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Despite high prices, patients happy with Ohio’s medical marijuana program

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This story was republished with permission from Crain’s Cleveland Business and written by Jeremy Nobile

For the third year in a row, medical marijuana patients have reported increasing levels of satisfaction with the Ohio Medical Marijuana Control Program (OMMCP), according to The Ohio State University’s Drug Enforcement and Policy Center (DEPC).

Medical marijuana sales began in Ohio in January 2019, and this new study marks the DEPC’s sixth annual report tracking progress and developments in the medical program.

Here are some of the many key takeaways outlined in DEPC’s latest study.

Patient satisfaction

In 2024, 31% of patients surveyed by DEPC reported being “extremely” satisfied with the medical program, while 43% said they were “somewhat” satisfied. In other words, 74% of respondents were generally satisfied with the program.

Meanwhile, 20% said they were either “extremely” (6%) or “somewhat” (14%) dissatisfied.

These figures are a marked improvement from last year.

In 2023, 19% and 43% of respondents reported being either “extremely” or “somewhat” satisfied, respectively, which comes out to a 62% satisfaction rate.

Meanwhile, 30% said they were either “extremely” (10%) or “somewhat” (20%) dissatisfied in 2023.

While dissatisfaction with the program has decreased, the reasons for that dissatisfaction have largely stayed the same.

“Factors driving patient dissatisfaction stayed consistent with 2023, with 70% of respondents reporting that their dissatisfaction is driven by the high prices in Ohio dispensaries, 56% citing the high cost of annual fees and doctor recommendation and 47% citing lack of legal protections for employment,” according to DEPC.

On the policy front, DEPC suggests that changes that could further increase patient satisfaction include providing legal protections for employment, allowing home delivery and not requiring an annual medical patient registration.

Lower patient participation

Despite medical customers being increasingly happier with the medical program, the number of registered patients has decreased.

There were just 159,997 actively registered medical marijuana patients in the state as of July 31, according to the Division of Cannabis Control (DCC).

This means that less than 1.4% of the state’s approximately 11.8 million people are medical marijuana patients. Operators have historically expected around 2% to 3% of a state’s population to be medical patients.

According to data tracked by DEPC, the medical population peaked in size in October 2023 at 184,958 registered patients. So patient rolls have decreased by about 13.5% since then.

It’s common for a state’s medical population to decrease as non-medical sales come online.

As DEPC notes: “This is not surprising given similar experiences of all other states that have transitioned to adult-use market. Their experience also shows that the extent of the decline will depend on the degree to which regulators and policymakers are willing to make changes to policies that affect patients’ access to marijuana products and their satisfaction levels.”

The pool of physicians with certificates to recommend medical marijuana has also decreased from a peak of 648 in June 2023 to 597 in July.

Sales up, but growth rate slowed

According to DEPC’s analysis, sales of medical marijuana flower increased 30% between fiscal years 2023 and 2024 (Ohio is on a July to June fiscal year), while sales of manufactured products increased 20%.

While the medical market grew, that growth rate slowed compared to the prior year. And there are also signs of medical sales activity slowing since adult-use sales began.

Between fiscal years 2022 and 2023, sales of medical plant material and manufactured products increased 39.6% and 33.9%, respectively, according to DEPC.

In total, there has been approximately $1.95 billion in medical marijuana sales in Ohio since January 2019 through Sept. 7, according to the latest DCC data.

Adult-use sales began in Ohio on Aug. 6. Since then, medical marijuana sales remain relatively strong, though they have slowed.

Across three weeks in September, there’s been an average of $7.28 million in total medical marijuana sales per week or roughly $1.04 million per day.

In August, there was an average of $7.9 million in medical sales per week or roughly $1.25 million per day.

Tax collections flat

DEPC reports that despite the “robust growth in total sales, sales receipts remained largely flat due to declining prices, increasing only by 2% from $478,067,435 in FY23 to $487,589,380 in FY24,” according to DEPC. “This is a significantly lower growth rate than the 10% recorded from FY22 to FY23.”

As of March 31, Ohio “collected $95,875,003 of total marijuana tax revenue from the 5.75% state sales tax,” according to DEPC. “Municipalities, counties, and other regional entities have collected an additional $24,889,170 from local sales taxes ranging between 0.5% (to) 2.25%.”

DEPC reports that tax revenue collections in Ohio “follow a similar pattern seen in other states, with an initial rapid growth of 168.5% in its third year of operations, followed by 39% and 10.9% in its fourth and fifth year, and finally plateauing in its sixth year with virtually flat tax revenue collection.”

Decreasing prices jump with adult-use launch

The average price per gram of medical marijuana flower decreased 19.8% from $7.67 in FY 2023 to $6.15 in FY 2024, according to DEPC. Meanwhile, the average price per unit of manufactured product decreased 18.5% from $34.35 in FY 2023 to $28 in FY 2024.

“However, June and July of 2024 recorded the highest average plant prices ($7.28 and $7.83 respectively) since January 2023 and November 2022,” according to DEPC, “which could be an indication that dispensary pricing is likely to be negatively affected at least initially by the beginning of recreational marijuana sales.”

According to the latest state data, in the first week of September, the average price per gram of marijuana flower in the state (so inclusive of medical and non-medical products) was $8.95 per gram or $25.32 per one-tenth of an ounce (i.e. one “day unit”), and the average price on manufactured products per unit was $30.51.

Ohio prices do seem comparatively high when juxtaposed with neighboring Michigan. According to DEPC, “prices in Ohio dispensaries continue to be approximately 70% higher than in Michigan dispensaries.”



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Nebraska medical cannabis regulations stall in legislative committee

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A Nebraska legislative committee voted 5-3 against advancing a bill designed to implement and regulate the state’s medical cannabis program, leaving legislators and advocates searching for alternative paths forward, according to the Nebraska Examiner.

The General Affairs Committee rejected Legislative Bill 677, sponsored by State Sen. Ben Hansen of Blair, during a Thursday vote where committee members declined to offer amendments to the legislation, the publication reported.

“I don’t want to shut all the doors right now, but some doors are closing, and they’re closing fast, and so we have to act,” Hansen told reporters after the vote, according to the Examiner.

Nebraska voters approved medical cannabis in November 2024, with residents legally permitted to possess up to 5 ounces with a healthcare practitioner’s recommendation since mid-December. However, the regulatory commission created by the ballot initiative lacks effective power and funding to regulate the industry.

Hansen described his legislation as “a must” for 2025 to prevent a “Wild West” scenario in the state’s cannabis market. The bill would have expanded regulatory structure through the Nebraska Medical Cannabis Commission and extended deadlines for regulations and licensing to allow more time for implementation, the Examiner noted.

Committee disagreements centered on proposed restrictions. A committee amendment would have prohibited smoking cannabis and the sale of flower or bud products while limiting qualified healthcare practitioners to physicians, osteopathic physicians, physician assistants or nurse practitioners who had treated patients for at least six months.

The amendment also would have limited qualifying conditions to 15 specific ailments including cancer, epilepsy, HIV/AIDS, and chronic pain lasting longer than six months.

State Sen. Bob Andersen of Sarpy County opposed allowing vaping due to concerns about youth drug use, while committee chair Rick Holdcroft suggested selling cannabis flower would be “a gateway toward recreational marijuana,” a claim Hansen “heavily disputed,” according to the Examiner.

Hansen now faces a difficult path forward, requiring at least 25 votes to pull the bill from committee and then needing 33 senators to advance it across three rounds of debate, regardless of filibuster attempts.

Crista Eggers, executive director of Nebraskans for Medical Marijuana, remained optimistic despite the setback.

“This will not be the end,” Eggers said, according to the outlet. “Giving up has never been an option. Being silenced has never been an option. It’s not over. It’s not done.”

The legislative impasse is further complicated by ongoing litigation. Former state senator John Kuehn has filed two lawsuits challenging the voter-approved provisions, with one appeal pending before the Nebraska Supreme Court. The state’s Attorney General is also trying to do something about the hemp question, akin to other states across the country.



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One of Las Vegas’ cannabis lounges closes its doors

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Nevada’s cannabis lounge experiment faces some expected growing pains, with one of just two state-licensed venues closing its doors after barely a year in business, according to the Las Vegas Weekly.

“The regulatory framework, compliance costs and product limitations just don’t support a sustainable business model,” said Thrive Cannabis managing partner Mitch Britten, who plans to convert the space into an event venue until regulations loosen up.

The closure leaves Planet 13’s Dazed Consumption Lounge as the only operational state-regulated cannabis lounge in Nevada. Dazed manager Blake Anderson estimates the venue attracts around 250 customers daily, primarily tourists. One other establishment, Sky High Lounge, has operated since 2019 on sovereign Las Vegas Paiute Tribe land exempt from state regulations.

Even with Nevada regulators conditionally approving 21 more lounge licenses, potential owners are struggling to meet the $200,000 liquid assets requirement – particularly social equity applicants from communities hit hardest by prohibition.

Recreational marijuana has been legal statewide since 2017, but public consumption remains prohibited. That’s created an obvious disconnect for the millions of tourists who visit Las Vegas annually but have nowhere legal to use the products they purchase. The state recorded roughly $829 million in taxable sales during the 2024 fiscal year.

“It always comes down to money, and it’s difficult to get a space if you can’t afford to buy a building. On top of that, getting insurance and finding a landowner who’s willing to lease to a cannabis business is a challenge in and of itself,” said Christopher LaPorte, whose consulting firm Reset Las Vegas helped launch Smoke and Mirrors, told Las Vegas Weekly.

Many think the key to future success lies in legislative changes that would allow lounges to integrate with food service and entertainment – playing to Las Vegas’s strengths as a hospitality innovator. In the meantime, the industry will continue to adapt and push forward.

“Things take time,” LaPorte said. “There’s a culture that we have to continue to embrace and a lot of education that we still have to do. But at the end of the day, tourists need a place to smoke, and that’s what these places are.”



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Psyence Group consolidates its shares

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Psyence Group Inc. (CSE: PSYG) told investors that it will be consolidating all of its issued and outstanding share capital on the basis of every 15 existing common shares into one new common share effective April 23, 2025 with a record date of April 23, 2025. As a result of the consolidation, the issued and outstanding shares will be reduced to approximately 9,387,695 on the effective date.

This is the second time a Psyence company has consolidated shares recently. In November, its Nasdaq-listed associate, Psyence Biomedical Ltd. (Nasdaq: PBM), implemented a 1-for-75 share consolidation as the psychedelics company worked to maintain its Nasdaq listing.

Psyence Group reported earnings in February when the company delivered a net loss of C$3 million and was reporting as a going concern. At the end of 2024, the company said it had not yet achieved profitable operations, has accumulated losses of C$48,982,320 since its inception.

Total assets at the end of 2024 were C$11,944,478 and comprised predominantly of: cash and cash equivalents of C$10,611,113, other receivables of C$159,808, investment in PsyLabs of C$1,071,981 and prepaids of C$68,243.

Still, the company is pushing ahead. Psyence told investors that it has historically secured financing through share issuances and convertible debentures, and it continues to explore funding opportunities to support its operations and strategic initiatives. “Based on these actions and
management’s expectations regarding future funding and operational developments, the company believes it will have sufficient resources to meet its obligations as they become due for at least the next twelve months,” it said in its last financial filing.

The company said it believes that the consolidation will position it with greater flexibility for the development of its business and the growth of the company.

 



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