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Each year, ASA, the nation’s largest nonprofit that represents medical cannabis patients, doctors, and researchers, prepares a report that assesses legislative and regulatory improvements in medical cannabis programs across the country. The report evaluates the effectiveness of each state cannabis program from a patient perspective and assigns a grade using a rubric that reflects the key issues affecting patient access broken down into over 100 categories, including barriers to access, civil protections, affordability, health and social equity, and product safety as well as penalties for harmful policies.

ASA distributes the report each year to state legislators and regulators in every state, as well as hundreds of health organizations and patient organizations.

The report also offers solutions for improvement to programs including legislative and regulatory language. Since its first edition in 2014, advocates and state legislators have utilized ASA’s report to pass new legislation and regulations to improve laws. Check out the 2021 State of the States report here

Who sees the State of the State Report?

  • ASA sends a digital copy to every governor, state representative, and medical cannabis
  • Universities, trade organizations, and patient and health organizations receive a copy
  • On the launch, ASA hosts an editorial briefing for media outlets across the US
  • The ASA SOS Report receives news coverage year round

What is the impact of the State of the State’s report?

  • Every year state legislatures utilize ASA’s SOS report as a guide for new legislation to
    improve their medical cannabis report
  • Media utilizes the state grades to evaluate state programs

What is in the State of State report?

  • Report Cards for every State and Jurisdiction 
  • Medical Cannabis Timeline
  • Universal Improvements and Model Legislation
  • Recommendations for Regulators
  • State Government's Role in Ending Federal Prohibition
  • Gold Standards

Each State Report Card Includes:

  • Overall score from A-F
  • List of over 170 graded metrics 
  • Analysis of state program
  • Penalties
  • Improvements and Recommendations
  • Patient Feedback


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