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45 S. Ill. U. L.J. 45 (2020-2021)
Recreational Marijuana, Tobacco, & the Shifting Prerogatives of Use

handle is hein.journals/siulj45 and id is 51 raw text is: RECREATIONAL MARIJUANA, TOBACCO, & THE
SHIFTING PREROGATIVES OF USE
Kerry Cork1
INTRODUCTION
Although marijuana remains illegal under federal law, thirty-three
states, the District of Columbia, and four U.S. territories have legalized it for
medical use, and eleven states, D.C., and two U.S. territories have legalized
it for recreational2 use by those aged twenty-one and older.3 As of mid-2020,
roughly 28 percent of U.S. residents live in one of the jurisdictions that allow
recreational use, and 68 percent live in a state with legalized medical use.4
Popular support for marijuana legalization continues to be strong and
growing,' despite ongoing regulatory concerns, limited research on potential
health risks, and questions about effective, socially equitable, and
environmentally sound operational practices.6
As states with legalized recreational marijuana have caused an uptick
in public and private marijuana use, several jurisdictions have begun
amending tobacco control initiatives, such as smoke-free laws, to
accommodate marijuana users.7 The increased normalization of marijuana
use has concerned many public health professionals since it mirrors a rise in
the use of e-cigarettes and nicotine delivery devices through which
Kerry Cork, J.D., M.A., is a senior staff attorney at the Public Health Law Center.
2    Throughout this article, we use the term recreational marijuana rather than adult use cannabis
or retail marijuana. Our focus is marijuana used for recreational - as opposed to medical - use,
and on the practice of smoking or vaping marijuana rather than ingesting it by other means.
3    See, e.g., Nat'l Institute of Alcohol Abuse & Alcoholism, Recreational Use of Cannabis: vols. 1 &
2, https://alcoholpolicy.niaaa.nih.gov/cannabis-policy-topics/recreational-use-of-cannabis-volume
-1/104#page-content;  see  also  Marijuana  Policy  Project,  State  Policy  (2020),
https://www.mpp.org/states. The U.S. territories of Guam, Northern Mariana Islands, Puerto Rico,
and the U.S. Virgin Islands have legalized medical marijuana; Guam and Northern Mariana Islands
have legalized recreational marijuana.
4    Carnevale Associates LLC, Status of State Marijuana Legalization (last accessed June 26, 2020),
https://www.carnevaleassociates.com/our-work/status-of-state-marijuana-legalization.html.
5    Approximately two-thirds of Americans support the legalization of marijuana today, reflecting a
steady rise over the last decade. Andrew Daniller, Two-Thirds of Americans Support Marijuana
Legalization, Pew Research Center survey (Nov. 14, 2019), https://www.pewresearch.org/fact-
tank/2019/11 /14/americans-support-marijuana-legalization.
6    See, e.g., German Lopez, Marijuana Legalization is about to Have a Huge Year, VOx ( Jan. 23,
2020),   https://www.vox.com/policy-and-politis/2020/l/23/21076978/marijuana-legalization-
2020-ballot-initiatives.
See, e.g., Jane Steinberg et al., A Tobacco Control Framework for Regulating Public Consumption
of Cannabis: Multistate Analysis and Policy Implications, 110 AM. J. PUBLIC HEALTH 203-8
(2020).

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