WHY IT MATTERS: Indiana patients seeking legal access to cannabis for medical purposes will continue to face criminal and legal barriers, with no near-term legislative relief in sight. CLINICAL OVERVIEW: Indiana legislators allowed a key cannabis reform bill to die by missing a procedural deadline, leaving the state without updated cannabis policy at a time when surrounding states continue to expand patient access. The failure reflects a broader pattern in politically cautious states where cannabis reform stalls not through direct opposition but through inaction and procedural delays.