WHY IT MATTERS: Terminally ill patients in Washington who rely on medical cannabis for pain, nausea, or appetite may soon be able to continue that treatment without interruption during a hospital stay, rather than being forced to choose between inpatient care and their existing symptom management regimen. CLINICAL OVERVIEW: Washington State senators have advanced legislation that would allow terminally ill patients to use medical cannabis while receiving care in hospital settings, addressing a long-standing gap between state medical cannabis law and healthcare facility policy. Currently, patients with valid medical cannabis authorizations often face the difficult choice of forgoing their cannabis use or leaving hospital grounds, creating unnecessary barriers to symptom management at the most vulnerable stage of life.