A study ordered by New York Gov. Andrew Cuomo recommends legalizing marijuana for adult use in New York, state health commissioner Howard Zucker said Monday.

"I will finalize that report and obviously bring it to the governor," he said at a meeting with medical marijuana practitioners in Brooklyn.

The outcome of the study is little surprise to those who have been following the issue.

The governor ordered the study at his State of the State address in January, signaling a shift in his own attitudes about marijuana, which he had previously lambasted as a "gateway"drug. The Department of Health took up the mantle, and was ordered to study the public health, safety and economic impact of a regulated marijuana trade in New York, as well as the impact that legalization in neighboring states would have.

New York, a state obsessed with being "first" on progressive issues, is smack dab in the middle of a region where recreational marijuana is either already legal or about to be legal. Nine states, including Massachusetts, Vermont and Maine, as well as Washington, D.C., have legalized the drug. Canada is on the verge of legalizing it. And New Jersey, spurred by Democratic Gov. Phil Murphy, is exploring the possibility.

At the same meeting Monday, Zucker also announced that anyone with an opioid prescription can qualify for the state's medical marijuana program, a move designed to prevent opioid addiction amid a deadly and growing epidemic.

Medical marijuana has been shown to drastically reduce pain, sometimes more effectively than opioids, among patients with pain both chronic and acute. While those living with chronic pain can currently qualify for medical marijuana under the state's program, those with acute or temporary pain cannot.

But as opioid addiction continues to kill New Yorkers and Americans at epidemic-level rates, there have been growing calls for New York to expand its medical marijuana program in hopes of possibly reducing the widespread use of prescription painkillers like Oxycontin, hydrocodone and Vicodin. In a Times Union story published last week, Capital Region residents living with chronic pain said they were able to stop taking opioids after discovering medical marijuana for pain.

In other cases, chronic pain patients have used the marijuana as a supplement to the opioid, increasing their use of the former while decreasing their use of the latter, which is far more addictive and, when taken in excess quantity, can cause death.