California cannabis experts identified successes and shortcomings of Proposition 64
Subject matter experts across California's cannabis landscape praised Prop 64 for quality control and stigma reduction but criticized high costs, licensing barriers, and persistent social inequity.
Quick Facts
What This Study Found
Interviews with 22 stakeholders identified three primary themes: (1) successes including quality control, justice reform, and stigma reduction; (2) shortcomings including high costs, licensing barriers, bureaucracy, and social inequity; and (3) recommendations including more research, policy changes, and business model transformation. Experts emphasized that federal Schedule I status remains a barrier to banking, research, and regulatory consistency.
Key Numbers
22 subject matter experts interviewed; 9 stakeholder categories; Prop 64 passed 2016, implemented 2018; interviews conducted January-March 2022
How They Did This
Twenty-two semi-structured interviews conducted January-March 2022 with subject matter experts across nine categories: clinicians (primary care, pain management, addiction medicine, cannabis), researchers, advocates, dispensary owners, legal professionals, and consumers. Nine tailored interview guides assessed perceptions of Prop 64 impacts.
Why This Research Matters
Six years after passage, Prop 64 had produced both intended benefits and significant unintended consequences. Expert perspectives from across the cannabis ecosystem reveal where legalization frameworks succeed and where they fall short.
The Bigger Picture
California was among the first states to legalize recreational cannabis, making its implementation experience a reference point for other jurisdictions. The finding that legalization created new inequities even while reducing old ones is a recurring pattern across legalization efforts.
What This Study Doesn't Tell Us
Qualitative design with 22 participants cannot capture the full range of stakeholder experiences. Interviews conducted in early 2022 may not reflect more recent developments. Expert selection may not represent all affected communities equally.
Questions This Raises
- ?Have states that legalized after California avoided the licensing and cost barriers identified by these experts?
- ?Would federal rescheduling address the banking and research barriers described?
Trust & Context
- Key Stat:
- 22 experts across 9 stakeholder categories
- Evidence Grade:
- Qualitative expert interviews provide rich contextual insight but represent a small, purposively selected sample that cannot be generalized to broader populations.
- Study Age:
- 2025 publication; interviews conducted January-March 2022 about Prop 64 (passed 2016, implemented 2018)
- Original Title:
- The Impact of Adult Cannabis Use Legalization in California: A Qualitative Review of Subject Matter Expert Opinions on Proposition 64.
- Published In:
- Cannabis (Albuquerque, N.M.), 8(3), 72-88 (2025)
- Authors:
- Ageze, Daniel(4), Dell'Acqua, Renee(4), Marcotte, Thomas D(13), Baird, Sara, Garcia, Jesus, Rybar, Jill, Hill, Linda
- Database ID:
- RTHC-05875
Evidence Hierarchy
Uses interviews or focus groups to understand experiences in depth.
What do these levels mean? →Frequently Asked Questions
What were Prop 64's biggest successes?
Experts identified improved product quality control, criminal justice reform efforts, and reduced social stigma around cannabis use as the primary achievements.
What were the main criticisms?
High costs, complex licensing processes, excessive bureaucracy, and persistent social inequity were the most frequently cited shortcomings, with experts noting that federal Schedule I status compounds many of these problems.
Read More on RethinkTHC
Cite This Study
https://rethinkthc.com/research/RTHC-05875APA
Ageze, Daniel; Dell'Acqua, Renee; Marcotte, Thomas D; Baird, Sara; Garcia, Jesus; Rybar, Jill; Hill, Linda. (2025). The Impact of Adult Cannabis Use Legalization in California: A Qualitative Review of Subject Matter Expert Opinions on Proposition 64.. Cannabis (Albuquerque, N.M.), 8(3), 72-88. https://doi.org/10.26828/cannabis/2025/000291
MLA
Ageze, Daniel, et al. "The Impact of Adult Cannabis Use Legalization in California: A Qualitative Review of Subject Matter Expert Opinions on Proposition 64.." Cannabis (Albuquerque, 2025. https://doi.org/10.26828/cannabis/2025/000291
RethinkTHC
RethinkTHC Research Database. "The Impact of Adult Cannabis Use Legalization in California:..." RTHC-05875. Retrieved from https://rethinkthc.com/research/ageze-2025-the-impact-of-adult
Access the Original Study
Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.
This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.