Report: State Level Marijuana Reform: Lessons Learned and Ongoing Challenges

Report July 30, 2025
Various cannabis products on display at the Housing Works cannabis dispensary in NYC.

Marijuana policy reform in the U.S. has changed remarkably over the last 29 years.

 

In 1996, California became the first state to legalize medical cannabis. Since then, many states have decriminalized or legalized cannabis for both medical and adult use.

These policies have produced many positive outcomes:

But, they have also introduced new challenges and unintended consequences.

In response, the Drug Policy Alliance organized a series of focus groups to gather insights from a wide range of experts.

The focus group findings highlighted different areas of successes and challenges for marijuana policy.

In summary, they concluded that effective marijuana policies must:

DPA thanks all focus group experts for sharing their insights on lessons learned from marijuana reform.  Their thoughts on key achievements and ongoing challenges will continue to provide important guidance.

The Drug Policy Alliance will continue to work on addressing the impacts of marijuana policy while advocating for a sensible path forward.

Read our report: State-Level Marijuana Reform: Lessons Learned and Ongoing Challenges

A young woman holds a sign that says "End the Drug War."

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