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Medical Cannabis Patient Protection Initiative [1] | |||||||||||||||||||
| Results | |||||||||||||||||||
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 Yes: 50–60% 60–70% 70–80% 80-90% No: 50–60% 60–70% | |||||||||||||||||||
| Elections in Nebraska |
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 Government |
The Medical Cannabis Patient Protection Initiative, listed on the ballot as Initiative 437 was a ballot initiative for the legalization of medical cannabis in the state of Nebraska that was passed on November 6th, 2024.
Shall a statute be enacted that makes penalties inapplicable under state and local law for the use, possession, and acquisition of an allowable amount (up to five ounces) of cannabis for medical purposes by a qualified patient with a written recommendation from a health care practitioner, and for a caregiver to assist a qualified patient with these activities?
| Choice | Votes | % |
|---|---|---|
 Yes | 637,126 | 71.05 |
| No | 259,643 | 28.05 |
| Total votes | 896,769 | 100.00 |
| Source: Secretary of State of Nebraska | ||
In December 2024, after a lawsuit aimed at preventing him from doing so failed, Governor Jim Pillen signed a proclamation bringing the Initiative into the state's law. [2] Since then, the initiative has continued to be debated in court, with challengers (along with the Pillen and the Attorney General) arguing that the initiative violates federal law and the Nebraska constitution. [3]
Following the Initiative's approval by the voters and consistent with its text, the Nebraska legislature sought ways to provide a regulatory structure to support the access to and distribution of medical cannabis. [4] There has been debate among lawmakers as to how much the government should regulate or curb access.
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