Struggles in Georgia’s Medical Cannabis Industry: Limited Access for Patients


Georgia’s medical cannabis industry is facing significant challenges when it comes to expanding access to patients across the state. Since April 2023, patients have been allowed to possess low-THC oil, but obtaining the necessary cards has proven to be difficult. The process requires patients to have a qualifying medical condition and seek verification from a certified physician. However, many doctors are hesitant to prescribe medical cannabis due to its lack of FDA approval and the restrictions imposed by Georgia’s laws. Furthermore, the cost of consultations and products, as well as the absence of insurance coverage, pose additional barriers for patients. Stigma and confusion surrounding the laws also contribute to the limited access to medical cannabis. Despite these struggles, there is hope for the industry, with the introduction of partnerships with pharmacies that aim to increase accessibility for patients across the state.

Limited Access for Patients in Georgia’s Medical Cannabis Industry

Access to medical cannabis in Georgia has been a challenge for many patients due to several factors. From difficulties with the registration process to the high cost of consultations and low-THC oil cards, patients face numerous barriers to access. Additionally, the legal gray area surrounding medical cannabis in Georgia and the low number of registered patients further contribute to the limited access. However, efforts are being made to combat stigma and increase accessibility through education and partnerships with pharmacies. In this article, we will explore these challenges and potential solutions in more detail.

Challenges with the Registration Process

Lack of Awareness Among Doctors

One of the major challenges faced by patients in Georgia’s medical cannabis industry is the lack of awareness among doctors. Many physicians are unfamiliar with the registration process and requirements, making it difficult for them to provide guidance to their patients. This lack of knowledge and understanding can lead to frustration and confusion for patients like Sylvia Hayes, who desperately need access to medical cannabis for their chronic pain.

Certification Process for Physicians

Another hurdle in the registration process is the certification process for physicians. Not all doctors are eligible to certify patients for medical cannabis use in Georgia. Physicians must go through a separate application process to become approved by the state, and not all doctors choose to pursue this certification. This limited availability of certified physicians further restricts patients’ ability to access medical cannabis.

Transparency Issues with the Department of Public Health

Transparency issues with the Georgia Department of Public Health (DPH) further complicate the registration process. The DPH does not disclose the number or locations of certified doctors, making it challenging for patients to find physicians who can certify them. This lack of transparency creates frustration and uncertainty for patients, who may struggle to navigate the already complex registration process.

Cost as a Barrier to Access

Consultation Appointment Costs

Cost is a significant barrier to access for many patients in Georgia’s medical cannabis industry. Consultation appointments with outside physicians can range from $100 to $200, making it unaffordable for some patients, especially those with limited financial resources. These high consultation costs create an additional burden and prevent some patients from even pursuing medical cannabis as an option.

Fees for Low-THC Oil Cards

In addition to consultation costs, there are fees associated with obtaining low-THC oil cards. The card itself comes with a $25 fee, which may not seem exorbitant to some. However, for patients who are already struggling financially, every additional cost adds up. These fees create a financial barrier that prevents some patients from accessing the relief they need.

Expensive Products

The cost of medical cannabis products themselves can also be a barrier to access. Low-THC oil products can range from $40 to $120, depending on the type and quantity. These prices, combined with the absence of insurance coverage for medical cannabis, make the products unaffordable for many patients. The high cost of products further limits access and perpetuates health inequalities among patients with chronic conditions.

Combatting Stigma and Misconceptions

Education and Outreach Efforts

To combat the stigma and misconceptions surrounding medical cannabis, education and outreach efforts are crucial. Many people, including healthcare professionals and patients, have grown up believing that marijuana is a gateway drug or that its use leads to negative consequences. It is essential to provide accurate information and resources to dispel these myths and ensure that patients are well-informed about the potential benefits and risks of medical cannabis.

Role of Champ Bailey as Spokesperson

Former NFL player Champ Bailey has taken on the role of spokesperson and advocate for education surrounding medical cannabis. Bailey’s personal experiences with pain, injuries, and the use of opioids have shaped his perspective on medical cannabis as a safer alternative. As chief diversity officer at Trulieve, Bailey has been instrumental in raising awareness and promoting education about medical cannabis, particularly in communities where stigma is prevalent. His involvement helps break down barriers and encourages open discussions about the potential benefits of medical cannabis.

Legal Gray Area in Georgia

Limited Protection for Registered Patients

Georgia’s laws regarding medical cannabis operate in a legal gray area, which can be confusing for both patients and healthcare professionals. While the state allows registered patients to possess up to 20 ounces of low-THC oil, there is limited legal protection for those who are not registered. Possession of over an ounce of marijuana without a medical cannabis card is a felony in Georgia, with significant fines and possible imprisonment. This uncertainty and potential for legal consequences deter some patients from pursuing medical cannabis as an option for relief.

Penalties for Non-Registered Possession

Possession of marijuana without a medical cannabis card can result in severe penalties in Georgia. Individuals caught with over an ounce of marijuana can face fines of over $1,000 and a minimum of one year and maximum of 10 years imprisonment. These penalties create a significant deterrent for patients who are unsure about their eligibility or registration status. The fear of legal consequences further limits access to medical cannabis for those who may benefit from its use.

Importance of Education on Regulatory Laws

Given the legal complexities surrounding medical cannabis in Georgia, education on regulatory laws is crucial for patients and healthcare professionals alike. By providing clear and accurate information about the registration process, eligibility criteria, and legal protections, individuals can make informed decisions about pursuing medical cannabis as a treatment option. Increased education on regulatory laws will help dispel confusion and empower patients to navigate the system more effectively.

Low Number of Registered Patients

Inaccurate Reporting of Card Holders

The number of registered patients in Georgia’s medical cannabis industry has been a topic of debate and confusion. Initial reports stated that there were 50,000 card holders in the state, but this number was later retracted as inaccurate. The Georgia Department of Public Health has issued approximately 14,000 low-THC oil cards to date. This discrepancy in reporting creates uncertainty about the actual number of patients benefiting from medical cannabis and raises questions about the reliability of the data.

Impact on Number of Licenses

The low number of registered patients has potential implications for the number of licenses allowed in the state. If the number of patients registering for low-THC oil cards is lower than predicted, it may result in a decreased number of licenses available for dispensaries and producers. This limitation further restricts access and availability of medical cannabis products for patients who are in need.

Partnership with Pharmacies for Increased Access

To increase accessibility, the medical cannabis industry in Georgia has established partnerships with pharmacies. The goal is to ensure that 90% of Georgians are within a 30-minute drive of a pharmacy that offers medical cannabis products. This approach aims to address the issue of limited availability, particularly in rural areas where access to dispensaries may be more challenging. By partnering with independent pharmacies across the state, the industry hopes to bring medical cannabis products closer to patients in need.

Pharmacies as Access Points

Limited Availability at Larger Chains

While pharmacies are being enlisted as access points for medical cannabis products, larger chains like CVS and Walmart have chosen not to offer these products. The reasons behind this decision may vary, but it highlights the complexities and uncertainties surrounding the medical cannabis industry. However, the partnership with independent pharmacies presents an opportunity to increase availability and accessibility in local communities.

Application Process for Independent Pharmacies

Independent pharmacies interested in offering medical cannabis products must go through an application process with the Georgia Board of Pharmacy. This process ensures that pharmacies meet the necessary requirements and guidelines to handle and dispense medical cannabis products safely. By establishing a standardized application process, the industry can ensure that patients have access to quality products from trusted sources.

Example of Robins Pharmacy in Warner Robins

Robins Pharmacy in Warner Robins became one of the first pharmacies in the country to sell medical cannabis products. This landmark development demonstrates the progress being made in expanding access to medical cannabis in Georgia. By offering low-dose THC products to customers with a medical marijuana card, Robins Pharmacy is helping meet the needs of patients in their local community. This example serves as a testament to the potential of pharmacies as access points and showcases the positive impact they can have on patient care.


Limited access for patients in Georgia’s medical cannabis industry is a multifaceted issue that requires comprehensive solutions. Challenges with the registration process, cost barriers, legal uncertainties, stigma and misconceptions, and the low number of registered patients all contribute to the limited accessibility of medical cannabis. However, efforts like education and outreach initiatives, the involvement of advocates like Champ Bailey, and the partnership with pharmacies offer hope for increased access and improved patient care. By addressing these challenges collectively, Georgia can work towards a more inclusive and accessible medical cannabis industry that benefits all patients in need.



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