{"id":90875,"date":"2026-06-04T11:29:18","date_gmt":"2026-06-04T17:29:18","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=90875"},"modified":"2026-06-04T11:29:18","modified_gmt":"2026-06-04T17:29:18","slug":"marijuana-rescheduling-research-impact-patients","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/marijuana-rescheduling-research-impact-patients\/","title":{"rendered":"What new federal marijuana guidelines mean for research and patients. The bottom line: Recreational marijuana still is not legal in the U.S."},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_90993\" aria-describedby=\"caption-attachment-90993\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-90993\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2026\/06\/04112731\/GettyImages-1287812334-cannabis-research-web.webp\" alt=\"Federal officials are reconsidering marijuana\u2019s classification, a shift that could affect research and access to medical marijuana treatments. Photo: Getty Images. \" width=\"640\" height=\"426\" \/><figcaption id=\"caption-attachment-90993\" class=\"wp-caption-text\">Federal officials are reconsidering marijuana\u2019s classification, a shift that could affect research and access to medical marijuana treatments. Photo: Getty Images.<\/figcaption><\/figure>\n<p>Marijuana rescheduling is now underway in the U.S., marking a major shift in how federal officials view medical marijuana and marijuana-derived treatments.<\/p>\n<p>Marijuana has been classified as a <a id=\"\" href=\"https:\/\/www.dea.gov\/drug-information\/drug-scheduling\" target=\"_blank\" rel=\"noopener\">Schedule I<\/a> drug under the Controlled Substances Act since the law went into effect in 1970. That Schedule I designation for marijuana put the plant that produces psychoactive THC in the company of heroin and other Schedule I drugs, labeling them as having no accepted medical use and a high potential for abuse.<\/p>\n<p>But for years, people who use marijuana have fought the Schedule 1 classification, claiming that marijuana is less harmful than alcohol and other drugs.<\/p>\n<p>Starting in the early 2000s, states began legalizing what they called \u201cmedical marijuana,\u201d even though federal officials still classified the drug as illegal, and few clinical trials have proven whether or not marijuana works as medicine. The lack of research about marijuana has been closely tied to its status as a Schedule 1 drug.<\/p>\n<p>Colorado and Washington were among the first states to allow medical marijuana, and in 2012, Colorado voters passed a ballot measure that allowed people over the age of 21 to legally purchase recreational marijuana. Recreational weed shops soon popped up along with medical marijuana sellers, and many states followed Colorado and Washington.<\/p>\n<p>Today, <a id=\"\" href=\"https:\/\/www.cdc.gov\/cannabis\/about\/state-medical-cannabis-laws.html\" target=\"_blank\" rel=\"noopener\">47 states<\/a> allow medical marijuana. And some observational studies and anecdotal evidence from millions of marijuana users led to pressure on federal officials to reclassify marijuana.<\/p>\n<p>In 2022, the Biden Administration <a id=\"\" href=\"https:\/\/bidenwhitehouse.archives.gov\/briefing-room\/statements-releases\/2022\/10\/06\/statement-from-president-biden-on-marijuana-reform\/\" target=\"_blank\" rel=\"noopener\">instructed<\/a> medical experts at the U.S. Department of Health and Human Services and the U.S. Department of Justice to reassess marijuana\u2019s Schedule I status. In August 2023, Health and Human Services officials delivered a <a id=\"\" href=\"https:\/\/www.dea.gov\/sites\/default\/files\/2024-05\/2016-17954-HHS.pdf\" target=\"_blank\" rel=\"noopener\">lengthy report<\/a> to the Drug Enforcement Administration, recommending that marijuana be reclassified as a Schedule III drug, like ketamine and anabolic steroids.<\/p>\n<p>On Dec. 18, 2025, President Donald J. Trump <a id=\"\" href=\"https:\/\/www.whitehouse.gov\/presidential-actions\/2025\/12\/increasing-medical-marijuana-and-cannabidiol-research\/\" target=\"_blank\" rel=\"noopener\">ordered<\/a> Justice Department officials to change marijuana to a Schedule III drug. The order aimed to advance marijuana research. On April 23, Acting Attorney General Todd Blanche immediately\u00a0<a style=\"background-color: #ffffff\" href=\"https:\/\/www.justice.gov\/opa\/media\/1437751\/dl\" target=\"_blank\" rel=\"noopener\">reclassified<\/a>\u00a0a\u00a0<a style=\"background-color: #ffffff\" href=\"https:\/\/www.cbdmd.com\/blogs\/posts\/fda-drug-approved-cannabinoids-as-of-2025\" target=\"_blank\" rel=\"noopener\">handful<\/a> of U.S. Food and Drug Administration-approved marijuana-derived drugs, as well as state-approved medical marijuana products, as Schedule III drugs.<\/p>\n<p>The 2026 federal order also launched a <a id=\"\" href=\"https:\/\/www.justice.gov\/opa\/pr\/justice-department-places-fda-approved-marijuana-products-and-products-containing-marijuana\" target=\"_blank\" rel=\"noopener\">hearing process<\/a> related to the rescheduling of recreational marijuana, which remains on Schedule I. Those hearings are scheduled to start on June 29.<\/p>\n<h2><strong>What does marijuana rescheduling mean?<\/strong><\/h2>\n<p>As the shift from Schedule I to Schedule III takes place, what does it mean for patients, researchers and the future of cannabis science?<\/p>\n<p>To learn more, we spoke with two <a id=\"\" href=\"https:\/\/medschool.cuanschutz.edu\/\" target=\"_blank\" rel=\"noopener\">University of Colorado Anschutz School of Medicine<\/a> faculty members who are doing <a href=\"https:\/\/www.uchealth.org\/today\/does-marijuana-work-as-medicine-clinical-trials-testing-question\/\">three marijuana studies<\/a>. <a id=\"\" href=\"https:\/\/medschool.cuanschutz.edu\/orthopedics\/research\/labs\/lindley-lab\" target=\"_blank\" rel=\"noopener\">Emily Lindley<\/a>, is an associate professor of orthopedics with a doctorate in neurobiology. And <a href=\"https:\/\/www.uchealth.org\/provider\/rachael-rzasa-lynn-md\/\">Dr. Rachael Rzasa Lynn<\/a> is an <a id=\"\" href=\"https:\/\/som.cuanschutz.edu\/Profiles\/Faculty\/Profile\/20891\" target=\"_blank\" rel=\"noopener\">associate professor<\/a>, who is board-certified in pain medicine and anesthesiology and cares for patients at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-university-of-colorado-hospital-uch\/\">UCHealth University of Colorado Hospital<\/a> Pain Management Clinic.<\/p>\n<h2><strong>Why do we need research about the effects of marijuana?<\/strong><\/h2>\n<p>Despite industry claims and anecdotal reports, there\u2019s very little high-quality evidence on how well marijuana works as medicine. That\u2019s in large part because the Schedule I status has led to huge barriers in doing gold-standard randomized controlled trials.<\/p>\n<p>These clinical trials typically compare what happens when one group of people takes a drug and another group of people \u2014 those in the control group \u2014 take a placebo. These trials are highly structured, closely monitored and expensive, even without the additional challenges involving a Schedule I drug.<\/p>\n<p><strong>Researchers need a much<a href=\"https:\/\/www.uchealth.org\/today\/does-marijuana-work-as-medicine-clinical-trials-testing-question\/\"> better understanding of what marijuana can and can\u2019t do<\/a>, including the following:<\/strong><\/p>\n<ul>\n<li>How does marijuana work? There are <a id=\"\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33332000\/\" target=\"_blank\" rel=\"noopener\">hundreds of compounds<\/a> in a marijuana plant, including roughly 100 cannabinoids beyond the familiar THC and CBD.<\/li>\n<li>When does marijuana work poorly?<\/li>\n<li>How does it interact with other medications?<\/li>\n<li>Are there negative side effects?<\/li>\n<li>When can marijuana lead to positive effects for patients?<\/li>\n<\/ul>\n<h2><strong>Why has marijuana been so difficult to study? <\/strong><\/h2>\n<p>Studying marijuana hasn\u2019t just been a scientific challenge. Because marijuana is a Schedule 1 drug, researchers face major logistical challenges and barriers.<\/p>\n<figure id=\"attachment_89563\" aria-describedby=\"caption-attachment-89563\" style=\"width: 250px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-89563\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2026\/03\/27101824\/Emily-Lindley-PhD-web.webp\" alt=\"Emily Lindley has been working marijuana\u2019s effect on chronic pain for more than a decade. Its Schedule I status has presented major hurdles, she says. Photo: University of Colorado Anschutz School of Medicine.\" width=\"250\" height=\"313\" \/><figcaption id=\"caption-attachment-89563\" class=\"wp-caption-text\">Emily Lindley has been working on marijuana\u2019s effect on chronic pain for more than a decade. Its Schedule I status has presented major hurdles, she says. Photo: University of Colorado Anschutz School of Medicine.<\/figcaption><\/figure>\n<p>Scientists who choose to study the drug have to deal with hurdles, including strict storage and security requirements, along with significant infrastructure and administrative burdens.<\/p>\n<p>For example, to manage the marijuana for Lindley\u2019s first study, facility engineers with the university\u2019s <a id=\"\" href=\"https:\/\/www.colorado.edu\/ctrc\/\" target=\"_blank\" rel=\"noopener\">Clinical Translational Research Center<\/a> had to bolt a steel storage cabinet with a dozen narcotics cabinets into the wall of a drug-storage room. Each cabinet has a high-security double-lock, specialized hinges and an auto-lock mechanism that disables the lock if a worker uses the wrong key. The double locks require both an authorized clinical research nurse and a study team member to simultaneously insert their keys to open a door. Study managers also installed a security camera inside and outside the room, plus a passcode-protected door handle.<\/p>\n<p>Because Lindley needed to freeze the marijuana before using it with a study subject, the university installed an upright freezer and mounted 11 lockable freezer-safe medication boxes on its shelves.<\/p>\n<p>Engineers bolted the freezer to the floor and secured it with a heavy-duty padlock. Study teams have the keys to their medication boxes, but an authorized nurse must unlock the freezer before the person can access the medication.<\/p>\n<p>The exam room where patients inhale marijuana from a vaporizer for Lindley\u2019s pain study required a dedicated ventilation system.<\/p>\n<p>Then, when the research center moved across campus in 2021, the team had to build the same safeguards all over again.<\/p>\n<p>The ventilation requirements still might have been necessary had marijuana been classified as a Schedule III drug, but the new designation meant that the team wouldn\u2019t have required any of the rest of the safeguards.<\/p>\n<p>Because the university officials already have extensive security infrastructure in place, Lindley and Rzasa Lynn\u2019s ongoing research won\u2019t be affected by the reclassification of marijuana.<\/p>\n<p>Other institutions that might otherwise have supported marijuana research have not made such investments, so they might be more likely to support future studies.<\/p>\n<h2><strong>Patients might be more willing to volunteer for marijuana studies<\/strong><\/h2>\n<p>Researchers say that the change in marijuana\u2019s status could encourage some patients to join studies. Some patients have been wary about joining clinical trials that rely on drugs that are illegal under federal law.<\/p>\n<figure id=\"attachment_89562\" aria-describedby=\"caption-attachment-89562\" style=\"width: 250px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-89562\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2026\/03\/27101749\/Dr-Rachel-Rzasa-Lynn-web.webp\" alt=\"Dr. Rachael Rzasa Lynn, an anesthesiologist and pain management expert, says medical marijuana\u2019s move to Schedule III should help smooth the path for researchers doing randomized controlled clinical trials, medical science\u2019s gold standard. Photo courtesy of Dr. Rachael Rzasa Lynn.\" width=\"250\" height=\"335\" \/><figcaption id=\"caption-attachment-89562\" class=\"wp-caption-text\">Dr. Rachael Rzasa Lynn, an anesthesiologist and pain management expert, says medical marijuana\u2019s move to Schedule III should help smooth the path for researchers doing randomized controlled clinical trials, medical science\u2019s gold standard. Photo courtesy of Dr. Rachael Rzasa Lynn.<\/figcaption><\/figure>\n<p>A change to Schedule III could make some volunteers less hesitant and thus, make marijuana research more accessible and appealing to more people, Rzasa Lynn and Lindley say.<\/p>\n<h2><strong>How the new Schedule III status could change marijuana research<\/strong><\/h2>\n<p>Many of the barriers to marijuana research stem from the drug\u2019s Schedule I status. Any research related to Schedule I drugs requires a special license from the federal Drug Enforcement Administration, the Food and Drug Administration and reviews from the National Institute on Drug Abuse.<\/p>\n<p>The University\u2019s Colorado Multiple Institutional Review Board also weighs in. Administrators at all levels are understandably wary of the reputational and legal risks should something go wrong with a study of a Schedule I drug. Researchers must obtain marijuana for studies from one of seven <a id=\"\" href=\"https:\/\/www.nccih.nih.gov\/grants\/dea-approved-bulk-cannabis-suppliers\" target=\"_blank\" rel=\"noopener\">Drug Enforcement Administration-approved<\/a> bulk cannabis suppliers.<\/p>\n<p>Lindley and Rzasa Lynn have obtained marijuana for their studies from the original National Institute on Drug Abuse\u2019s facility at the University of Mississippi. That means, for their current study on <a id=\"\" href=\"https:\/\/clinicaltrials.gov\/study\/NCT05052541\" target=\"_blank\" rel=\"noopener\">how oral cannabis may affect chronic spine pain,<\/a> Rzasa Lynn and Lindley can\u2019t use products sold in dispensaries. Marijuana\u2019s Schedule I status also meant that the university\u2019s research pharmacy could not compound or manage its cannabis products. For their studies, they have had to collaborate with a pharmacist colleague from the University of Colorado Skaggs School of Pharmacy, adding complexity and cost. With marijuana on Schedule III, Lindley says, \u201cwe would be able to keep the products in the pharmacy behind the counter and have them manage them for us, do the blinding, and hand out the products.\u201d<\/p>\n<p>In some cases, researchers had to get creative.<\/p>\n<p>Schedule I drugs lacking the various approvals aren\u2019t even allowed on the Anschutz Medical Campus. So, for Lindley and Rzasa Lynn\u2019s ongoing <a id=\"\" href=\"https:\/\/clinicaltrials.gov\/study\/NCT05908552\" target=\"_blank\" rel=\"noopener\">observational study<\/a> on the impact of cannabis lotions and other topicals on chronic aches and pains, they had to convert a sprinter van into a mobile pharmacology lab that travels to study participants.<\/p>\n<p>But house calls have their limits. The school\u2019s liquid mass spectrometer, which could give researchers a more precise understanding of what exactly is in a given cannabis product, doesn\u2019t go along in the van.<\/p>\n<p>With marijuana on Schedule III, \u201ca lot of those big financial hurdles around infrastructure would all be eliminated, because we could finally bring it here and use the resources we already have on campus,\u201d Rzasa Lynn said.<\/p>\n<h2><strong>What challenges won\u2019t go away with marijuana rescheduling?<\/strong><\/h2>\n<p>While the new Schedule III reclassification will sharply reduce requirements to comply with Drug Enforcement Agency regulations, hurdles from the Food and Drug Administration aren\u2019t going away, Lindley and Rzasa Lynn said.<\/p>\n<p>To\u00a0<span style=\"margin: 0px;padding: 0px\">conduct a randomized controlled trial of a drug, researchers need to <a id=\"\" href=\"https:\/\/www.fda.gov\/drugs\/types-applications\/investigational-new-drug-ind-application\" target=\"_blank\" rel=\"noopener\">apply\u00a0for special approval<\/a> to work with<\/span>\u00a0investigational drugs.\u00a0The process is painstaking even without the special challenges of researching a drug like marijuana.<\/p>\n<p>Another challenge is that marijuana contains many active compounds. The Controlled Substances Act defines marijuana as \u201cthe seeds<\/p>\n<p>thereof; the resin extracted from any part of such plant; and every compound, manufacture, salt, derivative, mixture, or preparation of such plant, its seeds or resin.\u201d<\/p>\n<p>Further complicating matters is that, practically speaking, many clinical trials using marijuana plants would ideally fit under the Food and Drug Administration\u2019s approval process for botanicals, which would cover all the compounds in a given sample. But federal leaders have <a id=\"\" href=\"https:\/\/www.clinicaltherapeutics.com\/article\/S0149-2918(25)00407-2\/pdf\" target=\"_blank\" rel=\"noopener\">yet to approve<\/a> marijuana as a botanical.<\/p>\n<p>A related challenge is that the vast majority of commercial cannabis producers have been uninterested in the cost required to produce and test marijuana to the degree that federal authorities demand, Rzasa Lynn said.<\/p>\n<p>\u201cI think this is the big misunderstanding many people have around rescheduling: It won\u2019t eliminate that need to get federal approval of the product,\u201d she said.<\/p>\n<h2><strong>Why rescheduling marijuana may matter to patients<\/strong><\/h2>\n<p>The goal of marijuana research is to improve patient care by helping researchers and doctors understand whether marijuana and its cannabinoids might help people who are dealing with either physical or mental health challenges.<\/p>\n<p>Lindley and Rzasa Lynn see rescheduling as a big step that will help clear the path for researchers who are trying to answer questions for patients. But they caution that getting answers will take time.<\/p>\n<p>\u201cReclassification is a good thing for knowledge and science,\u201d Rzasa Lynn said. \u201cThere will be more people getting into cannabis research, which I think is great. I hope they\u2019re going to do high-quality research and approach from an agnostic standpoint.\u201d<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Marijuana rescheduling is now underway in the U.S., marking a major shift in how federal officials view medical marijuana and marijuana-derived treatments. Marijuana has been classified as a Schedule I drug under the Controlled Substances Act since the law went into effect in 1970. That Schedule I designation for marijuana put the plant that produces [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":90993,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[113,28,167,4781],"class_list":["post-90875","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-behavioral-health","tag-cancer-care-oncology","tag-clinical-trials","tag-research-in-health-care"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What medical marijuana&#039;s move to Schedule III means for research and patients - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Federal rescheduling of medical marijuana reduces red tape and adds certainty, but challenges remain before it can be confidently prescribed.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/marijuana-rescheduling-research-impact-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What new federal marijuana guidelines mean for research and patients. The bottom line: Recreational marijuana still is not legal in the U.S.\" \/>\n<meta property=\"og:description\" content=\"Federal rescheduling of medical marijuana reduces red tape and adds certainty, but challenges remain before it can be confidently prescribed.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/marijuana-rescheduling-research-impact-patients\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-04T17:29:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2026\/06\/04112731\/GettyImages-1287812334-cannabis-research-web.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Todd Neff, for UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Todd Neff, for UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/marijuana-rescheduling-research-impact-patients\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/marijuana-rescheduling-research-impact-patients\\\/\"},\"author\":{\"name\":\"Todd Neff, for UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/da7733ff5562e48e55c027d111ee5911\"},\"headline\":\"What new federal marijuana guidelines mean for research and patients. 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