While alcohol remains the drug of choice among college students, marijuana ranks number two with 32 percent reporting using marijuana in 2008. That's a modest decline from 2001, when 36 percent of college students reported marijuana use. While levels of marijuana use by students are determined through a number of national and local surveys, no national samples have been drawn to compare use in states with and without such laws. James Lange, director of Alcohol and Other Drug Initiatives for San Diego State University, points out that there have been no published descriptions on the impact of medical marijuana laws on the use of marijuana by college students, even though over a dozen states now have some form of medical marijuana. Just because medical marijuana may be legal in some states, college students with a doctor's prescription may not be allowed to smoke it on campus. For example, on Dec. 16, 2009, campus administrators at Fort Lewis College decided to forbid the use or possession of medical marijuana anywhere on campus and to treat it no differently than alcohol and illicit drugs. But at one point, after Colorado voters effectively legalized medical marijuana in November 2000, campus officials said that the rule governing medical marijuana use was the same as for tobacco, which permits smoking on campus, but not in residence halls. More states are considering medical marijuana legislation. Currently, in at least five states lawmakers and activists are pushing forward with new medical marijuana laws. In Virginia, two bills have been introduced in its House of Delegates. In South Dakota medical marijuana advocates have gathered more than twice the number of voter signatures needed to get a medical marijuana measure on the ballot in November that would allow for possession of up to one ounce by qualified patients. The increasing acceptability of medical use of marijuana in the United States poses concerns for marijuana use by teens.