Minnesota Hospital Association

Quality & Patient Safety

Medical Cannabis

Since Minnesota passed a medical cannabis law in 2014, MHA members have had numerous questions regarding how hospitals and health care facilities will care for patients who possess or use medical cannabis. This is a complicated issue for our members because federal law, CMS regulations, accrediting organizations’ requirements and Minnesota’s new law do not clearly align with one another. 

In the 2015 legislative session, MHA worked to secure an amendment to Minnesota’s medical cannabis statute to extend state law protections and immunities to employees of hospitals and clinics when providing care to a patient on the Minnesota medical cannabis patient registry. The amendment also allows health care facilities to reasonably restrict the use of medical cannabis by patients. For example, the facility may choose not to store or maintain a patient's supply of medical cannabis or it may restrict the use of medical cannabis to a specific location.

MHA convened a broad group of members to discuss the impact of Minnesota’s new medical cannabis law on hospital workflows and policies/procedures. MHA’s Medical Cannabis Work Group included leaders from pharmacy, nursing, the Adverse Drug Events Advisory Group, controlled substance diversion prevention subject matter experts, and legal counsel.   

The work group has produced template policies for MHA members to be used at their discretion. View the Medical Cannabis Template Policies document. The policies can be summarized as follows: 

  1. The hospital will not allow medical cannabis.
  2. The hospital will allow inpatients to continue use while inpatient in the hospital and medical cannabis will be treated as self-administered home therapy.
  3. The hospital will allow inpatients to continue while inpatient in the hospital and medical cannabis will be treated as a medication and integrated within the hospital medical workflows.

Hospital leaders may wish to use the template policies as you develop your own processes to work with patients who are authorized to use medical cannabis. The members of the work group and the MHA Board of Directors recommend that hospitals consider the issues raised in the template policies and - working with your appropriate committees, such as a Pharmacy and Therapeutics committee, physician committees, legal committees, or executive committees – make a determination about how your hospital will proceed.      

The members of the work group have also made it clear that there will not be a single standard for all Minnesota hospitals. Each institution must customize its approach based upon patient characteristics and needs, staff considerations, and legal analysis. It is also possible that a hospital may choose not to adopt new policies specific to medical cannabis and instead rely on existing procedures that are already in place at a facility.  

The medical cannabis law is in effect as of July 1, 2015. The law is available here.

Visit the Minnesota Department of Health website for helpful resources.