The Spokesman-Review opines that because Congress refuses to update the absurd Controlled Substances Act, states are trying to figure out the best ways to implement the sane and popular wish that marijuana be made available for medicinal purposes. The newspaper says Washington's bill should put patients first by not erecting barriers that make it more difficult to legally obtain medical marijuana, and that the House should strip the bill of these excessive limitations. It says the bill represents a cultural shift in attitudes toward marijuana, and that regulation and enforcement ought to reflect that reality.