NEW YORK - Medical marijuana dispensaries could open in New York state next week, but patients may still be waiting to get access. The Compassionate Care Act, signed into law in July of last year, set Jan. 5, 2016 as a target date for up to 20 dispensaries to open statewide.

But Julie Netherland of the Drug Policy Alliance says the state Department of Health didn't launch the system to register and train doctors until last October and patient registration just opened last week.

"So that leaves patients very little time to find a physician, to get certified by that physician and then to apply to the state Department of Health for a patient ID card," says Netherland.

The Department of Health also has not published a list of doctors trained to certify medical marijuana patients, making it difficult for patients to identify a qualified physician.

Since the state passed its medical marijuana law, Beverly McClain, a cancer patient who championed the bill, has died without ever being certified to use the drug. And Netherland points out that access can literally be a matter of life or death to some children who have a severe form of epilepsy.

"Medical marijuana, in some cases, can really reduce both the number and severity of those seizures," she says. "And that can be life saving for these young kids because any one of these seizures can take their life."

Netherland says at least three children have died from epileptic seizures in New York in the past 18 months.

New York only lists 10 illnesses that qualify for medical marijuana and restricts the forms available to capsules, oils and liquids. Smoking and edible products are not allowed. And there will only be 20 dispensaries in a state with 20 million people covering 54,000 square miles. Netherland maintains that regulating medical marijuana is necessary, but of the 23 states that allow its use, New York is one of the most restrictive.

"What we've seen in New York is they have tipped the scales too far and over-regulated the program to such a degree that it really can restrict patient access," Netherland says.

Last month Gov. Andrew Cuomo signed the Medical Marijuana Emergency Access bill, intended to get marijuana to critically ill patients more quickly. But the Drug Policy Alliance says so far there's no indication that the law has had any impact.


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After more than 50 years of use, some Michigan lawmakers say naloxone may not be the best choice in an overdose situation.

Naloxone is sometimes called the "Lazarus drug" because of its powerful ability to seemingly resurrect people after a drug overdose.

Sen. Kevin Hertel, D-St. Clair Shores, and some of his colleagues have introduced a bill which would open the door for what they say are more costly, but more powerful, antidotes.

"Given the prevalence of fentanyl in our communities, and how much stronger some of these drugs that we're now seeing are, we believe -- and in talking with others -- that there should be other tools to respond to an overdose," Hertel explained. "To make sure we're doing everything we can to save somebody's life."

Not everyone is on board with the proposed legislation, Senate Bill 542. Opponents argued the more expensive naloxone alternatives are not necessary, and using them would only increase profits for the pharmaceutical industry.

Jonathan Stoltman, director of the Opioid Policy Institute in Grand Rapids, said while the naloxone alternatives do help in overdose situations, they can also cause nasty side effects.

"The newer approaches, they put people into more severe withdrawal," Stoltman pointed out. "That's a pretty profound negative side effect. The one approach is very inexpensive and works great; the other approach is far more expensive and has this strong negative side effect."

Sponsors of the bill say they're hoping to give Michigan residents a chance to chime in on the issue in a public hearing sometime in June. Michigan saw more than 3,000 opioid overdose deaths in 2021.


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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.

Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.

"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained

Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.

Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.

"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.

Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.

New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.

The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.

"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.

Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.

Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."

"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.

Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.