinction between medicinal and recreational use has always been more regulatory than practical. From an operator’s standpoint, the same plant, supply chain, and compliance standards exist regardless of how it’s categorized,” she wrote. 

“Over time, we’ll likely see a continued shift toward a more unified framework that reflects how consumers actually engage with cannabis, rather than maintaining rigid distinctions that complicate operations.”

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