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A Doctor’s Take: What Workers’ Compensation Pros Should Know About Marijuana


By Adjua Fisher.

With its increased legalization, marijuana is becoming a more common debate in the world of workers’ comp. Here are a few medical insights workers’ compensation pros should keep in mind.


With marijuana becoming more widely accepted, both socially and legally, those involved in workers’ compensation are seeing the drug creep into their purview with higher frequency. But marijuana’s increased mainstream acceptance doesn’t mean workers’ comp professionals don’t have concerns when it comes to outright covering the cost of marijuana or, more conservatively, reimbursing for it.


For starters, marijuana is still considered a Schedule 1 drug at the federal level, a category reserved for “drugs with no currently accepted medical use and a high potential for abuse.” Even if it’s legal in the state a business operates in, readily covering something still classified in the same category as heroin, at least on a federal level, can feel risky. Pricing and regulation in the marijuana industry is also in flux, which means forecasting the true cost of coverage can be difficult.


Along with the above concerns, there are medical concerns, which Broadspire’s Marco Iglesias outlines in a recent paper titled “Marijuana: A Medical Perspective.” Below are the top takeaways for workers’ comp professionals.


Marijuana’s Wide Acceptance Has Equated It With Safety, Which Isn’t 100% Accurate


Per the paper, in recent polls, as many as 63% of respondents were in support of the legalization of marijuana, compared to just 12% in 1963. This number rises to 93% when it comes to supporting its use for adults with a medical prescription by a physician.


While marijuana is shown to be helpful in certain medical cases, like improving appetite for those with HIV/AIDS and reducing pain and nausea, it’s not entirely without its risks. As Iglesias noted, “Cannabis can cause a temporary impairment of memory, judgment, decision making, reaction time and time-space recognition.” There’s also the risk of cannabis use disorder, described as “a persisting pattern of cannabis use that results in clinically significant functional impairment in two or more life domains (school, work, social, recreational).”


Marijuana Can Impact the Ability to Perform Everyday Tasks, Like Driving

As the paper read, use of cannabis while driving is linked to an increased rate of collisions.

With the recent legalization of marijuana, “Colorado, Oregon and Washington saw collision claim frequencies rise by 3% … Fatal crashes involving cannabis doubled after legalization in Washington state (8 to 17%).” This does not show a causal association, but it’s still worth noting.


From a Medical Perspective, the Science Isn’t Crystal Clear

There are scientific reviews that sup