How Does Your State Rate for Medical Marijuana in 2019?

By David Downs for Leafly

Sorry, Texas.

The world’s leading medical cannabis patient advocacy group, Americans for Safe Access (ASA), reports that residents of the Pacific island territory of Guam have better options to treat chronic pain and other ailments than their fellow Americans in Texas and the Southeast. That’s according to ASA’s 2019 State of the States Report, an annual evaluation published recently.

ASA aims the report at lawmakers each year, prodding them to make progress relative to their neighbors. Each US state and territory gets a grade, yielding an annual map of unequal protection for 126 million Americans with chronic pain, which is cannabis’ number one qualifying condition.

On the positive side, we’re seeing medical cannabis deployed against the opioid epidemic in Illinois (A-), New York (B-), and California (B+). Oklahoma, Ohio, and Florida all made heartening progress—two Bs and a C (up from Fs in 2015).

That contrasts with the frustrating stasis happening in Texas and throughout the Southeast—all of which got Fs. Guam got a C, by the way.