Medical marijuana programs in states that went on to legalize adult-use cannabis are suffering, raising questions about the future of MMJ in those markets.

The makeup of MMJ patients in those states also is changing.

Data from medical cannabis programs in Colorado, Oregon and Nevada – the only states with both an active recreational marijuana industry and a pre-existing MMJ patient database – shows patient counts steadily declining in the months and years after the launch of each state’s adult-use market.