Voters in Nebraska approved two companion medical cannabis measures on the November 5 ballot!

Initiative Measure 437 will protect patients with serious health conditions and their caregivers from arrest for the use of medical cannabis as recommended by a healthcare provider, while Initiative Measure 438 will establish a Nebraska Medical Cannabis Commission to regulate the manufacture, distribution, delivery, and dispensing of cannabis for medical purposes by registered private entities.

Although both measures received more than two-thirds of the vote, a prohibitionist-led lawsuit is seeking to prevent them from taking effect.

South Dakota voters rejected Measure 29, a ballot initiative that would have legalized personal use and possession of cannabis for adults 21 and over in South Dakota. In 2020, South Dakota became the first state in the country to legalize medical cannabis and adult-use cannabis on the same ballot. However, following the election, Gov. Kristi Noem orchestrated a lawsuit that ultimately repealed the legalization law approved by 54% of voters.

In North Dakota, a legalization ballot measure fell shy of passage. Measure 5 would have allowed adults 21 and older to use cannabis at home without punishment – while also allowing possession of limited amounts of cannabis. Adults over the age of 21 would have also been permitted to grow three plants per household (with a limit of six plants per household).

Florida voters defeated a constiutional amendment to legalize adult-use cannabis. While a majority of voters (55.9%) voted in favor of Amendment 3, Florida requires 60% of the vote for passage.

Amendment 3 woulld have allowed operating medical cannabis dispensaries to sell cannabis to adults over the age of 21, and allowed adults 21 and over to possess one ounce of cannabis flower and five grams of concentrate.