How Medical Cannabis Legislation Impacts Patient Access in Australia

Doctor prescribing medical cannabis to a patient in Australia

Medical cannabis legislation in Australia has opened new pathways for treatment, but navigating the system is still a challenge for many patients. Despite legalisation, barriers like complex approvals, costs, and limited awareness impact access. This article explores how medical cannabis laws affect patients seeking treatment and what can be done to improve accessibility.

 

Key Regulatory Framework

Australia’s medical cannabis system is governed by the TGA, which requires:

  1. Special Access Scheme (SAS): For individual applications approved on a case-by-case basis.
  2. Authorised Prescriber Pathway: Doctors authorised to prescribe cannabis without repeated TGA approvals.

 

How State Legislation Influences Access

  • New South Wales: More streamlined, but still requires strict documentation.
  • Victoria: Accessible through authorised prescribers but limited to specialists for certain conditions.
  • Tasmania: The Controlled Access Scheme (CAS) restricts approvals and requires specialist intervention.

 

Challenges to Patient Access

  1. Cost of Treatment
    Medical cannabis remains expensive, with no subsidies under the PBS.
  2. Limited Doctor Training
    Many GPs lack knowledge about medical cannabis, making it difficult for patients to find prescribers.
  3. Stigma and Misconceptions
    Despite legalisation, patients may face stigma from healthcare providers, employers, or peers.

 

Improving Access Through Policy Changes

To enhance access, policymakers could:

  • Expand doctor training programs on cannabis-based therapies.
  • Include medical cannabis under the PBS to make treatment affordable.
  • Simplify state approval processes to reduce delays.

 

Conclusion

While Australia’s medical cannabis legislation has paved the way for legal treatments, significant barriers remain for patients. Addressing costs, improving doctor education, and streamlining regulations are key steps to ensuring more Australians can access the care they need.