This past May, the Pennsylvania Commonwealth Court, in Fegley v. Firestone Tire & Rubber, 291 A.3d 940, ruled that while the Pennsylvania Workers' Compensation Act (WCA) does not require insurers to cover injured workers' medical marijuana costs when insurers are billed directly from a dispensary, it does require insurers to reimburse workers' out-of-pocket medical marijuana costs that are reasonable, necessary, and related to their work injuries. I explained that in doing so, the Commonwealth Court opened a new world of treatment options for injured workers in the state that could also lessen or eliminate future societal costs levied by continued widespread opioid use and abuse.