Abstract
The 2018 Farm Bill legalized hemp with <0.3% THC at the federal level. This regulation facilitated the emergence of hemp-derived THC beverages, including in states where marijuana is illegal. In this commentary, we highlight the varying and evolving approaches taken by states to regulate hemp-derived THC beverages by describing examples of states with divergent combinations of marijuana and hemp-derived product legality. Approaches described include product bans and age restrictions, serving size and packaging standards, and permit requirements for sales. We draw attention to key areas worthy of consideration for regulation and delineate public health implications. Lack of age restrictions, standard dosing information, and oversight of retail and consumption sites raise concerns about youth access, consumer misunderstanding, and overconsumption or co-use with alcohol yielding unintended levels of intoxication. Needed are public health approaches to hemp-derived THC beverages that protect youth and facilitate informed consumption decisions among adults.