Yes, this meme is showing you that at both the Federal and State, the term "Ultimate User" are the same. Also, the state actually is bound by the Federal code. Every state in the union will say something to the effect of "As controlled by the Federal CSA"...
The point is, if you are an "Ultimate User" than you can lawfully use and possess any controlled substance at both the Federal and State levels.
RE: Drug War Stories: Wrapped in Wise County