On April 23, the U.S. Department of Justice and its Drug Enforcement Administration published a final rule that declared marijuana 100 percent federally legal when either FDA-approved and prescribed by a doctor or as recommended by an authorized medical provider in compliance with a state medical cannabis program.
Marijuana is listed under the Controlled Substances Act as a Schedule 1 narcotic, along with other drugs such as heroin, LSD and quaaludes, that have no currently accepted medical use and a high potential for abuse. Schedule 2 drugs have accepted medical uses but still have a high potential for abuse, such as cocaine, methamphetamines, oxycodone and fentanyl. Schedule 3 drugs also have accepted medical uses but a moderate to low potential for abuse, such as anabolic steroids, ketamine and Tylenol with codeine.
For the last year, there has been strong momentum to move marijuana from Schedule 1 to Schedule 3, and several months ago, President Donald Trump issued an executive order to the DEA to do so. He forcefully reiterated this order a few weeks ago, but until April 23, it appeared that the DEA was continuing to slow-walk the process, and conventional wisdom was that at least another year would pass before it actually happened.
The April 23 final rule caught nearly everyone by surprise. Moving from Schedule 1 to Schedule 3 was expected to have the limited effect that federally sanctioned pharmaceutical research and clinical study could proceed, and once the FDA eventually approved specific formulations, then physicians could prescribe and pharmacies could dispense those prescriptions. In other words, it legalized the birth of a pharmaceutical channel for cannabis that could take shape over the following 5-10 years.
It would also have the effect of ending the applicability of an IRS provision affecting businesses trading in Schedule 1 and 2 drugs that, up to now, has suffocated the profits of state-legal cannabis businesses.
But the DOJ and DEA went further via the April 23 final rule, taking the novel approach that state medical programs already maintain high levels of regulation and oversight, functionally and sufficiently similar to the traditional pharmaceutical sector of drug manufacturers, distributors, pharmacies and medical providers.
So medical providers can now certify patients (a de facto prescription) as qualified to possess and consume cannabis when purchased from a state-licensed medical dispensary (a de facto pharmacy), conveying the same legality as Tylenol with codeine.
What is the practical meaning and effect of all this?
Most importantly, medical cannabis is now 100 percent federally legal, although recreational and adult use is not, and the businesses engaged in recreational production and sales are still subject to the many suffocating restrictions by remaining in Schedule 1. The DEA is continuing the slow bureaucratic process of also moving recreational cannabis to Schedule 3, but when that happens, the only additional benefits those businesses would enjoy are relief from the burdensome IRS tax provisions, since they have no mechanism for certifying (prescribing) for medical purposes.
Big news is that holders of valid, state-issued medical patient cards are no longer subject to any restriction on their Second Amendment rights, effective immediately. In fact, presenting a valid patient card to a firearms dealer now constitutes proof of this and can now truly be considered a Cannabis Carry License™. Medical cannabis patients are also now free to transport their cannabis medicine across state lines, on aircraft or internationally as they wish.
Medical cannabis licensees are relieved of their previous IRS tax burdens, and the DOJ has even recommended that the IRS strongly consider refunding retroactively previous years’ taxes paid under the now-inapplicable provision, resulting in potential cash windfalls for many affected businesses.
Traditional banking, lending, credit card and other financial services will soon become readily available to medical cannabis businesses, as will other avenues previously barred to both medical cannabis patients and businesses, such as access to federal grants, loans, mortgages, employment, relief in federal courts including the right to file for bankruptcy protection, access to the stock market and traditional investment accounts, access to traditional sources of capital and investment, insurance and more — in other words, the right to operate as fully legal individuals and enterprises.
As if that is not enough, this final rule also legalizes import and export of medical cannabis, so our cannabis businesses will be able to obtain a DEA license to trade with other countries, and when individual states update their laws, with them as well. Importantly, this will allow U.S. businesses to finally enter and compete in the national and international markets.
And of course, here in New Hampshire, it is easy and virtually free for anyone to qualify and obtain certification as a medical cannabis patient. Also, it is looking like we will begin patient home delivery of medical cannabis by this fall, so travel to one of the few medical dispensaries in New Hampshire or out of state will no longer even be necessary. Exciting times indeed!
Nathaniel Gurien lives in Sandwich and is executive director of the NH Cannabis Party. He can be reached at nathaniel@nhcannabis.org.

(1) comment
Legalizing marijuana for adult recreational use carries significant risks of unintended negative consequences for teenage behavior, primarily through mechanisms like reduced perceived harm, increased normalization and availability (even if illegal for minors), shifts toward higher-potency products, and spillover effects on adolescent brain development and decision-making. While some studies (Legalization Lobby Sponsored) show mixed or null effects on the overall prevalence of teen use, others document increases in specific patterns of use, cannabis use disorder (CUD), mental health issues, academic problems, and risky behaviors such as impaired driving. These outcomes stem from adolescence as a critical window of brain vulnerability, during which the endocannabinoid system heavily influences prefrontal cortex maturation, which is involved in impulse control, motivation, and executive function.
Legalization often lowers the perceived risk among youth without fully restricting access.
In Colorado, the perceived harmfulness of marijuana among high school students dropped significantly after recreational sales began (from 52.9% to 47.7%).
A University of Washington longitudinal study found that legalization may have slowed prior downward trends in teen marijuana use, with recent cohorts more likely to use than expected absent the policy change.
A 2024 meta-analysis of recreational cannabis laws (RCL) found modestly increased odds of past-month use among youth, with stronger effects in more recent studies.
In California, adolescent cannabis use rates rose after recreational legalization and retail sales implementation before declining post-COVID.
Legal states have also seen shifts toward riskier consumption: higher use of edibles and concentrates among teens compared to non-legal states.
Cannabis use disorder among past-year adolescent users increased from 22.8% to 27.2% following recreational legalization in some analyses.
Adolescent cannabis abuse reports rose dramatically (245% since 2000), linked partly to greater availability and perceptions of safety from adult legalization.
And then there is this:
Adolescent cannabis use is linked to heightened risks of serious psychiatric outcomes, which legalization can exacerbate by increasing exposure. A large Kaiser Permanente study of over 463,000 adolescents (ages 13-17) followed into young adulthood found past-year cannabis use associated with roughly double the risk of psychotic disorders and bipolar disorder, 34% higher risk of depression, and 24% higher risk of anxiety disorders—even after adjusting for prior mental health and other substance use.
Johns Hopkins research similarly tied cannabis use disorder in youth (under 17) to substantially elevated risks of subsequent schizophrenia (52% higher relative risk), recurrent major depression, and anxiety compared to other substance use disorders.
Greater density of cannabis retailers near teens correlates with higher rates of psychotic, depressive, and anxiety disorders.
These risks align with broader evidence that adolescent exposure predicts up to a twofold increase in psychosis/schizophrenia risk in adulthood, plus modest increases in depression, suicidal ideation, and attempts.
Frequent adolescent cannabis use is associated with deficits in neurocognitive performance, including memory, attention, executive function, and slower cognitive development gains.
And I could go on, but is that really necessary?
With all of the issues that our youth are forced to wrestle with, between the pressures of adolescence, the ubiquitous social media influences, a spiraling public education system, the constant assault on normal behaviors being questioned, and not the least of all, the recent displays of violent, explosive behavior broadcast across our monitors. Why on Earth would we even consider, let alone vigorously lobby for, such an irresponsible agenda?
If anything, it's time to pull back and examine what we have already done and say, “Stop! No more.”
It’s time that we seriously consider the safety and preservation of our youth over the profits that the Marijuana Legalization Industry stands to gain and the politicians hope to make in revenue. Because that really is the only thing driving this agenda, the money.
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