WHY IT MATTERS: Nebraska patients who voted for medical cannabis access may find that the available products and eligible physicians are significantly limited under these new rules, potentially forcing some to go without care or seek alternatives outside the legal system. CLINICAL OVERVIEW: Nebraska’s newly implemented medical cannabis regulations have introduced restrictions on which parts of the cannabis plant can be used, placed caps on THC concentration, and created new licensure requirements for physicians who recommend the drug. These rules reflect a cautious regulatory framework that prioritizes gatekeeping over patient access, which is a common tension seen when states build medical cannabis programs from scratch.