How Red Utah Embraced the Green

Eight years ago, Utah laws prohibited all forms of cannabis, even CBD, for everyone in the state.

Today, tens of thousands of Utahns have legal access to a broad range of Medical Cannabis products, including raw flower and other products with THC.

How did Utah, one of America’s most conservative states, undergo such a dramatic shift in its attitudes about cannabis?


A dropper of CBD oil

A ‘Paradigm Shift’ in the Utah Legislature

Former state Representative Brad Daw shared an insider’s perspective of the events and conversations that made him take cannabis medicine seriously.

Daw said the advent of “Charlotte’s Web” helped put Medical Cannabis on his radar back in 2013.

Charlotte’s Web is a low-THC, high-CBD cannabis strain named after Charlotte Figi, a young Colorado girl with Dravet syndrome. Charlotte’s parents, Matt and Paige Figi, were desperate for something to treat Charlotte’s frequent seizures. After exhausting their other options, the Figis decided to explore cannabis.

At the time, the idea of administering a cannabis-derived product to a child was almost unheard of. It wasn’t long before Charlotte’s story became international news and CBD became a household word.

“[W]ith Charlotte’s Web, we had to start saying, ‘Well, at least this substance called CBD, has some use.’ And that kind of opened the door for me and said, “All right. The notion that marijuana is a Schedule I drug or cannabis is a Schedule I drug, which means it has no real medical benefit that outweighs its risk or abuse potential’ just didn’t fly anymore. We have to change our thinking,” Daw said in a September 2021 episode of Utah in the Weeds.

In his own words, Daw described his realization about the therapeutic potential of CBD as a “paradigm shift.”

A 2013 poll showed 61% of Utahns supported the idea of allowing people to use cannabis, with a doctor’s recommendation. The Utah Legislature dipped its toes into the Medical Cannabis waters the following year.

In 2014, Utah lawmakers passed the state’s first piece of Medical Cannabis legislation. Rep. Gage Froer’s House Bill 105 allowed patients to possess CBD oil under specific criteria.

H.B. 105 didn’t exactly open the floodgates for Medical Cannabis in Utah. It provided limited protection for people with intractable epilepsy and their caretakers but no one else. But at least it was a step in the right direction.

The Path to THC

In 2015, state Senator Mark Madsen sponsored S.B. 259 to expand legal access to Medical Cannabis in Utah. His bill would’ve legalized Medical Cannabis—even cannabis with THC—for a much broader range of Utah patients.

But S.B. 259 failed, as did S.B 73, a similar bill that Madsen ran the following year.

State Senator Evan Vickers also sponsored Medical Cannabis legislation in 2016. His bill, S.B. 89, would’ve expanded patients’ access to low-THC, high-CBD cannabis. It also failed.

Volunteers gathered more than 153,000 signatures to put Medical Cannabis on Utah’s 2018 midterm ballot.

By that point, it seemed unlikely that the Utah Legislature would pass anything resembling a comprehensive Medical Cannabis bill. Patients in need of Medical Cannabis felt frustrated to have their hopes smashed before their eyes. It was time to take the matter into their own hands. It was time for a citizens’ initiative.

Cannabis Advocacy and Signature-Gathering

Advocacy groups like TRUCE, the Utah Patients Coalition, and Libertas Institute have spent years fighting for patients’ access to Medical Cannabis. So have national advocacy groups like NORML and the Marijuana Policy Project.

With the support of TRUCE and Libertas Institute, UPC led a signature-gathering initiative to put Medical Cannabis on Utah’s 2018 ballot. They gathered 153,894 valid signatures, exceeding the required number of signatures for a ballot initiative by more than 40,000. The ballot initiative resulted in Proposition 2, the Utah Medical Cannabis Act.

Toward the start of 2018, another poll showed more than three-fourths of Utahns supported the ballot measure. A group called Drug Safe Utah campaigned against Proposition 2 heavily.

A third poll just a few weeks before Election Day showed Prop 2 support had plummeted to 51% – right at the threshold of failure. Medical Cannabis advocates may have been discouraged by the poll results, but they didn’t lose hope.

“The opposition has spent a lot of money on … hysterical messaging points. But I think when push comes to shove, we have a huge advantage with the enthusiasm gap in support of Proposition 2,” said then-UPC spokesman DJ Schanz in an October 2018 interview with The Salt Lake Tribune.

High Voter Turnout

As one might expect, Utah had an abnormally-high voter turnout that November. In fact, more than 75% of Utah voters participated in the 2018 midterm election.

“For comparison, just over 30% of Utah voters voted in the 2014 midterms. About 37% cast ballots in the 2010 midterm election, and 35% turned out in the 2006 midterm elections,” a post on the Utah Policy website says.


Utah’s Medical Cannabis patients can purchase raw flower and other forms of cannabis at local cannabis pharmacies. Some, but not all, cannabis products sold in Utah contain significant amounts of THC.

In the end, Prop 2 passed narrowly, with 52.7% of voters in favor of it and 47.3% opposed.

Soon afterward, the Utah Legislature held a special session to make several critical changes to the original proposition. The session resulted in House Bill 3001, the Utah Medical Cannabis Act.

Governor Gary Herbert signed H.B. 3001 into law that December. He touted Utah’s new program as “the best-designed medical cannabis program in the country.”

Within 15 months, Utah’s Medical Cannabis program was up and running. By the end of 2021, more than 40,000 patients had registered with the program.

Where We Go From Here

The program still isn’t perfect. Medical Cannabis patients have to get their medicine from Utah’s 14 cannabis pharmacies. They don’t have the option to grow their own.

Medical Cannabis patients in Utah often express dissatisfaction about the cost of their medicine. An eighth of an ounce of raw cannabis flower typically costs about $60. Although Utah’s Medical Cannabis tends to be more expensive than in other states, we’re pleased that it’s finally available.

Utah legislators expect to continue refining the program in each of their yearly sessions.

“We have a responsibility to make sure that our laws, hopefully not too slowly, but consistently move towards the best medical situation that we can provide for our patients, for the state’s patients so that we’re all equal,” said Rep. Jennifer-Dailey Provost in an October 2021 episode of Utah in the Weeds.

Among other changes, Dailey-Provost hopes to expand Utah’s list of qualifying conditions for Medical Cannabis.

“I do have a lot of heartburn about the list of qualifying conditions. I am glad; if nothing else, we have the compassionate use boards so that it’s not completely set in stone. It’s only kind of set in stone. But I think that we can do a lot better,” she said.

It’ll be interesting to watch Utah’s Medical Cannabis program continue to develop in the coming years. The Utah Legislature is currently in session at the time of this writing. We’ll keep you posted on any new changes to the program.

In the meantime, we expect many more patients will join the program. If you’re interested in Medical Cannabis, click here to reserve an evaluation with one of our Qualified Medical Providers.

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By David Wells
Content Producer & Analyst at
Published January 28, 2022

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