Lack of Clear Guidance Raises Ongoing Access Concerns in Alabama Medical Cannabis Program

From the Alabama Cannabis Coalition

Montgomery — As Alabama’s medical cannabis program moves closer to full implementation, the Alabama Cannabis Coalition (ACC) is raising concerns about a persistent lack of clear, consistent public guidance for patients and healthcare providers—an issue advocates say could limit meaningful access across the state.

Advocates warn that without clear public guidance, confusion—not access—may define the program’s early rollout.

Recent developments, including the anticipated opening of dispensaries and required training for industry personnel, signal progress within the program. However, for many Alabamians, the path to participation remains unclear.

“Access doesn’t begin at the dispensary door—it begins with informed patients,” said Marty Schelper, Founder and President of the Alabama Cannabis Coalition. “Right now, patients—and even providers—are still seeking clear guidance on how to participate in the program.”

The ACC reports ongoing confusion among patients regarding basic steps, including how to begin the process, what is required for physician certification, and what is necessary to maintain eligibility over time. Healthcare providers have also reached out seeking clarification on program requirements, further highlighting gaps in accessible information.

The organization is also hearing from other stakeholders, including prospective licensees, who report difficulty obtaining timely, actionable guidance on how to participate in the program.

Information confirmed through direct inquiry indicates that while patient registration cards are valid for one year, physician certifications may expire as frequently as every 90 days—and as often as every 30 days for certain patients. This may require multiple in-person visits annually to maintain continuous access.

For many patients, maintaining access may depend not just on eligibility—but on their ability to repeatedly navigate and afford the process.

Advocates say this structure may create a process that is time-intensive, complex, and financially burdensome—particularly for patients managing chronic or serious medical conditions who rely on consistent access.

In addition, the ACC has identified challenges in obtaining clear, actionable guidance through official communication channels. Inquiries submitted by patients have, at times, resulted in responses that lack sufficient detail, leaving key questions unresolved.

The ACC also notes the limited availability of real-time communication options for patients seeking clarification. Reliance on email-based responses for complex questions may contribute to delays and incomplete understanding, particularly when timely guidance is needed.

“At this stage of implementation, patients and providers are still seeking clarity on basic participation requirements,” Schelper said. “Clearly identifying which entity is responsible for delivering that guidance is essential to ensuring the program functions as intended.”

In addition to process concerns, the ACC is also raising questions about the broader financial burden associated with participation. Requirements related to physician visits, ongoing certification, and other program costs may present challenges for patients, particularly those managing chronic or serious medical conditions.

“Patients deserve more than a program on paper—they deserve a system they can realistically access, understand, and afford,” Schelper added. “Without clear guidance and reasonable access, participation may remain out of reach for many Alabamians.”

The ACC emphasizes that it is not affiliated with any regulatory agency but continues to serve as a grassroots resource for citizens seeking general information about Alabama’s medical cannabis program. The organization is urging state agencies to prioritize a coordinated public information effort to ensure patients and providers have the tools they need to participate effectively.

For more information and general guidance, visit:
https://www.alabamacannabiscoalition.org/medical.