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Abstract An influential cannabis lobby and its allies are engaged in an aggressive initiative to mandate health and workers compensation insurance coverage for non-standardized, non-FDA-regulated cannabis products. If successful, mandated reimbursement would present a severe public health risk and force taxpayers to fund a risky and under-regulated industry. Leaders in psychiatry and other medical specialties have sounded the alarm about the marketing and sale of cannabis products for medical uses without prior review by the FDA. We echo their strong opposition to bills requiring workers compensation carriers and health insurance plans to cover the cost of dispensary-purchased “medical” cannabis. Mandated insurance reimbursement of dispensary products is “a recipe for a public health disaster, as lowering or eliminating out-of-pocket costs will encourage more consumers to become certified under a states medical cannabis program, and result in more frequent use of higher-potency cannabinoids （e.g., THC and CBD） that are associated with serious adverse events.” Until there are thorough studies into these products, including adverse events, side effects and long-term concerns, these products should not be considered appropriate alternatives to FDA-approved medications. Their use should not be encouraged nor paid for through mandated reimbursement by public or private third-party payers.
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