The document summarizes two policy briefs. The first brief discusses the Maryland Medical Marijuana Act, which authorizes medical marijuana use under state law but not federal law. The second brief discusses the Fiscal Sustainability Act of 2013, which aims to reduce healthcare costs through various initiatives without lowering quality, such as adopting health IT, pay for performance, and comparative effectiveness research. The document examines differences between state and federal marijuana laws and options to reduce wasteful healthcare spending at the federal level.